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HAL lenses associated with less myopia progression than SVL in children aged 6–12 yearsNew Glasses May Slow Your Child’s Nearsightedness From Getting Worse

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Key Takeaway
Consider HAL lenses as a potential option for myopia control in children, noting age-related effects and observational limitations.

This was a retrospective cohort study at Chengdu Third People’s Hospital involving 157 children (157 eyes) aged 6–12 years diagnosed with low myopia. The study compared the use of Highly Aspherical Lenslets (HAL) lenses to Single Vision Lenses (SVL) over a 1-year follow-up period. The primary outcome was progression in mean spherical equivalent refraction (SER) and axial length (AL).

The HAL group (108 eyes) showed an average SER progression of −0.18 ± 0.38 D, while the SVL group (49 eyes) had a progression of −0.70 ± 0.45 D. For axial length, the HAL group increased by 0.13 ± 0.16 mm, compared to 0.31 ± 0.19 mm in the SVL group. Subgroup analyses indicated that younger age was associated with higher axial elongation in both groups; in the HAL group, the 7-year subgroup had significantly higher median ΔAL than the 8-, 9-, and 10-year subgroups (p = 0.03, 0.009, and 0.003, respectively).

Safety and tolerability were not reported. Key limitations include the retrospective design, single-center setting, inclusion of only right eyes, and incomplete reporting of p-values for some subgroup analyses. The practice relevance suggests HAL lenses may be more effective than SVL for myopia control, especially in reducing axial elongation, with age as a critical factor. However, this is an observational study; associations are reported, but causation cannot be inferred, and certainty is limited.

Imagine watching your child squint at the whiteboard for the first time. You take them to the eye doctor, and you hear the words "nearsighted." You get them glasses, but you worry: will their prescription get stronger every year?

You are not alone. Millions of parents face this worry. Nearsightedness, or myopia, is becoming more common in kids worldwide. It’s not just about needing thicker glasses. Severe nearsightedness can lead to serious eye health problems later in life, like retinal detachment or glaucoma.

Parents often feel stuck. Standard glasses fix blurry vision, but they don’t stop the eye from growing too long. That lengthening is what causes the prescription to worsen. Researchers have been looking for a way to slow this down without surgery.

This is where a new study offers hope.

Researchers in China recently compared two types of glasses for children with mild nearsightedness. They looked at standard single-vision lenses and a newer type of lens with tiny, specially shaped bumps called "highly aspherical lenslets" (HAL).

The goal was simple: see which pair of glasses keeps a child’s vision more stable over time.

The surprising shift

For decades, the "old way" to treat nearsightedness was simply to correct the blur. If a child could see the board clearly with -1.00 diopters (D) of correction, that was the goal. We didn't have a way to stop the eye from growing longer using just glasses.

The "new way" uses a trick of light. These new HAL lenses create a specific type of defocus on the peripheral retina—the edges of the eye. While the center of the lens gives clear vision, the tiny lenslets on the edges send a signal to the eye to stop growing.

Think of it like a traffic jam for eye growth. Standard glasses let the "traffic" (eye lengthening) speed along. The HAL lenses create a gentle slowdown, telling the eye, "You’ve grown enough for now."

How the study worked

The study took place at Chengdu Third People’s Hospital. Doctors looked back at records from January 2022 to August 2025.

They studied 157 children, ages 6 to 12. All of them had low myopia. The doctors split the kids into two groups: 1. The SVL Group: Wore standard single-vision glasses. 2. The HAL Group: Wore the new glasses with the special lenslets.

They measured two things over one year:

  • SER (Spherical Equivalent Refraction): This is the prescription number that determines how strong the glasses need to be.
  • AL (Axial Length): This is the physical length of the eyeball. A longer eye means worse nearsightedness.

The results showed a clear difference between the two types of glasses.

In the group wearing standard single-vision glasses, the nearsightedness got worse by an average of -0.70 D. The eyeball grew longer by about 0.31 mm.

In the group wearing the new HAL glasses, the nearsightedness only worsened by -0.18 D. The eyeball grew by just 0.13 mm.

To put that in perspective, the HAL lenses reduced the progression of nearsightedness by roughly 74% and slowed eye growth by nearly 60% compared to standard glasses.

But there’s a catch.

While the numbers look great overall, the study found a big difference based on age. The researchers broke the data down by year.

They found that the HAL lenses worked much better for children aged 8 and older. For kids under 8, the eyes still grew quite a bit, even with the special lenses. In fact, the 7-year-old group in the HAL group had significantly more eye growth than the 8, 9, and 10-year-old groups.

This suggests that very young eyes are harder to slow down with glasses alone.

Experts in myopia control have long suspected that age is a critical factor. This study adds strong evidence to that idea.

The findings suggest that while these lenses are a powerful tool, they are not a magic shield for every child. The biology of a 6-year-old’s eye is different from a 10-year-old’s. The younger eye may be in a more aggressive growth phase, making it harder to control with optical methods alone.

If your child is diagnosed with nearsightedness, ask your eye doctor about myopia control lenses. These HAL lenses are available now in many optical shops, though they may cost more than standard glasses.

However, be realistic about expectations. If your child is very young (under 8), these glasses may help, but they might not stop eye growth completely. Your doctor might suggest combining glasses with other treatments, like low-dose atropine eye drops, for better results.

This doesn’t mean this treatment is available yet. While the study was conducted in a real-world clinic, always check with your local optometrist to see if they carry these specific lens designs.

This study was retrospective, meaning doctors looked at past records rather than assigning treatments randomly. This can introduce bias. The study also only followed children for one year. Myopia control is a long-term game, and we don’t know if the benefits hold steady over five or ten years. Finally, the study was done at a single hospital in China, so results might differ in other populations.

What happens next? Researchers need to conduct larger, longer-term studies to see if these benefits persist into adolescence. They also need to figure out the best way to treat very young children who develop nearsightedness early.

For now, this study gives parents and doctors a solid piece of evidence: special glasses can slow nearsightedness, but starting treatment early and choosing the right lens design for the child’s age is key.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
This study aimed to evaluate the effectiveness of Single Vision Lenses (SVL) and Highly Aspherical Lenslets (HAL) lenses in the management of low myopia. This retrospective study included school-age children (aged 6–12 years) diagnosed with low myopia who were treated at Chengdu Third People’s Hospital from January 2022 to August 2025. Patients were divided into two groups based on their myopia control intervention: the SVL group and the HAL group. Subgroup analyses were subsequently performed within both groups according to age. The progression in mean spherical equivalent refraction (SER) and axial length (AL) was compared among the different groups and subgroups. A total of 157 children (87 males [55.41%] and 70 females [44.59%]) with myopia (right eye only, 157 eyes), aged 6–12 years (mean age, 8.94 ± 1.39 years), were included. The SVL group comprised 49 cases (49 eyes) with an average progression in SER (ΔSER) of −0.70 ± 0.45 D and an average axial length increase (ΔAL) of 0.31 ± 0.19 mm. The HAL group comprised 108 cases (108 eyes) with an average ΔSER of −0.18 ± 0.38 D and an average ΔAL of 0.13 ± 0.16 mm. Within the HAL subgroups, the median ΔAL in the 7-year group was significantly higher than in the 8-year (p = 0.03), 9-year (p = 0.009), and 10-year (p = 0.003) groups. Within the SVL subgroups, the 8-year group had significantly higher ΔAL than the 9-, 10-, and 11-year groups (p Single-vision lenses provide only minimal control of myopia progression, whereas specially designed lenses such as HAL lenses effectively slow myopia development—especially by curbing axial elongation. Age is also a critical factor: even with HAL lenses, axial growth remains pronounced in children under 8 years and is more difficult to control. For those who develop myopia at a younger age, combined pharmacological interventions may offer a better strategy than optical correction alone.
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