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Home » Eye Care Services in Milton, ON » Myopia Control » Orthokeratology (CRT & VST)

Orthokeratology (CRT & VST)

Girl in library holding book, Ortho-K, Optometrist, Milton, ONOrthokeratology, commonly called ortho-k, is a method used to correct myopia (nearsightedness) by wearing rigid gas permeable contact lenses overnight, so that no vision correction is needed during daytime hours.

Gas permeable (GP) lenses specialized for ortho-k are inserted at bedtime and worn as you sleep. Throughout the night, the lenses reshape your cornea gently so that your vision becomes clear on the following morning. The correction is temporary, and ideally no eyeglasses or contact lenses will be needed on the next day or two. In order to maintain sharp visual acuity on a daily basis, you need to wear the ortho-k reshaping lenses every night.

At present, two brands of ortho-k contact lenses are approved for use by the FDA. Paragon Vision Sciences produces “Corneal Refractive Therapy” (CRT), and Bausch and Lomb manufactures “Vision Shaping Treatment” (VST).

Candidates for Ortho-K

Ortho-k is very suitable for nearsighted people who are not appropriate candidates for vision correction surgery, such as children. Individuals of all ages with healthy eyes can try ortho-k, namely because it can be discontinued at any point without permanent effects to the eyes.

People who require vision correction and engage regularly in sports or work in extremely dusty, dirty environments will also appreciate the convenience of ortho-k.

Vision Results from Ortho-k

Success rates for ortho-k are generally higher for more mild vision prescriptions. The ideal goal is to provide 20/20 vision without any need for eyeglasses or contacts during the day.

According to FDA trials conducted on both CRT and VST lenses, more than 65% of ortho-k patients were provided with 20/20 visual acuity. A whopping number of more than 90% of ortho-k patients achieved 20/40 vision or better (this is the legal requirement for driving without vision correction in most states). Consult with your eye doctor to find out if your vision prescription is within range for successful ortho-k treatment.

Note that although improvement in vision is generally reported within a day or two of wearing ortho-k overnight, the full effects may not be experienced until the lenses are worn for a few weeks. During this transition period, your vision will probably not be as crisp as it was with regular contacts or eyeglasses, and glare or halos around lights may be visible. Until ortho-k works fully, a temporary pair of eyeglasses may be required for specific actions, such as driving at night.

How Does Ortho-k Feel?

Although some people have trouble wearing regular gas permeable contact lenses during the day, ortho-k GP lenses are worn while sleeping – so discomfort and awareness of the lenses in your eyes is generally not an issue.

Is Ortho-k expensive?

Professional fitting for ortho-k requires a series of visits to your eye doctor. A number of pairs of contact lenses are also generally needed. GP lenses that are special for ortho-k are more costly than standard contacts. In sum, the fees for ortho-k add up to a higher total than regular contact lenses.

LASIK after Ortho-k

Refractive surgeries, such as LASIK, are possible after treatment with ortho-k lenses. Yet because ortho-k works to reshape your cornea, you are required to stop wearing the lenses for approximately several months before undergoing LASIK. This allows your eyes to return to their original shape.

It’s important to inform your LASIK surgeon if you’ve been wearing ortho-k lenses, and you will be advised as to how long of a wait is necessary before having the laser procedure.

Dear Patients,

Today, under directions from the College of Optometrists of Ontario, we have made the difficult decision to immediately suspend all non-urgent care,  due to the COVID-19 pandemic. Our doctors will still be accessible for ocular emergency assessments case by case. The clinic is closed.

All non-urgent appointments will be canceled and rescheduled for a later date. For urgent care please DO NOT call or come to the clinic, but send an email to: info@miltoneyecare.ca for appropriate triaging.

For patients who need to order contact lenses, please continue to place your order request on our website at www.miltoneyecare.ca. We encourage a 6-12 months’ supply of contact lenses to be ordered.

What consists of an emergency: Ocular Emergencies require an urgent visit within 24-48 hours. Please email our office should you experience:

  1. Chemicals splashed into the eye within the last hour
  2. Sudden loss or decrease in vision, or the appearance of a cloudy veil in front of the eye
  3. Foreign body in the eye, ocular injury or forceful trauma to the eye or surrounding area
  4. Sudden onset of halos around lights; especially if associated with a red painful eye or brow
  5. Sudden onset of flashing lights or floaters
  6. Sudden onset of double vision
  7. Red eyes with pain, light sensitivity or pus discharge
  8. Swelling of eyelid

If you are not sure if you are experiencing an ocular emergency please email our office at info@miltoneyecare.ca

 As this situation evolves, Milton Eye Care is committed to providing updates to our patients. While this is a difficult time for all, we are aspired by our patients who have taken their own personal measures to protect our most vulnerable. Thank you for your understanding. Please stay safe and healthy.

Warmest regards,

Milton Eye Care team