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MiSight or Ortho-K Lenses: Which Is Right for Your Child?

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A smiling teenager opens a fresh daily contact lens and gets ready to put it in their eye.

If your child has been diagnosed with myopia (nearsightedness), you’ve likely encountered terms like MiSight lenses and ortho-k while researching treatments. MiSight and ortho-k lenses are 2 potential myopia control options, each with its own benefits. There isn’t a one-size-fits-all answer to which is better for your child because it depends on the situation.

Each of these therapies is gaining traction as an option for controlling myopia progression, but deciding which one is suited for your child can feel overwhelming. Continue reading to learn about the basics of each option and then consult your child’s eye doctor for personalized advice. 

What Is Myopia Control? 

Myopia is a common refractive error in which distant objects appear blurry while nearby objects are clear. It occurs when the eyeball grows too long or the cornea is too curved and prevents light from focusing correctly on the retina. 

While glasses and standard contact lenses can correct vision, they don’t address the underlying issue of myopia progression, which can lead to more significant eye health risks over time. This is where myopia control treatments like MiSight and ortho-k lenses come into play. Their primary goal is not just vision correction but also slowing the worsening of myopia. 

Some myopia control can reduce the risk of severe complications like retinal detachment, macular degeneration, and glaucoma later in life. Early intervention can make a big difference, so it’s worth exploring the options available.

What Are MiSight Lenses? 

MiSight lenses are soft, daily disposable contact lenses specifically designed for children with myopia. They are FDA-approved and use special technology to correct current vision and slow myopia progression. 

MiSight lenses employ concentric rings with alternating corrective and treatment zones. These zones help your child see clearly and manipulate how light enters the eye, reducing the stimulus that drives excessive eye growth (which causes myopia to worsen). 

Benefits of MiSight Lenses 

  • Slows myopia progression: Studies have shown that MiSight lenses can reduce myopia progression by an average of 59% in children.
  • Daily disposables: With MiSight lenses, your child gets a fresh pair daily, ensuring cleanliness and eliminating the hassles of cleaning and storing them.
  • Safe and easy to use: These lenses are comfortable and user-friendly, making them an excellent choice for children new to contact lenses.

MiSight lenses are ideal for:

  • Children between 8 and 12 years old
  • Parents seeking a low-maintenance, convenient option
  • Children with early-stage myopia who can commit to wearing lenses consistently
A close-up image of someone holding up an ortho-k lens.

What Are Ortho-K Lenses? 

Ortho-K lenses, or orthokeratology, are corneal reshaping lenses. They’re specialized gas-permeable contact lenses worn overnight. These lenses gently reshape the cornea while your child sleeps, temporarily correcting nearsightedness. When the lenses are removed in the morning, your child enjoys clear vision throughout the day without needing glasses or contacts. 

Ortho-K lenses also have proven benefits in slowing myopia progression by reducing the eye’s tendency to grow longer. 

Benefits of Ortho-K Lenses 

  • Daytime freedom: Since the lenses are worn at night, children don’t need to wear contacts or glasses during the day, which is perfect for active lifestyles or sports.
  • Noninvasive alternative: Ortho-K offers a surgery-free way to correct vision and manage myopia progression.
  • Suitable for all ages: These lenses are versatile for children and adults with mild to moderate myopia

Ortho-k is ideal for:

  • Active kids involved in sports, swimming, or other activities where glasses or daytime contacts might be inconvenient
  • Parents who want a non-surgical option for vision correction and myopia control
  • Children who are comfortable with overnight lens wear

Key Differences Between MiSight & Ortho-K Lenses 

When deciding between MiSight and ortho-k lenses, you must understand how they serve your child’s vision needs differently while both work to manage myopia.

MiSight lenses are soft contact lenses designed for daytime wear. They are disposable and intended for single use, ensuring cleanliness and convenience. These lenses are particularly suited for younger children who may not yet be ready for overnight lens care.

On the other hand, ortho-k lenses are specialized, rigid gas-permeable contact lenses that are worn overnight while your child sleeps. They gently reshape the cornea, temporarily correcting vision so your child can enjoy clear sight without needing glasses or contacts during the day. Ortho-k lenses are an excellent option for active children who prefer a glasses-free lifestyle during waking hours.

Both lens options can manage myopia but are tailored to fit different preferences and routines. During a consultation, your eye doctor will help you weigh these factors and choose the option that suits your child’s vision goals and habits.

Which Lenses Are Right for Your Child? 

The decision between MiSight and ortho-k lenses ultimately depends on your child’s lifestyle, age, and comfort level with contact lenses. 

  • Choose MiSight lenses if you’re looking for a simple, low-maintenance option for younger children or if cleanliness and convenience are top priorities.
  • Choose ortho-k lenses if your child is highly active or involved in activities where glasses or daytime contact lenses might be inconvenient. 

Get Expert Guidance from Tree City Eyecare 

Choosing the right myopia control treatment helps protect your child’s vision. At Tree City Eyecare, our team is here to guide you every step of the way. We offer personalized consultations, detailed assessments, and ongoing support for your child’s success with MiSight or ortho-k lenses. Together, we can find a practical treatment for your child’s vision and lifestyle needs. Contact us and book an appointment today.

Written by Dr. Jaimen Dixon O.D.

Dr. Dixon grew up in Boise, Idaho and couldn’t be happier serving the community where he was raised. After graduating Magna Cum Laude from Brigham Young University-Idaho, Dr. Dixon received his Doctorate of Optometry from the Southern College of Optometry in Memphis, Tennessee. He also graduated Magna Cum Laude from SCO and was honored to receive his graduating class’s Outstanding Clinician Award. Dr. Dixon is a member of Idaho Optometric Physicians, the American Optometric Association, the Scleral Lens Society, and the American Academy of Orthokeratology & Myopia Control.

Dr. Dixon enjoys providing full-scope eye care to all ages, from kids to adults to seniors. He has training in managing ocular diseases, including keratoconus, glaucoma, macular degeneration, diabetic retinopathy, dry eye disease, and others. He has a passion for myopia control and difficult-to-fit contact lenses, and he is proud to be an expert in specialty contact lens fitting, including scleral contact lenses, orthokeratology, rigid gas permeable, and more. Dr. Dixon especially loves helping those who previously thought they were “not a candidate for contact lenses” discover that with the right contact lens design, just about anyone can gain freedom from glasses. Few things bring him as much satisfaction as seeing a custom-designed lens change a patient’s life.

When not bringing new clarity to his patients, Dr. Dixon loves enjoying the outdoors with his beautiful wife, 3 crazy kids, and naughty golden retriever. He especially enjoys building and using bikes to explore Idaho’s thousands of miles of trails and dirt roads. He and his family also love camping, backpacking, climbing, skiing, and exploring Idaho’s many hidden corners.

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