Evaluation of simulated orthokeratology in a soft contact lens for myopia control

Soft contact lenses designed to simulate the change in refraction optical pro-file from orthokeratology (OK) fail to slow axial eye elongation or change to refrac-tion over 1-year of wear in children, leading to suggestion that OK’s propensity to slow myopia progression may not be due to changes OK makes to optical profile.

Axial length measurement; a clinical necessity?

Six questions on axial length measurement in myopia management

This review covers how well axial length relates to refraction and predicting future myopia, how to measure axial length, its value in orthokeratology and atropine management, how axial length influences a treatment plan and can you practice myopia management without it.

Patient progressing after treatment withdraw therapy myopia worse

Myopia Rebound: Back with a Vengeance

You may be ready to cease treatment, or the patient has done so of their own accord. Then you observe that the rate of myopic progression accelerates again – a myopia rebound effect. When does this happen? Can you avoid it? What should you consider doing in practice?

Should I fit orthokeratology to a potential keratoconic?

MCS was hesitating fitting OrthoK to a patient who showed inferior corneal steepening. Her main concern was that OrthoK may induce corneal ecstasia/keratoconus in the future and whether there is a link between OrthoK and keratoconus.

Managing a myopic anisometropic amblyopic child

This case is not your typical astigmatic myope. There are several features to this patient that require careful consideration, including high myopia, amblyopia, myopia correction and control, and eye health management.