Can My Child Still Have Myopia Control If They Have Astigmatism?
Key Takeaways
• Many myopia control options (e.g., specialised soft lenses, Ortho-K) correct both myopia and astigmatism.
• Untreated astigmatism can blur vision and impact visual comfort even with myopia control.
• Effective myopia control for astigmatism requires precise lens fitting and regular paediatric optometry monitoring.
• Early myopia control with astigmatism can slow progression and reduce long-term eye health risks.
Yes — most children with astigmatism can still have myopia-control treatment.
Astigmatism simply means the front of the eye has two different curves, causing vision to look stretched or “shadowed.” Many myopia-control options can work well even when astigmatism is present — but the choice of treatment depends on how much astigmatism your child has, their age, lifestyle, activities, which products can correct it accurately and what is available to the optometrist you are seeing.
1. Low astigmatism (approximately ≤ 0.75–1.00 D)
Children with small amounts of astigmatism can often use:
- Myopia-control spectacle lenses (e.g. MiYOSMART, Stellest, MyoCare, MyCon, MyoME)
- Daily myopia-control contact lenses designed for myopia only (e.g. MiSight® 1 day, Abiliti® 1-Day)
- NaturalVue® Multifocal 1 Day (which may “mask” small and sometimes even moderate astigmatic errors)
These usually provide clear vision and allow effective myopia-control when worn consistently.
2. Moderate to higher astigmatism (>1.00 D)
Children with more significant astigmatism often need:
- Spectacle lenses with both myopia-control and astigmatism correction like those listed above.
- Toric (astigmatism-correcting) contact lenses — either soft or custom
- Toric orthokeratology (Ortho-K) designs
This ensures the child sees clearly and receives effective myopia-control signals.
The right choice depends on:
- Your child’s age
- Their prescription (including cylinder and axis)
- How quickly their myopia is progressing
- Activities, comfort and lifestyle
We will always explain eye care options clearly, including benefits, limitations and suitability for your child.
Myopia-Control Lens Options & Astigmatism Compatibility (Australia)
| Product / Brand | Type | Corrects Astigmatism? | Myopia-Control Status | Notes |
|---|---|---|---|---|
| MiYOSMART (HOYA) | Spectacle lens | Yes | Myopia-control lens | A proven myopia-control effect when worn full-time. |
| Stellest (EssilorLuxottica) | Spectacle lens | Yes | Myopia-control lens | A proven myopia-control effect when worn full-time. |
| ZEISS MyoCare / MyoCare S | Spectacle lens | Yes | Myopia-control lens | Age-tailored design. |
| CR Labs MyoME / MyoStock | Spectacle lens | Yes | Myopia-control lens | Australian-made. |
| Rodenstock MyCon | Spectacle lens | Yes | Myopia-control lens | |
| MiSight® 1 day (CooperVision) | Daily soft lens | Low astigmatism only (≤0.75 D) | Myopia-control contact lens | For children with small amounts of astigmatism; not designed for higher cyl. |
| Abiliti® 1-Day (Johnson & Johnson Vision) | Daily soft lens | Low astigmatism only | Myopia-control contact lens | RingFocus design works best in low-cyl prescriptions; no toric version. |
| NaturalVue® Multifocal 1 Day (VTI) | Daily soft lens | Masks some astigmatism | Multifocal lens sometimes used in myopia management | Not a toric lens; may work only when astigmatism is small. |
| MYLO (Mark’ennovy) | Monthly custom soft | Yes – custom toric options available | Custom soft lens used in myopia management | Suitable where children need customised fit or higher astigmatism correction. |
| Menicon Bloom Day™ | Daily soft (EDOF) | Depends on parameter availability | Myopia-management lens | Check astigmatism limits case-by-case. |
| Orthokeratology (general) | Overnight rigid lens | Yes – toric and dual-axis designs available. Astigmatism degree is case dependent. | Proven myopia-control treatment | Highly effective for myopia + some astigmatism; works best when fitted by experienced practitioners. |
| Biofinity® Multifocal Toric (CooperVision) | Monthly soft toric multifocal | Yes – full toric range | Not a registered myopia-control lens (may be used off-label) | Used only when high astigmatism prevents other myopia-control contact lens choices. Requires clear explanation of off-label use. |
How much do you know about myopia?
