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Home   Myopia Management

Myopia Management

What Is Myopia? 
Myopia, also called nearsightedness, causes distant objects to appear blurry. In children, myopia often progresses as the eye grows, which is why early diagnosis and management are so important. Addressing myopia early may help slow progression and support long-term eye health. 
What Causes Myopia? 
Myopia typically develops when the eye grows too long from front to back, causing light to focus in front of the retina instead of directly on it. Genetics, prolonged near work, and limited time outdoors may all play a role in myopia development and progression. 
What Are the Symptoms of Myopia? 
Children with myopia may squint, sit too close to screens, move closer to the classroom board, complain of blurry distance vision, rub their eyes often, or blink excessively. Some children may not realize their vision has changed until it begins affecting school performance, sports, or everyday activities. 
Treatment Options for Myopia 
At Marshall Eye Care, we offer personalized myopia management based on your child’s age, prescription, eye health, and lifestyle. After a comprehensive evaluation, our doctors will recommend the treatment approach that best fits your child’s individual needs. 
MiSight® 1 Day Soft Contact Lenses 
MiSight 1 day soft contact lenses are designed to correct nearsightedness while also helping manage myopia progression in appropriate pediatric patients. They can be a convenient option for children who are good candidates for daily disposable contact lenses. 
Orthokeratology (Ortho-K) 
Orthokeratology lenses are worn overnight to gently reshape the cornea while your child sleeps. In the morning, the lenses are removed, allowing many patients to see clearly during the day without glasses or daytime contact lenses. 
Stellest™ Lenses 
Stellest spectacle lenses are designed to correct vision while helping manage myopia progression. They can be an excellent option for children who prefer wearing glasses and want a non-contact-lens approach to treatment. 
Atropine Eye Drops 
Low-dose atropine eye drops may be recommended as part of a myopia management plan for certain children. These drops are typically used under a doctor’s guidance and may be combined with other treatment strategies when appropriate. 
Why Ongoing Monitoring Matters 
Myopia management is not a one-time treatment. Regular follow-up visits allow us to monitor prescription changes, evaluate eye growth, and adjust treatment as needed to keep your child’s care on track. 
Schedule a Consultation 
If you are concerned about your child’s nearsightedness or want to learn more about myopia management, call or text Marshall Eye Care at 972-250-2020 to schedule an evaluation. Our team will help you understand your options and determine the best next step for your child. 

References   
MiSight 1 day. FDA. Summary of Safety and Effectiveness Data (SSED): MiSight 1 Day (omafilcon A) Soft Contact Lenses for Daily Wear.   
Orthokeratology / Ortho-K FDA. Paragon CRT package insert / PMA labeling.  Cho P, Cheung SW. Retardation of myopia in Orthokeratology (ROMIO) study: a 2-year randomized clinical trial.   
Stellest FDA. De Novo Summary (DEN250016): Essilor Stellest.   
Atropine American Academy of Ophthalmology. Myopia Control in Children.  American Association for Pediatric Ophthalmology and Strabismus. Myopia and Treatment of Myopia in Children.  Yam JC, et al. Low-Concentration Atropine for Myopia Progression (LAMP) Study. 

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Meet the Doctors

Learn Who We Are

Brian D. Marshall, O.D., F.A.A.O.


Dr. Brian Marshall is certified as a therapeutic optometrist and an optometric glaucoma specialist.  He has been in practice for over 20 years.  After graduating with honors from the University of Houston College of Optometry, he completed a residency in Cornea and Advanced Contact Lens Practice and later a fellowship in Refractive Surgery. 

Tina M. Marshall O.D.


Dr. Tina Marshall is certified as a therapeutic optometrist and an optometric glaucoma specialist. She has been in practice for over 20 years. She earned her degree through the New England College of Optometry in Boston, Massachusetts.

Tina M. Marshall O.D.


Dr. Tina Marshall is certified as a therapeutic optometrist and an optometric glaucoma specialist. She has been in practice for over 20 years. She earned her degree through the New England College of Optometry in Boston, Massachusetts.

Tina M. Marshall O.D.


Dr. Tina Marshall is certified as a therapeutic optometrist and an optometric glaucoma specialist. She has been in practice for over 20 years. She earned her degree through the New England College of Optometry in Boston, Massachusetts.

Brian D. Marshall, O.D., F.A.A.O.


Dr. Brian Marshall is certified as a therapeutic optometrist and an optometric glaucoma specialist.  He has been in practice for over 20 years.  After graduating with honors from the University of Houston College of Optometry, he completed a residency in Cornea and Advanced Contact Lens Practice and later a fellowship in Refractive Surgery. 

Courtney Cates, O.D.


Dr. Courtney Cates is originally from Amarillo, Texas and received her Bachelor of Science degree from Texas A&M University. She then attended the prestige University of Alabama at Birmingham School of Optometry where she earned her Doctor of Optometry degree and graduated with academic honors in 2017.