{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T05:24:35Z","timestamp":1783229075914,"version":"3.54.6"},"reference-count":20,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,9,24]],"date-time":"2022-09-24T00:00:00Z","timestamp":1663977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This retrospective study investigated the toricity of dual-axis corneal refractive therapy (CRT) orthokeratology lenses and corneal parameters, including flat keratometry (FK), flat eccentricity (e), steep e, corneal astigmatism, and the difference in elevation at 8 mm chord length. We analyzed the right eyes of 143 adolescent patients who underwent ocular examinations, subjective refraction, and corneal topography before CRT lens fitting by trial lens evaluation. After orthokeratology treatment, all patients underwent a topography map with an intact plus power ring and decentration of &lt;1 mm. The mean patient age was 10.7 \u00b1 2.2 years old; 33% were male. The lens toricity range was 25\u2013100 \u00b5m. Multiple linear regression analysis showed significant associations between CRT lens toricity and corneal astigmatism (\u03b2 = 10.913, t = 3.012, p = 0.003) and the difference in elevation at 8 mm chord length (\u03b2 = 0.681, t = 4.049, p &lt; 0.001); no association was found between CRT lens toricity and FK, flat e, or steep e (all p &gt; 0.05). Corneal astigmatism was positively associated with difference in elevation at 8 mm chord length (r = 0.743, p &lt; 0.001, Pearson\u2019s correlation), and corneal astigmatism and the difference in elevation at 8 mm chord length were positively associated with CRT lens toricity (r = 0.657 and r = 0.643, respectively; both p &lt; 0.01, Spearman\u2019s correlation). These results suggest that difference in elevation at 8 mm chord length can be used to conveniently estimate CRT lens toricity in clinical practice, using the equation Y (CRT lens toricity) = 1.02X (difference in elevation at 8 mm chord length) + 20.3.<\/jats:p>","DOI":"10.3390\/jcm11195635","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T01:41:58Z","timestamp":1664156518000},"page":"5635","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["To Achieve a Bullseye: Factors Related to Corneal Refractive Therapy Orthokeratology Lens Toricity"],"prefix":"10.3390","volume":"11","author":[{"given":"Changfei","family":"Li","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, 758 Hefei Road, Qingdao 266035, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Science, Eye and ENT Hospital, Fudan University, Shanghai 200031, China"},{"name":"NHC Key Laboratory of Myopia, Fudan University, Shanghai 200031, China"},{"name":"Shanghai Research Center of Ophthalmology and Optometry, Shanghai 200031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaqi","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Science, Eye and ENT Hospital, Fudan University, Shanghai 200031, China"},{"name":"NHC Key Laboratory of Myopia, Fudan University, Shanghai 200031, China"},{"name":"Shanghai Research Center of Ophthalmology and Optometry, Shanghai 200031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bingjie","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Optometry and Vision Science, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Science, Eye and ENT Hospital, Fudan University, Shanghai 200031, China"},{"name":"NHC Key Laboratory of Myopia, Fudan University, Shanghai 200031, China"},{"name":"Shanghai Research Center of Ophthalmology and Optometry, Shanghai 200031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"4880","DOI":"10.1167\/iovs.18-24471","article-title":"Distribution and Severity of Myopic Maculopathy Among Highly Myopic Eyes","volume":"59","author":"Xiao","year":"2018","journal-title":"Investig. 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