Bifocal Soft Contact Lenses and Their Effect on Myopia Progression in Children and Adolescents.

NCT ID: NCT00214487

Last Updated: 2014-07-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-10-31

Study Completion Date

2006-03-31

Brief Summary

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The purpose of this study is to determine whether bifocal soft contact lenses are effective in controlling the progression of myopia in children and adolescents that exhibit a tendency to excessively cross their eyes while reading (esophoria or eso fixation disparity). Several studies have demonstrated that bifocal or progressive multifocal spectacles are effective in slowing the progression of myopia in children either with near point esophoria and/or with inadequate focusing at near. A prominent theory for one cause of myopia progression is that poorly focused images on the back of the eye (retina) cause the eye to lengthen, causing an increase in myopia. Bifocal contact lenses may reduce this retinal defocus, reducing the stimulus to eye elongation, and thus may reduce myopia progression.

Detailed Description

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Myopia has become the focus of growing attention and concern because the prevalence of myopia appears to increasing in some populations (reaching 90% for some university student populations in Asia). There are serious risks to higher levels of myopia, including cataracts, glaucoma, retinal detachment and myopic retinal degeneration. Several studies have shown mild to moderate control of myopia progressionwith bifocal or multifocal spectacles in children with esophoria at near and/or with accommodative deficiencies. Pilot studies by the P.I. have suggested that bifocal contact lenses may control myopia progression in children with near point eso fixation disparity.

CONTROL is a controlled, randomized, prospective, double-blind, one year study of the changes in myopia in 80-90 subjects from age 8-18 with low to moderate levels of myopia, low levels of astigmatism, and eso fixation disparity at near, when fitted with either bifocal soft contact lenses or single vision soft contact lenses. The primary outcome measures will be cycloplegic refraction and axial length measures.

Conditions

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Myopia Esophoria Fixation Disparity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Bifocal Contact Lenses

Use of bifocal contact lenses to control the progression of myopia

Group Type EXPERIMENTAL

Bifocal Contact Lenses

Intervention Type DEVICE

Use of bifocal contact lenses of varying add powers to control the progression of myopia

Control

Single vision soft contact lenses

Group Type PLACEBO_COMPARATOR

Placebo Control

Intervention Type DEVICE

Single vision soft contact lenses

Interventions

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Bifocal Contact Lenses

Use of bifocal contact lenses of varying add powers to control the progression of myopia

Intervention Type DEVICE

Placebo Control

Single vision soft contact lenses

Intervention Type DEVICE

Other Intervention Names

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Bifocal Soft Contact Lenses Hydrophilic Bifocal Contact Lenses Simultaneous Vision Bifocal Contact Lenses Soft Contact Lenses Hydrophilic Contact Lenses Single Vision Soft Contact Lenses

Eligibility Criteria

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Inclusion Criteria

* Myopia between -0.50 and -6.00
* Eso fixation disparity at 33cm with distance correction
* Astigmatism 1.00 or less
* Ability to wear soft contact lenses

Exclusion Criteria

* Presence of ocular disease preventing wear of contacts
* Pregnancy or nursing
* Use of certain medications
Minimum Eligible Age

8 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Johnson & Johnson Vision Care, Inc.

INDUSTRY

Sponsor Role collaborator

Aller, Thomas A., OD

OTHER

Sponsor Role lead

Responsible Party

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Thomas A. Aller, OD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Thomas A. Aller, O.D.

Role: PRINCIPAL_INVESTIGATOR

References

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Aller TA, Wildsoet C. Bifocal soft contact lenses as a possible myopia control treatment: a case report involving identical twins. Clin Exp Optom. 2008 Jul;91(4):394-9. doi: 10.1111/j.1444-0938.2007.00230.x.

Reference Type BACKGROUND
PMID: 18601670 (View on PubMed)

Tarrant J, Severson H, Wildsoet CF. Accommodation in emmetropic and myopic young adults wearing bifocal soft contact lenses. Ophthalmic Physiol Opt. 2008 Jan;28(1):62-72. doi: 10.1111/j.1475-1313.2007.00529.x.

Reference Type BACKGROUND
PMID: 18201337 (View on PubMed)

Aller TA. Design of a prospective clinical trial of the use of bifocal soft contact lenses to control myopia progression (CONTROL). Proceedings of the 10th International Myopia Conference 2004:29.

Reference Type BACKGROUND

Aller TA, Wildsoet C. Results of a one-year prospective clinical trial (CONTROL) of the use of bifocal soft contact lenses to control myopia progression. Ophthalmic and Physiological Optics 26(S1), 8-9.

Reference Type RESULT

Lawrenson JG, Shah R, Huntjens B, Downie LE, Virgili G, Dhakal R, Verkicharla PK, Li D, Mavi S, Kernohan A, Li T, Walline JJ. Interventions for myopia control in children: a living systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 Feb 16;2(2):CD014758. doi: 10.1002/14651858.CD014758.pub2.

Reference Type DERIVED
PMID: 36809645 (View on PubMed)

Related Links

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http://www.draller.com

Click here for more information about the CONTROL Study

Other Identifiers

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CR-0107

Identifier Type: -

Identifier Source: org_study_id

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