Category Archives: orthokeratology

Summer – A Great Time to Reap the Benefits of OrthoKeratology

What is OrthoKeratology

Blue Eye Closeup

OrthoKeratology is an FDA approved procedure that improves a person’s vision without surgery, glasses, or daily contact lenses. Many patients refer to it as “braces for your eyes”. Summer provides a great opportunity to start an orthokeratology program for your child. Imagine enjoying sports like swimming, gymnastics, and dance without the use of contact lenses or glasses. The nearsighted prevention benefits provide a tremendous added bonus to a summer orthokeratology program.

OrthoKeratology Prevents the Progression of Nearsightedness

It’s great being able to enjoy life and sports in general without contact lenses or glasses; however, a significant benefit of orthokeratology is that it has been clinically proven to slow the progression of nearsightedness in children. Numerous studies have shown the rate of myopia reduction is between 50% to 90%. A landmark study on the rate of myopia in the US was completed in 1972. This study found that 25% of the US population was myopic (nearsighted). A follow up study completed 41 years later found the rate of myopia in the United States had increased to 41% of the population. Complete analysis of these two studies can be found here in this earlier TheEyeDocBlog.com entry. High myopia increases a person’s risk for many conditions such as glaucoma and retinal detachment. By decreasing a child’s amount of nearsightedness we are decreasing their risk for these, and many other, conditions.

FDA Approved Technology

Overnight orthokeratology was approved by the FDA in 2002. This was game changer for orthokeratologists. Prior to overnight orthokeratology’s FDA approval, patients would wear their retainers every other day, which was not ideal. Now patients wear their lenses at night, removing them upon waking and enjoy good vision all day, every day. We are often asked if the vision correction lasts more than one day and yes it does. If a patient forgets to wear their lenses one night their vision is still good the next day. Skipping a day of wearing your vision retainers may not result in a second day of 20/20 vision, more likely 20/25 or 20/30; however, very good, functional vision is still maintained. It takes days and most often weeks for the vision to return to the pre-treatment level.

What Do Patients Say?

The first thing we hear from patients after they have undergone OrthoK is that they can’t believe it works. “My daughter put her lenses in when she went to bed, she took them out when she woke up and says she can see fine” is a common theme. Another common topic is “why haven’t I heard about this before” and there are many reasons for this.

Why Haven’t You Heard About OrthoKeratology or Gentle Vision Shaping Before?

Quite simply, there are well under 1000 active orthokeratologists in the United States. With orthokeratology experience matters and there is a significant learning curve in becoming an orthokeratologist. New optometrists and ophthalmologists receive very limited orthokeratology training in school. Dr. Richard Driscoll has been an active orthokeratologist since 1999, helping countless patients achieve good vision without the use of daily contact lenses, surgery, or glasses.

How Does Orthokeratology Work?

Adult patients, kids, and parents alike express amazement at how we can alter or mold the shape of their corneas with a contact lens, resulting in clear vision during the day without the need for glasses. It’s not magic, the science is very well established and FDA approved.  We remold the cornea into a shape similar to what is done with LASIK. The difference is that Ortho-K achieves this without the use of a laser and it does not remove any tissue; therefore, it is reversible, and easily modifiable.

Who is a Good Candidate for Orthokeratology?

Here is a quick list of those patients that benefit from orthokeratology. A more complete list of what makes a good orthokeratology candidate can be found on the OrthoKDoctor.com Website.

  • The moderately nearsighted
  • Children
  • Adults
  • Children that have experienced a sharp increase in nearsightedness
  • Patients afraid to have elective surgery on their eyes
  • Athletes
  • Patients denied refractive surgery due to occupation
  • People with a fear of surgery

What are the Benefits of OrthoKeratology?

  • Safely improves your vision, usually to 20/20
  • FDA approved for children and adults in 2002
  • Greatly slows the progression of nearsightedness in children (up to 90%)
  • Safer than refractive surgery
  • It’s reversible
  • Works while you sleep
  • Great solution for patients with dry eyes
  • Good for patients that can’t wear traditional daily contact lenses
  • Allows you to see clearly all day – some patients experience more than 1 day of clear vision after 1 night of wear
  • Proven technology

How do I Find More Information?

Check out the video below and see what patients are saying about Orthokeratology at Total Eye Care. If you want to know more about Orthokeratology and the Gentle Vision Shaping System at Total Eye Care call our Colleyville office for a free consultation 817.416.0333, Schedule a free OrthoK Consult online or visit www.OrthoKDoctor.com

 

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NIH Study Commissioned to Examine Prevention of Nearsightedness with Soft Bifocal Contact Lenses

The National Institutes of Health awarded the University of Houston College of Optometry and the Ohio State University College of Optometry $7.5 million to study the use of soft bifocal contact lenses in the prevention of nearsightedness (myopia) in children. The Bifocal Lenses in Nearsighted Kids (BLINK) Study will follow 300 children, ages 7 to 11 years of age over a period of 3 years. The Ohio State University College of Optometry previously published the Corneal Reshaping and Myopia Study in a 2009 issue of the British Journal of Ophthalmology where it found that orthokeratology lenses were effective in preventing the lengthening of the eyeball in children which in turn slowed the progression of nearsightedness.

Do you have a family history of nearsightedness? Are your kids nearsighted? Would you like to prevent the progression of myopia in your kids? Summer is a great time start Myopia Regulation Treatment. If you would like more details you can set up a free consult with Dr. Driscoll.

More information about orthokeratology can be found at the OrthoKDoctor.com website.

Florida State Heisman Candidate QB Jameis Winston Gets OrthoKeratology!

Jamies-Winston-OrthoKThe sports pages were all atwitter this weekend talking about how, the FSU quarterback, Jameis Winston doesn’t like to wear his contacts while playing football. He is afraid they will pop out. Problem solved, squinting Jameis Winston  decided to get  OrthoKeratology. The commentators of the FSU-Miami game even commented on how the Heisman candidate QB was squinting to see which play the coach was calling from the sideline. Yahoo News also shows him squinting to find a receiver downfield.

No matter how good you are you will play, and perform at a higher level with better vision. A fact not lost on Winston’s coach, Jimbo Fisher. At the post game press conference Fisher stated “imagine how good he would be if he could see.” I concur, now he will be able to see the eyes of the defender, and his receiver’s, a huge benefit for players at any level. Look out Wake Forest and Syracuse.

Orthokeratology allows nearsighted patients of all ages to achieve clear vision without glasses or contact lenses. OrthoKeratology has also been shown to be effective in slowing, and in some cases stopping the progression of nearsightedness in children. More information on Orthokeratology at Total Eye Care is also available on the OrthoKDoctor.com website.

Summer – A Great Time for Orthokeratology

I was asked what is the 60 second brief on OrthoK so here are my high points along with a video. 

Orthokeratology – or·tho·kera·tol·o·gy – a treatment for improving vision by altering the shape of the cornea through the application of corneal molds that are worn while you sleep.

Adult patients, kids, and parents alike express amazement at how we can alter or mold the shape of the cornea with a contact lens, resulting in clear vision during the day without the need for glasses. It’s not magic, the science is very well established and FDA approved.  We remold the cornea like what is done in LASIK. The difference is that Ortho-K achieves this without the use of a laser, it is reversible, and it is easily modifiable.

Check out the video below and see what patients are saying about Orthokeratology. If you want to know more about Orthokeratology call our office for a free consultation 817.416.0333 or visit www.OrthoKDoctor.com

Study Shows Orthokeratology Effective in Reducing the Progression of Nearsightedness in Children

The study of myopia control (nearsightedness) is a hot field of study, particularly in China where the High Myopia – Partial Reduction Orthokeratology (HM-PRO) study was conducted. This study is the latest in an effort to find an effective means to slow or even stop the progression of nearsightedness in children. The HM-PRO study is unique in that it treated 18 highly myopic children (Rx over -5.75 D) between the ages of 8 and 11 with a combination of OrthoK lenses and glasses, and followed them for two years. The study participants were matched with a control group of 18 children, the same age and also with prescriptions over -5.75D.

In the HM-PRO study 18 participants and 18 control patients were followed for 2 years. 15 of the treatment patients and 13 control patients completed the study.  After two years the treated patient’s nearsightedness increased by – 0.13D and the untreated (control) patients increased their nearsightedness by -1.00D.

Myopic progression is also measured by how much the eye grows in length (called the axial length). In this case the treated patients showed a significant reduction in progression with their axial length increasing by 0.19 mm whereas the control group’s axial length increased by 0.51 mm.

The study authors concluded that orthokeratology lenses slowed axial length elongation by 63% and reduced the prescription change by 87%. It has yet to be shown that orthokeratology lenses stop the myopic progression clearly this study, like numerous other before it, show that orthokeratology is effective in markedly slowing the progression of nearsightedness in children. At Total Eye Care we have been using reverse curve orthokeratology lenses to control myopia since 1999 and have fit hundreds of kids and adults.

OrthoKeratology in the News

Here is a mainstream media article in Gizmag talking about an upcoming meeting of the Optical Society where David Troilo, PhD, who is the Vice President and Dean for Academic Affairs from SUNY College of Optometry, will give a lecture on Optical Approaches for Controlling Myopia Progression: Evidence from Experimental Models.

It is good to see this excellent and effective technology getting its due. Virtually every time we fit a child or adult with myopia regulating orthokeratology lenses the parents and the patient seem amazed and can’t believe that they can actually see well during the day without a contact lens by merely sleeping in these specially designed vision retainer. It’s not magic or snake oil, it really does work.

On The Eye Doc Blog we have written extensively about the benefits of orthokeratology in preventing the progression of nearsightedness in children. We should not overlook the benefits of orthoK in adults. I am glad to see some mainstream media coverage about orthokeratology.

Excellent OrthoKeratology Video

With the increased rate of myopia in the US population, orthokeratology is becoming an increasingly important treatment option for our patients.  Dr. Driscoll is a member of the Orthokeratology Academy of America that produced the excellent video shown below.  The video gives a comprehensive overview of orthokeratology, including its pros, cons, and how it works. We highly recommend that any patients considering refractive surgery, such as LASIK and PRK, or orthokeratology view this video. By the way, comments are much appreciated so don’t be shy.