Are biometry & cycloplegic refraction necessary for myopia management?

We asked longstanding friends and myopia management advocates, Keith Tempany and Indie Grewal, to tackle some of the most contentious issues facing practitioners in myopia management practice.

In this debate article, we invited Grewal to make the case for cycloplegic refraction and biometry, and for Tempany to make the case against. 

Much of the research into the effectiveness of myopia management products involves the use of cycloplegic refraction and axial length measurements. 

Many eye care professionals (ECP) may be familiar with the concept of cycloplegic refraction to assess latent hyperopia in young children, its use in the assessment of myopia attracts less consideration. 

Axial length measurement although a clinical tool in research has not previously been part of routine clinical practice.