Миопия занимает лидирующее место в структуре рефракционных нарушений как в России, так и за рубежом. В отдельных странах азиатского региона у детей и подростков распространенность миопической рефракции превышает 85%, причем в большинстве случаев в студенческом возрасте степень миопии пре-вышает 6,0 дптр [1]. Выявлена четкая взаимосвязь потенциальных осложнений (центральная и периферическая дистрофии сетчатки, отслойка сетчатки, гла

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The review presents the data on the use of hybrid contact lenses (HCL), a modern method of contact correction of ametropias of diverse origins. A HCL has a central rigid optical zone made of highly gas-permeable material and a flexible peripheral part made of hydrophilic material. These lenses combine the optical effect of gas-permeable corneal lens with the comfort and stable fitting of soft contact lenses. Compared with the corneal (RGP) lenses, HCLs are more comfortable, often are better centrated and more stably fit on the eye. HCLs are successfully used in various refractive disorders: ametropias (with regular cornea), irregular astigmatism, presbyopia, including that combined with astigmatism. This type of lens is a good option of contact correction for patients who have high requirements to the quality of vision.

Accommodation disorders in young people are more common than diagnosed. This review is based on the data of domestic and foreign literature and studies the effect of contact lenses of various designs on accommodation. Particular attention has been given to bifocal soft contact lenses as one of the recognized interventions for treating juvenile progressive myopia and their ability to slow axial elongation. Key words: accommodation, myopia control, bifocal contact lenses, orthokeratology.

Introduction. Myopia is the main cause of preventable blindness and is widespread around the world at an alarming rate, especially in Asian countries. The age of the onset of myopia is getting younger. The prevalence of myopia and high myopia is sharply increasing, which requires clinicians to use new and safe methods of its stabilization. The main methods of correction are optical. This group is based on the hypothesis of induced peripheral myopic defocus.Aim: to study the domestic and international experience with the use of the optical methods in treatment of progressive myopia according to the literature and factors, as well as factors affecting their effectiveness.Materials and methods. More than 200 publications on PubMed, eLibrary, and Crossref Metadata over the past 10 years were analyzed. Our analysis includes a review of 60 publications.Results. Over the past years, there has been a strong interest of researchers in the problem of progressive myopia. This is reflected by a more than four-fold increase in the number of publications devoted to the causes and methods of treatment in patients with progressive myopia. Publications demonstrate the importance of using the modern optical methods, such as spectacle lenses, multifocal and bifocal soft contact lenses and orthokeratology in the routine practice of ophthalmologists and optometrists in order to stabilize the progression of myopia in children and adolescents. On the one hand, the results of analysis show their high efficiency. On the other hand, we need an individual approach in choosing the method for myopia control in each specific case. The factors influencing the result are identified: the diameter of the optical zone, the force of addition that creates the peripheral myopic defocus and the time of use myopia correction during the day.Conclusion. No method of treating progressive myopia demonstrates clear superiority. Orthokeratology, multifocal and bifocal soft contact lenses, special glasses and low doses atropine instillation demonstrates the similar effect with some clauses. When choosing optical methods for myopia control, the factors affecting their effectiveness should be taken into account.