Published: 25 April 2020 | Last updated: 15 September 2026 | Publisher: Smart Vision Optometry
At a glance
- A 2020 paper reported the responses of 239 Australian optometrists to a survey about childhood myopia knowledge and care.
- Single-vision distance spectacles were the most commonly reported approach, although respondents also recognised several myopia-control options.
- A survey describes reported practice at a point in time; it does not decide which option is appropriate for an individual child.
What the Australian survey found
The peer-reviewed paper Knowledge, perspectives and clinical practices of Australian optometrists in relation to childhood myopia analysed 239 completed questionnaires. That was a 6% completed response rate, so its results should be read as the reported knowledge and practice of respondents rather than a census of the profession.
Single-vision distance and progressive-addition spectacles were the most commonly reported management approaches. Many respondents also identified orthokeratology, low-dose atropine and soft peripheral-defocus contact lenses as potentially more effective options for modifying childhood myopia progression. The authors concluded that clinical guidelines could help practitioners use the best available evidence.
What the survey does not establish
The survey did not compare treatment outcomes, prove that one method works for every child or establish a guaranteed success rate. It also predates newer research and products. Families can read how current myopia research is interpreted, while recognising that evidence and availability continue to change.
How treatment decisions are made
International Myopia Institute guidance recommends assessing refractive error, eye health, risk factors, progression and the child and family’s practical needs. Depending on suitability, management may include specifically designed spectacles or contact lenses, orthokeratology, prescribed atropine and advice about visual environment and time outdoors. Benefits, limitations, safety, cost and follow-up requirements should be discussed for the option being considered.
Smart Vision Optometry provides myopia assessment and management options at its Sydney practices. An examination is needed before any individual recommendation.
Questions about the survey and myopia care
Did the survey show that all Australian optometrists use the same treatment?
No. The paper analysed 239 completed responses, a 6% response rate, and reported a range of approaches. It should not be generalised to every optometrist.
Do ordinary single-vision glasses slow myopia progression?
Single-vision lenses correct distance blur but are not designed as a myopia-control treatment. A clinician can explain purpose-designed options and whether any are suitable.
How is a myopia-management option chosen?
The choice depends on an eye examination, progression and risk factors, eye health, age, suitability, safety, practical needs and informed family preferences. No option is appropriate for every child.
