The impact of toric contact lens correction upon functional near visual performance with digital devices.

IF 4.1 3区 医学 Q1 OPHTHALMOLOGY
Scott A Read, Stephen J Vincent, Luisa H Colorado, Joanne M Wood, Michael J Collins
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Abstract

Purpose: Although it is well known that astigmatism correction with toric contact lenses improves clinical vision measures, their effects on real-world visual performance using digital devices such as smartphones are less well understood. This study aimed to examine how toric soft contact lenses impact functional near visual performance with a smartphone, in comparison to spherical equivalent contact lenses.

Methods: Fifteen healthy young adults (mean age 23.6 ± 2.8 years) with low to moderate astigmatism (-0.50 D to -1.50 D) participated in this prospective, repeated measures randomised crossover trial. Either toric or best sphere soft daily disposable contact lenses (lens material Verofilcon A) were worn during two separate study visits. At each visit, near visual acuity (VA) was assessed, and participants performed a reading task on a smartphone with both high and low contrast text displays. A mobile eye tracker was worn during the reading task to track objective measures of visual fatigue such as palpebral aperture height and near focusing demand.

Results: Both high and low contrast near VA were significantly better with the toric correction compared to the best sphere (p = 0.001). While reading on a smartphone, the average reading speed was not significantly different between the sphere and toric lenses (p = 0.18). Significantly fewer errors were made while reading with the toric lens compared to the best sphere lens for the low contrast (p = 0.04), but not for high contrast text (p = 0.4). For measures of palpebral aperture height, and focusing demand, a significant lens by time interaction was found (both p < 0.05), with a significantly greater focusing demand and a narrower palpebral aperture observed towards the end of the reading task with the best sphere lens.

Conclusion: Significant visual and functional benefits were found for digital near visual tasks associated with toric contact lens correction.

环面隐形眼镜矫正对数码设备近视功能的影响。
目的:虽然众所周知,使用环面隐形眼镜矫正散光可以改善临床视力指标,但使用智能手机等数字设备时,它们对实际视觉表现的影响尚不清楚。本研究旨在研究环形软性隐形眼镜与球形等效隐形眼镜相比,如何影响智能手机的功能性近视表现。方法:15名健康的年轻成人(平均年龄23.6±2.8岁),患有低度至中度散光(-0.50 D至-1.50 D),参与了这项前瞻性、重复测量的随机交叉试验。在两次单独的研究访问中,佩戴环面或最佳球软日常一次性隐形眼镜(镜片材料Verofilcon A)。在每次访问中,研究人员都会评估近视敏度(VA),并让参与者在高对比度和低对比度的文本显示的智能手机上执行阅读任务。在阅读任务中佩戴移动眼动仪来跟踪视觉疲劳的客观指标,如眼睑孔径高度和近聚焦需求。结果:环形校正后VA附近的高对比度和低对比度均明显优于最佳球面(p = 0.001)。在智能手机上阅读时,球面透镜和环面透镜的平均阅读速度没有显著差异(p = 0.18)。在低对比度的情况下,与最佳的球面透镜相比,使用环面透镜阅读时的误差明显减少(p = 0.04),但在高对比度的文本中则没有这样的误差(p = 0.4)。对于眼睑孔径高度和对焦需求的测量,发现了显著的时间交互作用(p结论:与环形隐形眼镜矫正相关的数字近视力任务发现了显著的视觉和功能益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.60
自引率
18.80%
发文量
198
审稿时长
55 days
期刊介绍: Contact Lens & Anterior Eye is a research-based journal covering all aspects of contact lens theory and practice, including original articles on invention and innovations, as well as the regular features of: Case Reports; Literary Reviews; Editorials; Instrumentation and Techniques and Dates of Professional Meetings.
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