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. 2023 Feb 16;2023(2):CD014758. doi: 10.1002/14651858.CD014758.pub2

DISC Study 2011.

Study characteristics
Methods Study design: parallel‐group RCT
Study centre: 1 (Hong Kong Polytechnic University)
Number randomised: 221 children
Study follow‐up: 2 years
Exclusions and losses to follow‐up: 38 (34.2 %) in BFSCL group and 36 (32.7%) in SVSCL group were excluded; 8 (7.2 %) in BFSCL group and 11 (10.0%) in SVSCL group were lost to follow‐up
Participants Age: mean = 11 years (range 8‐13 years)
Gender: 85 boys, 136 girls
Culture: Hong Kong, China
Inclusion criteria: 
  • age 8‐13 years

  • spherical equivalent −1.00 to −5.00 D 

  • astigmatism ≤ 1.00 D

  • anisometropia ≤ 1.25 D

  • spectacle‐corrected monocular VA 0.0 logMAR or better

  • contact lens–corrected monocular VA 0.1 logMAR or better

  • willingness to wear contact lenses regularly and parents' understanding and acceptance of random allocation of intervention


Exclusion criteria: 
  • ocular or systemic abnormalities affecting visual function or refractive development

  • prior use of PALs or BF contact lenses

  • contraindication for contact lens wear

Interventions BFSCL group (n = 111): dual‐focus incorporated soft contact (DISC) lenses, which were custom‐made BFSCLs with distance correction in the centre and alternating rings of defocusing (+2.50 D addition) and distance correction zones
SVSCL group (n = 110): SVSCLs
Note: children were instructed to wear lenses for 5‐10 h/day and to wear spectacles with full prescription when not wearing contact lenses
Outcomes Primary outcomes
  • Refractive error (cycloplegic autorefraction)

  • AL


Secondary outcome
  • Corneal curvature


Measurements taken every 6 months over 2 years
Unit of analysis: individual (right eye used for analysis)
Notes Study dates: September 2007‐ October 2009
Trial registration: NCT00919334
Funding source: "the study was supported by grants of RGC GRF (B‐Q04G) and Niche Areas Fund (J‐BB7P) from The Hong Kong Polytechnic University"
Conflict of interest: reported "none"