Can Orthokeratology Work for My Over 600-Diopter Myopia? - Ophthalmology

More Info

---

Orthokeratology (Ortho-K) is a non-surgical procedure that involves the use of specially designed gas-permeable contact lenses to reshape the cornea temporarily. This method is primarily used to correct myopia (nearsightedness) and is particularly effective for individuals with mild to moderate myopia, typically up to around -6.00 diopters. However, your case of over 600-diopter myopia presents some challenges.

1. Effectiveness for High Myopia: While Ortho-K can provide significant vision correction for many patients, its effectiveness tends to diminish as the degree of myopia increases. For individuals with myopia greater than -6.00 diopters, the results may not be as predictable or effective. Some studies suggest that patients with higher levels of myopia may experience less corneal flattening and, consequently, less improvement in visual acuity. Therefore, while it is possible that you may achieve some degree of vision correction, it is unlikely to be as substantial as it would be for someone with lower myopia.

2. Potential Reduction in Myopia: The amount of myopia reduction achieved through Ortho-K varies from person to person. Some patients may experience a reduction of a few diopters, while others may see little to no change. It is essential to have realistic expectations and understand that Ortho-K is not a permanent solution; the effects last only as long as the lenses are worn regularly.

3. Risk of Regression: One of the concerns with Ortho-K, similar to laser eye surgery, is the potential for regression. This means that after discontinuing the use of the lenses, your myopia may gradually return to its original level. Unlike laser surgery, which permanently alters the cornea, Ortho-K relies on the continuous use of lenses to maintain the corneal shape. If you stop wearing the lenses, your cornea will revert to its natural shape, and your myopia will likely return.

4. Consultation with an Eye Care Professional: Given your high level of myopia, it is crucial to consult with an eye care professional who specializes in Ortho-K. They can perform a thorough examination of your eyes, assess the health of your cornea, and determine whether you are a suitable candidate for this treatment. They will also discuss alternative options, such as laser vision correction (LASIK or PRK), which may be more effective for your level of myopia.

5. Consideration of Other Factors: When considering Ortho-K, other factors such as your age, lifestyle, and overall eye health should be taken into account. Younger patients, particularly those with progressive myopia, may benefit more from Ortho-K as it can help slow the progression of myopia. However, for adults with stable prescriptions, the benefits may be less pronounced.

In conclusion, while Ortho-K may provide some benefits for individuals with high myopia, it is essential to have realistic expectations and consult with a qualified eye care professional to explore all available options. They can help you determine the best course of action based on your specific needs and circumstances.