Background: It is unclear whether multifocal soft contact lenses (MFSCLs) affect visual quality when they are used for myopia control in juvenile myopes. The aim of this study was, therefore, to investigate the effect of MFSCLs on visual quality among juvenile myopia subjects. Methods: In a prospective, intervention study, thirty-three juvenile myopes were enrolled. Visual perception was assessed by a quality of vision (QoV) questionnaire with spectacles at baseline and after 1 month of MFSCL wear. At the one-month visit, the high (96%) contrast distance visual acuity (distance HCVA) and low (10%) contrast distance visual acuity (distance LCVA) were measured with single vision spectacle lenses, single vision soft contact lenses (SVSCLs) and MFSCLs in a random order. Wavefront aberrations were measured with SVSCLs, with MFSCLs, and without any correction. Results: Neither distance HCVA (p > 0.05) nor distance LCVA (p > 0.05) revealed any significant difference between MFSCLs, SVSCLs and single vision spectacle lenses. The overall score (the sum of ten symptoms) of the QoV questionnaire did not show a statistically significant difference between spectacles at baseline and after 1 month of MFSCL wear (p = 0.357). The results showed that the frequency (p < 0.001), severity (p = 0.001) and bothersome degree (p = 0.016) of halos were significantly worse when wearing MFSCLs than when wearing single vision spectacle lenses. In contrast, the bothersome degree caused by focusing difficulty (p = 0.046) and the frequency of difficulty in judging distance or depth perception (p = 0.046) were better when wearing MFSCLs than when wearing single vision spectacle lenses. Compared with the naked eye, MFSCLs increased the total aberrations (p < 0.001), higher-order aberrations (p < 0.001), trefoil (p = 0.023), coma aberrations (p < 0.001) and spherical aberrations (SA) (p < 0.001). Compared with the SVSCLs, MFSCLs increased the total aberrations (p < 0.001), higher-order aberrations (p < 0.001), coma aberrations (p < 0.001) and SA (p < 0.001). The direction of SA was more positive (p < 0.001) with the MFSCLs and more negative (p = 0.001) with the SVSCLs compared with the naked eye. Conclusions: Wearing MFSCLs can provide satisfactory corrected visual acuity (both distance HCVA and distance LCVA). Although the lenses increased the aberrations, such as total aberrations and higher-order aberrations, there were few adverse effects on the distance HCVA, distance LCVA and visual perception after 1 month of MFSCL use.
Background It is generally accepted the association between hyperopic peripheral defocus and myopia progression. To search for a good optical method to slow the myopia progression for the children who need long-time near work, we compared the effects of novel multifocal soft contact lenses (MFSCLs) with single vision soft contact lenses (SVSCLs) on peripheral refraction when looking at both distant and near targets. Methods The refraction of 25 young myopic subjects’ right eye were measured at horizontal retina eccentricities in 10º steps from 30º temporal to 30º nasal, with no correction (baseline), novel MFSCLs and SVSCLs when looking at distant (5 m) and near (0.4 m) targets. Results Subjects wearing MFSCLs presented significantly more myopic relative peripheral refractive error (RPRE) profile than SVSCLs at all horizontal retina eccentricities when looking at distant targets (all p<0.01). Compared with looking at distant targets, subjects wearing SVSCLs or MFSCLs showed a hyperopic shift of peripheral defocus when looking at near targets, owning to the effects of accommodative lag and hyperopic RPRE change during accommodation (except T20º and T30º wearing SVSCLs and N30º wearing MFSCLs, p=0.822, p=0.950, p=0.390, respectively, all other eccentricities p<0.05). But subjects wearing MFSCLs could still maintain a certain magnitude of myopic peripheral defocus at horizontal retina eccentricities when looking at near targets (T20° and T30°, p=0.023 and p<0.001, respectively). Conclusions The novel MFSCLs imposed strong myopic peripheral defocus when looking at distant targets. They also maintain a certain magnitude of myopic peripheral defocus when looking at near targets, regardless of the hyperopic effect of accommodation lag and hyperopic shift in RPRE during accommodation.
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