Association between axial elongation and corneal topography in children undergoing orthokeratology with different back optic zone diameters
2025

Effects of Orthokeratology on Eye Growth in Children

Sample size: 80 publication 10 minutes Evidence: high

Author Information

Author(s): Tan Qi, Kojima Randy, Cho Pauline, Vincent Stephen J.

Primary Institution: School of Optometry, The Hong Kong Polytechnic University

Hypothesis

Does the back optic zone diameter of orthokeratology lenses affect axial elongation in children?

Conclusion

Children wearing 5-mm back optic zone lenses experienced less axial elongation compared to those wearing 6-mm lenses over two years.

Supporting Evidence

  • Participants in the 5-mm BOZD group displayed less axial elongation than the 6-mm BOZD group over 2 years.
  • A greater volumetric MDD was observed in the 5-mm BOZD group compared with the 6-mm BOZD group.
  • Less axial elongation was associated with a greater volumetric MDD at the 1- and 24-month visits.

Takeaway

Kids who wore special contact lenses that are smaller in the middle had less eye growth than those with bigger lenses.

Methodology

Data from 80 children wearing orthokeratology lenses was analyzed over 2 years, comparing those with 5-mm and 6-mm back optic zone diameters.

Potential Biases

Potential bias due to the specific lens design used and the lack of analysis on treatment zone characteristics.

Limitations

Only corneal metrics for a fixed 5-mm pupil diameter were analyzed, and the actual pupil diameter of each individual was not considered.

Participant Demographics

Children aged 6 to less than 11 years, primarily of Chinese ethnicity.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/s40662-024-00418-w

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication