Update on Orthokeratology in Managing Progressive Myopia in Children: Efficacy, Mechanisms, and Concerns

التفاصيل البيبلوغرافية
العنوان: Update on Orthokeratology in Managing Progressive Myopia in Children: Efficacy, Mechanisms, and Concerns
المؤلفون: Ilana B Friedman, Xintong Li, Cheng Zhang, Norman B. Medow
المصدر: Journal of pediatric ophthalmology and strabismus. 54(3)
سنة النشر: 2016
مصطلحات موضوعية: medicine.medical_specialty, genetic structures, medicine.medical_treatment, Controlled studies, Infectious Keratitis, Spherical Refractive Error, Refraction, Ocular, 03 medical and health sciences, 0302 clinical medicine, Slow progression, Ophthalmology, Cornea, Medicine, Humans, Strabismus, Child, business.industry, Orthokeratology, High myopia, General Medicine, eye diseases, medicine.anatomical_structure, Treatment Outcome, Pediatrics, Perinatology and Child Health, Myopia, Degenerative, 030221 ophthalmology & optometry, sense organs, business, 030217 neurology & neurosurgery, Orthokeratologic Procedures
الوصف: Myopia is an important public health issue, and high myopia may lead to severe complications if left untreated. Orthokeratology lenses, worn overnight to reshape the cornea, are one of many recent modalities used to slow down the progression of myopia in children. This treatment has been proven successful, as evidenced by decreased spherical refractive error and axial length relative to the control at interval follow-up ranging from 6 months to 5 years. In this systematic review, the authors collected published controlled studies that analyzed the efficacy of orthokeratology lens wear and calculated longitudinal relative changes in axial length, revealing a weighted average of −45.1% change in axial length at the 2-year follow-up. The exact mechanism by which orthokeratology lenses reduce myopia progression is unknown, but research shows that the corneal reshaping decreases peripheral hyperopic defocus and therefore increases peripheral myopic defocus to likely reduce stimuli for axial elongation and subsequent development of myopia. Use of orthokeratology lenses is generally safe, but cases of associated infectious keratitis may have a higher incidence of virulent organisms such as Pseudomonas , Acanthamoeba , and antibacterial-resistant strains of Staphylococcus , partially due to the required overnight use of these lenses. Orthokeratology is regarded as one of the most effective non-pharmacologic measures to slow progression of myopia in children and, with regular follow-up to ensure safety, continues to be one of the most effective treatments for myopia management around the world. [ J Pediatr Ophthalmol Strabismus . 2017;54(3):142–148.]
تدمد: 1938-2405
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f8179f82118181e954044772024b4589
https://pubmed.ncbi.nlm.nih.gov/28092397
رقم الأكسشن: edsair.doi.dedup.....f8179f82118181e954044772024b4589
قاعدة البيانات: OpenAIRE