Myopia is one of the leading causes of visual impairment worldwide and is linked to severe eye diseases such as maculopathy, retinal detachment and glaucoma. The overall prevalence of myopia in adolescents has increased substantially in recent years; approaching 25-50% in industrialized societies of the West and 60-80% in East Asia. A variety of factors such as age of onset, genetics, visual environment, accommodative ability and most recently, peripheral defocus of the retina have all been suggested to influence the progression of myopia. With higher levels of myopia becoming a significant public health concern, it is of crucial importance to find effective treatments to slow myopic progression in children.
Peripheral aberrations and one's eye shape have been shown to have a significant correlation to axial elongation of the eye which leads to a progression of myopia. A higher progression rate has been shown to be caused by relative peripheral hyperopia as well as a prolate retinal shape (Figure 1).
Our goal is to understand the influence of peripheral aberrations on axial elongation and myopic progression over time. The specific objective is to determine how manipulation of peripheral aberrations can slow the progression of myopia and impact peripheral image quality. By manipulating the aberration profile of the eye, one can change the amount of refractive defocus, image quality and depth of focus in the peripheral retina which provides the ability to control myopic progression.