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KMID : 0360220220630040338
Journal of the Korean Ophthalmological Society
2022 Volume.63 No. 4 p.338 ~ p.344
Comparison of the Effects of Orthokeratology Lens and Cyclopentolate on Myopia Progression in Children
Kim Da-Ran

Park Sun?Kyoung
Na Kyung-Sun
Park Mi-Ra
Abstract
Purpose: To compare the effects of orthokeratology lens (Ortho?K lens) and topical cyclopentolate on myopia progression in children.

Methods: This retrospective study analyzed the medical records of 36 children who received Ortho?K lens and 28 who received cyclopentolate (i.e., total of 64 eyes). The following data were recorded: sex, age, age at first intervention, follow?up duration, and visual acuity and axial length (AL) at the time of first treatment and after 6, 12, and 24 months of treatment.

Results: In the Ortho?K group, the changes of AL significantly decreased by 0.3 ¡¾ 0.25 mm at 12 months and 0.52 ¡¾ 0.34 mm at 24 months (p for trend < 0.001). In the cyclopentolate group, the changes of AL significantly decreased by 0.36 ¡¾ 0.17 mm at 12 months and 0.62 ¡¾ 0.29 mm at 24 months (p for trend = 0.022). Compared to the use of cyclopentolate, the use of Ortho?K lens resulted in smaller changes in AL during follow?up (p = 0.038).

Conclusions: In myopic children, Ortho?K reduced myopia progression, whereas cyclopentolate significantly less affect myopia progression than Ortho?K lens.
KEYWORD
Cyclopentolate, Myopia, Orthokeratology
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