Myopia control with orthokeratology

Orthokeratology has had a great boom in the last few years, due to the appearance of new materials and designs that have facilitated its application. For this reason, the study proposed to develop a review that would allow to analyze this technique based on the experience of patients who were treate...

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Autor Principal: Ortega Pacific, Ernesto José
Otros Autores: Adriana Rodríguez Rodríguez, Universidad Antonio Nariño, Rodríguez Rodríguez, Adriana
Formato: info:eu-repo/semantics/article
Idioma: spa
eng
Publicado: Universidad de La Salle. Revistas. Ciencia y Tecnología para la Salud Visual y Ocular. 2017
Materias:
Acceso en línea: http://revistas.lasalle.edu.co/index.php/sv/article/view/3905
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Sumario: Orthokeratology has had a great boom in the last few years, due to the appearance of new materials and designs that have facilitated its application. For this reason, the study proposed to develop a review that would allow to analyze this technique based on the experience of patients who were treated with it. Objectives: To present scientific evidence of the use of orthokeratology for myopia control. Materials and methods: A bibliometric review of 50 scientific articles written between 1999 and 2015, with grade of recommendation B and level of evidence II−3, according to the United States Preventive Services Task Force (USPSTF) scale. The variables age, refractive defect, axial length and corneal curvature were considered. Results: 47% of the patients were younger than 15 years of age. The most important modifications through orthokeratology were found in patients with refractive values lower than −4.00 D (80%); one month after treatment, reductions of an average of −3.11 D were evidenced. The lenses used in the study mainly had an inverse geometry design, with materials with permeability greater than 100. Conclusions: Orthokeratology retards the progression of myopia; this is evidenced in 100% of the articles analyzed. There is a greater efficacy in the control of low myopia (myopia up to 4 D, according to Borish): 55% of patients with myopia from −0.25 to −1.00 D, while the remaining 45% is distributed between −1.25 and −7.00 D.