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EYE MATTERS Equip your practice with key tools for successful myopia management W ith increasing clinical and research activity in myopia control comes an imperative for practitioners to get started in myopia management. What equipment is needed, or most essential, for a good myopia management practice? There are some key pieces of equipment to have on board and some others that are not crucial but helpful to have. MEASURING ACUITY AND REFRACTION Primary eye care plays a crucial role in measuring and correcting vision, especially in addressing myopia in children. Detecting hyperopia below age-appropriate levels can signal pre-myopia, with a significant risk factor for future myopia being a refractive error of +0.50 or less at age 6-7, indicating the initial phase of myopia progression. Managing accommodation in children is vital, particularly in younger ones or those with notable refractive changes. Caution is warranted when using autorefractors due to potential inaccuracies. While cycloplegia isn't mandatory for all myopic refractions, it's a valuable tool 'as indicated,' considering factors like availability and suitability for the child. Retinoscopy, especially non-cycloplegic with contralateral eye fogging, is recommended by professional organizations for accurate refractive error detection in children. Equipment you need: a child- suitable acuity chart and a retinoscope. BINOCULAR VISION ASSESSMENT No universally accepted method exists for assessing binocular vision clinically. Some do advocate baseline utilisation of various accommodative and vergence function tests, with the same MYOPIA MASTERY: TOOLSFOR CLEARVISION 38 VISION PLUS ARABIA EDITION