[Skip to Content]
[Skip to Content Landing]

Corneal Wound Associated With Orthokeratology Lenses

To identify the key insights or developments described in this article
1 Credit CME

A 10-year-old girl presented with acute pain and tearing in the left eye after waking up. She was wearing orthokeratology lenses, which she had inserted herself, the night before. She had a history of stinging in her left eye with orthokeratology lens wear. Slitlamp microscopy revealed a crescent-shaped corneal epithelial defect delineated by fluorescein stain and diffuse conjunctival congestion (Figure). The corneal abrasion coincided with the curved edge of the orthokeratology lens. Myopia develops rapidly primarily during childhood, and overnight orthokeratology is a popular choice among East Asian parents for myopia control.1 Safety of orthokeratology lens use cannot be ignored in children at home. The rigid lens material can result in corneal abrasions if the orthokeratology lens–wearing protocols are not strictly followed, especially when parental involvement is absent. Furthermore, bacterial corneal ulcers have been reported related to orthokeratology lens wear.2 The girl was prescribed levofloxacin eye gel and stopped wearing contact lenses. One week later, the corneal wound healed without any complications.

Sign in to take quiz and track your certificates

Buy This Activity

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 Credit(s)™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Yao Ni, MD, PhD, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54S Xianlie Rd, Guangzhou 510060, China (niyao@gzzoc.com).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient’s guardian for granting permission to publish this information.

References
1.
Cho  P , Tan  Q .  Myopia and orthokeratology for myopia control.   Clin Exp Optom. 2019;102(4):364-377. doi:10.1111/cxo.12839PubMedGoogle ScholarCrossref
2.
Liu  YM , Xie  P .  The safety of orthokeratology: a systematic review.   Eye Contact Lens. 2016;42(1):35-42. doi:10.1097/ICL.0000000000000219PubMedGoogle ScholarCrossref
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Close
Close

Lookup An Activity

or

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close