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Strategy for correcting congenital progressive high myopia with astigmatism

The article presents a strategy for optical correction of congenital progressive high myopia with astigmatism, including bioptic correction with a combination of soft contact lenses and glasses. First, monofocal soft contact lenses are selected in accordance with the spherical component, and then the residual astigmatism is determined and correct with additional cylindrical glasses with perifocal refractive gain. This allows correcting both the central and peripheral defocus simultaneously.