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Adult Testimonial of Using Multifocal Orthokeratology for Presbyopia

We’re here with EA who’s had her multifocal Ortho K lenses for a number of weeks. Now, a multifocal simply means that we’ve changed her cornea, the front part of the eye, so that she’s able to see a body at a distance and up close. We’re going to be making a slight modification in her left. Oh, she’s a pink, phenomenal sight. And her corneas are beautiful in a right eye. And we’re going to be doing this equally in her left. What I’d like you to do please is put into your own words how has this changed your life?

Before I had the orthok. I’ve worn glasses since I was in fourth grade. I couldn’t see distance at all. So I went, I started wearing contacts in high school, so I would go get you to my glasses and my contacts. I turned 40 last year and when I turned 40, I couldn’t see a plus anymore. So I would have to either wear reading glasses with my contacts, which then it became depended on or out of the were make lists and see them off to be able to read. So having the ortho K where I seek them out in the morning and I could read and see far with nothing has been life-changing because I was going around the house with my glasses, my reading glasses, and my contacts and lose everything and give myself headaches with their reading glasses. So it was not working. So definitely changed my life.

So this kind of has given you a lot of freedom, so you can, you can drive and you can work on your computer or read or do anything that you want to be able to do at both of those distances.

Yeah.

How have you worked this in? How easy was it for you to learn how to insert and remove and clean and disinfect?

It was very easy. They showed me at the office, like took them in and out a couple of times I went home that night and I have my setup at home with my towel on my dining room table with my mirror. And it’s, it’s very, very, very easy to recommend this for other people. Yes. I have actually told people about it because they can’t believe that they’ve never heard about it. Just like myself, where I came in. I never heard about it. I would absolutely recommend

This. Great. Thank you so much for sharing. Is there anything else you’d like to add?

I would just add, cause I have two children and I have genetic, I guess, eye problems in my family. For those with younger children to look into it because for myself, I had gotten Sylvia at risk for a retinal detachment, first of all. So you can get your children to wear them at a younger age. It’ll help stop that.

You’re absolutely right. And we have children as young as six that are in orthok. We’ve got patients that are in their seventies and everywhere in between. And yes, when we find a child that’s early on and starting to become more and more near-sighted ortho K is one of the best ways as a first step in starting to reshape the front part of the eye and to prevent that myopia or that nearsightedness from continuing. We call that myopia management, you can manage it. And, and most of our patients do phenomenally well and they don’t progress. They don’t get worse and yes, we can prevent things like retinal detachment and glaucoma and cataracts and myopic maculopathy. And those are changes that become more prevalent as somebody gets older. So if we can stem this as if it’s kind of like changing the washer instead of having to change the entire philosophy. Right. Great. Thanks so much for sharing.

What Are Overnight Ortho K Contact Lenses

What Are Overnight Ortho-K Contact Lenses?

Ortho-k lenses are customized contact lenses that gently reshape the eye overnight, allowing children and adults to enjoy clear vision the following day—without needing to wear eyeglasses or contact lenses. They’re ideal for people with myopia (nearsightedness), hyperopia (farsightedness), and astigmatism.

Studies have shown that ortho-k lenses can help stop the progression of myopia in children and teenagers, which in turn can help prevent eye diseases in adulthood.

Moreover, ortho-k is a great option for athletes of any age who don’t want to deal with contact lenses or glasses while playing sports. The lenses also allow many adults with age-related farsightedness — a normal part of the ageing process — to forgo reading glasses. The lenses enable professionals like pilots and people in law enforcement to meet their jobs’ unaided vision requirements.

What Is Orthokeratology/Ortho-K?

Orthokeratology (also called ortho-k), is specially fitted and designed gas permeable contact lenses that temporarily and gently reshape the cornea to correct refractive errors like myopia, hyperopia, and astigmatism. By wearing ortho-k lenses every night, anyone can enjoy clear, sharp vision during the day, without relying on eyeglasses or contact lenses.

Research shows that ortho-k lenses not only effectively remove the need to wear glasses or daytime contact lenses; they can also slow and sometimes stop the progression of myopia. That’s important because children with moderate to severe myopia are at risk of developing sight-threatening eye diseases later in life.

This explains why so many optometrists prescribe ortho-k for myopia management.

The Other Names For Ortho-K

Over the years you may have heard different terms and names for orthokeratology. While there are different orthokeratology lens fitting systems and designs, the principles behind them in reshaping the cornea are similar. These names include:

  • Ortho-k
  • Accelerated Ortho-K (AOK)
  • Corneal Refractive Therapy (CRT)
  • Dream Lenses
  • Global Orthokeratology Vision (GOV)
  • Gentle Vision Shaping System (GVSS)
  • Molding Lenses
  • Natural Vision Improvement
  • Night Lenses
  • Overnight Lenses
  • Overnight Corneal Reshaping (OCR)
  • Vision Shaping Treatment (VST)

What Are the Benefits of Ortho-K?

  • They help slow the progression of myopia – Having moderate to high myopia is a risk factor for developing serious eye conditions in mid to late adulthood.
  • Correct refractive errors – The lenses can correct myopia, presbyopia, hyperopia, and astigmatism.
  • Provide fast correction – Ortho-k provides fast results. Some people are able to get rid of their corrective lenses after a single night of treatment. However, if you or your child has a strong prescription, it may take a few days or two to three weeks for optimal results.
  • Clear vision all day long – The gentle corneal reshaping that corrects vision overnight lasts all day and at times even two days.
  • They’re comfortable – Created with precise mapping technology, ortho-k lenses are custom-fit to the eyes, thus ensuring optimal comfort.
  • Have an excellent safety record – Orthokeratology lenses provide safe vision correction when used properly and according to hygiene protocols. CRT by Paragon is also FDA approved for how effective it is!
  • Reshape the cornea temporarily – The changes to the corneal shape aren’t permanent, so if patients eventually opt for laser refractive surgery, they can stop using the lenses and the cornea will naturally revert to its original shape. This allows for better laser results.

Are Overnight Ortho-K Lenses Safe?

Yes. Ortho-k is a safe, non-surgical, and reversible alternative to LASIK. It is ideal for any adult who is active during the day and doesn’t want to wear contact lenses or glasses.

Unlike standard contact lenses, which can damage your eyes if you wear them overnight, ortho-k lenses are specially designed to be worn while you sleep!

As with any contact lenses, make sure to always follow your eye doctor’s instructions regarding how to properly handle and care for your overnight lenses.

For more information on ortho-k lenses, contact Family Eye Care today. We’ll be happy to schedule an eye exam and answer any questions you may have.

Family Eye Care serves patients from Old Bridge, East Brunswick, Woodbridge, and Edison, all throughout New Jersey.

 

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Flattening the Curve: Ortho-K is an Answer to Battling the Myopia Epidemic

Mom Daughter Child Eye HealthYour child is likely spending more and more time on computer or digital devices. This can be overworking your child’s visual system in a way it was not intended to work. This can promote your child to become nearsighted.

Myopia (nearsightedness) is a vision epidemic that is spreading. It affects more than a quarter of the world’s population and could affect half of the population within 30 years. The reason it is important to slow myopia progression in childhood is because moderate (-3.25 to -5.00 D) and high myopia (greater than -5.00 D) increase the likelihood that you child will develop vision-threatening conditions as cataracts, glaucoma, retinal detachment, and myopic macular degeneration later in life.

Myopia, (nearsightedness) has traditionally been COMPENSATED for by wearing prescription eyeglasses and contact lenses. Please note that eyeglasses and contact lenses do NOT CORRECT vision. If they did, then children would NOT be getting more nearsighted each year.

When a child becomes more and more nearsighted over time, that is called progressive myopia. LASIK surgery is not approved for children because their eyes are still growing. Often parents say: “I will just wait until my child gets older and then they can have LASIK”. They say this thinking that LASIK does not have any negative consequences. The fact is that most adults that have had LASIK, ultimately need eyeglasses. LASIK makes the cornea THINNER so the person can see more clearly shortly after the surgery, but often that benefit is short-lived. LASIK cuts a perfectly healthy tissue and once it is thinner, it is more prone to then bulging out afterwards. The term for that is ECTASIA.

Why is myopia so widespread? To a small degree, it can be associated with genetics, but the larger reason is how we use our visual system. Again, eyeglasses merely compensate for how light is bent. It does not change how the eyes continue to over-focus. It is the over-focusing that produces the increase in myopia. When children spend many hours indoors, focused on a screen, that has pixels rather than print, that is a trigger for the myopia to increase. Research studies say that children who spent a significant amount of time in the sun experienced less myopia progression than children who did not. The reason is NOT that the outdoors reduces the progression, but rather, the reason is that those children are then not spending as much time looking at a screen.

How Can Ortho-K Address a Child’s Myopia Progression?

Ortho-k is an FDA approved, safe, and popular treatment option for slowing myopia’s progression. Special custom lenses are designed to create non-permanent changes in the cornea. The lenses are made of a special gas permeable material that allows oxygen to pass right through them makes them very safe. This material allows even more oxygen through and does a soft contact lens. These lenses are designed specifically for each person and are customized based on the unique shape f each person’s cornea.

Ortho-k lenses are worn at night and removed in the morning, much as a mouth retainer is worn at night and removed in the morning once someone’s teeth have been straightened after wearing braces. When the child or adult wakes up, they then remove the night retainer lens and they are able to see clearly throughout the day. More importantly, the power does not increase, especially if combined with Vision Therapy. You, or your child can see clearly, swim, and play sports without wearing contact lenses or glasses.

We at Family Eye Care in Old Bridge, NJ, take great measures to make sure that our patients, both adults and children, understand how to care for their lenses. We stress the importance of washing hands first before inserting or removing the lenses, and using only the designated solutions to clean and rinse the lenses. First and foremost, Ortho-k is safe.

Annual eye exams are extremely important so we, at Family Eye Care in Old Bridge NJ can monitor and solve small problems before they ever have a chance to become a bigger problem. Lenses are replaced every year, much as a toothbrush is replaced periodically.

Other components within myopia management include Vision Therapy, Special Soft Contact lenses (MiSight and Natural Vue) and Atropine.

Ortho-k should be considered for your child’s short- and long-term ocular health.

We, at Family Eye Care in Old Bridge NJ have treated thousands of patients, both children and adults, throughout our area in the towns of Old Bridge, Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and throughout New Jersey.

References:

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Safe Way to Sleep in Contact Lenses

Ortho-K, the Safe Way to Sleep in Contact Lenses

What is Ortho-K?

Sleeping without first removing one’s contact lenses is unhealthy. Doing so can cause infections, corneal abrasions, corneal ulcers — even a loss of vision.

The contact lenses used in orthokeratology (ortho-k) therapy are the exception. In fact, they are supposed to be slept in. That’s the whole point.

To slow down the progression of myopia (nearsightedness), eye doctors prescribe customized ortho-k lenses to children and teens. The lenses, which are inserted at night and removed in the morning, temporarily reshape the cornea. It’s the optical equivalent of the retainer or bite plate that your children might wear to bed at night to keep their teeth straight.

Our optometric team will prescribe ortho-k lenses to provide clear, unimpaired vision throughout the day. This enables your child to see clearly, swim, and play sports each day without wearing contact lenses or glasses.

Why is Ortho-K an Important Solution to Myopia?

man wearing green printed crew neck shirt while sleepingOrtho-k is the go-to strategy for children and teens with myopia, first because their eyes have not fully developed, and second, because longer-term solutions like LASIK surgery aren’t an option at this age.

Myopia occurs when the axial length of the eyeball becomes elongated. The elongation causes light to land in front of the retina rather than directly on it. The result is that while nearby objects remain clear, farther-away objects appear blurry.

Glasses and contact lenses allow you to see clearly, but after a few months, the myopia may worsen as the eyeball continues to elongate. This requires a visit back to the eye doctor for an updated prescription for stronger glasses.

Ortho-k lenses provide a solution to this cycle of worsening myopia by slowing down or even stopping the eyeball’s growth.

More is at stake than correcting vision: People with moderate (-3.25 to -5.00 D) and high myopia (greater than -5.00 D) are prone to such vision-threatening conditions as cataracts, glaucoma, retinal detachment, and myopic macular degeneration later in life.

More than a quarter of the world’s population now has myopia, and half of all people are expected to have myopia by 2050. This is a vision epidemic that is worsening. Children whose parents have myopia, and those who spend most of the day indoors staring at smartphones, TVs, or tablets, are at higher risk.

When a Child with Ortho-K Sleeps Safely, Parents Sleep Soundly

Ortho-k utilizes rigid gas permeable lenses that allow oxygen to reach your child’s eyes so that the eyes remain healthy. Ortho-k lenses safely and effectively work while your child sleeps, temporarily providing clear vision during your child’s waking hours, and slowing the progression of myopia.

As long as your child handles the lenses according to the instructions of Dr. Moshe Roth and Dr. Steffani Tiomno and observes hygiene protocols when using them (washing hands first, using only the designated solutions to clean and rinse the lenses, etc.), ortho-k lenses can be safely used.

Dr. Moshe Roth and Dr. Steffani Tiomno will answer any questions you have about ortho-k. If you decide to proceed, Dr. Moshe Roth and Dr. Steffani Tiomno will conduct a thorough eye examination, fit your child with customized lenses, and oversee care. Family Eye Care serves ortho-k patients in Old Bridge, East Brunswick, Woodbridge, Edison, and throughout New Jersey

References:

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Give Your Elementary School Student The Life-Changing Gift of Ortho-K

happy blonde childMyopia, or nearsightedness, is a common childhood eye condition that has serious consequences beyond just getting a new pair of eyeglasses each year.

Eyeglasses and traditional contact lenses compensate for a child that is nearsighted. most people are aware that the problem continues and usually the prescription increases each year.

Orthokeratology, sometimes known as Ortho-k, are special lenses that are worn at night. Ortho-k molding lenses have several advantages. They provide clear and stable vision without having to wear any glasses or contacts throughout the day, and in addition, they slow the progression of myopia. This is important because rapid myopia progression can lead to sight-threatening eye diseases like glaucoma and macular degeneration later in life.

What is Myopia?

Myopia is the technical term for Nearsight. Nearsight means that someone can see better at near than they can at distance.

Myopia affects more than a quarter of the world’s population, a situation many experts consider an epidemic. By 2050, that number is expected to dramatically rise to 50% of the global population.

In addition to genetics, spending most of our waking hours indoors, and staring for long periods at close-up objects like smartphones and tablets, are among myopia’s main risk factors, and may explain the rapid rise in cases.

Myopia occurs when the distant objects look blurry because the light focuses in front of the retina, rather than directly on it.

How Is Myopia Dangerous?

Mild myopia (-0.25 to -3.00 D) generally does not increase a person’s risk for eye diseases later in life. However, moderate ( -3.25 to -5.00 D) and high myopia (greater than -5.00 D) are linked to serious, vision-threatening conditions like cataracts, glaucoma, retinal detachment and myopic macular degeneration.

Cataracts

Cataracts cause the lens of the eye to become cloudy, rendering it difficult or even impossible to see.

Glaucoma

Glaucoma develops when eye fluid build-up increases pressure on the eye, causing irreversible damage to the optic nerve. It is the leading cause of blindness in the United States and Canada.

Retinal Detachment

The retina detaches from the layers beneath it, causing field vision loss, flashes of light, floaters, and in the worst of cases — total vision loss.

Myopic Macular Degeneration

When myopia is extremely high, it can cause the retina to stretch, leading to macular tearing and bleeding in the areas beneath the retina. This can result in irreversible vision loss and even blindness.

How Does Ortho-K Work?

Think of the retainer that someone wears at night after they have had their braces removed, in order to keep teeth straight. Ortho-k is similar to Orthodonture. Ortho-k lenses gently reshape the cornea while you sleep. Ortho-k is FDA approved for both Children and Adults. You can then see clearly during school, or an adult can see clearly to drive. You can swim and play sports without requiring prescription goggles or sports glasses. Ortho-k halts the progression of myopia. This, in turn, can diminish your child’s risk of developing any sight-threatening conditions in decades to come.

 

 

How Are Ortho-k Lenses Prescribed?

Our patients first have a comprehensive eye examination in our office and then an Ortho-k Evaluation. A topographer measures the exact shape of your cornea so we can custom design lenses for you. That enables us to obtain better results and reduces the number of visits needed.

When the lenses arrive, we will teach you how to insert, remove, and care for their ortho-k contact lenses at home. We will see you periodically to see make sure that you are attaining the outcomes we expect and if any adjustments are needed.

Ortho-k offer the ability to see clearly and it also lowers the risk of developing ocular diseases later in life.

We, at Family Eye Care in Old Bridge, see patients from the surrounding communities of Aberdeen, East Brunswick, Manalapan, Matawan, Marlboro, Monroe, Parlin. Sayreville, South Amboy, South River, Spotswood, Lawrence Harbor, Cliffwood Beach, and those throughout New Jersey.

References

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Ortho-K for Myopia Management

girl sleeping on bed 1359554It is often distressing for a parent when they realize that their child can’t see as well as they thought they should.

Picture this:

You have brought your child to the eye doctor. Both you and your child feel stressed as your child squints to see the letters on the eye chart. Most doctors still simply prescribe a higher and higher eyeglass prescription and you are frustrated.

There has been an incredible increase in the number and percent of children becoming more nearsighted (myopic). There are a number of ways this can be addressed rather than just falling into the old routine of simply prescribing a higher power each year. Eyeglasses are the traditional answer, but what if there was a better way to stem the progression.

Orthokeratology, often called Ortho-k for short, is one option. Most people have not heard of this choice even though it was developed over 60 years ago and it is FDA approved. Just as only some dentists become orthodontists, only some eye doctors choose to learn how to prescribe orthokeratology.

Ortho-K Has High Success Rates in Slowing Down Myopia

Today it is commonly agreed that eyeglasses to compensate for nearsighted vision is not enough. Most parents want a better answer for their children. Myopia progresses during childhood, and young adults may find themselves with high levels of myopia, and at risk of developing severe eye diseases. These serious eye diseases are: retinal detachment, myopic macular degeneration, and glaucoma, conditions that can lead to vision loss or even blindness later in life.

Fortunately, modern optometry offers a variety of treatments to manage myopia and keep it from progressing to dangerous levels. Orthokeratology (ortho-k) has proven highly successful and is convenient for the wearer. Studies show a 36-56% slower progression of myopia in children treated with ortho-k compared to other options that have some to marginal success rates.

What Makes Ortho-K Unique?

Ortho-k is often referred to as corneal reshaping therapy. It utilizes special THERAPEUTIC contact lens that reshape the eye rather than regular COMPENSATING lenses. Children as young as 6 can wear the ortho-k lens overnight to provide them with perfect vision during the day. The concept is similar to how dentists use braces and then the individual wears a retainer in the mouth to “retain” the position of the teeth. Ortho-k lenses purposefully induces temporary change that last through the following day. This is why Ortho-K is reversible and safe at any age. This is why, unlike LASIK, this is FDA approved for ALL ages.

Reshaping is accomplished by wearing custom-made lenses overnight, while your child is asleep. In the morning, your child removes the lenses, and the cornea maintains its new shape. The benefit is two fold.

  1. Your child can see the board in school.
  2. Your child’s prescription often does not get worse each year, as it would otherwise, with regular eyeglasses or regular contact lenses.

Clear vision is achieved by changing the corneal shape rather than a visual aid. This has been proven over and over since 1962.

Ortho-K Is Becoming the Standard for Myopia Management

Ortho-k has been available for more than half a century and has been gaining popularity in recent years thanks to advanced technologies, higher efficiency, and easier handling.

Dr. Roth has offered Orthokeratology for nearly 30 years and has considerable experience. We have many videos of many of our patients or various ages who have been in ortho-K for years. We use as special instrument called a digital corneal topographer that measures and maps the corneal surface. We can then design precise custom ortho-k lenses that are made specifically for your / your child’s eyes. The topographer enables us to monitor the improvement attained by using the special lenses and enables us to measure this with high accuracy.

Ortho-k is also popular because it is extremely convenient. Many kids don’t like to wear eyeglasses and feel self conscious. Regular contact lenses can dry out over time and makes the eyes feel dry. This then causes an extra distraction when reading an studying. Since children wear ortho-k lenses only when they sleep, and don’t need lenses or glasses during the day, they can go about their day unencumbered.

Ways to Manage Myopia

Four main treatments can slow down the progression of myopia. Each has its advantages and is suitable for different circumstances.

  • Orthokeratology – custom overnight lenses reshape the cornea and provide clear vision during the day. These have been proven to slow down myopia progression and are safe. The lenses are worn only at night and the child is free of glasses or contacts throughout the day.
  • Vision Therapy addresses the underlying cause that is producing myopia. The “fire” that is producing the “smoke”.
  • Special Soft Contact Lenses, a specific type of contact lens, called a distance center multifocal soft contact lens, can slow down myopia progression.
  • Bifocal eyeglass lenses can also slow down myopia progression if a focusing problem is at its root.
  • Atropine eye drops – applying low-dose atropine eye drops once a day has been shown to slow down myopia progression. There are few side-effects of this medication, and the eye drops can be used in combination with corrective lenses.

    Several factors need to be taken into consideration when determining whether ortho-k is the correct answer for your child. These include age, myopia level, and general eye health.

    We will discuss ortho-k as one of the options to assess the best way to manage your child’s myopia. At Family Eye Care in Old Bridge NJ, we will help you find the best possible option for your child. Schedule an eye exam with Dr. Roth to evaluate how to best prevent myopia from progressing and be comfortable at the same time.

    Resources:

    https://clinicaltrials.gov/ct2/show/NCT03465748

    https://www.myopiainstitute.com/types-of-myopia-control/

     

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    How OrthoK Works

    How OrthoK Works in Detail

    Orthokeratology (ortho-k) is the temporary reshaping of the cornea. Custom-made lenses are worn overnight to provide clear vision throughout the day. Ortho-k is used to correct and slow down myopia (nearsightedness) in children, and to correct presbyopia (age-related farsightedness) in adults.

    At Family Eye Care, your child can receive advanced myopia care to avoid their myopia from continually worsening and increasing the risks of eye disease. An optometrist trained and experienced in fitting ortho-k lenses, Dr. Moshe Roth and Dr. Steffani Tiomno will carry out an eye exam and evaluate whether ortho-k is the best treatment for your child.

    The Mechanics of Ortho-K

    This might remind you of biology class back in high school, but we’ve laid out the basic science behind Ortho-K below. Most people believe that ortho-k lenses function as a mold to press the cornea into a new shape. Actually, the lens doesn’t even touch the cornea; it floats on a very thin tear film, utilizing gentle hydraulic forces to reshape the cornea.

    OrthoK diagram.ai

    Regular contact lenses have a perfectly round dome shape. An ortho-k lens uses a reverse geometrical design in which the central area of the lens is flattened. The hydraulic forces applied to the tear film induce pressure to the center of the top tissue layer of the cornea, called the epithelium.

    Because the epithelium’s cells are interconnected, the fluid they are filled with can move around between cells. When pressure is applied to the central cells, the fluid moves to the peripheral cells. As a result, the center part of the epithelium becomes thinner, and the periphery thickens.

    It is important to remember that cells in the epithelium are not squished, altered, or damaged. The central cells simply undergo dehydration. After the ortho-k lens is removed, the cells gradually return to their original shape as they become hydrated again.

    By flattening the cornea in this way, any nearsightedness will be corrected, resulting in perfect daytime vision. Plus, we preserve the natural state of the cornea to slow the progression of myopia.

    boy riding bicycleHow Ortho-K Slows Down Myopia

    Traditional myopia correction methods only correct central vision, enabling people to see clearly at close distances. Side vision (peripheral vision), on the other hand, remains out of focus, creating what’s called peripheral hyperopia. It is generally believed that one reason for the progression of myopia is the eye’s attempt to compensate for peripheral hyperopia. By reshaping the entire cornea, blurry side vision is eliminated and the cause for elongation of the eyeball is removed.

    Research studies appear to support this. The most extensive ongoing study, known as the SMART Study, found that, over a three-year-period, myopia has progressed significantly less in children who wear ortho-k lenses compared to children who wear corrective eyeglasses. Previous, smaller-scale studies, such as the Kern’s Study and the Berkley’s Orthokeratology Study, produced similar results.

    How Is Ortho-K Different From Regular Contact Lenses?

    • Ortho-k lenses are therapeutic lenses, not merely a means to correct vision. By reshaping the cornea, they improve eye function. In contrast, most traditional contact lenses merely correct vision but don’t improve it.
    • After removing the orthokeratology lenses from your eyes, you will enjoy improved vision for 24 to 72 hours. Many patients can skip a day, for example, and enjoy clear vision, yet some patients need to wear their lenses each night to ensure their vision remains stable. Regular contact lenses correct vision only as long as they are in your eyes.
    • With orthokeratology, the patient enjoys the luxury of moving around without having to wear any visual aids such as glasses or contact lenses during the day. This is especially convenient for people who like to play sports and are physically active, and for anyone living in particularly dry, hot, or cold weather conditions.
    • Each ortho-k lens is custom-made to the individual patient. In an eye exam, the optometrist uses a corneal topographer—a digital device to measure and map the cornea’s surface—to measure the person’s exact corneal shape.

    The Advantages of Ortho-K Over LASIK

    • LASIK surgery is not recommended for people under the age of 21. The procedure can only be performed in adults after the eyeball stops growing. By this time, myopia may have reached high levels and is more difficult to treat. In addition, high levels of myopia include a higher risk of severe eye diseases such as glaucoma, retinal detachment, or cataracts later in life.
    • Orthokeratology is reversible. A patient can stop the treatment at any time, and the cornea will return to its original shape. LASIK surgery is still an option after a patient has undergone ortho-k treatment.
    • Like any other surgical procedure, LASIK involves a certain risk of causing damage to the eye. Ortho-k is non-invasive and does not induce any permanent change to the eye.
    • Following LASIK surgery, patients still may need contacts or glasses. The procedure may correct vision only partially. In some cases, patients will require more than one surgical procedure.
    • Some patients develop severe dry eye after LASIK surgery.

    Ortho-K Is Older Than You Think

    As early as the 1880s, a French ophthalmologist attempted to use flat-curved glass lenses to correct keratoconus by utilizing the hydraulic pressure they induced on the cornea.

    In the 1950s, practitioners noticed changes in corneal curvature in some patients who wore particularly flat-fitted lenses. By this time, more compatible materials for contact lenses had been introduced. The deliberate use of modern orthokeratology began in 1962.

    Although several studies proved ortho-k’s effectiveness, it wasn’t until the 1990s, when the corneal topographer was developed, that ortho-k became more widely available. Since then, the treatment has been gaining popularity. Today ortho-k is one of the preferred myopia management methodologies.

    At Family Eye Care, we will evaluate if ortho-k is a suitable treatment option to manage your child’s myopia. Schedule an appointment with Dr. Moshe Roth and Dr. Steffani Tiomno for an eye exam today.

    Reference Links

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