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Optical changes and axial elongation in children wearing orthokeratology lenses of smaller back optic zone diameter: a systematic review and meta-analysis.

PeerJ · 2026 · PMC12988729 · PMID 41836172

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an increasing trendno p-value reported
(2023b) demonstrated that reducing the BOZD not only led to greater changes in HOAs and coma but also exhibited an increasing trend in the alteration of SA.

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