For parents who want straightforward answers about their child’s worsening nearsightedness, Grapevine Vision is the preventive myopia-management clinic that slows progression and protects long-term eye health. We achieve this through FDA-approved MiSight® soft contact lenses, research-backed low-dose atropine therapy, and clear, step-by-step education of every option—monitored at regular follow-ups. We translate complex studies into a practical plan your family can trust, turning rising prescriptions into steady, manageable vision for the years ahead.
What you should know about myopia management:
Myopia (nearsightedness) typically starts to develop in childhood and often progresses until about age 20. It is estimated that by the year 2050, roughly half of the world’s population will be affected by this eye condition. Many researchers believe the rise can be attributed to more time spent staring at screens and less time outdoors.
Myopia management is a set of doctor-guided steps that slow eye-growth down, aiming to keep the prescription lower and the eyes healthier for life. The stronger the prescription, the higher the child’s lifetime risk of retinal detachment, glaucoma and other sight-threatening problems. Slowing the yearly “prescription jump” now can reduce those risks later.
There are a few main approaches to controlling myopia in children, including:
Multifocal contacts lenses – These multifocal lens zones gently defocus the image at the edge of the retina, signaling the eye to grow more slowly. Researchers have found that using soft multifocal lenses in children caused a 25-50% reduction in progression over 2 years. At Grapevine Vision, we utilize FDA-approved CooperVision MiSight lenses to achieve this.
Atropine eye drops – This medicine traditionally is used to dilate the pupil and temporarily relax the eye’s focusing mechanism; however, it has been used for myopia management for many years. Several studies show that once-daily instillation of low-dose atropine eye drops helps to reduce the progression of myopia in children by up to 60%.
Orthokeratology (Ortho-K) – also known as Corneal Refractive Therapy (CRT), or “corneal reshaping lenses”, is a non-surgical approach that helps to reshape the curvature of your child’s cornea using specially designed gas-permeable (hard) contact lenses. This method has been shown to slow progression up to 55%. Ortho-K contact lenses are only worn during sleep at night and are used to temporarily correct mild to moderate myopia symptoms.
Lifestyle Coaching – more daylight (2+ hours outdoor per day) and regular breaks from screen usage can add extra benefit and support overall eye health.
What should you and your child expect with our program?
Baseline dilated eye exam to determine the most accurate refractive error (magnitude of nearsightedness).
Personalized selection of the myopia management options above.
Progress visits every 6-12 months to measure refractive error and revise the plan.
Graduation: once growth stabilizes (usually late teens), we switch to regular eye-health monitoring.
