Communicating with an ophthalmologist about orthokeratology

How do you manage your young patient when their ophthalmologist appears to have advised parents against orthokeratology? How should you communicate with the ophthalmologist about orthokeratology? This clinical case explores the aspects of safety, efficacy and benefits, including detail on the comparison of short-term risks of contact lens wear with the long-term risks of myopia. With open communication lines, you may find it’s not quite the challenge you thought it would be.

Is orthokeratology useful for control of low myopia?

There’s a common clinical belief that orthokeratology doesn’t work as well in lower myopes for myopia control. This is even sometimes included in conference presentations as prescribing advice. Is orthokeratology useful for control of low myopia? Here’s what’s fact and what’s fiction, when considering its efficacy for low vs high myopia, and orthokeratology vs multifocal contact lens myopia control.

Myopia control – science or luck?

What causes myopic progression? Studies have attempted to find causative factors related to genetic, environmental, and behavioral influences including parental myopia, time spent outdoors, and hours of near work (reading, computer, video games).1