Orthokeratology Today: <br>Using Biometry to Guide Ortho-k Decisions</br> - Scorecard - MDSpire
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Orthokeratology Today: <br>Using Biometry to Guide Ortho-k Decisions</br>

  • By

  • CHERYL CHAPMAN, OD, FIAOMC, FAAO, DIPL ABO

  • May 1, 2026

  • 4 min

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Clinical Scorecard: Orthokeratology Today: Using Biometry to Guide Ortho-k Decisions

At a Glance

CategoryDetail
ConditionMyopia Management
Key MechanismsAxial length measurement and monitoring to assess myopia progression.
Target PopulationChildren at risk of progressive myopia.
Care SettingOptometry clinics specializing in myopia control.

Key Highlights

  • Stable refraction does not always indicate stable myopia.
  • Axial length growth is a critical measure for evaluating myopia progression.
  • Successful interventions can reduce axial elongation to 0.10-0.15 mm/year.
  • Follow-up visits should be scheduled consistently to account for variations.
  • A growth chart can help communicate treatment effectiveness.

Guideline-Based Recommendations

Diagnosis

  • Monitor axial length to assess myopia progression.

Management

  • Adjust treatment plans based on sustained trends in axial length measurements.

Monitoring & Follow-up

  • Schedule follow-ups at the same time of day to ensure consistency.

Risks

  • Untreated myopia can lead to significant axial elongation.

Patient & Prescribing Data

Children experiencing myopia progression.

Consider dual therapy with low-dose atropine if axial elongation is noted.

Clinical Best Practices

  • Use a laminated chart with normative data for axial length growth.
  • Align measurements with clinical milestones and lifestyle changes.
  • Do not overreact to single axial length readings; look for trends.

References

Original Source(s)

Orthokeratology Today: <br>Using Biometry to Guide Ortho-k Decisions</br>

  • by CHERYL CHAPMAN, OD, FIAOMC, FAAO, DIPL ABO

  • May 1, 2026

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