Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction

Purpose: to evaluate subfoveal choroidal thickness (SFCT) and other anatomical parameters of the eye in the early stages after orthokeratological correction of myopia. Material and Methods. The study was conducted on 20 myopic Caucasian patients (40 eyes) with moderate myopia. The main group consist...

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Main Authors: S. V. Milash, E. P. Tarutta, M. V. Epishina, G. A. Markossian, K. A. Ramazanova
Format: Article
Language:Russian
Published: Real Time Ltd 2019-03-01
Series:Российский офтальмологический журнал
Subjects:
Online Access:https://roj.igb.ru/jour/article/view/219
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author S. V. Milash
E. P. Tarutta
M. V. Epishina
G. A. Markossian
K. A. Ramazanova
author_facet S. V. Milash
E. P. Tarutta
M. V. Epishina
G. A. Markossian
K. A. Ramazanova
author_sort S. V. Milash
collection DOAJ
description Purpose: to evaluate subfoveal choroidal thickness (SFCT) and other anatomical parameters of the eye in the early stages after orthokeratological correction of myopia. Material and Methods. The study was conducted on 20 myopic Caucasian patients (40 eyes) with moderate myopia. The main group consisted of 10 children with myopia -4.5 ± 1.03 D aged 11 ± 2.26 years, who were examined before the correction with orthokeratological lenses (OK-lenses) ESA-DL (Dr Lens Tehno, Russia) and 3 weeks after it. The control group comprised 10 patients (20 eyes) with myopia -3.84 ± 1.12 D aged 11.6 ± 1.17 years, who wore monofocal glasses as a correction. SFCT was measured with RS-3000 Advance optical coherent tomograph (OCT) (Nidek, Japan), while axial length (AL), peripheral eye length (PEL), and anterior chamber depth (ACD) was measured with IOL Master 500 optical biometer (Carl Zeiss, Germany), and central cornea thickness (CCT), epithelial thickness (ET) and corneal stroma (ST) thickness, with OCT Avanti Rtvue XR (Optovue, USA). All patients were tested before and 3 weeks after the start of wearing lenses or glasses. Results. SFCF increased by 24.25 ± 19 μm as compared with changes in the control group (p < 0.001) after 3 weeks of wearing OK-lenses. A notable negative correlation of changes in AL and SFCT was revealed in the main group (r = -0.48). CCT decreased by 14.6 ± 2.54 μm in the group wearing OKlenses. The main OK-lens contribution to the statistically significant change in the CCT concerned the epithelium, whose thickness showed a 12.7 ± 1.58 μm (22.6 %) change as compared with the initial data (p < 0.001) and with the change in the control group (p < 0.001). The decrease in AL showed an insignificant correlation with the decrease in the CCT: r = 0.16. ACD, PEL and ST did not change significantly (p > 0.05). Conclusion. SFCT shows an increase in the early stages after OK correction. When controlling the growth of the eye in patients with OK lenses, we need to take into account the impact of the choroid on the results of AL measurement.
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spelling doaj.art-707d1b8a3175484e904cf1135db011cd2023-03-13T07:54:29ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602019-03-01121263310.21516/2072-0076-2019-12-1-26-33201Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correctionS. V. Milash0E. P. Tarutta1M. V. Epishina2G. A. Markossian3K. A. Ramazanova4ФГБУ «Московский НИИ глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский НИИ глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский НИИ глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский НИИ глазных болезней им. Гельмгольца» Минздрава РоссииФГБУ «Московский НИИ глазных болезней им. Гельмгольца» Минздрава РоссииPurpose: to evaluate subfoveal choroidal thickness (SFCT) and other anatomical parameters of the eye in the early stages after orthokeratological correction of myopia. Material and Methods. The study was conducted on 20 myopic Caucasian patients (40 eyes) with moderate myopia. The main group consisted of 10 children with myopia -4.5 ± 1.03 D aged 11 ± 2.26 years, who were examined before the correction with orthokeratological lenses (OK-lenses) ESA-DL (Dr Lens Tehno, Russia) and 3 weeks after it. The control group comprised 10 patients (20 eyes) with myopia -3.84 ± 1.12 D aged 11.6 ± 1.17 years, who wore monofocal glasses as a correction. SFCT was measured with RS-3000 Advance optical coherent tomograph (OCT) (Nidek, Japan), while axial length (AL), peripheral eye length (PEL), and anterior chamber depth (ACD) was measured with IOL Master 500 optical biometer (Carl Zeiss, Germany), and central cornea thickness (CCT), epithelial thickness (ET) and corneal stroma (ST) thickness, with OCT Avanti Rtvue XR (Optovue, USA). All patients were tested before and 3 weeks after the start of wearing lenses or glasses. Results. SFCF increased by 24.25 ± 19 μm as compared with changes in the control group (p < 0.001) after 3 weeks of wearing OK-lenses. A notable negative correlation of changes in AL and SFCT was revealed in the main group (r = -0.48). CCT decreased by 14.6 ± 2.54 μm in the group wearing OKlenses. The main OK-lens contribution to the statistically significant change in the CCT concerned the epithelium, whose thickness showed a 12.7 ± 1.58 μm (22.6 %) change as compared with the initial data (p < 0.001) and with the change in the control group (p < 0.001). The decrease in AL showed an insignificant correlation with the decrease in the CCT: r = 0.16. ACD, PEL and ST did not change significantly (p > 0.05). Conclusion. SFCT shows an increase in the early stages after OK correction. When controlling the growth of the eye in patients with OK lenses, we need to take into account the impact of the choroid on the results of AL measurement.https://roj.igb.ru/jour/article/view/219миопияортокератологияэпителий роговицыдефокуспериферическая длина глазахориоидеятолщина хориоидеи
spellingShingle S. V. Milash
E. P. Tarutta
M. V. Epishina
G. A. Markossian
K. A. Ramazanova
Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction
Российский офтальмологический журнал
миопия
ортокератология
эпителий роговицы
дефокус
периферическая длина глаза
хориоидея
толщина хориоидеи
title Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction
title_full Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction
title_fullStr Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction
title_full_unstemmed Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction
title_short Evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction
title_sort evaluation of choroidal thickness and anatomical and optical parameters of the eye in the early period after orthokeratology myopia correction
topic миопия
ортокератология
эпителий роговицы
дефокус
периферическая длина глаза
хориоидея
толщина хориоидеи
url https://roj.igb.ru/jour/article/view/219
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AT mvepishina evaluationofchoroidalthicknessandanatomicalandopticalparametersoftheeyeintheearlyperiodafterorthokeratologymyopiacorrection
AT gamarkossian evaluationofchoroidalthicknessandanatomicalandopticalparametersoftheeyeintheearlyperiodafterorthokeratologymyopiacorrection
AT karamazanova evaluationofchoroidalthicknessandanatomicalandopticalparametersoftheeyeintheearlyperiodafterorthokeratologymyopiacorrection