As a parent, you notice everything about your child, including when they squint to see the board at school. If you see them struggling with distant vision, you might be dealing with myopia, also known as nearsightedness. The good news is that modern children’s eye care offers more options than just prescribing stronger glasses each year.
Myopia management is a way to help slow down how quickly your child’s vision changes over time. Two common and effective options are MiSight 1 day contact lenses and Ortho-K lenses. The best choice depends on your child’s lifestyle, age, and your family’s daily routine.
What Is Childhood Myopia & Why Does It Matter?
Myopia is a common condition that makes faraway objects look blurry while close-up objects stay clear. It often begins in childhood and can get worse as your child grows. This happens when the eyeball grows too long, causing light to focus in front of the retina instead of on it.
Early attention to your child’s myopia is important because a high prescription can seriously affect their eye health later in life. A myopia management plan aims to slow down this progression. This approach helps support your child’s long-term vision and eye health.
Explore MiSight 1 Day Contact Lenses
MiSight lenses offer a straightforward approach to myopia management that many kids adapt to easily. They look and feel like typical soft contact lenses but have a special design. This design corrects blurry distance vision and also helps slow down the eye’s growth.
How MiSight Lenses Work
MiSight 1 day lenses are soft, daily disposable contacts your child wears during the day. They have different zones of focus built right into the lens. One zone corrects your child’s nearsightedness for clear sight, while other zones help reduce the signals that tell the eye to grow longer.
The Lifestyle Fit for MiSight
These lenses are often a great fit for active kids who play sports or prefer not to wear glasses. Because they are daily disposables, there is no need for nightly cleaning or storage cases. This simplifies the routine compared to reusable lenses, which require a strict cleaning and disinfection process. This means less worry for you during a busy school day or a weekend soccer game.
Benefits & Considerations
The biggest benefit is convenience, your child gets clear vision and myopia management in one easy step. Children as young as 8 can often learn to handle them with confidence. MiSight has a lower initial cost, but requires ongoing purchases of daily lenses throughout the year.
A Look at Ortho-K Lenses
Orthokeratology—or Ortho-K—is a different method that provides vision correction without your child wearing anything during the day. It uses specially designed firm lenses that gently work while your child sleeps. This offers a unique freedom from glasses or contacts during waking hours.
How Ortho-K Works
Your child wears the Ortho-K lenses overnight. These breathable lenses safely and gently reshape the front surface of the eye, called the cornea. In the morning, your child removes the lenses and can see clearly all day long.
The Lifestyle Fit for Ortho-K
Ortho-K is a great option for kids who swim or play contact sports, where wearing daytime contacts can be inconvenient or risky. It does require a consistent nightly routine for insertion, removal, and cleaning. This method puts the lens care responsibility in your hands at home instead of on your child at school.
Benefits & Considerations
The main advantage is total freedom from corrective eyewear during the day. The initial investment for custom-fitted Ortho-K lenses is higher than for MiSight. However, a single pair of lenses can last for a year or more, which can affect the long-term cost.

MiSight & Ortho-K: A Simple Comparison
Both MiSight and Ortho-K are effective myopia management tools, but they fit into a family’s life in different ways. The right choice depends on your child’s age, maturity, lifestyle, and prescription. Here’s a quick breakdown to help you compare.
Wear Time & Convenience
- MiSight: Worn during the day and thrown away at night for simple, no-fuss daily wear.
- Ortho-K: Worn only while sleeping, which requires a dedicated bedtime routine for cleaning and handling.
Cost & Investment
- MiSight: Involves a lower initial fitting fee with a recurring cost for daily disposable lenses.
- Ortho-K: Requires a larger upfront investment for the custom lenses, with replacement lenses typically purchased annually.
Your Child’s Activities & Preferences
- MiSight: A good choice for kids who want the convenience of disposables and are comfortable touching their eyes.
- Ortho-K: An ideal solution for swimmers and kids in contact sports, or those who want to be free of eyewear during the day.
A Myopia Plan for Your Child’s Future
A successful myopia management plan is more than just choosing between MiSight or Ortho-K lenses, it’s a long-term commitment to your child’s eye health. Regular follow-up visits with your optometrist allow us to closely monitor changes in your child’s prescription, track their response to treatment, and adjust the plan as needed.
This ongoing care is essential to ensure the treatment stays effective and your child’s vision remains strong as they grow. With consistent support and expert guidance, we can help protect their sight for the future.
Choosing the Right Myopia Solution Starts Here
Deciding between MiSight and Ortho-K isn’t one-size-fits-all, it depends on your child’s vision needs, your family’s routine, and what feels manageable long-term. Both options are clinically proven to help slow myopia progression, but the best choice comes down to what works best for your child.
At Lifetime Optometric in Fresno, we’re here to help you make the best decision for your child’s long-term vision. The process begins with a comprehensive eye exam and a conversation about your goals and concerns. If myopia management is recommended, we then schedule a dedicated Myopia Control Consultation to focus specifically on treatment options like MiSight and Ortho-K.
During this second visit, we take key baseline measurements—such as corneal shape, prescription changes over time, and lifestyle factors—to determine which method is the best fit. This two-step approach gives families time to learn, ask questions, and compare options without feeling rushed.
Together, we’ll build a personalized plan that supports your child’s vision now and helps protect their eye health for the future. Schedule a myopia consultation with our Fresno optometry team to get started.