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

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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  • 1

    Stable refraction does not guarantee stable myopia, particularly in orthokeratology monitoring.

  • 2

    Axial length is a critical objective measurement for assessing myopia progression and treatment effectiveness.

  • 3

    Successful myopia control interventions can reduce axial elongation to approximately 0.10 mm to 0.15 mm per year.

  • 4

    Clinicians should align axial length measurements with key clinical milestones and avoid overreacting to single readings.

  • 5

    Utilizing a growth chart for axial length can enhance communication of treatment value and demonstrate technological investment.

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