Orthokeratology is the application of individually designed
extended-wear rigid gas-permeable (RGP) contact lenses to alter the
shape of the cornea in order to reduce myopia (short-sightedness),
hyperopia (long-sightedness) and astigmatism.
Orthokeratology is also sometimes called Ortho-K, CRT
(Corneal Refractive Therapy), Corneal Moulding, CCC (Corneal Corrective
Contacts), VST (Vision Shaping Treatment), GVSS (Gentle Vision Shaping
System), EZM (Eccentricity Zero Moulding) or AOK (Accelerated
Orthokeratology).
This procedure has been available for nearly 40
years, however, it is only in the last 10 years that it has become a
very feasible option for vision correction. Today, with space-age
polymers, computerized corneal scanning, and highly sophisticated, truly
accurate computerized lathes, the procedure accomplishes vision
correction in a matter of days. In addition, new developments in lens
materials have made rigid gas permeable contact lenses more permeable to
oxygen enabling safe overnight wear. This allows patients to wear lenses
overnight while sleeping and to have good vision throughout the day
without using lenses or spectacles.
This procedure is effective in both children and
adults, freeing them from spectacles and lenses so that they may enjoy a
more physically active lifestyle. Current research shows that there is
an added advantage in children as it slows down myopic progression.
The Ortho-K technique is a viable and reversible
alternative to refractive surgery. The cornea, however, is highly
elastic and always returns to its original shape eventually. For this
reason, the lenses are worn either nightly, or on alternate nights or
for 3 to 5 hours each day once the ideal corneal shape has been
achieved.