This retrospective case series demonstrates the combination of 0.05%
atropine with MiSight® 1 day (Cooper vision, Sar Ramon, CA, USA) in rapid progression of
myopia of 4 children. MiSight® 1 day is a peripheral defocus, center-distance
soft contact lens and is effective at controlling moderate progression of
myopia during the course of 1 year. The current case series included 2 females and 2 males with an average age of 9.68 ± 0.26 years and an average axial length of 24.81 ± 0.92 mm. Their myopic progression during the previous year was -1.45 ± 0.27 D. The children had not attempted any
myopia control thus far. This relatively high increase prompted a combination treatment of daily instillation of 0.05%
atropine and MiSight, a daily replacement
soft contact lens.
Cycloplegic refraction and a
slit-lamp evaluation were performed every 6 months to confirm no adverse reactions or staining was present. The 8-item
contact lens dry eye questionnaire (CLDEQ-8) score of these children was 10.66 ± 1.52. The average
myopia progression at the end of 1 year decreased to -0.41 ± 0.11 D, and the average axial length increase was 0.28 ± 0.08 mm. To the best of the authors' knowledge, this is the first published study showing a combination of 0.05%
atropine and peripheral defocus
soft contact lenses indicating efficacy at controlling moderate
myopia progression.