Baroda Children Eyecare and Squint Clinic, Vadodara, Gujarat, India.
Indian J Ophthalmol. 2024 Jul 1;72(Suppl 4):S709-S711. doi: 10.4103/IJO.IJO_2378_23. Epub 2024 Feb 23.
To assess the effect of defocus incorporated multiple segments (DIMS) (Miyosmart) lenses on myopic progression in children not responding to low-concentration atropine (LCA) (0.01%) eye drops. A total of 10 children not responding to LCA (0.01%) eye drops were advised to start using the DIMS lens to halt the progression of myopia. The children were followed for a period of 1 year. Eight out of 10 children showed a reduction in the progression of myopia. Pre DIMS, the progression was -0.68 D ± 0.3 D sph, which reduced to -0.24 ± 0.2 diopter progression post DIMS lens in the eight children. The remaining two children still progressed by -0.57 ± 0.4 D sph over a year. The axial length growth reduced from 0.28 ± 0.3 mm to 0.16 ± 0.2 mm after using the DIMS lens in these non-responders. The DIMS lens shows initial promise in reducing the progression of myopia even in children not responding to LCA 0.01% eye drops.
评估多焦点离焦设计（DIMS）（Miyosmart）镜片在低浓度阿托品（LCA）（0.01%）滴眼剂治疗反应不佳的儿童中对近视进展的影响。建议 10 名对 LCA（0.01%）滴眼剂治疗反应不佳的儿童开始使用 DIMS 镜片以阻止近视进展。这些儿童随访了 1 年。10 名儿童中有 8 名显示出近视进展减缓。在使用 DIMS 镜片之前，8 名儿童的进展速度为-0.68 D ± 0.3 D 球镜，使用后进展速度降低至-0.24 ± 0.2 屈光度。另外两名儿童在一年中仍进展了-0.57 ± 0.4 D 球镜。在这些无应答者中使用 DIMS 镜片后，眼轴长度增长从 0.28 ± 0.3 mm 减少至 0.16 ± 0.2 mm。即使对于对 0.01% LCA 滴眼剂治疗无反应的儿童，DIMS 镜片在减缓近视进展方面也显示出初步的希望。
