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Contemporary Options For Myopia Control With Progressive Contact Lenses With Center-Distance Design

Mladena Radeva, Lilyana Radkova, Dimitar Grupchev


Introduction: Contact lenses with peripheral plus zone, also known as myopia control lenses, have a proven retardation effect on the myopia progression and prevent subsequent complications.

Materials and Methods: Fifteen children at a mean age of 8 ± 2 years with documented progression of myopia over 1 D and a risk calculator with an average of above 4.5 D were adapted to center-distance multifocal lenses with addition +2.0 D. The patients were followed for 2 years by monitoring objective (after cycloplegia) refraction and biometric indicators.

Results: The results were reported every 6 months and showed a reduction of 43% (21% to 85%) of the myopia expected by the calculator. The mean myopia of the first year was 3.27 ± 1.12 D, and for the four subsequent revisions this value changed as follows: 3.96 ± 1.23 D, 4.16 ± 0.97 D, 4.25 ± 1.05 D, and 4.5 ± 0.86 D. The results of the study show easy and fast adaptation of children, excellent effect in anisometropic amblyopia and minimal side effects and complications.

Conclusion: The results of this pilot study demonstrate a significant reduction in myopia progression, good tolerance, parental cooperation, and define soft, progressive lenses with center-distance design, as a successful opportunity for myopia control.


myopia, control of myopia, progressive contact lenses

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