Abstract | OBJECTIVES: To compare the effect of toric versus spherical soft contact lenses on objective measures of visual performance using visual acuity and electromyography of the orbicularis oculi muscle. METHODS: Current soft contact lens wearers with -0.75 to -1.75 D astigmatism in each eye were binocularly fitted with toric (1-Day ACUVUE MOIST for astigmatism) and spherical (1-Day ACUVUE MOIST) contact lenses in random order. After each fitting and at 1-week follow-up, high- and low-contrast visual acuities were measured. Electromyography was used to objectively evaluate eyestrain. Linear mixed models were used to assess differences between toric and spherical contact lenses. RESULTS: The mean age (±SD) of the 60 participants was 27.5±5.0 years, spherical refractive error was -3.68±2.01 D, and cylinder was -1.28±0.36 D. High- and low-contrast visual acuities with toric lenses were better than with spherical lenses at both fitting (toric high-contrast: -0.065±0.078 and low-contrast: 0.133±0.103 vs. spherical high-contrast: 0.001±0.104 and low-contrast: 0.224±0.107) and follow-up (toric high-contrast: -0.083±0.087 and low-contrast: 0.108±0.107 vs. spherical high-contrast: -0.015±0.095 and low-contrast: 0.211±0.104) (all P<0.0001). Electromyography-measured eyestrain was less with toric versus spherical contact lenses at fitting (least-square ratio of toric over spherical=0.72; P=0.0019) but not at follow-up (ratio=0.86; P=0.11). CONCLUSION: These results suggest that toric contact lenses provided improved objective measures of vision in a low-to-moderate astigmatic population.
|
Authors | David A Berntsen, Stephanie M Cox, Katherine M Bickle, Jessica H Mathew, Daniel R Powell, Scott H Seidman, Borm Kim Little, Kathrine Osborn Lorenz, Jason J Nichols |
Journal | Eye & contact lens
(Eye Contact Lens)
Vol. 45
Issue 1
Pg. 28-33
(Jan 2019)
ISSN: 1542-233X [Electronic] United States |
PMID | 30562274
(Publication Type: Journal Article, Randomized Controlled Trial)
|
Topics |
- Adolescent
- Adult
- Asthenopia
(etiology, physiopathology, therapy)
- Contact Lenses, Hydrophilic
- Cross-Over Studies
- Electromyography
- Equipment Design
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Oculomotor Muscles
(physiopathology)
- Refraction, Ocular
(physiology)
- Refractive Errors
(complications, physiopathology, therapy)
- Retrospective Studies
- Single-Blind Method
- Visual Acuity
- Young Adult
|