Contact lenses alter accommodative dynamics but enhance stereopsis in myopic anisometropia: A comparative study with ophthalmic lenses.

Comparison of binocular vision status between spectacles & spherical equivalent soft contact lens wear in patients with low myopic astigmatism

It is suggested that when low myopic astigmatism is corrected using spherical-equivalent soft contact lenses, certain binocular vision parameters may demonstrate acute changes and careful binocular vision assessment may therefore be beneficial when prescribing simplified spherical correction in astigmatic patients.

Interocular differential axial growth and refractive progression in children with myopic anisometropia treated with spectacle lenses with highly aspherical lenslets.

Progressive binocular visual alterations associated with increasing myopic anisometropia in spectacle-corrected children.

increasing myopic anisometropia was associated with a severity-dependent pattern of subclinical alterations in accommodative balance, ocular alignment, fusional vergence, sensory fusion, and stereoacuity in spectacle-corrected children with normal BCVA, and these findings support a multifactorial interpretation involving accommodative, optical, vergence, and sensory factors.

Visual and accommodative outcomes after femtosecond LASIK with and without monovision in patients over 40 years.

FS-LASIK combined with monovision is an effective treatment for patients aged over 40y with myopia and presbyopia, which not only improves visual acuity but also achieves high patient satisfaction and improves postoperative BCC.

Real-world Evaluation of the Effectiveness of Highly Aspherical Lenslets and Orthokeratology In Anisomyopic Children.

Crystalline Lens Tilts Less With Higher Myopia in Children With Limited Age-Related Effect

Purpose To evaluate tilted crystalline lens morphology in children across different orientations and their correlations with age and spherical equivalent (SE). Methods This cross-sectional study encompassed 966 eyes of 493 children (5–15 years; SE, −6.00 to +3.00 diopters [D]). The binocular crystalline lens biometrics in 16 orientations were measured using swept-source anterior segment optical coherence tomography. Parameters included the anterior radius of the lens (LAR), posterior radius of the lens (LPR), thickness, and diameter, as well as lens tilt and decentration. Group comparisons were performed among non-, low-, and moderate-myopic eyes. Results Lens tilt and decentration demonstrated semi-periodic variations (R2 = 0.984 and R2 = 0.789, respectively). Lenses predominantly tilted temporal–inferiorly, with corresponding temporal decentration. The non-myopia group had significantly higher LAR and LPR (more curved) than the low- and moderate-myopia groups (all P < 0.001). As myopia increased, lens tilt consistently decreased across all refractive subgroups (all P < 0.001), whereas other parameters either reached a turning point at approximately −4.00 D or showed no linearity. Age-stratified polynomial analysis revealed that the positive correlation between lens tilt and SE remained strong within the range of −4.18 D to +3.00 D. Conclusions Although the lens maintains a greater tilt toward the temporal and inferior regions, it exhibits less tilt and becomes more orthotopic in eyes with higher myopia across different age groups in children. Translational Relevance This study established crystalline lens tilt as a robust, less age-dependent biomarker that could enhance the prediction of myopia progression and facilitate individualized risk assessment in pediatric refractive development.