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Arizona's Vision Eye Care Center

The Healthiest Contact Lenses for Kids? 5 Tips Busy Moms Should Know

Child receiving an eye examination with a phoropter

You may be comparing daily contacts. But two options deserve a closer look: nighttime Ortho-K and daytime MiSight lenses can also help slow worsening nearsightedness.

“Mom, can I get contacts?” It sounds like a simple question—until you start comparing lens types, safety, appointments and costs. For a busy parent, it is tempting to choose the easiest daily routine and move on.

Here is the part many parents have not heard: some contact lenses do more than make the school board look clearer. For suitable children, they can also help manage myopia, or nearsightedness, as their eyes grow.

There is no single “healthiest” lens for every child. The right choice depends on eye health, prescription, how vision is changing, and the care routine your family can follow. These five tips will help you ask better questions.

1. Ask whether your child needs clearer vision—or myopia control, too.

Ordinary glasses and single-vision contacts correct blurry distance vision. Myopia control has an additional goal: helping slow the progression of nearsightedness.

If your child keeps needing stronger prescriptions, ask about a myopia-management evaluation. Slowing progression is a realistic treatment goal; permanently stopping prescription changes or guaranteeing “stable vision” is not. Your doctor will explain the options and monitor how your child responds.

Ask at the exam: “How has my child’s prescription changed, and should we consider myopia control?”

Why slowing myopia matters beyond today’s prescription

Higher myopia is associated with greater odds of some sight-threatening conditions later in life, including myopic macular degeneration (damage affecting central vision), retinal detachment and open-angle glaucoma.

Published estimates of disease odds compared with the review’s non-myopic reference groups

Odds ratios from Haarman and colleagues’ 2020 review. Values in parentheses are 95% confidence intervals.
Condition Low myopia
More negative than −0.50 D,
but less negative than −3.00 D
Moderate myopia
−3.00 D through
more positive than −6.00 D
High myopia
−6.00 D
or more negative
Myopic macular degeneration 13.57
(6.18–29.79)
72.74
(33.18–159.48)
845.08
(230.05–3104.34)
Retinal detachment 3.15
(1.92–5.17)
8.74
(7.28–10.50)
12.62
(6.65–23.94)
Open-angle glaucoma 1.59
(1.33–1.91)
2.92
(1.89–4.52)
Moderate and high myopia combined in this analysis

How to read this: An odds ratio of 3 means three times the odds in the study comparison—not a 3% chance, and not necessarily three times the absolute risk. These estimates do not predict an individual child’s future. Confidence intervals show uncertainty; several are wide.

Source: Haarman et al., The Complications of Myopia: A Review and Meta-Analysis, 2020, doi:10.1167/iovs.61.4.49. This original AZV table summarizes published data.

You may have seen the earlier Review of Myopia Management poster with −2, −4, −6 and −8 D columns. Its figures use different studies and groupings, so they should not be mixed with this table.

These findings help explain why monitoring myopia progression matters. They do not establish that a particular contact lens will prevent glaucoma, retinal detachment or macular disease.

2. Learn about the lenses worn while your child sleeps.

Orthokeratology—usually called Ortho-K—uses specially fitted rigid lenses worn during sleep and removed in the morning. They temporarily reshape the cornea, the clear front surface of the eye, so suitable patients can see during the day without glasses or daytime contacts.

Ortho-K may also help slow myopia progression in children. That is a separate benefit from its temporary effect on daytime vision. It does not permanently cure nearsightedness, and continued wear is usually needed to maintain the vision-correction effect.

At Arizona’s Vision, we have had good success with Ortho-K for appropriately selected patients. It can be appealing for children who want fewer daytime glasses or contact-lens interruptions. It still requires parent supervision, careful cleaning and disinfection, and scheduled follow-up visits. Overnight wear carries risks, including serious eye infection, even with a careful fit.

Ask at the exam: “Is my child a candidate for Ortho-K, and what would the nighttime routine and follow-up plan involve?”

3. Know that not all daily disposable lenses do the same job.

A fresh pair of daily disposable lenses can make daytime care straightforward: wear them as prescribed, then discard them. There is no reusable-lens cleaning routine. Your child still needs clean, dry hands and the ability to handle lenses correctly.

MiSight 1 day is a specific daily disposable soft lens designed for both vision correction and slowing myopia progression. In the United States, it is FDA-approved for eligible children who begin treatment at ages 8–12 and meet the prescription and eye-health criteria. Ordinary daily disposable contacts should not be assumed to offer the same myopia-control benefit.

MiSight lenses are worn during the day, never during sleep, and discarded after each removal. Your doctor can compare this daytime option with Ortho-K’s prescribed overnight approach.

Learn more about MiSight at Arizona’s Vision.

Two myopia-control routines to discuss

☾

Ortho-K • Nighttime

Specially fitted reusable rigid lenses worn during sleep; removed in the morning.

Family routine: Cleaning, disinfection, supervision and follow-ups.

☀

MiSight • Daytime

Daily disposable soft lenses worn while awake; discarded after each removal.

Family routine: Clean hands, correct handling, supervision and follow-ups.

Both require individual evaluation and a prescribed care plan. Neither is suitable for every child.

4. Choose a careful fit and a care plan your family can follow.

A lens choice starts with an eye examination and fitting. At Arizona’s Vision, we use Medmont corneal topography to map the cornea. Our team also uses OCT imaging and fluorescein assessments with appropriate viewing filters when indicated to help evaluate the eyes and lens fit.

These tools support clinical judgment and follow-up care. They cannot remove every contact-lens risk. Your child’s readiness, your supervision and the prescribed routine matter, too.

  • Wash and thoroughly dry hands before handling lenses.
  • Keep lenses away from tap water and saliva; remove them before swimming or showering.
  • Use the recommended cleaning and disinfecting products for reusable lenses. Use fresh solution rather than topping off old solution.
  • Follow the wearing schedule for the particular lens prescribed, including overnight wear only when specifically prescribed for that lens.
  • Keep backup glasses and return for scheduled eye-health and myopia-management checks.

If your child develops pain, redness, light sensitivity or unusual blurry vision, remove the lenses and contact the eye doctor promptly. Do not restart wear until the doctor advises you.

5. Ask about rebates—and compare the full cost of care.

Manufacturer rebates may reduce the out-of-pocket cost of eligible contact-lens purchases. Availability depends on the brand, quantity, purchase requirements and submission deadline. Some offers require receipts and an eye-exam or fitting record.

Don’t assume Costco is cheaper.

For some eligible new wearers, manufacturer rebates can bring the after-rebate cost of daily disposable contacts at Arizona’s Vision below Costco’s online price. If your child is starting contacts or switching to a qualifying lens, ask us to check the current offer before you order elsewhere.

“New wearer” eligibility depends on the manufacturer’s rules for the specific brand or lens type—not simply a patient’s age. Compare the same brand, box size and quantity, with each seller’s rebate included only once. Ask about taxes, shipping, and examination or fitting fees separately.

Ask our team: “Can you compare my child’s annual-supply price after eligible rebates with Costco’s current price?”

Offers and prices change. Eligibility and savings must be confirmed for your prescription and purchase. This daily-lens price comparison does not describe MiSight or Ortho-K treatment costs. Alcon rebate information • Costco’s DAILIES TOTAL1 90-pack listing

Ask our team which current offers apply to the lenses prescribed for your child. Do not assume every lens, MiSight program or Ortho-K treatment qualifies for a rebate.

For a useful comparison, look at the total cost: examination and fitting, lens supply, follow-up care, cleaning products when needed, and any eligible rebate. Ask what is included in a myopia-management plan so you can budget with fewer surprises.

Ask at the exam: “What will our first year include, and are any current rebates available for this prescription?”

Find the right starting point for your child.

You do not need to pick a lens before the appointment. Bring your child’s glasses, questions and any available previous prescriptions. We can discuss daily contacts, MiSight and Ortho-K, and explain which options fit your child’s eyes and your family’s routine.

Arizona’s Vision Eye Care Center • Ahwatukee
Request your child’s eye examination or call 480-706-3937.


Further reading: FDA: Children and contact lenses; AAPOS: Treatment for progressive myopia; FDA: MiSight labeling; CDC: Contact lens care; CooperVision: Rebate information.


Dr. Mark Page

Dr. Page is a licensed Doctor of Optometry, and a long time resident of Ahwatukee Arizona. He graduated from the New England College of Optometry in Boston in 1990.  He moved to Phoenix to serve the community in both his clinic and by becoming a community activist. He is deeply involved in supporting the local athletic teams, the arts, pet adoption and children. He is a charter member of the Chamber of Commerce. After watching his father lose vision in his right eye he dedicated his career to finding a way to stopping eyes from getting worse. He is the founder of the Invisalens eye retainer and a best selling author for his book: Freedom! The Smart Parents Guide to Helping Your Child See a Better Life. He specializes in helping his patients see better with eyeglasses, contact lenses, nutrition and genetics. Words can't describe what our eyes bring to life!

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