{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T04:17:53Z","timestamp":1785557873613,"version":"3.56.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T00:00:00Z","timestamp":1743206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Spectacle lenses with highly aspherical lenslets (HAL) have been shown to slow myopia progression and axial length (AL) elongation effectively. The effects of HAL on peripheral eye length (PEL) and peripheral refraction (PR) were investigated in children who continued wearing HAL or switched from single\u2010vision spectacle lenses (SVL) or spectacle lenses with slightly aspherical lenslets (SAL) to HAL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2010two participants who had worn HAL for 2\u2009years continued their use (HAL group), while 51 and 48 participants who had originally worn SAL or SVL for 2\u2009years switched to HAL (SAL\u2010HAL and SVL\u2010HAL groups, respectively) in Year 3. A new SVL group of 56 participants, 10\u201315\u2009years of age, was enrolled in Year 3 (new\u2010SVL group). PEL and PR were measured every 10\u00b0 from 30\u00b0 nasal to 30\u00b0 temporal and from 30\u00b0 superior to 10\u00b0 inferior retina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were significant differences in the changes in AL and PEL on the temporal side among the groups (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001). All three HAL groups exhibited less elongation than the new\u2010SVL group. PR changes in the parafoveal temporal (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and superior (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) regions differed among the groups; the new\u2010SVL group progressed more than the other three groups. The AL in the new\u2010SVL group exhibited greater elongation than the PEL (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.02). However, there were no significant differences between the AL and PEL changes in the three HAL groups (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Compared with wearing SVL, switching to or continuing to wear HAL could slow central and temporal elongation of eye length. Wearing HAL could impact retinal steepness and symmetry.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.13500","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T13:31:10Z","timestamp":1743255070000},"page":"1040-1048","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of spectacle lenses with highly aspherical lenslets on changes in peripheral eye length and asymmetry"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7694-513X","authenticated-orcid":false,"given":"Yingying","family":"Huang","sequence":"first","affiliation":[{"name":"National Engineering Research Centre of Ophthalmology and Optometry, Eye Hospital Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Li","sequence":"additional","affiliation":[{"name":"National Engineering Research Centre of Ophthalmology and Optometry, Eye Hospital Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanqing","family":"Wang","sequence":"additional","affiliation":[{"name":"National Engineering Research Centre of Ophthalmology and Optometry, Eye Hospital Wenzhou Medical University  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4798-9237","authenticated-orcid":false,"given":"Bj\u00f6rn","family":"Drobe","sequence":"additional","affiliation":[{"name":"Research and Development, EssilorLuxottica  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Chen","sequence":"additional","affiliation":[{"name":"National Engineering Research Centre of Ophthalmology and Optometry, Eye Hospital Wenzhou Medical University  Wenzhou Zhejiang 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