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Anyone use Orthokeratology for kids?

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#1 Abernathy

Posted 31 July 2016 - 09:43 AM

My 10yo DD has just been diagnosed as short-sighted and our optometrist has highly recommended Orthokeratology (contact lenses which are worn overnight and removed during the day). Would love some feedback from anyone who has used this process with kids. Thanks!

#2 alfoil hat

Posted 31 July 2016 - 09:53 AM

I work in a paediatric optometry practice which does ortho-k. I think the youngest we do is around 12 but there is no reason not to for a 10yo if she's responsible and good with hygiene. What's the reasoning? Does she hate glasses? Is she very shortsighted? Is the shortsightedness progressing quickly? With a bit more info I might be able to give you another perspective :) feel free to pm me :)

#3 Fossy

Posted 31 July 2016 - 10:02 AM

My daughters best friend at school got these a few months ago, she is 6. They've worked really well for her, the only issue they said if she stays up late her vision starts to worsen, she's only 6 and goes to bed at 7, but might be somethings to be aware of with your daughter being older.  Otherwise her vision is great and she was without her glasses within a few days.
Her parents thought they were a good investment until she can have her vision surgically correct if she wants.  They see their opthamologist at Melbourne uni and they do lots of trailing of new treatments and procedures.  I looked into it for my son but his vision is too bad unfortunately.

Edited by Fossy, 31 July 2016 - 10:03 AM.

#4 Abernathy

Posted 31 July 2016 - 10:13 AM

This is all new to us as nobody in the family has glasses (so excuse me if I get some the jargon wrong.....). We have only just discovered that she is short-sighted as she never raised any concerns until a couple of weeks ago but the optometrist tells us this has probably been a problem for about 3 years. I believe he said she is already at -2. He suggested the OrthoK based on the view that it would slow down any further deterioration.

We only found out yesterday so I am in the very early stages of considering the options but I guess I am wondering how big a difference it is likely to make in terms of deterioration (as I understand that laser correction as an adult is the likely end result either way). I also wonder about how difficult the lenses are to insert and remove and whether it is manageable for a kid (or something which is going to be terribly unpleasant for her day in day out??).

#5 Fossy

Posted 31 July 2016 - 10:31 AM

I think just discuss it with her, at ten she is old enough to understand.  Are you seeing an opthamologist, a good paediatric one is important.  When you see the specialist ask them to show your daughter how to use contacts, they can give her some single use ones to practice with and see how she feels about it.
From what I believe her vision may deteriorate further but she is a bit older than my child so it may be different given her age, she may have already deteriorated iykwim.  It is a bit irrelevant if you plan laser correction in the future anyway so I wouldn't let this impact too much on your decision.
If she is willing she will be fine with contacts, I know several early primary school children who use them easily, they insert and remove them themselves. Interesting they are all girls, I can't see my son ever managing!  Out opthamologist has mentioned her youngest contact user is 5.

#6 leosmum

Posted 16 November 2019 - 08:27 AM

Hi everyone, just bumping this old thread to see if anyone has any more recent experiences of using orthokeratology for kids. My son is 11.5 and is now short sighted in one eye. Optometrist is recommending this approach in that eye to start with. I am open to this as I was a -7 prescription before LASIK surgery and I remain concerned about the ongoing health of my severely myopic eyeballs - so I appreciate that there’s a preventative aspect to this as much as corrective in the short term.

Love to hear any general experiences, and any particular clinic experiences from anyone based in Melbourne (PM if you like). Many thanks!!

#7 alfoil hat

Posted 23 November 2019 - 06:37 AM

Hi leosmum, I used to work in the field but have no experience parenting a child having ortho k. However, have you heard of atropine drops for myopia? Can slow down/stop the progression if that’s what you’re worried about. It’s another treatment which few optometrists do so you may have to make enquirers to find someone who can assess if it’s right for your son.

#8 leosmum

Posted 23 November 2019 - 08:24 AM

Thanks alfoil hat. Yes I had also read about atropine drops for myopia control. I’ve decided to take my son to another optometrist for a second opinion but still very much interested in hearing from any other parents or professionals who’ve seen this used in kids.

Alfoil hat, is there good evidence for the efficacy and safety of the atropine drops, to your knowledge?

#9 alfoil hat

Posted 23 November 2019 - 08:34 AM

I don’t know sorry and my knowledge is now 4 years out of date. I was an optical dispenser not an optometrist. As far as I understand it, they are used commonly and extensively overseas but not in Australia. This may be partially because in Australia an extra certification is required to prescribe eye medications (ocular therapeutics) and most optometrists don’t have it. I’m not sure if it’s all rolled into the one qualification overseas.

#10 MsLaurie

Posted 23 November 2019 - 05:32 PM

 alfoil hat, on 23 November 2019 - 08:34 AM, said:

This may be partially because in Australia an extra certification is required to prescribe eye medications (ocular therapeutics) and most optometrists don’t have it.
This is changing rapidly- all new graduates for the past few years have had this qualification built into their degree, and a lot of older optometrists have now done the extra study (graduate certificate??) to be able to prescribe.

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