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Twenty-three individuals of the same age and with the same spherical equivalent wearing single-vision spectacles (SVS) were enrolled as controls. After routine eye examinations, corneal biomechanical properties and axial length were measured. Parameters were compared between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Less axial elongation (AE) occurred in the OK group (<jats:italic>P<\/jats:italic>= 0.021). The OK group experienced a statistically significant decrease in the A1 deformation amplitude (<jats:italic>P<\/jats:italic>= 0.02), whole eye movement maximum (<jats:italic>P<\/jats:italic>= 0.026), and Ambr\u00f3sio\u2019s relational thickness to the horizontal profile (ARTh) (<jats:italic>P<\/jats:italic>&lt; 0.001), and a statistically significant increase in the pachyslope (<jats:italic>P<\/jats:italic>&lt; 0.001) and Corvis biomechanical index (<jats:italic>P<\/jats:italic>&lt; 0.001). Smaller ARTh and a larger highest concavity deflection area resulted in a better refractive state. The inhibitory effect of AE was better for older patients with smaller ARTh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Long-term OK treatment slowed myopia progression by reshaping the cornea. Smaller ARTh after OK lens wear indicated a better refractive state and slower AE and could predict OK lens treatment outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12886-022-02480-1","type":"journal-article","created":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T07:02:49Z","timestamp":1654930969000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The relationship between corneal biomechanical parameters and treatment outcomes of orthokeratology lenses"],"prefix":"10.1186","volume":"22","author":[{"given":"Xia","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjiang","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxu","family":"Hong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Yao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,6,11]]},"reference":[{"key":"2480_CR1","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1167\/iovs.03-1051","volume":"45","author":"M He","year":"2004","unstructured":"He M, Zeng J, Liu Y, et al. 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