Accommodation Dynamics in Children Wearing Bifocal Soft Contact Lenses with High Addition Power
https://doi.org/10.33791/2222-4408-2021-1-7-14
Abstract
Purpose: to evaluate dynamics of subjective and objective accommodation in children wearing bifocal soft contact lenses (BSCLs) for myopia control with +4.00 D addition power. M e t h o d s: the study involved 22 patients (44 eyes).
Mean age amounted to 10.1 ± 1.46 years and mean myopic refraction amounted to –3.21 ± 1.23 D. Patients were fitted Prima BIO Bi-focal BSCLs (OKVision Retail, Russia). All patients underwent cycloplegic refraction assessed with Auto Ref/Keratometer ARK 530A (Nidek, Japan), had axial length measured with IOL Master 500 optical biometry device (Carl Zeiss, Germany), had positive relative accommodation (PRA) assessed with and without lenses and had binocular (BAR) and monocular (MAR) accommodative response assessed at a distance of 33 cm with WAM-5500 Binocular Accommodation Auto Ref/Keratometer (Grand Seiko, Japan) prior to wearing BSCLs as well as 3, 6 and 12 months after wearing BSCLs.
Results: neither MAR nor BAR measured without lenses changed after 3, 6 and 12 months of wearing BSCLs (p >0,05). A change in PRA evaluated without lenses was noted after 12 months (p < 0,05). PRA evaluated with lenses after 3, 6 and 12 months differed from baseline significantly (p < 0,001). Over 12 months of wearing BSCLs, changes in AL (0.09 ± 0.17 mm) and cycloplegic refraction (0.3 ±0.43 D) correlated with baseline BAR and MAR loosely. C o n c l u s i o n: objective accommodation (MAR and BAR) did not change in the course of wearing BSCLs with +4.00 D addition power. Increase in PRA evaluated without BSCLs may be associated with improvement of accommodation due to a full correction in the optic zone. The gradual increase in PRA evaluated with BSCLs probably indicates an adaptation of patients to addition zone in near vision conditions.
About the Authors
E. P. Tarutta
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Elena P. Tarutta, Dr. Sci. (Med.), Professor, Head of
Department of Binocular Vision Pathology and Ophthalmic
Ergonomics
14/19, Sadovaya-Chernogryazskaya Str., Moscow, 105062
S. V. Milash
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Sergey V. Milash*, Research offier, Department of
Binocular Vision Pathology and Ophthalmic Ergonomics
14/19, Sadovaya-Chernogryazskaya Str., Moscow, 105062
M. V. Epishina
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Marina V. Epishina, Cand. Sci. (Med.), Head of the
Contact Lens Vision Correction Department
14/19, Sadovaya-Chernogryazskaya Str., Moscow, 105062
References
1. Fricke T.R., Jong M., Naidoo K.S. et al. Global prevalence of visual impairment associated with myopic macular degeneration and temporal trends from 2000 through 2050: systematic review, meta-analysis and modelling. Br. J. Ophthalmol. 2018;102(7):855–862. https://doi.org/10.1136/bjophthalmol-2017-311266
2. Morgan I.G., French A.N., Ashby R.S. et al. The epidemics of myopia: aetiology and prevention. Progress in retinal and eye research. 2018;62:134–149. https://doi.org/10.1016/j.pretey-eres.2017.09.004
3. Proskurina O.P., Markova E.Y., Brzheskij V.V. et al. The Prevalence of myopia in schoolchildren in some regions of Russia. Ophthalmology in Russia. 2018;15(3):348–353. (In Russ.). https://doi.org/10.18008/1816-5095-2018-3-348-353
4. Ikuno Y. Overview of the complications of high myopia. Retina. 2017;37(12):2347–2351. https://doi.org/10.1097/IAE.0000000000001489
5. Zhao C., Cai C., Ding Q., Dai H. Effiacy and safety of atropine to control myopia progression: a systematic review and meta-analysis. BMC Ophthalmol. 2020;20(1):478. https://doi.org/10.1186/s12886-020-01746-w
6. Lam C.S.Y., Tang W.C., Tse D.Y., Lee R.P.K., Chun R.K.M., Hasegawa K., Qi H., Hatanaka T., To C.H. Defocus Incorporated Multiple Segments (DIMS) spectacle lenses slow myopia progression: a 2-year randomised clinical trial. Br. J. Ophthalmol. 2020;104(3):363–368. https://doi.org/10.1136/bjophthalmol-2018-313739
7. Si J.K., Tang K., Bi H.S., Guo D.D., Guo J.G., Wang X.R. Orthokeratology for myopia control: a meta-analysis. Op tom. Vis. Sci. 2015;92:252–257. https://doi.org/10.1097/opx.0000000000000505
8. Li S.M., Kang M.T., Wu S.S. et al. Studies using concentric ring bifocal and peripheral add multifocal contact lenses to slow myopia progression in school-aged children: a meta-analysis. Ophthalmic Physiol. Opt. 2017;37:51–59. https://doi.org/10.1111/opo.12332
9. Chamberlain P. et al. A 3-year randomized clinical trial of MiSight lenses for myopia control. Optometry and Vision Science. 2019;96(8):556–567. https://doi.org/10.1097/OPX.0000000000001410
10. Walline J.J., Walker M.K., Mutti D.O., Jones-Jordan L.A., Sinnott L.T., Giannoni A.G., Bickle K.M., Schulle K.L., Nixon A., Pierce G.E., Berntsen D.A. BLINK Study Group. Effect of high add power, medium add power, or single-vision contact lenses on myopia progression in children: the BLINK Randomized Clinical Trial. JAMA. 2020;324(6):571–580. https://doi.org/10.1001/jama.2020.10834
11. Ruiz-Pomeda A., Prieto-Garrido F.L., Hernández Verdejo J.L., Villa-Collar C. Rebound effect in the misight assessment Study Spain (Mass). Curr. Eye Res. 2021;24(1):1–4. https://doi.org/10.1080/02713683.2021.1878227
12. Cheng X., Xu J., Brennan N.A. Accommodation and its role in myopia progression and control with soft contact lenses. Ophthalmic Physiol. Opt. 2019;39(3):162–171. https://doi.org/10.1111/opo.12614
13. Tarrant J., Severson H., Wildsoet C.F. Accommodation in emmetropic and myopic young adults wearing bifocal soft contact lenses. Ophthalmic Physiol. Opt. 2008;28(1):62–72. https://doi.org/10.1111/j.1475-1313.2007.00529.x
14. Avetisov S.E., Myagkov A.V., Egorova A.V. Correcting progressive myopia with bifocal contact lenses with central zone for distant vision: changes in accommodation and axial length (a preliminary report). Vestnik oftal’mologii. 2019;135(1):42-46. (In Russ.). https://doi.org/10.17116/oftalma201913501142
15. Kang P., Wildsoet C.F. Acute and short-term changes in visual function with multifocal soft contact lens wear in young adults. Cont. Lens Anterior Eye. 2016;39(2):133–140. https://doi.org/10.1016/j.clae.2015.09.004
16. Gong C.R., Troilo D., Richdale K. Accommodation and phoria in children wearing multifocal contact lenses. Optom. Vis. Sci. 2017;94(3):353–360. https://doi.org/10.1097/opx.0000000000001044
17. Altoaimi B.H., Almutairi M.S., Kollbaum P.S., Bradley A. Accommodative behavior of young eyes wearing multifocal contact lenses. Optom. Vis. Sci. 2018;95(5):416–427. https://doi.org/10.1097/opx.0000000000001214
18. Wagner S., Schaeffel F., Troilo D. Changing accommodation behaviour during multifocal soft contact lens wear using auditory biofeedback training. Sci. Rep. 2020;10(1):5018. https://doi.org/10.1038/s41598-020-61904-4
19. Madrid-Costa D., Ruiz-Alcocer J., Radhakrishnan H., FerrerBlasco T., Montes-Mico R. Changes in accommodative responses with multifocal contact lenses: a pilot study. Optom. Vis. Sci. 2011;88:1309–1316. https://doi.org/10.1097/opx.0b013e31822be35a
20. Montés-Micó R., Madrid-Costa D., Radhakrishnan H., Charman W.N., Ferrer-Blasco T. Accommodative functions with multifocal contact lenses: a pilot study. Optom. Vis. Sci. 2011;88(8):998–1004. https://doi.org/10.1097/opx.0b013e31821c0ed8
21. Patent RF na izobretenie №2657854 ot 13.01.17 g. Byul. № 17. Myagkov A.V., Listratov S.V., Parfenova N.P. Method for treatment of progressive myopia and lens for treatment of progressive myopia. Accessed 1.02.2021. (In Russ.). https://yandex.ru/patents/doc/RU2657854C1_20180615
22. Accommodation: a Practical guide. red. Katargina L.A. Moscow: April; 2012. 136 p. (In Russ.).
23. Tarutta E.P., Filinova O.B., Tarasova N.A. New methods of objective accomodatie. Rossijskaya pediatricheskaya oftal’mologiya. 2012;1:45–48. (In Russ.).
24. Fedtke C., Ehrmann K., Bakaraju R. C. P. Peripheral refraction and spherical aberration profies with single vision, bifocal and multifocal soft contact lenses. J. Optom. 2020;13:15–28. https://doi.org/10.1016/j.optom.2018.11.002
25. Przekoracka K. et al. Contrast sensitivity and visual acuity in subjects wearing multifocal contact lenses with high additions designed for myopia progression control. Contact Lens and Anterior Eye. 2020;43(1):33–39. https://doi.org/10.1016/j.clae.2019.12.002
26. Kropacz-Sobkowiak S., Przekoracka-Krawczyk A., Michalak K., Michalski A., Kujawa K., Olszewski J. The inflence of high addition soft multifocal contact lenses on visual performance. Klin. Oczna Acta Ophthalmol. Pol. 2020,122:92–99. https://doi.org/10.5114/ko.2020.94754
27. Altoaimi B.H., Almutairi M.S., Kollbaum P.S., Bradley A. Accommodative Behavior of Young Eyes Wearing Multifocal Contact Lenses. Optom. Vis. Sci. 2018;95(5):416–427. https://doi.org/10.1097/opx.0000000000001214
28. Anstice N.S., Phillips J.R. Effect of dual-focus soft contact lens wear on axial myopia progression in children. Ophthalmology. 2011;118(6):1152–1161. https://doi.org/10.1016/j.ophtha.2010.10.035
Review
For citations:
Tarutta E.P., Milash S.V., Epishina M.V. Accommodation Dynamics in Children Wearing Bifocal Soft Contact Lenses with High Addition Power. The EYE GLAZ. 2021;23(1):7-14. (In Russ.) https://doi.org/10.33791/2222-4408-2021-1-7-14
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