Variation of Orthokeratology Lens Treatment Zone (VOLTZ) Study: A 2‐year randomised clinical trial

Author:

Guo Biyue1ORCID,Cheung Sin Wan1,Kojima Randy2,Cho Pauline1ORCID

Affiliation:

1. Centre for Myopia Research, School of Optometry The Hong Kong Polytechnic University Kowloon, Hong Kong SAR China

2. College of Optometry, Pacific University Forest Grove Oregon USA

Abstract

AbstractPurposeTo compare axial elongation (AE) and treatment zone (TZ) characteristics in children wearing 6 mm or 5 mm back optic zone diameter (BOZD) orthokeratology (ortho‐k) lenses over 2 years.MethodsForty‐five (6 to <11 years of age) myopic (−4.00 to −0.75 D) children of Chinese ethnicity were randomly assigned to use the two different lens designs (23 and 22 wore the 6 and 5 mm lenses, respectively). Data collection was performed at baseline and every 6‐months after commencing lens wear.ResultsAfter 24 months, subjects wearing lenses with a 5 mm BOZD achieved smaller TZ diameter (horizontal: 2.69 ± 0.28 vs. 3.84 ± 0.39 mm; vertical: 2.65 ± 0.22 vs. 3.42 ± 0.34 mm, p < 0.001) and less AE (0.15 ± 0.21 vs. 0.35 ± 0.23, p = 0.005) compared to those using the 6 mm design, with no difference in choroidal thickness (ChT) changes (p = 0.93). A significant increase in ChT, using pooled data analysis, was noted at the 6‐month (11.8 ± 19.77 μm, p < 0.001) and 12‐month (12.0 ± 23.7 μm, p = 0.004) visits, compared to baseline, indicating a transient change in ChT. Significant associations were noted, using linear mixed models, between AE and the TZ diameters (p < 0.003) after adjusting for baseline data. A very weak association was found between ChT changes and AE, with the effect size close to zero.ConclusionsSmaller BOZD ortho‐k lenses resulted in a smaller TZ diameter, which was associated with less AE after 2 years of treatment. The changes in ChT played a very weak role, suggesting that other factors may contribute more to the reduced AE in subjects wearing lenses having a smaller BOZD.

Publisher

Wiley

Subject

Sensory Systems,Optometry,Ophthalmology

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