About this trial
To determine if wearing a novel treatment during a 15-month period will enhance emmetropization in 4-month-old infants who have demonstrated poor ocular accommodation (eye focusing).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed parental permission and HIPAA authorization and willingness to comply with study procedures.
Infant 13-19 weeks of age at baseline.
Either sex and any race or ethnicity.
Good general health based on parent-provided history, normal pregnancy and delivery without serious complications, and birthweight >2500 g.
Disqualifiers
Astigmatism >2.00 D in either eye.
Anisometropia >1.50 D spherical equivalent.
Strabismus.
Previous difficulty with pupil dilation.
Trial design
Parallel
Treatments tested in this trial
Experimental treatment arm
Combination productInfants will receive spectacles that have a prescription relative to the spherical equivalent in each eye as measured by the cycloplegic retinoscopy performed at baseline. Changes in spectacle lens power will be made as needed at follow-up visits to keep the level of under-correction within 0.50D from the study protocol. An experimental non-invasive treatment will be prescribed as well. Treatment will continue until study completion at 18 months of age or until the infant reaches a spherical equivalent refractive error of +2.00D or less hyperopia. Participants will also receive a non-invasive treatment to be used at home.
Treatment groups
Trial outcomes
Primary outcomes
Ocular Accommodation measured with MEM
Change in accommodative lag (in Diopters), measured with Monocular Estimation Method (MEM).
Secondary outcomes
Correlation between refractive error and ocular accommodation measured with MEM
Refractive error will be measured using retinoscopy, in Diopters (D) and ocular accommodation will be measured with MEM retinoscopy, in Diopters (D)
Correlation between refractive error and ocular accommodation measured with PowerRefractor
Refractive error will be measured using retinoscopy, in Diopters (D) and ocular accommodation will be measured with the PlusOptix PowerRefractor, in Diopters (D)
Sponsors and contacts
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