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

MYOPIA1

What causes Myopia?

Myopia is believed to be caused by a combination of genetic and environmental factors.13, 14, 15-22

What can you do as an eye care professional?

Myopia is believed to be caused by a combination of genetic and environmental factors.13, 14, 15-22

6

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
5

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
3-1

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

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

What can Menicon Bloom™ do for you?

Designed to provide you with a comprehensive range of tools and unwavering support,
the Menicon Bloom Myopia Control Management System will assist you in effectively
addressing and managing myopia progression with contact lenses.

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.


  1. 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.
  2. 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
  3. 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
  4. 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.
  5. 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
  6. 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
  7. Tano Y. Pathologic myopia: Where are we now? Am J Ophthalmol. 2002;134(5):645-660. doi:10.1016/S0002-9394(02)01883-4
  8. 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
  9. 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
  10. 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
  11. Ikuno Y, Jo Y, Hamasaki T, Tano Y. Ocular risk factors for choroidal neovascularization in pathologic myopia. Invest
  12. Ophthalmol Vis Sci. 2010;51(7):3721-3725. doi:10.1167/iovs.09-3493
  13. 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.
  14. 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
  15. 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
  16. 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
  17. French AN, Morgan IG, Mitchell P, Rose KA. Risk factors for incident myopia in Australian schoolchildren: The
  18. Sydney adolescent vascular and eye study. Ophthalmology. 2013;120(10):2100. doi:10.1016/j.ophtha.2013.02.035
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. Wu MMM, Edwards MH. The effect of having myopic parents: An analysis of myopia in three generations. Optom
  25. 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
  26. 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.
  27. Stapleton et al 2008, 2: Bullimore et al 2017, 3: Chamberlain et al 2019, 4: Woods et al 2021
  28. 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.
  29. 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
  30. Walline J et al. Randomised trial on the effect of contact lens wear on self-perception in children. OVS 2009; 86(3): 222-232.
  31. 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
  32. 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.
  33. 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