Myopia
Hello Doctor: Recently, I heard about a method for correcting myopia—wearing rigid gas permeable contact lenses at night, which can slow down the progression of myopia.
What is your opinion on this? What are the advantages and disadvantages of wearing them? Thank you! Rita
Rita, 30~39 year old female. Ask Date: 2000/12/08
Dr. Huang Bozhen reply Ophthalmology
Subject: Rigid Gas Permeable Contact Lenses for Myopia Management.
Description: The principle behind this method relies on rigid gas permeable contact lenses flattening the corneal curvature, which exerts significant pressure on the cornea and can be quite painful.
Additionally, the cornea's oxygen supply comes from the aqueous humor within the eye, the blood vessels in the conjunctiva, and the atmosphere outside the cornea.
When we sleep, the eyelids close tightly, cutting off the oxygen supply from the atmosphere, leading to a relatively hypoxic state compared to daytime.
Wearing rigid gas permeable contact lenses during this time raises safety concerns, and if the lenses are not worn continuously, myopia can worsen within a few months.
Therefore, their use is generally not encouraged.
Reply Date: 2000/12/08
More Info
Nighttime rigid contact lenses, also known as orthokeratology (ortho-k) lenses, have gained popularity as a non-surgical method to control myopia (nearsightedness) progression, particularly in children and adolescents. These specialized lenses are designed to be worn overnight, reshaping the cornea temporarily while you sleep, allowing for clear vision during the day without the need for glasses or contact lenses.
Advantages of Nighttime Rigid Contact Lenses:
1. Myopia Control: Numerous studies have shown that ortho-k lenses can effectively slow down the progression of myopia in children and adolescents. The lenses create a temporary flattening of the cornea, which alters the way light enters the eye, reducing the stimulus for the eye to elongate—a primary factor in myopia progression.
2. Convenience: For individuals who dislike wearing glasses or daily contact lenses, ortho-k lenses provide the convenience of waking up with clear vision. This can enhance daily activities, sports, and overall quality of life.
3. Reduced Risk of Eye Strain: By correcting vision overnight, users may experience less eye strain during the day, particularly if they spend long hours on screens or reading.
4. No Daily Maintenance: Unlike traditional contact lenses that require daily cleaning and care, ortho-k lenses are only worn at night, which can simplify the routine for some users.
Disadvantages of Nighttime Rigid Contact Lenses:
1. Initial Adjustment Period: Some users may experience discomfort or a feeling of pressure when first wearing ortho-k lenses. It may take time to adjust to the sensation of having lenses in overnight.
2. Risk of Infection: As with any contact lens use, there is a risk of eye infections if proper hygiene is not maintained. Users must ensure that their lenses are cleaned and stored correctly.
3. Not Suitable for Everyone: Ortho-k lenses may not be appropriate for individuals with certain eye conditions, such as severe dry eye, corneal irregularities, or other ocular health issues. A thorough eye examination is necessary to determine candidacy.
4. Cost: The initial investment for ortho-k lenses can be higher than traditional glasses or contact lenses. Additionally, follow-up visits with an eye care professional are necessary to monitor the effectiveness and fit of the lenses.
5. Temporary Effects: The effects of ortho-k lenses are temporary, meaning that if the lenses are not worn regularly, the cornea will gradually return to its original shape, and myopia progression may resume.
Conclusion:
In summary, nighttime rigid contact lenses can be an effective solution for myopia control, particularly for younger individuals whose eyes are still developing. However, it is essential to consult with an eye care professional who specializes in ortho-k to assess your specific situation, discuss potential risks, and determine if this method is suitable for you. Regular follow-ups and adherence to proper lens care are crucial for achieving the best outcomes and maintaining eye health.
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