Studies using concentric ring bifocal and peripheral add multifocal contact lenses to slow myopia progression in school‐aged children: a meta‐analysis
Purpose To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school‐aged children. Methods We systematically searched MEDLINE, EMBASE, Cochrane Library and reference lists of included trials. Methodologica...
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| Published in | Ophthalmic & physiological optics Vol. 37; no. 1; pp. 51 - 59 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Wiley Subscription Services, Inc
01.01.2017
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Purpose
To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school‐aged children.
Methods
We systematically searched MEDLINE, EMBASE, Cochrane Library and reference lists of included trials. Methodological quality of included trials was assessed using Jadad Scale and Newcastle‐Ottawa Quality Assessment Scale items.
Results
We identified five randomised controlled trials (RCTs) and three cohort studies with a total of 587 myopic children. Compared with the control group, concentric ring bifocal soft contact lenses showed less myopia progression with a weighted mean difference (WMD) of 0.31 D (95% CI, 0.05~0.57 D, p = 0.02) and less axial elongation with a WMD of −0.12 mm (95% CI, approximately −0.18 to −0.07 mm, p < 0.0001) at 12 months. Relative to the control group, peripheral add multifocal soft contact lenses showed less myopia progression with a WMD of 0.22 D (95% CI 0.14~0.31 D, p < 0.0001) and less axial elongation of −0.10 mm (95% CI −0.13~0.07 mm, p < 0.0001) at 12 months, respectively. The soft contact lenses with concentric ring bifocal and peripheral add multifocal designs produced additional myopia control rates of 30~38% for slowing myopia progression and 31~51% for lessening axial elongation within 24 months.
Conclusions
Both concentric ring bifocal and peripheral add multifocal soft contact lenses are clinically effective for controlling myopia in school‐aged children, with an overall myopia control rates of 30~50% over 2 years. Concentric ring bifocal soft contact lenses seem to have greater effect than peripheral add multifocal soft contact lenses. |
|---|---|
| AbstractList | Purpose
To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school‐aged children.
Methods
We systematically searched MEDLINE, EMBASE, Cochrane Library and reference lists of included trials. Methodological quality of included trials was assessed using Jadad Scale and Newcastle‐Ottawa Quality Assessment Scale items.
Results
We identified five randomised controlled trials (RCTs) and three cohort studies with a total of 587 myopic children. Compared with the control group, concentric ring bifocal soft contact lenses showed less myopia progression with a weighted mean difference (WMD) of 0.31 D (95% CI, 0.05~0.57 D, p = 0.02) and less axial elongation with a WMD of −0.12 mm (95% CI, approximately −0.18 to −0.07 mm, p < 0.0001) at 12 months. Relative to the control group, peripheral add multifocal soft contact lenses showed less myopia progression with a WMD of 0.22 D (95% CI 0.14~0.31 D, p < 0.0001) and less axial elongation of −0.10 mm (95% CI −0.13~0.07 mm, p < 0.0001) at 12 months, respectively. The soft contact lenses with concentric ring bifocal and peripheral add multifocal designs produced additional myopia control rates of 30~38% for slowing myopia progression and 31~51% for lessening axial elongation within 24 months.
Conclusions
Both concentric ring bifocal and peripheral add multifocal soft contact lenses are clinically effective for controlling myopia in school‐aged children, with an overall myopia control rates of 30~50% over 2 years. Concentric ring bifocal soft contact lenses seem to have greater effect than peripheral add multifocal soft contact lenses. PURPOSETo evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school-aged children.METHODSWe systematically searched MEDLINE, EMBASE, Cochrane Library and reference lists of included trials. Methodological quality of included trials was assessed using Jadad Scale and Newcastle-Ottawa Quality Assessment Scale items.RESULTSWe identified five randomised controlled trials (RCTs) and three cohort studies with a total of 587 myopic children. Compared with the control group, concentric ring bifocal soft contact lenses showed less myopia progression with a weighted mean difference (WMD) of 0.31 D (95% CI, 0.05~0.57 D, p = 0.02) and less axial elongation with a WMD of -0.12 mm (95% CI, approximately -0.18 to -0.07 mm, p < 0.0001) at 12 months. Relative to the control group, peripheral add multifocal soft contact lenses showed less myopia progression with a WMD of 0.22 D (95% CI 0.14~0.31 D, p < 0.0001) and less axial elongation of -0.10 mm (95% CI -0.13~0.07 mm, p < 0.0001) at 12 months, respectively. The soft contact lenses with concentric ring bifocal and peripheral add multifocal designs produced additional myopia control rates of 30~38% for slowing myopia progression and 31~51% for lessening axial elongation within 24 months.CONCLUSIONSBoth concentric ring bifocal and peripheral add multifocal soft contact lenses are clinically effective for controlling myopia in school-aged children, with an overall myopia control rates of 30~50% over 2 years. Concentric ring bifocal soft contact lenses seem to have greater effect than peripheral add multifocal soft contact lenses. Abstract Purpose To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school‐aged children. Methods We systematically searched MEDLINE , EMBASE , Cochrane Library and reference lists of included trials. Methodological quality of included trials was assessed using Jadad Scale and Newcastle‐Ottawa Quality Assessment Scale items. Results We identified five randomised controlled trials ( RCT s) and three cohort studies with a total of 587 myopic children. Compared with the control group, concentric ring bifocal soft contact lenses showed less myopia progression with a weighted mean difference ( WMD ) of 0.31 D (95% CI , 0.05~0.57 D, p = 0.02) and less axial elongation with a WMD of −0.12 mm (95% CI , approximately −0.18 to −0.07 mm, p < 0.0001) at 12 months. Relative to the control group, peripheral add multifocal soft contact lenses showed less myopia progression with a WMD of 0.22 D (95% CI 0.14~0.31 D, p < 0.0001) and less axial elongation of −0.10 mm (95% CI −0.13~0.07 mm, p < 0.0001) at 12 months, respectively. The soft contact lenses with concentric ring bifocal and peripheral add multifocal designs produced additional myopia control rates of 30~38% for slowing myopia progression and 31~51% for lessening axial elongation within 24 months. Conclusions Both concentric ring bifocal and peripheral add multifocal soft contact lenses are clinically effective for controlling myopia in school‐aged children, with an overall myopia control rates of 30~50% over 2 years. Concentric ring bifocal soft contact lenses seem to have greater effect than peripheral add multifocal soft contact lenses. Purpose To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school-aged children. Methods We systematically searched MEDLINE,EMBASE, Cochrane Library and reference lists of included trials. Methodological quality of included trials was assessed using Jadad Scale and Newcastle-Ottawa Quality Assessment Scale items. Results We identified five randomised controlled trials (RCTs) and three cohort studies with a total of 587 myopic children. Compared with the control group, concentric ring bifocal soft contact lenses showed less myopia progression with a weighted mean difference (WMD) of 0.31 D (95% CI, 0.05~0.57 D, p = 0.02) and less axial elongation with a WMD of -0.12 mm (95% CI, approximately -0.18 to -0.07 mm, p < 0.0001) at 12 months. Relative to the control group, peripheral add multifocal soft contact lenses showed less myopia progression with a WMD of 0.22 D (95% CI 0.14~0.31 D, p < 0.0001) and less axial elongation of -0.10 mm (95% CI -0.13~0.07 mm, p < 0.0001) at 12 months, respectively. The soft contact lenses with concentric ring bifocal and peripheral add multifocal designs produced additional myopia control rates of 30~38% for slowing myopia progression and 31~51% for lessening axial elongation within 24 months. Conclusions Both concentric ring bifocal and peripheral add multifocal soft contact lenses are clinically effective for controlling myopia in school-aged children, with an overall myopia control rates of 30~50% over 2 years. Concentric ring bifocal soft contact lenses seem to have greater effect than peripheral add multifocal soft contact lenses. To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school-aged children. We systematically searched MEDLINE, EMBASE, Cochrane Library and reference lists of included trials. Methodological quality of included trials was assessed using Jadad Scale and Newcastle-Ottawa Quality Assessment Scale items. We identified five randomised controlled trials (RCTs) and three cohort studies with a total of 587 myopic children. Compared with the control group, concentric ring bifocal soft contact lenses showed less myopia progression with a weighted mean difference (WMD) of 0.31 D (95% CI, 0.05~0.57 D, p = 0.02) and less axial elongation with a WMD of -0.12 mm (95% CI, approximately -0.18 to -0.07 mm, p < 0.0001) at 12 months. Relative to the control group, peripheral add multifocal soft contact lenses showed less myopia progression with a WMD of 0.22 D (95% CI 0.14~0.31 D, p < 0.0001) and less axial elongation of -0.10 mm (95% CI -0.13~0.07 mm, p < 0.0001) at 12 months, respectively. The soft contact lenses with concentric ring bifocal and peripheral add multifocal designs produced additional myopia control rates of 30~38% for slowing myopia progression and 31~51% for lessening axial elongation within 24 months. Both concentric ring bifocal and peripheral add multifocal soft contact lenses are clinically effective for controlling myopia in school-aged children, with an overall myopia control rates of 30~50% over 2 years. Concentric ring bifocal soft contact lenses seem to have greater effect than peripheral add multifocal soft contact lenses. |
| Author | Peng, Xiaoxia Kang, Meng‐Tian Wei, Shi‐Fei Li, Shi‐Ming Meng, Bo Liu, Luoru Chen, Zhuo Wang, Ningli Wu, Shan‐Shan Zhang, Fengju Sun, Yun‐Yun |
| Author_xml | – sequence: 1 givenname: Shi‐Ming surname: Li fullname: Li, Shi‐Ming organization: Capital Medical University – sequence: 2 givenname: Meng‐Tian surname: Kang fullname: Kang, Meng‐Tian organization: Capital Medical University – sequence: 3 givenname: Shan‐Shan surname: Wu fullname: Wu, Shan‐Shan organization: Capital Medical University – sequence: 4 givenname: Bo surname: Meng fullname: Meng, Bo organization: Capital Medical University – sequence: 5 givenname: Yun‐Yun surname: Sun fullname: Sun, Yun‐Yun organization: Capital Medical University – sequence: 6 givenname: Shi‐Fei surname: Wei fullname: Wei, Shi‐Fei organization: Capital Medical University – sequence: 7 givenname: Luoru surname: Liu fullname: Liu, Luoru organization: Anyang Eye Hospital – sequence: 8 givenname: Xiaoxia surname: Peng fullname: Peng, Xiaoxia organization: Capital Medical University – sequence: 9 givenname: Zhuo surname: Chen fullname: Chen, Zhuo organization: Lakewood Eye Care – sequence: 10 givenname: Fengju surname: Zhang fullname: Zhang, Fengju organization: Capital Medical University – sequence: 11 givenname: Ningli surname: Wang fullname: Wang, Ningli email: wningli@vip.163.com organization: Capital Medical University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27880992$$D View this record in MEDLINE/PubMed |
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To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in... To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in school-aged... Abstract Purpose To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia... Purpose To evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in... PURPOSETo evaluate the effect of soft contact lens with concentric ring bifocal and peripheral add multifocal designs on controlling myopia progression in... |
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| SubjectTerms | Child Children Contact Lenses Disease Progression Elongation Equipment Design Humans Manufacturing Meta-analysis Myopia Myopia, Degenerative - physiopathology Myopia, Degenerative - therapy Quality control Refraction, Ocular - physiology soft contact lens Visual Acuity |
| Title | Studies using concentric ring bifocal and peripheral add multifocal contact lenses to slow myopia progression in school‐aged children: a meta‐analysis |
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