University of Houston, College of Optometry, 4901 Calhoun Rd., Houston, TX, 77204, United States.
University of Houston, College of Optometry, 4901 Calhoun Rd., Houston, TX, 77204, United States; Paragon Vision Sciences, 2120 West Guadalupe Road, Suite 112, Gilbert, AZ, 85233, United States.
Cont Lens Anterior Eye. 2020 Aug;43(4):322-332. doi: 10.1016/j.clae.2020.03.018. Epub 2020 Apr 22.
Overnight orthokeratology lenses are approved in countries all over the world for the temporary reduction in myopia, and recently, one lens design has received regulatory approval for myopia control in Europe. The modern orthokeratology lens has a substantial history from its origins of attempting to flatten the corneal curvature with a spherical rigid contact lens to sophisticated gas permeable lenses, designed to reshape the cornea. These lenses are predominantly prescribed for children to slow myopia progression and limit axial elongation of the eye. This article reviews the peer-reviewed literature on the efficacy of orthokeratology for myopia control, sustainability after treatment is discontinued, and the safety concerns of overnight contact lens wear. Future avenues of research are discussed.
夜戴角膜塑形镜在世界范围内被批准用于暂时降低近视,最近,一种角膜塑形镜设计已在欧洲获得近视控制的监管批准。现代角膜塑形术镜片有着悠久的历史,从最初试图用球形硬性隐形眼镜来使角膜曲率变平,到设计用来重塑角膜的复杂透气隐形眼镜。这些镜片主要用于儿童,以减缓近视进展和限制眼球轴长的增加。本文回顾了关于角膜塑形术控制近视的疗效、治疗停止后的可持续性以及夜间接触镜佩戴的安全性问题的同行评议文献,并讨论了未来的研究方向。