Precautions for fitting and using specially designed frame glasses

Specially designed frame glasses, OK lenses (orthokeratology lenses), defocused soft lenses, and low-concentration atropine are all currently the most commonly used myopia prevention and control technologies. If you don’t know about these yet, you can read Dr. Jingcai’s other article "Methods for Myopia Prevention and Control in Children and Adolescents, Just Read This Article".

Since the appearance and use of specially designed frame glasses are almost the same as ordinary frame glasses, they are very convenient and are favored by many parents. So, what should we pay attention to when fitting these glasses and wearing them daily?

Fitting:

Although specially designed frame glasses can be fitted in many optical shops, it is not recommended that parents take their children directly to the optical shop. Instead, they should go to the optometry department of the hospital first for a doctor to conduct the corresponding examination and determine whether the child's condition is suitable for the use of specially designed frame glasses.

Compared with ordinary frame glasses, specially designed frame glasses require a higher level of professionalism. Parents should try to have their children fitted by experienced doctors or optometrists in hospitals or big brand eyewear stores.

Daily wear:

You need to wear it all day (12 hours or more a day). You don’t just need to wear it when you are reading or doing homework;

In the early stage of wearing, due to the special design of the lenses, children may see "water ripples" when looking at things, but they can usually adapt in one to two weeks;

It is necessary to ensure that the frame is properly tight and in the correct position. Parents should frequently observe whether the child's frame is slipping or tilting. If so, they should go to the hospital/optician's shop for adjustment in time.

Check your child's vision, myopia and axial length every three months, and let the doctor or optometrist decide whether the lens needs to be replaced. You can use the "Health Records" function of the Tejingcai platform to record the above three key indicators for a long time. These records are very important for you to cooperate with doctors and optometrists to manage your child's myopia.

Daily cleaning of lenses:

The lens material of the specially designed frame glasses can be cleaned with tap water and detergent. When cleaning, you can gently rub the lens with your fingertips, and then rinse it thoroughly with water to ensure that there is no detergent residue. After cleaning, you can "dip" it dry with a soft paper towel instead of wiping it horizontally repeatedly;

Other factors that affect the development of myopia should still be taken into consideration, otherwise it will affect the myopia prevention and control effect of specially designed frame glasses. For example: time spent using eyes at close range, correct reading and writing posture, whether there is enough time for outdoor activities in the sun every day, whether the lighting of the reading and writing environment is appropriate, whether there is enough sleep every day, etc. The "Prevention and Control Diary" function of the Tejingcai platform can help parents evaluate and record these situations in a timely manner, which can be used as a reference for each communication with your doctor or optometrist;

Regarding sports activities:

Table tennis, badminton and other sports activities without physical contact and strong confrontation are not affected. Basketball, football and other intense sports activities with physical confrontation are not suitable for wearing specially designed frame glasses to avoid damaging the glasses and injuring the children.

Can it be used together with OK lenses, low-concentration atropine, etc.?

Doctors usually do not recommend the combination of two or more myopia control optical solutions. When the myopia control effect is not good (the degree increases by more than 75 degrees per year, and the axial length increases by more than 0.4 mm), you may consider the combined use of low-concentration atropine, or switch to OK glasses or other solutions. Therefore, I would like to emphasize to all parents that when wearing specially designed frame glasses, you should have a follow-up visit every three months, and the doctor and optometrist will make a professional judgment.

If this article is helpful to you, please share it with other parents who may need it. Thank you.

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About Dr. Jingcai: The creators of Dr. Jingcai's popular science content all have a professional background in ophthalmology, a master's degree or above, and are former ophthalmologists. For some popular science content with a higher degree of professionalism, we will also invite working ophthalmologists and optometry experts to review and check it, striving to be responsible for the accuracy of the content and avoid misleading readers.