The influence of high additions in multifocal contact lenses for myopia control on binocular vision Original research study

Main Article Content

Sylwia Kropacz-Sobkowiak
Anna Przekoracka-Krawczyk
Andrzej Michalski
Jan Olszewski
Klaudia Wasilewska

Abstract

Objectives: This study aimed to investigate the influence of soft multifocal contact lenses with high additions designed for myopia control on binocular vision in young adults.


Methods: A prospective randomized, double-blind study including 24 subjects aged between 18 and 36 years. Subjects were divided into two groups. The first group wore multifocal soft contact lenses (MFSCLs) with a 3.0 mm central zone diameter, while the second group wore contact lenses with 4.5 mm central zones. Each subject was fitted with two MFSCLs: one with +2.00 D and the other with +4.00 D peripheral addition power and, additionally, with plano single vision contact lenses (SVCLs). Phoria at a distance and near, distance and near vergence ranges, vergence facility at near, stereopsis at near, and fixation disparity at near were measured in each study lens type.
Results: No significant influence of addition on distance phoria was found in either group (p = 0.446 and p = 0.317, for 3 mm and 4.5 mm central zone diameter, respectively). Additionally, no significant difference was observed for any MFSCLs and SVCLs in near phoria (p = 0.320), near vergence facility (p = 0.197), or near fixation disparity (p = 0.203). A decline in fusional vergence ranges at a distance in the base-out direction was noted in subjects wearing +4.00 D addition compared to +2.00 D addition (p = 0.002) and plano lenses (p = 0.014). Both additions reduced fusional vergence ranges at near the base out (p = 0.020) and shifted vergence ranges more in the exophoria base in directions (p = 0.014).


Conclusions: The study showed that MFSCLs with high additional power in the periphery have only a marginal impact on the binocular functions.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Kropacz-Sobkowiak S, Przekoracka-Krawczyk A, Michalski A, Olszewski J, Wasilewska K. The influence of high additions in multifocal contact lenses for myopia control on binocular vision. Ophthatherapy [Internet]. 2024Mar.31 [cited 2024Jul.17];11(1):36-5. Available from: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/2822
Section
Conservative treatment

References

1. Melmoth DR, Grant S. Advantages of binocular vision for the control of reaching and grasping. Exp Brain Res. 2006; 171(3): 371-88.
2. Jainta S, Blythe HI, Simon P. Liversedge, Binocular Advantages in Reading. Curr Biol. 2014; 24(5): 526-30.
3. Cooper JS, BC, Cotter SA et al. Care of the Patient with Accommodative and Vergence Dysfunction. St. Louis: American Optometric Association, 2006.
4. Resnikoff S, Jonas BJ, Friedman D et al. Myopia – A 21st Century Public Health Issue. Invest Ophthalmol Vis Sci. 2019. 60(3): p. Mi-Mii.
5. Zhu Z, Chen Y, Tan Z et al. Interventions recommended for myopia prevention and control among children and adolescents in China: a systematic review. Br J Ophthalmol. 2023; 107(2): 160-6.
6. Wu PC, Huang HM, Yu HJ et al. Epidemiology of Myopia. Asia Pac J Ophthalmol (Phila). 2016; 5(6): 386-93.
7. Wolffsohn JS Calossi A, Cho P et al. Global trends in myopia management attitudes and strategies in clinical practice. Cont Lens Anterior Eye. 2016; 39(2): 106-16.
8. Efron N, Morgan PB, Woods CA et al. International survey of contact lens fitting for myopia control in children. Cont Lens Anterior Eye. 2019; 43(2): 4-8.
9. Lawrenson JG, Shah R, Huntjens B et al. Interventions for myopia control in children: a living systematic review and network meta- analysis. Cochrane Database Syst Rev. 2023; 2(2): Cd014758.
10. Gifford P, Gifford KL. The Future of Myopia Control Contact Lenses. Optom Vis Sci. 2016; 93(4): 336-43.
11. Walline JJ. Myopia Control: A Review. Eye Contact Lens. 2016; 42(1): 3-8.
12. Wildsoet CF, Chia A, Cho P et al. IMI – Interventions Myopia Institute: Interventions for Controlling Myopia Onset and Progression Report. Invest Ophthalmol Vis Sci. 2019; 60(3): M106-M131.
13. Németh J, Tapasztó B, Aclimandos WA et al. Update and guidance on management of myopia. European Society of Ophthalmology in cooperation with International Myopia Institute. Eur J Ophthalmol. 2021; 31(3): 853-83. http://doi.org/1120672121998960.
14. Sankaridurg P, Bakaraju RC, Naduvilath T et al. Myopia control with novel central and peripheral plus contact lenses and extended depth of focus contact lenses: 2 year results from a randomised clinical trial. Ophthalmic Physiol Opt. 2019; 39(4): 294-307.
15. Walline JJ, Walker MK, Mutti DO et al. 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): 571-80.
16. Li Q, Fang F. Advances and challenges of soft contact lens design for myopia control. Appl Opt. 2019; 58(7): 1639-56.
17. Jonas JB, Ang M, Cho P et al. IMI Prevention of Myopia and Its Progression. Invest Ophthalmol Vis Sci. 2021; 62(5): 6.
18. Brennan NA, Toubouti YM, Cheng X et al. Efficacy in myopia control. Prog Retin Eye Res. 2021; 83: 100923.
19. Przekoracka K, Michalak KP, Olszewski J et al. Contrast sensitivity and visual acuity in subjects wearing multifocal contact lenses with high additions designed for myopia progression control. Cont Lens Anterior Eye. 2020; 43(1): 33-9.
20. Przekoracka K, Michalak KP, Olszewski J et al. Computerised dynamic posturography for postural control assessment in subjects wearing multifocal contact lenses dedicated for myopia control. Ophthalmic Physiol Opt. 2021; 41(3): 486-95.
21. Robboy MW, Hilmantel G, Tarver ME et al. Assessment of Clinical Trials for Devices Intended to Control Myopia Progression in Children. Eye Contact Lens. 2018; 44(4): 212-9.
22. Remón L, Pérez-Merino P, Macedo-de-Araújo RJ et al. Bifocal and Multifocal Contact Lenses for Presbyopia and Myopia Control. J Ophthalmol. 2020; 2020: 8067657.
23. Kropacz-Sobkowiak S, Przekoracka-Krawczyk A, Michalak KP et al. The influence of high addition soft multifocal contact lenses on visual performance. Klinika Oczna. 2020; 122(3): 92-9.
24. Benjamin W. Borish’s Clinical Refraction, ed. Butterworth-Heinemann. Vol. Second edition. 2006.
25. Nawrot P, Michalak KP, Przekoracka-Krawczyk A. Does home-based vision therapy affect symptoms in young adults with convergence insufficiency? Optica Applicata. 2013; 43(3): 551-66.
26. Przekoracka-Krawczyk A, Wojtczak-Kwaśniewska M. The Efficiency of Optometric Vision Therapy in Accommodative Esotropia With High AC/A Ratio. OphthaTherapy. 2018; 5(3): 201-5.
27. Gong CR, Troilo D, Richdale K. Accommodation and Phoria in Children Wearing Multifocal Contact Lenses. Optom Vis Sci. 2017; 94(3): 353-60.
28. Przekoracka K, Michalak K, Michalski A et al. The influence of soft multifocal contact lenses with high additions on the eye–hand coordination. OphthaTherapy. 2019; 6(4): 252-8.
29. Chen ST, Tung HC, Chen YT et al. The influence of contact lenses with different optical designs on the binocular vision and visual behavior of young adults. Sci Rep. 2022; 12(1): 6573.
30. Gantz LL, Koslowe K, Shneor E et al. Sensitivity of the Traditional vs. Paul Harris Randot Stereotests in Detecting Aniseikonic Stereoanomalies, in International Congress of Behavioural Optometry. 2014, Department of Optometry and Vision Science, Hadassah Academic College.
31. Smith EL 3rd, Campbell MC, Irving E. Does peripheral retinal input explain the promising myopia control effects of corneal reshaping therapy (CRT or ortho-K) & multifocal soft contact lenses? Ophthalmic Physiol Opt. 2013; 33(3): 379-84.
32. Sha J, Tilia D, Diec J et al. Visual performance of myopia control soft contact lenses in non-presbyopic myopes. Clin Optom (Auckl). 2018; 10: 75-86.
33. Ruiz-Pomeda A, Perez-Sanchez B, Canadas P et al. Binocular and accommodative function in the controlled randomized clinical trial MiSight(R) Assessment Study Spain (MASS). Graefes Arch Clin Exp Ophthalmol. 2019; 257(1): 207-15.
34. Kang P, Wildsoet CF. Acute and short-term changes in visual function with multifocal soft contact lens wear in young adults. Cont Lens Anterior Eye. 2016; 39(2): 133-40.
35. Sreenivasan V, Irving EL, Bobier WR. Effect of heterophoria type and myopia on accommodative and vergence responses during sustained near activity in children. Vision Res. 2012; 57: 9-17.
36. Ferrer-Blasco T, Madrid-Costa D. Stereoacuity with balanced presbyopic contact lenses. Clin Exp Optom. 2011; 94(1): 76-81.
37. Sha J, Bakaraju RC, Tilia D et al. Short-term visual performance of soft multifocal contact lenses for presbyopia. Arq Bras Oftalmol. 2016; 79(2): 73-7.
38. Goss DA, Wolter KL. Nearpoint phoria changes associated with the cessation of childhood myopia progression. J Am Optom Assoc. 1999; 70(12): 764-8.
39. Sreenivasan V, Irving EL, Bobier WR. Can current models of accommodation and vergence predict accommodative behavior in myopic children? Vision Res. 2014; 101: 51-61.