Optical interventions for myopia control
A range of optical interventions have been developed to slow the progression of myopia. This review summarizes key studies and their outcomes. Peer-reviewed, randomized controlled clinical trials of at least 18 months duration were identified. Randomized clinical trials were identified and summarise...
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| Vydané v: | Eye (London) Ročník 38; číslo 3; s. 455 - 463 |
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| Hlavní autori: | , |
| Médium: | Journal Article |
| Jazyk: | English |
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London
Nature Publishing Group UK
01.02.2024
Nature Publishing Group |
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| ISSN: | 0950-222X, 1476-5454, 1476-5454 |
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| Abstract | A range of optical interventions have been developed to slow the progression of myopia. This review summarizes key studies and their outcomes. Peer-reviewed, randomized controlled clinical trials of at least 18 months duration were identified. Randomized clinical trials were identified and summarised: 13 for spectacles, 5 for overnight orthokeratology, 5 for soft contact lenses, and 3 for orthokeratology combined with low concentration atropine. Overnight orthokeratology trials were the most consistent with 2-year slowing of axial elongation between 0.24 and 0.32 mm. Other modalities were more variable due to the wide range of optical designs. Among spectacle interventions, progressive addition lenses were the least effective, slowing axial elongation and myopia progression by no more than 0.11 mm and 0.31 D, respectively. In contrast, novel designs with peripheral lenslets slow 2-year elongation and progression by up to 0.35 mm and 0.80 D. Among soft contact lens interventions, medium add concentric bifocals slow 3-year elongation and progression by only 0.07 mm and 0.16 D, while a dual-focus design slows 3-year elongation and progression by 0.28 mm and 0.67 D. In summary, all three optical interventions have the potential to significantly slow myopia progression. Quality of vision is largely unaffected, and safety is satisfactory. Areas of uncertainty include the potential for post-treatment acceleration of progression and the benefit of adding atropine to optical interventions. |
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| AbstractList | A range of optical interventions have been developed to slow the progression of myopia. This review summarizes key studies and their outcomes. Peer-reviewed, randomized controlled clinical trials of at least 18 months duration were identified. Randomized clinical trials were identified and summarised: 13 for spectacles, 5 for overnight orthokeratology, 5 for soft contact lenses, and 3 for orthokeratology combined with low concentration atropine. Overnight orthokeratology trials were the most consistent with 2-year slowing of axial elongation between 0.24 and 0.32 mm. Other modalities were more variable due to the wide range of optical designs. Among spectacle interventions, progressive addition lenses were the least effective, slowing axial elongation and myopia progression by no more than 0.11 mm and 0.31 D, respectively. In contrast, novel designs with peripheral lenslets slow 2-year elongation and progression by up to 0.35 mm and 0.80 D. Among soft contact lens interventions, medium add concentric bifocals slow 3-year elongation and progression by only 0.07 mm and 0.16 D, while a dual-focus design slows 3-year elongation and progression by 0.28 mm and 0.67 D. In summary, all three optical interventions have the potential to significantly slow myopia progression. Quality of vision is largely unaffected, and safety is satisfactory. Areas of uncertainty include the potential for post-treatment acceleration of progression and the benefit of adding atropine to optical interventions. A range of optical interventions have been developed to slow the progression of myopia. This review summarizes key studies and their outcomes. Peer-reviewed, randomized controlled clinical trials of at least 18 months duration were identified. Randomized clinical trials were identified and summarised: 13 for spectacles, 5 for overnight orthokeratology, 5 for soft contact lenses, and 3 for orthokeratology combined with low concentration atropine. Overnight orthokeratology trials were the most consistent with 2-year slowing of axial elongation between 0.24 and 0.32 mm. Other modalities were more variable due to the wide range of optical designs. Among spectacle interventions, progressive addition lenses were the least effective, slowing axial elongation and myopia progression by no more than 0.11 mm and 0.31 D, respectively. In contrast, novel designs with peripheral lenslets slow 2-year elongation and progression by up to 0.35 mm and 0.80 D. Among soft contact lens interventions, medium add concentric bifocals slow 3-year elongation and progression by only 0.07 mm and 0.16 D, while a dual-focus design slows 3-year elongation and progression by 0.28 mm and 0.67 D. In summary, all three optical interventions have the potential to significantly slow myopia progression. Quality of vision is largely unaffected, and safety is satisfactory. Areas of uncertainty include the potential for post-treatment acceleration of progression and the benefit of adding atropine to optical interventions.A range of optical interventions have been developed to slow the progression of myopia. This review summarizes key studies and their outcomes. Peer-reviewed, randomized controlled clinical trials of at least 18 months duration were identified. Randomized clinical trials were identified and summarised: 13 for spectacles, 5 for overnight orthokeratology, 5 for soft contact lenses, and 3 for orthokeratology combined with low concentration atropine. Overnight orthokeratology trials were the most consistent with 2-year slowing of axial elongation between 0.24 and 0.32 mm. Other modalities were more variable due to the wide range of optical designs. Among spectacle interventions, progressive addition lenses were the least effective, slowing axial elongation and myopia progression by no more than 0.11 mm and 0.31 D, respectively. In contrast, novel designs with peripheral lenslets slow 2-year elongation and progression by up to 0.35 mm and 0.80 D. Among soft contact lens interventions, medium add concentric bifocals slow 3-year elongation and progression by only 0.07 mm and 0.16 D, while a dual-focus design slows 3-year elongation and progression by 0.28 mm and 0.67 D. In summary, all three optical interventions have the potential to significantly slow myopia progression. Quality of vision is largely unaffected, and safety is satisfactory. Areas of uncertainty include the potential for post-treatment acceleration of progression and the benefit of adding atropine to optical interventions. |
| Author | Logan, Nicola S. Bullimore, Mark A. |
| Author_xml | – sequence: 1 givenname: Nicola S. surname: Logan fullname: Logan, Nicola S. organization: School of Optometry, Aston University – sequence: 2 givenname: Mark A. orcidid: 0000-0002-6315-3720 surname: Bullimore fullname: Bullimore, Mark A. email: bullers2020@gmail.com organization: University of Houston, College of Optometry |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37740053$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_optom_2024_100533 crossref_primary_10_1111_opo_13403 crossref_primary_10_1111_opo_13525 crossref_primary_10_1038_s41433_023_02722_6 crossref_primary_10_17116_oftalma202414005118 crossref_primary_10_1007_s40123_024_00951_w crossref_primary_10_3390_jcm14030662 crossref_primary_10_4103_tjo_TJO_D_24_00026 crossref_primary_10_1007_s00417_024_06633_4 crossref_primary_10_1097_OPX_0000000000002119 crossref_primary_10_1016_j_xops_2025_100766 crossref_primary_10_1364_BOE_559666 crossref_primary_10_1007_s10384_024_01137_4 crossref_primary_10_1016_j_isci_2025_113459 crossref_primary_10_1111_opo_13379 crossref_primary_10_1167_iovs_66_7_7 crossref_primary_10_1167_iovs_66_7_2 crossref_primary_10_1038_s41433_025_03908_w crossref_primary_10_1111_opo_70002 crossref_primary_10_1167_iovs_66_12_39 crossref_primary_10_1097_ICL_0000000000001191 crossref_primary_10_1038_s41598_025_16868_8 crossref_primary_10_3390_jcm13010053 crossref_primary_10_1016_j_ophtha_2024_07_002 crossref_primary_10_1097_OPX_0000000000002263 crossref_primary_10_1097_OPX_0000000000002244 crossref_primary_10_1167_tvst_14_6_27 |
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| Snippet | A range of optical interventions have been developed to slow the progression of myopia. This review summarizes key studies and their outcomes. Peer-reviewed,... |
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| Title | Optical interventions for myopia control |
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