I have a young progressive myopic patient. Do you recommend corneal reshaping? If so, how can you help me, and what do I need to provide you?
“Yes, corneal reshaping or orthokeratology will help this patient a great deal. You would need to provide, at minimum, Ks and refraction. A baseline topography would also be a great idea.” (Susan Faul)
“Yes, corneal reshaping would be a good option. It’s best to have a corneal topography when fitting this type of lens. From the maps we can design the best fit to meet the patient’s needs.” (Kelsey Roberts, Valley Contax)
“Corneal reshaping works great on younger patients, and myopia control is one application of the lens to consider. As a consultant, I have vast knowledge on the subject, and corneal topography when fitting these patients is a MUST!” (Jim Slightom, ABB Concise)
“If you have a patient that can be very regimented with lens wear and handling, and you are within the range of the lens that you are using, then you can have a successful long-term ortho-K patient. Depending on the lens design, we may need a trial set workup or just Ks and Rx.” (Jeff Birk, Essilor)
What resources can help increase my knowledge about corneal reshaping lens designs?
(A consumer brochure is available on this website.)
“Look toward the CLMA and the GPLI as associations that can increase your lens knowledge. There are also other groups that specialize in each of the lens modalities, and they can be a good resource.” (Jeff Birk, Essilor)
“Each manufacturer should offer excellent training materials on their websites. Also the manufacturer’s consultants would be my ‘go to’ for any assistance. Also attend the workshops offered by the manufacturers at the trade shows and meetings.” (Susan Faul, Paragon Vision Sciences)
“There is a wonderful corneal reshaping guide called ‘A Guide to Overnight Orthokeratology,’ available from Bausch + Lomb, that is very informative.” (Kelsey Roberts, Valley Contax)