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Related Experiment Video

Updated: May 10, 2026

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients

Published on: March 29, 2022

Myopia, contact lens use and self-esteem.

Lynette Dias¹, Ruth E Manny, Erik Weissberg

¹Stony Brook University School of Medicine, Stony Brook, USA. lynette.dias@stonybrook.edu

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)

|June 15, 2013

Summary

Myopic children who chose contact lenses (CLs) reported higher self-esteem, particularly in social acceptance. This suggests self-esteem may influence CL choice, and CLs may further enhance self-esteem in these individuals.

Keywords:

adolescents contact lenses eyeglasses myopia self-esteem

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Area of Science:

Ophthalmology
Developmental Psychology

Background:

The Correction of Myopia Evaluation Trial (COMET) initially studied myopia progression.
After 5 years, the study transitioned to an observational design allowing contact lens (CL) use.

Purpose of the Study:

To investigate the association between CL use and self-esteem in myopic children.
To determine if self-esteem influences the decision to adopt CLs or if CLs impact self-esteem.

Main Methods:

Utilized data from 423 participants (aged 12-17) at the 6-year visit.
Assessed self-esteem using the Self-Perception Profile for Children/Adolescents and analyzed CL use, refractive error, and demographic factors.
Employed multiple regression analyses, adjusting for baseline self-esteem.

Main Results:

Contact lens wearers (n=224) were more likely to be female and had higher baseline scores in social acceptance, athletic competence, and behavioral conduct.
At the 6-year visit, CL users maintained higher social acceptance scores (p=0.03) after adjustments.
Ethnicity was also linked to social acceptance, with African-Americans reporting higher scores.

Conclusions:

Myopic children who opted for CLs demonstrated higher self-esteem than those who continued wearing eyeglasses.
Findings suggest a bidirectional relationship where self-esteem may influence CL adoption, and CL use is associated with enhanced self-esteem.