Effects of wearing long-term Ortho-K contact lens on corneal thickness and corneal endothelium

Abstract

The current study evaluated the response of the cornea to more than 3 years of Ortho-K CL wearing by investigating the changes of corneal thickness and corneal endothelium. One hundred and thirty-two subjects were fitted with Ortho-K CL (Dk 100), which were worn overnight or daily for more than 3 years. Central and para-peripheral corneal thickness and corneal endothelium were measured before and during this period by using A scan pachymeter and non contact specular microscope. There were no significant changes in corneal thickness (P < 0.05) and corneal endothelial polymegathism and pleomorphism could not be found after long-term wearing of Ortho-K CL (overnight or daily wear). This study shows that high Dk Ortho-K CL used for scientific reshaping treatment only induces mild corneal response. Therefore, the Ortho-K CL can be worn safely for long-term control of myopia.