Binocular and accommodative function in the controlled randomized clinical trial MiSight® Assessment Study Spain (MASS)

Purpose: To evaluate the binocular and accommodative function in children wearing dual focus (DF) MiSight® contact lenses (CLs) for myopia control compared with children wearing single-vision (SV) spectacles. Methods: This was a randomized, controlled clinical trial involving subjects aged 8 to 12,...

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Bibliographic Details
Authors: Ruiz Pomeda, Alicia, Pérez Sánchez, Belén, Cañadas Suárez, María Del Pilar, Prieto Garrido, Francisco Luis, Gutiérrez Ortega, Ángel Ramón, Villa Collar, César
Format: article
Publication Date:2019
Country:España
Institution:Universidad Complutense de Madrid (UCM)
Repository:Docta Complutense
Language:English
OAI Identifier:oai:docta.ucm.es:20.500.14352/12697
Online Access:https://hdl.handle.net/20.500.14352/12697
Access Level:Open access
Keyword:617.7‑089.243-053.2
617.726-053.2
681.73-053.2
617.75-053.2
612.84-053.2
Binocular vision
Accommodation
Dual focus contact lenses
Children
Óptica y optometría
Optometría
Óptica fisiológica
2209 Óptica
2209.15 Optometría
Description
Summary:Purpose: To evaluate the binocular and accommodative function in children wearing dual focus (DF) MiSight® contact lenses (CLs) for myopia control compared with children wearing single-vision (SV) spectacles. Methods: This was a randomized, controlled clinical trial involving subjects aged 8 to 12, with myopia ranging from − 0.75 to − 4.00D and astigmatism < 1.00D, allocated to MiSight® study CLs group or control group wearing SV. Binocular and accommodative function was determined at baseline, 12-, and 24-month visits, assessed by the following sequence of tests: distance and near horizontal phoria, accommodative convergence/accommodation (AC/A) ratio, stereopsis, accommodative amplitude (AA), and accommodative response (AR) at 33, 25 and 20 cm. Results: Seventy-four children completed the study: 41 in the CL group and 33 in the SV group. CLs group did not show any significant differences in binocular and accommodative measurements throughout the study. In control group, distance and near phoria, stereopsis, AC/A and AR at 20 cm did not show any significant change, but AA, AR at 33 cm and AR at 25 cm were greater at 24-month visit compared with baseline (p < 0.05). Conclusions: DF lenses do not change the binocular and accommodative function in children wearing dual focus CLs. Trial registration: NCT01917110