Associations between choroidal thickness and rate of axial elongation in orthokeratology lens users

Objective: To investigate the impact of using orthokeratology lenses (OK lenses) for one year on the axial length (AL) and choroidal thickness (ChT) in the 6 mm concentric central retinal region. Methods: 36 myopic children (36 eyes) aged 8 to 16 years were enrolled. For the duration of one year, th...

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Main Authors: Riping Zhang, Suoqing Zhuang, Youming Zhou, Man Pan Chin, Lixia Sun, Vishal Jhanji, Mingzhi Zhang
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Photodiagnosis and Photodynamic Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S1572100024004861
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author Riping Zhang
Suoqing Zhuang
Youming Zhou
Man Pan Chin
Lixia Sun
Vishal Jhanji
Mingzhi Zhang
author_facet Riping Zhang
Suoqing Zhuang
Youming Zhou
Man Pan Chin
Lixia Sun
Vishal Jhanji
Mingzhi Zhang
author_sort Riping Zhang
collection DOAJ
description Objective: To investigate the impact of using orthokeratology lenses (OK lenses) for one year on the axial length (AL) and choroidal thickness (ChT) in the 6 mm concentric central retinal region. Methods: 36 myopic children (36 eyes) aged 8 to 16 years were enrolled. For the duration of one year, the OK group (18 subjects) utilized OK lenses, while the spectacles group (18 subjects) utilized single-vision spectacles as a control. Only their right eyes were used for analysis. ChT in nine regions of the retina was evaluated using optical coherence tomography. AL and other ocular parameters were measured using optical biometry. The measurements were obtained at baseline, 3 months, 6 months, and 12 months. Results: After 12 months of treatment, the OK group showed a reduced rate of AL elongation. The first interval (baseline to 3 months) saw the most notable alteration (p < 0.0001). ChT increased in most regions after wearing OK lenses, except for the nasal retinal region. However, the alteration in nasal ChT exhibited the strongest association with the alteration in AL. Conclusion: The efficacy of myopia control with OK lenses is most pronounced during the initial months of wear. Alterations in the thickness of the nasal choroidal region may correlate with the elongation of the AL, implying its potential role as a biomarker for assessing the efficacy of OK lenses in myopia control.
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publishDate 2025-02-01
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series Photodiagnosis and Photodynamic Therapy
spelling doaj-art-42afdfdb513f49cba189b6cd78bc4f7d2025-02-01T04:11:45ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002025-02-0151104450Associations between choroidal thickness and rate of axial elongation in orthokeratology lens usersRiping Zhang0Suoqing Zhuang1Youming Zhou2Man Pan Chin3Lixia Sun4Vishal Jhanji5Mingzhi Zhang6Joint Shantou International Eye Center of Shantou University and The Chinese, University of Hong Kong, Shantou, Guangdong 515041, ChinaJoint Shantou International Eye Center of Shantou University and The Chinese, University of Hong Kong, Shantou, Guangdong 515041, ChinaJoint Shantou International Eye Center of Shantou University and The Chinese, University of Hong Kong, Shantou, Guangdong 515041, ChinaChinese University of Hong Kong Eye Centre, Kowloon, Hong Kong 999077, ChinaJoint Shantou International Eye Center of Shantou University and The Chinese, University of Hong Kong, Shantou, Guangdong 515041, ChinaDepartment of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USAJoint Shantou International Eye Center of Shantou University and The Chinese, University of Hong Kong, Shantou, Guangdong 515041, China; Corresponding author.Objective: To investigate the impact of using orthokeratology lenses (OK lenses) for one year on the axial length (AL) and choroidal thickness (ChT) in the 6 mm concentric central retinal region. Methods: 36 myopic children (36 eyes) aged 8 to 16 years were enrolled. For the duration of one year, the OK group (18 subjects) utilized OK lenses, while the spectacles group (18 subjects) utilized single-vision spectacles as a control. Only their right eyes were used for analysis. ChT in nine regions of the retina was evaluated using optical coherence tomography. AL and other ocular parameters were measured using optical biometry. The measurements were obtained at baseline, 3 months, 6 months, and 12 months. Results: After 12 months of treatment, the OK group showed a reduced rate of AL elongation. The first interval (baseline to 3 months) saw the most notable alteration (p < 0.0001). ChT increased in most regions after wearing OK lenses, except for the nasal retinal region. However, the alteration in nasal ChT exhibited the strongest association with the alteration in AL. Conclusion: The efficacy of myopia control with OK lenses is most pronounced during the initial months of wear. Alterations in the thickness of the nasal choroidal region may correlate with the elongation of the AL, implying its potential role as a biomarker for assessing the efficacy of OK lenses in myopia control.http://www.sciencedirect.com/science/article/pii/S1572100024004861Children myopiaOrthokeratology lensesChoroidal thickness
spellingShingle Riping Zhang
Suoqing Zhuang
Youming Zhou
Man Pan Chin
Lixia Sun
Vishal Jhanji
Mingzhi Zhang
Associations between choroidal thickness and rate of axial elongation in orthokeratology lens users
Photodiagnosis and Photodynamic Therapy
Children myopia
Orthokeratology lenses
Choroidal thickness
title Associations between choroidal thickness and rate of axial elongation in orthokeratology lens users
title_full Associations between choroidal thickness and rate of axial elongation in orthokeratology lens users
title_fullStr Associations between choroidal thickness and rate of axial elongation in orthokeratology lens users
title_full_unstemmed Associations between choroidal thickness and rate of axial elongation in orthokeratology lens users
title_short Associations between choroidal thickness and rate of axial elongation in orthokeratology lens users
title_sort associations between choroidal thickness and rate of axial elongation in orthokeratology lens users
topic Children myopia
Orthokeratology lenses
Choroidal thickness
url http://www.sciencedirect.com/science/article/pii/S1572100024004861
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