- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02643342
A 2-year Longitudinal Study on the Structural and Optical Effects of Orthokeratology Treatment on Eye
July 29, 2020 updated by: Pauline Cho, The Hong Kong Polytechnic University
This is a two-year longitudinal study investigating the optical and structural effects of increased compression factor of orthokeratology lens on eyes and the corresponding effect on change in choroidal thickness and therefore myopic control.
Study Overview
Study Type
Interventional
Enrollment (Actual)
99
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Hong Kong, China
- School of Optometry, The Hong Kong Polytechnic University
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
6 years to 10 years (CHILD)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- 6 to 10 years old
- Myopia: between 0.50 D and 4.00 D in both eyes
- Astigmatism: <1.50 D; ≤ 1.25 D for with-the-rule astigmatism (axes 180 ± 30); ≤ 0.50 D for astigmatism of other axes in both eyes
- Anisometropia: ≤ 1.50 D
- Symmetrical corneal topography with corneal toricity <2.00 D in both eyes
- Agree for randomization
Exclusion Criteria:
- Contraindications for orthokeratology wear (e.g. limbus-to-limbus corneal cylinder and dislocated corneal apex)
- Any type of strabismus or amblyopia
- Myopic treatment (e.g. refractive surgery and progressive lens wear for myopic control) before and during the study period
- Rigid contact lenses (including orthokeratology lenses) experience
- Systemic condition which might affect refractive development (for example, Down syndrome, Marfan's syndrome)
- Ocular conditions which might affect the refractive error (for example, cataract, ptosis)
- Poor compliance for lens wear or follow-up
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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NO_INTERVENTION: Single-vision glasses
Subjects wearing single-vision glasses CR-39 of refractive index 1.56.
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SHAM_COMPARATOR: Orthokeratology with normal compression factor
Subjects wearing orthokeratology lenses of normal compression factor about 0.50-0.75D.
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Other Names:
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ACTIVE_COMPARATOR: Orthokeratology with increased compression factor
Subjects wearing orthokeratology lenses of increased compression factor about 1.50-1.75D.
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Axial length
Time Frame: every 6 monthly in 2 years
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axial progression of the eyeball
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every 6 monthly in 2 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Ocular aberration measured by Complete Ophthalmic Analysis System (COAS) aberrometer
Time Frame: every 6 monthly in 2 years
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ocular aberration measured by Complete Ophthalmic Analysis System (COAS) aberrometer
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every 6 monthly in 2 years
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Corneal biomechanics (corneal response using ocular response)
Time Frame: every 6 monthly in 2 years
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corneal response using ocular response
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every 6 monthly in 2 years
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Accommodation lag measured by Complete Ophthalmic Analysis System (COAS) aberrometer
Time Frame: every 6 monthly in 2 years
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accommodation lag measured by Complete Ophthalmic Analysis System (COAS) aberrometer using different accommodation targets
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every 6 monthly in 2 years
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Choroidal thickness captured by Optical Coherent Tomographer (OCT)
Time Frame: every 6 monthly in 2 years
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choroidal thickness captured by Optical Coherent Tomographer (OCT) and measured using a customized software
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every 6 monthly in 2 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Cho P, Cheung SW, Edwards M. The longitudinal orthokeratology research in children (LORIC) in Hong Kong: a pilot study on refractive changes and myopic control. Curr Eye Res. 2005 Jan;30(1):71-80. doi: 10.1080/02713680590907256.
- Lam CS, Lam CH, Cheng SC, Chan LY. Prevalence of myopia among Hong Kong Chinese schoolchildren: changes over two decades. Ophthalmic Physiol Opt. 2012 Jan;32(1):17-24. doi: 10.1111/j.1475-1313.2011.00886.x.
- Cho P, Cheung SW. Retardation of myopia in Orthokeratology (ROMIO) study: a 2-year randomized clinical trial. Invest Ophthalmol Vis Sci. 2012 Oct 11;53(11):7077-85. doi: 10.1167/iovs.12-10565.
- Chen C, Cheung SW, Cho P. Myopia control using toric orthokeratology (TO-SEE study). Invest Ophthalmol Vis Sci. 2013 Oct 3;54(10):6510-7. doi: 10.1167/iovs.13-12527.
- Gonzalez-Meijome JM, Villa-Collar C, Queiros A, Jorge J, Parafita MA. Pilot study on the influence of corneal biomechanical properties over the short term in response to corneal refractive therapy for myopia. Cornea. 2008 May;27(4):421-6. doi: 10.1097/ICO.0b013e318164e49d.
- Wolffsohn JS, Safeen S, Shah S, Laiquzzaman M. Changes of corneal biomechanics with keratoconus. Cornea. 2012 Aug;31(8):849-54. doi: 10.1097/ICO.0b013e318243e42d.
- Tse DY, Lam CS, Guggenheim JA, Lam C, Li KK, Liu Q, To CH. Simultaneous defocus integration during refractive development. Invest Ophthalmol Vis Sci. 2007 Dec;48(12):5352-9. doi: 10.1167/iovs.07-0383.
- Chan B, Cho P, Mountford J. The validity of the Jessen formula in overnight orthokeratology: a retrospective study. Ophthalmic Physiol Opt. 2008 May;28(3):265-8. doi: 10.1111/j.1475-1313.2008.00545.x.
- Wan K, Lau JK, Cheung SW, Cho P. Orthokeratology with increased compression factor (OKIC): study design and preliminary results. BMJ Open Ophthalmol. 2020 May 4;5(1):e000345. doi: 10.1136/bmjophth-2019-000345. eCollection 2020.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
June 18, 2016
Primary Completion (ACTUAL)
August 3, 2019
Study Completion (ACTUAL)
August 3, 2019
Study Registration Dates
First Submitted
December 28, 2015
First Submitted That Met QC Criteria
December 30, 2015
First Posted (ESTIMATE)
December 31, 2015
Study Record Updates
Last Update Posted (ACTUAL)
July 30, 2020
Last Update Submitted That Met QC Criteria
July 29, 2020
Last Verified
February 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HSEARS20150909002
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.