Morgan Philip B, Efron Nathan, Woods Craig A, Jones Deborah, Jones Lyndon, Nichols Jason J
Eurolens Research, Division of Pharmacy and Optometry, University of Manchester, United Kingdom.
Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Cont Lens Anterior Eye. 2025 Apr;48(2):102348. doi: 10.1016/j.clae.2024.102348. Epub 2024 Dec 6.
Numerous multifocal soft contact lenses have been introduced into clinical practice over the past half century. The purpose of this work is to update earlier surveys by describing international trends in multifocal and monovision soft lens fitting for presbyopia between 2000-2023, inclusive.
An annual contact lens prescribing survey was sent to eye care practitioners in up to 71 countries between 2000-2023. Data relating to 52,580 soft daily wear lens fits to presbyopes (those ≥45 years of age) undertaken in 20 countries returning reliable longitudinal data were analysed in respect of multifocal and monovision soft daily wear lens fits.
Overall, multifocal and monovision soft daily wear lens prescribing to presbyopes has more than doubled over the course of this survey, from 26.4 % of standard soft daily wear lens fits in 2000 to 61.1 % in 2023 (p < 0.0001). There were significant differences between countries in presbyopia soft daily wear lens prescribing (p < 0.0001). Of all soft daily wear fits to males, 45.1 % were multifocal and monovision soft lenses, compared with 52.7 % for females (p < 0.0001). When considered as the proportion of lenses fitted by age, multifocal soft lens fitting peaked between 50-65 years, followed by a precipitous drop until 85-90 years of age, and then an increase beyond 90 years of age. Analysis of 13,014 recent soft lens fits to presbyopes (2019-2023) revealed the following fitting proportions: multifocal lenses - 51 %; monovision - 10 %; and non-presbyopia fitting - 39 %.
There has been a substantial increase in soft contact lens correction of presbyopia using multifocal and monovision corrections throughout the 24 years of this survey. A significant number of soft contact lens-wearing presbyopes are not receiving a presbyopia contact lens correction.
在过去半个世纪中，众多多焦点软性隐形眼镜已被引入临床实践。这项工作的目的是通过描述2000年至2023年（含）期间用于老花眼的多焦点和单眼视力软性隐形眼镜验配的国际趋势，来更新早期的调查。
在2000年至2023年期间，每年向多达71个国家的眼科护理从业者发送隐形眼镜处方调查问卷。对20个返回可靠纵向数据的国家中52,580例针对老花眼患者（年龄≥45岁）的软性日戴型隐形眼镜验配数据进行了多焦点和单眼视力软性日戴型隐形眼镜验配方面的分析。
总体而言，在本次调查过程中，针对老花眼患者的多焦点和单眼视力软性日戴型隐形眼镜处方量增加了一倍多，从2000年标准软性日戴型隐形眼镜验配量的26.4%增至2023年的61.1%（p < 0.0001）。各国在老花眼软性日戴型隐形眼镜处方方面存在显著差异（p < 0.0001）。在所有男性软性日戴型验配中，45.1%是多焦点和单眼视力软性隐形眼镜，而女性为52.7%（p < 0.0001）。按年龄计算配镜比例时，多焦点软性隐形眼镜验配在50至65岁之间达到峰值，随后急剧下降直至85至90岁，然后在90岁以上又有所增加。对13,014例近期针对老花眼患者的软性隐形眼镜验配（2019 - 2023年）分析显示，验配比例如下：多焦点镜片 - 51%；单眼视力 - 10%；非老花眼验配 - 39%。
在本次调查的24年中，使用多焦点和单眼视力矫正方法对老花眼进行软性隐形眼镜矫正的情况有了大幅增加。大量佩戴软性隐形眼镜的老花眼患者未接受老花眼隐形眼镜矫正。
