Blur adaptation in children wearing orthokeratology

After 1 month of wearing orthokeratology lenses, children were shown to have reduced accommodative lag and increased blur sensitivity, leading to the suggestion that blur adaptation is conducive in achieving good visual acuities and visual function in ortho-k wear.

Can we predict success with orthokeratology?

This study investigated the accuracy of using pre-treatment axial elongation and changes in refractive sphere in predicting myopia control success in orthokeratology. Axial length was the more accurate method for categorisation of slow, moderate or rapid progression, and fast progressors benefited the most from ortho-k wear.

Optimizing safety in orthokeratology

Optimizing safety in orthokeratology is crucial for successful patient outcomes. Learn about compliance challenges in children wearing ortho-k and how to manage them, as well as the latest data on safety and rates of complications as reported from clinical studies.

Orthokeratology: Is it a compliance issue or lens fitting problem?

In this case of a poor outcome in orthokeratology wear which appears to indicate non-compliance, a systematic approach highlighted the cause. Read more to learn about the systematic troubleshooting process and factors involved in compliance and successful ortho-k wear.

Should we fit orthokeratology to a child with trichiasis?

Orthokeratology is effective for myopia control but is it suitable for a child with trichiasis and corneal staining? This case compiles the treatment suggestions for managing a young myopic patient with trichiasis from the Facebook community, with a focus on safety.

Does pupil size matter in contact lens fitting?

Does pupil size affect myopia control efficacy when fitting soft contact lenses or orthokeratology for myopia control? This case study explores the relationship between pupil size, various optic designs and how both vision and myopia outcomes could be impacted.

Pupil myopia management

Pupils and myopia management: what we know and need to learn

What is the relationship between pupil size and myopia management? As the pupil controls the light input to the retina, does pupil size influence myopia risk or the response to myopia treatments? This review covers atropine’s influence on pupil size, the relationship with treatment zone size in orthokeratology, combination treatments and advice on normal outcomes.

Axial length growth at an extraordinary speed

In this case study, a child with myopia appears to have progressed 2.50D in a year. Axial length measurement provided invaluable data to validate this refractive shift – read more about the case and how the patient was managed.

Atropine 0.01% combined with orthokeratology over two years

Atropine 0.01% combined with orthokeratology slows axial elongation to less than 0.1mm/year over two years in Chinese children aged 6-11 years. This is the equal-longest study on this topic and first to measure potential mechanisms of pupil size and choroidal thickness. The largest effect of the combination occurred in the first 6 months.

IMI Report on Prevention of myopia and its progression

In myopic children, interventions to slow progression are warranted to prevent the development of high myopia and subsequent pathology and also to reduce the economic burden caused by uncorrected and pathologic myopia. This IMI Report describes the latest advice on preventing the development and progression of myopia – read the summary here.