Youssef Abidi, A Eusebio López-Hernández, José Manuel Maldonado-Pérez, José Miguel Sánchez-Ruiz, Johnny Di Pierdomenico, Diego García-Ayuso
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引用次数: 0
Abstract
Purpose: The aim was to evaluate the impact of a custom-made soft contact lens (CL) for myopia control on visual function and wearer experience.
Methods: In this masked, randomized study, 23 myopic adults (aged 18-35) were fitted with ESENCIA CLs made of either Acofilcon B (hydrogel) or UNISIL (silicone hydrogel). Visual and accommodative function, tear stability, and wearer experience were assessed.
Results: Visual acuity remained stable with both CLs. No significant differences were found between the two CLs in any test. However, both CLs increased monocular and binocular accommodative facility (MAF and BAF) compared to baseline (Acofilcon B: p < 0.001 for MAF, p = 0.008 for BAF; Unisil: p < 0.001 for MAF, p = 0.011 for BAF). Increased exophoria was noted at distance and near with both lenses (Acofilcon B: p = 0.004, p = 0.002; Unisil: p = 0.006, p = 0.001), and a reduction in negative fusional reserves at distance was observed (Acofilcon B: p = 0.008; Unisil: p = 0.01). Other tests showed results similar to baseline. Subjective scores indicated a trend toward better comfort and satisfaction with Unisil (7.29 ± 2.03) compared to Acofilcon B (6.48 ± 2.00).
Conclusion: Our results highlight the importance of evaluating the potential side effects on visual quality and binocular and accommodative functions when selecting CLs for myopia control. Additionally, considering the user's subjective experience is crucial, as CLs must be worn for a minimum number of hours each day.
目的:评估定制软性隐形眼镜(CL)控制近视对视觉功能和佩戴者体验的影响。方法:在这项蒙面随机研究中,23名近视成人(18-35岁)被植入由Acofilcon B(水凝胶)或UNISIL(硅水凝胶)制成的ESENCIA CLs。评估视觉和调节功能、撕裂稳定性和佩戴者体验。结果:两组患者的视力均保持稳定。两种CLs在任何测试中均无显著差异。然而,与基线相比,两种CLs均增加了单眼和双眼调节设施(MAF和BAF) (Acofilcon B: p p = 0.008;注:p = 0.011为BAF)。两种镜片的近处和远处均可见外斜视增加(Acofilcon B: p = 0.004, p = 0.002;Unisil: p = 0.006, p = 0.001),观察到远处负核聚变储备减少(Acofilcon B: p = 0.008;结果:p = 0.01)。其他测试显示的结果与基线相似。主观评分显示,与Acofilcon B(6.48±2.00)相比,Unisil(7.29±2.03)有更好的舒适度和满意度趋势。结论:本研究结果强调了在选择CLs控制近视时评估其对视觉质量和双眼及调节功能的潜在副作用的重要性。此外,考虑用户的主观体验是至关重要的,因为cl必须每天佩戴最少的时间。
期刊介绍:
The principal aim of Current Eye Research is to provide rapid publication of full papers, short communications and mini-reviews, all high quality. Current Eye Research publishes articles encompassing all the areas of eye research. Subject areas include the following: clinical research, anatomy, physiology, biophysics, biochemistry, pharmacology, developmental biology, microbiology and immunology.