Short-term effects of overnight orthokeratology on corneal epithelial permeability and biomechanical properties.

作者: Thao N. Yeh , Harry M. Green , Yixiu Zhou , Julie Pitts , Britney Kitamata-Wong

DOI: 10.1167/IOVS.13-11874

关键词:

摘要: Author(s): Yeh, Thao N; Green, Harry M; Zhou, Yixiu; Pitts, Julie; Kitamata-Wong, Britney; Lee, Sophia; Wang, Shiyin L; Lin, Meng C | Abstract: To investigate the effects of 30 nights overnight orthokeratology (OOK) on corneal epithelial permeability (Pdc) and biomechanical properties.BE Retainer Paragon CRT lenses were used. Visits scheduled approximately 4 hours after awakening at baseline 1, 5, 10, 14, days treatment. Pdc was measured day 30, whereas properties visual acuities (VAs) all visits.Thirty-nine neophytes soft contact lens wearers completed study. There no difference in between (ln[Pdc] [95% confidence interval (CI)] = -2.65 [-2.80 to -2.50]) (ln[Pdc][CI] -2.68 [-2.85 (P 0.88). Corneal hysteresis (CH) resistance factor (CRF) reduced significantly from (CH [CI] 10.89 [10.59-11.19] mm Hg CRF 10.35 [9.99-10.72] Hg) 10.59 [10.31-10.87] 9.58 [9.26-9.89] 0.001 for CH P l CRF). Posttreatment VA did not reach targets, worse with low-contrast letters. Asian individuals (n 18) had than non-Asian 21) under most conditions through extended 14 letters mesopic conditions. The percentage participants who achieved 20/20 uncorrected 17% 40% 1 reached 69% 83% 30.Thirty OOK alter when awakening. caused decrease, but changes clinically significant compared diseased postsurgical cases. individuals, lower this study, responded slower based early overrefraction measurements.

参考文章(68)
Marcelo V Netto, Renato Ambrósio, Tueng T Shen, Steven E Wilson, Wavefront analysis in normal refractive surgery candidates. Journal of Refractive Surgery. ,vol. 21, pp. 332- 338 ,(2005) , 10.3928/1081-597X-20050701-06
N A McNamara, K A Polse, R J Brand, S P Srinivas, R E Fusaro, Measurement of corneal epithelial permeability to fluorescein. A repeatability study. Investigative Ophthalmology & Visual Science. ,vol. 38, pp. 1830- 1839 ,(1997)
Mujtaba A. Qazi, Jeff P. Sanderson, Ashraf M. Mahmoud, Eric Y. Yoon, Cynthia J. Roberts, Jay S. Pepose, Postoperative changes in intraocular pressure and corneal biomechanical metrics Laser in situ keratomileusis versus laser-assisted subepithelial keratectomy. Journal of Cataract and Refractive Surgery. ,vol. 35, pp. 1774- 1788 ,(2009) , 10.1016/J.JCRS.2009.05.041
A Joshi, J R Paugh, D Maurice, A New Method for Determining Corneal Epithelial Barrier to Fluorescein in Humans Investigative Ophthalmology & Visual Science. ,vol. 37, pp. 1008- 1016 ,(1996)
Nancy A McNamara, Kenneth A Polse, Shelly A Fukunaga, Jeff S Maebori, Roxanne M Suzuki, Soft lens extended wear affects epithelial barrier function. Ophthalmology. ,vol. 105, pp. 2330- 2335 ,(1998) , 10.1016/S0161-6420(98)91237-4
X. Zheng, F. Bian, D.-Q. Li, S. Pflugfelder, E. Chuang, Effects of Contact Lens Multipurpose Solutions on Human Corneal Epithelial Survival and Barrier Function Investigative Ophthalmology & Visual Science. ,vol. 49, pp. 4860- 4860 ,(2008)
Rui Hua Wei, Wing Kwong Chan, Donald T H Tan, Higher order ocular aberrations in eyes with myopia in a Chinese population. Journal of Refractive Surgery. ,vol. 22, pp. 695- 702 ,(2006) , 10.3928/1081-597X-20060901-11
Bruno Machado Fontes, Renato Ambrósio Jr, Guillermo Coca Velarde, Walton Nosé, Corneal biomechanical evaluation in healthy thin corneas compared with matched keratoconus cases. Arquivos Brasileiros De Oftalmologia. ,vol. 74, pp. 13- 16 ,(2011) , 10.1590/S0004-27492011000100003
Kathleen Watt, Helen A. Swarbrick, Microbial keratitis in overnight orthokeratology: review of the first 50 cases. Eye & Contact Lens-science and Clinical Practice. ,vol. 31, pp. 201- 208 ,(2005) , 10.1097/01.ICL.0000179705.23313.7E
Victoria W.Y. Wong, Stanley C.C. Chi, Dennis S.C. Lam, Good visual outcome after prompt treatment of acanthamoeba keratitis associated with overnight orthokeratology lens wear. Eye & Contact Lens-science and Clinical Practice. ,vol. 33, pp. 329- 331 ,(2007) , 10.1097/ICL.0B013E318030D5CF