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If you've been to the office in the past few years, you've probably heard me mention the term "Orthokeratology" (Ortho-K for short). Briefly, Ortho-K is a gentle way to reshape your corneal surface overnight to correct your myopia, presbyopia, and even hyperopia. You simply place the retainer or "mold" lens onto the eye like any normal contact lens, and then go to bed and let the magic of Ortho-K correct your vision while you sleep. In the morning, you remove your retainer molds and enjoy great vision all day long without the need for contacts or glasses. Pretty neat!
Traditionally, Ortho-K has been managed with retainer molds of "set" parameters that are chosen based on a few millimeters of your corneal shape and your eyeglass prescription. This will often yield a good success rate, however it won't work for everyone. People with a fair amount of corneal astigmatism are not great candidates for traditional ortho-k designs and will often benefit from Dual-Axis designs (Paragon CRT) or even a completely customized design based on the entire corneal topography such as our WAVE designs. Over the past few years we have had tremendous success with the customized corneal topography based Ortho-K WAVE designs, typically achieving a first lens success rate of >90%. This isn't because we are great at designing the lenses (we can't take all the credit : ) its because we are finally incorporating your unique corneal shape into our lens selection along with the remarkably precise freeform lathes that are now used to shape your custom retainer molds. If you're having a tough time with your current, glasses, soft lenses, or gas permeables and would like to know if you're a candidate for Ortho-K, just give us a call at 407-647-2020 or email us at [email protected] and we will be happy to answer any of your questions. Dr. Schott
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Ryan Schott, ODMaitland Vision Center Archives
January 2026
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