Practice of orthokeratology by a group of contact lens practitioners in Hong Kong. Part 2: orthokeratology lenses.
OBJECTIVE
The aim of the study was to provide information about the characteristics of three main types of orthokeratology (ortho-k) lenses used in Hong Kong and to report on their performance based on the clinical impressions of a group of ortho-k practitioners.


METHODS
Twelve ortho-k practitioners were interviewed between 1 March and 30 June 2001.


RESULTS
Most ortho-k lenses were ordered from three manufacturers: DreimLens, Fargo and Contex. The median maximum myopia reduction reported for DreimLens, Contex and Fargo lenses were 6.25 D, 6.00 D and 4.50 D respectively. The time to reduce myopia by up to 4.00 D could be up to three weeks for Contex and DreimLens and up to four weeks for Fargo. For reduction of myopia by up to 4.00 D, the treatment usually required only one or two lenses per eye for all three types of lenses. The incidence of lens binding and lens tightening after achieving the optimal reduction was reported to be higher with the DreimLens design. Good centration, less lens binding, relatively lower incidence of complications and lens tightening after achieving the optimal reduction were reported with the Fargo lenses.


CONCLUSIONS
DreimLens tended to be more effective for myopia reduction. However, some practitioners were concerned with the aggressiveness of myopia reduction using this lens design and the higher potential for ocular complications. Selection of the lens design is dependent on various factors, in particular, practitioners need to be comfortable with the design they choose and to consider the needs of their patients and the final goal of the treatment.
Cho
Pauline
P
Centre for Myopia Research, Area of Strategic Development, Department of Optometry and Radiography, The Hong Kong Polytechnic University, Kowloon, Hong Kong, SAR, China.
Cheung
Sin Wan
SW
Edwards
Marion H
MH
D003261:Contact Lenses; D019538:Health Care Surveys; D006723:Hong Kong; D006801:Humans; D009216:Myopia / Q000628:therapy*; D009907:Optometry / Q000639:trends*; D011364:Professional Practice / Q000639:trends*; D017755:Prosthesis Fitting