Yes / Background: A range of myopia management (MM) contact lenses are becoming available to practitioners. These lenses are designed to slow myopia progression and axial elongation. This study explored the initial experience of participants wearing daily disposable MM contact lenses to investigate established factors previously associated with successful lens wear. Methods: This was a prospective, double-masked, crossover study. Twenty participants aged 18–30 years old were assigned to wear two daily disposable MM lenses in a randomised order. Visual acuity, contrast sensitivity, and amplitude/lag of accommodation were assessed at baseline, post-insertion, and after 2 and 6 h of lens wear. Self-reported lens comfort and vision quality were recorded at the same timepoints, and at 10 h post-insertion. Pairwise comparisons were performed between the two lenses at each timepoint, as well as assessing changes throughout wear. The relationship of the measured parameters to overall lens satisfaction was also assessed. Results: There were no significant differences between the two MM lenses at any timepoint for any of the participant-reported parameters, including overall satisfaction. A small difference in visual acuity was noted at 6 h post-insertion, although this is unlikely to be clinically significant. Comfort decreased throughout the day, most notably at 10 h post-insertion. A moderate positive correlation was observed between participant-reported visual quality and overall satisfaction. A similar pattern was seen for comfort and overall satisfaction. Self-reported vision quality and measured visual acuity were poorly correlated, highlighting the benefit of subjectively assessing the quality of vision with these lenses. Conclusions: The participants demonstrated comparable measures across a range of measures between the two MM lenses. Notably, half of the participants demonstrated a clear lens preference, although the preferred lens varied between individuals. Candidates for MM may benefit from trialling more than one MM lens design, to maximise initial wearing satisfaction. / This project was supported by the British Contact Lens Association Summer Research Scholarship.

Yes / Background: Soft contact lenses have been developed and licensed for reducing myopia progression. These lenses have different designs, such as extended depth of focus (EDOF) and dual focus (DF). In this prospective, doublemasked, cross-over study, different lens designs were investigated to see whether these had impact on accommodative microfluctuations and eye movements during reading. Methods: Participants were fitted with three lenses in a randomised order; a single vision (SV) design (Omafilcon A2; Proclear), a DF design (Omafilcon A2; MiSight), and an EDOF lens design (Etafilcon A; NaturalVue),. Accommodative microfluctuations were measured at 25 cm for at least 60s in each lens, using a Shin-Nippon SRW-5000 autorefractor adapted to continuously record accommodation at 22Hz. Eye movement data was collected with the Thomson Clinical Eye Tracker incorporating a Tobii Eye bar. Eye movements include fixations per row, fixations per minute, mean regressions per row, total number of regressions, and total rightward saccades. Accommodation data was analysed using power spectrum analysis. Differences between the lenses were compared using a related sample two-way Friedman test. Results: Twenty-three participants (18–29 years) were recruited to take part. The average mean spherical error was − 2.65D ± 1.42DS, with an average age of 23.4 ± 3.5 years. No significant difference for accommodative microfluctuations was found. Significant differences were found for fixations per row (P = 0.03), fixations per minute (P = 0.008), mean regressions per row (P = 0.002), and total number of regressions (P = 0.002), but not total rightward saccades (P = 0.10). Post-hoc analysis indicated the EDOF lens results were significantly different from the other lenses, with more regressive eye movements observed. Conclusions: Regressive saccades appear to increase when wearing EDOF lens designs, which may impact visual comfort. Further studies in children, over a longer period of adaptation are necessary to assess the potential impact of this finding on daily reading activities in children. / This project was supported by the British Contact Lens Association Summer Studentship Award (recipient Muskaan Hussain).

Today, medical imaging is playing an important role in medicine as it provides the techniques and processes used to create images of the human body or parts thereof for clinical purposes (medical procedures seeking to reveal, diagnose or examine disease) or medical science (including the study of normal anatomy and function). Modalities are developing over time to achieve the highest possible resolution, speed of image acquisition, sensitivity, and specificity. In the past decade, advances in optics, fiber, as well as laser technology have enabled the development of noninvasive optical biomedical imaging technology that can also be applied to endoscopy to reach deeper locations in the human body. The purpose of this dissertation is to investigate a full system design and optimization of an optical coherence tomography (OCT) system to achieve high axial and lateral resolution together with an extended depth of focus for endoscopic in vivo imaging. In this research aimed at advancing endoscopic OCT imaging, two high axial resolution optical coherence tomography systems were developed: (1) a spectrometer-based frequency-domain (FD) OCT achieving an axial resolution of ~2.5 µm using a Ti:Sa femtosecond laser with a 120nm bandwidth centered at 800nm and (2) a swept-source based FD OCT employing a high speed Fourier domain mode locked (FDML) laser that achieves real time in vivo imaging with ~8 µm axial resolution at an acquisition speed of 90,000 A-scans/sec. A critical prior limitation of FD OCT systems is the presence of mirror images in the image reconstruction algorithm that could only be eliminated at the expense of depth and speed of imaging. A key contribution of this research is the development of a novel FD OCT imager that enables full range depth imaging without a loss in acquisition speed. Furthermore, towards the need for better axial resolution, we developed a mathematical model of the OCT signal that includes the effect on phase modulation of phase delay, group delay, and dispersion. From the mathematical model we saw that a Fourier domain optical delay line (FD ODL) incorporated into the reference arm of the OCT system represented a path to higher performance. Here we then present a method to compensate for overall system dispersion with a FDODL that maintains the axial resolution at the limit determined solely by the coherence length of a broadband source. In the development of OCT for endoscopic applications, the need for long depth of focus imaging is critical to accommodate the placement of the catheter anywhere within a vessel. A potential solution to this challenge is Bessel-beam imaging. In a first step, a Bessel-beam based confocal scanning optical microscopy (BCSOM) using an axicon and single mode fiber was investigated with a mathematical model and simulation. The BCSOM approach was then implemented in a FD OCT system that delivered high lateral resolution over a long depth of focus. We reported on the imaging in biological samples for the first time with a double-pass microoptics axicon that demonstrated clearly invariant SNR and 8 um lateral resolution images across a 4 mm depth of focus. Finally, we describe the design and fabrication of a catheter incorporated in the FD OCT. The design, conceived for a 5 mm outer diameter catheter, allows 360 degree scanning with a lateral resolution of about 5 um across a depth of focus of about 1.6 mm. The dissertation concludes with comments for related future work.