Objective:

To explore the integration of anti-myopia spectacles and orthokeratology (ortho-k) in myopia management practices, highlighting their significance in improving patient outcomes.

Key Findings:

• Anti-myopia spectacles are accessible and less invasive, ideal for younger children and pre-myopes, with studies showing a significant reduction in myopia progression.
• Compliance with spectacle wear is crucial for efficacy, with real-world studies showing lower than recommended wear times, necessitating effective patient education.
• Ortho-k offers unique advantages, including customized myopic defocus and strong evidence for slowing axial elongation, particularly in moderate myopes.

Interpretation:

The introduction of anti-myopia spectacles expands the options for myopia management, allowing for earlier intervention and potentially leading to increased patient engagement in their eye care, ultimately improving long-term outcomes.

Limitations:

• Compliance with spectacle wear is a significant challenge, requiring innovative strategies to enhance adherence.
• Ortho-k requires commitment and consistent follow-up for effectiveness, which may be a barrier for some patients.

Conclusion:

The arrival of anti-myopia spectacles enhances the myopia management landscape, fostering a collaborative approach where both spectacles and ortho-k can coexist to optimize patient outcomes, ensuring that the right option is matched to the right patient at the right time.