Setting the Standard: Dispensing Ortho-k Lenses the Right Way
By
ROBERT GEROWITZ, OD
March 1, 2026
Clinical Scorecard: Setting the Standard: Dispensing Ortho-k Lenses the Right Way
At a Glance
Category Detail
Condition Myopia control using orthokeratology lenses Key Mechanisms Overnight corneal reshaping with ortho-k lenses to reduce myopia progression Target Population Patients undergoing orthokeratology treatment, including children Care Setting Specialty lens programs in optometry practices
Key Highlights
Proper dispensing of ortho-k lenses, including care kits and supplies, is critical for long-term patient success. Clear written and verbal instructions improve patient adherence and reduce complications. Setting expectations early and providing the right tools helps prevent improper lens care and related issues. Guideline-Based Recommendations
Diagnosis
Identify candidates suitable for orthokeratology as part of myopia control programs. Management
Provide patients with specific recommendations on lens care products and supplies at initial dispensing. Reinforce instructions verbally and in writing to ensure clarity and adherence. Monitoring & Follow-up
Conduct regular follow-up visits to assess lens fit, corneal health, and patient compliance. Risks
Improper lens care can lead to complications such as infection or lens damage. Patient non-adherence to hygiene protocols increases risk of adverse events. Patient & Prescribing Data
Orthokeratology patients, including pediatric populations for myopia control
Providing exact product recommendations and clear instructions enhances compliance and treatment success.
Clinical Best Practices
Dispense a complete care kit with lenses on day 1 to ensure patients have necessary supplies. Give clear, written instructions alongside verbal explanations to minimize misinterpretation. Educate patients and families on proper handwashing and lens handling to prevent contamination. Set expectations early about lens care routines and follow-up schedules. References
