Concord Eyecare · North Strathfield, Sydney

Children's Myopia Assessment

Glasses getting stronger every year? Measuring axial length — how long the eye has grown — is the gold standard to check if your child's myopia is getting worse. We do it in 45 minutes — and you leave with your child's growth chart and a written plan.

  • 45 minutes
  • Cycloplegic examination and axial length included
  • Growth chart and written plan to take home

Reviewed by Dr Mark Joung · Last updated July 2026

Sample · illustrative
SightTrack

The SightTrack chart: a child's eye growth, tracked against age

95th 75th 50th 25th 5th 252321 AXIAL LENGTH (mm) 6810 121416 AGE (years)
A child's eye, review by review Typical range for age Fast for age
Reference curves: Ulster / NICER axial-length growth charts (McCullough et al., 2020). Sample data — not a real patient, not a treatment result — shown to illustrate how we track.

1,000+

children managed for myopia

800+

ortho-K fittings over 10+ years

All three

optometrists therapeutically endorsed — two with the ACO Advanced Children’s Vision Certificate

Korean, Mandarin
and Cantonese

spoken in-practice

New glasses every year do not answer the big question: is the myopia getting worse — and how fast? At Concord Eyecare in North Strathfield, Sydney, we check accurately, by measuring eye growth directly — and show you the answer on a simple chart. We call this the SightTrack assessment: a growth chart for your child's eyes.

How is this different from a normal eye test?

A prescription shows how your child sees today. Eye length shows how their eyes are growing.

A normal eye test checks how well your child sees. It finds the right prescription. That is complete care. But it leaves out one number most routine tests don't include: how fast your child's eyes are growing. That number decides what happens next. We measure it.

Every eye test does this

Routine eye examination

Checks how clearly your child sees. Finds the right prescription. Checks the health of the eyes, inside and out. If your child's eyes are healthy and stable, this is all they need.

SightTrack adds

SightTrack Myopia Assessment

Checks accurately whether the myopia is getting worse — by measuring how fast your child's eyes are growing. Plots it on a growth chart you can see. Turns it into a written plan you take home.

Most eye tests stop at the prescription. SightTrack starts there.

A routine eye examination remains complete care. SightTrack adds the question that decides everything else: how fast are your child's eyes growing — and what's the plan?

What is included?

Measure. Understand. Plan. One 45-minute visit.

This is the full myopia assessment. Seven parts: a cycloplegic examination for the true prescription. Axial length — how long each eye has grown. Binocular vision screening. Corneal topography when needed. A risk assessment. Treatment suitability. And your child's SightTrack chart — a growth chart for their eyes — with a written plan you take home.

Open any line below for the clinical detail.

01

Measure

What we record, accurately, on the day.

Cycloplegic examination

Cycloplegic drops relax the focusing muscles completely, so we measure the true prescription. Children's eyes focus hard all day — without the cycloplegic drops, the result can look stronger than it really is. This is the honest baseline every future visit is compared against.

Axial length measurement — Zeiss IOLMaster 500

“Axial length” means how long the eye has grown. Myopia happens when the eye grows too long, so this is the direct measure of eye growth. A beam of light does it in seconds — nothing touches the eye. How the measurement works →

Binocular vision screening

How the two eyes focus and work together as a team. Problems here can affect reading, comfort, and which treatment suits your child best.

Corneal topography, as required

A detailed map of the front surface of the eye — thousands of measurement points in one scan. It also tells us whether ortho-K lenses would fit your child's eyes.

02

Understand

What those numbers mean for your child.

Risk assessment

We weigh your child's evidence-based risk factors — age, prescription, family history, and how the eyes have grown so far — to gauge the likelihood of progression. An informed, evidence-based estimate. Never a guaranteed prediction.

Treatment suitability

Not every option suits every child. We check age, prescription, eye shape and daily life against the treatments we fit here — so any recommendation fits your child, not a template.

03

Plan

What you leave with, and what happens next.

Your child's SightTrack chart + a written management plan

We plot your child's axial length on published growth charts, built from data on thousands of children — including East Asian children. The same idea as the height and weight charts at the GP. Printed for you, with a written plan: what we found, what it means, and what happens next.

What do you take home?

A chart and a plan — in your hands

You leave with two things in your hand. Your child's printed SightTrack chart — the growth chart of their eyes. And a written management plan — something you can read again at home, show your GP, and measure the next visit against.

Concord Eyecare · North Strathfield
Myopia Management Plan

Written plan

Eye growth chart

Sample · illustrative
AGE (years)
1

Your child's printed SightTrack chart

The growth chart of their eyes — where each eye sits today, and how it moves between visits.

2

A written management plan

Something you can read again at home, show your GP, and measure the next visit against.

What the written plan contains

The true prescription — measured after the cycloplegic examination

Each eye's axial length, and where it sits on the growth chart for your child's age

Your child's risk factors, and how likely the myopia is to progress

The option we recommend — and why it suits your child

Practical habits that help — outdoor time and screen use

When we review next — the baseline every future visit is measured against

Illustration of what you take home — sample data, not a real patient and not a treatment result.

Ready when you are

Book your child's myopia assessment

The assessment is the first step of our SightTrack myopia program — measure, match, track, adjust. Whatever your child's SightTrack chart shows, there is a clear next step.

What is the cycloplegic examination?

The cycloplegic drops relax your child's focusing muscles, so we measure the true prescription

Cycloplegic drops relax your child's focusing muscles completely, so we measure the true prescription. Children's eyes focus hard all day, and that effort can make a result look stronger than it really is. The cycloplegic examination removes the guesswork — the honest starting point every future visit is compared against.

What to expect on the day

The cycloplegic drops go in early in the visit and work while you are with us. The 45 minutes allows for it — no separate visit.

For a few hours afterwards, your child's near vision will be blurry. Their eyes will be more sensitive to light. Reading and homework can wait until the evening.

Bring sunglasses, or a hat, for the trip home.

The cycloplegic examination is included — there is no separate charge for it.

Already had an eye test somewhere else?

No referral. No starting again.

If your child's prescription has changed again, it's reasonable to want a clearer picture. Bring their current glasses and any reports — we'll build on the care they've already received by measuring what's actually changing. No referral needed.

Watching the numbers go up test after test? Start with our simple guide to why children's myopia keeps progressing — or go straight to booking the assessment.

How much does it cost?

One fee, and you know it before you book

The assessment takes 45 minutes, and the amount below is what you pay. Nothing else on the day. The fee is the same whichever treatment follows — or none does.

Children's Myopia Assessment

$95

Out of pocket · 45 minutes

Cycloplegic examination and axial length measurement — both included
Binocular vision screening, and corneal topography as required
All scans included — nothing extra on the day
The fee is the same whichever treatment follows — or none does
01

Your child's printed SightTrack growth chart

02

A written management plan — what we found, the risk of progression, and the option that best suits your child

Common questions from parents

The questions parents ask before they book

What is a myopia assessment?

A myopia assessment is a full work-up of a child's short-sightedness (myopia) — not just today's prescription. At Concord Eyecare it includes a cycloplegic examination, axial length measurement, binocular vision screening, corneal topography as required, a risk assessment, treatment suitability, and your child's printed SightTrack growth chart with a written plan. It takes 45 minutes.

What's the difference between an eye test and a myopia assessment?

A routine eye test checks how well your child sees and finds the right prescription. That remains complete care. A myopia assessment adds the measurements that show how the myopia is changing — most importantly axial length, how long the eye has grown — plotted on a growth chart. That tells you how quickly the myopia is moving, and helps you decide what to do.

What is axial length and why measure it?

Axial length simply means how long the eye has grown, front to back. Myopia happens when the eye grows too long. So measuring eye length tracks the problem at its source — more directly than the prescription alone. We measure it with a beam of light on the Zeiss IOLMaster 500. It takes seconds. Nothing touches the eye. The result goes onto your child's SightTrack chart — their eye-growth chart.

What is SightTrack?

SightTrack is our name for how we look after children's myopia: measure how the eyes are growing, plot it on a growth chart, match the right treatment, and adjust the plan as your child grows. The printed chart you take home is your child's SightTrack chart — a growth chart for their eyes.

Does my child need a referral?

No. You can book directly — no letter from a GP or another optometrist is needed. Just bring your child's current glasses, and any old reports or prescriptions you have. Every past measurement helps us build a clearer picture of how your child's eyes are changing.

What are the cycloplegic drops for?

Cycloplegic drops relax your child's focusing muscles completely, so we can measure their true prescription. Without them, a child's strong focusing can make the result look worse than it really is. This cycloplegic examination sets the accurate baseline. Near vision stays blurry for a few hours afterwards, and sunlight will feel brighter than usual — bring sunglasses. The cycloplegic drops are included in the fee.

What happens after the assessment?

You take home the printed growth chart and a written plan. If your child's eye growth is normal for their age, the plan may simply be a check every six months. If it is faster than expected, we talk you through the options we fit here — including ortho-K overnight lenses, MiyoSmart myopia-control glasses and MiSight daily contact lenses — and how they compare side by side. Then we re-measure every six months, against your child's own chart.

Book your child's myopia assessment

Leave with a chart and a plan

45 minutes. Cycloplegic drops included. You leave with a growth chart and a plan. We hold dedicated assessment appointments each week.

Concord Eyecare · 161 Concord Rd, North Strathfield, Sydney · Korean, Mandarin and Cantonese spoken

Last clinically reviewed: July 2026 · Dr Mark Joung (Optometrist), B.Optom (Hons) UNSW, Certificate in Ocular Therapeutics (ACO)