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. 2019 Aug 7;9:11459. doi: 10.1038/s41598-019-48009-3

Table 1.

Summary table of relevant studies across different species where negative lens wear was interrupted with periods of darkness, periods of free viewing or periods of positive lens wear.

Reference Species Degree of Imposed Defocus Type of Interruption Interruption Duration Visual experience during the interruption Study outcome
Schmid and Wildsoet 1996 Chicken Monocular −10D, +10D or plano lens Lens removed 1 × 11, 9, 6, 3 or 0 hrs/day Unrestricted vision Interrupting lens wear with periods of normal vision is more effective at reducing lens-induced myopia than at reducing lens-induced hyperopia.
Winawer and Wallman 2002 Chicken Monocular −6D or +6D lens Kept in the dark wearing lenses

Five dark periods:

1. 7 × 30 mins/day every 2 hrs

2. 58 mins/hour every hour

3. 13.5 hrs/day

4. 13.75 hrs/day

5. 4 × 30 mins/day

Kept in the dark with lenses on

Three main findings:

1. Several brief daily interrupting episodes are more effective than a single or a few longer daily ones.

2. Extremely brief episodes are ineffective.

3. When positive and negative lenses are worn successively, the positive lens has the dominant effect, even if the negative lens is worn five times longer.

Norton et al. 2006 Tree Shrew Monocular −5D lens Lens removed and substituted for −5D, −3D, plano, +3, +4, +5, +6, or +10D 1 × 45 mins/day Controlled distance in lab room with refractive monitoring High degrees of myopic defocus (>5D) cannot compete with lens-induced myopia. Low degrees myopic defocus effectively reduced lens-induced myopia only in some eyes.
Kee et al. 2007 Rhesus monkey Binocularly −3D lens Lens removed and substituted for plano or +4.5D 4 × 15 mins/day Not mentioned in the paper Brief periods of unrestricted vision prevented lens-induced myopia. Brief periods of viewing through +4.5D lenses produced weaker protective effects.
McBrien et al. 2012 Tree Shrew Binocular −9.50D Lens removed and substituted for plano or +4D 1 × 1 hr/day or 2 × 30 mins/day Unrestricted vision in an open-mesh cage Interrupting negative lens wear with 1 hr of positive lens wear was more effective in preventing the development of experimentally induced myopia than interrupting using a plano lens
Leotta et al. 2013 Guinea Pigs Monocular −4D or −5D lens Kept in the dark wearing lenses or lens removed

Dark period 1 × 0.25, 1, 2, 4 or 6 hrs/day

Lens removed 1 × 5 mins, 15 mins, 30 mins, 1 hr, 3 hr, 6 hr, 9 hr/day

Kept in the dark with lenses on or

Unrestricted vision with lenses removed in an open lab environment

Lens-induced myopia develops after brief exposures to hyperopic defocus and is very

long lasting without competing signals. The induced myopia rapidly decays if interrupted by one 30 min period/day of ‘normal viewing’.