Spectacle Lenses With Highly Aspherical Lenslets for Slowing Axial Elongation and Refractive Change in Low-Hyperopic Chinese Children: A Randomized Controlled Trial.

Zhe Zhang Li Zeng Dantong Gu Bingjie Wang Pauline Kang Kathleen Watt Jiaqi Zhou Xueyi Zhou Zhuoyi Chen Danjuan Yang Can Chen Xiaoying Wang Xingtao Zhou Zhi Chen

Am J Ophthalmol

From the Eye Institute and Department of Ophthalmology (Z.Z., L.Z., J.Z., X.Z., Z.C., D.Y., C.C., X.W., X.Z., Z.C.), Eye & ENT Hospital, Fudan University, Shanghai, China; NHC Key Laboratory of Myopia (Fudan University), Key Laboratory of Myopia (Z.Z., L.Z., J.Z., X.Z., Z.C., D.Y., C.C., X.W., X.Z., Z.C.), Chinese Academy of Medical Sciences, Shanghai, China; Shanghai Research Center of Ophthalmology and Optometry (Z.Z., L.Z., J.Z., X.Z., Z.C., D.Y., C.C., X.W., X.Z., Z.C.), Shanghai, China. Electronic address:

Published: January 2025

Spectacle lenses with highly aspherical lenslets (HAL) have been shown to slow down the progress of myopia in children, and this study examined their impact on low hyperopic children.
A total of 108 Chinese children aged 6-9 were divided into two groups, one receiving HAL lenses and the other single vision lenses, with measurements taken over a year.
Results indicated that children in the HAL group experienced less axial length elongation, especially if they wore their lenses for over 30 hours a week, highlighting a correlation between lens wearing time and eye changes.

Purpose: Spectacle lenses with highly aspherical lenslets (HAL) have been shown to effectively retard myopia progression in myopic children. This study aimed to investigate the impact of spectacle lenses with HAL on refractive and axial length (AL) changes in Chinese children with low amount of hyperopia.

Design: Randomized controlled trial.

Methods: A total of 108 Chinese children aged 6.0 to 9.9 years and spherical equivalent refractive error (SERE) from 0.00 to +2.00 D were randomly allocated into two groups: the HAL group and the single vision spectacle lens (SVL) group. Cycloplegic refraction, AL, and uncorrected visual acuity were measured at baseline, 6 and 12 months after lens dispensing. The duration of spectacle lens wear was monitored using a wearable device attached to the spectacle frame and by questionnaire logs provided by participants at each follow-up visit.

Results: The 1-year SERE change was -0.19 (-0.32, 0.03) D and -0.23 (-0.36, 0.05) D in the SVL and HAL groups (P = .883). The 1-year AL elongation was 0.24 (0.18, 0.34) mm and 0.19 (0.12, 0.27) mm in the SVL and HAL groups (P = .057). In the HAL group, changes in AL and SERE were significantly correlated to lens wearing time (P < .001 and P = .024, respectively). Participants in the HAL group who wore their lenses for more than 30 hours per week had significantly slower AL elongation (0.11 [0.05, 0.17] mm) compared to their SVL counterparts (0.27 [0.21, 0.33] mm) (P < .001).

Conclusions: Spectacle lenses with HAL significantly reduced AL elongation in low hyperopic children who wore lenses for over 30 hours per week. A dose-response relationship was evident with longer lens wearing time associated with less AL change.

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http://dx.doi.org/10.1016/j.ajo.2024.08.020	DOI Listing

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