A New Paradigm in Pediatric & Adolescent Myopia Treatment [Part 2: MiSight] | St. Mary's Jin Eye Clinic Pediatric Vision Care feat. Dr. Jin-Hyung Park, M.D., Ph.D.

Hello! I am Dr. Jin-Hyung Park, Chief Medical Director of St. Mary's Jin Eye Clinic!

These days, so many students wear glasses, don't they?

Many parents are concerned about whether their child's myopia will continue to progress and what the best approach for treatment might be.

Managing myopia during childhood and adolescence is crucial because inhibiting its progression is the most effective way to ensure healthy eyes in adulthood.

Many children wear Ortho-K lenses (Dream lenses) from a young age.

However, as children enter adolescence, their academic workload increases and they often do not get enough sleep. In such cases, the effectiveness of Ortho-K lenses frequently begins to decline.

For these situations, MiSight lenses—a relatively recent innovation that has received FDA approval—can be utilized as a treatment for pediatric and adolescent myopia.

MiSight is a daily disposable soft contact lens manufactured by CooperVision, the same company that produces Paragon CRT, one of the leading Ortho-K lens brands.

You wear them during the day and simply dispose of them before going to bed. Management is exceptionally easy, eliminating concerns about cleaning and maintenance.

When using lenses long-term, especially in children, there are many concerns such as infectious diseases like conjunctivitis, keratitis, or Acanthamoeba corneal ulcers.

However, MiSight offers distinct advantages because it is a daily disposable lens that is comfortable and easy to wear as a soft contact lens.

MiSight is engineered with a dual-focus design featuring two zones: a myopia treatment (treatment/defocus) zone and a vision correction zone.

The vision correction zone adjusts light refraction to focus images directly onto the retina, providing children with clear, sharp vision without glasses or surgical procedures.

The myopia treatment zone focuses the image in front of the retina (myopic defocus), preventing axial elongation of the eyeball and thus inhibiting the progression of the child's nearsightedness.

MiSight provides immediate vision correction upon wear and helps slow myopia progression with 10 hours of daily wear as a daytime lens.

During a 5-year clinical study, participating children maintained excellent visual acuity of 20/20 (1.0) or better.

Looking at the data, you can see that low-dose atropine (which will be covered in our next post) and MiSight myopia control contact lenses show the highest rates of slowing myopia progression.

Ortho-K lenses require refitting every 1–2 years, regular cleaning and care, and continuous monitoring of the corneal epithelium.

Low-dose atropine, such as Myoguard, can sometimes cause visual discomfort due to pupil dilation (mydriasis).

MiSight offers the distinct benefit of being relatively free from these inconveniences.

If you want to safeguard your child's eye health during their growth years,

Visit St. Mary's Jin Eye Clinic, staffed by three clinical professors from Catholic University St. Mary's Hospital, for a professional examination and personalized prescription!

St. Mary's Jin Eye Clinic Former clinical professors of Seoul St. Mary's Hospital specializing in presbyopia & cataract surgery, retinal care, dry eye IPL, and vision correction jineye.co.kr

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Frequently Asked Questions

How many hours a day should MiSight lenses be worn?

Wearing them for 10 hours a day is recommended. MiSight is a daily disposable soft contact lens worn during the day that delivers immediate, crisp vision correction while actively slowing myopia progression in children and teenagers.

What are the advantages of MiSight compared to Dream lenses (Ortho-K)?

A major benefit is that they are not limited by sleep duration and require no daily lens cleaning. Ortho-K lenses become less effective if a child lacks adequate sleep and require constant maintenance and regular refittings, whereas MiSight consists of single-use daily lenses that make hygiene effortless.

How does the MiSight lens work to slow myopia progression?

It slows myopia progression through its dual-focus design featuring a myopia treatment zone. MiSight focuses images in front of the retina to prevent the eyeball from elongating, while simultaneously providing clear vision through the correction zone.

How is the risk of eye infections managed when wearing these lenses?

Because they are daily disposable lenses discarded after a single day of wear, the risk of infection is substantially minimized. Unlike long-term lenses, they eliminate the need for cleaning and storage solutions, significantly reducing the risks of pediatric eye complications like conjunctivitis, keratitis, and Acanthamoeba corneal ulcers.