Fedtke C, et al. – The peripheral refraction and higher–order aberration profiles of four multifocal contact lenses with a single vision control lens are compared in this study. In light of the hypothesis that myopic retinal defocus counters eye growth, center–near multifocal lenses showed the preferred on–axis features, i.e., producing a central myopic shift at near compared to the control. The center–distance lens displayed preferred off–axis features, producing relative peripheral myopia, which increased further amid accommodation.