Effective Solutions for Myopia in Adults: Contact Lenses vs. Laser Surgery

Solutions for Myopia in Adults

Hello, Doctor.
I started wearing orthokeratology lenses at the age of 16 and stopped wearing them last year when I turned 25 after getting a new pair.
During the fitting for the new lenses, the ophthalmologist mentioned that orthokeratology lenses are not as suitable for adults and serve a different purpose.
Given my corneal thickness, I could consider laser surgery.
However, I am concerned about the risks associated with laser surgery and the subsequent maintenance issues, especially since many ophthalmologists do not perform this procedure.
Therefore, I am wondering if I could continue using the original orthokeratology lenses or learn to adapt to wearing regular contact lenses.
(Currently, I wear regular glasses, but the prescription from when I was wearing orthokeratology lenses is insufficient.) I would like to ask the doctor:
1.
My prescription for both eyes is less than -3.00 diopters, with mild glare.
I am currently at home taking care of a baby and will return to work later.
I enjoy fitness and ball sports during my leisure time, and I occasionally need to drive.
Given this situation, what would you recommend as a solution for my myopia?
2.
If I continue to wear orthokeratology lenses, is there a concern about driving? Previously, I was advised to take a break from wearing them for one day each week; would that mean I should also avoid driving the next day?
3.
Is it completely prohibited to rub my eyes while wearing regular contact lenses? If I engage in ball sports, is there a risk of the lenses breaking? What could happen if I exceed the recommended wearing time?
Thank you for your patience in reading this, and I appreciate your responses! Thank you!

K, 20~29 year old female. Ask Date: 2021/07/28

Dr. Cai Wenyuan reply Ophthalmology

It is recommended to wear regular glasses, as wearing contact lenses for too long can increase the risk of corneal infections.

Reply Date: 2021/07/28

More Info

When considering effective solutions for myopia in adults, particularly in your case where you have experience with orthokeratology (corneal reshaping lenses) and are contemplating laser surgery, it's essential to weigh the pros and cons of each option based on your lifestyle, visual needs, and comfort level.

1. Current Vision Needs and Lifestyle: Given that your myopia is under 300 degrees and you have mild astigmatism, both contact lenses and laser surgery could be viable options. Since you are currently at home caring for a baby and will eventually return to work, your visual demands may vary. If you engage in activities like fitness and sports, you might prefer the convenience of contact lenses or laser surgery to avoid the hassle of glasses. Laser surgery, such as LASIK or SMILE, can provide a permanent solution, allowing you to engage in physical activities without worrying about glasses or contacts. However, it does come with risks, including potential complications like dry eyes or under/over-correction.

2. Orthokeratology Considerations: Continuing to wear orthokeratology lenses can be a good option, especially since you have experience with them. However, you should be aware of the necessity of proper lens care and adherence to the recommended wearing schedule. The advice to take a break from wearing them for a day each week is crucial for maintaining eye health and preventing complications such as corneal hypoxia or infections. If you do not wear the lenses for a day, your vision may not be optimal the following day, which could affect your ability to drive safely. It's essential to assess your vision on those days before getting behind the wheel.

3. Wearing Regular Contact Lenses: If you choose to switch to regular contact lenses, it’s vital to follow proper hygiene practices. Avoid rubbing your eyes, as this can lead to complications such as lens displacement or corneal abrasions. Engaging in sports while wearing contact lenses can pose risks, especially if there is a chance of the lenses breaking or dislodging. If you do wear contacts during sports, consider using daily disposables, which can be more hygienic and reduce the risk of complications. Overwearing contact lenses can lead to discomfort, dryness, and an increased risk of infections, so it's crucial to adhere to the recommended wearing schedule.

In summary, both orthokeratology and laser surgery have their advantages and disadvantages. If you are comfortable with your current lenses and they meet your visual needs, continuing with them may be the best option for now. However, if you are looking for a more permanent solution and are willing to accept the risks associated with surgery, laser options could be considered. Always consult with your eye care professional to discuss your specific situation, as they can provide personalized recommendations based on your eye health and lifestyle.

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