Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent Exotropia

Purpose. To evaluate the influence of spectacle lenses with highly aspherical lenslets (HAL) on binocular vision and accommodation in myopic children with intermittent exotropia (IXT) and compare the changes after wearing HAL in binocular vision and accommodation in myopic children with or without I...

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Main Authors: Zhou Fengchao, Li Xue, Huang Yingying, Li Yuhao, Zhang Jiali, Chen Hao, Bao Jinhua
Format: Article
Language:English
Published: Hindawi Limited 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/9306848
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author Zhou Fengchao
Li Xue
Huang Yingying
Li Yuhao
Zhang Jiali
Chen Hao
Bao Jinhua
author_facet Zhou Fengchao
Li Xue
Huang Yingying
Li Yuhao
Zhang Jiali
Chen Hao
Bao Jinhua
author_sort Zhou Fengchao
collection DOAJ
description Purpose. To evaluate the influence of spectacle lenses with highly aspherical lenslets (HAL) on binocular vision and accommodation in myopic children with intermittent exotropia (IXT) and compare the changes after wearing HAL in binocular vision and accommodation in myopic children with or without IXT. Method. Forty myopic subjects aged 8–12 years were recruited: 20 with IXT and 20 visually normal children. Stereoacuity, phoria, accommodative facility, fusional vergence, vergence facility, near point of convergence, amplitude of accommodation, and accommodative response (AR) were measured by wearing HAL or single vision spectacle lenses (SVL) in a random order after adapting for 20 minutes. Accommodative microfluctuation (AMF) was defined as the standard deviation of AR. Changes in binocular vision and accommodation after wearing HAL were compared between the two groups. Results. No significant differences were found in binocular vision after wearing HAL versus SVL in either group (all P>0.05). A greater AMF was found after wearing HAL than after wearing SVL in both groups (0.04 D, 95% confidence interval (CI), 0.03 to 0.05 D, P<0.001 for the IXT group; 0.05 D, 95% CI, 0.03 to 0.07 D, P<0.001 for the visually normal group); however, the other accommodation parameters did not change significantly (all P>0.05). There were no differences in the changes after wearing HAL in any parameter between the two groups (all P>0.05). Conclusion. HAL did not significantly change the binocular vision and accommodation for myopic children with or without IXT except for AMF in the short term.
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spelling doaj.art-e540281a1c6045ef9fb4648b9f075f132022-12-22T04:34:07ZengHindawi LimitedJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/9306848Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent ExotropiaZhou Fengchao0Li Xue1Huang Yingying2Li Yuhao3Zhang Jiali4Chen Hao5Bao Jinhua6Eye Hospital and School of Ophthalmology and OptometryEye Hospital and School of Ophthalmology and OptometryEye Hospital and School of Ophthalmology and OptometryEye Hospital and School of Ophthalmology and OptometryEye Hospital and School of Ophthalmology and OptometryEye Hospital and School of Ophthalmology and OptometryEye Hospital and School of Ophthalmology and OptometryPurpose. To evaluate the influence of spectacle lenses with highly aspherical lenslets (HAL) on binocular vision and accommodation in myopic children with intermittent exotropia (IXT) and compare the changes after wearing HAL in binocular vision and accommodation in myopic children with or without IXT. Method. Forty myopic subjects aged 8–12 years were recruited: 20 with IXT and 20 visually normal children. Stereoacuity, phoria, accommodative facility, fusional vergence, vergence facility, near point of convergence, amplitude of accommodation, and accommodative response (AR) were measured by wearing HAL or single vision spectacle lenses (SVL) in a random order after adapting for 20 minutes. Accommodative microfluctuation (AMF) was defined as the standard deviation of AR. Changes in binocular vision and accommodation after wearing HAL were compared between the two groups. Results. No significant differences were found in binocular vision after wearing HAL versus SVL in either group (all P>0.05). A greater AMF was found after wearing HAL than after wearing SVL in both groups (0.04 D, 95% confidence interval (CI), 0.03 to 0.05 D, P<0.001 for the IXT group; 0.05 D, 95% CI, 0.03 to 0.07 D, P<0.001 for the visually normal group); however, the other accommodation parameters did not change significantly (all P>0.05). There were no differences in the changes after wearing HAL in any parameter between the two groups (all P>0.05). Conclusion. HAL did not significantly change the binocular vision and accommodation for myopic children with or without IXT except for AMF in the short term.http://dx.doi.org/10.1155/2022/9306848
spellingShingle Zhou Fengchao
Li Xue
Huang Yingying
Li Yuhao
Zhang Jiali
Chen Hao
Bao Jinhua
Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent Exotropia
Journal of Ophthalmology
title Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent Exotropia
title_full Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent Exotropia
title_fullStr Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent Exotropia
title_full_unstemmed Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent Exotropia
title_short Effect of Spectacle Lenses with Highly Aspherical Lenslets on Binocular Vision and Accommodation in Myopic Children with and without Intermittent Exotropia
title_sort effect of spectacle lenses with highly aspherical lenslets on binocular vision and accommodation in myopic children with and without intermittent exotropia
url http://dx.doi.org/10.1155/2022/9306848
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