Abstract
Purpose :
Alteration in contrast have shown to impact the accommodative accuracy in myopes. This study investigated whether the Diffusion Optics Technology™ (DOT) spectacles that are designed to reduce the contrast on peripheral retina, have an impact on the lag of accommodation (LOA) in emmetropic children after short-term wear.
Methods :
This was a single visit, prospective, randomized, subject-masked study. Participants were eligible if they had ±1.00 diopters prescription or less and they had no history of previous myopia control treatment. The logMAR visual acuity was measured and ocular dominance was tested using the sighting method. Participants then wore a pair of plano DOT spectacles (not featuring a central clear zone) and standard plano spectacles (control) in a randomized order and, after 5 minutes adaptation to the lenses, ten open-field autorefraction measurements (Grand Seiko 5500) were taken for each eye, with the target at 6m and 40cm. Analysis was conducted on the mean auto-refraction to determine differences in LOA between lens types for the right eye and also for the dominant eye.
Results :
A total of 30 participants (20 female:10 male) with a mean (± SD) age of 10.4 ± 2.8 years (range 7 to 17) completed the study. The mean ± SD LOA was 0.57 ± 0.39D for the right eye and 0.60 ± 0.40D for the dominant eye whilst wearing DOT spectacles and similarly, 0.62 ± 0.34D for the right eye and 0.68 ± 0.33D for the dominant eye while wearing control spectacles. Mann Whitney U test results indicated no statistically significant difference between DOT and control spectacles for the right eye data (p=0.64) or for the dominant eye data (p=0.25). Similarly, no difference was observed in the mean LOA when compared between males and females, and between the younger (6-11) and older (12-17) age groups for both right eye and dominant eye with DOT and control spectacles (all p>0.05).
Conclusions :
DOT lenses have no significant effect on the lag of accommodation compared to single vision spectacles after short-term wear. The study counters the supposition that reduced contrast may influence accommodative accuracy.
This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.