Effect of conventional and orthokeratological hard contact lenses on anatomical and functional characteristics of the cornea

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PURPOSE

This study evaluated the potential effects of conventional hard contact lenses (HCL) and orthokeratological contact lenses (OKL) on anatomical and functional condition of the cornea in myopia correction.

MATERIAL AND METHODS

The study included 80 patients (159 eyes) with low, moderate and high myopia. Group 1 consisted of 40 patients (79 eyes) who used conventional HCL; group 2 included 40 patients (80 eyes) who used OKL. All patients underwent topographic keratometry, corneal pachymetry mapping (Pentacam, Oculus, Germany; Visante OCT, Carl Zeiss, Germany), high-order aberrometry (OPD Scan, Nidek, Japan), confocal microscopy (Confoscan 4, Nidek, Japan), evaluation of corneal biomechanical properties (ORA, Reichert Technologies, USA) and corneal light scattering (Pentacam, Oculus, Germany). Examinations were taken before the treatment started and after 8—12 months of contact lens wear.

RESULTS

Group 1 showed corneal thickness increase in all zones (by 0.9—1.1%), no significant changes in corneal refraction, and increase in corneal hysteresis and corneal resistance factor. OKL wear led to a significant flattening of anterior surface of the cornea and steepening of its paracentral area, decrease in central corneal thickness (by 2.8%) and increase in mid-peripheral thickness (by 2.2%). No significant changes in posterior corneal surface were observed in the study patients. More significant increase in higher-order aberrations and the degree of light scattering was observed in group 2, while changes in subepithelial nerve plexus and stromal structure were more significant in group 1.

CONCLUSION

Long-term OKL wear shows more significant morphological and functional corneal changes compared to RGP lens.

Keywords:

cornea

myopia

rigid gas permeable lenses

orthokeratology contact lenses

Authors:

Avetisov S.E.

Krasnov Research Institute of Eye Disease;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0001-7115-4275

Musaeva G.M.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Bubnova I.A.

Research Institute of Eye Diseases

Received:

14.02.2022

Accepted:

25.02.2022

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