Clinical analysis of orthokeratologylens and multifocal soft lens in safety and effect

DU Wanli; WU Caiyun; LIANG Gang; ZHANG Yu; MA Xiaoying; LIAN Lulu

doi:10.16835/j.cnki.1000-9817.2022.09.007

Volume 43 Issue 9

Sep. 2022

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(9): 1305-1308

DU Wanli, WU Caiyun, LIANG Gang, ZHANG Yu, MA Xiaoying, LIAN Lulu. Clinical analysis of orthokeratologylens and multifocal soft lens in safety and effect[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1305-1308. doi: 10.16835/j.cnki.1000-9817.2022.09.007

Citation:

DU Wanli, WU Caiyun, LIANG Gang, ZHANG Yu, MA Xiaoying, LIAN Lulu. Clinical analysis of orthokeratologylens and multifocal soft lens in safety and effect[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1305-1308. doi: 10.16835/j.cnki.1000-9817.2022.09.007

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Clinical analysis of orthokeratologylens and multifocal soft lens in safety and effect

doi: 10.16835/j.cnki.1000-9817.2022.09.007

1.
Gansu Provincial Maternity and Child-care Hospital, Department of Ophthalmology, Lanzhou (730050), China

Received Date: 2022-02-04
Rev Recd Date: 2022-03-25

Available Online: 2022-09-23

Publish Date: 2022-09-25

Abstract

Abstract

Objective To compare the effectiveness and clinical safety between the two through the observation of Orthokeratology lens and multifocal soft lens. Methods By using prospective longitudinal design, sixty patients (120 eyes) with orthokeratology lens and multifocal soft lens were selected. After 1, 3, 6 and 12 months, our tests were conducted, including ocular surface disease index (OSDI) questionnaire, tear break-up time(BUT), corneal fluerescein staining (CSF) and meibomian gland function assessment, before and after wearing glasses, ocular axis and refraction in 6, 12 and 18 months after were evaluated to assess the effect of myopia control. Results But in the orthokeratology lens group was lower than the soft lens group after two months. The difference was statistically significant(t=4.35, P < 0.05). After 1 month of wearing glasses, BUT in the orthokeratologylens group was shorter than before(F=305.83, P < 0.05). In the group of soft lens, there was no statistically significance before and after wearing glasses(F=0.38, P>0.05). There was no difference in corneal fluorescence staining (CSF) and meibomian gland function between the two groups before and after wearing glasses.(F_time=1.55, 1.38, 10.15, 1.50, P>0.05, F_group=2.31, 0.02, P>0.05). After 18 months of wearing orthokeratology lens, the average degree of spherical lens increased by -0.53 D, which was different from that before wearing(F=6.54, P < 0.05). After wearing soft lens 18 month, the average degree of spherical lens increase by -0.34 D, which was different from that before wearing(F=2.88, P < 0.05). After 18 months of wearing glasses, there were differences in the growth of ocular axis between the two groups(F=2.73, 2.83, P < 0.05). Conclusion Orthokeratology lens and multifocal soft lens are both safe and effective measures to control myopia.
- Contact lenses,
- Myopia,
- Controlled clinical trial,
- Analysis of variance,
- Child,
- Adolescent

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References(10)

References

[1]	WANG J, LI Y, MUSCH D C, et al. Progression of myopia in school-aged children after COVID-19 home confinement[J]. JAMA Ophthalmol, 2021. DOI: 10.1001/jamaophthalmol.2020.6239.
[2]	亚洲干眼协会, 海峡两岸医药卫生交流协会眼科学专业委员会眼表与泪液病学组, 中国医师协会眼科医师分会眼表与干眼学组. 中国干眼专家共识: 检查和诊断(2020年)[J]. 中华眼科杂志, 2020, 56(10): 741-747. Asia Dry Eye Society, Association of Medical Exchanges Across the Taiwan Straits Professional Committee of Ophthalmology Ocular Surface and Lacrimopathy Group, Eye Table and Dry Ophthalmology Group, Ophthalmologists Branch, Chinese Medical Doctor Association. Consensus of Chinese dry eye experts: exam and diagnosis(2020)[J]. Chin J Ophthalmol, 2020, 56(10): 741-747.
[3]	ZHENG B, LIU X J, SUN Y F, et al. Development and validation of the Chinese version of dry eye related quality of life scale[J]. Health Qual Life Outcomes, 2017, 15(1): 145. doi: 10.1186/s12955-017-0718-5
[4]	TOMLINSON A, BRON A J, KORB D R, et al. The international workshop on meibomian glanddys function: report of the diagnosis subcommittee[J]. Invest Ophthalmol Vis Sci, 2011, 52(4): 2006-2049. doi: 10.1167/iovs.10-6997f
[5]	张明昌, 刘洋. 解读国际泪膜与眼表协会2017年干眼专家共识中的干眼检查[J]. 中华眼科杂志, 2018, 54(2): 87-89. doi: 10.3760/cma.j.issn.0412-4081.2018.02.003 ZHANG M C, LIU Y. Interpretation of the dry eye examination in the expert consensus of Tear Film & Ocular Surface society in 2017[J]. Chin J Ophthalmol, 2018, 54(2): 87-89. doi: 10.3760/cma.j.issn.0412-4081.2018.02.003
[6]	杨立, 俞萍萍. 过夜配戴角膜塑形镜对儿童青少年眼表和睑板腺的影响[J]. 中华眼视光与视觉科学杂志, 2020, 22(1): 51-57. YANG L, YU P P. The influence of overnight orthokeratology on the ocular surface and meibomian glands in children and adolescents[J]. Chin J Optometry Ophthalmol Vis Sci, 2020, 22(1): 51-57.
[7]	周建兰, 谢培英, 王丹, 等. 青少年高度近视眼患者长期配戴角膜塑形镜的效果观察[J]. 中华眼科杂志, 2015, 51(7): 515-519. doi: 10.3760/cma.j.issn.0412-4081.2015.07.009 ZHOU J L, XIE P Y, WANG D, et al. Observation on the effect of long-term wearing orthokeratology lens in adolescent patients with high myopia[J]. Chin J Ophthalmol, 2015, 51(7): 515-519. doi: 10.3760/cma.j.issn.0412-4081.2015.07.009
[8]	COOPER J, O'CONNOR B, WATANABE R, et al. Case series analysis of myopic progression control with a unique extended depth of focus multifocal contact lens[J]. Eye Contact Lens, 2018, 44(5): e16-e24. doi: 10.1097/ICL.0000000000000440
[9]	WALLINE J J, GREINER K L, MCVEY M E, et al. Multifocal contact lens myopia control[J]. Optom Vis Sci, 2013, 90(11): 1207-1214. doi: 10.1097/OPX.0000000000000036
[10]	WALLINE J J, LINDSLEY K B, VEDULA S S, et al. Interventions to slow progression of myopia in children[J]. Coch Dat Syst Rev, 2020, 1(1): CD004916.