Impact of peripheral optical properties induced by orthokeratology lens use on myopia progression

The objective of the present retrospective comparative cohort study was to compare the impact of wearing glasses versus an orthokeratology (Ortho-K) lens on peripheral optical properties and myopia progression in a population of South Korean children. Participants included children with myopia, betw...

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Main Authors: Young-Sik Yoo, Dae Yu Kim, Yong-Soo Byun, Qiuzhi Ji, In-Kwon Chung, Woong-Joo Whang, Mi Ra Park, Hyun-Seung Kim, Kyung-Sun Na, Choun-Ki Joo, Geunyoung Yoon
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844020304874
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author Young-Sik Yoo
Dae Yu Kim
Yong-Soo Byun
Qiuzhi Ji
In-Kwon Chung
Woong-Joo Whang
Mi Ra Park
Hyun-Seung Kim
Kyung-Sun Na
Choun-Ki Joo
Geunyoung Yoon
author_facet Young-Sik Yoo
Dae Yu Kim
Yong-Soo Byun
Qiuzhi Ji
In-Kwon Chung
Woong-Joo Whang
Mi Ra Park
Hyun-Seung Kim
Kyung-Sun Na
Choun-Ki Joo
Geunyoung Yoon
author_sort Young-Sik Yoo
collection DOAJ
description The objective of the present retrospective comparative cohort study was to compare the impact of wearing glasses versus an orthokeratology (Ortho-K) lens on peripheral optical properties and myopia progression in a population of South Korean children. Participants included children with myopia, between 8 and 12 years of age (n = 22 eyes), and divided into two groups: those who used glasses (Group I, n = 9) and those who used an Ortho-K lens (Group II, n = 13). Myopia progression over one year was quantified by changes in the central axial length of the eye. Keratometry and corneal aberrations on both the anterior and posterior surfaces of the eye were obtained using a Scheimpflug camera. A custom-developed Shack-Hartmann aberrometer was also used to measure peripheral aberrations across the horizontal visual field, up to 30°, and along the nasal-temporal meridian in 10-degree steps. Central axial elongation was larger in Group I (0.59 ± 0.21 mm) than in Group II (0.34 ± 0.18 mm) (P = .01). Relative peripheral spherical refractions at 10 and 20° nasally and at 10° temporally (P = 0.04, 0.049, and 0.042, respectively) relative to the fovea were positively correlated with central axial elongation in Group II. Group II exhibited an increase in peripheral ocular high order aberrations, such as horizontal coma and asymmetric trefoil. The use of Ortho-K lenses was found to slow the rate of central axis elongation in children with myopia. This effect might be related to an increase in both peripheral spherical refraction and peripheral ocular higher order aberrations with Ortho-K lens use.
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spelling doaj.art-73a70f183c8742998cb3882d39860e5a2022-12-22T01:23:55ZengElsevierHeliyon2405-84402020-04-0164e03642Impact of peripheral optical properties induced by orthokeratology lens use on myopia progressionYoung-Sik Yoo0Dae Yu Kim1Yong-Soo Byun2Qiuzhi Ji3In-Kwon Chung4Woong-Joo Whang5Mi Ra Park6Hyun-Seung Kim7Kyung-Sun Na8Choun-Ki Joo9Geunyoung Yoon10Department of Ophthalmology, College of Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, 271, Cheonbo-ro, Uijeongbu-si, Gyeonggi-do, South Korea; Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, South KoreaElectrical Engineering, College of Engineering, Inha University, 100, Inha-ro, Michuhol-gu, Incheon, South KoreaDepartment of Ophthalmology and Visual Science, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, South KoreaFlaum Eye Institute, The Institute of Optics, Center for Visual Science, University of Rochester, 601 Elmwood Ave., Box 314, 14642, Rochester, New York, USADepartment of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, 170, Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, South KoreaDepartment of Ophthalmology, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, 10 63-ro, Yeongdeungpo-gu, 07345, Seoul, South KoreaDepartment of Ophthalmology, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, 10 63-ro, Yeongdeungpo-gu, 07345, Seoul, South KoreaDepartment of Ophthalmology and Visual Science, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, South KoreaDepartment of Ophthalmology, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, 10 63-ro, Yeongdeungpo-gu, 07345, Seoul, South Korea; Corresponding author.CK St. Mary's Eye Center, 563, Gangnam-daero, Seocho-gu, Seoul, South KoreaFlaum Eye Institute, The Institute of Optics, Center for Visual Science, University of Rochester, 601 Elmwood Ave., Box 314, 14642, Rochester, New York, USAThe objective of the present retrospective comparative cohort study was to compare the impact of wearing glasses versus an orthokeratology (Ortho-K) lens on peripheral optical properties and myopia progression in a population of South Korean children. Participants included children with myopia, between 8 and 12 years of age (n = 22 eyes), and divided into two groups: those who used glasses (Group I, n = 9) and those who used an Ortho-K lens (Group II, n = 13). Myopia progression over one year was quantified by changes in the central axial length of the eye. Keratometry and corneal aberrations on both the anterior and posterior surfaces of the eye were obtained using a Scheimpflug camera. A custom-developed Shack-Hartmann aberrometer was also used to measure peripheral aberrations across the horizontal visual field, up to 30°, and along the nasal-temporal meridian in 10-degree steps. Central axial elongation was larger in Group I (0.59 ± 0.21 mm) than in Group II (0.34 ± 0.18 mm) (P = .01). Relative peripheral spherical refractions at 10 and 20° nasally and at 10° temporally (P = 0.04, 0.049, and 0.042, respectively) relative to the fovea were positively correlated with central axial elongation in Group II. Group II exhibited an increase in peripheral ocular high order aberrations, such as horizontal coma and asymmetric trefoil. The use of Ortho-K lenses was found to slow the rate of central axis elongation in children with myopia. This effect might be related to an increase in both peripheral spherical refraction and peripheral ocular higher order aberrations with Ortho-K lens use.http://www.sciencedirect.com/science/article/pii/S2405844020304874PhysiologyOphthalmologyEye-ear-nose-throatClinical researchMyopiaAberrometry
spellingShingle Young-Sik Yoo
Dae Yu Kim
Yong-Soo Byun
Qiuzhi Ji
In-Kwon Chung
Woong-Joo Whang
Mi Ra Park
Hyun-Seung Kim
Kyung-Sun Na
Choun-Ki Joo
Geunyoung Yoon
Impact of peripheral optical properties induced by orthokeratology lens use on myopia progression
Heliyon
Physiology
Ophthalmology
Eye-ear-nose-throat
Clinical research
Myopia
Aberrometry
title Impact of peripheral optical properties induced by orthokeratology lens use on myopia progression
title_full Impact of peripheral optical properties induced by orthokeratology lens use on myopia progression
title_fullStr Impact of peripheral optical properties induced by orthokeratology lens use on myopia progression
title_full_unstemmed Impact of peripheral optical properties induced by orthokeratology lens use on myopia progression
title_short Impact of peripheral optical properties induced by orthokeratology lens use on myopia progression
title_sort impact of peripheral optical properties induced by orthokeratology lens use on myopia progression
topic Physiology
Ophthalmology
Eye-ear-nose-throat
Clinical research
Myopia
Aberrometry
url http://www.sciencedirect.com/science/article/pii/S2405844020304874
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