Аnnual results of the use of spectacle lenses with embedded rings of high-spherical microlenses Stellest™ for the control of myopia

Abstract

AIM: To evaluate the effect of continuous wearing of Stellest™ spectacle lenses on refractive dynamics, accommodation, and binocular interaction after 6 months and 1 year.

MATERIAL AND METHODS: Children aged 8–13 years who had mild-to-moderate myopia were included. Stellest™ spectacle lenses were prescribed to 35 children with myopia (3.15±0.19 D on average). The control group consisted of 32 children with myopia (2.68±0.18 D on average) using single-vision correction. Refraction, axial length of the eye, accommodation, and binocular interaction were evaluated.

RESULTS: After 1 year, the average increase in refraction in the Stellest™ group was 0.19±0.07 D. A decrease in the annual progression gradient (APG) was observed in 82.4% of cases and averaged 0.72±0.1 D. The axial length of the eye increased by an average of 0.08±0.02 mm. In the control group, after 1 year of observation, the average increase in refraction was 0.6±0.07 D. A decrease in APG was observed in 51.6% of the cases and averaged 0.26±0.12 D. The axial length of the eye increased by an average of 0.26±0.03 mm. After 1 year, the increase in refraction and growth of the axial length of the eye in the Stellest ™ group was less than that in the control group by 68.3% and 69.2%, respectively. In the Stellest™ group, positive relative accommodation (PRA) increased after 1 year by 1.06±0.14 D and that in the control group by 0.6±0.16 D. The difference was significant (p <0.02). No differences were found between the groups in terms of objective indicators of accommodation. The stabilization effect in Stellest™ spectacle lenses was the least pronounced with esophoria.

CONCLUSION: The use of Stellest™ spectacle lenses slows down the progression of myopia in children and reduces APG by more than two times. A significant increase in PRA was found in children using Stellest™ spectacle lenses for 1 year compared with children using single-vision correction.

Keywords

myopia / myopia control / myopia correction / myopia progression / myopic defocus

References

[1] Schaeffel F, Feldkaemper M. Animal models in myopia research. Clin Exp Optom. 2015;98(6):507–517. doi: 10.1111/cxo.12312

[2] Schaeffel F., Feldkaemper M. Animal models in myopia research // Clin Exp Optom. 2015. Vol. 98, N 6. Р. 507–517. doi: 10.1111/cxo.12312

[3] Troilo D, Smith EL 3rd, Nickla DL, et al. IMI-Report on Experimental Models of Emmetropization and Myopia. Invest Ophthalmol Vis Sci. 2019;60(3):M31–M88. doi: 10.1167/iovs.18-25967

[4] Troilo D., Smith E.L. 3rd, Nickla D.L., et al. IMI-Report on Experimental Models of Emmetropization and Myopia // Invest Ophthalmol Vis Sci. 2019. Vol. 60, N 3. Р. M31–M88. doi: 10.1167/iovs.18-25967

[5] Tarutta EP, Proskurina OV, Markossian GA, et al. A strategically oriented conception of optical prevention of myopia onset and progression. Russian Ophthalmological Journal. 2020;13(4):7–16. (In Russ). doi: 10.21516/2072-0076-2020-13-4-7-16

[6] Тарутта Е.П., Проскурина О.В., Маркосян Г.А., и др. Стратегически ориентированная концепция оптической профилактики возникновения и прогрессирования миопии // Российский офтальмологический журнал. 2020. Т. 13, № 4. С. 7–16. doi: 10.21516/2072-0076-2020-13-4-7-16

[7] Tarutta EP, Proskurina OV, Milash SV, et al. Peripheral defocus induced by «Perifocal-M» spectacles and myopia progression in children. Russian Pediatric Ophthalmology. 2015;10(2):33–37. (In Russ). doi: 10.17816/rpoj37658

[8] Тарутта Е.П., Проскурина О.В., Милаш С.В., и др. Индуцированный очками «Perifocal-M» периферический дефокус и прогрессирование миопии у детей // Российская педиатрическая офтальмология. 2015. Т. 10, № 2. С. 33–37. doi: 10.17816/rpoj37658

[9] Tarutta EP, Proskurina OV, Tarasova NA, et al. Long-term results of perifocal defocus spectacle lens correction in children with progressive myopia. Vestnik Oftalmologii. 2019;135(5):46–53. (In Russ). doi: 10.17116/oftalma201913505146

[10] Тарутта Е.П., Проскурина О.В., Тарасова Н.А., и др. Отдаленные результаты очковой коррекции с перифокальным дефокусом у детей с прогрессирующей миопией // Вестник офтальмологии. 2019. Т. 135, № 5. С. 46–53. doi: 10.17116/oftalma201913505146

[11] Berntsen DA, Barr CD, Donald O, Zadnik K. Peripheral Defocus and Myopia Progression in Myopic Children Randomly Assigned to Wear Single Vision and Progressive Addition Lenses. Invest Ophthalmol Vis Sci. 2013;54(8):5761–5770. doi: 10.1167/iovs.13-11904

[12] Berntsen D.A., Barr C.D., Donald O., Zadnik K. Peripheral Defocus and Myopia Progression in Myopic Children Randomly Assigned to Wear Single Vision and Progressive Addition Lenses // Invest Ophthalmol Vis Sci. 2013. Vol. 54, N 8. Р. 5761–5770. doi: 10.1167/iovs.13-11904

[13] Lam CSY, Tang WC, Tse DY, et al. Defocus Incorporated Multiple Segments (DIMS) spectacle lenses slow myopia progression: a 2-year randomised clinical trial. Br J Ophthalmol. 2020;104(3):363–368. doi: 10.1136/bjophthalmol-2018-313739

[14] Lam C.S.Y., Tang W.C., Tse D.Y., et al. Defocus Incorporated Multiple Segments (DIMS) spectacle lenses slow myopia progression: a 2-year randomised clinical trial // Br J Ophthalmol. 2020. Vol. 104, N 3. Р. 363–368. doi: 10.1136/bjophthalmol-2018-313739

[15] Lam CS, Tang WC, Lee PH, et al. Myopia control effect of defocus incorporated multiple segments (DIMS) spectacle lens in Chinese children: results of a 3-year follow-up study. Br J Ophthalmol. 2022;106(8):1110–1114. doi: 10.1136/bjophthalmol-2020-317664

[16] Lam C.S., Tang W.C., Lee P.H., et al. Myopia control effect of defocus incorporated multiple segments (DIMS) spectacle lens in Chinese children: results of a 3-year follow-up study // Br J Ophthalmol. 2022. Vol. 106, N 8. Р. 1110–1114. doi: 10.1136/bjophthalmol-2020-317664

[17] Lam CSY, Tang WC, Zhang HY, et al. Long-term myopia control effect and safety in children wearing DIMS spectacle lenses for 6 years. Sci Rep. 2023;13(1):5475. doi: 10.1038/s41598-023-32700-7

[18] Lam C.S.Y., Tang W.C., Zhang H.Y., et al. Long-term myopia control effect and safety in children wearing DIMS spectacle lenses for 6 years // Sci Rep. 2023. Vol. 13, N 1. P. 5475. doi: 10.1038/s41598-023-32700-7

[19] Tarutta EP, Proskurina OV, Tarasova NA, et al. Kachestvo zreniya i adaptatsiya k ochkam s novymi linzami dlya kontrolya miopii Stellest. XIV Russian National Ophthalmological Forum. Collection of scientific papers of a scientific-practical conference with international participation; 2021; Moscow: Aprel’. Vol. 1. P. 317–319. Available from: https://igb.ru/docs/roof/%D0%A1%D0%B1%D0%BE%D1%80%D0%BD%D0%B8%D0%BA%20%D0%BD%D0%B0%D1%83%D1%87%D0%BD%D1%8B%D1%85%20%D1%82%D1%80%D1%83%D0%B4%D0%BE%D0%B2%20(%D0%A2%D0%BE%D0%BC%201).pdf. Accessed: 07.10.2023. (In Russ).

[20] Тарутта Е.П., Проскурина О.В., Тарасова Н.А., и др. Качество зрения и адаптация к очкам с новыми линзами для контроля миопии Stellest // XIV Российский общенациональный офтальмологический форум. Сб. науч. тр. науч.-практ. конф. с междунар. участием; 2021; Москва: Апрель. Т. 1. С. 317–319. Режим доступа: https://igb.ru/docs/roof/%D0%A1%D0%B1%D0%BE%D1%80%D0%BD%D0%B8%D0%BA%20%D0%BD%D0%B0%D1%83%D1%87%D0%BD%D1%8B%D1%85%20%D1%82%D1%80%D1%83%D0%B4%D0%BE%D0%B2%20(%D0%A2%D0%BE%D0%BC%201).pdf. Дата обращения: 07.10.2023.

[21] Proskurina OV, Tarasova NA, Markosyan GA, et al. Аdaptation and quality of vision in glasses with lenses for the control of stellest myopia with built-in high-spherical microlenses. Russian Pediatric Ophthalmology. 2022;17(2):5–12. (In Russ). doi: 10.17816/rpoj97296

[22] Проскурина О.В., Тарасова Н.А., Маркосян Г.А., и др. Адаптация и качество зрения в очках с линзами для контроля миопии Stellest с встроенными высокоасферичными микролинзами // Российская педиатрическая офтальмология. 2022. Т. 17, № 2. С. 5–12. doi: 10.17816/rpoj97296

[23] Tarutta EP, Proskurina OV, Tarasova NA, et al. Short-term results of wearing spectacle lenses with embedded rings of highly aspherical lenslets Stellest™ for myopia control. Russian Ophthalmological Journal. 2022;15(4):89–94. (In Russ). doi: 10.21516/2072-0076-2022-15-4-89-94

[24] Тарутта Е.П., Проскурина О.В., Тарасова Н.А., и др. Ближайшие результаты применения очковых линз с встроенными кольцами высокоасферичных микролинз Stellest™ для контроля миопии // Российский офтальмологический журнал. 2022. Т. 15, № 4. С. 89–94. doi: 10.21516/2072-0076-2022-15-4-89-94

[25] Tarutta EP, Proskurina OV, Tarasova NA, et al. Blizhaishie rezul’taty primeneniya ochkovykh linz s vstroennymi kol’tsami vysokoasferichnykh mikrolinz Stellest™ dlya kontrolya miopii. XV Russian National Ophthalmological Forum. Collection of scientific papers of a scientific-practical conference with international participation; 2022; Moscow: Aprel’. Vol. 2. P. 551–554. Available from: https://igb.ru/upload/iblock/ef3/rnvz94f2glai8lo4yllotg8m8m15rm5y/qe7w4gzb8v_2.pdf. Accessed: 07.10.2023. (In Russ).

[26] Тарутта Е.П., Проскурина О.В., Тарасова Н.А., и др. Влияние полугодового ношения очков с линзами Stellest на динамику рефракции при прогрессирующей миопии у детей // XV Российский общенациональный офтальмологический форум. Сб. науч. тр. науч.-практ. конф. с междунар. участием; 2022; Москва: Апрель. Т. 2. С. 551–554. Режим доступа: https://igb.ru/upload/iblock/ef3/rnvz94f2glai8lo4yllotg8m8m15rm5y/qe7w4gzb8v_2.pdf. Дата обращения: 07.10.2023.

[27] Bao J, Yang A, Huang Y, et al. One-year myopia control efficacy of spectacle lenses with aspherical lenslets. Br J Ophthalmol. 2022;106(8):1171–1176. doi: 10.1136/bjophthalmol-2020-318367

[28] Bao J., Yang A., Huang Y., et al. One-year myopia control efficacy of spectacle lenses with aspherical lenslets // Br J Ophthalmol. 2022. Vol. 106, N 8. Р. 1171–1176. doi: 10.1136/bjophthalmol-2020-318367

[29] Bao J, Huang Y, Li X, et al. Spectacle lenses with aspherical lenslets for myopia control vs single-vision spectacle lenses. A randomized clinical trial. JAMA Ophthalmol. 2022;140(5):472–478. doi: 10.1001/jamaophthalmol.2022.0401

[30] Bao J., Huang Y., Li X., et al. Spectacle lenses with aspherical lenslets for myopia control vs single-vision spectacle lenses. A randomized clinical trial // JAMA Ophthalmol. 2022. Vol. 140, N 5. P. 472–478. doi: 10.1001/jamaophthalmol.2022.0401

[31] Tarutta EP, Filinova OB, Tarasova NA. The new methods for objective accomodometry. Russian Pediatric Ophthalmology. 2012;7(1):45–48. doi: 10.17816/rpoj37478 (In Russ).

[32] Тарутта Е.П., Филинова О.Б., Тарасова Н.А. Новые методы объективной аккомодометрии // Российская педиатрическая офтальмология. 2012. Т. 7, № 1. С. 45–48. doi: 10.17816/rpoj37478

[33] Proskurina OV, Golubev SYu, Markova EYu. Sub”ektivnye metody issledovaniya akkomodatsii. In: Katargina LA, editor. Akkomodatsiya. Rukovodstvo dlya vrachei. Moscow: Aprel’; 2012. P. 40–49. (In Russ).

[34] Проскурина О.В., Голубев С.Ю., Маркова Е.Ю. Субъективные методы исследования аккомодации. В кн.: Аккомодация. Рук-во для врачей / под ред. Л.А. Катаргиной. Москва: Апрель, 2012. С. 40–49.

[35] Grosvenor Т, Goss DA. Clinical Management of Myopia. Boston: Butterworth-Heinemann; 1999.

[36] Grosvenor Т., Goss D.A. Clinical Management of Myopia. Boston: Butterworth-Heinemann, 1999.

[37] Chung KM, Chong E. Near esophoria is associated with high myopia. Clin Exp Optom. 2000;83(2):71–75. doi: 10.1111/j.1444-0938.2000.tb04895.x

[38] Chung K.M., Chong E. Near esophoria is associated with high myopia // Clin Exp Optom. 2000. Vol. 83, N 2. Р. 71–75. doi: 10.1111/j.1444-0938.2000.tb04895.x

[39] Logan NS, Radhakrishnan H, Cruickshank FE, et al. IMI Accommodation and Binocular Vision in Myopia Development and Progression. Invest Ophthalmol Vis Sci. 2021;62(5):4. doi: 10.1167/iovs.62.5.4

[40] Logan N.S., Radhakrishnan H., Cruickshank F.E., et al. IMI Accommodation and Binocular Vision in Myopia Development and Progression // Invest Ophthalmol Vis Sci. 2021. Vol. 62, N 5. Р. 4. doi: 10.1167/iovs.62.5.4

[41] Gwiazda J, Hyman L, Hussein M, et al. A randomized clinical trial of progressive addition lenses versus single vision lenses on the progression of myopia in children. Invest Ophthalmol Vis Sci. 2003;44(4):1492–1500. doi: 10.1167/iovs.02-0816

[42] Gwiazda J., Hyman L., Hussein M., et al. A randomized clinical trial of progressive addition lenses versus single vision lenses on the progression of myopia in children // Invest Ophthalmol Vis Sci. 2003. Vol. 44, N 4. Р. 1492–1500. doi: 10.1167/iovs.02-0816

[43] Zhu X, Wang D, Li N, Zhao F. Effects of Customized Progressive Addition Lenses vs. Single Vision Lenses on Myopia Progression in Children with Esophoria: A Randomized Clinical Trial. J Ophthalmol. 2022;2022:9972761. doi: 10.1155/2022/9972761

[44] Zhu X., Wang D., Li N., Zhao F. Effects of Customized Progressive Addition Lenses vs. Single Vision Lenses on Myopia Progression in Children with Esophoria: A Randomized Clinical Trial // J Ophthalmol. 2022. N 2022. P. 9972761. doi: 10.1155/2022/9972761

RIGHTS & PERMISSIONS

Eco-Vector