• Ka Yin Chan, Sin Wan Cheung, and Pauline Cho.
• School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region.
• Cont Lens Anterior Eye. 2012 Aug 1; 35 (4): 180-4.

PurposeTo report the clinical performance of the orthokeratology (ortho-k) lens fitted with computer assisted system after 1-month of lens wear, in a group of children undergoing ortho-k treatment in a 2-year randomized myopic control study.MethodChildren aged 6-11 years old were fitted with the ortho-k lenses using computerized fitting. The initial myopia was 4.00-0.50 D and the initial refractive astigmatism was within 1.25 D. Lens performance, in terms of centration, myopic reduction, vision, ocular health status and lens binding incidence, was evaluated at one night, one week and one month after lens wear. Only data from the right eye was presented.ResultsThe initial spherical equivalent refraction (SER) for the 51 subjects was -2.29 ± 0.81 D. The first fit success rate was 90%. The reduction of SER after one night and one week aftercare visit were 57% and 81%, respectively. At the one month visit, the mean reduction in SER was 89% with unaided logMAR visual acuity of 0.03 ± 0.11. Mild central corneal staining was found in 9-20% of the subjects at the aftercare visits. The incidences of lens binding at one night, one week and one month aftercare visits were 17%, 39% and 30%, respectively.ConclusionsComputer assisted system for Menicon Z Night lens fitting gave a high first fit success rate. Menicon Z Night lens was effective in myopic reduction and provided stable vision after one week of lens wear. Ocular health of the subjects after lens wear was generally unremarkable.Copyright © 2012 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

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