Using Orthokeratology Lenses to Aid Dry Eye Symptoms
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By
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Moshe Schwartz, OD
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September 17, 2026
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Clinical Scorecard: Using Orthokeratology Lenses to Aid Dry Eye Symptoms
At a Glance
| Category | Detail |
|---|
| Condition | Dry Eye Symptoms |
| Key Mechanisms | Ortho-k lenses retain a thin tear reservoir, reducing tear film evaporation and maintaining ocular surface hydration. |
| Target Population | Patients with progressive myopia and dry eye symptoms. |
| Care Setting | Optometry practice focusing on contact lens fitting. |
Key Highlights
- Ortho-k lenses can alleviate dry eye symptoms by optimizing tear exchange.
- High-Dk rigid GP materials are recommended for overnight wear to enhance corneal oxygenation.
- Careful adjustment of lens parameters can minimize lens-related irritation.
Guideline-Based Recommendations
Diagnosis
- Assess ocular history and symptoms of dry eye.
Management
- Select reverse-geometry ortho-k lenses tailored to corneal topography and refractive error.
Monitoring & Follow-up
- Regular follow-up to evaluate symptom relief and visual acuity.
Risks
- Inadequate oxygen transmissibility can exacerbate epithelial compromise.
Patient & Prescribing Data
Children and adolescents with myopia and dry eye symptoms.
Use of high-Dk materials is essential for maintaining corneal health during overnight wear.
Clinical Best Practices
- Prioritize corneal health and patient comfort in treatment planning.
- Consider the highest-Dk materials available as the standard of care in ortho-k practice.
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