Objective. To evaluate the degree of axial elongation with soft radial refractive gradient (SRRG) contact lenses, orthokeratology (OK), and single vision (SV) spectacle lenses (control) during a period of 1 year before treatment and 2 years after treatment. Methods. This was a prospective, longitudinal, nonrandomized study. The study groups consisted of 30, 29, and 41 children, respectively. The axial length (AL) was measured during 2 years after recruitment and lens fitting. Results. The baseline refractive sphere was correlated significantly (Spearman's Rho (ρ) correlation = 0.542; P < 0.0001) with the amount of myopia progression before baseline. After 2 years, the mean myopia progression values for the SRRG, OK, and SV groups were −0.56 ± 0.51, −0.32 ± 0.53, and −0.98 ± 0.58 diopter, respectively. The results represent reductions in myopic progression of 43% and 67% for the SRRG and OK groups, respectively, compared to the SV group. The AL increased 27% and 38% less in the SRRG and OK groups, respectively compared with the SV group at the 2-year visit (P < 0.05). Axial elongation was not significantly different between SRRG and OK (P = 0.430). Conclusion. The SRRG lens significantly decreased AL elongation compared to the SV control group. The SRRG lens was similarly effective to OK in preventing myopia progression in myopic children and adolescent.

We study the feasibility of femtosecond laser writing of optical waveguides in bulk 35PbO∙35Bi2O3∙15Ga2O3∙15GeO2 glass, motivated by the extended transparency interval of heavy metal oxide glasses in the mid-infrared regime. Its large linear and nonlinear refractive indices cause critical self-focusing to occur even at low laser energies, leading to filamentary propagation and material damage. However, the vicinity of the laser-damaged region shows a considerable increase in the refractive index, which we attribute to a collateral, stress-induced densification due to the high pressures generated in the focal region. These regions of increased refractive index are strongly birefringent and sufficiently large to support efficient light propagation in transversally written structures. Optical waveguides with a refractive index increase ⩾10−3 and minimal mode ellipticity have been obtained.

Myopia should be viewed as a progressive condition associated with the potential risk of 54 visual loss. Moreover, the prevalence of myopia is increasing in Asian urban regions 55