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Share your dilemmas and get honest opinions from other Mumsnetters.

Which is better for children's myopia?

70 replies

Sunshinedayy · 28/02/2026 11:45

Is an accurate prescription better or a full prescription?

Just that really. I know under correcting and over correcting are bad but is there a diffrence between accurate prescription and full prescription? If so which is better for children's myopia? Or are they interchangeable?

OP posts:
ladygindiva · 28/02/2026 21:30

Whatifitallgoesright · 28/02/2026 13:03

My son had these. They did slow down the advance of myopia.
www.visionexpress.com/brands/stellest-lenses

DD (9) has just been offered these. Glad to hear a good review thankyou

HelenaWaiting · 01/03/2026 09:10

LegoEmergency · 28/02/2026 21:17

There is no such thing as an “accurate prescription.” You’re talking about it as if it’s a thing. It’s not.

An optometrist choosing whether or not to give someone their “full prescription” is really for + prescriptions (ie hypermetropia) where children can see with less prescription - or no prescription- but their eye muscles are working really hard to do it. You give less than the full prescription sometimes to allow time for the muscles to learn to relax.

None of this is applicable to myopia at all. If you give a myope less than their “full” prescription then they can’t see clearly. So their full prescription is what is “accurate.”

Could you correct the person who asked the question, do you think? The OP asked a question, I answered it to the best of my knowledge. Funnily enough, we both managed to do this without being utterly fucking rude. Incidentally, there is a distinction in optometry between an accurate prescription and a full prescription. What, you think the OP just dreamt this? So you're wrong. Rude, and wrong. And don't @ me again - you won't get a response.

LegoEmergency · 01/03/2026 11:03

Replying to the above comment, which apparently I’m not allowed to reply to directly…

a) I did not @ you
b) I didn’t need a reply, thanks, so you not replying is not really a threat
c) I was responding to your reply to someone else, which is quoted
d) I have read it back numerous times and I cannot see anything I said which is “utterly fucking rude”
e) I am not wrong
f) if you think what I wrote is utterly fucking rude, I don’t know how you get on with the vast majority of threads on MN…

Sunshinedayy · 01/03/2026 15:29

LegoEmergency · 28/02/2026 21:17

There is no such thing as an “accurate prescription.” You’re talking about it as if it’s a thing. It’s not.

An optometrist choosing whether or not to give someone their “full prescription” is really for + prescriptions (ie hypermetropia) where children can see with less prescription - or no prescription- but their eye muscles are working really hard to do it. You give less than the full prescription sometimes to allow time for the muscles to learn to relax.

None of this is applicable to myopia at all. If you give a myope less than their “full” prescription then they can’t see clearly. So their full prescription is what is “accurate.”

@LegoEmergency

I called the opticians and spoke to the optom just to get a clearer understanding and resurance that my child has the correct prescription (not under and not over) and he told me what you have said almost word for word! I feel confident that she now has the right prescription and will look into getting the myopia control lenses.

OP posts:
FordExplorer · 01/03/2026 15:32

OtterlyAstounding · 28/02/2026 12:58

I recommend Miyosmart lenses or similar, for myopia control.

I had early short sightedness (age 5) and am nearly -10 as an adult. One of my children was on the same trajectory as me, but we got Miyosmart lenses on the optometrist's recommendation and the deterioration stopped altogether at -3.75, and has held steady with no deterioration for the past several years. Marvellous!

Miyosmart lenses are currently only available for children so I’m baffled as to how you got them for yourself also?

Sunshinedayy · 01/03/2026 15:35

Also I suppose I will know for sure when she gets her new glasses and how clearly so can see from a distance.

OP posts:
LegoEmergency · 01/03/2026 18:15

Sunshinedayy · 01/03/2026 15:29

@LegoEmergency

I called the opticians and spoke to the optom just to get a clearer understanding and resurance that my child has the correct prescription (not under and not over) and he told me what you have said almost word for word! I feel confident that she now has the right prescription and will look into getting the myopia control lenses.

Great - that’s good. I hope it all works out well from now on. I would definitely get Miyosmart or Stellest glasses.

Barnbrack · 01/03/2026 18:24

HelenaWaiting · 28/02/2026 17:57

An accurate prescription isn't under correcting per se, but a full prescription is more likely to over correct than an accurate one would be.

This is nonsense.

A glasses prescription is the lens strength required to correct your vision, lenses correct your vision by focussing light at the correct point at the back of the eye. An accurate prescription and a full prescription will both be the lens that does this and will be the same.

You will still see with a too strong myopic prescription because you can focus or accommodate to overcome it, but it's too strong. It's not correct and there's no benefit to it.

The bizarre nonsense on this thread.

Sunshinedayy · 01/03/2026 19:10

Something else that is now worrying me when looking at the 2 prescriptions the first prescription was a axis of 20 in the left eye and the new prescription (2 weeks apart) says axis is 119 in the left eye.

Could someone please help me understand this? Should I be concerned? It seems like such a big difference and now I am worrying which one is correct.

OP posts:
Imlyingandthatsthetruth · 01/03/2026 20:38

I think you need to query the astigmatism figures, it can only be between 10 and 180 so to have two different figures of 20 and 119 means it can't be a measurement error. What is the cylinder value (the astigmatism power)? The higher this is then the more critical that the angle is accurate (although of course it should be properly measured anyway).

Sunshinedayy · 01/03/2026 21:01

@Imlyingandthatsthetruth

Sorry I'm trying to understand but 20 and 119 are in between 10 and 180? Unless I am missing something?

They are on separate prescriptions so now I am worrying if my child has the correct axis on her prescription.

OP posts:
Imlyingandthatsthetruth · 01/03/2026 21:38

Sorry, I'll try to be clearer! The "axis" value for astigmatism can only be a single number, it has to be between 10 and 180 degrees. You have two prescriptions with two different values, 20 and 119 degrees. What I was trying to say is that you might get two people measuring the value and getting (say) 40 and 45, because it's not always easy to reproduce the same result, but two measurements shouldn't get answers 100 degrees different. In other words, you do need to go back and say "hey, two prescriptions, widely different axis figures, can you sort this out" or similar.

Does that help?

Sunshinedayy · 01/03/2026 21:47

@Imlyingandthatsthetruth

Yes, I understand. That is my concern, the huge difference. The sph on the fist one was -1.75 and the second was -1.25. Cyle was 0.50 on both. The optom said the first prescription with a diffrent optom was incorrect but he did not mention anything about the axis. It is only now that I have had a bit more time to look into it more. Im surprised the optom didn't speak to me about this . He only really addressed the sph!

OP posts:
Th1sisnotadrill · 01/03/2026 21:58

Some optoms write prescriptions differently which can produce a difference in the axis by 90 degrees, however, if this is the case one of the cylinder values would need to be with a + in front of it. Does the cyl value on one of them have a + value?

Sunshinedayy · 01/03/2026 22:01

@Th1sisnotadrill

No, both cyl have a - in front.

OP posts:
Sunshinedayy · 01/03/2026 22:02

I am actually really annoyed how they can get it so wrong. It is quite worrying that there are optoms out there giving out these incorrect prescriptions! I find it really concerning.

OP posts:
Imlyingandthatsthetruth · 01/03/2026 22:06

Yes, you have the classic problem where you have two answers that disagree - if you had three and two agreed you'd be happy!

All I can add is that Contact lens prescriptions do differ from glasses prescriptions and , for small astigmatisms, optometrists may not always correct in contactlenses (I have astigmatism correction in both eyes in my specs but only in one eye in my contacts), but please don't let that muddy the waters, go back and query the axis.

Good luck, it will all work out in the end, everything does you know!

Barnbrack · 01/03/2026 22:06

Sunshinedayy · 01/03/2026 19:10

Something else that is now worrying me when looking at the 2 prescriptions the first prescription was a axis of 20 in the left eye and the new prescription (2 weeks apart) says axis is 119 in the left eye.

Could someone please help me understand this? Should I be concerned? It seems like such a big difference and now I am worrying which one is correct.

Edited

I think you need to go in and speak to them, you may need to speak to whoever did the test, you're beyond my knowledge at this point, I think you need the optician to sit with you and go over the test properly. Go on and ask for a chat maybe? Be upfront about what's happened and that you're worried?

Th1sisnotadrill · 01/03/2026 22:06

Ah on that case then yes, that's 2 wildly different prescriptions. Was your child given drops on the second test perhaps? Often a child will over accommodate making it difficult to get an accurate reading, but drops paralyse the accommodation and give a true result. That said, it's not usually the axis that is the issue here. Typos are possible, seen it many times in my profession so my moneys on the 1st test being incorrect because of a missing 1 off the axis number.

Barnbrack · 01/03/2026 22:08

Sunshinedayy · 01/03/2026 22:02

I am actually really annoyed how they can get it so wrong. It is quite worrying that there are optoms out there giving out these incorrect prescriptions! I find it really concerning.

It's odd to use terminology optom, is that an abbreviation?

Isekaied · 01/03/2026 22:08

Never heard of these lenses before.

Would they be offered to all kids or just those with bad progression?

A bit annoying as I've just had both mine checked recently.

Sunshinedayy · 01/03/2026 22:13

@Imlyingandthatsthetruth

The prescriptions are for regular glasses not contact lenses. She is 10 and I want to slow down her myopia with myopia control but if they can't even get her prescription right!
I am now worried that this could make her myopia worse if it is incorrect.

OP posts:
Th1sisnotadrill · 01/03/2026 22:13

I'd recommend them to any myopic child, they're relatively new in terms of being available at regular high Street opticians. I've a good number of patients on them and we've had brilliant results!!

Sunshinedayy · 01/03/2026 22:13

Barnbrack · 01/03/2026 22:08

It's odd to use terminology optom, is that an abbreviation?

optometrist

OP posts:
Imlyingandthatsthetruth · 01/03/2026 22:15

Sorry, misunderstood about lenses/glasses

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