Orthokeratology: Addressing Nearsightedness in Children

In recent years, there has been a troubling increase in the prevalence of myopia, or nearsightedness, among children worldwide. This growing epidemic can have long-term consequences on a child’s vision and overall quality of life, making early intervention crucial in preventing further progression. One promising solution to this problem is orthokeratology or ortho-k. This is a non-surgical approach that employs custom-designed overnight contact lenses to reshape the cornea and temporarily correct refractive errors such as myopia.

Orthokeratology may serve an essential role in mitigating the progression of myopia in children, offering freedom from daytime glasses or contact lenses and fostering better ocular health. However, determining whether a child is a candidate for ortho-k involves careful evaluation and consideration. Additionally, adapting to new routines and ensuring success in orthokeratology requires guidance and support from both parents and eye care professionals.

In this blog post, we will delve into the critical issue of myopia in children and explore the profound potential of orthokeratology as an intervention and preventive measure. We will guide you through the process of evaluating your child’s candidacy for ortho-k, provide practical advice for embracing and adapting to this treatment, and share real-life stories of young lives transformed by orthokeratology.

Understanding Myopia in Children and the Role of Orthokeratology in Prevention

The increasing prevalence of childhood myopia has become a global concern due to its potential impact on long-term vision and ocular health. Early intervention is critical in managing myopia progression and mitigating the associated risks. Some potential causes of childhood myopia include genetic factors, limited outdoor exposure, and extended periods of near-focus activities, such as reading and screen usage.

Orthokeratology has emerged as a promising option for managing myopia in children. Research suggests that ortho-k may not only temporarily correct myopia but also slow down its progression in children. Some potential benefits of orthokeratology for young myopes include:

  1. Reduced Myopia Progression: Ortho-k has been shown to slow down myopia progression in some children when compared to conventional glasses or contact lenses.
  2. Greater Visual Comfort: Reshaping the cornea overnight results in clear, comfortable daytime vision without the need for glasses or daytime contact lenses.
  3. Enhanced Quality of Life: The freedom from daytime eyewear allows children to participate fully in sports and other activities, promoting self-confidence and overall well-being.

Is Your Child a Candidate for Orthokeratology? What to Consider During the Evaluation Process

Determining a child’s suitability for orthokeratology involves a comprehensive evaluation by their eye care professional. Some factors that may be considered during the evaluation process include:

  1. Refractive Error: Ortho-k is most effective for children with low to moderate myopia, although recent advancements in lens designs have broadened its potential applications.
  2. Corneal Shape: Orthokeratology works by reshaping the cornea, so a child’s corneal shape affects their eligibility for this treatment.
  3. Eye Health: A child must have healthy eyes, free from infection or inflammation, to safely undergo orthokeratology.
  4. Age: Although there is no strict age limit for ortho-k, younger children may require additional support and supervision in lens care and insertion.

Discussing your child’s candidacy for orthokeratology with your eye care professional is an essential step toward determining the most appropriate approach to managing their myopia.

Embracing Orthokeratology for Your Child: Adapting to New Routines and Ensuring Success

Transitioning to orthokeratology can be an adjustment for children and their parents, but with guidance, support, and patience, this process can lead to successful outcomes. Some practical tips for helping your child adapt to ortho-k include:

  1. Establishing a Routine: Develop a regular nighttime routine that includes lens care, insertion, and removal in a consistent manner, promoting good hygiene and safety.
  2. Support and Supervision: Encourage open communication with your child about their comfort, concerns, and experience with lens wear, and provide guidance and assistance as needed.
  3. Patience and Persistence: Adaptation to orthokeratology may take time, so remind your child and yourself that improvements in vision and comfort can be gradual and require consistency.

Maintaining an ongoing dialogue with your eye care professional is essential for monitoring progress, addressing concerns, and ensuring the successful adoption of orthokeratology.

Real-Life Stories: Young Lives Transformed by Orthokeratology

The impact of orthokeratology on children’s lives can be truly remarkable. Stories of improved vision, enhanced self-confidence, and newfound freedom abound as children embrace a lens-free existence during their waking hours. Young athletes, students, and artists alike can attest to the transformative effects of ortho-k, paving the way for a brighter future for countless children worldwide.

By sharing these inspirational stories, we aim to encourage parents and children considering orthokeratology to take the first step toward a better vision and a more fulfilling, active life.


Orthokeratology presents a unique, non-surgical solution for addressing the growing issue of myopia in children. With early intervention, careful evaluation, and guidance throughout the adaptation process, ortho-k has the potential to drastically improve a child’s vision, quality of life, and long-term ocular health. 

At Fenton Family Eyecare, our commitment is to empower you with the knowledge and support necessary to make informed decisions about your child’s vision. By embracing the potential of orthokeratology, we can nurture a brighter future for our younger generation.

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