Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic review
AIM: To evaluate the effectiveness of peripheral defocus spectacle lenses (PDLs) in myopia control. METHODS: Literature retrieval on PubMed, Cochrane Library, Embase, and Web of Science databases, and the search time limit was from the establishment of each database to December 29, 2021 were conduct...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2022-10-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2022/10/20221020.pdf |
| _version_ | 1828110725799739392 |
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| author | Ji-Xian Ma Si-Wen Tian Qiu-Ping Liu |
| author_facet | Ji-Xian Ma Si-Wen Tian Qiu-Ping Liu |
| author_sort | Ji-Xian Ma |
| collection | DOAJ |
| description | AIM: To evaluate the effectiveness of peripheral defocus spectacle lenses (PDLs) in myopia control. METHODS: Literature retrieval on PubMed, Cochrane Library, Embase, and Web of Science databases, and the search time limit was from the establishment of each database to December 29, 2021 were conducted. Change of spherical equivalent refraction (SER) and axial change (AL) were extracted from the literatures that met the inclusion criteria, and RevMan5.3 software was used for Meta-analysis. RESULTS: A total of 4 randomized controlled trials (RCTs) were included in this Meta-analysis, involving 770 myopic children. The results showed that PDLs could delay the progression of myopia in children with myopia compared with single vision spectacle lenses (SVLs; WMD=0.21 D, 95%CI: 0.01, 0.41, P=0.04). However, there was no significant difference in controlling the growth of axial length (AL) in myopic children (WMD=-0.10 mm, 95%CI: -0.21, 0.01, P=0.07). The results of the effectiveness of myopia control between the two spectacle lenses showed that PDLs were more effective in controlling the progression of myopia (OR=5.73, 95%CI: 2.58, 12.70, P<0.001) and delaying the growth of AL (OR=44.25, 95%CI: 8.84, 221.58, P<0.001) than SVLs, and the differences were statistically significant. CONCLUSION: PDLs can control the progression of myopia compared with SVLs, but cannot delay the growth of AL, and the effectiveness of PDLs in myopia control better than SVLs. |
| first_indexed | 2024-04-11T11:22:45Z |
| format | Article |
| id | doaj.art-7a2488ef8b9c411b9cc27101a65d91b6 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-04-11T11:22:45Z |
| publishDate | 2022-10-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-7a2488ef8b9c411b9cc27101a65d91b62022-12-22T04:26:38ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982022-10-0115101699170610.18240/ijo.2022.10.2020221020Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic reviewJi-Xian Ma0Si-Wen Tian1Qiu-Ping Liu2Qiu-Ping Liu. Vitreoretinal Department, Affiliated Eye Hospital of Nanchang University, Nanchang University, Nanchang 330006, Jiangxi Province, China. liuqiuping1983@gmail.comVitreoretinal Department, Affiliated Eye Hospital of Nanchang University, Nanchang University, Nanchang 330006, Jiangxi Province, ChinaVitreoretinal Department, Affiliated Eye Hospital of Nanchang University, Nanchang University, Nanchang 330006, Jiangxi Province, ChinaAIM: To evaluate the effectiveness of peripheral defocus spectacle lenses (PDLs) in myopia control. METHODS: Literature retrieval on PubMed, Cochrane Library, Embase, and Web of Science databases, and the search time limit was from the establishment of each database to December 29, 2021 were conducted. Change of spherical equivalent refraction (SER) and axial change (AL) were extracted from the literatures that met the inclusion criteria, and RevMan5.3 software was used for Meta-analysis. RESULTS: A total of 4 randomized controlled trials (RCTs) were included in this Meta-analysis, involving 770 myopic children. The results showed that PDLs could delay the progression of myopia in children with myopia compared with single vision spectacle lenses (SVLs; WMD=0.21 D, 95%CI: 0.01, 0.41, P=0.04). However, there was no significant difference in controlling the growth of axial length (AL) in myopic children (WMD=-0.10 mm, 95%CI: -0.21, 0.01, P=0.07). The results of the effectiveness of myopia control between the two spectacle lenses showed that PDLs were more effective in controlling the progression of myopia (OR=5.73, 95%CI: 2.58, 12.70, P<0.001) and delaying the growth of AL (OR=44.25, 95%CI: 8.84, 221.58, P<0.001) than SVLs, and the differences were statistically significant. CONCLUSION: PDLs can control the progression of myopia compared with SVLs, but cannot delay the growth of AL, and the effectiveness of PDLs in myopia control better than SVLs.http://ies.ijo.cn/en_publish/2022/10/20221020.pdfmeta-analysisperipheral defocus spectacle lenseshyperopia defocusmyopia defocusmyopia control |
| spellingShingle | Ji-Xian Ma Si-Wen Tian Qiu-Ping Liu Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic review International Journal of Ophthalmology meta-analysis peripheral defocus spectacle lenses hyperopia defocus myopia defocus myopia control |
| title | Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic review |
| title_full | Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic review |
| title_fullStr | Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic review |
| title_full_unstemmed | Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic review |
| title_short | Effectiveness of peripheral defocus spectacle lenses in myopia control: a Meta-analysis and systematic review |
| title_sort | effectiveness of peripheral defocus spectacle lenses in myopia control a meta analysis and systematic review |
| topic | meta-analysis peripheral defocus spectacle lenses hyperopia defocus myopia defocus myopia control |
| url | http://ies.ijo.cn/en_publish/2022/10/20221020.pdf |
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