Advanced contact lens case study
Combination therapy to enhance myopia control when atropine alone isn’t enough?A 9-year-old with moderate myopia presents for a follow-up after starting low-dose atropine (0.05%) twelve months ago for myopia control. Despite good compliance, her myopia has continued to worsen with an increase in axial length of ~0.35 mm (OU) since her last visit 6 months ago.
Her parents are concerned about her continued progression and future eye health risks and are keen to try other options.
You consider initiating low-dose atropine in combination alongside Biofinity Multifocal soft contact lenses.
Which of the following statements best reflects the current understanding of this combination therapy?A. Research shows that Atropine enhances the effect of Biofinity Multifocal lenses by increasing pupil size.
B. This combination is not recommended for young children
C. There is limited research evaluating the efficacy of combining Biofinity Multifocal lenses with atropine.
D. The combination is contraindicated due to potential pharmacological interactions between atropine and soft contact lens materials.
C - There is limited research evaluating the efficacy of combining Biofinity Multifocal lenses with atropine.
While studies have shown that combining low-dose atropine with Ortho-K and MiSight contact lenses can enhance myopia control (Tsai Et al., 2022; Kim et al. (2025) research has yet to show an additive effect of Atropine and Biofinity MF (Jones et al. (2022))
Join Jacinda Van, in the Australian College of Optometry’s Certificate in Advanced Contact Lenses as she discusses the indications, and evidence base behind Combining Atropine and Contact Lenses for Enhanced Myopia Control as well as practical guidance for monitoring, dosing, and managing side effects when combining atropine with contact lenses.
About the Certificate in Advanced Contact Lenses
The Certificate in Advanced Contact Lenses provides in-depth training across specialised lens options, including mini-sclerals, orthokeratology, myopia management, corneal graft fitting and prosthetic lenses.
Delivered by expert presenters, the course supports optometrists to expand their skills and strengthen patient care in this specialised area.
Commencing 20 April 2026. CPD pending. Learn more about this course.
