Using Orthokeratology Lenses to Aid Dry Eye Symptoms - Report - MDSpire
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Using Orthokeratology Lenses to Aid Dry Eye Symptoms

  • By

  • Moshe Schwartz, OD

  • September 17, 2026

  • 4 min

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Clinical Report: Using Orthokeratology Lenses to Aid Dry Eye Symptoms

Background

Orthokeratology lenses are designed to reshape the cornea and are increasingly recognized for their role in managing pediatric myopia. Understanding the interaction between ortho-k lenses and dry eye conditions is essential for optimizing treatment outcomes.

Data Highlights

The case study involved a 10-year-old patient with progressive myopia and dry eye symptoms, who achieved 20/20 visual acuity after wearing high-Dk ortho-k lenses.

Key Findings

  • Ortho-k lenses can retain a thin tear reservoir that may help reduce dry eye symptoms.
  • High-Dk rigid GP materials are recommended for overnight ortho-k wear to enhance corneal oxygenation.
  • The selected lens parameters were tailored to the patient's corneal topography and refractive error.
  • The patient reported wearing the lenses for 8 to 9 hours nightly with symptom resolution.
  • Reduced-oxygen delivery can disrupt corneal metabolism and exacerbate epithelial compromise.

Clinical Implications

The use of high-Dk materials in ortho-k lenses is essential for maintaining corneal health during overnight wear.

Conclusion

Ensuring adequate oxygen transmissibility is crucial for long-term corneal health.

Related Resources & Content

  1. van Setten G-B, Biology, 2024 -- Cellular stress in dry eye disease—key hub of the vicious circle
  2. Barbosa Ribeiro B et al, Clin Ophthalmol, 2024 -- Corneal epithelial thickness correlation with dry eye symptom severity
  3. Lum E, Swarbrick HA, Optom Vis Sci, 2011 -- Lens Dk/t influences the clinical response in overnight orthokeratology
  4. optometric management — Myopia: Managing Dry Eye...
  5. Contact Lens Spectrum — ORTHOKERATOLOGY TODAY
  6. contact lens spectrum — ORTHOKERATOLOGY TODAY
  7. contact lens spectrum — UTILIZING SPECIALTY LENSES TO TREAT DRY EYE
  8. Myopia: Managing Dry Eye...
  9. ORTHOKERATOLOGY TODAY
  10. Benefits and risks of orthokeratology treatment: a systematic review and meta-analysis
  11. IMI—Interventions for Controlling Myopia Onset and Progression 2025 - PMC
  12. Efficacy of diquafosol 3% in preventing and treating dry eye associated with pediatric orthokeratology - ScienceDirect

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