This study found the risk of microbial keratitis for children fitted with contact lenses for myopia control was less than the risk of visual impairment from myopia progression to over 3D or axial lengths exceeding 26mm. If worn throughout childhood, the extra benefits of myopia control contact lenses outweigh the risks of infection, especially if the lenses are daily disposable.
This review investigated 18 years of practice data for the predictability, efficacy and safety of long-term ortho-k wear. The results showed that for at least one year’s wear, there was good efficacy and predictability of target refraction. Although corneal staining was common, serious adverse effects were found to be rare, particularly for children.
Previous studies have explored a link between choroidal thickness measures and myopia development. This longitudinal study found that although having thinner choroid layers at age 11 were not associated with adolescent myopia or eye length growth, having a longer axial length was predictive of future myopia development and progression.
The first year data from the ongoing CYPRESS randomized clinical trial show that Diffusion Optics Technology (DOT) spectacle lenses can regulate contrast signals across the retina to reduce myopia progression in children aged 6-10 years, and are safe and effective to wear.
Chinese children aged 6-9 years who had bedtimes later than 9:30pm showed a 1.55 fold risk of myopia compared to those with a pre-9pm bedtime, and were also more likely to have myopic parents, wake up later and spend more time reading or on screens than outdoors in a week. There was no relationship found between sleep duration and myopia.
This study found that healthy children may report mild to moderate symptoms of ocular discomfort from prolonged use of digital screens, even if no clinical signs are present. This may be a precursor to future ocular surface disorders.
While 80% of pre-presbyopic adults with Digital Eye Strain symptoms preferred reading with low-addition lenses, the improvement in reading speed was generally small and did not appear to correlate with specific accommodation or binocular vision dysfunctions. In the 8% who showed a significant improvement in reading rate of at least 15%, a majority showed reduced accommodation amplitude.
This retrospective cohort analysis showed that NaturalVue Multifocal 1 Day contact lens wear appears to result in a mean refractive myopia progression of less than 0.25D per year, based on available data. Some limited axial length data was also presented.
This hospital-based study of high myopes aged 12 to 47 years found that myopia-related retinal pathologies were common, especially with more than 8D of myopia, greater than 26.5mm axial length and longer durations of myopia. Age and family history were not associated with retinal pathology – highlighting the need for close retinal health monitoring in high myopes of all ages.
Peripheral vision function and reading speed were unaffected by highly aspherical (HAL) and slightly aspherical lenslet (SAL) spectacle lens designs compared to single vision lenses. Low contrast acuity was slightly reduced through the lenslet zone.
