Stellest vs MiyoSmart: Which Myopia Control Lens Is Right for Your Child?

Among myopia control spectacle lenses, Essilor Stellest and Hoya MiyoSmart have top-tier effectiveness in controlling myopia progression. MiyoSmart has been in the Australian market since 2019, whereas Stellest was launched in late 2022.

Similarities between Stellest and MiyoSmart

Both Stellest and MiyoSmart require minimal adaptation from your child, they are safe, non-invasive, and the lenses look cosmetically appealing (like regular glasses).

They are also made from polycarbonate, the most impact-resistant material in the market, which is also thin and light. This makes the lenses suitable and safe for active kids.

Both lenses use myopic defocus to control myopia progression. This allows your child to have clear central vision while the defocus segments at the periphery work to control the myopia progression. The design of the lenses, however, is different.

Differences between Stellest and MiyoSmart

Stellest has a constellation of aspherical lenslets on 11 rings. The power on the rings creates signals in front of the retina (a layer on the back part of the eye) to slow down elongation of the eye. It is designed using H.A.L.T Technology (Highly Aspherical Lenslet Target).

MiyoSmart has hundreds of small segments of constant myopic defocus evenly distributed (honeycomb structure) at the peripheral portion of the lenses. It is designed using D.I.M.S Technology (Defocus Incorporated Multiple Segment).

Stellest or MiyoSmart, which should you choose?

As you can see from the features, both lenses are very similar products for myopia control. Both use myopic defocus to control myopia progression. The effectiveness of both products is approximately 60%.

Hoya MiyoSmart has been around for about four years. Extensive clinical trials have been done with proven results. The latest three-year follow-up clinical study (following a two-year study) showed that slowing in myopia progression over time was sustained, and the group that moved from regular single-vision to MiyoSmart spectacle lenses showed a significant and immediate slow-down in the progression of myopia.

Stellest is a newer product. Their results are based on a 2-year clinical trial involving 104 children, compared to MiyoSmart’s 5-year study involving 160 subjects.

Is Stellest more effective than MiyoSmart? We cannot be certain as there are no studies that look at them against each other. However, they appear to be on par in efficacy.

MiyoSmart is tried and tested in the Australian market, while Stellest is newer, however, with features that are very appealing and that may potentially make them more effective. MiyoSmart also comes in photochromatic and polarised options, however, their antireflective coating is more easily scratched. Stellest has a superior scratch-resistant coating and the rings are closer to the pupil, which may mean a potentially more effective myopia management effect. At times, I switch patients from one to the other and they have improved results.

The best way to determine which lens is right for your child is to book a comprehensive eye examination, where we can assess your child’s myopia progression rate and recommend the most appropriate treatment strategy.