Dry Eye Disease and Orthokeratology in Children

Both DED and ortho-k affect not only children's vision but also their overall quality of life

By: Roxanne Achong-Coan, OD

Contact Lens Spectrum April 2, 2025

Clinical Report: Dry Eye Disease and Orthokeratology in Children

Overview

This report examines the interplay between dry eye disease (DED) and orthokeratology (ortho-k) in children, highlighting the rising incidence of DED and its implications for ortho-k lens wear. The findings underscore the necessity for careful management of both conditions to enhance pediatric ocular health and quality of life.

Background

Dry eye disease (DED) is increasingly recognized in children, often exacerbated by factors such as increased screen time. Orthokeratology (ortho-k) is a non-surgical method to correct refractive errors in children, but it may also impact tear film stability. Understanding the relationship between DED and ortho-k is crucial for optimizing pediatric eye care and ensuring the well-being of young patients.

Data Highlights

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Key Findings

DED is characterized by a deficiency in tear quantity or quality, leading to ocular discomfort.
Increased screen time and environmental factors contribute to the rising incidence of DED in children.
Ortho-k lenses reshape the cornea to correct myopia, but their use can affect tear film and ocular surface health.
Regular follow-up with eyecare professionals is essential to monitor ocular health in children using ortho-k.
Managing DED in children involves lifestyle modifications and medical interventions, including proper lens care.

Clinical Implications

Healthcare professionals should be vigilant in monitoring children for symptoms of DED, especially those undergoing ortho-k treatment. A comprehensive approach that includes education on lens care and regular assessments can help mitigate the impact of DED on children's quality of life.

Conclusion

The relationship between dry eye disease and orthokeratology in children necessitates a tailored approach to pediatric eye care. By addressing both conditions, practitioners can enhance visual outcomes and overall ocular health in young patients.

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