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Corrective Corneal Contouring[TM]: The Most Effective Contemporary
Ortho-K Technique

You will benefit significantly when you bring a lot more patients to
your office by offering a service that few if any of your fellow
optometrists are offering to their patients. As you, doctor, fit
Corrective Corneal Contouring[TM] contact lenses to eliminate or
significantly reduce your patients' myopic refractive errors, these
pleased patients you serve so well, will always remain in 'your'
practice; visit your office twice a year for continued care; benefit
from your professional consultation on myopia treatments, and purchase
their custom designed lenses from you.

Today there are hundreds of thousands of patients who would like their
eyes strengthened by functionally eliminating their myopia.
Unquestionably no one is happy that they are myopic and you have the
ability to easily restore them to their natural vision with contact
lenses. And most importantly, you now have the opportunity to provide
this service completely independent of third party encroachment on your
practice. Instead of watching myopes leave your practice to obtain
precarious laser surgery, you will now safely restore their maximal
vision, and remain the primary physician for myopia treatments.
Certainly, doctor, this is a specialty that will attract many new
families to your practice.

Corrective Corneal Contouring is an advanced method of Orthokeratology
that differs significantly from previous forms of Ortho-K. When you,
doctor, do C.C.C.[TM], the goal is to totally reduce a person's myopic
refractive error to functional emmetropia without predetermined limits.
You can readily accomplish this with new third generation,
multicontouring lenses. The lenses are very precisely calculated so
that you can extensively contour specific areas of the corneal surface
in an innovative and unique way. This results in a rapid reduction of
refractive error with a very clear, sphericalized visual zone; and an
induced corneal topography that remains very stable over time.

Clinically, it is evident that there are essentially two categories of
C.C.C. based on the degree of refractive error and the duration of
active treatment. When you perform intermediate level C.C.C. you will
readily correct up to 4.50 to 5.00 Diopters of myopia with mild "WR and
AR" astigmia. This contemporary treatment will allow you to rapidly
reduce the refractive error to a state of functional emmetropia within
just days or weeks. You will use two distinct lens designs to achieve
your clinical goals - the C.C.C. and H.R.E.[TM] lenses, using primarily
the former for these intermediate type corrections. At your clinical
discretion, you may target varying amounts of myopia to be corrected by
each pair of lenses. Thus 2-3 pairs of lenses will be used on average
as you correct these moderate refractive errors.

You, the orthokeratologist, will be pleased to know that in the C.C.C.
procedure, the lenses fit, center and align very readily. And today the
primary role of the doctor is to maintain that corneal alignment and
lens centration as the case progresses. The biggest advantage for you,
doctor, is that lens design calculations are done by computer software
at the laboratory all through the case. Unquestionably, it is far
easier for doctors to learn and perform Corrective Corneal Contouring
than traditional Ortho-K. And your more rapid and high success rates
are attributable to the simplicity of the system and the highly
effective lens design computations.

The Corrective Corneal Contouring treatment is a multi-stage
therapeutic process. First you will contour the corneal curvature to
return the patient to functional emmetropia or low hyperopia. This is
achieved in days or weeks. This is followed by the embedding process of
prolonged lens wear. You will prescribe a sustained lens wear schedule
which is maintained until the patient is able to consistently achieve
clear vision without lenses for a period of 8-16 hours. Once the
embedding process is completed, you will reduce the lens wear to
retainer wear - the final process, which is to determine the minimal
wear schedule that will maintain the desired vision without lenses in
place.

For advanced level Corrective Corneal Contouring, the H.R.E. lenses
have been designed to aid you in correcting 5.25 to 10.00 diopters of
myopia. To date Dr. Kearney has corrected 9.25 diopters of myopia in
responsive cases. Typically you will correct the higher refractive
errors in 3-9 months depending on corneal flexibility. H.R.E. lenses
are also used with very flat corneae or where added lens centration is
needed. These lenses differ from the C.C.C. in that they have
additional lens curvature combinations that enhance lens centration.
You may also utilize these lenses to correct myopia combined with
higher amounts of astigmia (3.00 WR or 1.75 AR and these are not
necessarily limits). And it is strongly recommended that advanced level
C.C.C. be performed primarily by orthokeratologists with both extensive
Ortho-K education and clinical experience.

To benefit your patients and your practice, doctor, do Corrective
Corneal Contouring in your office. Add this specialty now and you will
enhance your practice through a worthwhile direct reimbursement
program. You will be able to now, doctor, offer a variety of myopia
treatments to a sizeable, new ophthalmic market in your community. And
to assist you in your efforts, we have developed approved COPE courses
for you to learn the high technology of Corrective Corneal Contouring.
At your request, these course will be given at educational meetings, at
seminars or in private consultation in your office. You will, doctor,
become one of the caring specialists who strengthen your patients' eyes
- instead of their glasses.