ZEISS FOR EYE CARE PROFESSIONALS

ZEISS MyoCare lenses

A better outlook on life.

Our most effective lens designs aimed at slowing the progression of myopia. MyoCare is backed by ZEISS innovation and more than a decade of experience in developing lenses to manage the progression of myopia.

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Effective myopia management in children
Good vision for all viewing angles
Comfortable vision
Full UV protection

The two designs in the ZEISS MyoCare portfolio include

ZEISS MyoCare lenses⁵

Recommended for children younger than 10 years. Incorporating
I) Cylindrical Annular Refractive Elements, C.A.R.E.^® technology – aimed at delivering a “stop signal” to slow the progression of axial elongation. It consists of alternating defocus and correction zones in a ring-like pattern on the front surface, expanding towards the periphery of the lens.
II) ZEISS ClearFocus design – aimed to remove the "growth signal", the optimised back surface delivers the refractive correction as well as intended myopic defocus of the patient for all gaze directions.
Central clear zone of 7 mm

Mean addition surface power of +4.6 D

Fill factor of 0.5
ZEISS MyoCare S lenses⁵

Have a larger central clear zone with a softer mean addition power that is more suitable for older children and adolescents, for example, where progression is slower and where there is a need for easier adaptation.
Central clear zone of 9 mm

Mean addition surface power of +3.8 D

Fill factor of 0.5

Myopia is a growing concern worldwide

50%

of the world’s population may be myopic by 2050.¹
~ 90%

of young people in urban areas in Asia below the age of 20 are myopic.²
> 2 decades

of basic and clinical research and the successful application of Myopia Management lens solutions in East Asia.
In 2014,

ZEISS began its partnership with the LIFE Child study to monitor refractive development in Caucasian children.
> 1.3 million

data points collected in Euronet Market Research over the past 20 years from more than 400 real-world eye care practices distributed across Germany.

Young brown-haired girl without glasses rubbing her eyes while reading a book.

One problem—many solutions.

Optical, medical, and behavioral treatments.

Because of its multifactorial causes, there’s no one-and-only treatment for myopia. In fact, there are many treatment options on the market including optical, medical, and behavioral treatments.
The choice of myopia treatments for children should be based on the age of onset, and axial length or refraction at a given age, as well as knowledge of their individual rate of progression and overall risk profile. Comprehensive myopia treatments include a combination of lifestyle advice, a refractive correction method for full-time use, and myopia control methods to reduce or eliminate further progression.

More information

3D illustration of specialized rigid contact lens for night-time use.

Orthokeratology for progressive myopia

Specialized rigid contact lenses are worn overnight to allow clear vision during the day. Corneal reshaping effectively corrects refractive errors while slowing axial elongation. Its effects may vary from day to day.

Soft contact lenses

Dual-focus soft contact lens designs are worn during the day. The soft contact lenses feature concentric optical zones that simultaneously achieve foveal correction and retinal myopic defocus.

Eyeglass lenses

The least invasive and most accessible method for correcting myopia. The advantage of special eyeglass lens designs is that they correct vision and control the progression of myopia at the same time. New-generation eyeglass lenses utilize optical microstructures that help manage the progression of myopia. Eyeglass lenses are easy to wear, affordable, and mostly well accepted and tolerated, making this the most practical solution.

Pharmaceutical methods

This involves the application of pharmaceuticals. Pharmaceutical methods (e.g. low doses of atropine) are reportedly effective in managing the progression of myopia.

3D illustration of a black-and-white soccer ball.

Outdoor activities

Regular outdoor activity is recommended to prevent or delay the onset of myopia. This equates to a minimum of two hours of intermittent outdoor time per day including additional outdoor time after school.³

ZEISS MyoCare lenses in a beige rose frame are shown on a light-blue balloon. In the background is another slightly darker-blue balloon.

A new lens design.

Creating simultaneous competing defocus.

Our latest lens designed to manage progressive myopia in children is built on more than a decade of ZEISS innovation and experience in myopia management, in collaboration with optical experts including material and vision scientists, eye care practitioners, and academics. The design of ZEISS MyoCare lenses incorporates scientific concepts from proven scientific research, evidence-based learnings, and effective treatments, including orthokeratology, soft multifocal contact lenses, science, and the new generation of eyeglasses.

Finding the right balance.

The perfect combination of distinct optimization parameters and a specific design.

An effective myopia mangement lens must overcome certain design challenges and strike an optimum balance between myopia progression management and good vision. To achieve this, we have included the following in our ZEISS Myopia Management solutions:

A central zone small enough to establish an effective functional zone projecting myopic defocus on the near periphery close to the fovea
A mean addition surface power to induce the intended relative myopic defocus
A carefully selected fill factor to deliver high efficacy while preserving good wearability

ZEISS C.A.R.E. technology.

Cylindrical Annular Refractive Elements.

Introducing C.A.R.E.^® technology—aimed at delivering a “stop signal” to slow the progression of axial elongation. It consists of alternating defocus and correction zones in a ring-like pattern on the front surface, expanding toward the periphery of the lens.

The way of managing the location and alternation of both the correction and functional elements through the entire front lens surface is key to preserving wearability. The ratio of these two elements within the functional zone is described by the fill factor, i.e., the distribution of defocusing elements and correction sections and MyoCare and MyoCare S lenses adopt a fill factor of 0.5.

Two girls and one boy wearing ZEISS MyoCare lenses. They are looking at a plant; two of the three kids are looking at the plant through magnifying glasses.

ZEISS ClearFocus design.

Addressing the constant movement of the eyes.

Eyeglass lenses have to take into account the moving eye behind the lens to ensure that the intended correction and myopic defocus are maintained for all gaze angles. With the ZEISS ClearFocus design, both the optimal refractive correction according to the patient’s refractive requirements and the intended myopic defocus are maintained for all gaze directions. This is important not only for distinct viewing behavior through the central clear zone when pursuing a focused task, but also for unintended gazes and saccades to the lens periphery.

Additionally, the ZEISS ClearFocus design effectively minimizes the induction of hyperopic defocus as opposed to typical spherical single vision lenses.

More information

Two line graphs that show the comparative mathematical simulation of spherical single vision lenses (in red) and MyoCare lenses (in blue). — Comparative mathematical simulation of spherical single vision lenses (in red) and MyoCare lenses (in blue)

ZEISS ClearFocus design aimed at effectively minimizing the induction of hyperopic defocus.

The spherical error on spherical single vision lenses becomes obvious at a distance of about 10 mm from the lens center, with increasing negative power toward the outer lens perimeter, thereby inducing hyperopic defocus.

In contrast to traditional spherical lens designs, ZEISS MyoCare lenses exhibit a flat and almost invariant spherical error throughout the lens, ensuring that the focus remains close to the intended focus shell, i.e., close to the retina. With increasing eccentricity from the lens center, the spherical error even grows slightly more positive, inducing relative myopic defocus.

In summary, the ZEISS ClearFocus design featured in MyoCare^® lenses effectively minimizes unwanted hyperopic defocus for all viewing angles.

Three images depicting developmental milestones. On the left, a baby is placed on a scale by a healthcare practitioner; in the middle, a boy is measured against a length chart on the wall; and on the right, a girl is receiving an eye test.

A new approach to measure effectiveness.

Emmetropic progression ratio.

Each myopia progression management intervention has its own advantages and disadvantages, however each option pursues a common target: to slow the progression of myopia.

Developmental milestones offer important insights into a child's developmental health. Reaching specific milestones at a given age shows a child is developing as expected. A comparison between normal physiological growth and the patient’s current growth is needed to observe whether there is some type of non-physiological deviation present.

The ZEISS MyoCare shows an average emmetropic progression ratio for axial length with an average of 70% and ZEISS MyoCare S with an average of 68%.⁴

A line graph that shows the annual reduction in progression of axial length—baseline by age.

Age-normal physiological growth curves.

It’s no different when it comes to vision development. The focus here is on the difference between the physiological elongation of the eye and the non-physiological (myopic) elongation, in other words, how far the child’s current status is from the age-normal physiological growth for emmetropic children. The aim is to follow or to be as close as possible to the age-normal physiological growth curves of emmetropic children.

The physiological emmetropic curve in the graph acts as the baseline value that is used as the reference to evaluate the treatment effectiveness of our myopic progression intervention, MyoCare.

A line graph that displays annual progression of axial length showing physiological emmetropic growth in black at the bottom, myopic growth in red on top, and the results for ZEISS MyoCare lenses in blue in the middle. This graph indicates that the progression of myopia is below the myopic growth curve when ZEISS MyoCare lenses are worn.

Emmetropic progression ratio as a percentage of effectivity.

Once the treatment baseline is established, the emmetropic progression ratio is the parameter that indicates how close children with the intervention are coming to the emmetropic growth curve in contrast to the myopic growth curve.

The aim is to get the absolute reduction curve of the myopia management solution (blue line) as close as possible to the physiological emmetropisation curve (black line) in contrast to the myopic curve (red line).

The emmetropic growth ratio is calculated with a specific formula.

ZEISS MyoCare designs effectively slow the progression of myopia to approach the physiological growth curve.⁴

A portrait photograph of a young boy wearing glasses, with another portrait photograph of an older girl wearing glasses next to it. Below the two portrait shots are various eyeglass frames and lenses.

Myopia management lens solutions, because every child is unique.

ZEISS MyoCare and ZEISS MyoCare S

When it comes to ensuring treatment success, compliance is key. That's why it's crucial for eye care providers to choose a strategy that emphasizes high wearability and comfort. By selecting an approach that patients will find easy and comfortable to use, you can help to ensure optimal results and patient satisfaction:

MyoCare^®, a hard-design variant with a smaller clear zone and stronger mean addition power that is suitable for younger children, for example, where progression is more rapid.
MyoCare^® S has a larger central clear zone with a softer mean addition power that is more suitable for older children and adolescents, for example, where progression is slower and there is a need for easier adaptation.

Why you should choose MyoCare^® lenses.

Vision as good as with single-vision lenses.

95%

of children wearing ZEISS MyoCare or ZEISS MyoCare S confirmed that they adapted to the lenses within three days.⁵
92%

of all participants subjectively rated vision with ZEISS MyoCare as very good for far distances.⁵
94%

rated MyoCare and MyoCare S lenses as very good for near distances.⁵

  
      MyoCare® portfolio
      
    A better outlook on life.

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ZEISS C.A.R.E. technology (Cylindrical Annular Refractive Elements)

Alternating defocus and correction zones in a ring-like pattern on the front surface, expanding toward the periphery of the lens. These microstructures deliver a “stop signal” to slow the progression of axial elongation.⁶
ZEISS ClearFocus design

Aimed at removing the growth signal, the optimized back surface minimizes hyperopic defocus in the periphery of the lens. Both the refractive correction and the patient’s intended myopic defocus are maintained for all gaze directions. This technology supports the effectivity and wearability of ZEISS MyoCare lenses.

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¹
Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, Wong TY, Naduvilath TJ, Resnikoff S, Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050, Ophthalmology. 2016;123(5):1036–1042.
²
Chen M, Wu A, Zhang L, et al. The increasing prevalence of myopia and high myopia among high school students in Fenghua city, eastern China: a 15-year population-based survey. BMC Ophthalmol. 2018;18(1):159. doi: 10.1186/s12886-018-0829-8.
³
Xiong S, Sankaridurg P, Naduvilath T, Zang J, Zou H, Zhu J, Lv M, He X, Xu X. Time spent in outdoor activities in relation to myopia prevention and control: a meta-analysis and systematic review. Acta Ophthalmol. 2017; 9 5 ( 6 ):551- 5 6 6 . d o i: 10 .1111/ a o s .13 4 0 3.
⁴
Ohlendorf, A., et al. (2024, May 5-9). Myopia control efficacy through Emmetropic Progression Ratio:1-year of lens wear with cylindrical annular refractive elements (CARE)
[Conference presentation abstract]. The Association for Research in Vision and OpthalmologyOphthalmology (ARVO) Annual Meeting, Seattle, WA, United States.
EPR for ages 7 to 12-year-old children as sample size for ages 6 and 13 was small. When the entire sample of 6 to 13-year-olds were considered, EPR for ZEISS MyoCare was 71%.
⁵
Two-year prospective, multi-center, double-blind, randomized controlled clinical trial lead by Tianjin Eye Hospital Optometric Center, China, 2022, on 80 myopic children wearing ZEISS MyoCare Rx lenses, 80 myopic children wearing ZEISS MyoCare S Rx lenses and80 Myopic children wearing ZEISS Single Vision lenses. 12-month interim results presented at ARVO 2024.
⁶
Hong Kong Polytechnic University owns granted patents (including Chinese patent: CN103097940) on annular concentric lens for myopia control, which are licensed to Carl Zeiss. In 2021, in collaboration with Wenzhou Medical University, Carl Zeiss began to develop the latest cylindrical annular refractive elements technology for eyeglass lenses used in MyoCare lens designs.
⁷
We can however say something like exaggerated animation, not real image. The rings can be seen with the naked eye if the lens is held at a certain angle.

ZEISS MyoCare lenses

A better outlook on life.

The two designs in the ZEISS MyoCare portfolio include