Efficacy of the DRL orthokeratology lens in slowing axial elongation in French children

BackgroundThis study aims to assess and compare the impact of Orthokeratology Double Reservoir Lens (DRL) versus Single Vision Lenses (SVL) on axial elongation and anterior chamber biometric parameters in myopic children over a 6- and 12-month treatment period in France.MethodsA retrospective study...

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Main Authors: António Queirós, Pauline Rolland le Moal, Karine Angioi-Duprez, Jean-Paul Berrod, Jean-Baptiste Conart, Aurélia Chaume, Jaume Pauné
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1323851/full
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author António Queirós
António Queirós
Pauline Rolland le Moal
Karine Angioi-Duprez
Jean-Paul Berrod
Jean-Baptiste Conart
Aurélia Chaume
Jaume Pauné
Jaume Pauné
Jaume Pauné
author_facet António Queirós
António Queirós
Pauline Rolland le Moal
Karine Angioi-Duprez
Jean-Paul Berrod
Jean-Baptiste Conart
Aurélia Chaume
Jaume Pauné
Jaume Pauné
Jaume Pauné
author_sort António Queirós
collection DOAJ
description BackgroundThis study aims to assess and compare the impact of Orthokeratology Double Reservoir Lens (DRL) versus Single Vision Lenses (SVL) on axial elongation and anterior chamber biometric parameters in myopic children over a 6- and 12-month treatment period in France.MethodsA retrospective study involving 48 patients aged 7 to 17 years, who underwent either orthokeratology treatment or single-vision spectacle correction, was conducted. Changes in refractive error, axial length, and anterior chamber depth were examined.ResultsTwenty-five patients comprised the Orthokeratology (OK) group, while twenty-three were in the control group (single-vision spectacle group). Significant increases in mean axial length were observed over time in both the control (0.12 ± 0.13 mm and 0.20 ± 0.17 mm after 6 and 12 months, respectively; F (2,28.9) = 27.68, p < 0.001) and OK groups (0.02 ± 0.07 mm and 0.06 ± 0.13 mm after 6 and 12 months, respectively; F (2,29.1) = 5.30, p = 0.023). No statistically significant differences in axial length were found between male and female children (p > 0.620). Age-specific analysis revealed no significant axial elongation after 12 months in the 14–17 years group in the OK group. Anterior biometric data analysis at 6 and 12 months showed statistical significance only for the DRL group.ConclusionOrthokeratology resulted in an 86 and 70% reduction in axial elongation after 6 and 12 months of lens wear, respectively, compared to the single-vision spectacles group. Myopia progression was more pronounced in younger children, underscoring the importance of initiating myopia control strategies at early ages.
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spelling doaj.art-74d7b5f92e5e45ad9cab4c9cedd747442024-01-04T05:00:45ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-01-011010.3389/fmed.2023.13238511323851Efficacy of the DRL orthokeratology lens in slowing axial elongation in French childrenAntónio Queirós0António Queirós1Pauline Rolland le Moal2Karine Angioi-Duprez3Jean-Paul Berrod4Jean-Baptiste Conart5Aurélia Chaume6Jaume Pauné7Jaume Pauné8Jaume Pauné9Clinical and Experimental Optometry Research Lab (CEORLab), School of Science University of Minho, Braga, PortugalPhysics Center of Minho and Porto Universities, Braga, PortugalDepartment of Ophthalmology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, FranceDepartment of Ophthalmology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, FranceDepartment of Ophthalmology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, FranceDepartment of Ophthalmology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, FrancePrivate Ophthalmogoly Clinic, Laxou, FranceTeknon Medical Center, Barcelona, SpainFaculty of Optics and Optometry Polytechnic, University of Catalonia, Terrassa, SpainOptometry School Optometry, University of Montreal, Montreal, QC, CanadaBackgroundThis study aims to assess and compare the impact of Orthokeratology Double Reservoir Lens (DRL) versus Single Vision Lenses (SVL) on axial elongation and anterior chamber biometric parameters in myopic children over a 6- and 12-month treatment period in France.MethodsA retrospective study involving 48 patients aged 7 to 17 years, who underwent either orthokeratology treatment or single-vision spectacle correction, was conducted. Changes in refractive error, axial length, and anterior chamber depth were examined.ResultsTwenty-five patients comprised the Orthokeratology (OK) group, while twenty-three were in the control group (single-vision spectacle group). Significant increases in mean axial length were observed over time in both the control (0.12 ± 0.13 mm and 0.20 ± 0.17 mm after 6 and 12 months, respectively; F (2,28.9) = 27.68, p < 0.001) and OK groups (0.02 ± 0.07 mm and 0.06 ± 0.13 mm after 6 and 12 months, respectively; F (2,29.1) = 5.30, p = 0.023). No statistically significant differences in axial length were found between male and female children (p > 0.620). Age-specific analysis revealed no significant axial elongation after 12 months in the 14–17 years group in the OK group. Anterior biometric data analysis at 6 and 12 months showed statistical significance only for the DRL group.ConclusionOrthokeratology resulted in an 86 and 70% reduction in axial elongation after 6 and 12 months of lens wear, respectively, compared to the single-vision spectacles group. Myopia progression was more pronounced in younger children, underscoring the importance of initiating myopia control strategies at early ages.https://www.frontiersin.org/articles/10.3389/fmed.2023.1323851/fullorthokeratologymyopia controlaxial lengthrefractive errorscontact lens
spellingShingle António Queirós
António Queirós
Pauline Rolland le Moal
Karine Angioi-Duprez
Jean-Paul Berrod
Jean-Baptiste Conart
Aurélia Chaume
Jaume Pauné
Jaume Pauné
Jaume Pauné
Efficacy of the DRL orthokeratology lens in slowing axial elongation in French children
Frontiers in Medicine
orthokeratology
myopia control
axial length
refractive errors
contact lens
title Efficacy of the DRL orthokeratology lens in slowing axial elongation in French children
title_full Efficacy of the DRL orthokeratology lens in slowing axial elongation in French children
title_fullStr Efficacy of the DRL orthokeratology lens in slowing axial elongation in French children
title_full_unstemmed Efficacy of the DRL orthokeratology lens in slowing axial elongation in French children
title_short Efficacy of the DRL orthokeratology lens in slowing axial elongation in French children
title_sort efficacy of the drl orthokeratology lens in slowing axial elongation in french children
topic orthokeratology
myopia control
axial length
refractive errors
contact lens
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1323851/full
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