Clinical management of myopia

The literature indicates that environmental factors, particularly those related to nearwork, play a significant role in myopia etiology. Regimens are described for the clinical management of myopia in the incipient, progressive, and stable stages. These regimens are based upon control of the environmental factors producing myopic progression and include the use of bifocal lenses to reduce accommodative demand, advice concerning visual hygiene to foster accommodative relaxation, and vision training to develop adequate accommodative skills and adequate freedom of action between the systems of accommodation and convergence.