Teenagers in the Netherlands were able to spend time outdoors during the COVID pandemic but still significantly increased near work on digital devices.. This is expected to give an increase in myopia prevalence and progression in European teens but to a lesser extent than in Asia where there was restricted outdoor time with stricter lockdown.
Low-dose atropine (0.05% or less) has a maximum effect on pupil size for both bright and dim light conditions within an hour of instillation, but has little to no effect on binocular vision in myopic children when used for myopia management.
This is the first meta-analysis to directly compare mean axial growth across studies, looking at how age and ethnicity contribute to differences. Current axial length growth charts differentiate by sex and ethnicity, with age being the key variable. The results indicate that mean annual axial length growth is 28% greater in Asian compared to non-Asian children., reaffirming the need for Asian-specific data.
Different designs of soft myopia control contact lenses have different impacts on the accommodation response, sitting alongside previous research which relates this to efficacy. The measurement technique used for accommodation also influences the outcomes.
Increasing power in a myopia control treatment zone of a multifocal soft contact lens can increase myopia control efficacy but negatively impact vision. This study is the first optical characterization of a novel design to improve this relationship between treatment zone power and vision quality.
With increasing use of axial length to monitor myopia progression, the ratio of refractive error change to axial elongation has important clinical implications. This systematic review determines this ratio and explores factors that influence it.
This abstract estimates that 29% of global uncorrectable visual impairment is attributable to myopia. This emphasizes the importance of myopia control and long-term eye health monitoring, working to prevent or reduce the risk of myopia-related ocular pathology.
The age of onset of myopia influences the annual progression rate and is also race dependent. Delaying the onset of myopia can save approximately 0.75D a year on the final prescription reached, similar to the saving offered by myopia control methods.
Atropine 0.01% combined with orthokeratology slows axial elongation to less than 0.1mm/year over two years in Chinese children aged 6-11 years. This is the equal-longest study on this topic and first to measure potential mechanisms of pupil size and choroidal thickness. The largest effect of the combination occurred in the first 6 months.
In young adult myopes, Biofinity centre-distance +2.50 Add and NaturalVue multifocal contact lenses both showed reduced visual acuity in lower lighting and low contrast conditions, and especially with a glare source, compared to single vision. Reading rate under normal lighting was also reduced by 4-8%. The multifocal designs performed similarly, although Biofinity required more over-refraction for best distance acuity.
