Comparisons of Three Methods for Myopia Control in Adolescents

Objective. A rising trend in electronic use has increased the prevalence of myopia in adolescents, but the optimal approach to controlling myopia remains undetermined. Here, we explored the effects of common single vision (SV) spectacle lenses combined with 0.01% atropine eye drops (SV + A), orthoke...

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Main Authors: Ling-fang Du, Fang He, Hua-xia Tan, Na Gao, Wei-qiong Song, Yu-xiu Luo
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/9920002
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author Ling-fang Du
Fang He
Hua-xia Tan
Na Gao
Wei-qiong Song
Yu-xiu Luo
author_facet Ling-fang Du
Fang He
Hua-xia Tan
Na Gao
Wei-qiong Song
Yu-xiu Luo
author_sort Ling-fang Du
collection DOAJ
description Objective. A rising trend in electronic use has increased the prevalence of myopia in adolescents, but the optimal approach to controlling myopia remains undetermined. Here, we explored the effects of common single vision (SV) spectacle lenses combined with 0.01% atropine eye drops (SV + A), orthokeratology (OK) lenses, and peripheral defocus (PD) spectacle lenses on myopia control in adolescents. Methods. Totally 150 myopic adolescent patients (300 eyes) receiving treatment at The First People’s Hospital of Chenzhou City were enrolled. According to doctors’ advice and guardians’ wishes, the patients were divided into SV + A group, OK group, and PD group, with each group consisting of 50 cases (100 eyes). The spherical equivalent, axial length, accommodative response index (accommodative sensitivity and accommodative lag), and intraocular pressure were compared before and after 12 months of wearing lenses, and the complications were recorded. Results. Before wearing lenses, there was no statistical significance in baseline characteristics such as age, gender, and spherical equivalent among the three groups (P>0.05). After wearing lenses, the increase in spherical equivalent and axial length in the SV + A and OK groups were lower than in the PD group (P<0.05), and the SV + A group had the lowest axial length growth. Compared with the SV + A group, accommodative sensitivity was much higher and accommodative lag was significantly lower in the OK and PD groups (P<0.01). In addition, there was no significant difference in intraocular pressure before and after wearing lenses among the three groups (P>0.05). Though the OK group patients had more complications, the difference was not statistically significant (P>0.05). Conclusion. SV + A, OK, and PD lenses can effectively control the progression of myopia in adolescents, but SV + A and OK lenses exhibited more significant effects.
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spelling doaj-art-faee3c2226624a7eb1dfc433fb919eb42025-08-20T02:22:37ZengWileyJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/9920002Comparisons of Three Methods for Myopia Control in AdolescentsLing-fang Du0Fang He1Hua-xia Tan2Na Gao3Wei-qiong Song4Yu-xiu Luo5Optometry CenterOptometry CenterOptometry CenterOptometry CenterOptometry CenterOptometry CenterObjective. A rising trend in electronic use has increased the prevalence of myopia in adolescents, but the optimal approach to controlling myopia remains undetermined. Here, we explored the effects of common single vision (SV) spectacle lenses combined with 0.01% atropine eye drops (SV + A), orthokeratology (OK) lenses, and peripheral defocus (PD) spectacle lenses on myopia control in adolescents. Methods. Totally 150 myopic adolescent patients (300 eyes) receiving treatment at The First People’s Hospital of Chenzhou City were enrolled. According to doctors’ advice and guardians’ wishes, the patients were divided into SV + A group, OK group, and PD group, with each group consisting of 50 cases (100 eyes). The spherical equivalent, axial length, accommodative response index (accommodative sensitivity and accommodative lag), and intraocular pressure were compared before and after 12 months of wearing lenses, and the complications were recorded. Results. Before wearing lenses, there was no statistical significance in baseline characteristics such as age, gender, and spherical equivalent among the three groups (P>0.05). After wearing lenses, the increase in spherical equivalent and axial length in the SV + A and OK groups were lower than in the PD group (P<0.05), and the SV + A group had the lowest axial length growth. Compared with the SV + A group, accommodative sensitivity was much higher and accommodative lag was significantly lower in the OK and PD groups (P<0.01). In addition, there was no significant difference in intraocular pressure before and after wearing lenses among the three groups (P>0.05). Though the OK group patients had more complications, the difference was not statistically significant (P>0.05). Conclusion. SV + A, OK, and PD lenses can effectively control the progression of myopia in adolescents, but SV + A and OK lenses exhibited more significant effects.http://dx.doi.org/10.1155/2022/9920002
spellingShingle Ling-fang Du
Fang He
Hua-xia Tan
Na Gao
Wei-qiong Song
Yu-xiu Luo
Comparisons of Three Methods for Myopia Control in Adolescents
Journal of Ophthalmology
title Comparisons of Three Methods for Myopia Control in Adolescents
title_full Comparisons of Three Methods for Myopia Control in Adolescents
title_fullStr Comparisons of Three Methods for Myopia Control in Adolescents
title_full_unstemmed Comparisons of Three Methods for Myopia Control in Adolescents
title_short Comparisons of Three Methods for Myopia Control in Adolescents
title_sort comparisons of three methods for myopia control in adolescents
url http://dx.doi.org/10.1155/2022/9920002
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