Highlights
- •Near visual acuity were not affected by high add (Add4) MFCLs (RELAX, SwissLens).
- •Central contrast sensitivity decreased more significantly with Add2 MFCLs as compared to Add4 MFCLs
- •Peripheral contrast sensitivity was impaired in a similar way by low and high add MFCLs.
- •Visual performance was the same in subjects wearing MFCLs with 3 and 4.5 mm diameter central zones.
Abstract
Objectives
To assess the visual performance of multifocal contact lenses (MFCLs) with high addition
powers designed for myopia control.
Methods
Twenty-four non-presbyopic adults (mean age 24 years, range 18–36 years) were fitted
with soft MFCLs with add powers of +2.0 D (Add2) and +4.0 D (Add4) (RELAX, SwissLens)
and single vision lenses (SVCL; Add0) in a counterbalanced order. In this double-masked
study, half of the participants were randomly fitted with 3 mm-distance central zone
MFCLs while the other half received 4.5 mm-distance central zone MFCLs. Visual acuity
was measured at distance (3.0 m) and at near (0.4 m). Central and peripheral contrast
sensitivity was evaluated at distance using the Gabor patch test. The area under the
logarithmic contrast sensitivity function curve (ALCSF) was calculated and compared
between the groups (i.e. different additions powers used).
Results
Near and distance visual acuities were not affected by the lenses, neither Add2 nor
Add4, when compared to Add0, however, CZ3 significantly reduced distance visual acuity
with Add4 when compared to CZ4.5 (−0.08 logMAR vs. for CZ3 and -0.18 logMAR for CZ4.5,
p = 0.013).
MFCLs impaired central ALCSF only when Add2 was used (15.99 logCS for Add2 and 16.36
logCS for SVCLs, p = 0.021). Peripheral ALCSF was statistically lower for both addition
powers of the MFCLs when compared to SVCLs (12.70 for Add2 and Add4, 13.73 for SVCLs,
p = 0.009). The above effects were the same for both central zones used.
Conclusions
MFCLs with CZ3 diameter and high add power (Add4) slightly reduced distance visual
acuity when compared to CZ4.5 but no reduction in this parameter was found with medium
add power (Add2). Central contrast sensitivity was impaired only by MFCLs with the
lower add power (Add2). Both add powers in the MFCLs reduced peripheral contrast sensitivity
to a similar extent.
Keywords
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References
- The complex interactions of retinal, optical and environmental factors in myopia aetiology.Prog Retin Eye Res. 2012; 31: 622-660https://doi.org/10.1016/j.preteyeres.2012.06.004
- Epidemiologic study of ocular refraction among schoolchildren in Taiwan in 1995.Optom Vis Sci. 1999; : 275-281
- Causes of blindness and visual impairment in urban and rural areas in Beijing: the Beijing eye study.Ophthalmology. 2006; 113: e1131-1111https://doi.org/10.1016/j.ophtha.2006.01.035
- Increased prevalence of myopia in the United States between 1971–1972 and 1999–2004.Arch Ophthalmol. 2009; 127: 1632-1639https://doi.org/10.1001/archophthalmol.2009.303
- Interventions to slow progression of myopia in children.Cochrane Database Syst Rev. 2011; CD004916https://doi.org/10.1002/14651858.CD004916.pub3
- Comparison of the effect of atropine and cyclopentolate on myopia.Ann Ophthalmol. 1989; 21 (187): 180-182
- Atropine for the treatment of childhood myopia.Ophthalmology. 2006; 113: 2285-2291https://doi.org/10.1016/j.ophtha.2006.05.062
- Atropine for the treatment of childhood myopia: safety and efficacy of 0.5%, 0.1%, and 0.01% doses (Atropine for the Treatment of Myopia 2).Ophthalmology. 2012; 119: 347-354https://doi.org/10.1016/j.ophtha.2011.07.031
- Low-concentration atropine for myopia progression (LAMP) study: a randomized, double-blinded, placebo-controlled trial of 0.05%, 0.025%, and 0.01% atropine eye drops in myopia control.Ophthalmology. 2019; 126: 113-124https://doi.org/10.1016/j.ophtha.2018.05.029
- Inducing ametropias in hatchling chicks by defocus--aperture effects and cylindrical lenses.Vision Res. 1995; 35: 1165-1174https://doi.org/10.1016/0042-6989(94)00235-e
- The role of optical defocus in regulating refractive development in infant monkeys.Vision Res. 1999; 39: 1415-1435https://doi.org/10.1016/s0042-6989(98)00229-6
- Accommodative lag before and after the onset of myopia.Invest Ophthalmol Vis Sci. 2006; 47: 837-846https://doi.org/10.1167/iovs.05-0888
- Animal models of emmetropization: matching axial length to the focal plane.J Am Optom Assoc. 1995; 66: 405-414
- Local changes in eye growth induced by imposed local refractive error despite active accommodation.Vision Res. 1997; 37: 659-668https://doi.org/10.1016/s0042-6989(96)00224-6
- Local retinal regions control local eye growth and myopia.Science. 1987; 237: 73-77https://doi.org/10.1126/science.3603011
- 3rd, Hung LF, Huang J. Relative peripheral hyperopic defocus alters central refractive development in infant monkeys.Vision Res. 2009; 49: 2386-2392https://doi.org/10.1016/j.visres.2009.07.011
- Peripheral refraction and ocular shape in children.Invest Ophthalmol Vis Sci. 2000; 41: 1022-1030
- Peripheral refractive errors in myopic, emmetropic, and hyperopic young subjects.J Opt Soc Am A Opt Image Sci Vis. 2002; 19: 2363-2373
- Peripheral refraction along the horizontal and vertical visual fields in myopia.Vision Res. 2006; 46: 1450-1458https://doi.org/10.1016/j.visres.2005.10.023
- The role of orthokeratology in myopia control: a review.Eye Contact Lens. 2018; 44: 224-230https://doi.org/10.1097/ICL.0000000000000520
- Effects of myopic spectacle correction and radial refractive gradient spectacles on peripheral refraction.Vision Res. 2009; 49: 2176-2186https://doi.org/10.1016/j.visres.2009.06.008
- Spectacle lenses designed to reduce progression of myopia: 12-month results.Optom Vis Sci. 2010; 87: 631-641https://doi.org/10.1097/OPX.0b013e3181ea19c7
- Defocus Incorporated Multiple Segments (DIMS) spectacle lenses slow myopia progression: a 2-year randomised clinical trial.Br J Ophthalmol. 2019; https://doi.org/10.1136/bjophthalmol-2018-313739
- Effect of dual-focus soft contact lens wear on axial myopia progression in children.Ophthalmology. 2011; 118: 1152-1161https://doi.org/10.1016/j.ophtha.2010.10.035
- Decrease in rate of myopia progression with a contact lens designed to reduce relative peripheral hyperopia: one-year results.Invest Ophthalmol Vis Sci. 2011; 52: 9362-9367https://doi.org/10.1167/iovs.11-7260
- Defocus Incorporated Soft contact (DISC) lens slows myopia progression in Hong Kong Chinese schoolchildren: a 2-year randomised clinical trial.Br J Ophthalmol. 2014; 98: 40-45https://doi.org/10.1136/bjophthalmol-2013-303914
- Multifocal contact lens myopia control.Optom Vis Sci. 2013; 90: 1207-1214https://doi.org/10.1097/OPX.0000000000000036
- A 3-year randomized clinical trial of Misight lenses for myopia control.Optom Vis Sci. 2019; 96: 556-567https://doi.org/10.1097/OPX.0000000000001410
- Advances and challenges of soft contact lens design for myopia control.Appl Opt. 2019; 58: 1639-1656https://doi.org/10.1364/AO.58.001639
- Peripheral refraction with dominant design multifocal contact lenses in young myopes.J Optom. 2013; 6: 85-94https://doi.org/10.1016/j.optom.2013.01.001
- Peripheral myopization using a dominant design multifocal contact lens.J Optom. 2011; 4: 14-21
- Peripheral optics with bifocal soft and corneal reshaping contact lenses.Optom Vis Sci. 2013; 90: 3-8https://doi.org/10.1097/OPX.0b013e3182781868
- Multifocal contact lenses--look again.Can J Ophthalmol. 1997; 32: 201-205
- Quantification of ghosting produced with presbyopic contact lens correction.Eye Contact Lens. 2012; 38: 252-259https://doi.org/10.1097/ICL.0b013e31825aa879
- Accommodation and phoria in children wearing multifocal contact lenses.Optom Vis Sci. 2017; 94: 353-360https://doi.org/10.1097/OPX.0000000000001044
- Acute and short-term changes in visual function with multifocal soft contact lens wear in young adults.Cont Lens Anterior Eye. 2016; 39: 133-140https://doi.org/10.1016/j.clae.2015.09.004
- Visual performance of single vision and multifocal contact lenses in non-presbyopic myopic eyes.Cont Lens Anterior Eye. 2016; 39: 38-46https://doi.org/10.1016/j.clae.2015.07.005
- A new method to analyse the effect of multifocal contact lenses on visual function.Cont Lens Anterior Eye. 2018; 41: 169-174https://doi.org/10.1016/j.clae.2017.11.005
- Disability glare in soft multifocal contact lenses.Cont Lens Anterior Eye. 2018; 41: 175-179https://doi.org/10.1016/j.clae.2017.10.002
- Two distinct modes of control for object-directed action.Prog Brain Res. 2004; 144: 131-144https://doi.org/10.1016/s0079-6123(03)14409-3
- Two visual systems re-viewed.Neuropsychologia. 2008; 46: 774-785https://doi.org/10.1016/j.neuropsychologia.2007.10.005
- The effect of monocular and binocular viewing on the accommodation response to real targets in emmetropia and myopia.Optom Vis Sci. 2005; 82: 279-285https://doi.org/10.1097/01.opx.0000159369.85285.21
- Accommodation steps, target spatial frequency and refractive error.Ophthalmic Physiol Opt. 2011; 31: 444-455https://doi.org/10.1111/j.1475-1313.2011.00855.x
- Peripheral contrast sensitivity and attention in myopia.Vision Res. 2016; 125: 49-54https://doi.org/10.1016/j.visres.2016.05.004
- Borish’s Clinical Refraction.2nd ed. Butterworth-Heinemann, 2006
- power profiles of peripheral additions using topographers with Soft contact lenses in myopia control.
G. Montani, P. Blaser: Changes in relative peripheral refraction, HOAs and optical quality using a soft centre distance multifocal contact lens with different additions and optical zones. Poster IMC 20172017.
- Corneal aberrations and visual performance after radial keratotomy.J Refract Surg. 1998; 14: 397-407
- Ocular aberrations and wavefront aberrometry: a review.Afr Vision Eye Health. 2015; 74: 21-26https://doi.org/10.4102/aveh.v74i1.21
- Bifocal lenses in nearsighted kids (BLINK) study.(Graduate School of The Ohio State University) The Ohio State University, Ohio2013
- Bifocal lenses in nearsighted kids study G. Visual acuity and over-refraction in myopic children fitted with Soft Multifocal contact lenses.Optom Vis Sci. 2018; 95: 292-298https://doi.org/10.1097/OPX.0000000000001207
- How accurate is an LCD screen version of the Pelli-Robson test?.Int Ophthalmol. 2018; 38: 1473-1484https://doi.org/10.1007/s10792-017-0609-0
- Measuring contrast sensitivity.Vision Res. 2013; 90: 10-14https://doi.org/10.1016/j.visres.2013.04.015
- The effect of blur on visual selective attention.(Department of Psychology, College of Arts and Sciences) Kansas State University, Manhattan, Kansas2016
- The role of clarity and blur in guiding visual attention in photographs.J Exp Psychol Hum Percept Perform. 2013; 39: 568-578https://doi.org/10.1037/a0029877
- The role of fixational eye movements in visual perception.Nat Rev Neurosci. 2004; 5: 229-240https://doi.org/10.1038/nrn1348
- How selective attention affects the detection of motion changes with peripheral vision in MOT.Heliyon. 2019; 2e02282https://doi.org/10.1016/j.heliyon.2019.e02282
- Wpływ informacji wzrokowej na proces kontroli balansu ciała.Optyka. 2018; 6: 38-42
- Peripheral vision for perception and action.Exp Brain Res. 2005; 165: 97-106https://doi.org/10.1007/s00221-005-2285-y
- Neuronal activity related to eye-hand coordination in the primate premotor cortex.Exp Brain Res. 1999; 128: 205-209https://doi.org/10.1007/s002210050837
- The influence of soft multifocal contact lenses with high additions on the eye-hand coordination.OphthaTherapy. 2019; 4https://doi.org/10.24292/01.OT.311219.07
- Impaired body balance control in adults with strabismus.Vision Res. 2014; 98: 35-45https://doi.org/10.1016/j.visres.2014.03.008
- The effect of overnight contact lens corneal reshaping on higher-order aberrations and best-corrected visual acuity.Optom Vis Sci. 2005; 82: 490-497
- Corneal higher-order aberrations induced by overnight orthokeratology.Am J Ophthalmol. 2005; 139: 429-436https://doi.org/10.1016/j.ajo.2004.10.006
- Contrast sensitivity function and ocular higher-order aberrations following overnight orthokeratology.Invest Ophthalmol Vis Sci. 2007; 48: 550-556https://doi.org/10.1167/iovs.06-0914
- Ocular optical aberrations after photorefractive keratectomy for myopia and myopic astigmatism.Arch Ophthalmol. 2000; 118: 17-21https://doi.org/10.1001/archopht.118.1.17
- Comparison of high-order optical aberrations induced by different multifocal contact lens geometries.J. Français D Ophtalmologie. 2005; 28: 599-604
- Power profiles of single vision and multifocal soft contact lenses.Cont Lens Anterior Eye. 2015; 38: 2-14https://doi.org/10.1016/j.clae.2014.07.008
- Through-focus performance with multifocal contact lenses: effect of binocularity, pupil diameter and inherent ocular aberrations.Ophthalmic Physiol Opt. 2013; 33: 42-50https://doi.org/10.1111/opo.12004
Article info
Publication history
Published online: December 13, 2019
Accepted:
December 2,
2019
Received in revised form:
November 30,
2019
Received:
September 14,
2019
Identification
Copyright
© 2019 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
