Myopia progression in adolescent wearers of soft contact lenses and spectacles.
The purpose of this 3-year, randomized clinical trial was to determine the difference in myopia progression in adolescents wearing soft contact lenses over a control group wearing spectacles. A total of 175 adolescents between the ages of 11 and 14 years were randomized into 2 groups, spectacle wearers and soft contact lens wearers. The main result was that the spherical equivalent change between the groups showed no clinical or statistically significant difference. However, when a power vector analysis was used, which uses all the refractive error data, a small but statistically significant (F test = 4.24, T2 = 17.35, p < 0.01) difference between the groups was found (i.e., the refractive error of the spectacle wearers had a slight increase in astigmatism). It can be concluded that soft contact lens wear does not lead to additional myopia progression in adolescents.
Horner
D G
DG
Borish Center for Ophthalmic Research, Indiana University, School of Optometry, Bloomington, Indiana 47405-3680, USA. hornerdg@indiana.edu
Soni
P S
PS
Salmon
T O
TO
Swartz
T S
TS
D000293:Adolescent; D001251:Astigmatism / Q000209:etiology; D002648:Child; D003263:Contact Lenses, Hydrophilic; D018450:Disease Progression; D005139:Eyeglasses / Q000009:adverse effects; D006801:Humans; D007223:Infant; D009216:Myopia / Q000503:physiopathology* / Q000628:therapy*; D012029:Refraction, Ocular / Q000502:physiology