Is This the New Norm?: <br>Is Overcomplicating Ortho-k the New Normal?</br>
Clinical Scorecard: Is This the New Norm?: Is Overcomplicating Ortho-k the New Normal?
At a Glance
Category Detail
Condition Orthokeratology (Ortho-k) Key Mechanisms Myopia management through lens fitting and reshaping corneal topography. Target Population Children with myopia. Care Setting Optometric practice.
Key Highlights
Nearly 3,000 active prescribers of ortho-k in the US. 80.5% success rate with the first lens fit according to the SMART study. Concerns about the complexity of ortho-k fitting persist among clinicians. Focus on troubleshooting in continuing education may deter new practitioners. Clear vision and performance in activities are key indicators of success. Guideline-Based Recommendations
Diagnosis
Assess myopia severity and suitability for ortho-k. Management
Utilize streamlined fitting techniques to enhance patient outcomes. Monitoring & Follow-up
Evaluate vision clarity and patient satisfaction regularly. Risks
Potential for induced aberrations affecting axial elongation. Patient & Prescribing Data
Children experiencing myopia.
First-fit success is high; consider alternatives if initial lenses do not provide clear vision.
Clinical Best Practices
Accept a fit that is healthy and effective rather than perfect. Prioritize clear vision and patient performance over ideal topography. Related Resources & Content
