Optical treatment strategies to slow myopia progression: effects of the visual extent of the optical treatment zone.

Abstract:

:In order to develop effective optical treatment strategies for myopia, it is important to understand how visual experience influences refractive development. Beginning with the discovery of the phenomenon of form deprivation myopia, research involving many animal species has demonstrated that refractive development is regulated by visual feedback. In particular, animal studies have shown that optically imposed myopic defocus slows axial elongation, that the effects of vision are dominated by local retinal mechanisms, and that peripheral vision can dominate central refractive development. In this review, the results obtained from clinical trials of traditional optical treatment strategies employed in efforts to slow myopia progression in children are interpreted in light of the results from animal studies and are compared to the emerging results from preliminary clinical studies of optical treatment strategies that manipulate the effective focus of the peripheral retina. Overall, the results suggest that imposed myopic defocus can slow myopia progression in children and that the effectiveness of an optical treatment strategy in reducing myopia progression is influenced by the extent of the visual field that is manipulated.

journal_name

Exp Eye Res

authors

Smith EL 3rd

doi

10.1016/j.exer.2012.11.019

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

77-88

eissn

0014-4835

issn

1096-0007

pii

S0014-4835(12)00346-6

journal_volume

114

pub_type

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