The First Survey Report on the Current Trends in Prescription of Orthokeratologic Lenses in Korea

Shin Hae Park; Kyoung Sun Na; Hyoung Gu Kwon; Hyun Soo Lee; Choun-Ki Joo

doi:10.3341/jkos.2009.50.4.505

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Park, Na, Kwon, Lee, and Joo: The First Survey Report on the Current Trends in Prescription of Orthokeratologic Lenses in Korea

Original Article

J Korean Ophthalmol Soc 2009;50(4):505-509.

Published online: 7 September 2009

DOI: https://doi.org/10.3341/jkos.2009.50.4.505

The First Survey Report on the Current Trends in Prescription of Orthokeratologic Lenses in Korea

Shin Hae Park, MD¹, Kyoung Sun Na, MD¹, Hyoung Gu Kwon, MD¹, Hyun Soo Lee, MD¹, Choun-Ki Joo, MD^1,²

¹Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

²Korean Eye Tissue and Gene Bank Related to Blindness, Seoul, Korea

Address reprint requests to Choun-Ki Joo, MD, PhD, Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea #505 Banpo-dong, Seocho-gu, Seoul 137-040, Korea Tel: 82-2-2258-7620, Fax: 82-2-533-3801, E-mail: ckjoo@catholic.ac.kr

Received 28 May 2008 Accepted 9 December 2008

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To investigate the current trends in the prescription of orthokeratologic lenses in Korea.

Methods

We sent out an online survey to the members of the Korean ophthalmological Society in December 2007 and March 2008. We received responses from 139 ophthalmologists and analyzed the results of each question.

Results

Easy fitting (34.5%) was selected as a major factor in the selection of orthokeratologic lenses. Children between the ages of 10 and 15 years with myopia less than 5 diopter, astigmatism less than 1.5 diopter, and 42 to 45-diopter keratometric value were preferred by most respondents. Decentration (n=74, 59%), corneal erosion (n=35, 25.2%), undercorrection (n=18, 12.9%), and allergy (n=11, 7.9%) were the most frequently encountered problems. 54.7% (n=76) of respondents needed to be fitted twice for trial lenses. The time required for the lens prescription in one patient was more than 30 minutes in 83.5% (n=116) of respondents. 59.7% of the respondents agreed that the lenses had an inhibitory potential on myopic progression, and 81.3% of the respondents said that orthokeratology could substitute for refractive surgery.

Conclusions

There is a possibility of future growth in the use of orthokeratology. It is necessary to provide guidelines and teaching programs for the safe and effective fitting of orthokeratologic lenses.

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Keywords: Myopia, Orthokeratologic lens, Survey

References

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Figure 1.

Distribution of numbers of orthokeratologic lens-prescribed all cases by responders.

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Figure 2.

A, B. Maximum power of myopia and astigmatism for which the responders prescribe orthokeratologic lenses effectively and safely. C. Distribution of the mainly preferred keratometric value.

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Figure 3.

The frequently encountered problems after prescribing the orthokeratologic lenses.

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Figure 4.

Responder's opinions on the inhibitory effect on the myopic progression and possibility of substitution for refractive surgery of orthokeratologic lenses.

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