The influence of high additions in multifocal contact lenses for myopia control on binocular vision

• Authors: Sylwia Kropacz-Sobkowiak , Anna Przekoracka-Krawczyk , Andrzej Michalski , Jan Olszewski , Klaudia Wasilewska

Abstracts

EN

Methods: A prospective randomized, double-blind study including 24 subjects aged between 18 and 36 years. Subjects were divided into two groups. The first group wore multifocal soft contact lenses (MFSCLs) with a 3.0 mm central zone diameter, while the second group wore contact lenses with 4.5 mm central zones. Each subject was fitted with two MFSCLs: one with +2.00 D and the other with +4.00 D peripheral addition power and, additionally, with plano single vision contact lenses (SVCLs). Phoria at a distance and near, distance and near vergence ranges, vergence facility at near, stereopsis at near, and fixation disparity at near were measured in each study lens type.
Results: No significant influence of addition on distance phoria was found in either group (p = 0.446 and p = 0.317, for 3 mm and 4.5 mm central zone diameter, respectively). Additionally, no significant difference was observed for any MFSCLs and SVCLs in near phoria (p = 0.320), near vergence facility (p = 0.197), or near fixation disparity (p = 0.203). A decline in fusional vergence ranges at a distance in the base-out direction was noted in subjects wearing +4.00 D addition compared to +2.00 D addition (p = 0.002) and plano lenses (p = 0.014). Both additions reduced fusional vergence ranges at near the base out (p = 0.020) and shifted vergence ranges more in the exophoria base in directions (p = 0.014).
Conclusions: The study showed that MFSCLs with high additional power in the periphery have only a marginal impact on the binocular functions.

Keywords

EN

multifocal contact lenses; myopia; myopia control; binocular vision; phoria

• Publisher: Medical Education
• Journal: OphthaTherapy
• Year: 2024
• Volume: 11
• Issue: 1
• Pages: 36-45

Dates

published

2024

Contributors

author

Sylwia Kropacz-Sobkowiak

• Laboratory of Vision Science and Optometry, Faculty of Physics, Adam Mickiewicz University in Poznan

• https://orcid.org/0000000249417195

author

Anna Przekoracka-Krawczyk

• Laboratory of Vision Science and Optometry, Faculty of Physics, Adam Mickiewicz University in Poznan

• https://orcid.org/0000000324014135

author

Andrzej Michalski

• Department of Ophthalmology, Chair of Ophthalmology and Optometry, Poznan University of Medical Sciences

• https://orcid.org/0000000302601320

author

Jan Olszewski

• Department of Health Sciences, Calisia University

• https://orcid.org/0000000260323077

author

Klaudia Wasilewska

• Laboratory of Vision Science and Optometry, Faculty of Physics, Adam Mickiewicz University in Poznan

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Identifiers

DOI

10.24292/01.OT.300324.6

Biblioteka Nauki

56308707