Clinical Report: Orthokeratology Lens Design for Myopia Control vs Correction

Overview

This report evaluates the case of a 9-year-old patient, Marika, whose myopia progressed after switching from anti-myopia spectacles to orthokeratology (OK) lenses. The findings highlight the importance of individualized myopia management strategies and the potential impact of lens design on myopia progression.

Background

Myopia is a growing concern in pediatric ophthalmology, with increasing prevalence and associated risks of high myopia in adulthood. Effective management strategies are crucial to slow progression and mitigate long-term complications. Orthokeratology lenses have emerged as a potential intervention, but their efficacy can vary based on design and patient compliance.

Data Highlights

Key Findings

• Marika's myopia progressed after switching to OK lenses despite previous stabilization with spectacles.
• Compliance with anti-myopia spectacles was crucial for controlling myopia progression.
• Time spent outdoors is a protective factor against myopia onset but does not significantly slow progression.
• Lens design and centration are critical factors influencing the efficacy of OK lenses.
• Topography assessment is essential to evaluate lens positioning and its impact on corneal profile.

Clinical Implications

Clinicians should consider individualized management plans for myopic children, taking into account factors such as lens design, compliance, and lifestyle. Regular monitoring of axial length and refractive error is essential to assess treatment efficacy and make necessary adjustments.

Conclusion

The case of Marika underscores the complexity of myopia management and the need for careful consideration of optical interventions. Ongoing evaluation and adaptation of treatment strategies are vital to achieving optimal outcomes in pediatric myopia control.

References

1. WSPOS, Myopia Consensus Statement 2025 -- Myopia Management Guidelines
2. Therapeutic efficacy of orthokeratology lenses with different back optic zone diameters -- ScienceDirect
3. Incidence of microbial keratitis associated with overnight orthokeratology -- PubMed
4. Ophthalmology Management — Notes From a D.O. Ophthalmologist
5. BMC Psychiatry (Springer) — Diverse Perspectives on Similar Behaviors: Variations in Direct Reciprocity Among Children with Autism Spectrum Disorder and Typically Developing Peers
6. Ophthalmology Management — Ophthalmic Generics: The Same but Different?
7. Contact Lens Spectrum — A Practical Guide to the Interpretation of Corneal Topography
8. A Practical Guide to the Interpretation of Corneal Topography
9. Myopia Consensus Statement 2025 – WSPOS
10. Therapeutic efficacy of orthokeratology lenses with different back optic zone diameters in myopia control: A systematic review and meta-analysis - ScienceDirect
11. Incidence of microbial keratitis associated with overnight orthokeratology: a multicenter collaborative study - PubMed