The literature indicates that environmental factors, particularly those related to nearwork, play a significant role in myopia etiology. Regimens are described for the clinical management of myopia in the incipient, progressive, and stable stages. These regimens are based upon control of the environmental factors producing myopic progression and include the use of bifocal lenses to reduce accommodative demand, advice concerning visual hygiene to foster accommodative relaxation, and vision training to develop adequate accommodative skills and adequate freedom of action between the systems of accommodation and convergence.
This paper is based on an oral presentation given by Dr. Birnbaum on December 10, 1978 in the Symposium: Perspectives on Myopia, presented at the Annual Meeting of the American Academy of Optometry, Boston, Massachusetts.
Received August 3, 1979; revision received January 11, 1980.
* Optometrist, Member of Faculty, F.A.A.O.
Martin H. Birnbaum
State College of Optometry
State University of New York
100 E. 24th Street
New York, New York 10010
© 1981 American Academy of Optometry