Managing Myopia: Frames, Lenses and Contact Lenses

While eye care professionals were once confined to prescribing traditional single-vision lenses that only corrected blurry distance vision, now we can potentially slow myopia progression using highly technical, evidence-based spectacle and contact lenses, sometimes in combination with other treatments.

As Madeline Crow, an optometrist from New South Wales Central Coast said, “It’s amazing that we have access to a variety of effective options that can fit different lifestyles and preferences. It’s so rewarding to not only be able to correct children’s vision but help to slow the progression and reduce the risks associated with high myopia.”

The Evidence for Spectacle Lenses

The spectacle lenses currently approved in Australia by the Therapeutic Goods Administration slow myopia progression by manipulating how light enters the eye.

Clinical studies have shown that these lenses can slow myopia progression by around 50 to 70% in many children, making them one of the most exciting developments in paediatric eye care in recent years.

The scientific evidence supporting these designs is exceptionally strong, as described in the following product contributions.

Spectacle Lens Options

MyCon2

MyCon 2

Rodenstock MyCon 2 is designed for myopia correction and control. MyCon 2 lenses offer improved imaging properties by customising the lens to the fit of the frame and thus to the child’s unique face. MyCon 2 considers centration values (corneal vertex distance, wrap and tilt). By using these parameters, improved imaging properties can be achieved in the focus area of the lens while maintaining the effect of myopia control in the periphery.

Rodenstock MyCon 2 lenses are available in index 1.5, 1.6, 1.67, and 1.74 in clear, tinted, polarised, and ColorMatic, which make the lenses both thinner and sleeker than many other myopia lenses on the market and well suited to high prescriptions.

Contact: Rodenstock Account Manager

MyoEase and MyOnic

MyoEase

Opticare’s myopia management portfolio is built around tailored care, with two distinct lens solutions designed to support growing eyes and unique fitting needs.

MyoEase (pictured) uses micro-transparent pinholes arranged in a ring-shaped defocus area to achieve peripheral retinal defocus while maintaining clear central vision through an 8 mm optical zone.

MyOnic uses a freeform design with an uninterrupted central zone and simultaneous peripheral hyperopic defocus across the functional lens zone, with +2.00 to +3.00D of positive defocus.

Available in indices 1.5, 1.6, 1.67, and 1.74, both solutions are backed by a comprehensive warranty that gives practitioners and parents added peace of mind when choosing myopia management lenses.

Contact: Opticare (AUS) 1800 251 852 or visit opticare.com.au

MiyoSmart iQ

MiyoSmart IQ

Since its launch in 2018, MiyoSmart has helped transform myopia management, with more than 15 million spectacle lenses purchased by parents across 50+ countries.

Building on this success, MiyoSmart iQ marks the next evolution in myopia control. Clinical results at 12 months showed no myopia progression in children aged 4–12, with eye elongation comparable to or lower than that of non-myopic eyes.1 Importantly, MiyoSmart iQ is the first defocus incorporated multiple segments (DIMS) technology-based spectacle lens to demonstrate efficacy in children as young as four years old,1 reinforcing HOYA Vision Care’s commitment to advancing innovative solutions that help protect children’s vision and shape a future with less myopia.

Contact: HOYA Account Manager or visit hoyavision.com/au

Reference 

1. Tse DYY, et al. Myopia control efficacy of defocus incorporated multiple segments spectacle lens with triple enhanced design: a 12-month randomized controlled trial. Association for Research in Vision and Ophthalmology (ARVO) 2026 Annual Meeting, May 3–7, 2026. Abstract 2523. Available at: eppro02.ativ.me/web/index.php?page=IntHtml&project=ARVO26&id=4486941. [Accessed: 16.04.2026

Essilor Stellest 2.0

Essilor Stellest

Essilor Stellest 2.0 lenses† are Essilor’s most effective myopia management spectacle lens to date.‡1 Powered by highly aspherical lenslet target (HALT)* Max technology, which has higher power§ and higher efficacy.¶1 They incorporate lenslets with increased mean power and asphericity, creating twice the depth of volume of non-focused light positioned further from the retina compared to Essilor Stellest lenses.# This generates a stronger optical signal that helps further slow myopic eye growth and manage myopia progression.^¶1

In a 12-month randomised clinical trial, Essilor Stellest 2.0 lenses† significantly slowed axial elongation compared to Essilor Stellest lenses.§1 Eye growth in myopic children was 1.88 times slower with Essilor Stellest 2.0 lenses† than with Essilor Stellest lenses.^#**

Contact: EssilorLuxottica Account Manager.

Footnotes

* HALT is an acronym for highly aspherical lenslet target and does not imply a “halt” or “stop” of myopia progression.

† Essilor Stellest 2.0 lenses are not currently available in all countries, including the U.S. and have not been cleared by the United States Food and Drug Administration.

‡ Compared to products within the Essilor® portfolio

§ Higher power refers to the increased depth of volume of non-focused light in front of the retina—twice that of Essilor® Stellest® lenses by design—and is not associated with a doubling of lens power, lenslet power, or efficacy.

¶ Based on 12-month results from a prospective, randomized, double-masked contralateral crossover clinical trial conducted in Singapore on 50 myopic children.

# Essilor Stellest lens regulatory status and product availability may vary by country. U.S. FDA authorisation and indications for use are based solely on clinical trial data from the U.S.

**Based on 12-month results from a prospective, randomised, double-masked contralateral crossover clinical trial conducted in Singapore on 50 myopic children. The estimated cumulative 12-month axial length change (eye growth) was 0.228 mm with Essilor Stellest lenses and 0.121 mm with Essilor Stellest 2.0 lenses. The 1.88× ratio reflects the relative difference between these values (1 / [0.121 / 0.228] = 1.88)

Reference

1. Raveendran RN, Ong WS, Wong YL, Zhan SJ, Lee CF, Lim SY, Drobe B. Effect of increased power and asphericity of highly aspherical lenslets on myopia control efficacy: a contralateral crossover study. Transl Vis Sci Technol. 2025;14(11):9. doi: 10.1167/tvst.14.11.9.

MyoMe and MyoStock

MyoStock

As myopia rates continue to rise, CR Labs offers independent optometry practices two innovative solutions to support myopia management.

MyoMe utilises Myo-Freeform technology, combining peripheral treatment zones and near vision support to help manage childhood myopia while maintaining clear, comfortable vision. According to CR Labs, clinical trials have demonstrated a 39% reduction in axial elongation.

MyoStock uses hexagon implicated defocus segment (HIDS) technology to create myopic defocus across the lens. Designed to offer myopia management at a competitive price point, MyoStock provides an accessible option for families.

Together, MyoME and MyoStock provide practitioners with flexible myopia management options to meet the diverse needs of children and their families.

Contact: CR Labs (AUS) 03 8795 9111 or visit crlabs.au

ZEISS MyoCare

MyoCare

ZEISS MyoCare lenses are proven to significantly slow the progression of myopia, now supported by three-year data,1 while delivering clear and comfortable vision at any angle. It stands out as one of the only lenses of its kind available in thin, high-index materials (up to 1.67), which has a major aesthetic and weight advantage for children with higher prescriptions.

Contact: ZEISS Customer Care

Reference 

1. Chen X, et al. Slowing myopia progression with cylindrical annular refractive elements (CARE) – results from a 3-year prospective multi-center trial [conference presentation abstract]. Association for Research in Vision and Ophthalmology Annual Meeting; 2026 May 3–7; Denver, Colorado, United States.

Contact Lenses For More Than Vision Correction

For children who are active, play sports, or simply prefer not to wear glasses, we now have contact lenses that offer brilliant, evidence-based alternatives.

Orthokeratology: The Overnight Solution

One of the most fascinating approaches to myopia management is orthokeratology (OK).

These custom-designed, rigid, gas-permeable contact lenses are worn while sleeping.

Overnight, the lenses gently and temporarily reshape the front surface of the eye. When the contact lens is removed in the morning, the wearer can enjoy clear vision all day long, with no glasses or day-wear contacts required.

In addition to the convenience factor, OK has been shown to slow eye growth and myopia progression in many children.

For active children who dislike wearing glasses during the day, it can be a great option. However, good hygiene, careful monitoring, and a high level of commitment from both the child and parents are essential.

Ocular Surface Management

Managing the health of the ocular surface is essential for successful contact lens wear. Contact lenses, OK, and solutions to protect the ocular surface are listed below.

Contact Lens Options

Acuvue Abiliti 1 Day

Acuvue Abiliti 1 Day

Acuvue Abiliti 1-Day soft therapeutic lenses for myopia management are powered by novel RingBoost technology,1 a specialised optical design that includes two +7.00D ring focus myopia treatment zones, combined with a +10.00D central boost myopia treatment zone,1 to provide strong myopia treatment while maintaining vision quality.1

Over a three-year period, 55% of all children’s eyes fitted with Acuvue Abiliti 1-Day showed no clinically meaningful myopia progression,*2 and the lens was shown to reduce axial elongation by 0.31 mm, on average.^2 Abiliti 1-Day is inspired

by the paediatric eye,†3 with a small diameter for easy insertion and removal,†3 and designed to provide the comfort you expect from Acuvue Oasys 1-Day contact lenses.¥4

Contact: Johnson & Johnson Vision Care (AUS) 1800 736 912 or (NZ) 0800 466 172

2026PP11580

Footnotes

* Based on spherical equivalent of cycloplegic auto refraction change ≥-0.25 D, from the three-year outcome of a pivotal clinical trial. JJV data on file.

^ Compared to a single vision contact lens, based on the three-year outcome of a pivotal clinical trial.

† Utilising a smaller lens diameter designed to fit the smaller anatomical features of a paediatric population (aged 7-12).

¥ Acuvue Abiliti 1-Day soft therapeutic lenses for myopia management are manufactured using senofilcon A, the same material used to manufacture Acuvue Oasys1-Day contact lenses.

References

1. JJV data on file 2021. Development of optical design of Acuvue Abiliti 1-Day soft therapeutic lenses for myopia management.
2. JJV data on file.
3. JJV data on file 2021. Mechanical design of Acuvue Abiliti 1-Day soft therapeutic lenses for myopia management – effect on fit and handling.
4. JJV data on file 2021. Stand-alone performance claims – Acuvue Abiliti 1-Day soft therapeutic lenses for myopia management.

MyDay MiSight 1 day

MyDay MiSight 1 day

CooperVision has expanded its myopia management portfolio with MyDay MiSight 1 day, a silicone hydrogel soft contact lens for children. It combines ActivControl technology with the MyDay material to improve oxygen transmissibility, comfort, and handling while maintaining the same optical design used in MiSight 1 day.^*1-3‡§◊ The lens builds on the established use of MiSight 1 day, worn by over 250,000 children worldwide.^†4,5 Clinical evaluations report high fitting success and visual acuity better than 6/6 under study conditions.^{***,†††,‡‡‡,2} The lens also includes a UV inhibitor.¶

Contact: CooperVision (AUS) 1800 655 480 or (NZ) 0800 606 060

Footnotes

*Proven to slow myopia progression in children compared to a single vision one-day lens over a three-year period. †Based on available fit data in the UK and US for patients under 20 ‡Mean score for subjective overall comfort was 90/100 after one week of daily wear § 94% vs 81% after one week of daily wear, p=NS. ◊Based on manufacturers published data. MyDay MiSight 1 day has Dk/t of 100. Compared to the original MiSight 1 day (Dk/t 28), NaturalVue Multifocal 1 Day (Dk/t 25)

¶ Warning: UV-absorbing contact lenses are not substitutes for protective UV-absorbing eyewear, such as UV-absorbing goggles or sunglasses, because they do not completely cover the eye and surrounding area. Patients should continue to use UV-absorbing eyewear as directed ***100% fit acceptance with mean scores for fit acceptance (3.4/4). ††† After one week of daily wear, 41% rated excellent (no problems with lens application and removal), 34% rated very good (occasional difficulty with application and removal), 22% rated good (some problems with application and removal but usually successful). ‡‡‡ VA (LogMAR) > 6/6 for both study visits (dispense and one week).

References

1. Chamberlain P, et al. Optom Vis Sci. 2019 doi: 10.1097/OPX.0000000000001410.
2. CVI data on file 2024. Prospective, one-week, double-masked, randomised, bilateral crossover study with MiSight 1 day and MyDay MiSight1 day.N=32 subjects aged 8–18 years.
3. CVI data on file, 2025
4. CVI Data on file 2025, MiSight 1 day and similar lens types – patients under 20.
5. CVI data on file 2025. Internal global wearer modelling estimates for the 12-month period of October 2024 to September 2025.

Wave Topography Guided Software

Wave Topography Guided Software

Wave topography guided software forms a key part of Gelflex’s myopia management offerings. The Wave orthokeratology (OK) system provides a fully customisable OK solution, using topography-guided data to deliver highly accurate corneal reshaping.

Wave places control in the hands of the optometrist, with practitioners able to determine lens parameters, treatment zone profiles, and overall design strategy based on clinical objectives. This enables a highly personalised approach to myopia management, particularly for patients with unique corneal profiles or more complex needs.

The design incorporates hyperopic OK principles, delivering excellent outcomes.

Contact: Gelflex (AUS) 08 9443 4944 or (NZ) 09 443 0072

Biotrue Multi-Purpose Solution

Biotrue Multi-Purpose Solution

Biotrue Multi-Purpose Solution incorporates a lubricant also found in the eyes and is balanced to match the pH of healthy tears. Biotrue Multi-Purpose Solution cushions and rehydrates lenses for comfortable wear. It helps prevent certain tear proteins from denaturing for clean lenses, and inhibits the formation of deposits that can cause discomfort and shorten lens wearing time. By keeping lenses hydrated and clean, Biotrue Multi-Purpose Solution makes wearing contact lenses comfortable all day.¹

Contact: Bausch & Lomb (AUS) 1800 251 150 or (NZ) 09 969 0734

Reference

1. Biotrue Multi-Purpose Solution Instructions for Use.

Alcon Solutions

Alcon solutions

Opti-Free PureMoist is a multi-purpose disinfecting solution designed for soft contact lens care. Compared to standard saline solutions that will only rinse the contact lens,^ Opti-Free PureMoist thoroughly cleans contact lenses for all day comfort.^1† Aosept Plus with Hydraglyde uses the bubbling power of a hydrogen peroxide-based solution to ensure a deep clean² for a fresh, comfortable lens wearing experience.³ Plus, its preservative-free formula is suitable for sensitive eyes.³

Both solutions feature a unique HydraGlyde Moisture Matrix, which surrounds the contact lenses in a cushion of moisture, providing hydration and comfort from morning until night.^*†1,4-5

Contact: Alcon (AUS) 1800 224 153 or (NZ) 0800 101 106

ANZ-OFM-2600007

Footnotes

^Based on laboratory studies on selected organisms.

†For up to 16 hours.

*HydraGlyde Moisture Matrix effect applicable to soft contact lenses only.

References 

1. Lally J et al. A new lens care solution provides moisture and comfort with today’s contact lenses. Optician 2011 241(62960):42-46. [REF-04821].
2. Gabriel M et al. Contact Lens Anterior Eye 2018 doi: 10.1097/ICL.0000000000000549;[REF-03289].
3. Nichols, J. et al. Eye Contact Lens. 2019. doi: 10.1097/ICL.0000000000000542.
4. Alcon data on file, 2014, p. 28 [REF-06352].
5. Alcon data on file, 2014, p. 14 [REF-05202].

Frames Matter

Naturally it’s easy to get caught up on lens technology when discussing myopia control spectacles. However, equally important is the frame to carry the lenses. To ensure lens efficacy, it must be comfortable, functional, and durable.

Myopia control lenses rely on the treatment zones being carefully positioned. If the frame is poorly fitted or constantly slipping down the child’s nose, these treatment areas may not align correctly with the eyes.

A suitable frame should sit comfortably and securely, provide adequate lens depth, and maintain stable positioning throughout the day. Medium-sized frames with good coverage are ideal. Most need at least 10 mm above the pupil position to work in conjunction with a myopia control lens design.

In short, the frame isn’t just a fashion accessory – it’s part of the treatment. And, because the majority of myopia control will be implemented during a patient’s most active childhood and adolescent years, it needs to survive playground adventures, sports activities, and the occasional accidental drop.

The Importance of Good Dispensing

Myopia control dispensing requires more precision than traditional spectacle dispensing.

Accurate measurements, careful frame selection and attention to fitting details all play a role in achieving the best outcomes. Optical dispensers need to ensure that lenses are correctly centred and that frames remain stable during normal daily activities. Small adjustments can make a significant difference.

One of the most important aspects of myopia management is communication and education. Working together with families will get the best outcomes.

Involving children with clear and simple explanations about how their glasses or contact lenses are helping their eyes stay healthier can improve willingness to wear. Remember that these products work best when worn consistently. Encouraging full-time wear and helping children feel comfortable and confident in their glasses is key to long-term success.

Finally, while advancements in optical treatments have transformed myopia management, lifestyle factors still play an important role. Combining outdoor time, regular screen breaks (the 20-20-20 rule), and advanced optical options gives children the absolute best defence against progressing short-sightedness.

Some top distributors of kids’ eyewear include augie Eyewear, LIPO, and Little 4 Eyes. For kids who need patching, Kids Eye Gear offers fun solutions that can engage your youngest patients in their treatment, as you’ll see in the following product contributions.

Rayleen Tamblyn is an optical trainer and assessor with the Australasian College of Optical Dispensing (ACOD). As well as being a qualified optical dispenser and trainer, she is a retail manager with Specsavers.

Frame Choices

Dilli Dalli

Screenshot

Dilli Dalli boasts a uniquely comprehensive flexible frame range that’s available between sizes 34–54 for any child requiring comfortable, well-fitting, and lightweight frames. Virtually unbreakable, ergonomic, and screw-less designs with flexible IntelliFlex hinges meet a rainbow of colours to ensure every child can feel comfortable and confident in their myopia control lenses.

Contact: Little4Eyes (AUS) 03 9448 8932 or visit little4eyes.com.au

augie Eyewear

augie Eyewear

augie frames are crafted with myopia management in mind. Full-rim acetate construction provides the stability required for myopia control lenses, while adjustable tips and flexi hinges ensure a precise, consistent fit – critical for lens performance. The range offers deeper nosepads to ensure the frame sits right where it needs to, and equally importantly, augie has a colour and style for every kid.

Available in sizes for little kids through to teens, augie grows with your patients as their management journey evolves.

Contact: augie Eyewear (AUS) 1300 391 440 or visit augieeyewear.com.au

LIPO Aster

LIPO Aster

LIPO Aster represents the next generation of myopia control eyewear, designed to complement advanced myopia management lenses by encouraging consistent daily wear and sustained therapeutic exposure to myopic defocus treatment zones. Integrating intelligent wear-time monitoring with a lightweight, child-friendly frame design, it supports compliance, treatment efficacy, and long-term visual outcomes in young patients.

Contact: Asia Contacts 1 (AUS) 0413 243 782 or visit asiacontacts1.com

Kids Eye Gear

For kids who require patching, Kids Eye Gear is dedicated to the cause. Making wearing patches and glasses fun for kids, this one stop shop includes SpecStoppers ear hooks, Blinx charms, glasses holders, and straps, as well as a colourful and practical adhesive patch range.

Contact: Kids Eye Gear shannon@kidseyegear.com.au or visit kidseyegear.com.au