Myopia (tabi isunmọ-riran) ninu awọn ọmọde jẹ ipo iranran ti o gbooro pupọ. A ṣe iṣiro pe itankalẹ agbaye yoo de bii 50% nipasẹ ọdun 2050 pẹlu iwọn 9.8% eniyan ti o ni ipa nipasẹ myopia giga. Ti ko ba ṣe itọju, awọn ọmọde ti o ni myopia giga n ṣiṣe awọn eewu ti o pọ si ti awọn rudurudu oju to ṣe pataki bi iyọkuro retinal, maculopathy myopic, glaucoma, cataracts, ati bẹbẹ lọ nigbamii ni igbesi aye. Ni aṣa ti a lo awọn lẹnsi iwo oju-ọkan kan (SVL) ṣe atunṣe myopia ṣugbọn ma ṣe fa fifalẹ lilọsiwaju rẹ. Awọn akitiyan si ọna iṣakoso myopia ti o da lori iwo mu apẹrẹ nja nigbati, ni ọdun 2021, awọn apẹrẹ lẹnsi aramada meji bi. Awọn lẹnsi Iwoye pẹlu Awọn lẹnsi Aspherical Giga (HAL) ati Awọn lẹnsi Iwoye pẹlu Awọn lẹnsi Aspherical Diẹ (SAL), ọkọọkan pẹlu awọn lẹnsi agbeegbe fihan ko si ipa lori awọn iṣẹ wiwo idanwo ati pe a rii pe o jẹ ailewu fun iṣakoso myopia. Awọn ijinlẹ ti o tẹle fihan pe lakoko ti HAL ati SAL mejeeji dinku oṣuwọn ti ilọsiwaju myopia ati elongation axial, HAL ni ipa iṣakoso myopia to dara julọ. Paapaa, lilo igba pipẹ ti awọn iwoye HAL dinku isẹlẹ ti myopia giga ati pe o le ni ipa steep retinal ati afọwọṣe. Da lori igbelewọn ti ẹri, US FDA funni ni aṣẹ tita ni ọjọ 25 Oṣu Kẹsan 2025 si awọn lẹnsi gilaasi Essilor Stellest fun awọn ọmọde 6 si 12 ọdun. Ẹrọ naa ni “awọn lẹnsi iwo pẹlu awọn lẹnsi aspherical”. Awọn lẹnsi ni agbegbe iwọn 9 mm ti o han gbangba ni aarin, eyiti o jẹ yika nipasẹ awọn oruka ti awọn lẹnsi agbeegbe (awọn aami kekere, awọn aami dide) lori iyoku lẹnsi naa. Awọn lẹnsi agbeegbe pese defocus ina agbeegbe, eyiti o ṣe iranlọwọ lati fa fifalẹ ilọsiwaju ti myopia. Awọn lẹnsi oju gilaasi Essilor Stellest jẹ awọn lẹnsi gilasi oju akọkọ ti a fihan lati fa fifalẹ lilọsiwaju ti myopia ninu awọn ọmọde.
Awọn lẹnsi oju gilasi Essilor Stellest, ti a ṣe lati ṣe atunṣe ati iṣakoso ilọsiwaju ti myopia ninu awọn ọmọde 6 si 12 ọdun atijọ ti gba aṣẹ tita nipasẹ US FDA lori 25 Oṣu Kẹsan 2025. Aṣẹ naa da lori igbelewọn ọdun meji ti data lati iwadii ile-iwosan ti o fihan Essilor Stellest awọn lẹnsi oju gilaasi ti o fa fifalẹ iṣakoso oju-iwoye mii kan bi akawe si iṣakoso iṣọn-ẹẹkan. O ti funni ni yiyan Ẹrọ Iwaju ni iṣaaju ni Ọjọ 30 Oṣu Kẹrin Ọjọ 2021 lati mu idagbasoke ati atunyẹwo rẹ pọ si.
Awọn lẹnsi gilaasi Essilor Stellest jẹ awọn lẹnsi iwo pẹlu “awọn lẹnsi aspherical”. Awọn lẹnsi ni agbegbe iwọn 9 mm ti o han gbangba ni aarin, eyiti o jẹ yika nipasẹ awọn oruka ti awọn lẹnsi agbeegbe (awọn aami kekere, awọn aami dide) lori iyoku lẹnsi naa.
Awọn lẹnsi agbeegbe pese defocus ina agbeegbe, eyiti o le ṣe iranlọwọ lati fa fifalẹ lilọsiwaju ti myopia ninu awọn ọmọde. Eyi ni bii lẹnsi iwo Essilor Stellest jẹ ilọsiwaju aramada si awọn lẹnsi concave deede ti a lo lati ṣe atunṣe myopia.
Myopia ninu awọn ọmọde - ibakcdun ilera gbogbo agbaye ni pataki
Myopia (ti a tun mọ ni isunmọ-oju tabi oju-kukuru) jẹ ipo iranran ti o wọpọ nibiti awọn ohun ti o sunmọ le rii ni kedere, ṣugbọn awọn ohun ti o jinna han blurry. Awọn lẹnsi adayeba ati awọn ẹya miiran ti awọn oju ni o ni ipa ni ọna ti aworan ti awọn nkan ṣe idojukọ ni iwaju retina dipo lori retina. O jẹ ipo iranran ti o gbilẹ pupọ, ni pataki laarin awọn ọdọ ti o wa ni ọdun 10-25, ti o ti gba iwọn ti ibakcdun ilera gbogbogbo kariaye kan. Diẹ ninu awọn orilẹ-ede Esia ni ikolu ti o buruju. Ni Ilu China, nipa 47% ti lapapọ olugbe jiya myopia ni ọdun 2020. Itankale ninu awọn ọmọde ati awọn ọdọ jẹ 53.6% ati itankalẹ gbogbogbo ti awọn ọmọ ile-iwe kọlẹji kọja 90%. Aṣa ti o jọra ni a rii ni awọn orilẹ-ede Ila-oorun ati Gusu Asia. Ni AMẸRIKA, o kan nipa 40% ti olugbe nibiti oṣuwọn itankalẹ laarin awọn ọmọde ati awọn ọdọ ti n pọ si ni iyara. Lara itankalẹ gbogbogbo European funfun jẹ nipa 4.7% pẹlu 13.4% ni Norway, 11.4% ni Germany, ati 19.9% ni Ireland. Itankale ni o kere julọ ni Afirika. Ni wiwo aṣa ti o wa lọwọlọwọ, a ṣe iṣiro pe itankalẹ agbaye yoo de bii 50% ni ọdun 2050 pẹlu iwọn 9.8% eniyan ti o ni ipa nipasẹ myopia giga. Ti a ko ba ṣe itọju, awọn eniyan ti o ni myopia giga nṣiṣẹ awọn ewu ti o pọ si ti awọn ilolu oju-ara (iyọkuro retina, maculopathy myopic, glaucoma, ati cataracts) nigbamii ni igbesi aye. Ni wiwo oju iṣẹlẹ igbohunsafẹfẹ arun, awoṣe pipe fun idena ati iṣakoso myopia ninu awọn ọmọde ati awọn ọdọ ni a gba pe o jẹ dandan. Iṣakoso myopia ti o da lori wiwo jẹ ọna bọtini.
Apẹrẹ aramada ti awọn lẹnsi iwo fun iṣakoso myopia
Awọn akitiyan si iṣakoso myopia ti o da lori iwo bẹrẹ mimu apẹrẹ nja pẹlu atẹjade (ni ọdun 2021) ti awọn abajade ti igbelewọn ti awọn apẹrẹ lẹnsi aramada meji fun awọn ipa wọn lori awọn iṣẹ wiwo lori awọn agbalagba deede oju. Apẹrẹ kọọkan ni awọn lẹnsi agbeegbe. Lẹnsi iran kan kan (SVL) ni a lo bi iṣakoso. Awọn apẹrẹ meji viz. Awọn lẹnsi Iwoye pẹlu Awọn lẹnsi Aspherical Giga (HAL) ati Awọn lẹnsi Iwoye pẹlu Awọn lẹnsi Aspherical Diẹ (SAL) ni a rii pe o wa ni ailewu fun iṣakoso myopia bi wọn ko ṣe afihan ipa lori awọn iṣẹ wiwo idanwo.
Ni atẹle ọdun ni 2022, awọn abajade ti iwadii ile-iwosan ti a ṣe lori awọn ọmọde 157 lati ṣe ayẹwo ipa ti awọn lẹnsi iwo pẹlu awọn lẹnsi aspherical giga (HAL) ati awọn lẹnsi aspherical die-die (SAL) vis-a-vis awọn lẹnsi iwo oju wiwo ibile kan (SVL) ni ṣiṣakoso lilọsiwaju myopia ni awọn ọdun 2. Iwadi na fihan pe lakoko ti HAL ati SAL ti dinku oṣuwọn ti ilọsiwaju myopia ati elongation axial, asphericity ti o ga julọ ti awọn lenslets n ṣakoso myopia diẹ sii daradara, ie, HAL ni nkan ṣe pẹlu iṣeduro iṣakoso myopia to dara julọ. Eyi mu apẹrẹ HAL wa ni imọlẹ.
Awọn lẹnsi Spectacle pẹlu Awọn lẹnsi Aspherical Giga (HAL) ṣe idilọwọ myopia
Iwadi atẹle ọdun 5 siwaju (ti a tẹjade ni Oṣu Kẹta Ọjọ 5, Ọdun 2025) lori awọn olukopa 43 lati ẹgbẹ atilẹba HAL ti ṣafihan pe lilo awọn lẹnsi iwo pẹlu awọn lẹnsi aspherical giga (HAL) ṣe idiwọ deede ti awọn ọdun 3 ti ilọsiwaju myopia ati gigun axial (AL) ni imunadoko. Pẹlupẹlu, lilo igba pipẹ ti awọn iwoye HAL dinku iṣẹlẹ ti myopia giga. Iwadi aipẹ miiran (ti a tẹjade ni Oṣu Kẹta Ọjọ 29, Ọdun 2025) ṣe iwadii awọn ipa ti HAL lori gigun oju agbeegbe (PEL) ati isọdọtun agbeegbe (PR) ninu awọn ọmọde rii pe iyipada si tabi tẹsiwaju lati wọ HAL le fa fifalẹ aarin ati gigun gigun ti oju. Wiwọ awọn lẹnsi iwo pẹlu awọn lẹnsi aspherical ti o ga pupọ (HAL) le ni ipa giga giga retinal ati afọwọṣe.
“Awọn lẹnsi Spectacle pẹlu Awọn lẹnsi Aspherical” gba aṣẹ tita ọja FDA
Da lori igbelewọn ọdun meji ti data lati idanwo ti o fihan awọn lẹnsi oju gilaasi Essilor Stellest fa fifalẹ ilọsiwaju myopia (bi a ṣe afiwe si awọn lẹnsi iṣakoso iran kan), US FDA funni ni aṣẹ tita ni 25 Oṣu Kẹsan 2025 si awọn lẹnsi oju gilasi Essilor Stellest eyiti a ṣe lati ṣe atunṣe ati iṣakoso ilọsiwaju ti myopia ni awọn ọmọde ọdun 6. O jẹ awọn lẹnsi gilaasi akọkọ ti o han lati fa fifalẹ lilọsiwaju ti myopia ninu awọn ọmọde. O funni ni yiyan “ẹrọ aṣeyọri” ni iṣaaju ni Oṣu Kẹrin Ọjọ 30 Oṣu Kẹrin Ọjọ 2021 lati yara idagbasoke ati atunyẹwo rẹ.
Titi di isisiyi, lẹnsi olubasọrọ jẹ ẹrọ ti a fọwọsi nikan fun ṣiṣakoso ilọsiwaju myopia fun awọn ọmọde ni ẹgbẹ-ọjọ 8-12 ọdun. Awọn rinle fọwọsi Essilor Stellest awọn lẹnsi oju gilasi pese aṣayan fun awọn ọmọde ni ẹgbẹ ọdun 6-7. O tun funni ni aṣayan eewu kekere si gbogbo awọn ọmọde ti o nira lati wọ awọn lẹnsi olubasọrọ nitori awọn iṣẹlẹ ikolu bi awọn akoran.
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To jo:
- Zhao, L., et al. Itankale ati awọn okunfa eewu ti myopia laarin awọn ọmọde ati awọn ọdọ ni Hangzhou. Sci Rep 14, 24615 (2024). DOI: https://doi.org/10.1038/s41598-024-73388-7
- Gao Y., et al 2021. Ipa ti awọn lẹnsi iwo fun iṣakoso myopia lori awọn iṣẹ wiwo. Atejade: 16 Kẹsán 2021. DOI: https://doi.org/10.1111/opo.12878
- Bao J., ati al.2022. Awọn lẹnsi Iwoye Pẹlu Awọn lẹnsi Aspherical fun Iṣakoso Myopia vs Awọn lẹnsi Iwoye Oju-Kọkan: Idanwo Ile-iwosan Laileto. JAMA Ophthalmol Atejade: 31 Oṣù 2022; 140; (5): 472-478. DOI: https://doi.org/10.1001/jamaophthalmol.2022.0401
- Li, X., et al 2025. Iṣeduro iṣakoso Myopia ti awọn lẹnsi iwo pẹlu awọn lẹnsi aspherical ti o ga julọ: awọn abajade ti iwadii atẹle ọdun 5. Oju ati Vis 12, 10 (2025). Atejade: 05 March 2025. DOI: https://doi.org/10.1186/s40662-025-00427-3
- Huang Y., et al 2025. Ipa ti awọn lẹnsi iwo pẹlu awọn lẹnsi aspherical ti o ga julọ lori awọn ayipada ninu gigun oju agbeegbe ati asymmetry. Atejade: 29 Oṣu Kẹta 2025. DOI: https://doi.org/10.1111/opo.13500
- Idanwo ile-iwosan – Awọn lẹnsi Stellest Wọ ni Myopes Progressing Agbalagba (SWAP). Wa ni https://clinicaltrials.gov/study/NCT06520124
- Itusilẹ Awọn iroyin FDA. FDA fun ni aṣẹ Titaja ti Awọn lẹnsi oju gilasi akọkọ lati lọra Ilọsiwaju ti Myopia Paediatric. 25 Kẹsán 2025. Wa ni https://www.fda.gov/news-events/press-announcements/fda-authorizes-marketing-first-eyeglass-lenses-slow-progression-pediatric-myopia
- Essilor. Ṣe atunṣe iran rẹ - Stellest. Wa ni https://www.essilor.com/uk-en/products/stellest/
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Jẹmọ nkan
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 in children is a highly prevalent vision condition. It is estimated that the worldwide prevalence will reach about 50% by the year 2050 with about 9.8% people affected by high myopia. If untreated, children with high myopia run increased risks of serious eye disorders like retinal detachment, myopic maculopathy, glaucoma, cataracts, etc later in life. Traditionally used single-vision spectacle lenses (SVL) correct myopia but do not slow its progression. The efforts towards spectacle-based myopia control took concrete shape when, in 2021, two novel lens designs viz. Spectacle Lenses with Highly Aspherical Lenslets (HAL) and Spectacle Lenses with Slightly Aspherical Lenslets (SAL), each with peripheral lenslets showed no effect on tested visual functions and were found to be safe for myopia control. Subsequent studies showed that while both HAL and SAL reduced the rate of myopia progression and axial elongation, HAL has better myopia control efficacy. Also, long-term use of HAL spectacles reduced the incidence of high myopia and could impact retinal steepness and symmetry. Based on evaluation of evidence, US FDA granted marketing authorisation on 25 September 2025 to Essilor Stellest eyeglass lenses for children 6 to 12 years old. The device comprises of “spectacle lenses with aspherical lenslets”. Lenses have a clear 9 mm diameter area in the centre, which is surrounded by rings of peripheral lenslets (tiny, raised dots) on the rest of the lens. The peripheral lenslets provide peripheral light defocus, which help to slow the progression of myopia. Essilor Stellest eyeglass lenses are the first eyeglass lenses shown to slow progression of myopia in children.){kind=link}