Leads the myopia evaluations and the follow-up visits for children, and talks parents through each option and what it asks of a family.
Myopia care in Cary, North Carolina
Nearsighted eyes, measured the same way at every visit
Two optometrists and an ophthalmic assistant keep one plain log for each patient: how long the eye is, the prescription, the curve of the front of the eye and eye health. We explain every myopia option and what the FDA has said about it. Results vary.
A sample visit log
Four measurements go in the log at every visit
Each visit adds a line, and we set the new numbers beside the last ones. The log records what was measured. It does not promise what comes next.
Length
Eye lengthFront to back, in millimeters
Power
PrescriptionWith focusing relaxed by drops
Curve
Front of the eyeMapped in a scan that takes a minute
Health
Eye healthChecked inside and out each visit
Sample figures.
Visit by visit
What each visit adds to the log
Every visit has a job. Nothing is started at the first one unless you decide to.
- About an hour
Evaluation
The first entry sets the baseline for everything that follows.
Prescription, with focusing relaxed by drops
Eye length
Curve of the front of the eye
Eye health
- If you choose one
Fitting or first drops
If you choose an option, we teach the routine and check the fit.
Lens handling or drop lesson, for child and parent
Fit and comfort check
Written instructions to take home
- About 30 minutes
One-month check
A short visit to see how the option is going.
Vision and comfort with the option
Eye health
Questions from child and parent
- Usually
Every six months
The full set of measurements again, set beside the earlier entries.
All four measurements
New numbers beside the old ones
Whether to keep, change or stop the option
- Yearly
Every year
A full eye health exam, with a fresh prescription.
Eye health exam
A copy of your prescription
- Call us
Between visits
Call us rather than wait for the next entry in the log.
A lens is uncomfortable
A drop stings for long
Your child says vision is worse
Myopia options, side by side
Four options, and where each stands with the FDA
Each option has a different job and a different status. Results vary from child to child, and the doctor explains the risks of each before you decide.
| Option | What it is | FDA status in the US | What it asks of you |
|---|---|---|---|
| Dual-focus daily contact lenses | What it isSoft lenses worn in the day and thrown away at night, with zones of different focus meant to slow eye growth. | FDA status in the USFDA-approvedApproved for children 8 to 12 at the start of treatment. | What it asks of youA fitting visit and a lens handling lesson for child and parent. |
| Myopia-control eyeglass lenses | What it isGlasses whose lenses change the focus toward the edges. | FDA status in the USFDA-clearedOne lens design was authorized by the FDA in 2025 for children 6 to 12 at the start of treatment. | What it asks of youNo contact lens handling. A choice when lenses or drops do not suit a child. |
| Overnight lenses (orthokeratology) | What it isFirm lenses worn during sleep that reshape the front of the eye, so vision is clear the next day without glasses. | FDA status in the USOff-labelApproved for temporary correction of nearsightedness. Using them to slow myopia is off-label. | What it asks of youA higher risk of eye infection than daytime lenses, so strict cleaning and regular checks. |
| Low-dose atropine eye drops | What it isA very dilute dilating drop given at bedtime. | FDA status in the USOff-labelNo low-dose atropine drop is FDA-approved for myopia in the US. It is prescribed off-label and made by a compounding pharmacy. | What it asks of youCan cause light sensitivity and blurry near vision. The doctor checks the response at each visit. |
Nearsighted as an adult
Adults get the same log
The myopia options above were studied in children. For adults we keep the same four measurements, check eye health every year and fit glasses or contact lenses. If an option has not been studied at your age, we say so before you decide.
A yearly eye health exam
Glasses and contact lens fittings
A copy of your prescription, every time
Two optometrists
Two optometrists, one log
Gregorio Moreno, our ophthalmic assistant, takes the measurements. The doctor reads them with you before you leave.
Sees nearsighted teens and adults, fits glasses and contact lenses, and does the yearly eye health exam.
Questions parents ask first
Before you book
Can glasses or contact lenses slow myopia?
Some are designed to. Each has a different FDA status, set out in the table above, and results vary from child to child. The doctor explains the risks and what is known before you choose.
Does a visit log mean you promise a result?
No. The log records what was measured and when. Results vary, and we do not promise one.
How long is the first visit?
About an hour. Bring your child's current glasses or contact lenses and the name of any eye drops in use.
Who pays for a myopia visit?
A routine exam is billed to a vision plan. A visit to follow myopia or check eye health is usually billed to medical insurance, and many visits mix both. How fees work explains each part.
Can I take the prescription elsewhere?
Yes. Your prescription is yours. We give you a copy after the exam and fitting, and you can fill it anywhere.
What if vision changes suddenly?
Sudden vision loss, flashes of light, a curtain over the vision or an eye injury needs care now. Call our office right away or go to an emergency room. In a life-threatening emergency, call 911.
Book a myopia evaluation
The first visit takes about an hour. Nothing is started unless you decide to.