The Clinical Effect of Compound Multi-point Optical Defocusing Lens on Myopia Progression in Children

Jiarui LIANG; Xiaofan ZHANG; Li CHEN; Jieying ZHANG; Liping XUE; Min HU; Yuan ZHOU

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Jiarui LIANG, Xiaofan ZHANG, Li CHEN, Jieying ZHANG, Liping XUE, Min HU, Yuan ZHOU. The Clinical Effect of Compound Multi-point Optical Defocusing Lens on Myopia Progression in Children[J]. Journal of Kunming Medical University.

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The Clinical Effect of Compound Multi-point Optical Defocusing Lens on Myopia Progression in Children

Dept. of Pediatric Ophthalmology，The Affiliated Hospital of Yunnan University，Kunming Yunnan 650021，China

Received Date: 2024-06-25
Available Online: 2024-11-09

Abstract

Abstract

Objective To observe the effect of the delay of myopia in children wearing composite multi-point optical defocusing lens. Methods A total of 52 cases （n = 104） of monocal lens wearers were selected as the control group, and 78 cases （n = 156） of compound multi-point optical distrocal lens wearers were selected as the experimental group. The effect of myopic control between two groups was compared before and after wearing glasses at 3, 6, 9 and 12 months, during which the changes of equivalent spherical lens and eye axis length were mainly observed. Results The equivalent spherical degree of the two groups before and after wearing glasses had different degrees of change and the treatment effect between the control group and the experimental group was statistically significant （F = 13.80, P < 0.001）. After 6 months of wearing glasses, the diopter of the control group was significantly lower than that of the experimental group, and the longer the wearing time, the greater the difference between the two groups. The axial length of the eyes of the two groups also changed to different degrees before and after wearing glasses, but there was no statistical significance in the treatment effect between the control group and the experimental group （F = 0.028, P = 0.876）, suggesting that there was no statistical significance in the influence of the two lenses on the axial of the eyes. Conclusion Compared with the single-focus lenses, composite multi-point optical defocus lenses can effectively delay the progression of myopia in children.
- Myopia,
- Peripheral defocusing,
- Axis oculi,
- Composite multi-point optical defocusing

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References(22)

References

[1]	Eyayu G. Causes of blindness and vision impairment in 2020 and trends over 30 years,and prevalence of avoidable blindness in relation to VISION 2020: The right to sight: An analysis for the global burden of disease study[J]. Lancet Glob Health,2021,9(2):e144-e160. doi: 10.1016/S2214-109X(20)30489-7
[2]	Holden B A ,Fricke T R ,Wilson D A ,et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology,2016,123(5): 1036.
[3]	Baird PN,Saw S M,Lanca C,et al. Myopia[J]. Nat Rev Dis Primers,2020,6(1):99 doi: 10.1038/s41572-020-00231-4
[4]	Zhang H ,Lam C,Tang W ,et al. Changes in relative peripheral refraction in children who switched from single-vision lenses to defocus incorporated multiple segments lenses[J]. Ophthalmic and Physiological Optics,2022,43(3):319-326.
[5]	Dong L,Kang Y K,Li Y,et al. Prevalence and time trends of myopia in children and adolescents in China: A systemic review and meta-analysis[J]. Retina,2020,40(3):399-411 doi: 10.1097/IAE.0000000000002590
[6]	Haarman A E G,Enthoven C A,Tideman J W L,et al. The complications of myopia: A review and meta-analysis[J]. The Association for Research in Vision and Ophthalmology,2020,61(4):49.
[7]	Li,F F,Zhang,Y,Zhang,X,et al. Age effect on treatment responses to 0.05%,0.025%,and 0.01% atropine: Low-concentration atropine for myopia progression study[J]. Ophthalmology,2021,128(8):1180-1187. doi: 10.1016/j.ophtha.2020.12.036
[8]	Zhang X J,Zhang Y,et al. Five-year clinical trial of the low-concentration atropine for myopia progression (LAMP) study: Phase 4 report[J]. Ophthalmology,2024,131(9):1011-1020. doi: 10.1016/j.ophtha.2024.03.013
[9]	Huang J,Wen D,Wang Q,et al. Efficacy comparison of 16 interventions for myopia control in children: A network meta-analysis[J]. Ophthalmology,2016,123(4):697-708. doi: 10.1016/j.ophtha.2015.11.010
[10]	Olenich M. Use of orthokeratology contact lenses in the treatment of progressive myopia spravočnik vrača obŝej praktiki[J]. Journal of Family Medicine,2020,53(7):18-22.
[11]	Smith M J,Walline J J. Controlling myopia progression in children and adolescents[J]. Adolesc Health Med Ther,2015,6(1):133-140.
[12]	Wallman J,Winawer J. Homeostasis of eye growth and the question of myopia[J]. Neuron,2004,43(4):447-468. doi: 10.1016/j.neuron.2004.08.008
[13]	Zhang H Y ,Lam C S Y ,Tang W C ,et al. Impact of defocus incorporated multiple segments (DIMS) spectacle lenses on relative peripheral refraction (RPR): A 2-year randomized clinical trial[J]. Investigative Ophthalmology & Visual Science,2019,31(9):60-67.
[14]	Lam,C S Y,Tang,W C,Zhang,H Y,et al. Long-term myopia control effect and safety in children wearing DIMS spectacle lenses for 6 years[J]. Sci Rep,2023,13(1):5475-5482. doi: 10.1038/s41598-023-32700-7
[15]	Qin Z,Peng T,Zhang Z,et al. Myopia progression and stabilization in school-aged children with single-vision lenses[J]. Acta 0phthalmol,2021,100(4):e950-e956.
[16]	Li N,Lin W,Liang R,et al. Comparison of two different orthokeratology lenses and defocus incorporated soft contact (DISC) lens in controlling myopia progression[J]. Eye Vis (Lond),2023,10(1):43. doi: 10.1186/s40662-023-00358-x
[17]	Li S M,Kang M T,Wu S S,et al. Efficacy,safety and acceptability of orthokeratology on slowing axial elongation in myopic children by meta-analysis[J]. Curr Eye Res,2015,41(5):600-608.
[18]	Tu E Y,Joslin C E. Recent outbreaks of atypical contact lens-related keratitis: what have we learned?[J]. AM J 0phthalmol,2010,150(5):602-608. doi: 10.1016/j.ajo.2010.06.045
[19]	Lee S, Won Y, Lim D. Major complications of overnight orthokeratology lens for myopic correction ann optom contact lens[J]. Ann Optom Contact Lens, 2022, 21（1）: 1-7. Lee S,Won Y,Lim D. Major complications of overnight orthokeratology lens for myopic correction ann optom contact lens[J]. Ann Optom Contact Lens,2022,21(1):1-7.
[20]	Sankaridurg P,Weng R,Tran H,et al. Spectacle lenses with highly aspherical lenslets for slowing myopia: A randomized,double-blind,cross-over clinical trial: Parts of these data were presented as a poster at the annual research in vision and ophthalmology meeting,2022[J]. AM J Ophthalmol,2022,247(1):18-24.
[21]	Bao J,Huang Y,Li X,et al. Spectacle lenses with aspherical lenslets for myopia control vs single-vision spectacle lenses: A randomized clinical trial[J]. JAMA Ophthalmol,2022,140(5):472-478. doi: 10.1001/jamaophthalmol.2022.0401
[22]	Yang J L,Li D L,Chen J,et al. Effect modification of time spent outdoors on the association between early childhood overweight and myopia: A one-year follow-up study[J]. J Public Health-Uk,2024,46(1):107-115. doi: 10.1093/pubmed/fdae006

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