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’. |