Peripheral Optics in Myopia and Orthokeratology
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Purpose
The primary objective of the current study is to investigate changes in peripheral refraction and aberration in children wearing orthokeratology lenses and single-vision spectacles.
| Condition | Intervention |
|---|---|
|
Myopia |
Device: Orthokeratology lenses Device: Spectacles |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Peripheral Refraction and Aberration in Myopic Progression and Myopic Control |
- Changes in cycloplegic off-axial auto-refraction, aberration and eyeball length [ Time Frame: 2 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 100 |
| Study Start Date: | March 2008 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Orthokeratology
Myopic children wearing orthokeratology at night will be the study group
|
Device: Orthokeratology lenses
Nightly use of orthokeratology lenses to correct the refractive errors
Other Names:
|
|
Others
Myopic children wearing single-vision spectacles in the daytime will serve as control group
|
Device: Spectacles
Daily use of single vision lenses to correct refractive errors
Other Names:
|
Detailed Description:
Apart from being effective in reducing low to moderate myopia, orthokeratology has been shown to have potential in retarding myopic progression. The central cornea is flattened and peripheral optics altered in orthokeratology and it has been suggested that orthokeratology slows myopic progression through the alteration of peripheral optics. The aim of the current study is to investigate the changes in peripheral refraction and aberration in children wearing orthokeratology (study group) and single-vision spectacles (control group).
Eligibility| Ages Eligible for Study: | 6 Years to 9 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Myopia (refractive sphere): > 0.50D and ≤ 6.00D
- Astigmatism: with-the-rule astigmatism (axes 180 +/- 30) ≤ 1.50D; astigmatism of other axes ≤ 0.50D
- Spherical equivalent (SE): > 0.50D and ≤ 6.75D (myopia)
- Best corrected monocular visual acuity: equal to or better than 6/7.5 in Snellen scale
- Willingness to wear contact lenses or spectacles on a daily basis
- Availability for follow-up for at least 2 years
Exclusion Criteria:
- Strabismus at distance or near
- Contraindication for contact lens wear and orthokeratology (e.g. limbus to limbus corneal cylinder and dislocated corneal apex)
- Prior experience with the use of rigid lenses (including orthokeratology)
- Prior experience with myopic control treatment (e.g. refractive therapy or progressive spectacles)
- Systemic or ocular conditions which may affect contact lens wear (e.g. allergy and medication)
- Systemic or ocular conditions which may affect refractive development (e.g. Down syndrome, ptosis)
Contacts and Locations| China | |
| School of Optometry, The Hong Kong Polytechnic University | |
| Hong Kong, China | |
| Principal Investigator: | Pauline Cho, PhD | School of Optometry, The Hong Kong Polytechnic University |
More Information
Publications:
| Responsible Party: | Dr Pauline Cho, School of Optometry, The Hong Kong Polytechnic University |
| ClinicalTrials.gov Identifier: | NCT00978679 History of Changes |
| Other Study ID Numbers: | G-RGVM |
| Study First Received: | September 16, 2009 |
| Last Updated: | June 22, 2011 |
| Health Authority: | Hong Kong: Ethics Committee |
Keywords provided by The Hong Kong Polytechnic University:
|
Children Peripheral refraction Aberration Eyeball length |
Myopic control Myopia Corneal reshaping Orthokeratology |
Additional relevant MeSH terms:
|
Myopia Refractive Errors Eye Diseases |
ClinicalTrials.gov processed this record on May 22, 2013