What is Orthokeratology and How Does It Work? - Ophthalmology

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What is orthokeratology?


What is orthokeratology?

kkk, 10~19 year old female. Ask Date: 2001/06/10

Dr. Huang Bozhen reply Ophthalmology


Description: The use of rigid gas permeable contact lenses for corneal reshaping can reduce myopia.
Typically, users wear these lenses before going to bed and remove them in the morning.
After a period of time (2-3 months), the degree of myopia may decrease; however, continuous use is necessary to maintain the effect.
If the lenses are not worn consistently, the myopia may return to its original state or even worsen, and there is a risk of corneal ulcers.
Therefore, this practice is not recommended.

Reply Date: 2001/06/10

More Info


Orthokeratology, often abbreviated as Ortho-K, is a non-surgical method of reshaping the cornea of the eye using specially designed gas-permeable contact lenses. This technique is primarily used to correct refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. The primary goal of Ortho-K is to provide clear vision during the day without the need for glasses or contact lenses, allowing individuals to enjoy their daily activities without visual aids.

The process of Orthokeratology involves wearing these specially designed lenses overnight while sleeping. The lenses gently reshape the cornea, the clear front surface of the eye, to alter its curvature. This reshaping allows light entering the eye to focus more accurately on the retina, which is essential for clear vision. When the lenses are removed in the morning, the cornea retains its new shape for a period of time, providing clear vision throughout the day without the need for corrective eyewear.

The effectiveness of Ortho-K varies from person to person, but many individuals experience significant improvements in their vision after just a few nights of wearing the lenses. The results can last anywhere from a day to several days, depending on the individual's eye shape and prescription. Regular follow-up visits with an eye care professional are essential to monitor the corneal shape and ensure the lenses fit properly.

One of the key advantages of Orthokeratology is that it is a reversible procedure. If a person decides to stop wearing the lenses, their cornea will gradually return to its original shape, and their vision will revert to its previous state. This makes Ortho-K an appealing option for individuals who are not ready for surgical interventions like LASIK or who may not be suitable candidates for such procedures.

Additionally, Orthokeratology has gained popularity among parents of children and teenagers with myopia. Research suggests that Ortho-K may help slow the progression of myopia in children, potentially reducing the risk of developing more severe vision problems later in life. This aspect of Ortho-K has made it a valuable tool in pediatric eye care.

However, it is important to note that Orthokeratology is not suitable for everyone. Candidates for Ortho-K should be evaluated by an eye care professional to determine if they are appropriate candidates. Factors such as age, the degree of refractive error, and overall eye health play a significant role in determining candidacy.

In conclusion, Orthokeratology is a safe and effective method for correcting refractive errors and providing clear vision without the need for glasses or contact lenses during the day. It involves wearing specially designed lenses overnight to reshape the cornea, offering a reversible solution for individuals seeking an alternative to traditional vision correction methods. If you are considering Orthokeratology, it is essential to consult with an eye care professional to discuss your options and determine if this treatment is right for you.

Similar Q&A

Understanding Orthokeratology: A Solution for Myopia Control in Children

Hello, doctor. My daughter was diagnosed with myopia last year, approximately -1.75 diopters, and during a recent check-up, it has progressed to -3.75 diopters. I have heard that "orthokeratology" can effectively slow down the progression of myopia and improve vision so...


Dr. Wang Zhangji reply Ophthalmology
The increase in diopter over a short period is likely to be pseudomyopia, which can be resolved with medication. Orthokeratology lenses have been reported to slow the progression of myopia; however, I believe it is difficult to monitor their effectiveness. To achieve the effect o...

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Understanding Corneal Reshaping: Benefits, Risks, and Alternatives

What is corneal reshaping therapy? How effective is it for vision correction? Besides surgery, are there other methods for vision correction? What are the pros and cons of rigid gas permeable contact lenses for correction? Are there any other alternatives?


Dr. Wang Zhangji reply Ophthalmology
Hello! Orthokeratology is a method that uses special contact lenses to physically reduce refractive errors, and its effectiveness varies from person to person. This treatment has been practiced for some time and has many successful cases. It is a non-surgical approach to managing...

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Understanding Orthokeratology: Benefits, Risks, and Legality for Kids

My daughter is eight years old, and her eyesight is approximately between 200 to 300 degrees. She has been wearing orthokeratology lenses for six months, but I have heard that they can cause significant harm to the eyes. Is this true? Is it illegal? I would like to understand mor...


Dr. Zhang Yanrui reply Ophthalmology
Orthokeratology lenses are actually similar to wearing rigid gas permeable contact lenses; as long as they are properly cleaned, they generally do not pose significant harm. If you get used to wearing them and have regular follow-up appointments, there is not much to worry about....

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Can Orthokeratology Work for My Over 600-Diopter Myopia?

Hello, doctor. I heard that orthokeratology is most effective for myopia within 500 degrees, but my myopia is over 600 degrees. I would like to undergo orthokeratology. Will it be effective for me? How many degrees can it reduce? Is there a possibility of myopia returning like af...


Dr. Ke Meilan reply Ophthalmology
Hello: Orthokeratology is effective for over 600 degrees; as long as you don't wear them for two months, the prescription will return to the original degree. Sincerely, Dr. Mei-Lan Ke, Ophthalmology Department.

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