The effect of treatment zone diameter in hyperopic orthokeratology.
OBJECTIVE
To investigate the time course of treatment zone (TZ) diameter changes in hyperopic orthokeratology (OK) lens wear from 1 h in the open eye through to seven nights in the closed eye.


METHODS
Twelve subjects were fitted with rigid hyperopic OK lenses. Lenses were worn in the open eye for 1 h then one night in the closed eye, separated by a washout period of 4 days. Changes in best corrected visual acuity (BCVA) and corneal topography (Medmont E-300) were measured on lens removal. The TZ, comprising the central steepened zone (CSZ) and surrounding annular flattened zone (AFZ), was measured from corneal topography. Subsequently, ten subjects wore the same lens design overnight for seven nights, and measurements were taken on lens removal and 8 h later on Days 1 and 7.


RESULTS
Both CSZ and AFZ were apparent after 1 h of hyperopic OK lens wear. CSZ decreased while AFZ increased with longer periods of lens wear. BCVA reduced with longer periods of lens wear and was associated with decreasing CSZ (r = -0.866, p < 0.001) and increasing AFZ (r = 0.447, p < 0.05).


CONCLUSIONS
The association of changes of treatment zone size with reductions in BCVA suggests that increasing CSZ may lead to better visual outcomes in hyperopic OK.
Gifford
Paul
P
School of Optometry and Vision Science, University of New South Wales, Sydney, NSW 2052, Australia. pjagifford@unsw.edu.au
Swarbrick
Helen A
HA
D000328:Adult; D016001:Confidence Intervals; D003261:Contact Lenses / Q000009:adverse effects; D019781:Corneal Topography; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000503:physiopathology* / Q000628:therapy; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*; D055815:Young Adult