APPARATUS AND METHODS OF SPECTACLE SOLUTIONS FOR MYOPIA
20220326547 · 2022-10-13
Inventors
Cpc classification
G02C7/022
PHYSICS
International classification
Abstract
The present disclosure relates to means of managing eye-length disorders, like myopia. The invention includes an apparatus and methods for the prescription, selection, supply and fitting of sets, stocks, or kits of pairs of myopia management spectacles, or spectacle fronts, attachable impermanent auxiliary optical films or mini optical elements used in conjunction with standard single vision spectacles, wherein the apparatus and methods are configured to provide substantially toric, or astigmatic, or asymmetric, directional optical cues to decelerate, ameliorate, control, inhibit, or reduce the rate of myopia progression over time, wherein the method is a prescribed care regimen providing temporal and spatial variation to the directional optical cues or stop signals.
Claims
1-20. (canceled)
21. A spectacle apparatus kit for a myopic individual, and its methods of use, the kit including at least two or more pairs of impermanent auxiliary optical films, wherein each optical film is configured to cover a substantial region of a standard single vision spectacle lens for the left eye and a substantial region of a standard single vision spectacle lens for the right eye of the myopic individual, wherein each optical film is configured with substantially plano power across the optical film and at least one elliptical optical element configured with an astigmatic or a tonic power profile, wherein the at least one elliptical optical element within the optical film used in juxtaposition to the left and the right standard single vision spectacle lens, provides each eye, at least in part meridional correction, and at least in part induces meridional astigmatism, on at least one region of the retina of the myopic eye; wherein the methods of use of the kit include instructions for the myopic individual comprising a wearing care regimen detailing the use of the optical films within the kit.
22. The spectacle apparatus kit of claim 21, wherein the surface area of the at least one elliptical optical element is at least 3 mm.sup.2.
23. The spectacle apparatus kit of claim 21, wherein the magnitude of astigmatic or toric power profile of the at least one elliptical optical element is at least +0.5 DC.
24. The spectacle apparatus kit of claim 21, wherein the astigmatic or toric power profile of the at least one elliptical optical element is expressed using a power distribution function described by the expression Sphere+(Cylinder/2)*(Azimuthal component), wherein the Sphere refers to the distance spherical prescription power to correct the myopic eye, the Cylinder refers to the magnitude of astigmatism or tonic power, wherein the Azimuthal component of the power distribution function is described as Ca*cos(mθ), wherein Ca is an azimuthal coefficient, m is an integer between 1 and 6, and Theta (θ) is the azimuthal angle of a given point within the at least one optical element.
25. The spectacle apparatus kit of claim 21, wherein the optical film is glued onto the standard single vision spectacle lens, or is made to adhere with finger pressure to the standard single vision spectacle lens, or is used as a sticker on one of the surfaces of the standard single vision spectacle lens, or is used as a peel-able adhesive on one of the surfaces of the standard single vision spectacle lens or a combination thereof.
26. The spectacle apparatus kit of claim 21, wherein the at least one region of the retina includes a nasal, temporal, superior, or inferior portion of the retina.
27. The spectacle apparatus kit of claim 21, wherein the at least one region of the retina is at least within 45 degrees of the visual field.
28. The spectacle apparatus kit of claim 21, wherein each of the optical films include a plurality of elliptical optical elements with same magnitude of astigmatism.
29. The spectacle apparatus kit of claim 28, wherein the plurality of elliptical optical elements are configured to have different magnitudes or axes of astigmatism.
30. The spectacle apparatus kit of claim 28, wherein the plurality of elliptical optical elements are configured in circular, elliptical or spiral arrangements.
31. The spectacle apparatus kit of claim 28, wherein the arrangement of plurality of the elliptical optical elements within the optical film is configured by evaluating the rate of progression or risk factors associated with the myopic individual.
32. The spectacle apparatus kit of claim 21, wherein the magnitude of the astigmatic or toric power profile within any of the elliptical optical element within the optical film is configured by evaluating the rate of progression or risk factors associated with the myopic individual.
33. The spectacle apparatus kit of claim 21, wherein the two or more pairs of optical films with the at least one elliptical optical element are configured substantially different from each other or substantially different for the right and left standard single vision spectacle lenses.
34. The spectacle apparatus kit of claim 21, wherein the at least two pairs of optical films are configured to provide a spatially and temporally varying optical stop signal to the right and left eyes of the myopic individual.
35. The spectacle apparatus kit of claim 21, wherein the myopic individual has myopia with or without astigmatism.
36. A method of use of the spectacle apparatus kit of claim 21, wherein the wearing care regimen involves use of the at least two pairs of optical films separated at least by 2 hours.
37. A method of use of the spectacle apparatus kit of claim 21, wherein the wearing care regimen involves use of the at least two pairs of optical films separated at least by 1 day.
38. A method of use of the spectacle apparatus kit of claim 36, wherein the wearing care regimen involving the use of the at least two pairs of optical films is identified by evaluating the rate of progression or risk factors associated with the myopic individual.
39. A method of use of the spectacle apparatus kit of claim 21, wherein the optical film is used to convert a standard single vision spectacle for correction of myopia to a myopia management spectacles for both the correction of myopia and retarding, decelerating, reducing and/or managing the progression of myopia.
Description
BRIEF DESCRIPTION OF THE FIGURES
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DETAILED DESCRIPTION
[0091] The efficacy rates of the prior art spectacle designs are established through randomised control clinical trials. The duration of these trials including spectacle designs range between 6 months and 3 years and the reported efficacy ranges between 10% and 50% when compared to the single vision control lenses.
[0092] A simple linear model of emmetropisation suggests that the magnitude of a stop signal accumulates over time. In other words, the accumulated stop signal depends on the total magnitude of exposure and not its temporal distribution.
[0093] A striking observation in all clinical trials is the fact that almost all the slowing effect on the rate of progression occurs as an initial burst of the treatment-effect observed in the first 6 to 12 months and seem to fade away with time. So, a more faithful model of emmetropisation to line up with the clinical results suggests that there may be a delay before the stop signal builds, then saturation occurs with time and perhaps a decay in the effectiveness of the stop signal.
[0094] There is a need in the art for spectacle lenses that avoids or minimises this saturation effect by providing a temporarily and spatially varying stop signal to retard the rate of myopia progression, for example, with a prescribed care regimen that requires switching of pairs of myopia management spectacle lenses from a set or kit, or switching pairs of myopia management spectacle fronts or impermanent auxiliary optical films, sheets, or mini optical elements used in conjunction with standard single vision spectacle lenses during a prescribed period. In addition to the pairs of spectacle lenses from a set or a kit prescribed under a care regimen, this disclosure also describes the use of auxiliary spectacle fronts and/or impermanent optical films and mini optical elements of a set or a kit to be used in conjunction with standard pair of spectacle lenses prescribed under a care regimen.
[0095] Accordingly, there exists a need for optical interventions with a mechanism to achieve substantially greater, and/or substantially consistent, efficacy over time in reducing and/or slowing myopia progression without significantly compromising visual performance. In one or more examples, the substantially consistent efficacy overtime may be considered to be at least 6, 12, 18, 24, 36, 48 or 60 months.
[0096] In this section, the present disclosure will be described in detail with reference to one or more embodiments, some are illustrated and supported by accompanying figures. The examples and embodiments are provided by way of explanation and are not to be construed as limiting to the scope of the disclosure. The following description is provided in relation to several embodiments that may share common characteristics and features of the disclosure. It is to be understood that one or more features of one embodiment may be combined with one or more features of any other embodiments which may constitute additional embodiments. The functional and structural information disclosed herein is not to be interpreted as limiting in any way and should be construed merely as a representative basis for teaching a person skilled in the art to employ the disclosed embodiments and variations of those embodiments in various ways. The sub-titles and relevant subject headings used in the detailed description section have been included only for the ease of reference of the reader and in no way should be used to limit the subject matter found throughout the invention or the claims of the disclosure. The sub-titles and relevant subject headings should not be used in construing the scope of the claims or the claim limitations.
[0097] Risk of developing myopia or progressive myopia may be based on one or more of the following factors: genetics, ethnicity, lifestyle, environmental, excessive near work, etc. Certain embodiments of the present disclosure are directed towards a person at risk of developing myopia or progressive myopia.
[0098] One or more of the following advantages are found in one or more of the disclosed optical devices, and/or methods of the myopia management kit. A kit or set of pairs of myopia management spectacle lenses or spectacle fronts, impermanent auxiliary optical films, sheets, or mini optical elements used in conjunction with standard single vision spectacle lenses or method providing a stop signal to retard the rate of eye growth or stop the eye growth (or the state of refractive error) of the wearer's eye based on an astigmatic blur signal.
[0099] A kit or set of pairs of myopia management spectacle lenses or spectacle fronts, impermanent auxiliary optical films, sheets, or mini optical elements used in conjunction with standard single vision spectacle lenses or method providing a temporally and spatially varying stop signal for increasing the effectivity of managing progressive myopia. The current invention contemplates apparatus and/or methods that are not based on positive spherical aberration, or simultaneous defocus, which suffers from saturation effects of efficacy due to rotational symmetry of the optical stop signal.
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[0103] A schematic model eye (Table 1) was chosen for illustrative purposes in
[0104] In the example embodiments, reference was made to a specific wavelength of 589 nm, however, it is understood that a person skilled in the art can draw extension to other visible wavelengths between 420 nm and 760 nm. Specific structural and functional details disclosed in these figures and examples are not to be interpreted as limiting, but merely as a representative basis for teaching a person skilled in the art to employ the disclosed embodiments in numerous variations.
[0105] Certain embodiments of the present disclosure are directed to a myopia management kit or set that may provide a temporally and spatially varying, in other words varying with retinal location over time, stop signal to the progressing myopic eye, achieved with the help of a prescribed wearing regimen. This temporally and spatially varying stop signal may minimise the implicit saturation effects of efficacy that are observed in the prior art.
[0106] In certain embodiments, the toric portion of a myopia management spectacle lens or a spectacle front when used in conjunction with standard single vision spectacle lens provides at least in part, a meridional correction for a myopic eye and at least in part, produces a temporally and spatially varying astigmatic stop signal to reduce the rate of myopia progression when worn under a care regimen. In certain embodiments, the induced astigmatism (i.e. stop signal) configured within the pairs of myopia management spectacle lenses or spectacle lens fronts used in conjunction with standard single vision spectacle lenses of a kit or set may be at least +0.5 DC, +0.75 DC, +1 DC or +1.25 DC. In certain embodiments, the induced astigmatism configured within the pairs of myopia management spectacle lenses or spectacle lens fronts used in conjunction with standard single vision spectacle lenses of a kit or set may be between +0.5 DC and +1.75 DC, +0.5 DC and +2 DC, or +0.5 DC and +2.5 DC.
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[0108] In this example, the base prescription for the left and right eyes of an individual is identified by performing an optimal objective or subjective refraction for each eye of the individual (401).
[0109] Select appropriate magnitudes and axes of astigmatic or toric power distributions are combined with the base prescription for at least two pairs of myopia management spectacles for the individual (402).
[0110] The at least two pairs of myopia management spectacles are configured to provide at least in part a meridional correction for the eye and at least in part a meridional astigmatic blur to serve as an optical signal to the eye (403).
[0111] Further, the method of use of the at least two pairs of myopia management spectacle lenses prescribed under a care regimen provides a spatially and temporally varying stop signal to the eye (404).
[0112] In some examples, the appropriate levels of astigmatism configured within the pairs of myopia management spectacle lenses used in conjunction with standard single vision spectacle lenses of a kit or set may be at least +0.5 DC, +0.75 DC, +1 DC, +1.25 DC or +1.75 DC.
[0113] In some examples, the appropriate levels of astigmatism configured within the pairs of myopia management spectacle lenses used in conjunction with standard single vision spectacle lenses of a kit or set may be between +0.5 DC and +1.75 DC, +0.5 DC and +2 DC, or +0.5 DC and +2.25 DC.
[0114] In some examples, the appropriate differences of axes orientations of the individual spectacle lens of the pairs of myopia management spectacle lenses may be at least 15 degrees, 30 degrees, 45 degrees, 60 degrees or 75 degrees.
[0115] In some examples, the appropriate differences of axes orientations of the individual spectacle lens of the pairs of myopia management spectacle lenses may be between 15 and 30 degrees, 30 to 60 degrees, 45 to 75 degrees, 60 and 90 degrees, 15 and 90 degrees.
[0116] To demonstrate the effects of other embodiments, other schematic model eyes like Atchison, Escudero-Navarro, Liou-Brennan, Polans, Goncharov-Dainty may be used instead of the above schematic model eye.
[0117] One may also alter the parameters of the individual parameters of the model eye; for example, the cornea, lens, retina, media, or combinations thereof, to aid a better simulation of the effect is described. Schematic eyes were used for simulation of the optical performance results of the exemplary embodiments of the current disclosure.
[0118] The prescription parameters of the schematic model eye used for optical modelling and simulation of the performance are tabulated in Table 1.
[0119] The prescription offers a −3 D myopic eye defined for a monochromatic wavelength of 589 nm. The prescription described in Table 1 should not be construed as an imperative method to demonstrate the effect of the contemplated exemplary embodiment. It is just one of many methods that may be used by the person skilled in the art for optical simulation purposes.
TABLE-US-00001 TABLE 1 Prescription of a schematic model eye that offers a −3 D myopic model eye Refractive Semi Conic Description Radius Thickness Index Diameter Constant Infinity Infinity 0.00 0.000 Start Infinity 5.000 4.00 0.000 Anterior 7.750 0.550 1.376 5.75 −0.250 Cornea Posterior 6.400 3.000 1.334 5.50 −0.400 Cornea Pupil Infinity 0.450 1.334 5.00 0.000 Anterior 10.800 3.800 1.423 4.50 −4.798 Lens Posterior −6.250 17.675 1.334 4.50 −4.101 Lens Retina −12.000 0.000 10.00 0.000
[0120] Table 2 provides a myopia management spectacle lens with a prescription of −3 D/+1 DC. The prescriptions of two pairs of exemplary myopia management spectacle lens embodiments (501 and 510), illustrated in
TABLE-US-00002 TABLE 2 Prescription of the exemplary spectacle lens embodiment of the disclosure Surface Standard Biconic Description Anterior Surface Posterior Surface RadiusX/Radius Y 2000 mm/2000 mm 223.64 mm/154.17 mm Thickness 1.5 mm 13 mm vertex distance Refractive Index 1.498 Semi Diameter 25 mm 25 mm
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[0122] The astigmatic blur (i.e. stop signal) of 1 DC is combined with the base prescription for each eye. The axis orientation of the prescribed astigmatic blur in the first pair is 90 degrees; axis orientation of the prescribed astigmatic blur in the second pair is 135 degrees and 45 degrees for right and left eyes of a wearer, respectively. The first pair of myopia management spectacles (501) is prescribed to be used in the 1st period and the second pair of myopia management spectacles (510) is prescribed to be used in the 2.sup.nd period. The astigmatic or toric prescription of pairs of myopia management spectacles of
[0123] In some examples, the two (2) wearing periods described in the methods of use of two pairs of myopia management spectacles shown in
[0124] When the incoming light of a visible wavelength (for example, 589 nm) of vergence 0 D, incident on the myopic eye (Table 1) is corrected with two pairs of the exemplary myopia management spectacles 501 and 502 of
[0125] The two rows of point spread functions 600 and 601 represent on-axis temporally and spatially varying optical signals to the retina of the wearer, when the pairs of myopia management spectacle lenses described in
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[0127] The through-focus spot diagrams of
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[0131] The auxiliary spectacle fronts of
[0132] For example, in the right lens of the spectacle front the orientations of the cylinder axis in the 1.sup.st, 2.sup.nd, 3.sup.rd, and 4th pairs of spectacle fronts are 0, 30, 60 and 90 degrees, respectively. In the left lens of the spectacle front, the axis of cylinder power in the 1.sup.st, 2.sup.nd, 3.sup.rd, and 4th pairs of spectacle fronts are 180, 150, 120 and 90 degrees, respectively. The 4 four pairs of auxiliary spectacle fronts (1000, 1010, 1020, 1030) are prescribed to be used over different periods. For example, changing each pair of auxiliary spectacle fronts every day, two days, three days, 4 days, 5 days, 7 days, 10 days, 14 days, or 21 days.
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[0134] When the set of four (4) pairs of the spectacle fronts (1000, 1010, 1020, 1030) described in
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[0136] The through-focus spot diagrams of
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[0138] The left portion of
[0139] The right portion of
[0140] The optical film or sheet may be peeled using the 1404 portion of the film allowing it to be placed on the spectacle.
[0141] In this example, the major and minor axes of the elliptical optical element are approximately 4 mm and 3 mm, respectively. The elliptical optical element is configured with astigmatic or toric power distribution denoted by two principal meridians, the dotted line 1406 and the solid line 1407. In some examples, the impermanent auxiliary optical film or sheet configured at least one elliptical optical elements of the present invention includes an adhesive backing to adhere the optical sheet or film to the standard single vision spectacle lens. The impermanent adhesive backing may be a peel-able, a self-sticking, or any other suitable adhesive means to adhere to the impermanent auxiliary optical film or sheet to the standard single vision spectacle lens. In some other examples, the impermanent auxiliary optical film or sheet may be configured with at least two or three optical elements; each having the astigmatic or toric power distribution of the present invention.
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[0143] In the example of
[0144] In the example of
[0145] In these examples, the astigmatic power distribution within each of the optical elements is noted with two principal meridians, the bold line representing weaker positive meridional power and dotted lines representing stronger positive meridional power.
[0146] In other examples, the notation of the positive and negative meridional power may be different. In the example of
[0147] For example, in the 1.sup.st period of
[0148] In the 5th period, the right and left optical films have the optical elements configured inferio-temporally and superior-nasally, respectively. In the 6th period, the right and lens optical films have the optical elements configured centrally overlying on the optical centre of the single vision spectacle lens.
[0149] Further, in the first two periods of
[0150] In the 4.sup.th and 5.sup.th periods of
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[0152] The optical films or sheets of
[0153] In the example of
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[0155] A region of interest on the spectacle lens 1704 may be identified by marking an inner and outer border depicted in dotted lines. Further, some locations may be identified as areas where the optical elements are to be placed, denoted as crosses that may be engraved within the matrix of the single vision spectacle lens for ease of locating the markings, for example, 1705. The right portion of
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[0157] In this example of
[0158] In this example of
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[0160] In the second period, the mini optical elements were drawn from only set B and are configured on the selected regions of the left and right spectacle lenses, with the symmetry along the ordinate was maintained. In the third period, the mini optical elements were all drawn from only set B of
[0161] In the fifth period, three mini optical elements were all drawn from only set A of
[0162] In the sixth period, three mini optical elements were all drawn from only set A of
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[0164] In this example, the standard spectacle lens is configured with a region of interest defined about the optical centre 2001 with an inner diameter of approximately 8 mm represented by dotted lines 2003 and an outer diameter of approximately 15 mm represented by solid line 2002 forming a region of interest 2004 identified for positioning said the impermanent auxiliary mini optical element. The standard single vision ready-made spectacle blank of
[0165] The said impermanent auxiliary mini optical element 2005 is located approximately 5 mm away from the geometric centre (2001) of the spectacle lens 2000. The said impermanent auxiliary mini optical element 2005 is configured with +1.5 DC of astigmatic power, denoted by two principal power meridians, −2.5 D along the naso-temporal direction of the standard spectacle lens and about −1 D along the superio-inferior direction of the standard spectacle lens. The superior, temporal, inferior and nasal portions on the standard spectacle lens are denoted by characters S, T, I and N, respectively.
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[0167] As seen from
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[0169] As seen from
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[0171] The rows represent the through focus spot diagram formed when a ray bundle goes through three distinct regions of the spectacles: (a) the first row represents through-focus spot diagram when the incoming ray bundle passes through the impermanent auxiliary mini optical element located temporally on the spectacle lens; (b) the second row represents data obtained when incoming ray bundle passes through the central portion of the spectacle lens free of auxiliary mini optical elements and (c) the 3.sup.rd row showcases data obtained when the incoming ray bundle passes through the nasal portion of the spectacle lens free of auxiliary optical elements.
[0172] As seen from
[0173] In this example, the length, position, and orientation of the conoid of Sturm contributes to the directional cues or optical stop signals to reduce the rate of myopia progression in a wearer. In some embodiments, the astigmatic power of the mini optical element and the location on the single vision spectacle lens is optimised to retain the entire conoid of Sturm in front of the peripheral retina, while in other embodiments, the optimisation of said properties of the mini optical element may position the conoid of Sturm about the retina with tangential and sagittal planes straddling the retina.
[0174] The prescribed method of changing the position of the mini optical elements on the single vision spectacle lenses provides temporal and spatial variation to the directional cues or stop signals; such that the efficacy of myopia management may be maintained constant over time.
[0175] In the example of
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[0177] In this example, the standard spectacle lens is configured with a region of interest defined about the optical centre 2501 with an inner diameter of approximately 7 mm represented by dotted lines 2503 and an outer diameter of approximately 25 mm represented by solid line 2002 forming a region of interest 2504 identified for positioning said the impermanent auxiliary mini optical element.
[0178] The standard single vision ready-made spectacle blank of
[0179] The said impermanent auxiliary mini optical element 2505 is configured with +2.5 DC of astigmatic power, denoted by two principal power meridians, about −2.5 D along an oblique angle and about 0 D power perpendicular to the oblique principal meridian of the standard spectacle lens. The superior, temporal, inferior and nasal portions on the standard spectacle lens are denoted by characters S, T, I and N, respectively.
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[0181] As seen from
[0182] As seen from
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[0184] In this example, the rows represent the through focus spot diagram formed when a ray bundle goes through three distinct regions of the spectacles: (a) the 1.sup.st row showcases data obtained when the incoming ray bundle passes through the temporal portion of the spectacle lens free of auxiliary optical elements; (b) the second row represents data obtained when incoming ray bundle passes through the central portion of the spectacle lens free of auxiliary mini optical elements and (c) the third row represents through-focus spot diagram when the incoming ray bundle passes through the impermanent auxiliary mini optical element located nasally on the spectacle lens.
[0185] As seen from
[0186] In this example, the length, position, and orientation of the conoid of Sturm formed on the peripheral retina is hypothesises to contribute to the directional cues or optical stop signals to reduce the rate of myopia progression. In some embodiments, the astigmatic or toric power of the said mini optical element and the location on the single vision spectacle lens is optimised to retain the entire conoid of Sturm in front of the peripheral retina, while in other embodiments, the optimisation of said properties of the mini optical element may position the conoid of Sturm about the retina with sagittal planes on the retina. The prescribed method of changing the position of the mini optical elements on the single vision spectacle lenses provides temporal and spatial variation to the directional cues or stop signals; such that the efficacy of myopia management may be maintained constant over time.
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[0188] In this example, the standard spectacle lens is configured with a region of interest defined about the optical centre 2901 with an inner diameter of approximately 7 mm represented by dotted lines 2503 and an outer diameter of approximately 20 mm represented by solid line 2902 forming a region of interest 2904 identified for positioning said the impermanent auxiliary mini optical element. The standard single vision ready-made spectacle blank of
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[0193] In this example, the rows represent the through focus spot diagram formed when a ray bundle goes through three distinct regions of the spectacles: (a) the 1.sup.st row showcases data obtained when the incoming ray bundle passes through the temporal portion of the spectacle lens free of auxiliary optical elements; (b) the second row represents data obtained when incoming ray bundle passes through the central portion of the spectacle lens free of auxiliary mini optical elements and (c) the third row represents through-focus spot diagram when the incoming ray bundle passes through the impermanent auxiliary mini optical element located nasally on the spectacle lens.
[0194] As seen from
[0195] In this example, the length, position, and orientation of the conoid of Sturm formed on the peripheral retina is hypothesises to contribute to the directional cues or optical stop signals to reduce the rate of myopia progression. The astigmatic or toric power of the said mini optical element and the location on the single vision spectacle lens is optimised to retain the entire conoid of Sturm in behind the peripheral retina, while in other embodiments, the optimisation of the mini optical element may position the conoid of Sturm about the retina with tangential planes on the retina.
[0196] The prescribed method of changing the position of the mini optical elements on the single vision spectacle lenses provides temporal and spatial variation to the directional cues or stop signals; such that the efficacy of myopia management may be maintained constant over time.
[0197] In certain other embodiments, the toric part of the spectacle lens of a kit or set may be configured to consider the inherent astigmatism of the eye wearing the lens to achieve a satisfactory balance between the desired visual performance and the desired astigmatic blur to offer a stimulus to reduce or slow the rate of progression.
[0198] In some embodiments, the toric portion of the pair of spectacle lenses of a spectacle lens kit or set may be located, formed, or placed on the anterior surface, posterior surface, or combinations thereof. In some other embodiments, the toric part of the pair of spectacle lenses of a spectacle lens of a kit or set is devoted to producing specific features of the stop signal, for example, residual astigmatism with either the sagittal or tangential focal line substantially in front of the retina.
[0199] In certain other embodiments, a change or substantial change to the optical signal received by the on- and/or off-axis region on the retina, configured by an astigmatic conoid or interval of Sturm at the retinal plane, where the optical stop signal means a portion of the conoid or interval of Sturm falls in front of the retina (i.e. producing a meridional myopic defocus), while the remainder of the conoid or interval of Sturm produces an in-focus or hyperopic signal. The proportion of the conoid or interval of Sturm that provides a positive meridional astigmatic focus, may be approximately 10%, 20%, 30% 40%, 50%, 60%, 70%, 80%, 90% or 100%.
[0200] In certain other embodiments, the toric part of the spectacle lens of a kit or set is located, formed, or placed on one of the two surfaces of the spectacle lens and the other surface may have other features for further reducing eye growth.
[0201] For example, the use of additional features like defocus, coma, or spherical aberration. In certain embodiments, the shape of the front and back surface of the spectacle lens of a kit or set may be described by one or more of the following: a sphere, an asphere, an extended odd polynomial, an extended even polynomial, a conic section, a biconic section, a toric surface or a Zernike polynomial.
[0202] In some other embodiments, the radial and/or azimuthal power distribution across the optic centre of the lens may be described by appropriate Zernike polynomials, Bessel functions, Jacobi polynomials, Taylor polynomials, Fourier expansion, or combinations thereof.
[0203] In one embodiment of the present disclosure, the stop signal may be configured using solely using astigmatism, astigmatic or toric power profile. However, in other embodiments, higher-order aberrations like spherical aberration, coma, trefoil, may be combined with the configured astigmatic or toric blur.
[0204] In certain embodiments of the present disclosure, the astigmatic or toric power distribution may be configured using the below expression: Power profile of toric embodiment=Spherical+Cylinder/2*(Radial)*(Azimuthal) power distribution function. In some embodiments, the radial distribution function may take a form of Radial power distribution=Cp{circumflex over ( )}2, where C is the coefficient of the expansion and Rho (ρ) is the normalised radial co-ordinate ρ.sub.0/ρ.sub.max. Rho (ρ.sub.0) is the radial coordinate at a given point on the lens, whereas ρ.sub.max is the maximum radial co-ordinate or semi-diameter of the optic zone. In some embodiments, the azimuthal power distribution function may take a form of Azimuthal power distribution=cos mθ, where m can be any integer between 1 and 6 in some embodiments, and Theta (θ) is the azimuthal angle.
[0205] In other exemplary embodiments, the induced astigmatism or toric profile configured in the auxiliary spectacle fronts to be used in juxtaposition to a standard pair of spectacle lenses for reducing, inhibiting, or controlling the rate of progression of myopia in an individual, maybe at least +0.5 DC, at least +0.75 DC, at least +1 DC, at least +1.25 DC, at least +1.5 DC, at least +1.75 DC or at least +2 DC.
[0206] In some other exemplary embodiments, the induced astigmatism or toric profile configured in the auxiliary spectacle fronts to be used in juxtaposition to a standard pair of spectacle lenses for reducing, inhibiting, or controlling the rate of progression of myopia in an individual, maybe between +0.5 DC and +2.5 DC, +0.75 DC and +1.75 DC, +1 DC and +3 DC, or +1.25 DC and +2.5 DC.
[0207] In certain other embodiments, the induced astigmatism or toric profile configured in the auxiliary spectacle fronts, to be used in juxtaposition to a standard pair of spectacle lenses, for reducing, inhibiting, or controlling the rate of progression of myopia in an individual, maybe further supplemented with positive sphere power of at least +0.5 D, at least +0.75 D, at least +1 D, at least +1.25 D, or at least +1.5 D. In certain other embodiments, the supplementary sphere power may be at least −0.5 D, at least −0.75 D, at least −1 D, at least −1.25 D, or at least −1.5 D. The supplementary sphere power in this context may be independent of refractive correction configured in the standard spectacle lens.
[0208] In certain examples, the wearing schedule of the care regiment may include instructions to change the auxiliary pair of spectacle fronts at least every 4 hours, 8 hours, 12 hours, 24 hours, 48 hours, 60 hours, or 72 hours.
[0209] As a person skilled in the art may appreciate, the present invention may be used in combination with any of the devices/methods that have the potential to influence the progression of myopia. These may include but are not limited to, contact lenses of various designs, colour filters, pharmaceutical agents, behavioural changes, and environmental conditions.
[0210] Few other exemplary embodiments of spectacle lenses are described in the following example set A.
Set of “A” Examples of a Spectacle Kit
[0211] A spectacle apparatus kit for a myopic individual, and its methods of use, the kit including at least two or more pairs of spectacles, wherein each pair of the spectacles comprises a lens for the left and a lens for the right eye of the myopic individual, wherein each lens is configured with a substantial region with an astigmatic or a toric power profile in addition to a base prescription, to provide each eye, at least in part meridional correction, and at least in part induces meridional astigmatism, on at least one region of the retina of the myopic eye; wherein the methods of use of the kit include instructions for the myopic individual comprising a wearing care regimen detailing the use of the pairs of spectacles.
[0212] A spectacle apparatus kit of one or more of the claim A examples, wherein the surface area of the substantial region with an astigmatic or a toric power profile is at least 100 mm.sup.2, 250 mm.sup.2, 450 mm.sup.2, 600 mm.sup.2, or 750 mm.sup.2.
[0213] A spectacle apparatus kit of one or more of the claim A examples, wherein the magnitude of astigmatic or toric power profile is at least +0.5 DC, +0.75 DC, +1 DC, +1.25 DC, +1.5 DC or +1.75 DC.
[0214] A spectacle apparatus kit of one or more of the claim A examples, wherein the astigmatic or toric power profile is expressed using a power distribution function described by the expression Sphere+(Cylinder/2)*(Azimuthal component), wherein the Sphere refers to the distance spherical prescription power to correct the myopic eye, the Cylinder refers to the magnitude of induced astigmatism or toricity, wherein the Azimuthal component of the power distribution function is described as C.sub.a*cos(mθ), wherein C.sub.a is an azimuthal coefficient, m is an integer between 1 and 6, and Theta (θ) is the azimuthal angle of a given point of the optic zone.
[0215] A spectacle apparatus kit of one or more of the claim A examples, wherein the astigmatic or toric power profile is configured on the anterior surface, posterior surface, or both surfaces of the spectacle lens.
[0216] A spectacle apparatus kit of one or more of the claim A examples, wherein the at least two or more pairs of spectacles include at least three, four, five, six or seven spectacles.
[0217] A spectacle apparatus kit of one or more of the claim A examples, wherein the magnitude of the astigmatic or toric power profile is configured substantially different between the pairs of spectacles within the kit.
[0218] A spectacle apparatus kit of one or more of the claim A examples, wherein the magnitude of the astigmatic or toric power profile is configured substantially different between the pairs of spectacles within the kit and is at least different by +0.5 DC.
[0219] A spectacle apparatus kit of one or more of the claim A examples, wherein the axis of the astigmatic or toric power profile is configured substantially different between the pairs of spectacles within the kit.
[0220] A spectacle apparatus kit of one or more of the claim A examples, wherein the axis of the astigmatic or toric power profile in the at least two pairs of spectacles are substantially different from each other and is at least separated by 20 degrees.
[0221] A spectacle apparatus kit of one or more of the claim A examples, wherein the magnitude and/or axis of the astigmatic or toric power profile is configured substantially different between the right and left lenses of the pairs of spectacles within the kit.
[0222] A spectacle apparatus kit of one or more of the claim A examples, wherein the at least two pairs of spectacle lenses are configured to provide an appropriate stop signal to the myopic individual.
[0223] A spectacle apparatus kit of one or more of the claim A examples, wherein the myopic individual may have myopia with or without astigmatism.
[0224] A spectacle apparatus kit of one or more of the claim A examples, wherein the at least one region of the retina of the myopic eye includes a sub-foveal, para-foveal, foveal, sub-macular, macular or paramacular region on the retina.
[0225] A spectacle apparatus kit of one or more of the claim A examples, wherein the at least one region of the retina of the myopic eye includes at least 5 degrees of the visual field, 15 degrees of the visual field, or 30 degrees of the visual field.
[0226] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the at least two pairs of spectacles are configured to provide a temporally and spatially varying induced meridional astigmatism.
[0227] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the temporally and spatially varying induced meridional astigmatism provides a stop signal to the myopic eyes of the individual.
[0228] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the axis of the astigmatic or toric power profile in the at least two pairs of spectacles is substantially different from each other and is at least separated by 20 degrees.
[0229] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the at least two or more pairs of spectacles are prescribed using an appropriate wearing schedule.
[0230] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacles are separated at least by 2 hours, 4 hours, 6 hours, 8 hours, or 12 hours.
[0231] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacles are separated at least by 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or one week.
[0232] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacles are separated at least by 1 week, 2 weeks, 3 weeks, or one month.
[0233] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacles is identified by evaluating the rate of progression and/or risk factors associated with the myopic individual.
[0234] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the magnitude of the astigmatic or toric power profile is configured by evaluating the rate of progression and/or risk factors associated with the myopic individual.
Set of “B” Examples of a Spectacle Front
[0235] A spectacle apparatus kit for a myopic individual, and its methods of use, the kit including at least two or more pairs of spectacle fronts, wherein each pair of the spectacle front comprises a lens for the left and a lens for the right eye of the myopic individual, wherein each lens is configured with a substantial region with an astigmatic or a toric power profile, wherein the spectacle front is used in juxtaposition to a pair of standard single vision spectacles, provides each eye, at least in part meridional correction, and at least in part induces meridional astigmatism, on at least one region of the retina of the myopic eye; wherein the methods of use of the kit include instructions for the myopic individual comprising a wearing care regimen detailing the use of the pairs of spectacles.
[0236] A spectacle apparatus kit of one or more of the claim B examples, wherein the surface area of the substantial region with an astigmatic or a toric power profile is at least 100 mm.sup.2, 250 mm.sup.2, 450 mm.sup.2, 600 mm.sup.2, or 750 mm.sup.2.
[0237] A spectacle apparatus kit of one or more of the claim B examples, wherein the magnitude of astigmatic or toric power profile is at least +0.5 DC, +0.75 DC, +1 DC, +1.25 DC, +1.5 DC or +1.75 DC.
[0238] A spectacle apparatus kit of one or more of the claim B examples, wherein the astigmatic or toric power profile is expressed using a power distribution function described by the expression Sphere+(Cylinder/2)*(Azimuthal component), wherein the Sphere refers to the distance spherical prescription power to correct the myopic eye, the Cylinder refers to the magnitude of induced astigmatism or toricity, wherein the Azimuthal component of the power distribution function is described as C.sub.a*cos(mθ), wherein C.sub.a is an azimuthal coefficient, m is an integer between 1 and 6, and Theta (θ) is the azimuthal angle of a given point of the optic zone.
[0239] A spectacle apparatus kit of one or more of the claim B examples, wherein the astigmatic or toric power profile is configured on the anterior surface, posterior surface, or both surfaces of the spectacle fronts.
[0240] A spectacle apparatus kit of one or more of the claim B examples, wherein the spectacle fronts may be either screwed onto, hooked onto, adhered onto using a magnetic mechanism, to the frame of the standard single-vision spectacles.
[0241] A spectacle apparatus kit of one or more of the claim B examples, wherein the at least two or more pairs of spectacle fronts include at least three, four, five, six or seven spectacles.
[0242] A spectacle apparatus kit of one or more of the claim B examples, wherein the magnitude of the astigmatic or toric power profile is configured substantially different between the pairs of spectacle fronts within the kit.
[0243] A spectacle apparatus kit of one or more of the claim B examples, wherein the magnitude of the astigmatic or toric power profile is configured substantially different between the pairs of spectacle fronts within the kit and is at least different by +0.5 DC.
[0244] A spectacle apparatus kit of one or more of the claim B examples, wherein the axis of the astigmatic or toric power profile is configured substantially different between the pairs of spectacle fronts within the kit.
[0245] A spectacle apparatus kit of one or more of the claim B examples, wherein the axis of the astigmatic or toric power profile in the at least two pairs of spectacle fronts is substantially different from each other and is at least separated by 20 degrees.
[0246] A spectacle apparatus kit of one or more of the claim B examples, wherein the magnitude and/or axis of the astigmatic or toric power profile is configured substantially different between the right and left lenses of the pairs of spectacle fronts within the kit.
[0247] A spectacle apparatus kit of one or more of the claim B examples, wherein the at least two pairs of spectacle fronts are configured to provide an appropriate stop signal to the myopic individual.
[0248] A spectacle apparatus kit of one or more of the claim B examples, wherein the myopic individual may have myopia with or without astigmatism.
[0249] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the at least two pairs of spectacle fronts are configured to provide a temporally and spatially varying induced meridional astigmatism.
[0250] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the temporally and spatially varying induced meridional astigmatism provides a stop signal to the myopic eyes of the individual.
[0251] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the axis of the astigmatic or toric power profile in the at least two pairs of spectacle fronts are substantially different from each other and is at least separated by 20 degrees.
[0252] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the at least two or more pairs of spectacle fronts are prescribed using an appropriate wearing schedule.
[0253] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacle fronts are separated at least by 2 hours, 4 hours, 6 hours, 8 hours, or 12 hours.
[0254] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacle fronts are separated at least by 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or one week.
[0255] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacle fronts are separated at least by 1 week, 2 weeks, 3 weeks, or one month.
[0256] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the appropriate wearing schedule to wear the at least two pairs of spectacle fronts is identified by evaluating the rate of progression and/or risk factors associated with the myopic individual.
[0257] A method of use of the spectacle apparatus kit of one or more of the claim B examples, wherein the magnitude of the astigmatic or toric power profile is configured by evaluating the rate of progression and/or risk factors associated with the myopic individual.
Set of “C” Examples of Impermanent Auxiliary Optical Films
[0258] A spectacle apparatus kit for a myopic individual, and its methods of use, the kit including at least two or more pairs of impermanent auxiliary optical films, wherein each optical film is configured to cover a substantial region of a lens for the left and a substantial region of a lens for the right eye of the myopic individual, wherein each optical film is configured with substantially plano power across the optical film and at least one elliptical optical element configured with an astigmatic or a toric power profile, wherein the optical element used in juxtaposition to a pair of standard single vision spectacles, provides each eye, at least in part meridional correction, and at least in part induces meridional astigmatism, on at least one region of the retina of the myopic eye; wherein the methods of use of the kit include instructions for the myopic individual comprising a wearing care regimen detailing the use of the optical films within the kit.
[0259] A spectacle apparatus kit of one or more of the claim C examples, wherein the surface area of the at least one elliptical optical element is at least 5 mm.sup.2, 10 mm.sup.2, 15 mm.sup.2, 20 mm.sup.2, or 25 mm.sup.2.
[0260] A spectacle apparatus kit of one or more of the claim C examples, wherein the magnitude of astigmatic or toric power profile is at least +0.5 DC, +0.75 DC, +1 DC, +1.25 DC, +1.5 DC or +1.75 DC.
[0261] A spectacle apparatus kit of one or more of the claim C examples, wherein the astigmatic or toric power profile is expressed using a power distribution function described by the expression Sphere+(Cylinder/2)*(Azimuthal component), wherein the Sphere refers to the distance spherical prescription power to correct the myopic eye, the Cylinder refers to the magnitude of induced astigmatism or toricity, wherein the Azimuthal component of the power distribution function is described as C.sub.a*cos(mθ), wherein C.sub.a is an azimuthal coefficient, m is an integer between 1 and 6, and Theta (θ) is the azimuthal angle of a given point of the optic zone.
[0262] A spectacle apparatus kit of one or more of the claim C examples, wherein the astigmatic or toric power profile is configured on the anterior surface, posterior surface, or both surfaces of the optical film.
[0263] A spectacle apparatus kit of one or more of the claim C examples, wherein the optical film may be configured on the spectacle lens using a desired thickness profile variation across the optical film.
[0264] A spectacle apparatus kit of one or more of the claim C examples, wherein the optical film may be glued onto the spectacle lens, is made to adhere with finger pressure to the spectacle lens, may be used as a sticker on one of the surfaces of the spectacle lens, may be used as a peel-able adhesive on one of the surfaces of the spectacle lens or a combination thereof.
[0265] A spectacle apparatus kit of one or more of the claim C examples, wherein the at least one elliptical optical element may be located on the optical film when used in conjunction with the standard single vision spectacle lenses to provide induced meridional astigmatism in at least one specific region of the retina.
[0266] A spectacle apparatus kit of one or more of the claim C examples, wherein the specific region on the retina may be a nasal, temporal, superior, or inferior portion of the retina.
[0267] A spectacle apparatus kit of one or more of the claim C examples, wherein the specific region on the retina may be within 10 degrees of the visual field, 15 degrees of the visual field, 20 degrees of the visual field, 25 degrees of the visual field.
[0268] A spectacle apparatus kit of one or more of the claim C examples, wherein the at least one elliptical optical element within the optical film may include at least two or at least three elliptical optical elements.
[0269] A spectacle apparatus kit of one or more of the claim C examples, wherein the at least two or more pairs of optical films include at least three, four, five, six or seven pairs of optical films.
[0270] A spectacle apparatus kit of one or more of the claim C examples, wherein the magnitude of the astigmatic or toric power profile is configured substantially different between the pairs of optical films within the kit.
[0271] A spectacle apparatus kit of one or more of the claim C examples, wherein the axis of the astigmatic or toric power profile is configured substantially different between the pairs of optical films within the kit.
[0272] A spectacle apparatus kit of one or more of the claim C examples, wherein the magnitude and/or axis of the astigmatic or toric power profile is configured substantially different between the right and left lenses of the pairs of optical films within the kit.
[0273] A spectacle apparatus kit of one or more of the claim C examples, wherein the at least two pairs of optical films are configured to provide an appropriate stop signal to the myopic individual.
[0274] A spectacle apparatus kit of one or more of the claim C examples, wherein the myopic individual may have myopia with or without astigmatism.
[0275] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the at least two pairs of optical films are configured to provide a temporally and spatially varying induced meridional astigmatism.
[0276] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the temporally and spatially varying induced meridional astigmatism provides a stop signal to the myopic eyes of the individual.
[0277] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the axis of the astigmatic or toric power profile in the at least two pairs of optical films is substantially different from each other and is at least separated by 20 degrees.
[0278] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the at least two or more pairs of optical films are prescribed using an appropriate wearing schedule.
[0279] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the appropriate wearing schedule to wear the at least two pairs of optical films are separated at least by 2 hours, 4 hours, 6 hours, 8 hours, or 12 hours.
[0280] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the appropriate wearing schedule to wear the at least two pairs of optical films are separated at least by 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or one week.
[0281] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the appropriate wearing schedule to wear the at least two pairs of optical films are separated at least by 1 week, 2 weeks, 3 weeks, or one month.
[0282] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the appropriate wearing schedule to wear the at least two pairs of optical films is identified by evaluating the rate of progression and/or risk factors associated with the myopic individual.
[0283] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the magnitude of the astigmatic or toric power profile is configured by evaluating the rate of progression and/or risk factors associated with the myopic individual.
[0284] A method of use of the spectacle apparatus kit of one or more of the claim C examples, wherein the optical film is used to convert a standard single vision spectacle for correction of myopia to a myopia management spectacles for both the correction of myopia and retarding, decelerating, reducing and/or managing the progression of myopia.
Set of “D” Examples of Impermanent Auxiliary Mini Optical Elements
[0285] A spectacle apparatus kit for a myopic individual, and its methods of use, the kit including at least two or more pairs of impermanent auxiliary mini optical elements, wherein each mini optical element is configured to cover at least a regional area on a lens for the left and at least a regional area on a lens for the right eye of the myopic individual, wherein each mini optical element is configured with an astigmatic or a toric power profile, wherein the mini optical element used in juxtaposition to a pair of standard single vision spectacles, provides each eye, at least in part meridional correction, and at least in part induces meridional astigmatism, on at least one region of the retina of the myopic eye; wherein the methods of use of the kit include instructions for the myopic individual comprising a wearing care regimen detailing the use of the mini optical elements within the kit.
[0286] A spectacle apparatus kit of one or more of the claim D examples, wherein the surface area of the at least one elliptical mini optical element is at least 5 mm.sup.2, 10 mm.sup.2, 15 mm.sup.2, 20 mm.sup.2, or 25 mm.sup.2.
[0287] A spectacle apparatus kit of one or more of the claim D examples, wherein the magnitude of astigmatic or toric power profile is at least +0.5 DC, +0.75 DC, +1 DC, +1.25 DC, +1.5 DC or +1.75 DC.
[0288] A spectacle apparatus kit of one or more of the claim D examples, wherein the astigmatic or toric power profile is expressed using a power distribution function described by the expression Sphere+(Cylinder/2)*(Azimuthal component), wherein the Sphere refers to the distance spherical prescription power to correct the myopic eye, the Cylinder refers to the magnitude of induced astigmatism or toricity, wherein the Azimuthal component of the power distribution function is described as C.sub.a*cos(mθ), wherein C.sub.a is an azimuthal coefficient, m is an integer between 1 and 6, and Theta (θ) is the azimuthal angle of a given point of the optic zone.
[0289] A spectacle apparatus kit of one or more of the claim D examples, wherein the astigmatic or toric power profile is configured on the anterior surface, posterior surface, or both surfaces of the mini optical element.
[0290] A spectacle apparatus kit of one or more of the claim D examples, wherein the mini optical element may be configured on the spectacle lens using a desired thickness profile variation across the mini optical element.
[0291] A spectacle apparatus kit of one or more of the claim D examples, wherein the mini optical element may be glued onto the spectacle lens, is made to adhere with finger pressure to the spectacle lens, may be used as a sticker on one of the surfaces of the spectacle lens, may be used as a peel-able adhesive on one of the surfaces of the spectacle lens or a combination thereof.
[0292] A spectacle apparatus kit of one or more of the claim D examples, wherein the at least one elliptical mini optical element when used in conjunction with the standard single vision spectacle lenses to provide induced meridional astigmatism in at least one specific region of the retina.
[0293] A spectacle apparatus kit of one or more of the claim D examples, wherein the specific region on the retina may be a nasal, temporal, superior, or inferior portion of the retina.
[0294] A spectacle apparatus kit of one or more of the claim D examples, wherein the specific region on the retina may be within 10 degrees of the visual field, 15 degrees of the visual field, 20 degrees of the visual field, 25 degrees of the visual field.
[0295] A spectacle apparatus kit of one or more of the claim D examples, wherein the magnitude of the astigmatic or toric power profile is configured substantially different between the pairs of mini optical elements within the kit.
[0296] A spectacle apparatus kit of one or more of the claim D examples, wherein the axis of the astigmatic or toric power profile is configured substantially different between the mini optical elements within the kit.
[0297] A spectacle apparatus kit of one or more of the claim D examples, wherein the magnitude and/or axis of the astigmatic or toric power profile is configured substantially different between the right and left lenses of the mini optical elements within the kit.
[0298] A spectacle apparatus kit of one or more of the claim D examples, wherein the at least two mini optical elements are configured to provide an appropriate stop signal to the myopic individual.
[0299] A spectacle apparatus kit of one or more of the claim D examples, wherein the myopic individual may have myopia with or without astigmatism.
[0300] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the at least two mini optical elements are configured to provide a temporally and spatially varying induced meridional astigmatism.
[0301] A method of use of the spectacle apparatus kit of one or more of the claim A examples, wherein the temporally and spatially varying induced meridional astigmatism provides a stop signal to the myopic eyes of the individual.
[0302] A method of use of the spectacle apparatus kit of one or more of the claim D examples, wherein the axis of the astigmatic or toric power profile in the at least two mini optical elements is substantially different from each other and is at least separated by 20 degrees.
[0303] A method of use of the spectacle apparatus kit of one or more of the claim D examples, wherein the at least two or more mini optical elements are prescribed using an appropriate wearing schedule.
[0304] A method of use of the spectacle apparatus kit of one or more of the claim D examples, wherein the appropriate wearing schedule to wear the at least two mini optical elements are separated at least by 2 hours, 4 hours, 6 hours, 8 hours, or 12 hours.
[0305] A method of use of the spectacle apparatus kit of one or more of the claim D examples, wherein the appropriate wearing schedule to wear the at least two mini optical elements are separated at least by 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or one week.
[0306] A method of use of the spectacle apparatus kit of one or more of the claim D examples, wherein the appropriate wearing schedule to wear the at least two mini optical elements are separated at least by 1 week, 2 weeks, 3 weeks, or one month.
[0307] A method of use of the spectacle apparatus kit of one or more of the claim D examples, wherein the appropriate wearing schedule to wear the at least two mini optical elements is identified by evaluating the rate of progression and/or risk factors associated with the myopic individual.
[0308] A method of use of the spectacle apparatus kit of one or more of the claim D examples, wherein the magnitude of the astigmatic or toric power profile is configured by evaluating the rate of progression and/or risk factors associated with the myopic individual.