Myopia Control With Multifocal Lens in School-Aged Children: A Meta-Analysis

Area of Science:

• Ophthalmology
• Pediatric Optometry

Background:

• Myopia is a prevalent eye condition in school-aged children.
• Multifocal lenses (MFLs) are frequently used to manage myopia progression.
• Systematic evaluation of MFL treatment effects in children is necessary.

Approach:

• A systematic review and analysis of randomized controlled trials (RCTs) comparing MFLs to single-vision lenses (SVLs).
• Evaluated treatment effects based on mean differences in spherical equivalent refraction (SER) and axial length (AL).

Key Points:

• Annual visit trials showed sustained positive effects of MFLs on SER and AL up to 36 months.
• 6-month interval trials indicated MFLs slowed myopia progression, though with a slight rebound effect observed.
• Annual visit protocols demonstrated more significant treatment effects compared to 6-month intervals, particularly for SER.

Conclusions:

• MFLs demonstrate efficacy in slowing myopia progression in children across different follow-up schedules.
• Annual visits in MFL treatment protocols appear more effective and sustainable for myopia control.
• Long-term MFL treatment adherence with annual monitoring is encouraged for optimal outcomes.