Overview of Topics
This comprehensive guide covers everything you need to know about Stellest lenses for managing your child’s myopia progression. We’ve organized the information into the following sections:
Understanding Stellest Lenses

What are Stellest lenses?
Stellest lenses are innovative eyeglass lenses designed to help slow myopia progression in children while providing clear vision for everyday activities. Unlike traditional single-vision lenses that only correct blurry distance vision, Stellest lenses incorporate advanced optical technology to address the underlying cause of myopia progression. The lenses feature a clear central zone for normal viewing surrounded by 1,021 tiny highly aspherical lenslets arranged in 11 concentric rings. These lenslets create a controlled light pattern that signals the eye to slow its lengthening, helping to protect your child’s long-term eye health.
How do Stellest lenses actually work to slow myopia?
Stellest lenses utilize proprietary H.A.L.T. technology, which stands for Highly Aspherical Lenslet Target. The 1,021 aspherical lenslets positioned around the clear central zone create a volume of light in front of the retina rather than behind it. When light focuses behind the retina, it signals the eye to grow longer, which worsens myopia. By creating this controlled light pattern in front of the retina, Stellest lenses send a signal to the eye to slow down its elongation. Your child looks through the clear central zone for all everyday tasks, so their functional vision remains unaffected, while the surrounding lenslets work continuously to help manage myopia progression.
Are Stellest lenses FDA authorized?
Yes, Stellest lenses received FDA authorization in September 2025, representing the first FDA-authorized eyeglass lenses designed to help slow myopia progression in children. These lenses help slow myopia progression, reducing the rate at which your child’s nearsightedness worsens during their growing years.
Clinical Effectiveness
Candidacy and Fitting

What age range are Stellest lenses designed for?
Stellest lenses are typically prescribed for children aged 6 to 12 years old, though decisions are individualized based on each child’s specific circumstances. Research and FDA authorization begin around age 6, which corresponds with the typical age when myopia often begins to develop and progress most rapidly. The earlier myopia management begins after onset, the more cumulative benefit your child receives over their growing years.
What prescriptions can Stellest lenses correct?
Stellest lenses are designed for children with myopia typically ranging from approximately -0.75D to -4.50D with up to about 1.50D of astigmatism. Current availability covers a wide range of myopia and astigmatism powers. We will confirm the exact parameter range and whether it suits your child’s specific prescription during the comprehensive myopia evaluation. If your child’s prescription falls outside the available range, we can discuss alternative myopia management options such as orthokeratology, multifocal soft contact lenses, or low-dose atropine therapy.
Are there children who are not good candidates for Stellest lenses?
While Stellest lenses work well for many children, alternative treatments may be recommended in certain situations. Poor adherence to wearing glasses consistently makes any spectacle-based treatment less effective. Certain binocular vision findings, large prescription differences between the two eyes, or specific visual conditions may make other modalities more appropriate. Additionally, children heavily involved in high-impact or contact sports may benefit from orthokeratology, which provides daytime freedom from glasses and contacts, or from multifocal contact lenses for sports participation. Our team will conduct a comprehensive assessment to determine the best treatment approach for your child’s unique needs.
How are Stellest lenses measured and fitted?
Fitting Stellest lenses requires precise measurements to ensure the optics align correctly with your child’s eyes. We will take monocular pupillary distances and pupil-center heights for each eye individually. Frame selection is important; frames with near-zero pantoscopic tilt and wrap angles are chosen to maintain proper optical alignment. Back vertex distance, which is the space between the back surface of the lens and the front of the eye, should be kept under approximately 12 millimeters. These technical details ensure that your child looks through the appropriate zones of the lens for optimal myopia control effect and clear vision.
Daily Use and Practical Considerations
Monitoring and Follow-Up Care

What follow-up appointments are needed with Stellest lenses?
Ongoing monitoring is essential to track your child’s myopia progression and treatment effectiveness. Typical follow-up schedules include comprehensive evaluations every six months. During these visits, we will check visual acuity, update the prescription if needed, assess the health of the eyes, and measure axial length when indicated. Axial length measurement tracks the physical elongation of the eyeball, which is the key factor in myopia progression and associated disease risks. These regular check-ups allow us to verify that Stellest is working effectively for your child and make adjustments to the treatment plan if necessary.
How quickly will we see results from Stellest lenses?
Clear vision is immediate. Your child will see clearly for distance and near tasks as soon as they put on their Stellest lenses, just like with regular prescription glasses. However, the progression-slowing effect is measured over months and years, not days or weeks. Myopia management is a long-term treatment approach aimed at reducing the total amount of myopia your child develops during their growing years. We will track changes in prescription strength and axial length at six-month intervals to document how well treatment is controlling progression compared to expected natural progression rates.
Can Stellest lenses be combined with other myopia control treatments?
Sometimes combination therapy is recommended for children with rapid myopia progression or inadequate response to a single treatment modality. In select cases, we may consider adding low-dose atropine eye drops to Stellest lens wear, or potentially combining with other approaches. The decision to use combination therapy depends on factors including your child’s age, current prescription, rate of progression, growth patterns, and adherence to treatment. Combination approaches aim to maximize myopia control effectiveness for children at highest risk of developing high myopia and its associated complications.
Understanding Myopia and Risk Factors
Financial and Insurance Considerations

Will insurance cover Stellest lenses?
Insurance coverage for Stellest lenses varies significantly depending on your specific plan. Many vision insurance plans provide some coverage for frames and lenses, though specialty myopia control lenses may or may not be fully covered. Some medical insurance plans may provide coverage when myopia management is documented as medically necessary treatment to prevent disease progression. We will review your insurance benefits, explain what portion may be covered, and discuss out-of-pocket costs. Many families are able to use Health Savings Accounts or Flexible Spending Accounts for myopia management expenses. We can also discuss warranty policies and remake coverage for growing children who may need updated prescriptions or replacement lenses.
How should I think about the cost of Stellest lenses?
The most helpful framework is shifting from thinking about price to considering the value of prevention. The cost of myopia management today prevents potentially much greater expenses in the future. High myopia significantly increases the lifetime risk of requiring surgical interventions for retinal detachment, treatment for glaucoma, cataract surgery at younger ages, and management of myopic macular degeneration. Beyond financial costs, these conditions can cause permanent vision loss and reduced quality of life. Investing in proven myopia control treatment during childhood, when progression is most rapid, protects your child’s eye health across their entire lifetime. Early intervention is the only way to reduce the total amount of myopia your child develops during their growing years.
Are there financing options available for Stellest lenses?
Many eye care practices offer financing options or payment plans to make myopia management more accessible for families. Our myopia management care coordinator can discuss available options during your consultation. Additionally, Health Savings Accounts and Flexible Spending Accounts can be used to pay for myopia control treatments with pre-tax dollars, effectively reducing the cost. Some practices offer myopia management programs with bundled pricing that includes the initial evaluation, lenses, follow-up visits, and axial length monitoring for a set fee. Ask about all available options during your no-charge myopia evaluation.
Comparisons with Other Treatment Options
The Highest Rated Eye Care Center In Orange County

What Our Patients are Saying
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Dr Nathan Schramm spends as much time as needed n has the highest advanced technology. I highly recommend this practice for anyone with any vision problem.”
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“Everyone there was really nice. From the front desk to the doctor, they were all very nice and accommodating. Rachel was the one who taught me how to put contact lenses in my eyes and she was super patient with me. Definitely recommend this place.”
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Practical Questions

Schedule Your Appointment Today
Contact us at (714) 942-1361 to schedule your child’s complimentary myopia evaluation. You can also speak with our Myopia Management Care Coordinator for a free phone consultation if you have questions before scheduling.
Remember that early intervention provides maximum benefit. Every year of delay allows progression to continue unchecked, stacking up diopters that translate into lifetime disease risk. Myopia progression doesn’t pause while you’re deciding what to do. This is your window to protect your child’s future eye health. The decisions you make now will influence their vision and quality of life for decades to come.
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