Multifocal Versus Single Vision Lenses Intervention to Slow Progression of Myopia in School-age Children: A Meta-analysis
Abstract Myopia in school-aged children is a major public health problem in Asians that has been extensively studied. Multifocal lenses (MLs) are advocated as a substitute for single vision lenses (SVLs) to slow myopia progression in children, but results vary greatly across studies. We systematical...
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| Veröffentlicht in: | Survey of ophthalmology 2011-09, Vol.56 (5), p.451-460 |
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| creator | Li, Shi-Ming, MD, PhD Ji, Ya-Zhou, MD Wu, Shan-Shan, MD Zhan, Si-Yan, PhD Wang, Bo, PhD Liu, Luo-Ru, MD Li, Si-Yuan, MD Wang, Ning-Li, MD, PhD Wang, Jie Jin, MMBS, PhD |
| description | Abstract Myopia in school-aged children is a major public health problem in Asians that has been extensively studied. Multifocal lenses (MLs) are advocated as a substitute for single vision lenses (SVLs) to slow myopia progression in children, but results vary greatly across studies. We systematically searched currently available randomized controlled trials that compared the effects of MLs and SVLs in children. A meta-analysis of nine of these trials showed that MLs with powers ranging from +1.50 to +2.00D were associated with a statistically significantly decrease in myopia progression in school-aged children compared with SVLs. The benefit was greater in children with a higher level of myopia at baseline and sustained for a minimum of 24 months. Asian children appeared to have greater benefit from intervention with MLs than white children. |
| doi_str_mv | 10.1016/j.survophthal.2011.06.002 |
| format | Article |
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Multifocal lenses (MLs) are advocated as a substitute for single vision lenses (SVLs) to slow myopia progression in children, but results vary greatly across studies. We systematically searched currently available randomized controlled trials that compared the effects of MLs and SVLs in children. A meta-analysis of nine of these trials showed that MLs with powers ranging from +1.50 to +2.00D were associated with a statistically significantly decrease in myopia progression in school-aged children compared with SVLs. The benefit was greater in children with a higher level of myopia at baseline and sustained for a minimum of 24 months. Asian children appeared to have greater benefit from intervention with MLs than white children.</description><identifier>ISSN: 0039-6257</identifier><identifier>EISSN: 1879-3304</identifier><identifier>DOI: 10.1016/j.survophthal.2011.06.002</identifier><identifier>PMID: 21813146</identifier><identifier>CODEN: SUOPAD</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Disease Progression ; Eyeglasses ; Humans ; Medical sciences ; meta-analysis ; Miscellaneous ; multifocal lenses ; myopia ; Myopia - physiopathology ; Myopia - therapy ; Ophthalmology ; Prosthesis Design ; Randomized Controlled Trials as Topic ; school-aged children ; single vision lenses ; systematic review ; Vision disorders ; Vision Disorders - prevention & control</subject><ispartof>Survey of ophthalmology, 2011-09, Vol.56 (5), p.451-460</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-b070dfaeb94d26f3580a384ced43ec05e7157e228a2d190f8f7d1fa72c402ef53</citedby><cites>FETCH-LOGICAL-c461t-b070dfaeb94d26f3580a384ced43ec05e7157e228a2d190f8f7d1fa72c402ef53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.survophthal.2011.06.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24468701$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21813146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Shi-Ming, MD, PhD</creatorcontrib><creatorcontrib>Ji, Ya-Zhou, MD</creatorcontrib><creatorcontrib>Wu, Shan-Shan, MD</creatorcontrib><creatorcontrib>Zhan, Si-Yan, PhD</creatorcontrib><creatorcontrib>Wang, Bo, PhD</creatorcontrib><creatorcontrib>Liu, Luo-Ru, MD</creatorcontrib><creatorcontrib>Li, Si-Yuan, MD</creatorcontrib><creatorcontrib>Wang, Ning-Li, MD, PhD</creatorcontrib><creatorcontrib>Wang, Jie Jin, MMBS, PhD</creatorcontrib><title>Multifocal Versus Single Vision Lenses Intervention to Slow Progression of Myopia in School-age Children: A Meta-analysis</title><title>Survey of ophthalmology</title><addtitle>Surv Ophthalmol</addtitle><description>Abstract Myopia in school-aged children is a major public health problem in Asians that has been extensively studied. Multifocal lenses (MLs) are advocated as a substitute for single vision lenses (SVLs) to slow myopia progression in children, but results vary greatly across studies. We systematically searched currently available randomized controlled trials that compared the effects of MLs and SVLs in children. A meta-analysis of nine of these trials showed that MLs with powers ranging from +1.50 to +2.00D were associated with a statistically significantly decrease in myopia progression in school-aged children compared with SVLs. The benefit was greater in children with a higher level of myopia at baseline and sustained for a minimum of 24 months. Asian children appeared to have greater benefit from intervention with MLs than white children.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Disease Progression</subject><subject>Eyeglasses</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>meta-analysis</subject><subject>Miscellaneous</subject><subject>multifocal lenses</subject><subject>myopia</subject><subject>Myopia - physiopathology</subject><subject>Myopia - therapy</subject><subject>Ophthalmology</subject><subject>Prosthesis Design</subject><subject>Randomized Controlled Trials as Topic</subject><subject>school-aged children</subject><subject>single vision lenses</subject><subject>systematic review</subject><subject>Vision disorders</subject><subject>Vision Disorders - prevention & control</subject><issn>0039-6257</issn><issn>1879-3304</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkkmPEzEQRlsIxISBv4DMAXHqUF7SCwekUcQyUiKQAnO1HHd14uDYGVd3UP97OiQs4sTJkvXqK9dzZdkLDlMOvHi9m1KfjvGw7bbGTwVwPoViCiAeZBNelXUuJaiH2QRA1nkhZuVV9oRoBwBK1uXj7Erwikuuikk2LHvfuTZa49kdJuqJrVzYeGR3jlwMbIGBkNht6DAdMXSnuy6ylY_f2ecUNwnpJxdbthziwRnmAlvZbYw-Nxtk863zTcLwht2wJXYmN8H4gRw9zR61xhM-u5zX2df3777MP-aLTx9u5zeL3KqCd_kaSmhag-taNaJo5awCIytlsVESLcyw5LMShaiMaHgNbdWWDW9NKawCge1MXmevzrmHFO97pE7vHVn03gSMPemqUlwoKcuRrM-kTZEoYasPye1NGjQHfRKvd_ov8fokXkOhR_Fj7fNLl369x-Z35S_TI_DyAhgaZbfJBOvoD6dUUZXAR25-5nB0cnSYNFmHYZzXJbSdbqL7r-e8_SfFehfc2PgbDki72KfxG0hzTUKDXp025bQonMOYUgr5A8JHvg4</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Li, Shi-Ming, MD, PhD</creator><creator>Ji, Ya-Zhou, MD</creator><creator>Wu, Shan-Shan, MD</creator><creator>Zhan, Si-Yan, PhD</creator><creator>Wang, Bo, PhD</creator><creator>Liu, Luo-Ru, MD</creator><creator>Li, Si-Yuan, MD</creator><creator>Wang, Ning-Li, MD, PhD</creator><creator>Wang, Jie Jin, MMBS, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Multifocal Versus Single Vision Lenses Intervention to Slow Progression of Myopia in School-age Children: A Meta-analysis</title><author>Li, Shi-Ming, MD, PhD ; Ji, Ya-Zhou, MD ; Wu, Shan-Shan, MD ; Zhan, Si-Yan, PhD ; Wang, Bo, PhD ; Liu, Luo-Ru, MD ; Li, Si-Yuan, MD ; Wang, Ning-Li, MD, PhD ; Wang, Jie Jin, MMBS, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-b070dfaeb94d26f3580a384ced43ec05e7157e228a2d190f8f7d1fa72c402ef53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Disease Progression</topic><topic>Eyeglasses</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>meta-analysis</topic><topic>Miscellaneous</topic><topic>multifocal lenses</topic><topic>myopia</topic><topic>Myopia - physiopathology</topic><topic>Myopia - therapy</topic><topic>Ophthalmology</topic><topic>Prosthesis Design</topic><topic>Randomized Controlled Trials as Topic</topic><topic>school-aged children</topic><topic>single vision lenses</topic><topic>systematic review</topic><topic>Vision disorders</topic><topic>Vision Disorders - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Shi-Ming, MD, PhD</creatorcontrib><creatorcontrib>Ji, Ya-Zhou, MD</creatorcontrib><creatorcontrib>Wu, Shan-Shan, MD</creatorcontrib><creatorcontrib>Zhan, Si-Yan, PhD</creatorcontrib><creatorcontrib>Wang, Bo, PhD</creatorcontrib><creatorcontrib>Liu, Luo-Ru, MD</creatorcontrib><creatorcontrib>Li, Si-Yuan, MD</creatorcontrib><creatorcontrib>Wang, Ning-Li, MD, PhD</creatorcontrib><creatorcontrib>Wang, Jie Jin, MMBS, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Survey of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Shi-Ming, MD, PhD</au><au>Ji, Ya-Zhou, MD</au><au>Wu, Shan-Shan, MD</au><au>Zhan, Si-Yan, PhD</au><au>Wang, Bo, PhD</au><au>Liu, Luo-Ru, MD</au><au>Li, Si-Yuan, MD</au><au>Wang, Ning-Li, MD, PhD</au><au>Wang, Jie Jin, MMBS, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multifocal Versus Single Vision Lenses Intervention to Slow Progression of Myopia in School-age Children: A Meta-analysis</atitle><jtitle>Survey of ophthalmology</jtitle><addtitle>Surv Ophthalmol</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>56</volume><issue>5</issue><spage>451</spage><epage>460</epage><pages>451-460</pages><issn>0039-6257</issn><eissn>1879-3304</eissn><coden>SUOPAD</coden><abstract>Abstract Myopia in school-aged children is a major public health problem in Asians that has been extensively studied. Multifocal lenses (MLs) are advocated as a substitute for single vision lenses (SVLs) to slow myopia progression in children, but results vary greatly across studies. We systematically searched currently available randomized controlled trials that compared the effects of MLs and SVLs in children. A meta-analysis of nine of these trials showed that MLs with powers ranging from +1.50 to +2.00D were associated with a statistically significantly decrease in myopia progression in school-aged children compared with SVLs. The benefit was greater in children with a higher level of myopia at baseline and sustained for a minimum of 24 months. Asian children appeared to have greater benefit from intervention with MLs than white children.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21813146</pmid><doi>10.1016/j.survophthal.2011.06.002</doi><tpages>10</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Biological and medical sciences Child Disease Progression Eyeglasses Humans Medical sciences meta-analysis Miscellaneous multifocal lenses myopia Myopia - physiopathology Myopia - therapy Ophthalmology Prosthesis Design Randomized Controlled Trials as Topic school-aged children single vision lenses systematic review Vision disorders Vision Disorders - prevention & control |
| title | Multifocal Versus Single Vision Lenses Intervention to Slow Progression of Myopia in School-age Children: A Meta-analysis |
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