Abstract
Purpose :
To compare the visual performance of Spatio-Temporal Optical Phase (S.T.O.P®) contact lenses (CL) against MiSight® (MS) in myopic young adults. S.T.O.P CL feature rotationally asymmetric power maps, designed with meridionally and azimuthally varying power distributions, combined with a peripheral carrier configured with rotation assisting features. The resulting dynamic optical signal on the retina may decelerate the rate of myopia progression and minimise the decay of treatment effect found in options which provide a relatively static optical signal.
Methods :
Prospective, randomized, single-masked (participant), cross-over trial where participants aged 18-39 years wore MS and two S.T.O.P designs (F2 and DT), each for a minimum of 5 days at 6 hours/day, daily wear, with CLEARCARE disinfection. Following CL wear, visual performance was assessed with subjective questionnaire (0-100 scale) for clarity of vision and ghosting (distance, intermediate, near), driving vision, overall vision satisfaction and comfort. Willingness to purchase was assessed with a binary Yes/No response. High and low contrast visual acuity (HCVA/LCVA) were measured monocularly and binocularly at 6m. HCVA was also measured binocularly at 70, 50 and 40cm. Differences between designs were assessed using linear mixed model, a Bonferroni correction was applied where applicable, and significance was set at 5%.
Results :
F2 was better than MS for clarity of vision at intermediate (71±18 vs. 61±24, p<0.001) and near (78±16 vs. 64±28, p<0.001) while MS was better than DT at near (64±28 vs. 56±26, p<0.001). F2 was better for ghosting than MS (79±24 vs. 64±30, p<0.001), and the difference was independent of distance (p=0.13). There were no differences between designs for driving vision, comfort, overall vision satisfaction, or willingness to purchase (p>0.06).
MS was better than F2 and DT for monocular and binocular HCVA at 6m (mean difference [MD]≤ 2 letters; p≤0.001 and ≤0.002, respectively) and binocular HCVA at 50cm (MD≤2 letters, p≤0.02). There was no difference between designs for LCVA (p>0.07).
Conclusions :
Though MS was significantly better than both S.T.O.P designs for HCVA, the MD was only 2 letters. Overall, both S.T.O.P designs were comparable to MS for visual performance, with F2 outperforming MS in some aspects of subjective visual performance.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.