STUDY OF PERIPHERAL REFRACTION IN CHILDREN WITH MYOPIA WITH ORTHOKERATOLOGY LENSES OF COMBINED DESIGN
DOI:
https://doi.org/10.31618/ESSA.2782-1994.2021.2.68.19Keywords:
Myopia, refractive therapy, orthokeratology lenses, keratotopography, peripheral refraction, defocusAbstract
Progressive myopia is a leading problem in modern optometry and ophthalmology in general. In recent years, refractive therapy with orthokeratology lenses has gained popularity among methods to control myopia progression. The aim: To study peripheral refraction in children with myopia with the use of orthokeratology lenses (OKL) of combined design. Methods. We followed up 60 children (117 eyes) diagnosed with uncomplicated mild to moderate myopia. All children underwent a complete ophthalmological examination as well as corneal keratotopography and peripheral refraction determination. Statistical analysis of correlations between peripheral corneal refraction under the influence of OKL, peripheral defocus, and axial length growth gradient was performed. Results. An inverse correlation relationship of -0.2 (p=0.03) was obtained between corneal differential power in the return 6 mm zone and peripheral refraction in its corresponding peripheral refraction of 23° on the temporal side. A positive correlation with a correlation coefficient of 0.21 (p=0.026) was obtained between the defocus in the temporal part and the gradient of myopia progression over one year, while the same result was obtained in the nasal part with a correlation coefficient of 0.2 (p=0.036). Concluсions. Difference corneal power at the periphery may be prognostic in relation to the course of myopia in OКL users. With an aboveaverage pupil diameter, combined design orthokeratology lenses are more effective in controlling myopia due to the greater influence of the formed corneal refractive ring on peripheral refraction.
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