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A Narrative Review of Childhood Myopia Management Across the NHS and Private Sector in the UK

Hammaad Khalid1, Mishelle Abbasi2, Mohamed Mohyudin3

  • 1Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.

Cureus
|April 8, 2026
PubMed

Insights

Childhood myopia management interventions show significant success in slowing disease progression and axial elongation. Equitable access through National Health Service (NHS) care pathways is crucial for UK children.

Area of Science:

  • Ophthalmology
  • Public Health
  • Pediatrics

Background:

  • Childhood myopia is a significant and increasing public health concern in the UK.
  • It is linked to serious long-term ocular health risks.
  • Current National Health Service (NHS) management primarily involves correction, monitoring, and lifestyle advice.

Purpose of the Study:

  • To review the evidence for childhood myopia management interventions.
  • To assess the effectiveness of interventions like dual-focus lenses, orthokeratology, and low-dose atropine.
  • To explore strategies for improving access to effective myopia control in the UK.

Main Methods:

  • A comprehensive PubMed search was conducted in December 2025.
  • 30 relevant studies published between January 2000 and December 2025 were identified and reviewed.
  • A narrative comparative approach was used to analyze the studies, focusing on children aged 0-18 years.

Main Results:

  • The reviewed interventions demonstrated significant reductions in myopia progression and axial elongation.
  • These findings support the efficacy of dual-focus lenses, orthokeratology, and low-dose atropine in myopia control.
  • Currently, these advanced interventions are predominantly accessed via private care in the UK.

Conclusions:

  • Evidence supports the effectiveness of specific interventions in managing childhood myopia.
  • There is a disparity in access to these treatments between private and NHS care in the UK.
  • Implementing national guidelines and funded care pathways could enhance equitable access and reduce the long-term burden of myopia.

Keywords:
childhood myopiamyopiamyopia prevention and controlmyopia progressionmyopia treatmentpaediatric myopiapaediatrics

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