Relative peripheral hyperopia is corrected with the proven technology of optimized Hyperopic Defocus Control (HDC). This ensures optimized imaging of the entire retina, including the periphery. Since single vision lenses do not correct this peripheral defocus, the focal plane is located peripherally behind the retina and could, therefore, be a stimulus for longitudinal growth.
The structure is similar to that of a concentric multifocal lens, whereby the distance is exclusively in the center. For myopia management, polynomial progression with Hyperopic Defocus Control (HDC) is located in the periphery of the contact lens.
The size and the beginning of the HDC zone are variable.
Parameter | from | to | steps |
---|---|---|---|
Total diameter | 12.00 mm | 15.00... 17.00 mm | 0.01 mm |
Base curve | 7.00 mm | 12.00 mm | 0.01 mm |
Sphere | -00.25 dpt | -40.00 dpt | 0.01 dpt |
Defocus Addition | + 0.50 dpt | + 9.00 dpt | 0.01 dpt (Default +1.50 dpt) |
Distance optic zone diameter ZOC | 2.50 mm | 6.00 mm | 0.01 mm (Default 4.50 mm) |
Flattening | (-) flowing | (+) pronounced | (-–) monocurve |
Application | |
---|---|
Indication | |
Correction type | |
Lens Type | |
Designed by | SwissLens |
Central optical zone for distance vision (Zoc) by measuring Pupil size in room lighting
Peripheral Hyperopic Addition
2 possibilities to measure:
Orbis (ØCornea + 2.10 mm / BCf = 0.60 mm)
Toris Bal – Torelis Bal – Borelis (ØCornea + 2.30 mm / BCf = 0.70 mm)
Toris Int/Ext – Torelis Int/Ext (ØCornea + 2.50 mm / BCf = 0.80 mm)
Cornea parameters: ØCornea = 11.70 mm / Kreading = 7.80 / 7.70 mm
for 0.40 mm delta K, reduce 0.10 mm on r0
Definitive 74: 0.10 mm steeper
* Information: 80% of the corneal curves are statistically between 11,3 and 12,1 mm.
Progress of the adaptation
Features | Definitive 74 (SiH) | UniSil 62 (SiH) | Igel 77 | CTF 67 | GM3 58 | Igel 58 | GM3 49 | ES70 UV |
---|---|---|---|---|---|---|---|---|
DK Fatt ISO 9913-1 | 60*/44** | 50*/37** | 39*/29** | 30*/22** | 25*/19** | 21*/16** | 16*/12** | 35*/26** |
Material type | Silicone Hydrogel | Silicone Hydrogel | Hydrogel | Hydrogel | Hydrogel | Hydrogel | Hydrogel | Hydrogel |
Manufacturer | Contamac | Contamac | Contamac | Contamac | Contamac | Contamac | Contamac | Lunelle |
Classification | Filcon V3 | Filcon V3 | Filcon II3 | Filcon II2 | Filcon II1 | Filcon II1 | Filcon II1 | Filcon II2 |
Water content | 74% | 62% | 77% | 67% | 58% | 58% | 49% | 70% |
Refractive index | 1.37 | 1.51 | 1.37 | 1.39 | 1.41 | 1.40 | 1.42 | 1.38 |
Handling tint | clear / blue | blue | clear | clear | clear / blue | clear | clear / blue | clear |
UV | √ (blau) | √ | √ | √ | √ | √ | √ | √ |
Normal tear film | +++ | +++ | ++ | +++ | +++ | ++ | ++ | ++ |
Reduced tear film | +++ | +++ | + | + | ++ | + | +++ | ++ |
Watery tear film | +++ | +++ | +++ | +++ | ++ | ++ | ++ | ++ |
Tear film with lipid | + | ++ | + | + | +++ | ++ | +++ | ++ |
Tear film with protein | + | ++ | + | + | ++ | +++ | +++ | ++ |
Durability | + | ++ | + | ++ | ++ | +++ | +++ | +++ |
Initial comfort | +++ | +++ | +++ | +++ | ++ | + | + | +++ |
Low dehydration | +++ | +++ | + | + | +++ | ++ | +++ | ++ |
Moistening | +++ | +++ | ++ | ++ | +++ | + | +++ | +++ |
Dry eye | +++ | +++ | +++ | ++ | ++ | + | +++ | ++ |
Non-ionic | √ | √ | √ | √ | √ | √ | √ | √ |
* ×10-11 (cm2/sec) [ml 02/(ml × mm Hg)]
** ×10-11 (cm2/sec) [ml 02/(ml × hPa)]
Default material: GM3 58% white
These materials are in conformity with the standard ISO 10993-1 defining the biocompatibility of materials.
SwissLens manufacturing process warrants this biocompatibility even after the manufacturing process, in particular without adding polish material. This standard is required by the quality assurance system of SwissLens
The ES70 material used for Lunelle contact lenses is composed of PMMA, which makes it robust and transparent, and PVP, which ensures a stable water content.
The production of ES70 material will continuous after the take over by SwissLens. The same laboratorie will produce the row material and blank as before and exclusively availalbe for the Lunelle Products from SwissLens. The material involves the use of the most advanced techniques to obtain the stable material.
The development of Essilor's polymerisation technology has proven to provide a very consistent material quality.
PRODUCTION
SwissLens uses a high-tech lathing technique to achieve optimum reproducibility. Lunelle contact lenses are systematically inspected at all stages to ensure that the parameters remain the same in the dehydrated state
QUALITY GUARANTEE
The material and the contact lenses are produced in accordance with the strict rules laid down by Quality Assurance. This is an independent quality assurance service at Essilor, which ensures consistent product quality.
Several domestic and international health institutions such as The World Health Organisation (WHO)[1], the Brien Holden Institute[2] and the British Association of Optometrists (AOP)[3] have published recommendations for the use of myopia control contact lenses. Even though research into peripheral refraction in connection with myopia control is still ongoing [4], multiple studies have clearly indicated that multifocal contact lenses, as well as orthokeratology contact lenses, have a positive effect on the slowing of myopia progression. Walline[5] reviewed the peer-reviewed literature of studies which used the currently available standard lens geometries and found that the progression of myopia can be reduced by up to 50%.
Aller’s research [6] however, shows a success rate of over 70% in myopia reduction. A closer look into Aller’s work shows that it is important to not only test the binocular vision when fitting multifocal or orthokeratology contact lenses, but to take this into account in order to improve this success rate and this is borne out in other studies too[7-10].
Aller’s research[6] however, shows a success rate of over 70% in myopia reduction. These studies raise the questions: Why do not all children and adolescents respond positively to these products? How can we improve the products so that myopia prevention has a positive effect on everybody?
Binocular vision investigations which influence the success rate would include measuring the AC/A ratio, accommodative lag and any heterophoria together with an assessment of its compensation.
A high accommodative convergence movement occurring with the accommodative effort (a high AC/A ratio) or a decompensating ‘phoria deserves special attention. A Malaysian study showed that children with a significant near esophoria are more likely to develop myopia[11] and this can be tested with the Schober Test, or a fixation disparity test, at the habitual reading distance. The aligning sphere can be used to indicate which near addition would be optimal for myopia control. Furthermore, an accommodative lag has also been shown to trigger myopia progression and seems to be more prevalent in myopes than in emmetropes[10]. In accommodative lag, the image shell would not be formed on the retina but would be relatively hypermetropic (i.e. behind the retina) and this has been shown to be a stimulus for a progression of the myopia[12]. By having a relatively hyperopic power in the periphery of the contact lens, the effect of the accommodative lag can be overcome. Further aspects which influence the progression of myopia include aberrations caused by both the pupil itself and the size of the optical zone of the contact lens in relation to the pupil diameter [13]. They describe how the pupil diameter also influences which lens design might be more beneficial and this is taken into account in our individualised lens designing.
SwissLens provides an online calculation tool available at www.swisslens.ch/toolbox where you can enter additional measurements in order to obtain the ideal parameters needed for a customised near zone, maximizing the opportunity to achieve the best possible hyperopic defocus control result.
The Relax soft contact lens has been on the market for 9 years with proven effectiveness[14] and the feedback from our customers has been extremely positive. This product is available in spherical as well as toric options, with an almost limitless choice of diameters and base curves to ensure a perfect fit. Depending on the quality of the tear film, we offer different materials, including Definitive74 Silicon, and you can choose between 3 or 6-month replacement schedules. Since 2015, our Relax contact lens has also been available in RGP materials and at the moment we are also developing an orthokeratology version. The combination of our online tool, additional test recommendations and our Relax products will allow a more precise myopia management.
Ongoing studies will also lead to a better understanding of the relationship between binocular vision, the pupil size, the prescription variations and the mechanisms of the longitudinal growth of the eye.
References:
[1] Bastian Cagnolati, Periphere Refraktion und Myopieentwicklung – Update, die Kontaktlinse, 7-8/2016[2] Walline JJ 2016, Myopia Control: A Review.[3] Thomas A. Aller, et al., Myopia Control with Bifocal Contact Lenses: A Randomized Clinical Trial[4] Whatham, A., Influence of accommodation on off-axis refractive errors in myopic eyes[5] Goss DA, Grosvenor T. Rates of childhood myopia progression with bifocals as a function of nearpoint phoria: consistency of three studies. Optom Vis Sci 1990;67:637Y40.[6] Fulk GW, Cyert LA, Parker DE. A randomized trial of the effect of single-vision vs. bifocal lenses on myopia progression in children with esophoria. Optom Vis Sci 2000;77:395Y401.[7] Gwiazda JE, Hyman L, Norton TT, Hussein ME, Marsh-Tootle W, Manny R, Wang Y, Everett D. Accommodation and related risk factors associated with myopia progression and their interaction with treatment in COMET children. Invest Ophthalmol Vis Sci 2004; 45:2143Y51.[8] Chung, K.M. and E. Chong, Near esophoria is associated with high myopia. Clin Exp Optom, 2000. 83(2): p. 71-75.[9] Charman, W.N., et al., Peripheral refraction in orthokeratology patients. Optom Vis Sci, 2006. 83(9): p. 641-8.[10] Gifford, K. Myopia Profile – Measuring near lag of accommodation. 2015[11] Gwiazda, J., et al., A dynamic relationship between myopia and blur-driven accommodation in school-aged children. Vision Res, 1995. 35(9): p. 1299-304.[12] W.N. Charman, Aberrations and myopia, 2005[13] Michaud Langis; https://www.clspectrum.com/issues/2016/march-2016/defining-a-strategy-for-myopia-control[14] A. van der Heide, DATA ANALYSIS OF THE EFFECTIVENESS OF THE RELAX CONTACT LENS FOR REDUCING MYOPIA PROGRESSION 2019© 2020 ALL rIGHTS RESERVED
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