World Council of Optometry passes resolution calling for a standard of care for Myopia Management

ST. LOUIS, APRIL13, 2021—Furthering its commitment to address the global epidemic of childhood myopia, the World Council of Optometry (WCO) Board of Directors unanimously approved a resolution advising optometrists to incorporate a standard of care for myopia management within their practices.

“Myopia is increasing at an alarming rate, as are the risks for vision impairment associated with the condition1. With more than five billion people projected to be affected by myopia by 20502, the global optometric community must increase its efforts to combat this public health issue,” said Paul Folkesson, president, World Council of Optometry. “Significant research has identified a number of interventions to potentially control the progression of myopia. Establishing a standard of care that regularly and consistently applies these interventions, particularly at an early age, may prevent or delay the onset of myopia, or halt or slow its progression.”

The resolution defines the evidence–based standard of care as comprising of three main components:

• Mitigation—optometrists educating and counseling parents and children, during early and regular eye exams, on lifestyle, dietary, and other factors to prevent or delay the onset of myopia.
• Measurement—optometrists evaluating the status of a patient during regular comprehensive vision and eye health exams, such as measuring refractive error and axial length whenever possible.
• Management—optometrists addressing patients’ needs of today by correcting myopia, while also providing evidence–based interventions (e.g.,contact lenses, spectacles, pharmaceuticals) that slow the progression of myopia, for improved quality of life and better eye health today and into the future.

It also advises optometrists to incorporate within their practice the standard of care for myopia management,which shifts from simply correcting vision to managing the condition, and also includes public education and early, frequent discussions with parents that explain:

• What myopia is.
• Lifestyle factors that may impact myopia.
• The increased risks to long–term ocular health that myopia brings.
• The available approaches that can be used to manage myopia and slow its progression.

The standard of care resolution can be found in its entirety on the World Council of Optometry’s website, here.

Image: Boy with myopia/Arati Banset