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The efficacy of low vision aids with contact lenses in pediatric population

Ferah Ozcelik1, Gamze Ozturk Karabulut1, Osman Bulut Ocak2,3

  • 1Istanbul Beyoglu Eye Research and Training Hospital, Galata, 34421, Istanbul, Turkey.

International Ophthalmology
|June 4, 2020
PubMed

Insights

Contact lenses with low vision aids (LVA) significantly improve visual acuity in pediatric patients compared to spectacles with LVA. This approach offers better vision, comfort, and a wider field of view for children with low vision.

Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Low Vision Rehabilitation

Background:

  • Low vision significantly impacts children's development and quality of life.
  • Traditional low vision aids (LVA) often have limitations in efficacy and patient acceptance.
  • Evaluating novel approaches to enhance visual function in pediatric low vision is crucial.

Purpose of the Study:

  • To compare the effectiveness of contact lenses (CL) combined with low vision aids (LVA) against spectacles combined with LVA in pediatric patients with low vision.
  • To assess visual acuity improvements and patient toleration with different visual correction methods.

Main Methods:

  • A study involving 36 pediatric patients with low vision was conducted between January 2015 and March 2017.
  • Best-corrected visual acuity (BCVA) was measured using spectacles, spectacles with LVA, CL, and CL with LVA.
  • Patient toleration of CL and LVA was recorded at the final follow-up examination.

Main Results:

  • Both spectacles with LVA and CL with LVA significantly improved BCVA compared to their respective alone usage.
  • CL with LVA demonstrated a statistically significant improvement in BCVA compared to spectacles with LVA.
  • A high toleration rate (80.55%) was observed for patients using CL with LVA at a mean follow-up of 26.11 months.

Conclusions:

  • Contact lens use, particularly when combined with low vision aids, offers superior visual acuity in pediatric low vision patients.
  • This combination provides enhanced visual function, including a decrease in nystagmus amplitude and a wider field of view.
  • Contact lenses with LVA represent a comfortable and effective option for improving vision in children with low vision.
Abstract

Keywords:
Contact lensesContact lenses in childrenLow visionLow vision aids

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