Visual performance of optical films utilizing Spatio-Temporal Optical Phase technology.

SIGNIFICANCE: Spatio-Temporal Optical Phase technology utilizes film pairs containing optical elements applied to standard single-vision spectacle lenses. This technology provides a dynamic optical cue that may have efficacy in reducing the rate of myopia progression, but the visual performance of this technology is unknown. PURPOSE: This study aimed to assess the visual performance of film pairs containing optical elements (tests) and a film pair with no optical elements (control). METHODS: In this randomized, single-masked, bilateral wear study, 42 participants aged 18 to 40 years wore four test designs (E, F-1, G, and F-2) and the control. Subjective data (subjective ratings [1 to 10 scale]: clarity of vision [far-away, intermediate, near] and vision [at night, while walking, overall satisfaction], and willingness to purchase [yes/no response]) were collected after 3 days. Visual acuity (VA)-based measures (monocular high/low-contrast VA [6 m], contrast sensitivity [6 m], and binocular high-contrast VA [6 m and 40 cm]) were collected at dispensing. Visual acuity-based measures were also collected while wearing spectacles with no film. Analyses were performed using linear mixed models and the χ2 test. Significance was set at 5%. RESULTS: The control performed better than any test for all subjective ratings (mean differences, 1.6 to 3.1 units: p<0.001), willingness to purchase (p<0.001), and designs F-1 and F-2 for binocular high-contrast VA at 40 cm (p=0.001 and p=0.01, respectively). Clarity of vision was significantly worse with F-2 compared with F-1 and G (p<0.001 and p=0.02, respectively). There were no differences between tests for any other subjective rating (p>0.1), willingness to purchase (p=0.11), or any VA-based measure (p>0.08). There were no differences between control and spectacles with no film for any VA-based measure (p>0.08). CONCLUSIONS: All four test film pairs reduced visual performance compared with control to a degree comparable with other myopia management devices. There was no difference in visual performance between three of the four test film pairs.

Effect of ageing on keratoconic corneas / Efecto del envejecimiento sobre las córneas con queratocono

Purpose: To explore the potential effect of ageing on the corneal curvature and corrected visual acuity in patients with long-term keratoconus because of the paucity of these patients older than 50 years. Methods: Records of keratoconic patients, who had initially presented to a specialized contact lens clinic and followed for more than 20 years after disease onset, were reviewed. Collected information included age, gender, date of first and last examination, date of onset of the disease, central corneal curvature, refraction, best corrected visual acuity (BCVA), therapeutic modality and clinical signs. Results: Age of patients at last examination was 53.8 years±7.2 (range 44-67 years). Disease onset was self-reported to be at age 18.4 years±3.8. First examination was at age 25.1 years±9.4 and the mean number of years between first and last examination was 28.7 years. Mean central corneal curvature was 6.87mm (48.77D)±0.65 and 6.56mm (51.09D)±0.74, at first and last examination, respectively, a difference which was significant (p<0.001). However, the last measurement of corneal curvature was found to remain approximately constant over the years from about 20 to 50 years after onset. Mean BCVA was not significantly different between first and last examination and was found to be approximately constant over the years. Conclusion: Corneal curvature became steeper possibly within the first 20 years after disease onset but remained approximately unchanged afterwards. Likewise, BCVA remaine (AU)

Objetivo: Explorar el efecto potencial del envejecimiento sobre la curvatura de la córnea y la agudeza visual corregida en pacientes con queratocono a largo plazo, ya que hay una insuficiencia de estos pacientes con edades superiores a 50 años. Métodos: Revisión de las historias de los pacientes con queratocono, que habían acudido inicialmente a una clínica especializada en lentes de contacto, y seguimiento durante más de 20 años desde el inicio de la enfermedad. La información recolectada incluyó edad, sexo, fecha de la primera y la última valoración, fecha de aparición de la enfermedad, curvatura central de la córnea, agudeza visual mejor corregida (BCVA), modalidad terapéutica y signos clínicos. Resultados: La edad de los pacientes en el último examen fue de 53,8 años±7,2 (rango de 44 a 67 años). Los pacientes auto-reportaron el inicio de la enfermedad a los 18,4 años±3,8. El primer examen se realizó a los 25,1 años±9,4, siendo el número medio de años entre el primero y el último examen de 28,7 años. La media de la curvatura central de la córnea fue de 6,87mm (48,77D)±0,65 y 6,56mm (51,09D)±0,74, en el primero y el último examen, respectivamente, una diferencia que resultó significativa (p<0,001). Sin embargo, se comprobó que la última medición de la curvatura de la córnea permanecía más o menos constante durante el transcurso de los años, durante 20 a 50 años desde el inicio. La BCVA media no resultó estadísticamente diferente entre el primero y el último examen, siendo más o menos constante con el paso de los años. Conclusión: La curvatura de la córnea resultó más elevada dentro de los 20 primeros años desde la aparición de la enfermedad, pero no sufrió cambios posteriores. De igual modo, la BCVA permaneció prácticamente constante con el paso de los años, lo que indica una estabilidad relativa de la enfermedad con el transcurso de 20 años (AU)

Effect of ageing on keratoconic corneas.

PURPOSE: To explore the potential effect of ageing on the corneal curvature and corrected visual acuity in patients with long-term keratoconus because of the paucity of these patients older than 50 years. METHODS: Records of keratoconic patients, who had initially presented to a specialized contact lens clinic and followed for more than 20 years after disease onset, were reviewed. Collected information included age, gender, date of first and last examination, date of onset of the disease, central corneal curvature, refraction, best corrected visual acuity (BCVA), therapeutic modality and clinical signs. RESULTS: Age of patients at last examination was 53.8 years±7.2 (range 44-67 years). Disease onset was self-reported to be at age 18.4 years±3.8. First examination was at age 25.1 years±9.4 and the mean number of years between first and last examination was 28.7 years. Mean central corneal curvature was 6.87mm (48.77D)±0.65 and 6.56mm (51.09D)±0.74, at first and last examination, respectively, a difference which was significant (p<0.001). However, the last measurement of corneal curvature was found to remain approximately constant over the years from about 20 to 50 years after onset. Mean BCVA was not significantly different between first and last examination and was found to be approximately constant over the years. CONCLUSION: Corneal curvature became steeper possibly within the first 20 years after disease onset but remained approximately unchanged afterwards. Likewise, BCVA remained practically constant over the years indicating relative stability of the disease after 20 years.

Extended depth of focus contact lenses for presbyopia.

The purpose of this Letter is to design, develop, fabricate, and test in clinical trials a new (to our knowledge) type of contact lenses that provides simultaneous near and distance focused vision for presbyopic subjects, including those with up to 2.00 diopters (D) of regular/irregular astigmatism, as an alternative to multifocal contact lenses. The purpose is obtained by generating an optical pattern on the front surface of contact lenses, capable of extending the depth of focus of lenses by 3.00 D with high visual contrast. The pattern was fabricated on top of contact lenses and tested by the use of an eye simulation as well as in clinical trials. Use of the extended depth of focus contact lens enabled patients to achieve good visual acuity and contrast sensitivity for both distance and near vision without compromising the energy distribution or the visual fields.