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The future of corneal refractive reshaping: can we control myopia through the manipulation of peripheral refraction using orthokeratology lenses?

A prospective study to evaluate the effects of different orthokeratology lens designs on peripheral refraction in adult myopes

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000068268
Enrollment
15
Registered
2009-01-27
Start date
2009-07-30
Completion date
2013-01-15
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to determine the lens parameters in orthokeratology lenses that allow manipulation of peripheral refraction in adult myopes. Additionally, relationships between corneal topography and peripheral refraction changes induced by orthokeratology lenses will be investigated.

Interventions

Adult subjects with myopia will wear orthokeratology lenses (BE design; Boston XO2 material) in both eyes on an overnight basis, only worn while asleep, for a 6 week period. Baseline measurements will be obtained from the first two weeks of lens wear. All subjects will then be asked to cease lens wear for the following 2 weeks. All subjects will then be asked to wear different orthokeratology lenses for the subsequent 2 weeks on an overnight basis only while asleep. The lens design worn duri

Adult subjects with myopia will wear orthokeratology lenses (BE design; Boston XO2 material) in both eyes on an overnight basis, only worn while asleep, for a 6 week period. Baseline measurements will be obtained from the first two weeks of lens wear. All subjects will then be asked to cease lens wear for the following 2 weeks. All subjects will then be asked to wear different orthokeratology lenses for the subsequent 2 weeks on an overnight basis only while asleep. The lens design worn during the second period of wear will also be of BE design and made from Boston XO2 material, however the lens parameters will be altered. In one eye, the lens edge lift angle will be reduced to create a tighter peripheral lens fit while the other eye will have the lens optic zone diameter decreased from 6mm to 5mm. The measurements from this second lens wear period will be compared with those obtained from baseline lens wear.

Sponsors

Associate Professor Helen Swarbrick
Lead SponsorIndividual

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

Participants will require to have a myopic refractive error between -0.75 to -4.00D and less than 1.50D with-the-rule astigmatism. Participants must have good general and ocular health, no medications which may influence ocular health and no history of rigid contact lens wear.

Exclusion criteria

Potential subjects will not be enrolled if they show any contraindications for rigid contact lens wear, ocular pathology or active ocular surface disease that would preclude contact lens wear.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026