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August 1997

Filtering Bleb Infection as a Complication of Orthokeratology

Author Affiliations

San Diego, Calif

Arch Ophthalmol. 1997;115(8):1076. doi:10.1001/archopht.1997.01100160246019

Orthokeratology is the practice of fitting progressively flatter, tightfitting, rigid contact lenses to flatten the cornea sufficiently to reduce myopia. Although some eye care practitioners attest to its effectiveness and safety, it is associated with refractive changes that are small, variable, and temporary. Hence, it may only have limited clinical value.1,2 We report a case of a filtering bleb infection in a patient shortly after an orthokeratology program was initiated to treat myopia.

Report of a Case.  A 21-year-old man with juvenile glaucoma was examined because of a 5-day history of right eye pain and redness. Four years earlier, a right trabeculectomy with adjunctive mitomycin therapy had been performed in combination with phacoemulsification and insertion of an intraocular lens implant. Visual acuity was 20/30 OD, and intraocular pressure had been well controlled at his most recent visit, 16 months earlier.At the initial examination, he indicated that he had

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