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Ophthalmic Technology Assessment

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Safety of Overnight Orthokeratology for Myopia

A Report by the American Academy of Ophthalmology

Ophthalmic Technology Assessment Committee Cornea and Anterior Segment Disorders Panel: Woodford S. Van Meter, MD; David C. Musch, PhD, MPH; Deborah S. Jacobs, MD; Stephen C. Kaufman, MD, PhD; William J. Reinhart, MD; Ira J. Udell, MD

Published in Ophthalmology, December 2008, Vol 115, 2301-2313
  • Overnight orthokeratology is associated with vision-threatening infections
    • Acanthamoeba keratitis
    • Gram-negative bacteria keratitis
  • Prevalence and incidence are unknown
  • Risk factors for complications are undetermined
  • Large, well-designed cohort or randomized controlled studies are needed
    • To provide a more reliable measure of the risks of treatment
    • To identify risk factors for complications
  • Discuss the history of contact lenses and orthokeratology

 

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