ArticleClinical ophthalmology (Auckland, N.Z.)2026
Influence of Astigmatism Type on Myopia Progression Among Children Wearing Defocus Incorporated Multiple Segments (DIMS) Spectacle Lenses.
Article in Clinical ophthalmology (Auckland, N.Z.), 2026. 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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Abstract
Purpose: This study aimed to retrospectively analyse two datasets to investigate the correlation between progressive myopia and astigmatism focusing on the influence of the type of astigmatism on myopia progression in children undergoing myopia management with Defocus Incorporated Multiple Segments (DIMS) spectacle lenses. Patients and Methods: Retrospective right eye data from two anonymised datasets were obtained for analysis: an Asian paediatric population, and a Caucasian paediatric population. Participants' refractive error at baseline was classified into one of four categories: spherical, with-the-rule (WTR), oblique or against-the-rule (ATR) astigmatism. Myopia progression was evaluated by the change in Spherical Equivalent Refraction (SER) and Axial Length (AL) between baseline and follow-up visits. Results: Retrospective analyses were conducted on right eye data from 265 children (160 Asian & 105 Caucasian). Linear Mixed Models (LMM) analysis of the combined datasets ( Conclusion: The type of astigmatism affected myopia progression. Participants with WTR-astigmatism wearing DIMS spectacles showed less myopia progression compared to participants with oblique or ATR-astigmatism. Long-term investigations in participants with different types of astigmatism undergoing myopia management are required to better understand the relationship between progressive myopia and astigmatism type.
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