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Factors related to axial length elongation and myopia progression in orthokeratology practice.

Abstract To investigate which baseline factors are predictive for axial length growth over an average period of 2.5 years in a group of children wearing orthokeratology (OK) contact lenses.
PMID
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Myopia control during orthokeratology lens wear in children using a novel study design.

Authors

Mayor MeshTerms

Orthokeratologic Procedures

Keywords
Journal Title plos one
Publication Year Start




PMID- 28419129
OWN - NLM
STAT- MEDLINE
DA  - 20170418
DCOM- 20170505
LR  - 20170505
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 4
DP  - 2017
TI  - Factors related to axial length elongation and myopia progression in
      orthokeratology practice.
PG  - e0175913
LID - 10.1371/journal.pone.0175913 [doi]
AB  - PURPOSE: To investigate which baseline factors are predictive for axial length
      growth over an average period of 2.5 years in a group of children wearing
      orthokeratology (OK) contact lenses. METHODS: In this retrospective study, the
      clinical records of 249 new OK wearers between January 2012 and December 2013
      from the contact lens clinic at the Eye and ENT Hospital of Fudan University were
      reviewed. The primary outcome measure was axial length change from baseline to
      the time of review (July-August 2015). Independent variables included baseline
      measures of age at initiation of OK wear, gender, refractive error (spherical
      equivalent), astigmatism, average keratometry, corneal toricity, central corneal 
      thickness, white-to-white corneal diameter, pupil size, corneal topography
      eccentricity value (e-value), intraocular pressure (IOP) and total time in
      follow-up (months total). The contributions of all independent variables on axial
      length change at the time of review were assessed using univariate and
      multivariable regression analyses. RESULTS: Univariate analyses of the right eyes
      of 249 OK patients showed that smaller increases in axial length were associated 
      with older age at the onset of OK lens wear, greater baseline spherical
      equivalent myopic refractive error, less time in follow-up and a smaller e-value.
      Multivariable analyses of the significant right eye variables showed that the
      factors associated with smaller axial length growth were older age at the onset
      of OK lens wear (p<0.0001), greater baseline spherical equivalent myopic
      refractive error (p = 0.0046) and less time in follow-up (p<0.0001). CONCLUSIONS:
      The baseline factors demonstrating the greatest correlation with reduced axial
      length elongation during OK lens wear in myopic children included greater
      baseline spherical equivalent myopic refractive error and older age at the onset 
      of OK lens wear.
FAU - Wang, Bingjie
AU  - Wang B
AD  - Eye & ENT Hospital, Fudan University, Shanghai, China.
FAU - Naidu, Rajeev K
AU  - Naidu RK
AD  - School of Medicine, University of Sydney, Camperdown, NSW, Australia.
FAU - Qu, Xiaomei
AU  - Qu X
AD  - Eye & ENT Hospital, Fudan University, Shanghai, China.
AD  - Key Laboratory of Myopia, Ministry of Health, Fudan University, Shanghai, China.
LA  - eng
PT  - Journal Article
DEP - 20170418
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adolescent
MH  - Age Factors
MH  - Axial Length, Eye/*pathology
MH  - Child
MH  - Contact Lenses
MH  - Female
MH  - Humans
MH  - Male
MH  - Multivariate Analysis
MH  - Myopia, Degenerative/epidemiology/*pathology/*prevention & control
MH  - *Orthokeratologic Procedures/methods
MH  - Refraction, Ocular
MH  - Retrospective Studies
PMC - PMC5395222
EDAT- 2017/04/19 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/04/19 06:00
PHST- 2016/11/15 [received]
PHST- 2017/04/02 [accepted]
AID - 10.1371/journal.pone.0175913 [doi]
AID - PONE-D-16-45176 [pii]
PST - epublish
SO  - PLoS One. 2017 Apr 18;12(4):e0175913. doi: 10.1371/journal.pone.0175913.
      eCollection 2017.

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