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Medical Forum / General / Vision / October 2005

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Ortho-K

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Jeffrey Spoon - 15 Oct 2005 21:43 GMT
Hello, since I'm hear I might as well mention that I saw Orthokeratology
demonstrated on a tv show the other day. The presenter, who had worn
glasses/contacts all his life had tried Ortho-k lenses and for the first
time in his life could see without any assistance, after a while. .

Basically for anyone unfamiliar with how it works, you wear the rigid
lenses at night and they re-shape your cornea (using the pressure of the
eyelid during sleep) to correct short-sightedness. It seems a great way
of avoiding laser treatment.

What do the posters in here think of this treatment?

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Jeffrey Spoon

William Stacy - 16 Oct 2005 03:29 GMT
To me, it seems to be a lot of effort for very little reward.

And the reward is TEMPORARY.  It goes away when you stop the
uncomfortable "treatment".

forget it...

w.stacy, o.d.

> Hello, since I'm hear I might as well mention that I saw Orthokeratology
> demonstrated on a tv show the other day. The presenter, who had worn
[quoted text clipped - 7 lines]
>
> What do the posters in here think of this treatment?
Dom - 16 Oct 2005 10:02 GMT
Your points could equally be made about conventional contact lenses: a
lot of effort for a temporary reward which goes away when you stop the
treatment. However the reward in both cases is clear vision, quite a
worthwhile reward I would have thought.

Whether it's worth us optometrists buying a corneal topographer just so
we can do it, I'm not so sure. From a business point of view, I have
heard it said that it's one of the most profitable areas of optometry (I
don't do it... but have an open mind...)

Dom

> To me, it seems to be a lot of effort for very little reward.
>
[quoted text clipped - 4 lines]
>
> w.stacy, o.d.
Philip D Izaac - 16 Oct 2005 08:10 GMT
> Hello, since I'm hear I might as well mention that I saw Orthokeratology
> demonstrated on a tv show the other day. The presenter, who had worn
[quoted text clipped - 7 lines]
>
> What do the posters in here think of this treatment?

I have been fitting Ortho-K. lenses for the past 5 years. The effects are
not permanent and will last for one to two days. Patients who have problems
wearing contacts during the day, example eyes get dry, eyes that get
slightly red with contact lens use although comfortable, Those working in
dusty environments, Certain sports such as swimming, all find Ortho-K. a
usefull alternative.

The lenses are large (average 10.6mm) and according to feedback, more
comfortable then RGP's.

These lenses seem to have controlled the myopia of most of my patients
wearing them and most of my fellow practitioners are reporting the same
results.

By the way, the lenses flatten the central cornea even when worn during the
day as well. The pressure is due to the tears under the reverse geometry
lens. This produces a negative pressure at the periphery of the lens,
causing the cornea at this area to be SUCKED up thus steepening it. When
this area steepens, the central area must flatten as a result. I guess you
might say Ortho--K. sucks.

Roland J. Izaac
Jeffrey Spoon - 16 Oct 2005 16:46 GMT
>I have been fitting Ortho-K. lenses for the past 5 years. The effects are
>not permanent and will last for one to two days. Patients who have problems
[quoted text clipped - 18 lines]
>
>Roland J. Izaac

Interesting. I forgot it was temporary (although that's obvious really).
I used to wear RGP's myself, they're not too bad once get used to them.

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Jeffrey Spoon

 
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