Orthokeratology (ortho-k) is a non-surgical, reversible treatment for myopia that involves wearing specialised contact lenses overnight to reshape the cornea. This temporary change in the shape of the cornea allows light to focus correctly on the retina, providing clear vision without the need for glasses or contact lenses during the day. Ortho-k has been shown to be effective in slowing the progression of myopia in children and teenagers, making it a popular choice for parents concerned about their child’s vision.
Today, we highlight a case that demonstrates the effectiveness of ortho-k in myopia control in a highly myopic patient.
This is the story of a 12-year-old girl who saw us in 2018 with a prescription of R -8.50D and L -9.00D. Prior to being fitted with ortho-k lenses, her myopia had been rapidly progressing every year. In 2016 her prescription was -6.00D, and in 2017, -7.00D. Since being fitted with custom-designed ortho-k lenses, she has shown no progression in her myopia for the last 5 years. Today, her prescription remains stable at R -8.50D and L -9.00D When fitting orthokeratology lenses to such high powers, we must always make sure that the lenses fit well and they remain safe to wear.

The success of ortho-k in this case demonstrates its potential as a tool for myopia control in children and teenagers. Ortho-K is a valuable tool to control myopia progression and can also work for high prescriptions. By slowing the progression of myopia, ortho-k can help reduce the risk of vision-threatening complications such as retinal detachment, glaucoma, and cataracts later in life.
If you’re interested in exploring ortho-k as a treatment option for your child’s myopia, speak with us. We can help determine if your child is a good candidate for the treatment and answer any questions you may have. With proper care and adherence to the treatment regimen, ortho-k can be a safe and effective way to slow the progression of myopia and protect your child’s vision for years to come.
