Myopia control effect of defocus incorporated multiple segments (DIMS) spectacle lens in Chinese children: results of a 3-year follow-up study

AimsTo determine myopia progression in children who continued to wear the defocus incorporated multiple segments (DIMS) lenses or switched from single vision (SV) to DIMS lenses for a 1-year period following a 2-year myopia control trial.Methods128 children participated in this study. The children w...

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Vydáno v:British journal of ophthalmology Ročník 106; číslo 8; s. 1110 - 1114
Hlavní autoři: Lam, Carly SY, Tang, Wing Chun, Lee, Paul H, Zhang, Han Yu, Qi, Hua, Hasegawa, Keigo, To, Chi Ho
Médium: Journal Article
Jazyk:angličtina
Vydáno: BMA House, Tavistock Square, London, WC1H 9JR BMJ Publishing Group Ltd 01.08.2022
BMJ Publishing Group LTD
BMJ Publishing Group
Témata:
Age
Child
child health (paediatrics)
Child, Preschool
China - epidemiology
Clinical Science
clinical trial
Data collection
Disease Progression
Eyeglasses
Follow-Up Studies
Humans
Myopia
Myopia - therapy
Optometry
Pediatrics
Refraction, Ocular
Variance analysis
China
Hong Kong
clinical trial
child health (paediatrics)
ISSN:0007-1161, 1468-2079, 1468-2079
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Shrnutí:AimsTo determine myopia progression in children who continued to wear the defocus incorporated multiple segments (DIMS) lenses or switched from single vision (SV) to DIMS lenses for a 1-year period following a 2-year myopia control trial.Methods128 children participated in this study. The children who had worn DIMS lenses continued to wear DIMS lenses (DIMS group), and children who had worn SV lenses switched to wear DIMS lenses (Control-to-DIMS group). Cycloplegic spherical equivalent refraction (SER) and axial length (AL) were measured at 6-month interval. Historical controls were age matched to the DIMS group at 24 months and used for comparing the third-year changes.ResultsOver 3 years, SER and AL changes in the DIMS group (n=65) were −0.52±0.69D and 0.31±0.26 mm; these changes were not statistically significant over time (repeated measures analysis of variance, p>0.05).SER (−0.04±0. 38D) and AL (0.08±0.12 mm) changes in the Control-to-DIMS group (n=55) in the third year were less compared with the first (mean difference=0.45 ± 0.30D, 0.21±0.11 mm, p<0.001) and second (0.34±0.30D, 0.12±0.10 mm, p<0.001) years.Changes in SER and AL in both groups over that period were significantly less than in the historical control group (DIMS vs historical control: mean difference=−0.18±0.42D, p=0.012; 0.08±0.15 mm, p=0.001; Control-to-DIMS versus historical control: adjusted mean differences=−0.30±0.42D, p<0.001; 0.12±0.16 mm, p<0.001).ConclusionsMyopia control effect was sustained in the third year in children who had used the DIMS spectacles in the previous 2 years and was also shown in the children switching from SV to DIMS lenses.
Bibliografie:ObjectType-Article-1
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ISSN:0007-1161
1468-2079
1468-2079
DOI:10.1136/bjophthalmol-2020-317664