Emerald
Ortho-K lenses can effectively control myopia and also slow down the
progression of myopia. Studies have shown that among the proper ortho-k
lens patients, the progression of myopia (or increase in power) may
be slowed to -0.37D or less per year.
Considering
orthokeratology treatment via the Emerald lens is an excellent investment
on maintaining healthy eyes and vision for your child. If treatment
can begin an an early age, we may be able to slow down the progression
of myopia and prevent your child from developing "high myopia."
High myopia is typically having a prescription of -6.00 D or more,
and can lead to higher risks of retinal detachments and patients are
more likely to experience floaters.
1.
How do ortho-k lenses work?
Ortho-k
shaping lenses are special gas permeable contact lenses that are designed
to progressively reshape the central surface of the cornea systematically,
similar to the effects of lasers in reversing nearsightedness. However,
unlike laser surgery, the effect of ortho-k treatment is temporary
and reversible.
2.
Is everyone a candidate for ortho-k?
No.
While orthokeratology can help most individuals (including those with
certain types and amounts of astigmatism and moderately high myopia)
improve their vision, the procedure is often most effective for those
prescriptions falling within a specific range. Additional factors
may include individual corneal rigidity and shape factors, as well
as an ability to wear contact lenses. At Standard Optometry, a thorough
consultation and examination using advanced computerized diagnostic
instrumentation can easily determine if orthokeratology is right for
an individual.
3.
How safe is ortho-k?
The
Emerald Ortho-K lens is safe when appropriately fitted and managed
properly. Many people have been able to eliminate their dependence
on their glasses and standard contacts with no adverse effects. Unlike
surgical procedures like photorefractive keratectomy (PRK), laser-assisted
in-situ keratomileusis (LASIK), and laser assisted subepithelial keratectomy
(LASEK), the corneal tissue is not incised or vaporized by a laser.
As
with all contact lenses, proper lens care and handling must be performed
to maintain eye health. The state-of-the-art, high permeability GP
materials now available provide adequate amounts of oxygen to the
tissues of the eye. Non-surgical corneal reshaping with contact lenses
can be performed on people of any age, and particularly on children
at least 8 years of age, as long as their eyes are healthy. Ortho-k
holds particular appeal for people who participate in sports, or who
work in dusty, dirty environments that can cause problems for regular
contact lenses.

4.
How long does it take for the process to stabilize and provide functional
vision for the whole day?
The
Emerald Ortho-K lens generally requires four to seven consecutive
nights of wearing the shaping lenses to achieve the desired results.
It may take somewhat longer for those with higher degrees of nearsightedness.
5.
Are ortho-k lenses uncomfortable to wear?
Overnight
wearing of the shaping lenses is surprisingly comfortable. Most patients
are unaware of their presence within a short time after insertion.
And because the Emerald ortho-k shapers are made in large diameters
and worn during sleep, the normal adaptation is very short. With GP
contacts, a sensation of lens awareness can result from interaction
of the eyelid with the edge of the lens during blinking. (This doesn't
happen with soft lenses because they are larger and remain tucked
under the eyelids.) But when ortho-k lenses are worn during sleep,
blinking and lens awareness generally are not a problem.
6.
Once the treatment phase is completed, how frequently will I need
to wear the overnight retainer lenses?
Most
people will need to wear the Emerald shaping lenses 6 to 7 consecutive
nights in order to enjoy good, unaided vision during the entire day.
Patients with lesser degrees of myopia (nearsightedness) may find
wearing them every other night satisfactory. However, this will be
determined on an individual basis by the eye care practitioner.
7.
Will I still have to wear glasses or contacts?
Once
the desired myopia reduction is obtained, the final shaping lenses
act as retainers to maintain that level. Regular contact lenses are
not needed. Glasses may be needed for reading or other part-time use.
During the initial treatment period, if unaided vision does not last
a full day, the patient will be given soft disposable contact lenses
to wear to maintain normal distance vision.