Myopia Management: Focus on Axial Length Measurement, Not Refractive Error

Drs. Michaud, Marcote-Collard, and Simard advised attendees to establish a baseline AL measurement at the patient’s first visit.

By: Jennifer Kirby

Contact Lens Spectrum January 10, 2026

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Establishing a baseline axial length (AL) measurement at the first visit is crucial for effective myopia management.
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Axial length is a better predictor of myopia progression and associated eye diseases than refractive error.
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Regular rechecking of AL every 6 months is recommended, especially for patients with fast-progressing myopia.
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Treatment strategies should be adjusted based on individual responses, with a focus on mimicking emmetropic eye growth.
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Monitoring axial length is essential, as refractive changes may lag behind uncontrolled AL progression.

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