Myopia Care

The World Health Organization (WHO) projects that more than 50% of the world’s population will be myopic by 2050, making myopia a global public health concern. Recognizing this growing challenge, Nepal Eye Hospital has established a dedicated Myopia Clinic focused on the early detection, monitoring, and control of myopia, particularly in children and young adults.

The clinic follows a structured, evidence-based approach aimed at slowing myopia progression and reducing the risk of long-term, sight-threatening complications such as myopic maculopathy, retinal degeneration, retinal detachment, and glaucoma.

The Myopia Clinic is operated on all working days by a dedicated Consultant Optometrist, supported by trained Optometry students, ensuring comprehensive clinical care along with academic excellence.

Objectives of the Myopia Clinic

  • Early identification of myopia and pre-myopia

  • Accurate monitoring of myopia progression

  • Implementation of effective myopia control strategies

  • Prevention of long-term ocular complications

  • Education and awareness for parents, schools, and the community

Key Services Offered

Comprehensive Myopia Assessment

  • Detailed eye examination with emphasis on refractive error

  • Cycloplegic refraction (where indicated)

  • Risk factor assessment including family history and lifestyle habits

Axial Length Measurement & Progression Analysis

  • Objective measurement of axial length, the gold standard for monitoring myopia progression

  • Longitudinal tracking to detect early and subtle progression changes

Lifestyle & Behavioral Counseling

  • Guidance on outdoor activity and screen-time management

  • Advice on near-work habits and visual hygiene

  • Parent and child education on myopia risk reduction

Evidence-Based Myopia Control Options

  • Myopia control spectacle lenses

  • Contact lens-based options, including:

    • Orthokeratology (Ortho-K)

    • Soft multifocal contact lenses

  • Low-dose atropine therapy, where clinically indicated

Regular Follow-up & Monitoring

  • Scheduled follow-ups based on risk profile

  • Progression tracking using advanced diagnostic tools

  • Treatment modification based on response and growth patterns

Counseling for Spectacle Independence

  • Counseling on safe and suitable options for spectacle wearers wishing to reduce or remove spectacle dependence

  • Guidance tailored to age, refractive status, and ocular health

Advanced Technology Supporting Myopia Care

MYAH® Device – Topcon Healthcare

The MYAH® device from Topcon Healthcare is a state-of-the-art, multifunctional diagnostic instrument designed specifically for myopia management and ocular surface assessment. It plays a central role in delivering accurate, repeatable, and patient-friendly measurements essential for personalized myopia care.

Key Features of MYAH® in Myopia Management

Axial Length Measurement

  • Highly precise and repeatable axial length measurements

  • Detects subtle progression not always evident in refraction alone

  • Gold standard parameter for monitoring myopia control effectiveness

Corneal Topography

  • Detailed mapping of corneal curvature and shape

  • Essential for fitting and monitoring orthokeratology and myopia-control contact lenses

Pupilometry

  • Measures pupil size under different lighting conditions

  • Assists in customized lens selection and treatment planning

Progression Reports

  • Visual and numerical reports showing axial length growth over time

  • Helps clinicians, parents, and patients clearly understand treatment outcomes

Additional Diagnostic Capabilities of MYAH®

  • Non-invasive tear film analysis for dry eye assessment

  • White-to-white corneal diameter measurement

  • Supports comprehensive eye care beyond myopia management

Advantages of MYAH® in the Myopia Clinic

  • Multiple essential diagnostic tools combined in a single compact device

  • Child-friendly, non-contact, and easy-to-use design

  • Enhances patient and parent education through clear progression charts

  • Supports evidence-based, personalized myopia control strategies

Education, Awareness & Community Outreach

The Myopia Clinic also serves as a center for education and awareness, working with:

  • Parents and caregivers

  • Schools and teachers

  • Community groups

The goal is to promote early intervention, healthy visual habits, and long-term eye health among children and adolescents.

Who Should Visit the Myopia Clinic?

  • Children with myopia or rapidly changing spectacle power

  • Children with a family history of high myopia

  • Young adults with progressing myopia

  • Parents concerned about excessive screen use and near work

  • Spectacle wearers seeking long-term myopia control solutions

Early Detection | Controlled Progression | Lifelong Vision Protection