Clinical Report: DIMS Lenses May Slow Myopia Progression
Overview
Pediatric patients wearing Defocus Incorporated Multiple Segments (DIMS) lenses showed a significant reduction in axial elongation over nearly 10 years, as reported in a study. The study indicated a sustained biological effect on eye growth, although the impact on refractive error was less consistent.
Background
Myopia is a growing concern in pediatric populations, with potential long-term implications for vision health. DIMS lenses have been studied for their effects on axial elongation, a key factor in myopia progression.
Data Highlights
| Outcome | DIMS Lenses | Single-Vision Lenses |
|---|---|---|
| Cumulative Axial Elongation | 0.44 mm | 1.27 mm |
| Reduction in Axial Elongation | 65% | N/A |
| Cumulative Myopia Progression | -0.57 D | -2.17 D |
Key Findings
- DIMS lenses were associated with a 65% reduction in axial elongation compared to single-vision lenses.
- The cumulative axial elongation among continuous DIMS wearers was approximately 76% lower than normative data from untreated Asian children.
- The treatment effect on spherical equivalent refraction was not statistically significant in the primary analysis.
- The greatest treatment effect was observed in younger patients, particularly those under 18 years.
- The study lacked a contemporaneous untreated control group, limiting direct comparisons.
Clinical Implications
Clinicians should consider the findings regarding DIMS lenses in myopia management.
Conclusion
DIMS spectacle lenses may offer sustained control of axial elongation through late adolescence.
Related Resources & Content
- Leung TW, et al., BMJ Open Ophthalmology, 2023 -- DIMS Lenses May Slow Myopia Progression
- Conexiant, 2023 -- DIMS Wear Linked to Slower Axial Growth
- The New Optometrist, 2025 -- HAL Lenses Slow Myopia Progression and Axial Elongation in Children
- Optometric Management, 2025 -- Myopia: Spectacle Lens Use
- IMI Interventions for Controlling Myopia Onset and Progression 2025 - Myopia Institute
- Contact Lens Spectrum — Slowing Myopia Progression with Lenses
- Defocus Incorporated Multiple Segments (DIMS) spectacle lenses slow myopia progression: a 2-year randomised clinical trial
- Defocus Incorporated Multiple Segments (DIMS) Spectacle Lenses Versus Single-Vision Lenses for Pediatric Myopia: A Systematic Review and Meta-Analysis
- IMI Interventions for Controlling Myopia Onset and Progression 2025 - Myopia Institute
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