Orthokeratology Frequently Asked Questions

What is Orthokeratology?

Orthokeratology (also known as Corneal Reshaping Therapy (CRT)) is a non-surgical process that temporarily reshapes the cornea while you sleep.  You wear rigid lenses to sleep at night and then remove the lenses when you wake.  You are able to go throughout the day without the need for soft contact lenses or glasses correction.

How does Orthokeratology work?

Orthokeratology works by using highly gas permeable retainer contact lenses that reshape the front surface of your eye (your cornea) while you sleep.  These lenses are designed to redistribute the cellular fluid within the epithelial cells of your cornea, thus changing the way light travels through it and temporarily eliminating your near-sightedness. The specially designed CRT Lenses gently and gradually reshape the front surface of the eye (the cornea).  Lenses are worn nightly for a minimum of 6-8 hours. It can take a week or more to achieve clear vision but most patients appreciate notable improvement in uncorrected vision within the first few days of wearing Orthokeratology Lenses.

How new is Orthokeratology?

The idea of Orthokeratology is not a new concept.  In fact, corneal reshaping began in the 1960’s.  Unfortunately, previous corneal reshaping designs were only as successful as technology allowed. In 2002, Paragon Vision Sciences became the first company to earn FDA approval for nighttime Orthokeratology. Advancements in computerized corneal mapping, computerized manufacturing, and oxygen permeable contact lens materials have allowed for broader parameters which gives doctors more options for treatment.

Can any Doctor fit the Orthokeratology Lenses?

No.  Orthokeratology lenses do not work on every patient and need to be performed in a very exact and meticulous manner.  Marciano Family Optometric has invested in the necessary diagnostic equipment and computer software and our doctors have been trained and certified to perform Orthokeratology using several different lens designs.

Is Orthokeratology Permanent?

One of the advantages of Orthokeratology is that the procedure is temporary.  If you stop wearing the Orthokeratology lenses regularly while you sleep, your vision will return to its original state in as little as 72 hours.

   Can the Orthokeratology stop my child’s eyes from getting worse?

YES.  Although it’s important to remember that this doesn’t happen in every case, recent studies have shown with overwhelming evidence that the use of Orthokeratology Lenses can slow down or halt the progression of myopia in children.  Research continues to show that in most myopic children, the rate of myopic shift is either non-existent or significantly less than in children who wear glasses or traditional soft contact lenses.

Can everyone wear Orthokeratology Lenses?

The Orthokeratology Lenses are currently FDA approved for treating nearsightedness with or without mild amounts of astigmatism. The specially designed lenses gradually and gently reshape the front surface of the eye (the cornea). Lenses are worn nightly for a minimum of 6-8 hours. It can take a week or more to achieve clear vision but most patients appreciate notable improvement in uncorrected vision withing the first few days of wearing the lenses.

   Is there an age restriction?

There are no age restrictions. Orthokeratology Lenses may be the perfect option for any member of the family, including active adults.  The doctor will provide more information about Orthokeratology and if it is the right choice for you.

Are there any risks involved with wearing Orthokeratology Lenses?

It is not expected that the Orthokeratology Lenses will provide a risk that is greater than other contact lenses.  There were no serious adverse events reported in the FDA clinical study.

Can I see with my Orthokeratology Lenses in?

Yes.  One of the great features of the Orthokeratology Lenses is that if you get up in the middle of the night, you will be able to see perfectly.  In order to appreciate the full effect of the treatment it is not recommended to wear the lenses during the day. However, when used as directed, you will enjoy great vision with your lenses on or off.

How often will I have to replace my Orthokeratology Lenses?

Generally speaking the Orthokeratology Lenses will have to be replaced annually.  However, depending on factors such as protein buildup, how well the lenses are taken care of, etc., the lenses may have to be replaced more or less frequently. Lost or broken lenses will need to be replaced at the patients expense.

How much does Orthokeratology cost?

Our initial cost is $2300. This global fee includes: fitting, training, 1 pair of lenses and 1 spare pair of lenses, and all follow up visits for one year.  The CRT Lens program is a one-year commitment.

At this time, insurance does not cover the cost of the Myopia Control Program.  Similar to LASIK surgery, it is considered a cosmetic procedure.  However, most employers will accept receipt of payment toward your flexible spending accounts. We also accept Care Credit.

How much does the Orthokeratology cost for subsequent years?

The cost ranges from $500 to $800 per pair, depending on whether the prescription changes.  This fee includes a re-assessment of your vision and lens fitting, all follow-up appointments and any necessary adjustments for that year. ** This is in addition to the cost of your annual eye examination, which may be covered by insurance.  This is required to continue with the program.  Additional lenses may or may not need to be purchased, depending on your vision and the status of the lenses.  If the prescription changes, or if the lenses show excessive wear, the lenses will need to be replaced.

Is a sibling discount provided?

There is no sibling discount provided because each case is done on an individual basis.

**refer to Myopia Control Program fees