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16 protocols using nt 2000

1

Comprehensive Ophthalmological Examination Protocol

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For each participant, a comprehensive ophthalmological work-up was performed including anterior segment Scheimpflug imaging (Pentacam HR, Oculus, Wetzlar, Germany) under mesopic light conditions and analysis of iris position. In addition, objective refraction (Humphrey Automated Refractor/Keratometer (HARK) 599, Carl Zeiss Meditec AG, Jena, Germany), and biometry (Lenstar LS900, Haag-Streit Diagnostics, Koeniz, Switzerland) were performed. One scan was performed per eye with each of these devices always starting with the right eye. Noncontact tonometry (Nidek NT-2000, Nidek Co., Japan) was carried out also starting with the right eye. The mean of three measurements within a 3 mmHg range was obtained for each eye. Examinations were performed by experienced study nurses in accordance with standardized operation procedures. More details of the ophthalmological study design were described by Hohn et al. [13 (link)].
Age was calculated as the difference between date of birth and date of examination. Date of birth, sex, and smoking habits were surveyed in a computer-assisted personal interview. Body height and body weight measures were performed with calibrated digital scales (Seca 862, Seca, Hamburg, Germany) and a measuring stick (Seca 220, Seca, Hamburg, Germany).
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2

Ophthalmic Examination Protocol for Research

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The ophthalmic part was described in detail by Höhn et al. [16 (link)]. In brief, the ophthalmic examinations included objective refraction and distance-corrected visual acuity (DCVA) (Humphrey Automated Refractor / Keratometer [HARK] 599; Carl Zeiss Meditec AG, Jena, Germany) and intraocular pressure (IOP) (Nidek NT-2000; Nidek, Co., Gamagori, Japan).
Self-reported eye diseases and history of any form of glaucoma surgery were assessed by questions during the eye examination. Participants were asked if they suffer from glaucoma, cataract, macular degeneration, corneal diseases or diabetic retinopathy. Additionally, participants were asked if they used any eye drops. Antiglaucoma eye drops were classified using the Anatomic Therapeutic Chemical (ATC) code, including following substance groups: Sympathomimetics (S01EA), Parasympathomimetics (S01 EB), Carbonic anhydrase inhibitors (S01EC), Beta-blockers (S01ED), Prostaglandins (S01EE).
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3

Detailed Ophthalmic Examination Protocol

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The ophthalmic examination has been described in detail by Höhn et al. [21 (link)]. Refraction and distance-corrected visual acuity were measured using a Humphrey Automated Refractor/Keratometer (HARK) 599 (Carl Zeiss AG, Jena, Germany) in both eyes, beginning with the right eye. Best-corrected visual acuity was measured using built-in Snellen charts ranging from 20/400 to 40/20 (decimal 0.05 to 2.0). Below that visual acuity, we used a visual acuity chart at a distance of one meter up to 20/800, and then counting fingers, hand movements, and testing of light perception. The spherical equivalent was calculated as the spherical correction value plus half the cylindrical power. Intraocular pressure was measured with an air-puff noncontact tonometer (Nidek NT-2000; Nidek, Co., Gamagori, Japan), again beginning with the right eye. The mean of three measurements within a 3-mmHg range was obtained for each eye. History of eye disease was assessed in a short interview preceding the eye examination.
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4

Comprehensive Ophthalmological Examination

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The detailed ophthalmologic examination included testing of distant corrected visual acuity (DCVA) with ARK-1s (NIDEK; Oculus, Wetzlar, Germany) and the measurement of central corneal thickness, corneal radius, anterior chamber depths, posterior segment length, and axial length with LenStar (Lenstar LS900; Haag-Streit, Bern, Switzerland). Additionally, the intraocular pressure was measured with a non-contact tonometer (NT 2000; Nidek Co., Japan). According to medical literature, the visual acuity was converted from decimal to logMAR.29 (link)
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5

Comprehensive Ophthalmic Examination Protocol

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The ophthalmic examination of the GHS was described earlier.28 In brief, ocular examination consisted of testing distant corrected visual acuity and objective refraction (Humphrey® Automated refractor/Keratometer (HARK) 599™). Distant corrected visual acuity was measured using the built-in Snellen charts, ranging from 20/400 to 40/20 (decimal 0.05 to 2.0). Intraocular pressure was measured with a noncontact tonometer (NT 2000™, Nidek Co./Japan). Imaging of the macula and optic nerve head was conducted with a non-mydriatic fundus camera.28 Scheimpflug imaging (Pentacam™, Oculus, Wetzlar, Germany) and optical biometry (Lenstar LS900, Haag-Streit, Bern, Switzerland) was performed.28 The spherical equivalent was calculated by adding the spherical correction value to half the cylinder value.
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6

Comprehensive Ophthalmological Examination Protocol

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A comprehensive ophthalmologic examination was conducted consisting of testing visual acuity and refraction (ARK-1s, NIDEK, Oculus, Wetzlar, Germany) and intraocular pressure measurement with a non-contact tonometer (NT 2000™, Nidek Co., Tokyo, Japan). Scheimpflug imaging was performed using a Pentacam™ instrument (Oculus, Wetzlar, Germany) and biometry measurement with a Lenstar LS900 (Haag-Streit, Bern, Switzerland).
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7

Comprehensive Ophthalmological Examination Protocol

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Briefly, ophthalmological examination included the measurement of visual acuity and refraction with a Humphrey Automated refractor/Keratometer (HARK) 599, intraocular pressure measurement with a noncontact tonometer, (NT 2000, Nidek Co./Japan), biometry (Lenstar LS900, Haag-Streit, Bern, Switzerland), non-mydriatic fundus photography, and imaging of the macula via SD-OCT (Spectralis-OCT; Heidelberg Engineering, Heidelberg, Germany).34 (link)
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8

Measurement of Intraocular Pressure and Lens Status

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IOP was measured with a noncontact tonometry and automatic air-puff control (NT 2000; Nidek, Inc., San Jose, CA, USA), the mean of three measurements within a 3 mm Hg range was obtained for each eye. The date and time of the measurement was recorded. IOP measurements were mainly performed between 11:00 and 18:00 hours. First, the right eye was measured three times followed by the left eye. If there was a difference of more than 3 mm Hg between the three measurements, the measurement was immediately repeated. For further calculations, the mean IOP value of the right and left eye was used. Further information on the lens status were determined with slit-lamp examination at baseline examination22 (link) and Scheimpflug imaging at follow-up examination.23 (link) Pachymetry was measured with Pachycam (Oculus, Wetzlar, Germany) at baseline and Pentacam HR (Oculus) at follow-up examination. Glaucoma status was determined on optic disc photographs and using frequency doubling technology perimetry according to a modified definition of the Glaucoma classification according to International Society of Geographical and Epidemiological Ophthalmology (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1771026/).24 (link)
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9

Orthokeratology Lens Fitting and Corneal Topography

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The orthokeratology lenses used in this study were four-zoned reverse-geometry lenses (Euclid Systems Corporation, USA). These lenses range in diameter from 10.2 mm to 11.2 mm and have a central thickness ranging from 0.22 mm to 0.23 mm. Each subject underwent a comprehensive baseline eye examination, including slit-lamp examination, refraction, uncorrected visual acuity, best-corrected visual acuity, AL (ZEISS IOLMaster; Carl Zeiss AG, Oberkochen, Germany), corneal topography (E-300; Medmont International Pty. Ltd.), corneal endothelium microscopy, and intraocular pressure (NT-2000; NIDEK CO., LTD., Gamagori, Japan).
All children were treated by doctors who had worked in the field of orthokeratology treatment at the eye hospital for more than 10 years. Corneal topography was measured with a Medmont E300 (Medmont International Pty. Ltd.); measurement was performed by a specialized technician within one hour of removal of the orthokeratology lenses. The topographic images used for analysis were each subject's best focus image (with an accuracy greater than 95%) from the four frames that were captured automatically. Based on each subject's corneal topography and the fitting evaluation based on corneal fluorescein pattern analysis, the doctor ordered lenses for the subject that were the most suitable based on their corneal parameters, according to the manufacturer's guidelines.
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10

Intraocular Pressure Measurement Protocol

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Intraocular pressure was measured with a noncontact tonometer and automatic air-puff control (Nidek NT-2000; Nidek, Co., Gamagori, Japan). Always starting with the right eye, the mean of three measurements within a 3-mmHg range was obtained for each eye.
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