Accommodative response in various design soft contact lens wearers

The progression of myopia in young adults due to inadequate accommodation is currently one of the global research challenges. Studies have demonstrated that multifocal contact lenses have a different effect on accommodative response. The aim of this study was to assess the accommodative lag using va...

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Main Authors: Evita Kassaliete, Anastasija Gordeja, Karola Panke, Anete Petrova, Gunta Krumina
Format: Article
Language:English
Published: Estonian Academy Publishers 2021-09-01
Series:Proceedings of the Estonian Academy of Sciences
Subjects:
Online Access:https://kirj.ee/wp-content/plugins/kirj/pub/proc-4S-2021-333-340_20210923175824.pdf
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author Evita Kassaliete
Anastasija Gordeja
Karola Panke
Anete Petrova
Gunta Krumina
author_facet Evita Kassaliete
Anastasija Gordeja
Karola Panke
Anete Petrova
Gunta Krumina
author_sort Evita Kassaliete
collection DOAJ
description The progression of myopia in young adults due to inadequate accommodation is currently one of the global research challenges. Studies have demonstrated that multifocal contact lenses have a different effect on accommodative response. The aim of this study was to assess the accommodative lag using various design multifocal contact lenses at different working distances. The study was conducted on 10 emmetropic subjects aged 22â28 years. An open-field autorefractor PowerRef 3 was used to assess the response of eye accommodation to stimuli placed at a distance of 25 cm and 40 cm for subjects wearing monofocal and multifocal contact lenses. To determine the effectiveness of contact lens design for accommodative lag compensation, the results of the accommodative lag with and without contact lenses were compared. The measured accommodative lag for stimuli at 40 cm was 1.05 ± 0.11 D and for stimuli at 25 cm 1.53 ± 0.11 D. Regarding the effect of multifocal contact lenses, it was determined that the near vision power zone in the centre of the lens reduces the accommodative lag, while the respective distance vision power zone does not produce a statistically significant change. The near power zone in the centre of the multifocal contact lens effectively affects the accommodative lag by reducing accommodation inaccuracy as effectively as spherical contact lenses with positive power. The addition design for multifocal lenses (Med or Hi) does not significantly affect the accommodative lag. The results of centre-distance multifocal contact lenses depend on the strength of the addition used.
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spelling doaj.art-aba3f92000194ac587e730751b6fe3aa2022-12-22T01:28:32ZengEstonian Academy PublishersProceedings of the Estonian Academy of Sciences1736-60461736-75302021-09-01704S33334010.3176/proc.2021.4S.0410.3176/proc.2021.4S.04Accommodative response in various design soft contact lens wearersEvita Kassaliete0Anastasija Gordeja1Karola Panke2Anete Petrova3Gunta Krumina4Department of Optometry and Vision Science, Faculty of Physics, Mathematics and Optometry, University of Latvia, Jelgavas iela 1, LV-1004, Riga, LatviaDepartment of Optometry and Vision Science, Faculty of Physics, Mathematics and Optometry, University of Latvia, Jelgavas iela 1, LV-1004, Riga, LatviaDepartment of Optometry and Vision Science, Faculty of Physics, Mathematics and Optometry, University of Latvia, Jelgavas iela 1, LV-1004, Riga, LatviaDepartment of Optometry and Vision Science, Faculty of Physics, Mathematics and Optometry, University of Latvia, Jelgavas iela 1, LV-1004, Riga, LatviaDepartment of Optometry and Vision Science, Faculty of Physics, Mathematics and Optometry, University of Latvia, Jelgavas iela 1, LV-1004, Riga, LatviaThe progression of myopia in young adults due to inadequate accommodation is currently one of the global research challenges. Studies have demonstrated that multifocal contact lenses have a different effect on accommodative response. The aim of this study was to assess the accommodative lag using various design multifocal contact lenses at different working distances. The study was conducted on 10 emmetropic subjects aged 22â28 years. An open-field autorefractor PowerRef 3 was used to assess the response of eye accommodation to stimuli placed at a distance of 25 cm and 40 cm for subjects wearing monofocal and multifocal contact lenses. To determine the effectiveness of contact lens design for accommodative lag compensation, the results of the accommodative lag with and without contact lenses were compared. The measured accommodative lag for stimuli at 40 cm was 1.05 ± 0.11 D and for stimuli at 25 cm 1.53 ± 0.11 D. Regarding the effect of multifocal contact lenses, it was determined that the near vision power zone in the centre of the lens reduces the accommodative lag, while the respective distance vision power zone does not produce a statistically significant change. The near power zone in the centre of the multifocal contact lens effectively affects the accommodative lag by reducing accommodation inaccuracy as effectively as spherical contact lenses with positive power. The addition design for multifocal lenses (Med or Hi) does not significantly affect the accommodative lag. The results of centre-distance multifocal contact lenses depend on the strength of the addition used.https://kirj.ee/wp-content/plugins/kirj/pub/proc-4S-2021-333-340_20210923175824.pdfaccommodative lagmultifocal contact lensesnear additionmyopia control.
spellingShingle Evita Kassaliete
Anastasija Gordeja
Karola Panke
Anete Petrova
Gunta Krumina
Accommodative response in various design soft contact lens wearers
Proceedings of the Estonian Academy of Sciences
accommodative lag
multifocal contact lenses
near addition
myopia control.
title Accommodative response in various design soft contact lens wearers
title_full Accommodative response in various design soft contact lens wearers
title_fullStr Accommodative response in various design soft contact lens wearers
title_full_unstemmed Accommodative response in various design soft contact lens wearers
title_short Accommodative response in various design soft contact lens wearers
title_sort accommodative response in various design soft contact lens wearers
topic accommodative lag
multifocal contact lenses
near addition
myopia control.
url https://kirj.ee/wp-content/plugins/kirj/pub/proc-4S-2021-333-340_20210923175824.pdf
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AT karolapanke accommodativeresponseinvariousdesignsoftcontactlenswearers
AT anetepetrova accommodativeresponseinvariousdesignsoftcontactlenswearers
AT guntakrumina accommodativeresponseinvariousdesignsoftcontactlenswearers