Myopia Control Effect of Defocus Incorporated Multiple Segments (DIMS) Spectacle Lens in Pakistani Children

Abstract

Background: Myopia is a growing concern globally, particularly among school-aged children, leading to severe ocular complications if untreated. Objective: The purpose of this research was to determine the effectiveness of DIMS spectacle lenses in preventing myopia progression in Pakistani children. Methods: The current study was tested clinically for two years with two hundred myopic youngsters aged six to twelve years. The subjects were divided into two groups; the first group received DIMS lenses while the second group received single vision lenses. Biometry of the axial length was done using the IOL Master 500 (Carl Zeiss Meditec) and the cycloplegic autorefraction was done using the Topcon KR-800S. For monitoring the progression of myopia, axial length measurements and cycloplegic autorefraction were performed with an interval of six months. Quantitative data were analysed using independent t-tests and mixed-effects models in order to compare the results between the groups. Results: Comparing the DIMS group to the single vision lens group, the children in the former demonstrated slower myopia development. Whereas the control group's mean myopic shift was -0.67 ± 0.30 D/year, the DIMS groups was -0.32 ± 0.25 D/year (p < 0.001). Significantly less axial length changes (0.15 ± 0.10 mm/year) were seen in the DIMS group as compared to the control group (0.31 ± 0.12 mm/year) (p < 0.001). Conclusion: DIMS spectacle lenses are effective in preventing the progression of myopia in Pakistani children. Their use could be a viable approach to managing myopia in this population. However, the study is limited by its short follow-up period and the lack of data on long-term outcomes.