Personalised treatment planner

Not every treatment works for every child. Answer a few questions to see which options fit, when combining treatments makes sense, and how to tell whether the plan is working. Nothing you enter leaves your device.

About the child

Age (years)

Glasses power (D)

Family background

Other or mixed East Asian

Add eye measurements (optional, more accurate)

Axial length (mm)

Earlier axial length (mm)

Months between the readings

What suits your family

Can your child safely wear and clean contact lenses?

Can your child have an eye drop every night?

Will your child wear glasses all waking hours?

Can a parent supervise two 3-minute red light sessions a day?

Astigmatism

Corneal curvature, if known

Prefers no glasses in the daytime Often bothered by bright light or struggles with close reading History of eye infections, allergy or dry eye Retinal disease, seizures triggered by light, or a retinal problem in the family

Already on treatment?

Current treatment

Eye growth since starting (mm per year) Change in axial length divided by years on treatment.

What the research says about combining treatments

Combining treatments is common, but the trials give a mixed picture. A summary of the studies in Contact Lens Spectrum (2024):

Combination	Study	Finding
Atropine 0.01% + ortho-k	Kinoshita 2020 (2-year RCT)	Slowed eye growth compared with ortho-k alone, but only up to about 12 months.
Atropine 0.01% + ortho-k	Tan 2023 (2-year RCT)	Better than either alone only for the first 6 months.
Atropine 0.01% + ortho-k	Zhao 2021	More effective than ortho-k alone in younger children and in eyes with shorter axial length.
Atropine 0.01% + ortho-k	Chen 2022	In children whose eyes kept growing on ortho-k, adding atropine gave no extra benefit at 2 years.
Atropine + defocus spectacle lenses (DIMS)	Huang 2022 (Asian children, 1 year)	Improved both eye growth and glasses power compared with lenses alone.
Atropine + defocus spectacle lenses (DIMS)	Nucci 2023 (European children, 1 year)	Improved glasses power but not eye growth.
Atropine 0.01% + soft multifocal contact lenses	Jones 2022; Erdinest 2022	No added benefit from adding atropine.
Red light + other treatments	None	No trials of combinations have been reported.

This planner supports a conversation; it does not prescribe. Treatment depends on a full eye examination, the child's retina and cornea, and what is available in your country. Always follow your own eye doctor's advice.