Evidence map›Paper›PMID 41127418›Full record

ArticleClinical optometry2025

Impact of Wearing Defocus Incorporated Multiple Segments Spectacle Lenses for 12 Months on Accommodation and Binocular Functions in Myopic Children.

Fatin Nur Najwa Norazman, Bariah Mohd-Ali, Syarifah Faiza Syed Mohd Dardin, Mizhanim Mohamad Shahimin, Norliza Mohamad Fadzil, Mohd Norhafizun Mohd Saman

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Article in Clinical optometry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Fatin Nur Najwa NorazmanOptometry and Vision Science Program, Research Centre for Community Health (Reach), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Bariah Mohd-AliOptometry and Vision Science Program, Research Centre for Community Health (Reach), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.ORCID 0000-0001-9542-0005
Syarifah Faiza Syed Mohd DardinOptometry and Vision Science Program, Research Centre for Community Health (Reach), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.ORCID 0000-0003-4206-0039
Mizhanim Mohamad ShahiminOptometry and Vision Science Program, Research Centre for Community Health (Reach), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.ORCID 0000-0002-4213-2381
Norliza Mohamad FadzilOptometry and Vision Science Program, Centre for Rehabilitation and Special Needs Study (Icarehab), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Mohd Norhafizun Mohd SamanOptometry and Vision Science Program, Research Centre for Community Health (Reach), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Spectacle lens design for myopia control incorporates either lenslet or diffusion technology to slow down the eye growth, which may impact the binocular vision functions of a myopic child. This study aimed to investigate the changes in accommodation and binocular functions in myopic children over 12 months wear of myopia control spectacle lenses. Methods: 21 myopic children aged 7-12 years were prescribed with Defocus Incorporated Multiple Segments (DIMS) lenses and assessed at baseline, 1, 3, 6, 9, and 12 months. The parameters measured were refractive error, axial length (AL), visual acuity (VA), accommodative lag (LA), amplitude of accommodation (AA), negative/positive relative accommodation (NRA/PRA), stereoacuity, near point of convergence (NPC), phoria, negative/positive fusional vergence (NFV/PFV), and accommodation convergence per accommodation ratio (AC/A). Results: Mean spherical equivalent (SE) and AL increase from -2.90 ± 1.15 D and 24.51 ± 0.99 mm to -3.19 ± 1.25 D and 24.60 ± 0.97 mm at 12 months respectively. Visual acuity (VA) significantly improved (p < 0.001) in both high-contrast and low-contrast conditions at distance and near. Regarding accommodation and binocular functions, significant improvements were observed in lag of accommodation (LA), stereoacuity and gradient AC/A ratio (p < 0.001). The NPC reduced slightly but was still within normal limits. Distance and near phoria shifted toward esophoria with changes less than 1 PD. Additionally, distance NFV and near PFV recovery points increased significantly. Conclusion: This study demonstrated insignificant changes in accommodation and binocular functions in myopic children after 12 months of wearing DIMS lenses. However, the absence of a control group limits causal interpretation, as observed changes may be influenced by natural development, repeated testing, or regression to the mean. Further research with controlled designs is warranted to clarify these effects.

Indexed as

accommodationbinocular functionmyopia control spectaclemyopic schoolchildren

Identifiers

PMID41127418
PMCPMC12537798

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