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Effects of Different Designs of Orthokeratology Lens on Myopia Control and Visual Quality

Not Applicable
Recruiting
Conditions
Myopic Progression
Interventions
Device: Orthokeratology lens
Registration Number
NCT05192824
Lead Sponsor
Tianjin Eye Hospital
Brief Summary

This study was aimed to evaluate the effects of different Orthokeratology,including the size of central optical zone and the height of peripheral reverse curve, on myopia control and visual quality.

Detailed Description

This study was aimed to evaluate the effects of different Orthokeratology on myopia control and visual quality. The different optical zone of Orthokeratology lens was divided into 4 groups, ranged from 5.5 mm to 6 mm. And the control group subjects with the single glasses was included. The effectiveness of Orthokeratology was measured by axial length progression. The visual quality of subjects was evaluated by a questionnaire, contrast sensitivity and wavefront aberration.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Myopia: between -1.00D and 4.00D in both eyes
  • Astigmatism: <1.5D for with-the-rule astigmatism, <1.00D for the against-the-rule astigmatism
  • Visual acuity: the best corrected vision acuity(BCVA)≥20/20 in both eyes
  • Subjects that volunteer to participate in the clinical trial and sign informed consent
Exclusion Criteria
  • Contraindications of wearing Ortho-K.
  • Diagnosis of strabismus, amblyopia and other refractive development of the eye or systemic diseases.
  • Any type of strabismus or amblyopia
  • Systemic condition which might affect refractive development (for example, Down syndrome, Marfan's syndrome)
  • Ocular conditions which might affect the refractive error (for example, cataract, ptosis)

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Orthokeratology lenses group 3Orthokeratology lensSubjects wearing orthokeratology lenses of 6mm optical zone.
Orthokeratology lenses group 2Orthokeratology lensSubjects wearing orthokeratology lenses of 5.5mm optical zone.
Orthokeratology lenses group 1Orthokeratology lensSubjects wearing orthokeratology lenses of 5mm optical zone.
Orthokeratology lenses group 4Orthokeratology lensSubjects wearing orthokeratology lenses of 6mm optical zone and the increased height of peripheral reverse curve.
Primary Outcome Measures
NameTimeMethod
Changes in axial length in 2 yearsEvery 6 months for a period 2 years

The axial length was measured by AL-scan

Changes in Cycloplegic subjective refraction in 2 yearsEvery 6 months for a period 2 years

The cycloplegic subjective refraction was evaluated by optometrist

Secondary Outcome Measures
NameTimeMethod
Change in corneal biomechanics parameters (SSI) as compared to baseline (Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

Corneal response parameters(SSI) was evaluated by Corvis ST.

Change in peripheral refraction as compared to baseline (Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

Peripheral refraction measured by multispectral refraction topography

Change in visual questionnaire as compared to baseline(Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

The symptoms score measured by a visual questionnaire, each symptom was evaluated on a scale of 0 to 10.

Change in corneal surface regularity index (SRI) as compared to baseline (Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

The corneal surface regularity index (SRI) was measured by Corneal Topography.

Change in High-order aberrations (HOAs) in microns as compared to baseline(Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

Ocular aberration measured by Zeiss i. Profiler Plus aberrometer

Change in contrast sensitivity as compared to baseline(Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

Contrast sensitivity measured by Stereo optical 6500

Change in choroidal thickness captured by Optical Coherent Tomographer (OCT) as compared to baseline(Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

choroidal thickness captured by Optical Coherent Tomographer (OCT) and measured using a customized software

Change in Corneal epithelial thickness captured by Optical Coherent Tomographer (OCT) as compared to baseline(Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

Corneal epithelial thickness captured by Optical Coherent Tomographer (OCT) customized software

Change in corneal surface asymmetry index (SAI) as compared to baseline (Postoperative 6 months, 12 months, 18 months and 24 months)baseline, postoperative 6 months, 12 months, 18 months and 24 months

The corneal surface asymmetry index (SAI) was measured by Corneal Topography.

Trial Locations

Locations (1)

Tianjin Eye Hospital

🇨🇳

Tianjin, Tianjin, China

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