To discuss the current state of orthokeratology (ortho-k) in the United States and address misconceptions regarding its complexity.
Approach:
FOKUS Study: The Fitting of Orthokeratology in the United States (FOKUS) study estimates nearly 3,000 active ortho-k prescribers in the U.S., primarily for myopia management.
SMART Study: The SMART study indicated an 80.5% success rate with the first lens fit and 95.5% required only one lens change.
Key Findings:
Ortho-k is underutilized despite its benefits in myopia management, as indicated by the FOKUS study.
Early ortho-k fittings required frequent follow-ups for optimal lens design, as noted in the source material.
The SMART study shows improved success rates, with 80.5% of first lens fits being successful and 95.5% requiring only one lens change.
Interpretation:
The perception that fitting ortho-k lenses is complicated is influenced by continuing education courses that focus on troubleshooting, as discussed in the source material.
Limitations:
The perception of complexity may deter new practitioners from adopting ortho-k, as highlighted in the source.
Success rates may vary based on individual practitioner experience and patient characteristics, as noted in the studies.
Conclusion:
Emphasizing clear vision and effective fits over perfect topography may enhance ortho-k adoption and success, as suggested by the findings.
