Visual Performance of Two Designs of Myopia Management Soft Contact Lenses Compared with a Monofocal One in Young Adults

Abstract

Purpose: To compare the visual performance of two distinct types of soft contact lenses (CL) aimed at slowing down myopia progression with the performance of a monofocal soft CL.
Methods: In a prospective double-masked, crossover trial, 18 myopic adults (aged 18–30 years old) were fitted in a randomized order with three types of disposable CL: MiSightTM (dual-focus), MyloTM (extended depth of focus -EDOF-), and ClaritiTM (single distance vision). Measurements were taken after wearing the CL for five days with five days off in between at two different optometry centers. High contrast distance visual acuity (VA) with spectacles and for each of the different CL, subjective refraction, slit lamp exam, aberrometry, stereopsis, monocular and binocular amplitude of accommodation and accommodative facility, and horizontal phorias were measured.
Results: The high contrast distance VA was better for the single vision CL compared to the myopia control CL. No significant differences were observed between the r two myopia control CL. The overall root mean square (RMS) was higher for the double focus CL (RMS = 1.18 ± 0.29 μm), followed by the EDOF CL (RMS = 0.76 ± 0.35 μm) and then the single vision CL (RMS = 0.50 ± 0.19 μm). The primary spherical aberration (SA) mean value was low for all of the three CL, without statistical differences among them. No other significant differences were detected.
Conclusion: The overall RMS resulted in a higher value for the dual-focus than the EDOF CL, but no differences in high contrast distance VA and binocularity were detected between them. The monofocal CL’s performance was better than the myopia control CL.

Keywords:

Dual-focus contact lens, Extended depth of focus contact lens, Myopia control

References
1. Smith MJ, Walline JJ. Controlling myopia progression in children and adolescents. Adolesc Health Med Ther 2015;6:133–140.

2. Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology 2016;123:1036–1042.

3. Rudnicka AR, Kapetanakis VV, Wathern AK, Logan NS, Gilmartin B, Whincup PH, et al. Global variations and time trends in the prevalence of childhood myopia, a systematic review and quantitative meta-analysis: Implications for aetiology and early prevention. Br J Ophthalmol 2016;100:882–890.

4. Pärssinen O, Kauppinen M. Risk factors for high myopia: A 22-year follow-up study from childhood to adulthood. Acta Ophthalmol 2019;97:510–518.

5. Ohno-Matsui K. Definition of pathologic myopia (PM). In: Ohno-Matsui K, editor. Atlas of pathologic myopia. Singapore: Springer Nature Singapore Pte Ltd.; 2020. pp. 3–6.

6. Moriyama M, Ohno-Matsui K, Hayashi K, Shimada N, Yoshida T, Tokoro T, et al. Topographic analyses of shape of eyes with pathologic myopia by highresolution three-dimensional magnetic resonance imaging. Ophthalmology 2011;118:1626–1637.

7. Leo SW; Scientific Bureau of World Society of Paediatric Ophthalmology and Strabismus (WSPOS). Current approaches to myopia control. Curr Opin Ophthalmol 2017;28:267–275.

8. Bullimore MA, Richdale K. Myopia control 2020: Where are we and where are we heading? Ophthalmic Physiol Opt 2020;40:254–270.

9. Lam CS, Tang WC, Lee PH, Zhang HY, Qi H, Hasegawa K, et al. Myopia control effect of defocus incorporated multiple segments (DIMS) spectacle lens in Chinese children: Results of a 3-year follow-up study. Br J Ophthalmol 2022;106:1110–1114.

10. Singh NK, Meyer D, Jaskulski M, Kollbaum P. Retinal defocus in myopes wearing dual-focus zonal contact lenses. Ophthalmic Physiol Opt 2022;42:8–18.

11. Kollbaum PS, Jansen ME, Tan J, Meyer DM, Rickert ME. Vision performance with a contact lens designed to slow myopia progression. Optom Vis Sci 2013;90:205–214.

12. Sha J, Tilia D, Diec J, Fedtke C, Yeotikar N, Jong M, et al. Visual performance of myopia control soft contact lenses in non-presbyopic myopes. Clin Optom (Auckl) 2018;10:75–86.

13. Chamberlain P, Peixoto-de-Matos SC, Logan NS, Ngo C, Jones D, Young G. A 3-year randomized clinical trial of MiSight lenses for myopia control. Optom Vis Sci 2019;96:556–567.

14. Ruiz-Pomeda A, Pérez-Sánchez B, Valls I, Prieto-Garrido FL, Gutiérrez-Ortega R, Villa-Collar C. MiSight assessment study Spain (MASS). A 2-year randomized clinical trial. Graefes Arch Clin Exp Ophthalmol 2018;256:1011–1021.

15. Woods J, Jones D, Jones L, Jones S, Hunt C, Chamberlain P, et al. Ocular health of children wearing daily disposable contact lenses over a 6-year period. Cont Lens Anterior Eye 2021;44:101391.

16. Chamberlain P, Lazon de la Jara P, Arumugam B, Bullimore MA. Axial length targets for myopia control. Ophthalmic Physiol Opt 2021;41:523–531.

17. Sha J, Tilia D, Kho D, Diec J, Thomas V, Bakaraju RC. Comparison of extended depth-of-focus prototype contact lenses with the 1-Day acuvue moist multifocal after one week of wear. Eye Contact Lens 2018;44:S157–S163.

18. Rizzo GC, Di Vizio A, Versaci F, Przekoracka K, Tavazzi S, Zeri F. Centration assessment of an extended depth of focus contact lens for myopic progression control. Cont Lens Anterior Eye 2023;46:101533.

19. Sankaridurg P, Bakaraju RC, Naduvilath T, Chen X, Weng R, Tilia D, et al. Myopia control with novel central and peripheral plus contact lenses and extended depth of focus contact lenses: 2 year results from a randomised clinical trial. Ophthalmic Physiol Opt 2019;39:294–307.

20. Ruiz-Pomeda A, Prieto-Garrido FL, Hernández Verdejo JL, Villa-Collar C. Rebound effect in the misight assessment study Spain (Mass). Curr Eye Res 2021;46:1223–1226.

21. Huang J, Wen D, Wang Q, McAlinden C, Flitcroft I, Chen H, et al. Efficacy comparison of 16 interventions for myopia control in children: A network meta-analysis. Ophthalmology 2016;123:697–708.

22. García-Marqués JV, Macedo-De-Araújo RJ, Cerviño A, García-Lázaro S, McAlinden C, González-Méijome JM. Comparison of short-term light disturbance, optical and visual performance outcomes between a myopia control contact lens and a single-vision contact lens. Ophthalmic Physiol Opt 2020;40:718–727.

23. Tilia D, Bakaraju RC, Chung J, Sha J, Delaney S, Munro A, et al. Short-term visual performance of novel extended depth-of-focus contact lenses. Optom Vis Sci 2016;93:435–444.

24. Kang P, McAlinden C, Wildsoet CF. Effects of multifocal soft contact lenses used to slow myopia progression on quality of vision in young adults. Acta Ophthalmol 2017;95:e43– e53.

25. Ruiz-Pomeda A, Pérez-Sánchez B, Cañadas P, Prieto- Garrido FL, Gutiérrez-Ortega R, Villa-Collar C. Binocular and accommodative function in the controlled randomized clinical trial MiSight® Assessment Study Spain (MASS). Graefes Arch Clin Exp Ophthalmol 2019;257:207–215.

26. Hiraoka T, Kiuchi G, Hiraoka R, Kotsuka J, Kinoshita Y, Oshika T. Comparison of visual performance between extended depth of focus contact lens and single-vision contact lens in eyes with monofocal intraocular lens. Jpn J Ophthalmol 2021;65:803–809.

27. Cheng X, Xu J, Brennan NA. Accommodation and its role in myopia progression and control with soft contact lenses. Ophthalmic Physiol Opt 2019;39:162–171.

28. Vera J, Redondo B, Galan T, Machado P, Molina R, Koulieris GA, et al. Dynamics of the accommodative response and facility with dual-focus soft contact lenses for myopia control. Cont Lens Anterior Eye 2023;46:101526.

29. Gifford KL, Schmid KL, Collins JM, Maher CB, Makan R, Nguyen E, et al. Multifocal contact lens design, not addition power, affects accommodation responses in young adult myopes. Ophthalmic Physiol Opt 2021;41:1346–1354. Vis Sci 2017;94:353–360.

30. Gong CR, Troilo D, Richdale K. Accommodation and phoria in children wearing multifocal contact lenses. Optom Vis Sci 2017;94:353–360.

31. Bakaraju RC, Tilia D, Sha J, Diec J, Chung J, Kho D, et al. Extended depth of focus contact lenses vs. two commercial multifocals: Part 2. Visual performance after 1 week of lens wear. J Optom 2018;11:21–32.

32. Garcia-Marques JV, Macedo-de-Araujo R, Lopes-Ferreira D, Cervino A, Garcia-Lazaro S, Gonzalez-Meijome JM. Tear film stability over a myopia control contact lens compared to a monofocal design. Clin Exp Optom 2021;1–7.

33. Fedtke C, Sha J, Thomas V, Ehrmann K, Bakaraju RC. Impact of spherical aberration terms on multifocal contact lens performance. Optom Vis Sci 2017;94:197–207.

34. Fedtke C, Ehrmann K, Bakaraju RC. Peripheral refraction and spherical aberration profiles with single vision, bifocal and multifocal soft contact lenses. J Optom 2020;13:15– 28.

35. Hughes RP, Vincent SJ, Read SA, Collins MJ. Higher order aberrations, refractive error development and myopia control: a review. Clin Exp Optom 2020;103:68–85.