{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:55:13Z","timestamp":1777870513302,"version":"3.51.4"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":60,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OVS"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the visual performance (VP) of P.A.U.S.E. spectacle lenses (tests) against defocus incorporated multiple segments (DIMS; control).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This randomized, single\u2010masked study included 48 participants aged 18\u201341\u00a0years who wore five tests (T1, T2, T4, T5, T6) and DIMS. VP was assessed through the full\u2010lens and inferior treatment zone. Full\u2010lens visual\u2010acuity (VA) based measurements comprised monocular high\u2010 and low\u2010contrast VA (HCVA\/LCVA) at 6\u00a0m and binocular HCVA at 6\u00a0m and 40\u00a0cm. Assessments through the treatment zone comprised HCVA at 40\u00a0cm and subjective ratings (1\u201310 scale) of near vision\u2010clarity and ease\u2010of\u2010reading. VP was assessed after 3\u00a0days of wear (full\u2010lens) using subjective ratings of vision\u2010clarity, night\u2010vision, vision\u2010while\u2010walking, eyestrain, overall\u2010vision\u2010satisfaction, and willingness\u2010to\u2010purchase (yes\/no: based on vision and myopia management efficacy). Analyses were performed using linear mixed models and the\n                      <jats:italic>X<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      test. Significance was set at 5%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Full\u2010lens binocular HCVA at 40\u00a0cm was significantly better with three tests (T2, T4, T5) compared to DIMS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.022), whereas there were no differences between any test and DIMS for monocular or binocular HCVA at 6\u00a0m (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.5). Full\u2010lens monocular LCVA at 6\u00a0m was significantly better with DIMS compared to T4 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0057). Through the treatment zone, four tests (T2, T4, T5, T6) were significantly better than DIMS for binocular HCVA at 40\u00a0cm (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001), near vision\u2010clarity (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.0011) and ease\u2010of\u2010reading (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0\u2264\u00a00.0014). T2 was rated significantly higher than DIMS for night\u2010vision (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0085) and overall\u2010vision\u2010satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0495), whereas DIMS was rated higher than T1 for vision\u2010clarity (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.0001). There were no significant differences between DIMS and any test for other subjective ratings (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.07), nor willingness\u2010to\u2010purchase based on vision (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.2) or myopia management efficacy (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&gt;\u00a00.6).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most of the test lenses achieved better VP through the treatment zone compared to the DIMS control. T2 showed better overall VP compared to DIMS, whereas DIMS showed better overall VP compared to T1.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ovs2.70023","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T21:55:24Z","timestamp":1775166924000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Visual performance of phase alteration utilizing sub\u2010elements lenses for potential myopia management"],"prefix":"10.1002","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2587-3180","authenticated-orcid":false,"given":"Karen","family":"Lahav\u2010Yacouel","sequence":"first","affiliation":[{"name":"nthalmic Pty Ltd  Sydney New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales 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