Year in review: Innovations and insights in refractive optometry and vision care in 2024
Key takeaways from the past year that can help optometrists look ahead to 2025.
Image credit: AdobeStock/SHOHIDGraphics
As 2024 comes to a close, it is a perfect time to reflect on the significant developments and insights that have emerged in the field of optometry this year. From advancements in myopia control to sustainability in contact lens prescriptions, the landscape of eye care continues to evolve, guided by research, technology, and an unwavering commitment to improving patient outcomes. Let’s look at some of the most impactful refractive articles in Optometry Times this year.
Multifocal contact lens optics optimize the patient experience, by David P. Piñero, PhD
Kicking off the year, Piñero’s work on multifocal optics highlighted a critical development in enhancing patient satisfaction with contact lenses. As Piñero outlined, the smooth power transitions across optic zones are a game changer in providing comfort and improved visual performance. Multifocal lenses have come a long way, and their ability to offer a more natural transition between near and far distances is a win for both patients and practitioners.
As optometrists, we know that patient adherence and satisfaction with contact lenses can be a delicate balancing act. This focus on multifocal lenses underscores the importance of embracing technological advancements that allow for smoother, more seamless corrections. Patients are demanding more options and quality from their eyewear, and our role is to ensure we meet those expectations.
What motivates you and your patients in myopia management? by Kate Gifford, PhD, BAppSc(Optom)Hons
February brought an introspective take on myopia management. The central theme of Gifford’s article was the motivation behind practitioners and patients engaging in myopia control. In today’s practice, the “why” matters as much as the “how.” As we see the prevalence of myopia grow, especially in younger populations, the reasons behind our efforts to curb its progression are pivotal.
Understanding patients’ motivations—whether those are to reduce dependence on glasses, slow progression for better long-term outcomes, or improve day-to-day quality of life—guides how we tailor treatment plans. The evolving landscape of myopia management requires a deep dive into patient psychology, unlocking the potential to offer more personalized care than ever before.
Faster epithelial healing for patients with corneal abrasion and PRK, by Leela V. Raju, MD
March saw the introduction of a new paradigm in treating corneal abrasions and post–photorefractive keratectomy (PRK) epithelial healing. As Raju emphasized, speeding up the healing process can drastically reduce patient discomfort, pain, and inflammation. The shift in treatment strategies aims to improve recovery times while mitigating the adverse effects that patients typically associate with these conditions.
This article was particularly eye-opening in its advocacy for more aggressive intervention in managing corneal injuries. As we see patients experiencing faster recovery with less pain, it is clear this new approach has real merit. The key takeaway is that revisiting and updating our treatment paradigms can make a significant difference in patient outcomes—especially in reducing the burden of prolonged discomfort.
Myopia: An epidemic of global proportions, by Erin S. Tomiyama, OD, PhD, FAAO
Tomiyama addressed a topic that has been at the forefront of discussions in optometry for the past few years: the global myopia epidemic. With more than half the world’s population projected to be myopic by 2050, the urgency of developing effective myopia control strategies has never been greater.
Tomiyama stressed the importance of early intervention and comprehensive management plans, ranging from pharmaceutical interventions to specially designed optical devices. The global perspective in this article reinforced the need for collaboration across borders to tackle what is quickly becoming one of the most pressing public health issues in vision care. Myopia is no longer a niche concern—it is a worldwide crisis, and as optometrists, we are on the front lines of mitigating its impact.
The latest and greatest in myopia control, by Pauline Cho, PhD, MEd, BOptom; and Bi Yang
In April, we were treated to a glimpse of myopia control advancements taking place in China, a country far ahead of the curve compared with the US when it comes to addressing this growing issue. Cho and Yang’s work highlighted measures that have been implemented in China, from stricter screen time regulations to more widespread use of myopia control lenses.
China’s proactive stance is a powerful example of how comprehensive, nationwide efforts can have a positive impact. The article reminded us that we need to be more aggressive in implementing myopia control measures in the US, drawing inspiration from global efforts to push the envelope in research and clinical practice. Myopia control is not just about offering a treatment option; it’s about creating a holistic approach that integrates lifestyle, behavior, and cutting-edge science.
When choosing refractive procedures, long-term planning is key, by Kenneth Sawyer, OD
In May, the focus shifted to refractive surgery, emphasizing the importance of long-term planning in choosing procedures. Sawyer thoughtfully pointed out that although immediate outcomes are essential, the long-term success of refractive surgery—whether LASIK, photorefractive keratectomy, or small incision lenticule extraction—depends on anticipating future ocular health needs.
Sawyer underscored the significance of factoring in recovery times, potential adverse effects, and the patient’s future eye care needs when selecting a refractive procedure. By understanding these long-term implications, optometrists can provide more comprehensive care and ensure patient satisfaction for years to come.
The biggest takeaway from this article is the value of planning with foresight. Refractive surgery is not simply a quick fix for vision problems—it is a long-term investment in the patient’s visual future, and we owe it to them to guide them thoughtfully through that process.
Dropless cataract surgery: Revolutionizing postoperative care for enhanced patient outcomes, by Monique M. Barbour, MD; and Bria George, PharmD
July brought a revolution in cataract surgery. Barbour and George explored the innovations behind dropless cataract surgery, a method that could reduce the need for postoperative eye drops and streamline patient recovery.
This new approach enhances patient comfort by eliminating the burden of complicated drop regimens and leads to better adherence and outcomes. With fewer postoperative complications and a simplified recovery process, dropless surgery significantly advances patient care.
As we look toward the future of cataract surgery, simplifying postoperative care while maintaining efficacy is a clear priority. Patients benefit from less hassle, and clinicians can see improved adherence and outcomes.
How contact lens prescription brings sustainability into focus, by Joanna Reiman, OD
Sustainability became a hot topic this year, particularly in the realm of contact lenses. Reiman addressed a growing concern in the industry: the environmental impact of contact lenses and their packaging. Her work highlighted a unique partnership that turns waste into opportunity by collecting ocean-bound plastic and reducing pollution through the contact lens industry.
As more patients become eco-conscious, optometrists are increasingly called upon to provide solutions that align with their values. Reiman’s article reminds us that we can offer care that not only improves vision but contributes to a more sustainable planet. By incorporating environmentally friendly options into our practices, we can meet the needs of the eco-conscious patient while promoting broader environmental responsibility.
Equitable access to refractive surgery: Bridging gaps in vision care, by Cecelia Koetting, OD, FAAO, DipABO
Finally, in September, I focused on equitable access to refractive surgery and brought attention to an often-overlooked issue in vision care. The article examined the gaps in access to vision correction procedures for underserved populations, highlighting the need for more affordable, accessible solutions.
We know that vision correction can drastically improve a person’s quality of life, yet many still face barriers to care. Whether due to financial constraints, geographic limitations, or lack of awareness, the disparity in access to refractive surgery is a significant concern. As practitioners, our responsibility is to advocate for equitable solutions that make high-quality vision care available to all.
Conclusion: Looking ahead
As we reflect on the diverse topics covered this year, one thing is clear: The field of optometry is evolving, driven by innovation, patient-centered care, and a growing commitment to sustainability and equity. Whether improving myopia management, embracing new surgical techniques, or addressing global public health challenges, we are poised to make further strides in 2025. Let’s take these lessons and insights with us as we look forward to another year of advancing the science and practice of optometry.
