The impact of orthokeratology lens wear on binocular vision and accommodation: A short-term prospective study

Purpose

To investigate the effects of short-term orthokeratology (OK) on accommodation and binocular visual function in young adults.

Methods

Twenty-four myopes (18 to 38 years) were fitted with OK lenses in both eyes. Best corrected distance visual acuity (VA), subjective and objective refractions, corneal topography and a series of binocular vision tests were measured at baseline (BL) before lens wear and then repeated after 28 nights of OK. Data from 15 subjects who demonstrated successful OK lens fit are reported.

Results

Corneal flattening and hyperopic shifts in spherical equivalent refractive error (all p?

Conclusions

Binocular vision remained unchanged after OK, although variability of phoria and stereoacuity measures reduced. This suggests that OK improves or maintains accommodative and binocular vision function in young adult myopes who achieve good vision with OK. Myopes with phorias outside normal ranges and/or poor distance accommodative facility may benefit most with OK, in binocular and accommodative function.