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Updated: Jun 11, 2025

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Multifocal Optics for Myopia Control.

Christine Schmucker1, Wolf Alexander Lagrèze2

  • 1Institute for Evidence in Medicine, University of Freiburg, Germany.

Klinische Monatsblatter Fur Augenheilkunde
|October 9, 2024
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Summary
This summary is machine-generated.

Multifocal lenses slow myopia progression in children by creating peripheral myopic defocus. Studies show spectacle and contact lenses significantly reduce axial elongation, offering a safer alternative to traditional methods.

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Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Myopia Control Research

Background:

  • Rising childhood myopia poses risks like retinal detachment.
  • Undercorrection with single-vision lenses is ineffective for myopia control.
  • Peripheral retinal defocus plays a key role in myopia management.

Purpose of the Study:

  • To evaluate the efficacy and safety of multifocal lenses in slowing myopia progression in children and adolescents.
  • To assess the impact of peripheral defocus strategies on axial elongation.
  • To review the safety profile of novel myopia control interventions.

Main Methods:

  • Analysis of randomized controlled trials (RCTs) for spectacle lenses with peripheral modifications (e.g., HAL, DIMS).
  • Review of studies on multifocal contact lenses, particularly high-add power options.
  • Evaluation of safety data, including adverse events and tolerability.

Main Results:

  • Spectacle lenses with peripheral modifications (HAL, DIMS) reduced myopia progression and axial elongation over 2 years.
  • Multifocal contact lenses (high-add power) demonstrated comparable reductions over 3 years.
  • Multifocal spectacle and soft multifocal contact lenses showed favorable safety profiles with manageable side effects.

Conclusions:

  • Multifocal spectacle and contact lenses are effective interventions for myopia control in children.
  • These lenses offer a potentially safer approach by inducing peripheral myopic defocus.
  • Further research with diverse populations and real-world data is needed to confirm long-term clinical significance.