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slow the progression of your child's nearsightedness

St. Louis’ Preeminent Myopia Management Practice

Myopia is nearsightedness, and Progressive Myopia, where the prescription gets progressively worse, poses significant risks to your child’s long-term vision

Myopia is extremely widespread, with up to 5 billion people expected to be myopic by 2050. Recently, myopia has become more and more on the radar of optometrists and healthcare professionals. A large body of research has definitively ascertained that medium and high myopia significantly increase the long-term risks for serious eye conditions such as Cataracts, Macular Degeneration, and Glaucoma.

However, childhood intervention has been shown to drastically reduce these risks, while simultaneously slowing down or even stopping the progression of aggressive myopia.

First you should know a bit



By 2050, Myopia is expected to affect at least 5 billion people worldwide. In some areas of Asia, the rates are already upwards of 80-90% by the time people reach University. The exact cause for this massive increase in myopia is a matter of some debate, with a lot of research suggesting that decreased time out of doors and drastically increased used of digital devices being contributing factors. Whatever the exact cause, the conclusion is stark: Myopia and the longterm risks associated with its childhood progression poses a serious public health challenge. Recently, the World Health Organization, amongst other international health bodies and and NGOs, have added myopia to the agenda of serious concerns.


Medium and high myopia in childhood pose greatest risk factors, and underscore the importance of intervention during childhood. Progressive Myopia deteriorates as the child ages, so effective treatment received during childhood is the only way to significantly decrease these associated risks. The longterm vision health risks posed by Myopia include some of the most debilitating eye diseases included Myopic Maculopathy, Retinal Detachment, Glaucoma, and Cataracts.Generally, the higher prescription required and the rate and the faster it deteriorates, the greater are the risks of developing a serious vision impairment or condition in adulthood.


The good news is that research has advanced significantly over the past ten years or so. There are now highly effective means to slow down and even halt the progression of myopia without resorting requiring any kind of surgical intervention. An optometrist specializing in myopia will be up to date on the latest methods in Myopia Management and can decrease the progression by an average of 50% or more. This significantly mitigates the longterm risk to the child of developing serious eye conditions later on in life. The use of Orthokeratology, Atropine, and Multifocal Contact Lenses, have been extensively researched and are demonstrably effective at managing myopia, even at very young ages.

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Managing Myopia In Children

ORTHOK (Orthokeratology)

OrthoK , also referred to as ortho-k, orthokeratology, gentle vision shaping, and corneal shaping is one of the most universally effective methods for managing myopia. It works by having the child sleep with a rigid lens at night, which gently reshapes the cornea to a shape conducive to normal visual acuity. The child (or adult for that matter) can usually be free from corrective lenses during the day.


Atropine drops are a pharmaceutical solution that was originally intended simply for stimulating pupil dilation for various kinds of eye examinations. Surprisingly, it was found that extremely low doses actually slow down the progression of myopia by about 50%, without any dramatic side effects. Even more suprisingly, new research suggests that Atropine may be effective at preventing Myopia in pre-myopic children altogether.


Soft, multifocal contact lenses can be used during the day to subtly change the medium and distance visual power in order to change the overall focus of the eyes. By having clear retinal focus for one part of vision, while defocusing other peripheral zones, our visual system is subtly altered in a way that slows down the progression of myopia. A recent clinical study in 2016 demonstrated a 70% reduction in myopia progression.

Now it’s your turn to see what


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Meet Our Myopia Management

Eye Doctor

Dr. Tary is the Myopia Management (or Control) Eye Doctor at Rosen Optometry. She is proud to provide the highest quality pediatric eye care for patients in St. Louis, Missouri.

Dr. Ashley Tary was born and raised in the St. Louis area. When she decided to pursue her passion for optometry, she chose to attend the University of Missouri-St. Louis where she enrolled in the 3+4 accelerated program. She graduated in 2014 with honors. Dr. Tary is currently a member of the American Optometric Association, Missouri Optometric Association, and St. Louis Optometric Society.

Dr. Tary thoroughly enjoys practicing optometry with special interests in contact lenses, pediatric vision, and treatment and management of ocular disease, including cataracts, glaucoma, macular degeneration, and diabetic retinopathy She looks forward to personally getting to know each patient while providing the highest quality comprehensive eye care in the community where she grew up.

Currently, Dr. Tary resides in Cedar Hill with her husband and high school sweetheart Chris. Chris has worked for Schnucks pharmacy for the past 8 years. Together, they enjoy spending spare time with family and playing outdoors with their dogs.

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