29/01/2018 IN 2010, 28% OF WORLD POPULATION HAD MYOPIA

Transcription

1 NEW TRENDS IN CONTROLLING THE PROGRESSION OF MYOPIA (SESION 8) Dr. Fco. Javier Hurtado Ceña Alba García del Valle Vanesa Blázquez Sara Bueno 26th of January, 18 (ESPACIO LOGO CONGRESO) IN, 28% OF WORLD POPULATION HAD MYOPIA 2 1

2 IN 5, 5% OF WORLD POPULATION WILL HAVE MYOPIA 3 IT WILL BE NOT ONLY AND INCREASE IN INCIDENCE BUT IN THE DEGREE OF MYOPIA 4 2

3 Product Company Design Replace Adaptation Disadvantadg es Advantajes Esencia Tiedra Bifocal Progressive + Reverse geometry Optic zone 4,5 mm. Adition in the periphery up to 3D. Reverse geometry for centration Convenctional soft contact lens. Quarterly Personalized adaptation Peripheral adition that does not affect optic zone. Reverse geometry to facilitate centration and adition in the periphery Multifocal MiSight Cooper Vision Z1: correction for distance Z2: zone of treatment that created a myopic defocussed of 2 diopters in the retina Conventional soft contact lens. Daily As a convenctional contact lens Adaptation of a multifocal contact lens in a child Daily Bifocal Progressive Amiopik Paune Optic zone 8 mm Continuous Progressive Adition in the periphery Progressivedesign up to 2.D Soft and rigid contact lens 5 6 3

4 NEW TRENDS IN CONTROLLING THE PROGRESSION OF MYOPIA Clinical study: longitudinal randomised multicenter doubled-masked study OBJECTIVES: 1. To study efficacy and safety of soft lens Esencia in controlling myopia progresion. 2. Quality of vision, centration, subjective acceptance and effect on ocular tissues. Optic zone Zone with adition NEW TRENDS IN CONTROLLING THE PROGRESSION OF MYOPIA Inclusion criteria 7 to 15 years old Exclusion criteria Uncontrolled psychiatric or neurological disease -,5 D RX -5, D Corneal disease Astigmatism 1 D Indication for using contact lenses Indications of Esencia Correct and slow the progression of myopia (aphakic and phakic eyes) in healthy eyes with up to 1.5D of astigmatism Child and teenagers Daily use Contraindications Acute or subacute anterior chamber infection of inflammation Active corneal infection Corneal, conjunctival of eyelids diseases, lesions of anomalies. Dry eye Corneal hyphosthesia General disease with ocular implication 4

5 NEW TRENDS IN CONTROLLING THE PROGRESSION OF MYOPIA Group N Sex Age (M±SD) Spherical equivalent (M±SD) Esencia 16 7M/9F 11,87 ± 2,6-2,14 ± 1,37 Aspherica M/F 12,36 ± 1,5-2,64 ± 1,6 NEW TRENDS IN CONTROLLING THE PROGRESSION OF MYOPIA Comparing with other types of contact lenses Have you ever used contact lenses before the study? NO 86% SI 14% Is there any family history of myopia? NO % SI % 3 How many diopters? Moderate myopia 29% Hygh myopia 71% mayor > igual = menor < 5

6 RESULTS: MYOPIA PROGRESSION Rx withouth cicloplegic Rx 6 m Esencia -,8 ±, Rx 12 m -, ±,51 Control -,27 ±,28 -, ±,53 Esencia Cicloplegic refraction 6 m Cicloplegic refraction 12 m -,14 ±,26 -,25 ±,46 Control -,32 ±,31 -,41 ±,42 11 RESULTS: AXIAL LENGTH ALX 6 m 12 m Esencia,9±,4,16±,13 Control,8±,9,17±,

7 RESULTS: QUESTIONNAIRES Do you combined the use of contact lenses and glasses? How many hours a day? How many days a week? Do you use contact lenses % Only glasses 14% Only contact lenses 86% Glasses + contact lenses % more than 8 hours a day 14% Five days a week 86% Seven days a week % only for school? % only for leisure? % for school and leisure? Using contact lenses, have you ever feel? molestias borrosidad desenfoque Halos Discomfort Fog Blur Halos si no 13 RESULTS: QUESTIONNAIRES Which one of these technologies do you usually use? Use /day Smartphone Tablet Ordenador Television Smarphone Tablet PC TV 2 dias 5dias 7 dias 2 days 5 days 7 days Use/hours Smartphone Tablet Ordenador Television Smarphone Tablet PC TV -1 horas 2 a 4 horas 4 a 6horas -1 h 2-4h 4-6h Use CL (%) Don t use CL (%) Smartphone 91 9 Tablet PC Television

8 RESULTS: OUTDOOR ACTIVITIES How many hours a day? How many days a week? hours 2-4 hours 4-6 hours -1 horas 2 a 4 horas 4 a 6horas dias 5dias dias 2 days 5 days 7 days 15 RESULTS: QUESTIONNAIRES Esencia Control More than 8 hours/day 83% % Use of CL 7 days a week 83% % Up to 4 hours in outdoor activities 83 % 75% Up to 4 hours using technology 33% 75% Satisfied 75% 7% Some discomfort 25% 58% Follow-up % % 16 8

9 BIBLIOGRAPHY Author Period (months) Design Population Age and Country Interventions and Sample Size Objective Refracion Increase per Year (D/year) Axial Length Increase per Year (mm/year) Bifocal / Multifocal Soft Contact Lens Preliminar Data Esencia, Randomised, masked Spain BSCL vs SVSCL (c). N= 25 BFSCL -.34 ±.36 SVSCL -. ±. BFSCL.16 ±. SVSCL.19 ±. Aller, Randomised EEUU BFSCL vs SVSCL (d). N=78 Lam, Randomised, masked China BFSCL vs SVSCL (c). N=96 Walline, No-Randomised EEUU MFSCL vs SVSCL (d). N= Anstice, 11 Randomised, single-masked Australia Sankaridurg, No-Randomised China Orthokeratology Charm, Randomised China BFSCL vs SVSCL. N= BFSCL vs SVSCL. N= 82 OK vs Spectacles (SVL). N= 28 Hiraoka, 12 6 No-Randomised Japan OK vs SVL. N=43 Santodomingo-Rubido, No-Randomised Spain Cho, Randomised, Single-masked 6-. China OK vs SVL. N= 61. OK vs SVL. N= 78 BFSCL -.22 ±.34 SVSCL -.79 ±.43 BFSCL -.3 SVSCL -. MFSCL -.26 SVSCL -.52 BFSCL -.44 ±.33 SVSCL -.69 ±.38 BFSCL -.54 ±.37 SVSCL -.84 ±.47 OK -.65 SVL -.5 OK -.24 SVL -.64 OK N/A SVL -.62 N/A BFSCL.5 ±.14 SVSCL.24 ±.17 BFSCL.13 SVSCL.18 MFSCL.15 SVSCL.26 BFSCL.11 ±.9 SVSCL.22 ±. BFSCL.24 ±.17 SVSCL.39 ±.19 OK -. SVL -.26 OK.19 ±.13 SVL.38 ±. OK.22 SVL.37 OK. ±.15 SVL.37 ± MISIGHT 1 DAY 18 9

10 MISIGHT : SPHERIC EQUIVALENT RESULTS: QUESTIONNAIRES Do you have blur? MISIGHT No I have it but it is not annoying Slightly annoying Annoying Very annoying PROCLEAR 22

11 CONCLUSSIONS Group Spheric equivalent Axial lengh Spherical equivalent (M±SD) Esencia (2 years; n=3)) Misight (3 years; n=144) -39% (.1 mm).16d -59% -52% (.32 mm).73d Soft contact lenses are a new and effective method to slow myopia progression in childhood. Nos vemos 24 11