Optical influence of myopia control spectacles at the retinal level: Effect of local light modulation.

IF 2.8 3区 医学 Q1 OPHTHALMOLOGY
Ophthalmic and Physiological Optics Pub Date : 2025-06-01 Epub Date: 2025-04-12 DOI:10.1111/opo.13515
Hakan Kaymak, Ann-Isabel Mattern, Birte Graff, Machteld Devenijn, Berthold Seitz, Hartmut Schwahn
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引用次数: 0

Abstract

Purpose: To investigate the influence of light modulation conferred by current designs of myopia control spectacles on retinal sensitivity.

Methods: Retinal sensitivity and scanning laser ophthalmoscopy (SLO) fundus images were obtained from nine healthy subjects using a Macular Integrity Assessment microperimeter with current myopia control spectacle lenses: MyoCare, Stellest, MiYOSMART and DOT. Respectively powered single vision lenses and a 0.8-grade Bangerter occlusion foil (BF) served as comparative controls.

Results: Using the SLO image, one can visualise the areas of light modulation of the various myopia control lens designs at the level of the retina. Clear zone sizes differ between lens designs, with the DOT lens having the smallest area. Retinal sensitivity in areas of local light modulation was not reduced for the Stellest and MyoCare lenses, but declined with the MiYOSMART lens, suggesting a more prominent local light modulation. The DOT lenses produced a significant reduction in overall retinal sensitivity, although the reduction with the BF was greater. In all instances, retinal sensitivity remained well above the range considered normal for a healthy retina.

Conclusions: None of the lenses tested produced a clinically relevant reduction in retinal sensitivity and all scored significantly better than the lowest (that is, 0.8) grade BF. Given that current myopia control spectacles do not show consistent treatment effects as required to slow progression effectively over extended periods, there appears to be a subtle, yet crucial difference in spatial light modulation among these myopia control spectacle lenses. Seemingly similar lens designs cannot be assumed to have equivalent treatment effects; a thorough assessment of these nuances is essential to ensure accurate claims regarding their long-term efficacy.

近视控制眼镜在视网膜水平的光学影响:局部光调制的作用。
目的:探讨当前近视控制眼镜设计中光调制对视网膜敏感性的影响。方法:采用黄斑完整性评估微周仪对9名健康受试者进行视网膜敏感度和扫描激光眼底成像,并配以现有的近视控制镜片:心肌、Stellest、MiYOSMART和DOT。分别以动力单视力透镜和0.8级Bangerter遮挡箔(BF)作为对照。结果:使用SLO图像,可以看到各种近视控制晶状体设计在视网膜水平上的光调制区域。透明区大小不同的镜头设计,与DOT镜头具有最小的面积。Stellest和心肌晶状体在局部光调制区域的视网膜敏感性没有降低,但MiYOSMART晶状体的敏感性下降,表明局部光调制更突出。DOT透镜产生了视网膜整体敏感度的显著降低,尽管BF的降低更大。在所有情况下,视网膜的敏感度都远远高于健康视网膜的正常范围。结论:所有测试的镜片都没有产生与临床相关的视网膜敏感性降低,并且所有镜片的评分都明显优于最低(即0.8)级BF。鉴于目前的近视控制眼镜并没有显示出持续的治疗效果,因此这些近视控制眼镜镜片之间的空间光调制似乎存在着微妙而关键的差异。表面上相似的透镜设计不能假设有相同的治疗效果;对这些细微差别的彻底评估对于确保其长期疗效的准确声明至关重要。
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
5.10
自引率
13.80%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Ophthalmic & Physiological Optics, first published in 1925, is a leading international interdisciplinary journal that addresses basic and applied questions pertinent to contemporary research in vision science and optometry. OPO publishes original research papers, technical notes, reviews and letters and will interest researchers, educators and clinicians concerned with the development, use and restoration of vision.
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