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Evaluation of the Effectiveness of Orthokeratological Lenses in Patients with Myopia

Abstract

Myopia (Nearsightedness) is one of the most common refractive errors, particularly among children and adolescents.

Objective. To investigate the effectiveness of orthokeratology lenses in patients with myopia and their impact on the precorneal tear film.

Material and methods. The study on the effectiveness of orthokeratology lenses was conducted on 32 patients with mild to moderate myopia.

Results and discussions. An evaluation of visual acuity after the first night of wearing orthokeratology lenses (OK-lenses) showed an average score of 0.65±0.2. After onemonth, visual acuity increased to 0.96±0.095, and after six months, it slightly decreased to 0.925±0.088. The reserve of relative accommodation (RRA) before correction was 2.6±1.4 diopters; after one month of wearing OK-lenses, the average RRA was 3.82±1.22 diopters, and after six months, it rose to 6.42±0.23 diopters. In the early stages, a reduction in Schirmer's and Norn's test values was observed. However, after six months, the indicators for all parameters increased, which may be attributed to adaptive changes on the corneal surface in response to wearing orthokeratology lenses.

Conclusions.The use of orthokeratology lenses (OK-lenses) demonstrates high effectiveness in correcting myopia and slowing its progression, particularly in children and adolescents.

About the Authors

K. I. Narzikulova
Ташкентская медицинская академия
Uzbekistan


E. M. Mirkomilov
Ташкентская медицинская академия
Uzbekistan


F. K. Khabibullaeva
Ташкентская медицинская академия
Uzbekistan


U. M. Abduraxmanova
Офтальмологическая клиника «VEDANTA»
Russian Federation


References

1. Holden, B.A. [et al.] Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016. URL: https://www.aaojournal.org/article/S0161-6420(16)00025-7/fulltext.

2. Cheng K.H. [et al.] Incidence of contact-lens-associated microbial keratitis. The Lancet. 2009. URL: https://doi.org/10.1016/s0140-6736(98)09385-4.

3. Cho P. [et al.] Longitudinal Orthokeratology Research in Children (LORIC). Optometry and Vision Science. 2015. URL: https://doi.org/10.1080/02713680590907256.

4. Maksudova, Z.R., Abdulkhaeva Sh.U. Ortokeratologicheskaya korrektsiya – sovremennyi sposob stabilizatsii progressiruyushchei miopii u detei i podrostkov v Uzbekistane. Klinicheskie sluchai (Orthokeratological correction is a modern way to stabilize progressive myopia in children and adolescents in Uzbekistan. Clinical cases). Vestnik TMA. 2022; 6: 54-57. (In Russ)


Review

For citations:


Narzikulova K.I., Mirkomilov E.M., Khabibullaeva F.K., Abduraxmanova U.M. Evaluation of the Effectiveness of Orthokeratological Lenses in Patients with Myopia. Bashkortostan Medical Journal. 2025;20(2):32-34. (In Russ.)

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ISSN 1999-6209 (Print)