Myopia is a growing prevalence in Singapore and our country is known as the myopia capital of the world, Singapore ranks amongst the highest globally for myopia prevalence, with 65 percent of Singaporean children1 being myopic by Primary 6. While studies have shown that children with myopic parents tend to have a greater risk of developing myopia, modern lifestyles, including children spending less time outdoors and an increase in near-work activities such as reading, and playing video games have all contributed to the rise in myopia2.
The vision health of a child is at the heart of his/her development, with over 80% of childhood learning being done visually3. Good vision allows children to learn well, but also, to feel comfortable with others, and thrive at school. There is no safe level of myopia4. Each additional dioptre (colloquially known as “degree”), increases the risk of developing serious vision-threatening complications later in life if myopia progression is not addressed and controlled from a young age5.
Myopia is traditionally corrected with single-vision solutions, such as standard spectacles or contact lenses. However, correction alone is insufficient as control measures are needed to reduce the rate at which myopia worsens over time. Myopia control also helps reduce the risk of vision impairment due to myopia-associated eye diseases, including glaucoma, posterior subcapsular cataract, retinal detachment, and macular maculopathy6. Early onset of myopia increases the risk of developing high myopia, making interventions critical at an early stage7.
Through a partnership between W Optics and Essilor, we are able to share a game-changing innovation in myopia control, Essilor® Stellest™ Lenses, to fight myopia progression to slow down myopia progression in children.
What are the benefits of Essilor® Stellest™ Lenses?
1. Corrects your child’s vision by providing vision as sharp as with single vision lenses8
Essilor® Stellest™ lenses bring correction through a single vision zone carrying prescription of your children. The single vision zone focuses light onto the retina, which provides clear vision and comfort for the children.
2. Controls Myopia Progression with a volume of signal against eye elongation.
This lens is made of a cutting-edge constellation of 1021 invisible lenslets, which creates a volume of signal in the child’s eye acting as a shield against eye elongation.
Thanks to the H.A.L.T** technology, Essilor® Stellest™ lenses slow down myopia progression by 67% on average9, compared to single vision lenses, when worn 12 hours a day.
3. No compromise as Essilor® Stellest™ Lenses are aesthetic, safe and simple
Q: My child just started using eyeglasses, should we wait first to see if his prescription will worsen before deciding to use Essilor® Stellest™ Lenses?
A: Myopia can progress quickly in childhood and often only stabilize at the age of 18 or later. A 7 year old child with -1.00D can worsen to reach -6.00 D at 16 years10. It is therefore important to start myopia management with Essilor® Stellest™ lenses as early as possible to have the biggest impact on slowing myopia progression and reduce the amount of myopia your child ends up with.
Q: How effective is Essilor® Stellest™ Lenses in preventing high myopia?
A: Essilor® Stellest™ lenses slow down myopia progression by 67% on average, compared to single vision lenses, when worn 12 hours a day every day9. The earlier the treatment started with Essilor® Stellest™️ lenses, the lower the risk of developing high myopia.
Q: Is there a minimum/maximum age to start using Essilor® Stellest™ Lenses? Is my child too young/old for Essilor® Stellest™ Lenses?
A: As soon as myopia is detected in a child, Essilor® Stellest™ lenses can be recommended. Early intervention would be beneficial.Essilor® Stellest™ lenses can be recommended to children from as young as 6 years old and up to 16 years old, upon the decision of the Eye Care Practitioner.
Q: Will my child need time to get used to wearing Essilor® Stellest™ Lenses?
A: Yes, there will be a short adjustment period for most new lenses. Essilor® Stellest™ lenses have been proven to be easy to adapt to. Our clinical trials11 shows that 91% of children get used to Essilor® Stellest™ lenses within 3 days and 100% within 1 week.
1 Speech by Dr Lam Pin Min, Senior Minister Of State For Health, at the Opening of The Singapore National Eye Centre’s Myopia Centre, 16 August 2019.
2 Huang, H.-M., Chang, D.S.-T., Wu, P.-C., 2015. The Association between Near Work Activities and Myopia in Children-A Systematic Review and Meta-Analysis. PloS One 10, e0140419.
3 Eyeglasses for Global Development: Bridging the Visual Divide; World Economic Forum, Social Entrepreneurs, EYElliance; June 2016.
4 Flitcroft, D. I. (2012). The complex interactions of retinal, optical and environmental factors in myopia aetiology. Progress in retinal and eye research, 31(6), 622-660.
5 Bullimore MA, Brennan NA. Myopia Control: Why Each Diopter Matters. Optometry and vision science : official publication of the American Academy of Optometry. 2019;96(6):463-5.
6 Bullimore, M.A., Ritchey, E.R., Shah, S., Leveziel, N., Bourne, R.R.A., Flitcroft, D.I., 2021. The Risks and Benefits of Myopia Control. Ophthalmology 0.
7 The impact of myopia and high myopia: report of the Joint World Health Organization–Brien Holden Vision Institute, Global Scientific Meeting on Myopia, University of New South Wales, Sydney, Australia, 16–18 March 2015.
8 Two-year prospective, controlled, randomized, double-masked clinical trial results on 54 myopic children wearing Stellest™ lenses compared to 50 myopic children wearing single vision lenses. Results based on 32 children who declared wearing Essilor® Stellest™ lenses at least 12 hours per day every day. Bao, J. et al. (2021). One-year myopia control efficacy of spectacle lenses with aspherical lenslets. Br. J. Ophthalmol. doi:10.1136/bjophthalmol-2020-318367
9 Compared to single vision lenses, when worn 12 hours a day. Two-year prospective, controlled, randomized, double-masked clinical trial results on 54 myopic children wearing Stellest™ lenses compared to 50 myopic children wearing single vision lenses. Efficacy results based on 32 children who declared wearing Stellest™ lenses at least 12 hours per day every day. Bao J. et al. (2021). Myopia control with spectacle lenses with aspherical lenslets: a 2-year randomized clinical trial. Invest. Ophthalmol. Vis. Sci.; 62(8):2888.
10 A less myopic future: what are the prospects? Clin Exp Optom, 98 (6), 494-6
11 Compared to single vision lenses, when worn at least 12 hours a day every day. Two-year prospective, controlled, randomized, double-masked clinical trial results - 104 myopic children split in two groups:
Single vision lenses (50) and Stellest™ lenses (54) - Efficacy results are based on 32 children who declared wearing Stellest™ lenses at least 12 hours per day every day - Eye Hospital of the Wenzhou Medical
University - J. Bao, A. Yang, Y. Huang, X. Li, Y Pan, C. Ding, E. W. Lim, J Zheng, D. P. Spiegel, Y. L. Wong, B. Drobe, F. Lu, H. Chen
** Highly Aspherical Lenslet Target