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Orthokeratology: Hard Contact Lenses for Myopia Control

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Orthokeratology, also known as Ortho K, is an innovative process that offers a unique approach to improving vision and controlling the progression of nearsightedness. By utilizing specialized hard contact lenses worn exclusively at night, Ortho K provides clear vision without the need for glasses during the day. This technique is particularly popular among individuals who desire freedom from glasses or daily contact lens wear, including young children who may not be ready for the responsibility of maintaining contact lenses themselves. In addition to its vision correction benefits, Ortho K offers the advantage of potentially slowing down the progression of myopia, which can help prevent future complications associated with high levels of nearsightedness, such as retinal detachments, glaucoma, or reduced vision.


Understanding Orthokeratology

Orthokeratology is a non-surgical method of vision correction that involves the use of specially designed rigid gas-permeable contact lenses. These lenses are specifically fitted and customized for each patient's unique eye shape and prescription. Instead of being worn during the day, as traditional contact lenses are, Ortho K lenses are worn while sleeping. During this time, the lenses gently reshape the front surface of the eye, known as the cornea, to correct refractive errors and provide improved vision.


The lenses exert a controlled amount of pressure on the cornea, temporarily altering its shape. This reshaping effect results in light being correctly focused on the retina, leading to clearer vision. The effects of Ortho K typically last throughout the day, allowing individuals to enjoy clear vision without the need for glasses or contact lenses until it is time to reinsert the lenses at night.


Benefits of Orthokeratology

Ortho K offers several advantages, making it a popular choice for many individuals, particularly those with active lifestyles or young children. Here are some benefits of Ortho K:


Freedom from Glasses and Daytime Contact Lenses: Ortho K provides clear vision throughout the day without the need for glasses or daytime contact lenses. This is especially beneficial for individuals participating in sports, outdoor activities, or professions where glasses may be impractical or hindering.


Control of Myopia Progression: One significant advantage of Ortho K is its potential to slow down the progression of myopia, or nearsightedness. By gently reshaping the cornea, Ortho K may help control the elongation of the eye, which is a primary contributing factor to the progression of myopia. Slowing down the progression of myopia can help reduce the associated risks of complications such as retinal detachments, glaucoma, and reduced vision later in life.


Suitable for Different Age Groups: Ortho K is a suitable option for individuals of various ages, including young children. It can be particularly beneficial for children who may struggle with the responsibilities of glasses or daytime contact lens wear. Additionally, starting Ortho K at an early age offers the potential for better control of myopia progression.


Reversible Process: Unlike surgery, Ortho K is a non-permanent and reversible process. If an individual decides to discontinue Ortho K for any reason, their cornea will return to its original shape over time.


Reduced Photophobia: Ortho K can also help reduce sensitivity to light, known as photophobia, which is often experienced by individuals with high levels of myopia.


Considerations and Risks

While Ortho K is generally safe and effective, it is important to consider some potential risks and factors before opting for this treatment:


Lens Handling and Maintenance: Ortho K lenses require proper care and maintenance, including routine cleaning and disinfection.


Strict Compliance: To achieve the desired effects of Ortho K, consistent and nightly lens wear is necessary. Deviating from the recommended wear schedule may compromise the effectiveness of the treatment.


Temporary Discomfort: As with any contact lens, individuals may experience some initial discomfort or dryness when starting Ortho K. However, these side effects are typically temporary and resolve with continued use.


Custom Fitting: Each individual's eye shape and prescription require a unique lens fitting process, which may involve multiple visits to an eye care professional.


The Role of an Eye Care Professional

Orthokeratology requires expertise and precision, making it crucial to consult with an experienced eye care professional. Optometrists or ophthalmologists specializing in Ortho K can assess the suitability of this treatment for an individual's specific needs, prescribe the appropriate lenses, and guide them through the process. Regular follow-up visits are essential to monitor the progress of vision correction and assess the overall eye health.



Our eye doctors at Contact Lens Institute of Nevada excel in the treatment and management of scleral lenses, myopia management, orthokeratology (ortho-K) and other custom contact lens solutions. Call our optometrists at 702-747-4070 or schedule an appointment online if you would like to learn more about orthokeratology.  Our eye doctors, Dr. Stephanie Woo and Dr. Jenny Wong provide the highest quality specialty contact lens services in the Las Vegas area.

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