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Orthokeratology

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https://www.readbyqxmd.com/read/29691927/safety-and-efficacy-following-10-years-of-overnight-orthokeratology-for-myopia-control
#1
Takahiro Hiraoka, Yasuo Sekine, Fumiki Okamoto, Toshifumi Mihashi, Tetsuro Oshika
PURPOSE: To compare rates of myopia progression and adverse events between orthokeratology (OK) and soft contact lens (SCL) wearers over a 10-year period in schoolchildren. METHODS: Medical records of consecutive patients (≤16 years of age at baseline) who started OK for myopia correction and continued the treatment for 10 years were retrospectively reviewed. For the control group, patients who started using soft contact lenses (SCLs) for myopia correction and continued to use them for 10 years were also reviewed...
May 2018: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/29675386/comparison-of-myopia-control-between-toric-and-spherical-periphery-design-orthokeratology-in-myopic-children-with-moderate-to-high-corneal-astigmatism
#2
Yu Zhang, Yue-Guo Chen
AIM: To compare clinical results between toric and spherical periphery design orthokeratology (ortho-k) in myopic children with moderate-to-high corneal astigmatism. METHODS: This retrospective study enrolled 62 eyes of 62 subjects using toric ortho-k lenses. These subjects were assigned to the toric group. Based on the one-to-one match principle (same age, proximate spherical equivalence and corneal astigmatism), 62 eyes of 62 subjects were enrolled and included in the spherical group...
2018: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29564358/influence-of-overnight-orthokeratology-lens-fitting-decentration-on-corneal-topography-reshaping
#3
Jiaojie Chen, Wei Huang, Rong Zhu, Jun Jiang, Yiyu Li
Background: This retrospective study was designed to investigate the sole influence of orthokeratology (OK) lens fitting decentration on the Zernike coefficients of the reshaped anterior corneal surface. Methods: This study comprised a review of 106 right eyes and measurements of corneal topography both before OK and at 1-month follow-up visit. A routine was designed to calculate local corneal surface astigmatism and assist the determination of OK lens fitting decentration from pupil center...
2018: Eye and Vision (London, England)
https://www.readbyqxmd.com/read/29554029/assessment-of-tear-film-and-bulbar-redness-by-keratograph-5m-in-pediatric-patients-after-orthokeratology
#4
Wenjia Xie, Xia Zhang, Yesheng Xu, Yu-Feng Yao
OBJECTIVES: To assess the tear meniscus height (TMH), noninvasive tear breakup time (NITBUT), and bulbar redness in pediatric patients after orthokeratology (OK). METHODS: Pediatric patients who underwent overnight OK between December 2014 and November 2017 were retrospectively investigated. According to the time of wearing, subjects were divided into three groups: 1-week, 1-month, and over 1-year. Age-matched subjects were recruited as a control group. Keratograph 5M was used to assess TMH, NITBUT-first, NITBUT-average, and bulbar redness score...
March 16, 2018: Eye & Contact Lens
https://www.readbyqxmd.com/read/29524061/the-effect-of-orthokeratology-on-axial-length-elongation-in-children-with-myopia-contralateral-comparison-study
#5
Miri Na, Aeri Yoo
PURPOSE: To evaluate the effectiveness of the orthokeratology (OK) lens slowing myopic progression compared with no intervention in pediatric eyes METHODS: A retrospective review of medical records was performed on 45 monocular myopic subjects 7 to 13 years of age who were treated with monocular ortho-k lens and followed-up for more than 12 months. The monocular myopia in the subjects' eyes was -0.75 to -4.25 D (diopter), and near emmetropia in the contralateral and with-the-rule astigmatism no greater than -1...
May 2018: Japanese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29489498/analysis-of-two-orthokeratology-lens-designs-and-comparison-of-their-optical-effects-on-the-cornea
#6
Rémy Marcotte-Collard, Patrick Simard, Langis Michaud
PURPOSE: This study aims to analyze two commercial orthokeratology lens designs and compare their optical effects at the corneal level. METHODS: This is a retrospective study on subjects seeking an orthokeratology fitting for myopia management at the Université de Montréal clinic between January 2013 and August 2015. Group A included the first 64 subjects fitted with a 4-curve lens design (Paragon CRT; Paragon) who met the inclusion criteria, whereas group B included the same number of subjects fitted with a 5-curve lens design (Dreamlens; Polymer Technology, Rochester, NY)...
February 27, 2018: Eye & Contact Lens
https://www.readbyqxmd.com/read/29489497/association-of-axial-length-growth-and-topographic-change-in-orthokeratology
#7
Eun Jung Lee, Dong Hui Lim, Tae-Young Chung, Joo Hyun, Jisang Han
OBJECTIVES: To investigate the topographic factors related to axial length (AL) growth rate in orthokeratology. METHODS: Clinical data of myopic children with orthokeratology lenses from 2010 to 2016 were investigated. Corneal topography (Orbscan II) and IOLMaster-measured AL at baseline and every posttreatment visit were analyzed. Optical map topographies from baseline- and posttreatment-stabilized corneas were analyzed to calculate the refractive power difference between the apex and the periphery (apex-periphery refractive power difference [ARPD]), which estimates the change of peripheral refraction...
February 27, 2018: Eye & Contact Lens
https://www.readbyqxmd.com/read/29488240/optical-and-pharmacological-strategies-of-myopia-control
#8
REVIEW
Pauline Kang
Recent increases in global myopia prevalence rates have raised significant concerns as myopia increases the lifelong risk of various sight-threatening ocular conditions. This growing public health burden has generated significant research interests into understanding both its aetiology and developing effective methods to slow down or stop its development, methods collectively termed 'myopia control'. The growing body of research has demonstrated benefits of various optical and pharmacological treatments resulting in myopia control management increasingly becoming a part of main stream clinical practice...
May 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29329901/effects-of-orthokeratology-on-axial-length-growth-in-myopic-anisometropes
#9
Zhi Chen, Jiaqi Zhou, Xiaomei Qu, Xingtao Zhou, Feng Xue
PURPOSE: To investigate the effect of orthokeratology (ortho-k) lens wear on axial length (AL) growth in juvenile myopic anisometropes. METHODS: This retrospective study consisted of two parts. In Part One, 25 anisometropic participants (mean age, 11.2 ± 1.9 years; 11 females and 14 males) were fitted with ortho-k lenses in the more myopic eye only, and the rate of AL growth was compared between the ortho-k lens wearing eye and the untreated contralateral eye over an average period of 23...
January 10, 2018: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/29283679/influence-of-short-term-orthokeratology-to-corneal-tangent-modulus-a-randomized-study
#10
Andrew Kc Lam, Stanley Yy Leung, Ying Hon, Lu Shu-Ho, Kit-Ying Wong, Pui-Kwan Tiu, David Cc Lam
PURPOSE: Influence of orthokeratology on corneal biomechanics is equivocal using Ocular Response Analyzer, ORA. Implementing indentation method, corneal tangent modulus was measured and monitored in short-term orthokeratology. MATERIALS AND METHODS: Sixteen young subjects with refractive errors between -4D to -5D sphere and astigmatism within -1.50D were recruited. One randomly selected eye wore orthokeratology lens (treatment), and the fellow eye wore conventional rigid gas permeable lens (control)...
April 2018: Current Eye Research
https://www.readbyqxmd.com/read/29219898/orthokeratology-and-contact-lens-quality-of-life-questionnaire-ocl-qol
#11
Colm McAlinden, Michael Lipson
OBJECTIVES: To develop a quality of life (QoL) instrument for patients fitted with Orthokeratology (OrthoK) and other modalities of contact lenses. METHODS: A 45-item pilot questionnaire was developed from an extensive literature review, focus groups, and interviews. Subsequently, 234 participants fitted with contact lenses (OrthoK, soft lenses, and gas permeable lenses) or spectacles completed the pilot questionnaire. Rasch analysis was used to assess the psychometric properties in terms of person separation, item fit statistics, category threshold ordering, differential item functioning (DIF), and targeting...
December 5, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/29216865/effect-of-orthokeratology-on-myopia-progression-twelve-year-results-of-a-retrospective-cohort-study
#12
Yueh-Chang Lee, Jen-Hung Wang, Cheng-Jen Chiu
BACKGROUND: Several studies reported the efficacy of orthokeratology for myopia control. Somehow, there is limited publication with follow-up longer than 3 years. This study aims to research whether overnight orthokeratology influences the progression rate of the manifest refractive error of myopic children in a longer follow-up period (up to 12 years). And if changes in progression rate are found, to investigate the relationship between refractive changes and different baseline factors, including refraction error, wearing age and lens replacement frequency...
December 8, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/29198091/-treatments-for-slowing-the-progression-of-myopia
#13
REVIEW
Nir Erdinest, Yair Morad
Myopia is the most common refractive error and is now endemic over the entire industrial world, particularly in Asia. High myopia is one of the major causes of blindness in the world. Slowing the progress of myopia is possible, the most effective treatment being atropine ophthalmic drops, given in a dose-dependent fashion. Although high-dose atropine (1% and 0.5%) was found to be highly effective in slowing myopia progression, low-dose atropine (0.01%) was found to have the lowest rebound effect (accelerated myopia progression after treatment cessation) and was therefore, the most effective treatment in the long term...
November 2017: Harefuah
https://www.readbyqxmd.com/read/29165412/-stabilizing-effectiveness-of-orthokeratology-and-long-term-minute-concentration-atropine-therapy-in-myopia-draft-report
#14
T Yu Verzhanskaya, E P Tarutta
The rational for the study was the high prevalence of myopia in the world. According to the World Health Organization (WHO), myopia is one of the five leading causes of blindness and low vision. Of recent reports on conservative measures for the stabilization of myopia, two areas of investigation deserve attention: methods of optical correction that affect peripheral refraction, orthokeratology lenses (OKL) in particular, and pharmacotherapy. The aim of the study was to evaluate the effectiveness and safety of myopia control in pediatric patients by combining two methods - OKL wearing and instillation of extra low doses of atropine (0...
2017: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/29098084/influence-of-overnight-orthokeratology-on-corneal-surface-shape-and-optical-quality
#15
Yuan Sun, Lin Wang, Jing Gao, Mei Yang, Qi Zhao
Purpose: To investigate the changes of corneal surface shape and optical quality during orthokeratology. Methods: 49 eyes of 26 patients (10.63 ± 2.02 years old) who underwent overnight orthokeratology for myopia were prospectively examined. The corneal surface shape parameters, including surface regularity index (SRI) and surface asymmetry index (SAI), were attained with an OPD-III SCAN. The higher-order aberrations and higher-order Strehl ratios were calculated under a 3 mm pupil diameter before orthokeratology, 1 month, 3 months, and 6 months after orthokeratology...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/29053555/case-series-analysis-of-myopic-progression-control-with-a-unique-extended-depth-of-focus-multifocal-contact-lens
#16
Jeffrey Cooper, Brett OʼConnor, Ronald Watanabe, Randall Fuerst, Sharon Berger, Nadine Eisenberg, Sally M Dillehay
OBJECTIVES: To determine the rate of myopia progression in children fit with a commercially available extended depth of focus (center distance) multifocal soft contact lens with attributes theoretically expected to slow the progression of myopia. METHODS: A retrospective case series analysis of 32 patients (ages 6-19 years, mean 10.98±2.95) from 10 practice locations was performed. At initial presentation, 44% wore spectacles, 37.5% spherical soft contact lenses, 15...
October 19, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/29033270/a-survey-of-contact-lens-related-complications-in-a-tertiary-hospital-in-china
#17
Weiwei Li, Xuguang Sun, Zhiqun Wang, Yang Zhang
PURPOSE: To describe the type of complications related to contact lens (CL) wear in a tertiary hospital in XX, China. METHODS: A retrospective study of 141 patients who complained discomfort after wearing contact lens on an outpatient basis of XX Hospital were conducted from the January 2012 to December 2015. The data included patients' demographics, lens type, history, slit-lamp examination, reports of corneal scrapings, culture, and examination of in vivo confocal microscopy...
October 12, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/29030016/does-a-two-year-period-of-orthokeratology-lead-to-changes-in-the-endothelial-morphology-of-children
#18
Sin Wan Cheung, Pauline Cho
PURPOSE: To compare changes in endothelial morphology in the central and superior cornea in subjects wearing single-vision spectacles and orthokeratology lenses over two years. METHODS: Endothelial images of the two locations of 99 subjects (6-12 years) from completed myopia control studies were analysed. Endothelial cell density (ECD), coefficient of variation in cell size (CV), and hexagonality (HEX) before and two years after treatment were compared between the two groups of subjects...
October 10, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/29026787/factors-determining-effective-orthokeratology-treatment-for-controlling-juvenile-myopia-progression
#19
Qinghui Kong, Jiang Guo, Jing Zhou, Yanling Zhang, Xiaoyan Dou
BACKGROUND: We aimed to identify factors influencing the therapeutic outcome of orthokeratology on controlling juvenile myopia progression, and the risk factors for complications. METHODS: Myopic patients (n=724) in Shenzhen Second Hospital from Jan 2011 to Jan 2016 fitted with orthokeratology lenses and followed-up for 6-65 months were reviewed retrospectively. Univariate and multivariate logistic regression analyses were used to screen for the factors that can improve treatment outcome and prevent the development of complications...
September 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29018754/how-to-effectively-manage-myopia
#20
Ann Yi-Chiun Chuang
Myopia has become epidemic in the world. Without effective control, the progression may lead to excessive myopia with severe complications affecting vision and ocular alignment. The genetic factors and environmental factors of myopia are closely interrelated to each other. Asian ethnicity and parental myopia, among other genetic factors, influence the refractive outcome dramatically when environmental risk factors such as hours of near work and reading distance are analyzed. Outdoor activities are protective measures that retard myopia progression...
January 2017: Taiwan Journal of Ophthalmology
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