A comprehensive approach for Myopia Management
Menicon Bloom™
is a complete treatment plan for myopia management with contact lenses.
Because childhood Myopia is often progressive1,
and we can do something about it.
What is Myopia?
The International Myopia Institute (IMI) has defined myopia, also known as near- or short-sightedness, as a ‘refractive error in which rays of light entering the eye parallel to the optic axis are brought to a focus in front of the retina when ocular accommodation is relaxed. This usually results from the eyeball being too long from front to back, but can be caused by an overly curved cornea and/or a lens with increased optical power’.2
The condition usually develops during childhood and progresses until the late teenage years.3,4
Globally, myopia is a major cause of vision impairment worldwide.5,6
It is associated with serious ocular health risks, including an increased likelihood of glaucoma, retinal detachment, and myopic maculopathy, especially at higher levels of myopia.2, 7-12

Ethnicity
The normal refractive error expected for a child's age varies by ethnicity. Children of East Asian descent are at a higher risk of developing myopia compared to other ethnic groups. This is..
Parental Myopia
Myopia is hereditary, with children of two myopic parents having a risk of developing myopia that is three times higher or more than those with non-myopic parents. If one parent is..
Close work time
Spending a significant amount of time using electronic devices seems to be a..
Outdoor time
Children who spend limited time outdoors seem to have a higher risk of developing..
Country and location of residence
Significant differences in the prevalence of myopia between urban..

Prevention
Preventing myopia, especially in children, involves several strategies:
- OUTDOOR TIME
Spending at least 2 hours outdoors each day can help reduce the risk of developing myopia.30 - REDUCING NEAR WORK
Limiting activities that require close-up focus, such as reading or screen time, can help prevent myopia progression.13 - HEALTHY VISUAL HABITS
Encouraging regular breaks during near work and maintaining proper lighting can reduce eye strain.13

Detection
Early detection of myopia is crucial for effective management:
- REGULAR EYE EXAMS
Routine eye exams, especially for children, can help detect myopia early. 13 - BIOMARKERS
Research is ongoing to identify biomarkers that can predict the risk and progression of myopia.29 - AI TECHNOLOGY
Artificial intelligence is being used to analyze medical images and data for early detection of myopia.31

Myopia Management options13
Managing myopia involves slowing its progression:
- ORTHOKERATOLOGY
Besides being a correction method, orthokeratology can also slow myopia progression. - MULTIFOCAL SOFT CONTACT LENSES
Specific designs can help control myopia progression in children while correcting vision. - ATROPINE EYE DROPS
- ANTI-MYOPIA EYEGLASSES
If you can't wait to see what Menicon BloomTM can do for you, click the button!
Why should you consider Contact Lenses as a Great Choice for Myopia Management?
SOCIAL AND VISUAL BENEFITS
- Children often prefer contact lenses over glasses primarily for their impact on physical appearance.27
- Wearing contact lenses can enhance children's self-perception and social acceptance. They significantly boost how children feel about their looks, their peer acceptance, and their ability to participate in sports.28
- Contact lenses can increase children's confidence in their academic performance, especially if they initially dislike wearing glasses.27-28
SAFETY
- Daily disposable hydrogel contact lenses are safe for children to wear.
- Six randomized controlled trials involving 581 myopic children reported no significant or serious ocular adverse events. 24 No cases of microbial keratitis were observed among these children.
- The incidence of corneal infiltrative events in children is comparable to that in adults and may be significantly lower for children aged 8 to 11 years. Remarkably, wearing 1-day contact lenses for 5,000 years would result in the risk of only one eye infection. Research indicates that children aged 8-12 years are the safest group for contact lens wear, and most studies have focused on this age range.25
- The risk of microbial keratitis (MK) associated with orthokeratology lenses is approximately 5 cases per 10,000 patient-years, a significant decrease from the earlier data which reported about 13 cases per 10,000 patient-years.25 In a recent study, only 4 cases of microbial keratitis were identified among ortho-K lens wearers, resulting in an overall incidence rate of 5.4 cases per 10,000 patient-years.26
This robust support system enables effective communication, efficient management, and seamless implementation of myopia management with contact lenses in your practice.
Menicon Bloom is one of the most comprehensive and innovative regulatory-approved systems available for myopia management today.
Do you want to know more?
- Xiang F, He M, Morgan IG. Annual changes in refractive errors and ocular components before and after the onset of myopia in Chinese children. Ophthalmology 2012;119:1478-1484.
- Flitcroft DI, He M, Jonas JB, et al. IMI – Defining and classifying myopia: A proposed set of standards for clinical and epidemiologic studies. Invest Ophthalmol Vis Sci. 2019;60(3):M20-M30. doi:10.1167/iovs.18-25957
- Goss DA, Winkler RL. Progression of myopia in youth: Age of cessation. Optom Vis Sci. 1983;60(8):651-658. doi:10.1097/00006324-198308000-00002
- Hardy R, Hillis A, Mutti D, et al. Myopia stabilization and associated factors among participants in the correction of myopia evaluation trial (COMET). Invest Ophthalmol Vis Sci. 2013;54(13):7871-7883.
- Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123(5):1036-1042. doi:10.1016/j.ophtha.2016.01.006
- Flaxman SR, Bourne RRA, Resnikoff S, et al. Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Heal. 2017;5(12):e1221-e1234. doi:10.1016/S2214-109X(17)30393-5
- Tano Y. Pathologic myopia: Where are we now? Am J Ophthalmol. 2002;134(5):645-660. doi:10.1016/S0002-9394(02)01883-4
- Vongphanit J, Mitchell P, Wang JJ. Prevalence and progression of myopic retinopathy in an older population. Ophthalmology. 2002;109(4):704-711. doi:10.1016/S0161-6420(01)01024-7
- Wong TY, Klein BEK, Klein R, Knudtson M, Lee KE. Refractive errors, intraocular pressure, and glaucomain a white population. Ophthalmology. 2003;110(1):211-217. doi:10.1016/S0161-6420(02)01260-5
- Saw SM, Gazzard G, Shin-Yen EC, Chua WH. Myopia and associated pathological complications. Ophthalmic Physiol Opt. 2005;25(5):381-391. doi:10.1111/j.1475-1313.2005.00298.x
- Ikuno Y, Jo Y, Hamasaki T, Tano Y. Ocular risk factors for choroidal neovascularization in pathologic myopia. Invest
- Ophthalmol Vis Sci. 2010;51(7):3721-3725. doi:10.1167/iovs.09-3493
- Tideman JWL, Snabel MCC, Tedja MS, et al. Association of axial length with risk of uncorrectable visual impairment for europeans with myopia. JAMA Ophthalmol. 2016;134(12):1355-1363. doi:10.1001/ jamaophthalmol.2016.4009.
- Gifford KL, Richdale K, Kang P, et al. IMI – Clinical management guidelines report. Investig Ophthalmol. Vis Sci. 2019;60(3):M184-M203. doi:10.1167/iovs.18-25977
- Morgan IG, Wu PC, Ostrin LA, et al. IMI risk factors for myopia. Invest Ophthalmol Vis Sci. 2021;62(5):3. doi:10.1167/iovs.62.5.3
- Rose KA, Morgan IG, Smith W, Burlutsky G, Mitchell P, Saw SM. Myopia, lifestyle, and schooling instudents of Chinese ethnicity in Singapore and Sydney. Arch Ophthalmol. 2008;126(4):527-530. doi:10.1001/archopht.126.4.527
- French AN, Morgan IG, Mitchell P, Rose KA. Risk factors for incident myopia in Australian schoolchildren: The
- Sydney adolescent vascular and eye study. Ophthalmology. 2013;120(10):2100. doi:10.1016/j.ophtha.2013.02.035
- Mutti DO, Hayes JR, Mitchell GL, et al. Refractive error, axial length, and relative peripheral refractiveerror before and after the onset of myopia. Invest Ophthalmol Vis Sci. 2007;48(6):2510-2519. doi:10.1167/iovs.06-0562
- He M, Zheng Y, Xiang F. Prevalence of myopia in urban and rural children in mainland china. Optom Vis Sci. 2009;86(1):40-44. doi:10.1097/OPX.0b013e3181940719
- Gwiazda J, Hyman L, Dong LM, et al. Factors associated with high myopia after 7 years of follow-up in the Correction of Myopia Evaluation Trial (COMET) cohort. Ophthalmic Epidemiol. 2007;14(4):230-237. doi:10.1080/01658100701486459
- MEW-MAY WU M, Edwards MH. The Effect of Having Myopic Parents: An Analysis of Myopia in Three Generations. Optometry and vision science: official publication of the American Academy of Optometry [Internet]. 1999 Jun 1;76(6):387–92. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00006324-199906000-00018
- Pacella R, McLellan J, Grice K, Del Bono EA, Wiggs JL, Gwiazda JE. Role of genetic factors in the etiology of juvenile-onset myopia based on a longitudinal study of refractive error. Optom Vis Sci. 1999;76(6):381-386. doi:10.1097/00006324-199906000-00017
- Wu MMM, Edwards MH. The effect of having myopic parents: An analysis of myopia in three generations. Optom
- Vis Sci. 1999;76(6):387-392. doi:10.1097/00006324-199906000-00018
Lipschutz H. Myopia and Nearwork. Vol 19. Oxford, UK.: Butterworth-Heinemann; 1935. doi:10.1136/bjo.19.11.611 - Xu Cheng, Noel A. Brennan, Youssef Toubouti and Nathan L. Greenaway Safety of soft contact lenses in children: retrospective review of six randomized controlled trials of myopia control Acta Ophthalmol. 2020 May;98(3):e346-e35.
- Stapleton et al 2008, 2: Bullimore et al 2017, 3: Chamberlain et al 2019, 4: Woods et al 2021
- Hiraoka T, Matsumura S, Hori Y, Kamiya K, Miyata K, Oshika T. Incidence of microbial keratitis associated with overnight orthokeratology: a multicenter collaborative study. Jpn J Ophthalmol. 2024 Nov 16. doi: 10.1007/s10384-024-01137-4. Epub ahead of print. PMID: 39549214.
- Dias L, Manny RE, Weissberg E & Fern KD. Myopia, contact lens use and self-esteem. Ophthalmic Physiol Opt 2013, 33, 573–580. doi: 10.1111/opo.12080
- Walline J et al. Randomised trial on the effect of contact lens wear on self-perception in children. OVS 2009; 86(3): 222-232.
- Ruamviboonsuk, V.; Lanca, C.; Grzybowski, A. Biomarkers: Promising Tools Towards the Diagnosis, Prognosis, and Treatment of Myopia. J. Clin. Med. 2024, 13, 6754. https://doi.org/10.3390/ jcm13226754 Academi
- Ngo C*, Saw S-M*, Dharani R* & Flitcroft I*. Point-Counterpoint. Does sunlight (bright lights) explain the protective effects of outdoor activity against myopia? Ophthalmic Physiol Opt 2013, 33, 368–372.
- Zhang J and Zou H (2023), Artificial intelligence technology for myopia challenges: A review. Front. Cell Dev. Biol. 11:1124005. doi: 10.3389/fcell.2023.1124005