It is abundantly clear that many myopes continue progressing into adulthood and that many previous emmetropes develop myopia after age 18. Research suggests that the highest risk factors for adult myopia progression and onset appear to be extensive near work with short working distances, high AC/A ratio, and high accommodative lag. What should ECPs do to treat progressing myopia in adults? Although adult myopia progression is frequently encountered in clinical practice, we have few publications to guide management. However, data is beginning to emerge. Given that both juvenile and adult myopia progression are due to axial elongation, it is reasonable to believe that established modalities would be effective in adults. Read More