Management of the low myopia pediatric patient

A review of the literature on myopia etiology indicates that environmental factors, particularly those related to nearpoint use of the eyes, appear to play a significant role. A regimen is described for control of environmental factors producing myopic progression, including use of bifocal lenses to reduce accomodative demand, visual hygiene to foster accommodative relaxation, and vision training to develop adequate accommodative skills and freedom of action between accommodative and convergence systems.