矯 視 隱 形 眼 鏡

tws2010

回復 mummyWai 的帖子

I also decided to let my kid wear spectacles.  Let him decide when he grows older.

tws2010

回復 Christi 的帖子

Many thanks Christi

Aerosol_Ma

回復 tws2010 的帖子

I have asked the same questions "OK lens or atropine" for two 眼科專科醫生 and one 視光師. One 眼科專科醫生 even graduated from UCLA and Caltech!! He told me his daughter is using the OK lens. He told me that using atropine will make the IRIS very very big. Also the rebounce may occur!! The other 眼科專科醫生, on the other hand, not suggested to use OK lens as he told me there is no enough data for the OK lens to control the length of eye ball. I even download scientific papers (I am a professor so quite easy to get this information). I read a few paper published in CUHK and overseas. Then I asked 視光師 the same question. She also explained to me very clearly. She told me the new users will be checked very frequently.

In fact, all the above people told me, BOTH  methods are to CONTROL the RATE of increasing the 近視. When the kids 近視 is stable around the teenage, they NO need to wear the OK lens. So both methods are for those over 400 近視 or above and at early age. IF they don't control, they have higher risk of getting more serious eye problems. That's why we need to control at the early stage, not at their teens. Every control measures has its own risk. If I don't do anything, my kid (now age 7, 300 degree) may end up over 1000 degrees at the age of 10-12. But for those just 150 degree at age 10, I believe it's quite safe even don't do anything.

Hope more people can give fair comments.

In fact initially I want my kid using atropine but I will change to OK lens after so many many research. As I mention, I believe it's a case-by-case decision.

Below website gives fair comments.

http://www.ophthalmologyweb.com/Tech-Spotlights/26435-Orthokeratology-A-Heated-Debate-Continues/

94BABY

Just want to share my kid's case with you.

He had 250 degrees 近視 when he was primary 2, then 350 degrees at primary 3. We were afraid that he would get over 1000 degrees before finishing secondary school. After consulting some friends who have kids using 矯視鏡, we decided to opt for that despite his 眼科專科醫生 advised us not to do that. Luckily, he had never 發炎 but had damaged 2-3 pairs when cleaning and lost a few  pieces when taking them down.

Last year, when he finished F.6, he decided to change back to normal glasses/normal contact lens. One of the main reasons is the 視光師 who took care of him has passed away. The other reason is that we believe the degrees should be quite stable as he was 17 years old then.

We are pleased to learn that his 近視 remained at 350 degrees when checking (after the eye ball was fully released).

Aerosol_Ma

回復 94BABY 的帖子

Thanks for your useful sharing. It's exactly when OK lens should be used and should be stop using.

tws2010

Many thanks Aerosol_Ma and 94Baby for your detailed explanation and sharing.

samsam123321

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samsam123321

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samsam123321

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A-Mum

回復 samsam123321 的帖子

quote: 可以阻止眼球變長嗎？

actually there is a study from Poly U that may answer your question:

http://www.iovs.org/content/53/11/7077.long

Their conclusion:In conclusion, this randomized clinical trial confirmed that ortho-k slowed axial elongation (by 43%) and reduced the percentage                        of fast progressors in younger subjects (from 65% to 20% in subjects ranging in age from 7–8 years). Our results suggested                        that it would be beneficial to commence ortho-k treatment in younger myopic children.                     

# randomized control study
# 2 year follow up
* but a high drop-out rate

again, I have friends doing all the methods, I'm not selling Ortho-K or atropine or whatever.

A-Mum

回復 samsam123321 的帖子

If you need 100% guaranteed cure rate, I'm afraid you have to reject a lot of treatments.
Even antibiotics with proven sensitivities can fail...

I'm only looking for ways that can give me reasonable hope with acceptable side-effects. I'm sure there are people who won't agree with this. I guess it depends on how progressive the myopia is.

samsam123321

Deleted.

A-Mum

回復 samsam123321 的帖子

I agree with you that we need more studies and hopefully improvements in the techniques to make the methods more publicly acceptable. Unfortunately I don't think my kids can wait till then.

A-Mum

回復 Christi 的帖子

quote: 是的.所以我極度不贊成用atropine,也對那位眼科名醫十分失望.


Christi, may I ask why you get disappointed? you are disappointed with the doctor? not the therapy?

samsam123321

Deleted.

94BABY

Hi 小韋寶,

My kid just used very common hard lens cleanser and rinsing solution to clean daily himself since P.3 and I did the protein removal for him about once a month. No special technique.

I strongly recommend parents to let the kids clean the lens themselves. I have a friend who let the maid do the cleansing(and even help taking the the lens out) since day one. As a result, her kid can't join any camping throughout the primary school (until F.3) because he didn't know how to take care the lens himself.

小韋寶

回復 94BABY 的帖子

94baby,
Thanks for your sharing.

lawsonmoon

A-Mum 發表於 13-8-11 22:59
回復 samsam123321 的帖子

quote: 可以阻止眼球變長嗎？

如果有人發明又治標又治本既對付近視方法,佢發咗達了,各大機構會爭相發表研究報告,只有HK的Poly U？Poly U係世界既眼科先駆？權威？唔好玩啦。你知道近視的原因嗎？Give you an example: 有小朋友有長短腳,Dr話要等發育完才做根治比較好,現可穿高鞋在短脚那邊。媽媽接受唔到左右肩有高低,又唔想着高鞋,唔好睇。有人話可弄彎脊骨能令双肩回復平衡,唔駛穿高鞋。咁你覺得弄彎脊骨能矯正到長短腳既,咁你都有權自己選擇既！眼科Dr每次收你幾佰到過千診金,冇乜利益誘因,會傾向對你講事實,我諗十個有九個會叫小朋友唔好用。有Dr自己小朋友用？咁每年都聽到有Dr犯風化案,Dr都係人,有錯有乜出奇。

Rattie

戴眼鏡一定係大部份家長最先嘅選擇。又唔危險又方便。
戴眼鏡維持到個度數嘅唔會大嗱嗱攞五位數字去同小朋友配啲唔知成效又有機會永久性整親隻眼嘅矯視鏡。
阿女嘅度數一年一個 double，配眼鏡時講明半年內要返去驗眼，應該到時又要再配過。
依家戴咗矯視鏡五年，加咗 50度，我收貨，希望戴多兩三年就停轉返普通眼鏡/contact lens。
事實上，阿女都幾多同學/朋友係戴梗，唔知仲以為佢哋冇近視。
我每年同佢配副新鏡，盛惠 ＄4xxx。
又貴又冇保證，值唔值得去冒險，自己決定，啱我女唔一定啱你哋個小朋友架。

Christi

回復 A-Mum 的帖子

A-Mum,

那只是我的個人主觀感覺而已,沒有參考價值. 只是覺得atropine的潛在影響不一定小於矯視鏡,而作為眼科醫生必須用很審慎的態度來建議治療方法而已.

我另有問題之處是 : 除了長期用atropine或會令瞳孔受紫外線影響太大之外,當眼部肌肉經年累月在藥物影響之下而放鬆,到之後不再用藥時,那部份的肌肉能否保持原有的收緊能力?

另外,我又想問問,有無人知道長期戴了矯視鏡,會否影響將來眼睛做lasik的機會?