Do Children with Astigmatism Need Orthokeratology Lenses? - Ophthalmology

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When it comes to children with astigmatism, the use of orthokeratology (ortho-k) lenses can be a beneficial option, but there are several factors to consider. Your daughter, who is in the third grade and has been diagnosed with myopia and astigmatism, presents a common scenario that many parents face.
Firstly, let's address the need for astigmatism correction in ortho-k lenses. Ortho-k lenses are specially designed to reshape the cornea overnight, allowing for clearer vision during the day without the need for glasses or contact lenses. However, if your daughter has astigmatism, it is generally recommended to include astigmatism correction in the ortho-k lenses. This is because astigmatism can cause blurred or distorted vision, and if the lenses do not correct for this, she may still experience visual discomfort or reduced visual acuity during the day.

If ortho-k lenses are fitted without the appropriate astigmatism correction, your daughter may continue to squint or strain her eyes, which could lead to further eye fatigue and discomfort. Additionally, not addressing the astigmatism could hinder the overall effectiveness of the ortho-k treatment, as the lenses may not fully correct her vision, leading to suboptimal outcomes.
Moreover, children with uncorrected astigmatism may struggle with visual tasks, such as reading or focusing on the board in school, which can affect their academic performance and overall quality of life. Therefore, it is crucial to have a comprehensive eye examination and to discuss the specific needs for astigmatism correction with your eye care professional.

In terms of safety and long-term effects, ortho-k lenses have been shown to be safe for children when prescribed and monitored by a qualified eye care professional. However, it is essential to ensure that the lenses fit properly and that your daughter adheres to the recommended wearing schedule. Regular follow-ups will help monitor her eye health and the effectiveness of the treatment.

Additionally, while ortho-k lenses can help manage myopia progression, they do not replace the need for good visual habits. Encouraging your daughter to take regular breaks from screens, practice the 20-20-20 rule (looking at something 20 feet away for 20 seconds every 20 minutes), and engage in outdoor activities can also contribute positively to her eye health.

In conclusion, it is advisable for your daughter to wear ortho-k lenses that include astigmatism correction. This will ensure that she achieves the best possible visual outcome and minimizes any discomfort associated with her astigmatism. Always consult with your eye care provider to tailor the treatment to her specific needs and to ensure her ongoing eye health.