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The hypothesis of possible connection between the development of myopia and peripheral refraction determines high interest to thorough examination of peripheral defocus and the influence of different means of correction on it. Experimental and clinical data, showing the important role of peripheral refraction in the regulation of eye growth, are collected in this review. The review proves that optical strategies of myopia correction with possible induction of peripheral myopic defocus are more effective in myopia progression prevention compared to single vision spectacle lenses and contact lenses.

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About the authors

Sergey V. Milash

The Moscow Helmholtz Research Institute of Eye Diseases, Russian Ministry of Health

Moscow, 105062, Russian Federation


  1. Atchison D. A. The Glenn A. Fry Award Lecture 2011: peripheral optics of the human eye. Optom. Vis. Sci. 2012.; 89 (7): E954-E66.
  2. Тарутта Е.П., Милаш С.В., Тарасова Н.А., Романова Л.И., Маркосян Г.А., Епишина М.В. Периферическая рефракция и контур сетчатки у детей с миопией по результатам рефрактометрии и частично когерентной интерферометрии. Вестник офтальмологии. 2014; 6: 44-9.
  3. Mutti D.O., Sholtz R.I., Friedman N.E., Zadnik K. Peripheral refraction and ocular shape in children. Invest. Ophthalmol. Vis. Sci. 2000; 41:1022-30.
  4. Hoogerheide J, Rempt F & Hoogenboom WP. Acquired myopia in young pilots. Ophthalmologica. 1971; 163: 209-15.
  5. Rosén R. et al. Have we misinterpreted the study of Hoogerheide et al. (1971)? Optom. and Vis. Sci. 2012; 89 (8): 1235-7.
  6. Mutti D.O., Hayes J.R., Mitchell G.L., Jones L.A., Moeschberger M.L., Cotter S.A., Kleinstein R.N., Manny R.E., Twelker J.D., Zadnik K. Refractive error, axial length, and relative peripheral refractive error before and after the onset of myopia. The CLEERE Study Group. Invest. Ophthalmol. Vis. Sci. 2007; 48: 2510-9.
  7. Charman W.N., & Radhakrishnan H. Peripheral refraction and the development of refractive error: a review. Ophthalmic. Physiol. Opt. 2010; 30: 321-38.
  8. Mutti DO, Sinnott LT, Mitchell GL, et al. Relative peripheral refractive error and the risk of onset and progression of myopia in children. Invest. Ophthalmol. Vis. Sci. 2011; 52:199-205.
  9. Faria-Ribeiro M. et al. Peripheral refraction and retinal contour in stable and progressive myopia. Optom. and Vis. Sci. 2013; 90 (1): 9-15.
  10. Schmid G. F. Association between retinal steepness and central myopic shift in children. Optom. Vis. Sci. 2011; 88(6): 684-90.
  11. Hung G. K., Ciuffreda K. J. Incremental retinal-defocus theory of myopia development-schematic analysis and computer simulation. Computers in biology and medicine. 2007; 37(7): 930-46.
  12. Schaeffel F., Feldkaemper M. Animal models in myopia research. Clinical and Experimental Optometry. 2015; 98(6): 507-517.
  13. Wildsoet C, Wallman J. Choroidal and scleral mechanisms of compensation for spectacle lenses in chicks. Vision Res. 1995; 35:1175-94.
  14. Hung L. F., Crawford M. L. J., Smith E. L. Spectacle lenses alter eye growth and the refractive status of young monkeys. Nature medicine. 1995; 1(8): 761-5.
  15. Morgan I. G., Ashby R. S., Nickla D. L. Form deprivation and lens induced myopia: are they different? Ophthalmic and Physiological Optics. 2013; 33 (3): 355-61.
  16. Troilo D., Gottlieb M.D., Wallman J. Visual deprivation causes myopia in chicks with optic nerve section. Curr. Eye Res. 1987; 6: 993-9.
  17. Norton T.T., Essinger J.A., McBrien N.A. Lid-suture myopia in tree shrews with retinal ganglion cell blockade. Vis. Neurosci. 1994; 11: 143-53.
  18. Schaeffel F., Troilo D., Wallman J., Howland H.C. Developing eyes that lack accommodation grow to compensate for imposed defocus. Vis. Neurosci. 1990; 4:177-83.
  19. Smith E. L., Huang J., Hung L-F et al. Hemi-Retinal Form Deprivation: Evidence for Local Control of Eye Growth and Refractive Development in Infant Monkeys. Invest. Ophthalmol. Vis. Sci. 2009; 50(11): 5057-69.
  20. Smith E. L., Hung L-F., Huang J., et al. Effects of Optical Defocus on Refractive Development in Monkeys: Evidence for Local, Regionally Selective Mechanisms. Invest. Ophthalmol. Vis. Sci. 2010; 51(8): 3864-73.
  21. Smith E. L., Ramamirtham R., Qiao-Grider Y., et al. Effects of Foveal Ablation on Emmetropization and Form-Deprivation Myopia. Invest. Ophthalmol. Vis. Sci. 2007; 48(9): 3914-22.
  22. Sng C. C. A. et al. Change in peripheral refraction over time in Singapore Chinese children. Invest. Ophthalmol. Vis. Sci. 2011; 52 (11): 7880-7.
  23. Lee T. T., Cho P. Relative peripheral refraction in children: twelve-month changes in eyes with different ametropias. Ophthalmi.c and Physiological. Optics. 2013; 33(3): 283-93.
  24. Atchison D. A. et al. Relative peripheral hyperopia does not predict development and progression of myopia in children. Invest. Ophthalmol. Vis. Sci. 2015; 56(10): 6162-70.
  25. Rotolo M., Montani G., Martin R. Myopia onset and role of peripheral refraction. Clinical optometry. 2017; 9: 105-11.
  26. Тарутта Е. П., Иомдина Е. Н., Кварацхелия Н. Г., Милаш С.В., Кружкова Г.В. Периферическая рефракция и рефрактогенез: причина или следствие? Вестник офтальмологии. 2017; 1: 70-4.
  27. Thibos L.N, Bradley A, Liu T, Lopez-Gil N. Spherical aberration and the sign of defocus. Optom. Vis. Sci. 2013; 90: 1284-92.
  28. Gwiazda J., Thorn F., Held R. Accommodation, accommodative convergence, and response AC/A ratios before and at the onset of myopia in children. Optom. Vis. Sci. 2005; 82(4): 273-8.
  29. Тарутта Е. П., Тарасова Н. А. Прогностическое и диагностическое значение объективного аккомодационного ответа. Российская педиатрическая офтальмология. 2015; 10 (1): 27-9.
  30. Atchison D.A., Rosen R. The possible role of peripheral refraction in development of myopia. Optom. Vis. Sci. 2016; 93(9): 1042-4.
  31. Sun Y., Xu F., Zhang T., et al. Orthokeratology to Control Myopia Progression: A Meta-Analysis. PLoS. ONE. 2015; 10 (4): e0124535.
  32. Li S. M. et al. Efficacy, safety and acceptability of orthokeratology on slowing axial elongation in myopic children by meta-analysis. Current eye research. 2016; 41(5): 600-8.
  33. Тарутта Е.П., Вержанская Т.Ю. Стабилизирующий эффект ортокератологической коррекции миопии (результаты десятилетнего наблюдения). Вестник офтальмологии. 2017; 1: 49-54.
  34. Hiraoka T., Sekine Y., Okamoto F., Mihashi T., Oshika T. Safety and efficacy following 10-years of overnight orthokeratology for myopia control. Ophthalmic. Physiol. Opt. 2018; 38: 281-9.
  35. Lee Y.C., Wang J.H., Chiu C.J. Effect of Orthokeratology on myopia progression: twelve-year results of a retrospective cohort study. BMC Ophthalmol. 2017; 17(1): 243.
  36. Wang B., Naidu R.K., Qu X. Factors related to axial length elongation and myopia progression in orthokeratology practice. PLoS ONE. 2017; 12(4): e0175913.
  37. Faria-Ribeiro M, et al. Effect of Pupil Size on Wavefront Refraction during Orthokeratology. Optom. Vis. Sci. 2016; 93(11): 1399-1408.
  38. Li S.M., Kang M.T., Wu S.S. et al. Studies using concentric ring bifocal and peripheral add multifocal contact lenses to slow myopia progression in school aged children: a meta analysis. Ophthalmic. Physiol. Opt. 2017; 37: 51-9.
  39. Sankaridurg P., Donovan L., Varnas S., et al. Spectacle lenses designed to reduce progression of myopia: 12-month results. Optom. Vis. Sci. 2010; 87(9): 631-41.
  40. Тарутта Е.П., Проскурина О.В., Милаш С.В., Ибатулин Р.А., Тарасова Н.А., Ковычев А.С., Смирнова Т.С., Маркосян Г.А., Ходжабекян Н.В., Максимова М.В. Индуцированный очками «Perifocal-M» периферический дефокус и прогрессирование миопии у детей. Российская педиатрическая офтальмология. 2015; 2: 33-7.



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