Clinical Optometry最新文献

{"title":"Erratum: A Predictive Model for Personalized Fitting of Peripheral Defocus Spectacles Based on Ocular Biometric Parameters [Corrigendum].","authors":"","doi":"10.2147/OPTO.S617164","DOIUrl":"10.2147/OPTO.S617164","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2147/OPTO.S576749.].</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"617164"},"PeriodicalIF":2.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns and Predictors of Upper Limb and Neck Work-Related Musculoskeletal Disorders Among Practicing Optometrists in Jordan: A Cross-Sectional Survey.","authors":"Mera F Haddad, Khader Almhdawi, Lama A Zraigat","doi":"10.2147/OPTO.S593432","DOIUrl":"10.2147/OPTO.S593432","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the prevalence and predictors of upper quadrant work-related musculoskeletal disorders (WMSDs) among practicing optometrists in Jordan and to highlight potential occupational health implications.</p><p><strong>Patients and methods: </strong>A cross-sectional survey was distributed to registered optometrists working in public and private health sectors in Jordan. A total of 138 optometrists (n=138) participated in the study. Standardized instruments were used, including the Nordic Musculoskeletal Questionnaire (NMQ), the Depression Anxiety Stress Scale (DASS), the Pittsburgh Sleep Quality Index (PSQI), and the International Physical Activity Questionnaire (IPAQ). Sociodemographic characteristics, work practices, and ergonomic factors were also collected. Descriptive statistics were used to determine the prevalence of musculoskeletal complaints, while logistic regression analysis identified predictors of WMSDs across upper quadrant body regions.</p><p><strong>Results: </strong>The 12-month prevalence of musculoskeletal pain was highest in the shoulders (73.9%), neck (70.3%), and upper back (62.3%), followed by wrists and hands (24.6%), while elbows had the lowest prevalence (15.2%). Several factors were significantly associated with increased WMSDs (p < 0.05). Notably, marital status showed a strong association with neck pain (OR ≈ 7.1), while other predictors included writing and typing during work, poor ergonomics during vision testing, cigarette smoking, poor sleep quality, and psychological stress.</p><p><strong>Conclusion: </strong>Upper quadrant WMSDs are highly prevalent among practicing optometrists in Jordan and may negatively affect occupational well-being and work performance. These findings highlight the need for targeted ergonomic interventions, improved clinical workstation design, and occupational health programs to reduce musculoskeletal strain and support healthier workplace practices among eye care professionals.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"593432"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Training for Myopia Control: An Independent and Additive Inhibitor of Axial Growth.","authors":"Zhao-Yang Meng, Hao Wang, Dan-Dan Wang, Lin Yang, Peng Zhou","doi":"10.2147/OPTO.S598467","DOIUrl":"10.2147/OPTO.S598467","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of visual training (VT) in retarding axial elongation in myopic children and to determine its additive clinical value when combined with standard myopia control modalities, including orthokeratology (OK), defocus spectacles (DS), and low-concentration atropine (LCA).</p><p><strong>Methods: </strong>This is a retrospective, multicenter, self-controlled cohort study. A total of 208 myopic children (mean age 9.73 ± 2.08 years) who underwent a structured visual training program were included. Subjects were stratified into five subgroups based on concurrent treatments: VT monotherapy, VT+DS, VT+OK, VT+DS+LCA, and VT+OK+LCA. Annualized axial elongation rates were calculated for the pre-training (baseline) and post-training intervals. The primary outcome was the reduction in axial elongation rate.</p><p><strong>Results: </strong>The mean axial elongation rate significantly attenuated from a baseline of 0.38 ± 0.34 mm/year to 0.23 ± 0.30 mm/year following the intervention (P < 0.001), representing a mean reduction of 0.15 ± 0.31 mm/year. There were no statistically significant differences in the magnitude of rate reduction among the five subgroups (P = 0.826), indicating that VT confers a consistent additive benefit independent of concurrent optical or pharmacological therapies. Pearson correlation analysis revealed a good positive association between baseline progression rate and treatment efficacy (r = 0.57, P < 0.001), suggesting that children with faster initial progression derived the greatest therapeutic benefit.</p><p><strong>Conclusion: </strong>Visual training effectively slows axial elongation, shifting pathological growth trajectories toward physiological norms. It functions as a universal adjunctive therapy, providing robust and independent protective effects regardless of whether the patient is using OK lenses, defocus spectacles, or atropine. These findings support the use of visual training as a priority \"rescue therapy\" for rapid progressors.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"598467"},"PeriodicalIF":2.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comfort and Ocular Surface Impact of Verofilcon A Daily Disposable Contact Lenses in Satisfied Senofilcon A Daily Disposable Lens Wearers: A Prospective Non-Interventional Study.","authors":"Jérémy Petelet, Emera Chhuy, Raphael Auger, Edouard Ollier, Marie-Caroline Trone","doi":"10.2147/OPTO.S588438","DOIUrl":"10.2147/OPTO.S588438","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate quality of life, comfort, and vision in long-term satisfied wearers of Senofilcon A daily disposable contact lens (SA) contact lenses after switching to Verofilcon A daily disposable contact lenses (VA), and to assess ocular surface parameters using an objective diagnostic platform C.DIAG (Quantel Medical, a brand of Lumibird, Clermont-Ferrand, France), a multimodal imaging platform for tear film assessment.</p><p><strong>Methods: </strong>This was a prospective, single-center, non-interventional study including 30 participants aged 20-40 years, all satisfied SA wearers. After 14 ± 2 days of vA wear, participants completed the CLDEQ-8 questionnaire and rated comfort and vision using a visual analog scale (VAS). Objective ocular surface assessments were performed using C.diag, including non-invasive tear break-up time (NIBUT), interferometry, blink analysis, and tear meniscus height. Statistical analysis was performed using paired Student's t-tests to compare subjective outcomes before and after the lens switch. Statistical significance was defined as p < 0.05.</p><p><strong>Results: </strong>The mean CLDEQ-8 score with va was 6.33 ± 2.82, with 56.7% of participants categorised as \"excellent.\" VAS scores for vision and comfort with va were 87.3 ± 9.4 and 86.6 ± 10.8, respectively. No statistically significant deterioration in tear film parameters was observed after switching lenses (p > 0.05). NIBUT measurements were 11.5 ± 4.4 seconds (od) and 11.8 ± 4.3 seconds (os), with stable interferometry scores and consistent tear meniscus height observed.</p><p><strong>Conclusion: </strong>VA daily disposable contact lenses provided high levels of subjective comfort and stable objective ocular surface parameters in previously satisfied daily disposable lens wearers. The C.DIAG device enabled standardized and non-invasive tear film analysis during contact lens wear. Further randomized and long-term studies are warranted to confirm these findings.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"588438"},"PeriodicalIF":2.4,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes Towards the Use of Silicone Hydrogel Daily Disposable Contact Lenses (Verofilcon A) Among Neophyte Wearers: Results of a Short-Term Evaluation.","authors":"Fabrizio Zeri, Silvia Tavazzi, Giulia Carlotta Rizzo","doi":"10.2147/OPTO.S583712","DOIUrl":"10.2147/OPTO.S583712","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the intention to continue wearing silicone hydrogel daily disposable contact lenses (CLs) in verofilcon A (PRECISION1^®, Alcon Laboratories, USA) among neophyte wearers after a short period of use and to identify potential factors influencing this intention.</p><p><strong>Methods: </strong>A prospective, single-masked, single-arm clinical trial, was conducted at the University of Milano-Bicocca on ninety-five ametropic non-contact lens wearers (52 females and 43 males; mean age ± SD: 25.4 ± 5.3 years; range: 18-40). Participants were fitted in verofilcon A daily disposable CLs, and after receiving training on lens application and removal, were instructed to wear them for 14 days (at least 5 days a week, minimum 5 hours a day). At the follow-up visit, participants completed a series of subjective evaluations (0-100 visual analogue scales; VAS) referring to their experience over the 14-day with lens insertion and removal, comfort at insertion, end of day comfort, quality of vision, and overall satisfaction. They also rated their intention to continue CLs wear (0-100 VAS scale) and indicated their main reasons for doing so.</p><p><strong>Results: </strong>The mean (± SD) CL power prescribed was -1.90±1.42 D (range +2.00 to -6.00) for the right eye and -1.86±1.43 D (range +1.50 to -6.00) for the left eye. At the follow-up visit, monocular visual acuity with CLs was -0.15±0.08 logMAR in both eyes and -0.20±0.07 logMAR binocularly. Hierarchical regression analysis incorporating motivation-to-continue wear variables accounted for 57% of the variance. Three motivational factors (aesthetic, convenience, and sport) were significant predictors of the intention to continue CL wear.</p><p><strong>Conclusion: </strong>Providing ametropic non-CL wearers with a structured, evidence-based CL fitting experience can be an effective strategy to promote long-term CL adoption. Behavioral intention to continue daily disposable CL wear was mainly influenced by motivational factors related to aesthetics, convenience and sport activities.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"583712"},"PeriodicalIF":2.4,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the Optometry Workforce in Somalia: A Strategic Approach to Preventing Avoidable Blindness and Expanding Access to Vision Care.","authors":"Abdullahi Abdirahman Omar, Abdulsalam Ahmed Mohamed","doi":"10.2147/OPTO.S578251","DOIUrl":"10.2147/OPTO.S578251","url":null,"abstract":"<p><strong>Purpose: </strong>Somalia faces a substantial burden of avoidable eye disease, while access to primary eye-care services remains uneven and optometry training capacity is limited. This rapid communication reports the pattern of ocular conditions and service needs identified in a large service-based eye-care dataset from Mogadishu and outlines a practical implementation framework for strengthening the optometry workforce in Somalia.</p><p><strong>Methods: </strong>This study was conducted as a retrospective review of routine service data from 2,890 patients evaluated during community- and hospital-based eye-care programs at Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia, between January and October 2025. Patients underwent routine eye assessments according to program protocols, including torchlight examination, visual-acuity testing, refraction assessment, intraocular-pressure measurement, and dilated fundus examination where indicated. Diagnoses and treatment/referral decisions were recorded and analyzed descriptively using frequencies and percentages.</p><p><strong>Results: </strong>Among 2,890 examined patients, the most common ocular condition was conjunctivitis (n=1,231; 42.6%), followed by cataract (n=644; 22.3%) and refractive error plus computer vision syndrome (n=410; 14.2%). Other ocular conditions accounted for the remaining cases (n=605; 20.9%). Comorbid conditions included glaucoma with IOP >21 mmHg (n=176; 6.1%), diabetes (n=116; 4.0%), hypertension (n=98; 3.4%), and diabetic retinopathy (n=14; 0.5%). Treatment modalities consisted of medical therapy (n=1,789; 61.9%), prescription spectacles (n=595; 20.6%), surgical procedures (n=457; 15.8%), and referrals (n=64; 2.2%).</p><p><strong>Conclusion: </strong>The findings indicate a high burden of preventable and treatable eye conditions and support the need for a structured optometry workforce in Somalia. We propose a three-component implementation framework: (1) workforce training (optometry and optical-technician education), (2) decentralized service delivery with referral pathways, and (3) sustainable multi-sector partnerships to expand access to vision care and strengthen long-term eye-care service delivery.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"578251"},"PeriodicalIF":2.4,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superficial Keratectomy with Cryopreserved Amniotic Membrane for Ocular Surface Optimization in Patients with Epithelial Basement Membrane Dystrophy.","authors":"S Wade Kimmell","doi":"10.2147/OPTO.S588116","DOIUrl":"10.2147/OPTO.S588116","url":null,"abstract":"<p><strong>Purpose: </strong>Epithelial Basement Membrane Dystrophy (EBMD)-induced irregular astigmatism can lead to unreliable biometry and suboptimal refractive outcomes in cataract surgery patients. Herein, we assessed the use of superficial keratectomy followed by placement of cryopreserved amniotic membrane (cAM) to improve the ocular surface.</p><p><strong>Methods: </strong>This was a single-center, retrospective study of consecutive patients with EBMD that underwent superficial keratectomy with adjunctive treatment with cAM between November 2022 and March 2025. Time to complete epithelialization, visual acuity (LogMAR), higher order aberration Root Mean Square (HOA RMS), cylinder power, and IOL biometry were assessed up to two months post-treatment.</p><p><strong>Results: </strong>A total of 27 eyes of 21 patients with EBMD were included in the study and received cAM for a mean of 3.0 ± 0.4 days. Complete re-epithelialization was noted in an average 7.0 ± 4.7 days, with 96.3% (26/27) of eyes achieved epithelialization within 10 days. At the two month follow up, LogMAR VA slightly improved from 0.34 ± 0.21 to 0.31 ± 0.23 (p=0.42). HOA RMS significantly improved from 0.68 ± 0.53 μm to 0.42 ± 0.23 μm (p=0.006), and cylinder power significantly changed from 1.38 ± 0.75 D to 1.09 ± 0.71 D (p=0.022).</p><p><strong>Conclusion: </strong>Superficial keratectomy with cAM led to complete re-epithelialization in the majority (96.3%) of cases within 10 days, which was associated with a significant change in HOA RMS, cylinder power and IOL SE. This treatment may be considered in patients prior to cataract surgery to return the cornea to healthy state and change the biometry input for IOL selection.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"588116"},"PeriodicalIF":2.4,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare and Delayed Presentation of Retinoblastoma in an 8-Year-Old Child: A Case Report.","authors":"Ahmed Almaweri","doi":"10.2147/OPTO.S589888","DOIUrl":"10.2147/OPTO.S589888","url":null,"abstract":"<p><strong>Introduction: </strong>Retinoblastoma is the most common primary intraocular malignancy in childhood and is typically diagnosed prior to the age of five. Late presentation beyond this age is uncommon and is often associated with delayed recognition, misdiagnosis, or restricted access to specialized eye centers.</p><p><strong>Case presentation: </strong>Here, we document a case of an 8-year-old male child who presented with leukocoria, exotropia, and progressive deterioration of vision in his left eye. Initially, he was misdiagnosed with congenital cataract at a rural primary healthcare center, which delayed proper referral and management. Subsequent clinical examination and imaging revealed a significant intraocular mass with calcification, highly indicative of advanced Group D intraocular retinoblastoma. A differential diagnosis was conducted to rule out conditions that may mimic retinoblastoma. The affected eye was enucleated, and histopathology confirmed the diagnosis, demonstrating Homer Wright rosettes without optic nerve or extraocular spread. Because no high-risk features were found, additional therapy was not necessary.</p><p><strong>Conclusion: </strong>This case report emphasizes the importance of maintaining awareness of retinoblastoma even in older children, as atypical or delayed presentations may occur. It also highlights the significance of timely recognition, successful referral, and comprehensive imaging with histopathological confirmation in guiding management and improving prognosis.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"589888"},"PeriodicalIF":2.4,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From the Ocular Surface to Neurophysiology: An Integrative Review of Digital Eye Strain.","authors":"Prithwis Manna","doi":"10.2147/OPTO.S586750","DOIUrl":"10.2147/OPTO.S586750","url":null,"abstract":"<p><p>Digital eye strain is a cross-system condition that arises from interactions between visual physiology and digital displays. As the use of screens has grown in work, education, and everyday life, researchers have sought to describe this condition through symptom questionnaires (CVS‑Q, CVSS17, DESQ), measurements of the ocular surface and blinking, tests of accommodation and vergence, and, in related visual fatigue studies, neurophysiological methods such as electromyography and electroencephalography (EEG). Nevertheless, these methods have usually examined individual mechanisms separately. Interventions-ranging from lubricating the ocular surface and filtering blue light to ergonomic changes, task‑specific refractive correction, and scheduled micro‑breaks-have seldom been guided by a unified mechanistic framework. This review compiles evidence from 128 studies to identify six mechanistic domains relevant for clinical assessment. These include ocular surface and blink dynamics, accommodation and vergence, musculoskeletal load, device-related optical stress, cognitive load, and neural markers. A systematic search of PubMed/MEDLINE, Embase, Scopus, and Web of Science was carried out through September 30th, 2025, in accordance with PRISMA guidelines. Eligible studies included randomized trials, controlled interventions, cohort studies, and laboratory experiments, with methodological quality evaluated using the Mixed Methods Appraisal Tool. Results across pediatric, adolescent, working‑age, and presbyopic groups indicate that cognitive load reduces blinking and destabilizes accommodation. Binocular incongruence links visual effort with trapezius activation, and EEG markers can precede subjective fatigue. Interventions aligned with these mechanisms-such as ocular surface care, accommodative/vergence correction, ergonomic optimization, and micro‑break scheduling-are supported across all domains. The review proposes a mechanism‑based triage model to assist clinicians in prioritizing interventions based on the patient's exposure profile, breaking neuro‑ocular feedback loops, and preserving functional performance in individuals exposed to screens. The framework provides an actionable, mechanism‑first triage checklist for optometric practice.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"586750"},"PeriodicalIF":2.4,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Differences in Preferred Under-Correction of Contact Lenses and Their Potential Relevance to Presbyopia Management.","authors":"Masahiko Ayaki, Akiko Hanyuda, Kazuno Negishi","doi":"10.2147/OPTO.S575883","DOIUrl":"10.2147/OPTO.S575883","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine sex differences in preferred refraction for presbyopic correction in daily life, determined by the power of prescribed contact lenses.</p><p><strong>Patients and methods: </strong>Near add power and preferred contact lens power were examined in participants aged from 20 to 79 years who were divided into three age groups (20-39, 40-59, and 60-79 years). The difference (Δ) in lens power (preferred corrective power of contact lens - full correction power) was compared between both sexes in each age group. Regression analysis was conducted to explore the relationship between Δ lens power and ocular parameters.</p><p><strong>Results: </strong>A total of 768 men and 2314 women were enrolled in the study. Sex differences were prominent in the 40-59 year age group; namely Δ lens power was larger (<i>P</i> < 0.05) and visual acuity with contact lenses was lower in women than men (<i>P</i> < 0.05), whilst astigmatic errors and anisometropia were greater in men than women. Mean near add power was similar between both sexes in all age groups. Ocular surface parameters were worse in women compared with men, except for the Shirmer test. The results of regression analyses indicated that Δ lens power for women was associated with myopic spherical equivalent, astigmatic errors, anisometropia, near add power, contact lens power, and visual acuity with contact lenses. For men, Δ lens power was associated with myopic spherical equivalent, astigmatic errors, visual acuity with contact lenses, and tear break-up time. Age was not a significant factor for either sex.</p><p><strong>Conclusion: </strong>The current results revealed sex differences in the preferred power of contact lenses for presbyopic correction for optimal daily living. The magnitude of under-correction was significantly greater in women than men aged 40 to 59 years.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"575883"},"PeriodicalIF":2.4,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}