Orthokeratology and Children: An Early Intervention in Myopia Control

As the global prevalence of childhood myopia continues to rise, the search for effective solutions to manage and control its progression has become increasingly important. Myopia, or nearsightedness, can adversely impact a child’s quality of life, academic performance, and future eye health. One potentially powerful solution for slowing down myopia progression in children is orthokeratology. 

This non-surgical, reversible vision correction method reshapes the cornea overnight using specially designed contact lenses, reducing the need for glasses or daytime contacts and providing clearer vision during the day. Not only does orthokeratology offer the immediate advantage of improved vision for children, but its ability to control myopia progression makes it an attractive early intervention option for concerned parents. 

In this blog, we will delve into the world of orthokeratology as it relates to children. You will learn about the science behind orthokeratology and its effectiveness in controlling myopia progression, as well as the practical benefits it offers to children and their parents. We will also guide you through the entire process from consultation and fitting to monitoring progress, ensuring you have the necessary knowledge and resources to make an informed decision for your child.

Understanding the Myopia Epidemic: Causes, Consequences, and Control

The increasing incidence of myopia among children worldwide is a cause for concern, with factors such as increased screen time, reduced outdoor exposure, and genetic predisposition thought to contribute to its rise. Myopia’s potential consequences range from reduced quality of life to more severe long-term issues, like glaucoma, cataracts, and retinal detachment.

Early intervention and control of myopia progression are crucial to minimize these risks and ensure healthy eyesight for your child’s future. Orthokeratology (ortho-k) is an innovative solution that not only improves vision but helps control the progression of myopia as well.

The Science Behind Orthokeratology and Its Role in Myopia Control

Orthokeratology lenses work by reshaping the cornea while the child sleeps, flattening its central portion and allowing light to focus properly on the retina. This process provides clearer vision during the day, eliminating the need for glasses or daytime contacts.

The relationship between ortho-k and myopia control lies in the peripheral defocus theory. By reshaping the cornea, ortho-k lenses not only correct central vision but also create a unique optical effect on the periphery of the retina, discouraging eye elongation—a key factor in myopia progression. Numerous studies have demonstrated that orthokeratology can significantly slow down myopia progression in children when compared to traditional optical correction methods.

Practical Benefits for Children: Comfort, Confidence, and Convenience

With orthokeratology, children can enjoy several practical benefits that contribute to a better overall quality of life:

  1. Comfort: By not having to wear glasses or daytime contacts, children can avoid the discomfort and inconvenience often associated with these traditional methods, resulting in improved comfort throughout their daily activities.
  1. Confidence: Improved vision allows for increased confidence both in and out of the classroom. Children can participate more freely in sports, games, and other activities without the worry of losing or damaging their glasses.
  1. Convenience: Ortho-k lenses are worn overnight and removed in the morning, eliminating the need for children to remember their glasses or contacts throughout the day.

Parents’ Guide to Orthokeratology: Consultation, Fitting, and Monitoring

Here is a step-by-step guide for parents considering orthokeratology for their children:

  1. Consultation: Schedule a consultation with an experienced eye care professional like Fenton Family Eyecare, who will evaluate your child’s candidacy for ortho-k and answer any questions you may have.
  1. Fitting: If your child is deemed a suitable candidate, the optometrist will take precise corneal measurements using a corneal topographer. These measurements will be used to create custom-designed ortho-k lenses tailored to your child’s unique corneal shape.
  1. Adjustment: Over the first few nights of lens wear, your child’s vision will gradually improve as their cornea reshapes. During this short transitional period, their vision may not yet be perfect, but it will continue to improve as they adapt to the lenses.
  1. Monitoring: Regular follow-up visits will help track your child’s progress and ensure their eyes remain healthy while undergoing orthokeratology treatment. In addition to monitoring myopia progression, these check-ups assess lens fit and comfort, ensuring optimal outcomes.


Orthokeratology offers a promising solution for early intervention in childhood myopia control, with the dual benefits of improved vision and slowed myopia progression. By understanding the science behind ortho-k and exploring its practical advantages, parents can make informed decisions about their child’s eye care. 

Fenton Family Eyecare is dedicated to addressing the unique eye care needs of children and providing comprehensive solutions in the battle against myopia. Our team of family eye care specialists offer expert guidance and support throughout the orthokeratology journey, ensuring families have the knowledge and resources to make the best choices for their children’s eye health. Let us empower our children to achieve their full potential with clear vision and a bright future. Contact us to schedule an appointment!

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