Evidence Hub

Dynamic Accommodation Responses in Subjects Wearing Myopia Control Spectacles Modifying Peripheral Refraction

Lin Z, Christaras D, Duarte-Toledo R, Yang Z, Arias A, Lan W, Artal P

Investigative ophthalmology & visual science, 2025

9 citations

Abstract

Purpose: Peripheral optics have been suggested to play a role in myopia progression, with accommodation responses also considered a potential contributor. This study aimed to investigate whether modifications in peripheral optics through different spectacle lenses affect accommodation responses.

Methods: Dynamic accommodation responses were assessed using a double-pass instrument while switching the target from distance (3 m for 3 seconds) to near (0.22 m/4.5 D for adults, 0.18 m/5.5 D for children, 5 seconds) and then back to distance (3 m for 3 seconds). Three groups were studied. Group 1 included 13 adults (age = 28 ± 4.5 years). Participants wore one of three myopia control lenses (MiYOSMART [Hoya], Stellest [Essilor], or MyoCare [ZEISS]) randomly, along with their habitual glasses. The testing involved both central clear zones and peripheral side-vision zones, with habitual glasses served as reference. Group 2 underwent same procedure, but in children (age = 9.8 ± 1.7 years). Group 3 included 8 adults (age = 27.9 ± 5.3 years) wearing standard glasses partially excised with central holes (diameter = 12 mm). The lens refraction included plano, +3 D defocus, -3 D defocus, and -3 D oblique astigmatism.

Results: The accommodative lag was less than 0.5 D for all eyes under near stimulation. No significant differences in the amplitude of accommodation responses were observed among the myopia control lenses or the partially excised glasses.

Conclusions: No effect on…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free