A 2-year Longitudinal Study on the Structural and Optical Effects of Orthokeratology Treatment on Eye
Study Details
Study Description
Brief Summary
This is a two-year longitudinal study investigating the optical and structural effects of increased compression factor of orthokeratology lens on eyes and the corresponding effect on change in choroidal thickness and therefore myopic control.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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No Intervention: Single-vision glasses Subjects wearing single-vision glasses CR-39 of refractive index 1.56. |
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Sham Comparator: Orthokeratology with normal compression factor Subjects wearing orthokeratology lenses of normal compression factor about 0.50-0.75D. |
Device: Orthokeratology
Other Names:
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Active Comparator: Orthokeratology with increased compression factor Subjects wearing orthokeratology lenses of increased compression factor about 1.50-1.75D. |
Device: Orthokeratology
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Axial length [every 6 monthly in 2 years]
axial progression of the eyeball
Secondary Outcome Measures
- Ocular aberration measured by Complete Ophthalmic Analysis System (COAS) aberrometer [every 6 monthly in 2 years]
ocular aberration measured by Complete Ophthalmic Analysis System (COAS) aberrometer
- Corneal biomechanics (corneal response using ocular response) [every 6 monthly in 2 years]
corneal response using ocular response
- Accommodation lag measured by Complete Ophthalmic Analysis System (COAS) aberrometer [every 6 monthly in 2 years]
accommodation lag measured by Complete Ophthalmic Analysis System (COAS) aberrometer using different accommodation targets
- Choroidal thickness captured by Optical Coherent Tomographer (OCT) [every 6 monthly in 2 years]
choroidal thickness captured by Optical Coherent Tomographer (OCT) and measured using a customized software
Eligibility Criteria
Criteria
Inclusion Criteria:
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6 to 10 years old
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Myopia: between 0.50 D and 4.00 D in both eyes
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Astigmatism: <1.50 D; ≤ 1.25 D for with-the-rule astigmatism (axes 180 ± 30); ≤ 0.50 D for astigmatism of other axes in both eyes
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Anisometropia: ≤ 1.50 D
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Symmetrical corneal topography with corneal toricity <2.00 D in both eyes
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Agree for randomization
Exclusion Criteria:
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Contraindications for orthokeratology wear (e.g. limbus-to-limbus corneal cylinder and dislocated corneal apex)
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Any type of strabismus or amblyopia
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Myopic treatment (e.g. refractive surgery and progressive lens wear for myopic control) before and during the study period
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Rigid contact lenses (including orthokeratology lenses) experience
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Systemic condition which might affect refractive development (for example, Down syndrome, Marfan's syndrome)
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Ocular conditions which might affect the refractive error (for example, cataract, ptosis)
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Poor compliance for lens wear or follow-up
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | School of Optometry, The Hong KOng Polytechnic University | Hong Kong | China |
Sponsors and Collaborators
- The Hong Kong Polytechnic University
- Menicon Co., Ltd.
- Queensland University of Technology
- Aston University
Investigators
- Principal Investigator: Pauline Cho, PhD, The Hong Kong Polytechnic University
Study Documents (Full-Text)
None provided.More Information
Publications
- Chan B, Cho P, Mountford J. The validity of the Jessen formula in overnight orthokeratology: a retrospective study. Ophthalmic Physiol Opt. 2008 May;28(3):265-8. doi: 10.1111/j.1475-1313.2008.00545.x.
- Chen C, Cheung SW, Cho P. Myopia control using toric orthokeratology (TO-SEE study). Invest Ophthalmol Vis Sci. 2013 Oct 3;54(10):6510-7. doi: 10.1167/iovs.13-12527.
- Cho P, Cheung SW, Edwards M. The longitudinal orthokeratology research in children (LORIC) in Hong Kong: a pilot study on refractive changes and myopic control. Curr Eye Res. 2005 Jan;30(1):71-80.
- Cho P, Cheung SW. Retardation of myopia in Orthokeratology (ROMIO) study: a 2-year randomized clinical trial. Invest Ophthalmol Vis Sci. 2012 Oct 11;53(11):7077-85. doi: 10.1167/iovs.12-10565.
- González-Méijome JM, Villa-Collar C, Queirós A, Jorge J, Parafita MA. Pilot study on the influence of corneal biomechanical properties over the short term in response to corneal refractive therapy for myopia. Cornea. 2008 May;27(4):421-6. doi: 10.1097/ICO.0b013e318164e49d.
- Lam CS, Lam CH, Cheng SC, Chan LY. Prevalence of myopia among Hong Kong Chinese schoolchildren: changes over two decades. Ophthalmic Physiol Opt. 2012 Jan;32(1):17-24. doi: 10.1111/j.1475-1313.2011.00886.x.
- Tse DY, Lam CS, Guggenheim JA, Lam C, Li KK, Liu Q, To CH. Simultaneous defocus integration during refractive development. Invest Ophthalmol Vis Sci. 2007 Dec;48(12):5352-9.
- Wolffsohn JS, Safeen S, Shah S, Laiquzzaman M. Changes of corneal biomechanics with keratoconus. Cornea. 2012 Aug;31(8):849-54. doi: 10.1097/ICO.0b013e318243e42d.
- HSEARS20150909002