Many patients with vision problems heartily embrace the idea of enjoying vision correction without having to wear eyeglasses or contact lenses. Not all of these patients, however, are good candidates for PRK or Lasik surgery, the two standard surgeries used to alter the way the cornea of the eye refracts light. If that describes you, don't fret -- because here at Katy Myopia Control Center, we offer an advanced corneal reshaping technique known as orthokeratology, or Ortho-K. This non-surgical technique can produce changes to the way your cornea refracts light.

To understand the benefits of Ortho-K, let us first consider how the cornea works. The cornea is a transparent, spherical bulge that sits over the lens of your eye. In addition to protecting the inner parts of the eye, the cornea also performs some lens-like tasks of its own. The shape of cornea causes incoming light rays to be refracted, or bent, in such a way that the lens can focus them into a clear, sharp image before they pass on to the retina and optic nerve. Ultimately, the optic nerve transmits the image to your brain.

Deformations in the shape of the cornea cause refraction to go wrong in various ways, producing the fuzzy images characteristic of nearsightedness, farsightedness, and astigmatism. Glasses and contact lens are curved to "pre-refract" incoming light to compensate for your personal degree of corneal deformation. Laser surgery actually corrects the shape of cornea itself, eliminating most of all of the visual errors that might otherwise call for corrective lenses.

Corneal Reshaping While You Sleep

While you might leap at the thought of permanently correcting vision problems, laser surgery isn't always the best eye care option. For instance, if you suffer from thin corneas, untreated cataracts, diabetes, certain autoimmune diseases, or a corneal disease called keratoconus, you should avoid laser eye surgery.

Some of our patients simply don't like the idea of any kind of surgery, or they want a reversible procedure. Orthokeratology may be an ideal choice for these individuals. Dr. Li will map the shape of your corneas precisely and then fabricate special contact lenses. Unlike standard contacts, you'll wear these lenses at night. The lenses perform a subtle corneal reshaping as you sleep, meaning that you can take them out the next morning and enjoy perfect or near-perfect vision.

Ortho-K can help you see clearly for one or two days at a time, or possibly even longer. By wearing them regularly at night, you can maintain your clarity of vision for as long as you decide to continue using them. If you decide to use another form of vision correction, simply stop wearing the Ortho-K lenses and your corneas will assume their previous shape once again.

Orthokeratology is also great for children and in fact works better for children. Kids that use orthokeratology have shown improvement in their vision, and in some cases have shown a slow in their progression of myopia, thus they won't inherit their parent's prescription of myopia. While there is no way to predict the effect on each individual child, ortho-k has seen great results as a whole. Plus, if your child wears the lenses at night they are less likely to break expensive eyewear during the day when they play sports or other activities.

This process is best for near sighted individual’s under 40 years old with a mild of prescription of -4 diopters or less. The success rate is higher for those with a mild prescription. 65% of patients achieve 20/20 vision after treatment, and 90% of patients achieve 20/40 vision. Orthokeratology may not be best for individuals with dry eyes, large pupil size, or high myopia. If you are interested in ortho-k as a treatment for your myopia, then you should schedule a consultation with Dr. Li. There is also a link on this page to commonly asked questions about ortho-k. 

Ortho-k is very safe. It is less invasive than LASIK, and is easily monitored. It is highly encouraged that you read the commonly asked questions, and seek consultation with an orthokeratologist so that you can find out about the many great aspects of ortho-k. For instance while some may think that ortho-k will cause eye infections, there is only a slight risk that is easily remedied by appropriate eye and lens care. It is not common to have recurrent infections with ortho-k, and those that suffer from them should seek consultation.