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Myopia Management

Iron Horse Optometric Group is now the home of the East Bay Myopia Clinic.


East Bay Myopia Clinic


What is myopia?

Myopia is the technical term for nearsightedness, the condition that causes over 40% of Americans to see blurry far away while leaving their close-up vision clear. Myopia is usually the result of the eyeball simply growing too long from front to back (usually during our growing years). With each new generation, the rates of myopia are dramatically increasing, and the average amount of myopia is also getting worse and worse. Realizing this epidemic, researchers around the world are studying how and why myopia progresses. And of course, any new understanding helps us develop new ways to combat myopic progression. The process of attempting to slow down myopic progression as young people grow is called “myopia management.”

A clinic just for myopia management

Our doctors combined have over 25 years of experience with myopia management. While we didn’t pioneer the practice, we’ve stayed on the forefront of emerging techniques and aim to utilize the latest research every day. New studies are published regularly. As experts in the field, we are constantly updating our tools, techniques, and answers to common questions.

Take control of your myopia

Every growing child is different, and the best strategy to slow down myopic progression varies from patient to patient. Our consultation will identify the most appropriate strategy for each case which can vary by age, lifestyle, activity level, maturity, and, of course, amount of myopia.

The three most effective methods of managing myopia are:


Ortho-k, as we say for short, is the process of temporarily reshaping the middle of the cornea, the front lens of the eye. It’s done by wearing a very breathable contact lens each night during sleep. The gentle pressure from the lens displaces fluid in the central cornea resulting in a mild flattening that lasts for about a day and a half. Wearing the lenses every night during our growing years can slow myopia progression by about 50%. As a bonus, when you remove your ortho-k lenses in the morning, you typically continue to see clearly for the duration of the day. …without your contacts or glasses! In fact, many patients seek us out for ortho-k not for myopia management, but for the ability to play sports without daytime contacts or glasses.

Soft Daytime Contact Lenses

By wearing special contact lenses that shine focused light to the middle of the back of your eye and out-of-focus light to the edges of the back of your eye, myopia progression can slow by over 40%.

Eye Drops

Specially formulated eye drops, custom-made at a compounding pharmacy (not available at a regular retail pharmacy), can slow myopia progression by over 30% when used before bedtime. We identify the most appropriate concentration for each patient and adjust as each child grows.

Schedule an appointment for an eye exam and myopia management consultation so our doctors can decide which method(s) of myopia management are most appropriate for you or your child.