Vision Therapy in Ballwin

Scientific Research on Myopia Management

(636)-391-1309

Exploring the Science Behind Nearsightedness

Myopia, often known as nearsightedness, is a common vision disorder affecting millions worldwide. While genetics play a significant role, environmental factors contribute to its progression, with high myopia posing serious risks to eye health.

Researchers and clinicians worldwide are committed to finding solutions to tackle the rising myopia epidemic. Scientific research and clinical trials deepen our understanding of this condition and allow for effective management strategies.

smiling boy with toys


squinting woman adjusting glasses

Understanding Myopia Progression

Myopia typically results from axial lengthening in the eye. To address this, researchers have focused on several promising areas:

  • Spectacle Correction

    Glasses have long been studied to inhibit myopia progression. However, while some designs have shown promise, not all have been clinically effective. Recent advancements like the Defocus Incorporated Multiple Segments (DIMS) spectacle lens, designed to induce myopic defocus, have yielded encouraging results. Reducing axial length by 0.30 mm over two years offers a potential solution for myopia control, particularly for children.

  • Outdoor Sunlight

    Increasing outdoor time during school has shown a modest but tangible effect on reducing myopia progression. Studies suggest that 40 extra minutes of outdoor exposure daily can make a significant difference. However, the implementation has been challenging, and more research is needed to evaluate the long-term impact across diverse populations.

  • Low-dose Atropine

    Low-dose atropine treatment has gained popularity, particularly after studies like the Atropine for the Treatment of Myopia (ATOM) series. While the 0.01% concentration has shown effectiveness, the Low-Concentration Atropine for Myopia Progression (LAMP) study suggests that higher concentrations may offer more profound results. Atropine is easy to implement, especially for young children, with minimal side effects. However, long-term data regarding potential ocular toxicity is still pending.


Controlling Myopia with Contact Lenses

In recent years, contact lenses have emerged as a promising avenue for myopia control:

  • Orthokeratology

    Orthokeratology (ortho-k) lenses, worn overnight to reshape the cornea temporarily, have shown promise in reducing axial elongation by 55% after 24 months. However, these lenses have limitations and may not correct higher levels of myopia.

  • MiSight Contact Lenses

    The FDA-approved daily wear MiSight lens is a breakthrough in myopia control. Its dual-focus design creates myopic defocus and has demonstrated a reduction in myopia progression and axial length. This daily disposable lens offers an alternative to ortho-k, providing clear vision during the day without lenses. The ongoing MiSight clinical trial aims to provide more insights into its long-term efficacy and safety.

Patient Reviews
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209 Reviews
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- Mar. 23, 2025
Dr. Rackovan and her staff were friendly and caring. My visit was prompt and thorough. I would recom... mend Dr. Rackovan to anyone looking for an eye doctor.
- Mar. 20, 2025
Highly recommend! Friendly and knowledgeable. Dr. doesn't rush the exam and got me the best Rx I've... had in a long time.
- Mar. 17, 2025
Great experience overall! Staff and Dr. Rackovan are amazing and addressed all questions with care. ... Amanda is very kind and knowledgeable, she got me checked in for pre testing and helped find the perfect frames and lenses for me within my budget while making sure it’s what I was looking for with daily wear.
- Mar. 08, 2025
Thanks Cecily and Jamie manager for their exceptional excellent service to make sure my new prescrip... tion bifocal glasses will have no more error on too low focus as last pair from the other location last year and they refused the error to make me wearing it >a year and just would admit on this new pair on previous error pair and over charged me $100 this time than all my previous pairs. I almost walked away from Crown vision permanently, Thank Jamie and Cecily at Ballwin location for your wonderful services and everything u both offered! 😀
- Feb. 09, 2025
They are really nice and friendly
- Jan. 11, 2025
This is the first eye doctor I came to since moving to STL from NC last year. I actually used to wor... k for clarkson eyecare in NC (Eyecarecenter), however my boyfriend had the worst experience at the ballwin location, so I was committed to find a completely different company to go to for my overdue exam / contact change. I came to crown vision as its right nearby my work. I was absolutely blown away by the top notch customer service, how fast they were (but never rushed you!), and how great the doctor was. Everyone was so very friendly, & didn’t push you to choose anything right then & there for their commission like my boyfriend experienced elsewhere. Safe to say he is switching to them as well. Absolutely recommend coming here!
- Jan. 10, 2025
Amanda was very knowledgeable and professional. She made me feel comfortable and helped me select n... ew glasses. She is a great asset to the store.
- Jan. 09, 2025
Staff was warm and helpful
- Jan. 07, 2025
Great service and friendly staff. Large selection of eyeglasses
- Dec. 23, 2024
Great experience!
- Oct. 19, 2024
Great experience with doctor and staff
- Sep. 17, 2024
The staff were friendly and professional, and my glasses were ready in a timely manner. They have a ... large selection of lenses and frames to choose from.
- Aug. 18, 2024
My husband and I both had appointments same day. The staff is very friendly and fun. They are knowle... dgeable and helped me to find the perfect glasses. Thank you!
- Jul. 24, 2024
Always a great time at crown!
- May. 31, 2024
They are so helpful and know exactly what they are doing
- May. 13, 2024
Melissa is excellent there ! Always taking her time to help out and very patient . Always have a ple... asant experience there ! DR. Kara is excellent t as well !
- Mar. 22, 2024
Rebecca was kind and thoughtful. Dr. Kara was efficient and knowledgeable. I had a great experience....
- Mar. 09, 2024
The store was very nice and clean and organized. The staff was friendly and helpful. I was there a t... otal of 30 min which was fantastic because I had a very busy day. They were upfront and knowledgeable about my exam and treatment plan. I loved their glasses selection, it was very easy to pick a new frame. Glasses came in a lot sooner than expected and the quantity seems pretty good so far. I have already recommended them to my family and they now have a lifetime customer.
- Feb. 06, 2024
A beautiful blend of professionalism and warmth. During the comprehensive examination and fitting, ... I was treated like family. I waited to write this until I had some time to take my glasses for a test ride. Like my experience at the center, it's "all good".
- Jan. 31, 2024
Wonderful staff! Customer service skills were amazing!!

View All 209 Reviews

Myopia Management in Ballwin

Our optometry practice in Ballwin

Photograph of Kara Rackovan
Hours
  • Monday 10:00 am - 7:00 pm
  • Tuesday 10:00 am - 6:00 pm
  • Wednesday 8:00 am - 5:00 pm
  • Thursday 9:00 am - 5:00 pm
  • Friday 9:00 am - 5:00 pm
  • Saturday 8:00 am - 5:00 pm
  • Sunday Closed
Insurance Plans
  • VSP
  • Medicare
  • United Healthcare
  • Aetna
  • Spectera
  • Medicaid
  • Anthem
  • Anthem Blue Cross Blue Shield
  • Blue Cross
  • MetLife

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Crown Vision Center - Ballwin: Pioneering Myopia Management

There have been various scientific breakthroughs in myopia management. However, the choice of treatment depends on the child's age, preferences, and eye condition.

At Crown Vision Center - Ballwin, we are committed to keeping up with the latest advances in myopia management research and providing you with the best possible care. Our top priority is your child's eye health. Visit us today and explore the latest advancements in myopia care for healthy eyes and clear vision.

(636)-391-1309