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. 2023 Sep 19;2023(9):CD014791. doi: 10.1002/14651858.CD014791.pub2

NCT03341923.

Methods RCT, cross‐over design
Participants Inclusion criteria: age 40 years or older; habitual multifocal SCL silicone hydrogel wearer; requiring a near spectacle addition of +0.50 to +2.50 D; power range +5.00 to −9.00 D; cylinder less than 1.00 D; VA correctable to 20/30 or 0.2 logMAR or better; willing to wear lenses every day (a minimum of 10 days) for 6 hours per day
Exclusion criteria: currently wearing study lenses; systemic or ocular disease that contraindicate contact lens wear; use of systemic or ocular medications that contraindicate contact lens wear; monovision; moderate or severe slit lamp findings; refractive surgery; eye injury or surgery within 12 weeks
Interventions Delefilcon A
  • material: silicon hydrogel

  • replacement frequency: daily


Etafilcon A
  • material: hydrogel

  • replacement frequency: daily

Outcomes Primary outcome:
  • Iens centration (5‐point scale; 0 = optimal/centered and 4 = severe decentration [with corneal exposure])


Secondary outcomes:
  • fluorescein corneal and conjunctival staining (5‐point scale; 0 = normal, 1 = trace, 2 = mild, 3 = moderate, 4 = severe)

Notes Sponsorship source: Alcon Japan Ltd.
Author's name: Alcon Japan Ltd.
Institution: Alcon Japan Ltd.
Comments: whether the analysis accounted for cross‐over design was unclear