Orthokeratology: Can It Control My Child's Myopia? - Ophthalmology

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Orthokeratology (Ortho-K) is a non-surgical method used to manage myopia (nearsightedness) in children and adults. It involves the use of specially designed gas-permeable contact lenses that are worn overnight to reshape the cornea, allowing for clear vision during the day without the need for glasses or contact lenses. This method has gained popularity as a potential way to slow the progression of myopia in children, particularly as the prevalence of myopia continues to rise globally.

In your case, your daughter, who is in first grade and has a myopia of -1.25 diopters, is indeed at an age where myopia can begin to develop. The question of whether this is "false myopia" (a temporary condition that can be reversed) or true myopia can be complex. Factors such as the duration of symptoms, family history, and the presence of other eye conditions (like congenital cataracts) can influence this determination. Congenital cataracts can affect visual development and may complicate the refractive status of the eye, potentially leading to amblyopia (lazy eye) if not addressed properly.

Regarding the use of orthokeratology to control myopia, studies have shown that Ortho-K lenses can effectively slow down the progression of myopia in children. The mechanism is thought to involve the reshaping of the cornea, which alters the way light enters the eye and can reduce the stimulus for the eye to elongate, a primary factor in myopia progression. While results can vary from child to child, many parents report positive outcomes in terms of reduced myopia progression when using Ortho-K lenses.

As for the cost of the treatment, which you mentioned is approximately NT$50,000 (around USD 1,600), this can be considered reasonable given the potential long-term benefits. However, it is essential to weigh this against your family's financial situation and the potential need for ongoing care, including regular follow-ups with an eye care professional to monitor your child's eye health and the effectiveness of the treatment.

It is also important to note that while Ortho-K can be effective, it is not a guaranteed solution for everyone. Regular eye examinations are crucial to monitor your daughter's vision and overall eye health, especially considering her congenital cataracts. If you decide to pursue Ortho-K, ensure that you work with an experienced eye care professional who can provide personalized guidance and support throughout the process.

In summary, orthokeratology can be a viable option for managing your daughter's myopia, and it may help slow its progression. However, the presence of congenital cataracts necessitates careful monitoring and possibly additional interventions to ensure her visual development is on track. Always consult with a qualified eye care specialist to discuss the best course of action for your child's specific needs.