Evidence map›Paper›PMID 39503665›Full record

ReviewOphthalmology2025

Multifocal Soft Contact Lenses for the Treatment of Myopia Progression in Children: A Report by the American Academy of Ophthalmology.

Kara M Cavuoto, Rupal H Trivedi, S Grace Prakalapakorn, Julius T Oatts, Sudha Nallasamy, David G Morrison, Stacy L Pineles, Melinda Y Chang

Abstract readReview
In one paragraph

Review in Ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. Optimising non-cycloplegic screening strategies for early detection of pre-myopia and myopia in young children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kara M CavuotoBascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida.
Rupal H TrivediStorm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, Charleston, South Carolina.
S Grace PrakalapakornDepartment of Ophthalmology and Pediatrics, Duke University Medical Center, Durham, North Carolina.
Julius T OattsDepartment of Ophthalmology, University of California San Francisco, San Francisco, California.
Sudha NallasamyThe Vision Center at Children's Hospital Los Angeles, Los Angeles, California; USC Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California.
David G MorrisonHess Pediatric Ophthalmology, Saint Petersburg, Florida.
Stacy L PinelesJules Stein Eye Institute, Los Angeles, California.
Melinda Y ChangChildren's Hospital of Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.

Funding

Validating a machine learning model of eye tracking in children with cortical visual impairment (CVI)K23EY033790 · NEI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI Melinda Chang · 2022 to 2026
$1.2M
NEI NIH HHS K23 EY033790
6 · The paper itself

Abstract

purposeTo review the published literature assessing the efficacy of multifocal soft contact lenses for the treatment of myopia progression in children 18 years of age and younger.

methodsA literature search of the PubMed database was conducted last in March 2024 and was limited to articles published in English without date restrictions. The search yielded 76 articles, which were reviewed by the primary author in abstract form, and 28 articles were selected for full-text review. Twelve articles were deemed to have met the inclusion criteria and were assigned a level of evidence rating by the panel methodologist. Eleven studies were rated level I and 1 study was rated level II.

resultsAll studies showed less myopic progression, with changes in spherical equivalent (SE) ranging from 0.22 to 0.81 diopters (D) for multifocal soft contact lenses compared with 0.50 to 1.45 D in control groups who used single-vision spectacles or single-vision contact lenses over the course of at least 1 year. Additionally, axial elongation was less in the multifocal soft contact lens group compared with control groups, with a change in axial length (AL) of 0.05 to 0.39 mm in treatment groups compared with 0.17 to 0.67 mm in control groups with at least 1 year of follow-up. The difference in change between the groups was clinically modest and statistically significant in 11 studies for SE and in all 12 studies for AL. No serious adverse events were reported in any of the studies.

conclusionsLevel 1 evidence supports slower myopia progression and AL elongation in children who used multifocal soft contact lenses compared with spectacles or single-vision contact lenses over at least 1 year of follow-up. However, few data are available on optimal treatment duration, the progression over longer periods, or progression after discontinuation of the multifocal contact lenses. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

Academies and InstitutesContact Lenses, HydrophilicMyopiaMyopia, DegenerativeOphthalmologyRefraction, OcularAdolescentChildDisease ProgressionHumansUnited Statescontact lensdefocusextended depth of focusmyopiaperipheral

Identifiers

PMID39503665
PMCPMC11930616

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.