Abstract：Objective: To investigate the effect of multifocal soft contact lenses on accommodation and vergencebehavior in juvenile myopia subjects. Methods: In this case series study, forty-six children andjuvenile myopia subjects were recruited at the Eye Hospital, Wenzhou Medical University from July toOctober 2017. Accommodative response and micro-fluctuations were measured as the subject observedtargets at 3.0 D vergence (33 cm) using the Grand Seiko WAM-5500 open-field autorefractor witheither single-vision spectacle lenses or multifocal soft contact lenses. Secondary measures includedaccommodative amplitude, facility, relative accommodation,distance/near phoria by von-Graefe, as wellas BI/BO to break at distance and near. Data were analyzed using paired t-tests. Results: The resultsshowed that there was no statistically significant difference between single-vision spectacle lenses andmultifocal soft contact lenses in the accommodative response, which was measured at 33 cm; but highermicro-fluctuations were found with single-vision spectacle lenses when compared with multifocalsoft contact lenses (t=-5.155, P<0.001). With multifocals, subjects were more exophoric at 40 cm(single-vision spectacle lenses: -0.83△±7.03△, multifocal soft contact lenses: -2.46△±6.29△; t=-2.647,P=0.011). There was a smaller BO to break at distance (t=-3.032, P=0.004) and larger BI to break at near(t=2.575, P=0.013). Conclusions: Juvenile myopes with multifocal contact lenses show an increase inaccommodative micro-fluctuations, more exophoria, and a larger vergence range at near than with singlevisionspectacle lenses. This suggests that the special designs of multifocal contact lenses may have animpact on accommodation and vergence behavior in juvenile myopes, and binocular vision should beexamined before multifocal contact lenses are chosen for myopia control.
林惠玲 江帆 郑辉浒 吴戈 许斌敏 姜珺. 儿童青少年配戴多焦软性角膜接触镜对调节聚散功能的影响[J]. 中华眼视光学与视觉科学杂志, 2021, 23(9): 669-674.
Huiling Lin, Fan Jiang, Huihu Zheng, Ge Wu, Binmin Xu, Jun Jiang. Accommodation and Vergence in Myopic Children and Juvenile Fitted withSoft Multifocal Contact Lenses. Chinese Journal of Optometry Ophthalmology and Visual science, 2021, 23(9): 669-674. DOI: 10.3760/cma.j.cn115909-20210407-00141
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