Evaluation of progressive pediatric myopia despite control lenses

Clinical situation

A 9-year-old child is referred for a second opinion for progressive myopia despite myopia-control spectacle lenses. 

Refraction under cycloplegia performed 6 months previously: 

• -7,50 (+1,75 à 60°)
• -5,25 (+0,75 à 135°) 

Visual Acuity (VA): 8/10 RE and LE (0.1 Log MAR) 

When seen in the clinic, new refraction under cycloplegia reveals: 

• -13 (+3 à 70°)
• -10,75 (+1,75 à 100°) 

Visual Acuity (VA): 7/10 RE and LE (0.2 Log MAR), i.e. + 5 / + 4,5 Spherical equivalent 

At that stage, the most crucial examinations to perform are : 

• Axial length measurement
• Corneal topography
• Slit lamp examination after full pupil dilation

Loading...