Anisometropia and myopia progression – patient management guidelines Meeting proceedings

Abstract

Anisometropia, or a diff erence in refraction between the eyes, can lead to aniseikonia – a difference in the size or shape of retinal images. Th e main symptoms include asthenopia and disturbances in stereopsis and spatial perception, including disturbances in movement patterns. Incorrectly applied correction can result in fusion disorders, headaches, diplopia, or amblyopia. Treatment requires appropriately selected spectacle or contact correction, taking into account the degree of aniseikonia, binocular balance, and visual rehabilitation. Pharmacological (e.g., atropine) and optical methods (DIMS glasses, MFSCL lenses, orthokeratology) are used to manage myopia progression. Th eir goal is to control myopic defocus at the periphery of the retina and slow down the growth of the eyeball, ideally with early implementation of therapy and lifestyle modifi cations (time outdoors, breaks from close-up work). Eff ective care requires cooperation between an ophthalmologist, optometrist, and in children, a pediatrician and educator to ensure proper visual development and functioning in the school environment.