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Changes in corneal thickness, corneal volume, and densitometry after long-term orthokeratology wear

  • Yue Evelyn Zhang
    Correspondence
    Corresponding author at: University of Waterloo, School of Optometry and Vision Science, Canada.
    Affiliations
    University of Waterloo, School of Optometry and Vision Science, 200 Columbia St W, Waterloo, Ontario, Canada
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  • Author Footnotes
    1 Present address: Optometry Group, LPCMME, University of Oran1 Ahmed Ben Bella, BP1524, El M’naouar 31100 Oran, Algeria.
    Mhamed Ouzzani
    Footnotes
    1 Present address: Optometry Group, LPCMME, University of Oran1 Ahmed Ben Bella, BP1524, El M’naouar 31100 Oran, Algeria.
    Affiliations
    University of Waterloo, School of Optometry and Vision Science, 200 Columbia St W, Waterloo, Ontario, Canada
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  • Catherine Wright
    Affiliations
    University of Waterloo, School of Optometry and Vision Science, 200 Columbia St W, Waterloo, Ontario, Canada
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  • Luigina Sorbara
    Affiliations
    University of Waterloo, School of Optometry and Vision Science, 200 Columbia St W, Waterloo, Ontario, Canada
    Search for articles by this author
  • Author Footnotes
    1 Present address: Optometry Group, LPCMME, University of Oran1 Ahmed Ben Bella, BP1524, El M’naouar 31100 Oran, Algeria.

      Abstract

      Purpose

      To investigate changes in the corneal volume, corneal densitometry and pachymetry of young myopes wearing over-night orthokeratology (OK) contact lenses.

      Methods

      The medical records of 28 right eyes of young myopes wearing OK between 2013 and 2018 were reviewed retrospectively. The baseline refractive error, best corrected visual acuities at baseline and uncorrected visual acuity at the most recent visit were recorded. Corneal volume of the central 10 mm cornea; densitometry at central, nasal and temporal cornea; and pachymetry along the horizontal and vertical meridians were collected from the Pentacam® HR at baseline, after one night of lens wear, and at the latest visit.

      Results

      The mean age of subjects was 12.03 ± 3.80 years at the time of OK lens fitting and wore OK overnight for a mean duration of 666 days (range 206–1736 days). The baseline spherical equivalent refractive error was −3.03 ± 1.56 D (range −1.00 to −6.00 D). The corneal volume increased significantly after OK wear (p = 0.001). Corneal densitometry increased after OK wear, but the change did not reach statistical significance (p = 0.113). Pachymetry in the central cornea did not change significantly across all visits (p > 0.05) but increased significantly in the mid-peripheral regions of the cornea. Baseline refractive error was not found to be correlated with the changes in corneal volume, corneal densitometry, or pachymetry.

      Conclusion

      The increase in corneal volume and densitometry and no significant change in the central corneal thickness may indicate the presence of corneal oedema from long-term OK wear. The baseline refraction was not correlated with the changes in corneal volume, densitometry or pachymetry.

      Keywords

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