A Narrative Review of Childhood Myopia Management Across the NHS and Private Sector in the UK

Childhood myopia is a growing concern in the United Kingdom (UK) and is associated with long-term ocular risks. Early interventions can slow progression and reduce complications. The National Health Service (NHS) manages myopia through visual correction, monitoring and lifestyle advice. Interventions such as dual-focus lenses, orthokeratology and low-dose atropine are typically accessed through private care in the UK. A PubMed search conducted in December 2025 identified 30 studies on evaluating childhood myopia management published between January 2000 and December 2025, with an age limit of 0-18 years and in English. These studies were reviewed using a narrative comparative approach. Studies show these interventions significantly reduce disease progression and axial elongation, supporting their role in myopia control. National guidelines and funded care pathways could help bridge the gap between private and NHS care, ensuring equitable access and reducing the long-term burden of myopia in the UK.