The Current State of Corneal Reshaping

Abstract

Finally, it is recommended that ongoing education be provided to practitioners and staff regarding safety, informed consent, and prevention of potential problems, with special emphasis on the critical need to properly and thoroughly disinfect lenses that will be worn overnight.

Long-term Clinical Outcomes for Overnight Corneal Reshaping in Children and Adults

“…Case reports of adverse events with OCR have been published [23][24][25][26][27][28][29][30] in the last few years. In this study, none of the adverse events resulted in a loss of best-corrected acuity.…”

“…Retrospective analyses such as this have been recommended by concerned groups of eye care professionals and regulators. 24,31,32 It is not known at this time whether the risk of adverse events with OCR is different with children versus adults. 24,31 As the process of contact lens corneal reshaping becomes more widely used, information on efficacy and safety is critical for doctors, patients, and parents to assess individual patient characteristics that influence potential success and risks before commencing treatment.…”

Differences Between Overnight and Long-term Wear of Orthokeratology Contact Lenses in Corneal Contour, Thickness, and Cell Density

“…1,2 Corneal contact lenses are an additive element to the refractive system of the eye and act to adjust the refractive state of the eye. OK lenses, on the other hand, do not function as part of the refractive system of the eye.…”

Corneal reshaping: is it a good alternative to refractive surgery?

“…The case reports do not establish the incidence of microbial infections related to corneal reshaping contact lens wear. Risk of severe complications with corneal reshaping contact lenses is present but may be no different than with other overnight wear contact lens modalities [32]. The FDA approved Paragon CRT 4 years ago and is watching the practice of corneal reshaping carefully while evaluating whether a postmarket surveillance study is appropriate.…”