Follow-up program to slow the progression of myopia in children | Stellest lenses, MiSight and atropine
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Myopia control in Mexico City is a structured follow-up program designed to slow down — not just correct — the progression of myopia (nearsightedness) in children and adolescents. Unlike simply updating a glasses prescription each year, Dr. Sebastián Diener’s myopia control program in Mexico City combines specialized optical devices and, when appropriate, low-dose atropine to actively reduce how fast a child’s eyes continue to grow more myopic.
Myopia in children has increased significantly over the last few decades. Detecting and controlling it early — not only updating the glasses prescription — is key to reducing the risk of eye complications later in adulthood associated with high myopia, such as retinal detachment and glaucoma (Zhang et al., British Journal of Ophthalmology, 2025).
According to the international consensus of the International Myopia Institute (Jonas et al., Investigative Ophthalmology & Visual Science, 2021), specially designed lenses and low-dose atropine are among the strategies with the strongest evidence for slowing myopia progression in children.
Spectacle lenses with a highly aspherical lenslet design that slows axial eye growth while providing clear central vision. Available from $4,500 MXN.
Soft daily disposable contact lenses specifically designed for myopia control in children, offered through our partnership with CooperVision. Pricing may vary depending on the prescription.
Eye drops (low concentration) that can be used alone or combined with Stellest or MiSight lenses as part of the follow-up plan, depending on each child’s progression.
Ocular biometry measures axial eye length with precision, allowing Dr. Diener to objectively track whether a child’s myopia is progressing and whether the current treatment is working, rather than relying only on the glasses prescription.
Dr. Diener evaluates each child’s age, degree of myopia, progression rate, and family history to recommend the most suitable combination of strategies, whether that means Stellest lenses, MiSight contact lenses, low-dose atropine, or a combination of these.
Dr. Sebastián Diener is a member of the Colegio de Visión y Errores Refractivos (College of Vision and Refractive Errors) and has specific experience managing pediatric myopia progression with Stellest lenses, MiSight contact lenses (CooperVision), and low-dose atropine. His approach is part of the comprehensive pediatric eye care he also provides through his pediatric consultation service.
Dr. Sebastián Diener is a member of the Colegio de Visión y Errores Refractivos (College of Vision and Refractive Errors) and offers a complete range of evidence-based myopia control options, including Stellest lenses (Essilor), MiSight contact lenses through our partnership with CooperVision, and low-dose atropine, tailored to each child’s needs.
At what age can a child start myopia control?
Myopia control can generally begin as soon as progressive myopia is diagnosed, which is often between 6 and 12 years of age, though it depends on each child’s specific case.
Is updating my child's glasses prescription the same as myopia control?
No. Updating the prescription only corrects blurry vision at that moment, while myopia control actively works to slow down how fast the eye continues to grow more myopic over time.
How much do Stellest lenses cost?
Stellest lenses are available from $4,500 MXN, depending on the prescription and lens options required.
What is ocular biometry and why is it done?
Ocular biometry is a precise measurement of the eye’s axial length. It allows Dr. Diener to objectively confirm whether myopia is progressing and whether the current treatment is working.
Are MiSight contact lenses safe for children?
Yes. MiSight is a daily disposable soft contact lens specifically designed and approved for myopia control in children, offered through our partnership with CooperVision.
What are the side effects of low-dose atropine?
At low concentrations, side effects are generally mild and may include slight light sensitivity or difficulty focusing up close in some children. Dr. Diener monitors each patient closely during treatment.
How long does myopia control treatment last?
Myopia control is typically maintained throughout childhood and adolescence, while the eye is still growing, with regular follow-up visits to adjust the treatment as needed.
What happens if a child's myopia progresses without any control?
Uncontrolled high myopia increases the long-term risk of eye complications in adulthood, such as retinal detachment, glaucoma, and myopic maculopathy.
