Correcting progressive myopia with bifocal contact lenses with central zone for distant vision: changes in accommodation and axial length (a preliminary report)
Abstract:Миопия занимает лидирующее место в структуре рефракционных нарушений как в России, так и за рубежом. В отдельных странах азиатского региона у детей и подростков распространенность миопической рефракции превышает 85%, причем в большинстве случаев в студенческом возрасте степень миопии пре-вышает 6,0 дптр [1]. Выявлена четкая взаимосвязь потенциальных осложнений (центральная и периферическая дистрофии сетчатки, отслойка сетчатки, гла
“…To date, peripheral defocus contact lenses have been shown to be superior to peripheral defocus ophthalmic lenses, but studies are being conducted on newer technologies that may reveal new data [36,64]. The combined potential benefit of peripheral defocus contact lenses and their bifocal effect on accommodation has been reported, and investigations continue to substantiate this [33,[65][66][67].…”
Section: ) Bifocal and Multifocal Soft Contact Lensesmentioning
Myopia is the most common refractive error in the world, and its’ prevalence continually increases. The potential pathological and visual complications of progressive myopia have inspired researchers to study the sources of myopia, axial elongation, and explore modalities to arrest progression. Considerable attention has been given over the past few years to the myopia risk factor known as hyperopic peripheral blur, the focus of this review. The primary theories currently believed to be the cause of myopia, the parameters considered to contribute and influence the effect of peripheral blur, such as the surface retinal area or depth of blur will be discussed. The currently available optical devices designed to provide peripheral myopic defocus will be discussed, including bifocal and progressive addition ophthalmic lenses, peripheral defocus single vision ophthalmic lenses, orthokeratology lenses, and bifocal or multifocal center distance soft lenses, as well as their effectivity as mentioned in the literature to date.
“…To date, peripheral defocus contact lenses have been shown to be superior to peripheral defocus ophthalmic lenses, but studies are being conducted on newer technologies that may reveal new data [36,64]. The combined potential benefit of peripheral defocus contact lenses and their bifocal effect on accommodation has been reported, and investigations continue to substantiate this [33,[65][66][67].…”
Section: ) Bifocal and Multifocal Soft Contact Lensesmentioning
Myopia is the most common refractive error in the world, and its’ prevalence continually increases. The potential pathological and visual complications of progressive myopia have inspired researchers to study the sources of myopia, axial elongation, and explore modalities to arrest progression. Considerable attention has been given over the past few years to the myopia risk factor known as hyperopic peripheral blur, the focus of this review. The primary theories currently believed to be the cause of myopia, the parameters considered to contribute and influence the effect of peripheral blur, such as the surface retinal area or depth of blur will be discussed. The currently available optical devices designed to provide peripheral myopic defocus will be discussed, including bifocal and progressive addition ophthalmic lenses, peripheral defocus single vision ophthalmic lenses, orthokeratology lenses, and bifocal or multifocal center distance soft lenses, as well as their effectivity as mentioned in the literature to date.
“…[ 31 , 56 ] The combined potential benefit of peripheral defocus contact lenses may affect myopic progression because of the additional bifocal effect on accommodation has been reported and investigations to substantiate this continues. [ 28 , 57 , 58 ] Both concentric ring bifocals and peripheral addition multifocal soft contact lenses have been shown to be clinically effective for decreasing myopia progression in school-aged children, with an overall myopia control rate of 30%–50% over 2 years. Concentric ring bifocal soft contact lenses seem to have a greater effect than peripheral addition multifocal soft contact lenses.…”
Section: Bifocal and Multifocal Soft Contact Lensesmentioning
Myopia is the most common refractive error in the world and has reached a pandemic level. The potential complications of progressive myopia have inspired researchers to attempt to understand the sources of myopia and axial elongation and to develop modalities to arrest progression. Considerable attention has been given over the past few years to the myopia risk factor known as hyperopic peripheral blur, which is the focus of this review. It will discuss the primary theories believed to be the cause of myopia and the parameters considered to contribute to and influence the effect of peripheral blur, such as the surface retinal area of blur or the depth of blur. The multitude of optical devices designed to provide peripheral myopic defocus will be mentioned, including bifocal and progressive addition ophthalmic lenses, peripheral defocus single-vision ophthalmic lenses, orthokeratology lenses, and bifocal or multifocal center distance soft lenses, as well as their effectivity as discussed in the literature to date.
“…Одним из самых распространенных методов корректировки развития близорукости и улучшения состояния зрительной системы является применение ортокератологических контактных линз, являющихся специальными жесткими контактными линзами обратной геометрии для ночного ношения [23]. Они используются для временного изменения формы роговицы глаза.…”
Section: современные научные методы коррекции и лечения прогрессирующ...unclassified
В связи с увеличением числа пациентов, страдающих миопией, и широким распространением использования различных гаджетов в настоящее время актуальной является оценка необходимости разработки и дальнейшего применения разного рода методик, направленных на прогнозирование и лечение или профилактику прогрессирования данного заболевания. Цель работы – выполнить обзор современных (на 2022 г.) научных методов прогнозирования развития миопии, а также проанализировать аспект новых методов диагностики и профилактики. В работе рассмотрены исследования по диагностике, в основе которых лежат методы интеллектуального анализа данных и машинного обучения, а также способы корректировки и лечения прогрессирующей миопии, в число которых входят специальные устройства-тренажеры и различные цифровые сервисы, анализ которых показал, что на настоящий момент не разработан тренажер, совмещающий одновременно диагностику близорукости и коррекцию процесса тренинга. Однако существуют все технологические решения для реализации подобного рода цифрового сервиса для офтальмологической помощи. Таким образом, создание программного обеспечения, объединяющего персональные диагностические большие данные и процесс тренинга зрения, имеет высокую востребованность в офтальмологической помощи.
Due to the increase in the number of patients suffering from myopia and the widespread use of various gadgets, it is currently urgent to assess the need for the development and further application of various methods aimed at predicting and treating or preventing the progression of this disease. The purpose of this work is to review modern (for 2022) scientific methods for predicting the development of myopia, as well as to analyze the aspect of new methods of diagnosis and prevention. The paper considers diagnostic studies based on methods of data mining and machine learning, as well as ways to correct and treat progressive myopia, which include special devices-simulators and various digital services. An analysis of the latter was carried out, which showed that at the moment no simulator has been developed that combines the diagnosis of myopia and correction of the training process at the same time. However, there are all technological solutions for the implementation of this kind of digital service for ophthalmic care. Thus, the creation of software that combines personal diagnostic big data and the process of vision training is in high demand in ophthalmic care.
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