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March 21, 2026American journal of optometry and physiological optics0 citations

Effect of Bifocal Lenses on the Rate of Childhood Myopia Progression

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DGDavid A. Goss

Key Points

  • This study aims to evaluate how bifocal lenses impact the progression of myopia in children aged 6 to 15.
  • Utilized longitudinal records from three optometry practices in the central United States.
  • Analyzed data from 52 children wearing single vision lenses and 60 children wearing bifocal lenses.
  • Calculated myopia progression rates using linear regression.
  • Mean myopia progression rate for the SV group was −0.44 D/year.
  • Mean myopia progression rate for the BF group was −0.37 D/year.
  • The difference in progression rates between groups was not statistically significant.
  • Children with near-point esophoria and higher cross cylinder net experienced lower myopia increases in the BF group.

Abstract

ABSTRACT Longitudinal records obtained from three optometry practices in the central United States were used to assess the effect of bifocal lenses on the rate of childhood myopia progression. Rates in D/year were derived by linear regression for age spans between 6 and 15 years of age. Records were available for 52 persons who wore single vision lenses (SV group) during this entire age span, and 60 persons who wore bifocal lenses (BF group) during the complete period of observation. The mean rates of myopia progression were −0.44 D/year for the SV group, and −0.37 D/year for the BF group (difference not statistically significant). When rates were determined as a function of near point phoria and near binocular cross cylinder net, the BF group had rates of myopia increase which were lower in magnitude than the SV group in children with near‐point esophoria and of higher cross cylinder net.

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Cite This Study

David A. Goss (1986) studied this question.

synapsesocial.com/papers/69be354a6e48c4981c6737f4https://doi.org/10.1002/j.2330-9512.1986.tb01073.x
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