Objective:
To investigate the performance of multifocal soft contact lenses (MFSCLs) in non-presbyopic patients and their impact on visual systems, particularly in the context of myopia control.
Approach:
- MFSCLs can decrease visual acuity under low-contrast conditions, especially with larger pupils, which may affect daily activities.
- Pupil-optimized MFSCLs show improved near visual acuity and reading speed compared to SVLs, suggesting potential for enhanced near tasks.
- Participants reported greater satisfaction with SVLs for distance vision and glare compared to MFSCLs, indicating a need for careful lens selection.
- Limited studies specifically focusing on non-presbyopic populations, which may affect generalizability.
- Variability in individual responses to MFSCLs based on pupil size and contrast conditions, with specific examples of how this variability manifests.
- Janarthanan et al, 2024
- Aissati et al, 2024
- Altoaimi et al, 2018
- Dolce et al, 2025
- Durmaz Engin et al, 2025
- Huang et al, 2025
Key Findings:
Interpretation:
MFSCLs may provide benefits for near vision but can compromise distance visual acuity and overall satisfaction compared to SVLs, highlighting the need for careful consideration in young patients to balance these effects.
Limitations:
Conclusion:
As more young patients are fitted with MFSCLs, practitioners should be aware of both the positive and negative impacts on vision to maximize acceptance for myopia control, ensuring informed decisions.
Sources:
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