Orthokeratology provides a one-of-a-kind option for treating myopia: a specific reverse geometry contact lens used only at night. The authors provide a full review of the emerging approach, including patient selection and practical contact lens fitting.
They describe a variety of everyday scenarios and highlight dos and don'ts. The limitations of Orthokeratology are discussed in terms of refraction errors and anatomical circumstances. The most prevalent unfavourable side effects include early regression and glare caused by ocular abnormalities. Consider critical consequences such as bacterial keratitis, ocular surface problems, and morphologic alterations caused by corneal moulding such as corneal hypoesthesia and ferritin deposits.
Presbyopia correction, corneal crosslinking to stabilise the ortho-k effect, myopia management in youngsters, and topographically controlled and individualised contact lens geometries employing modern contact lens materials are all explored. The legal requirements for obtaining a driver's licence are detailed. Nonetheless, Orthokeratology appears to be a well-established niche therapy that is mostly beneficial to young, healthy, and active myopic patients.
The fitting and maintenance of this refractive equipment is time-consuming and expensive. These lenses, on the other hand, bridge the gap between everyday regular contact lenses and surgical refractive treatments. Another much debated use is myopia correction in youngsters.
