Establishing and validating a predictive model for long-term control outcomes following orthokeratology lenses wear: a five-year cohort study

Key Points

• Long-term control outcomes for myopia can be predicted using an established model based on ℊ1, ℊ3, and flat E metrics.
• The integrated SHAP analysis identified a critical clinical threshold, Δ3 = 0.05 mm, for monitoring efficacy.
• Utilizing a five-year cohort provided robust and interpretable insights into myopia management strategies.
• The dynamic online nomogram promotes individualized risk estimation, enhancing pediatric intervention approaches.