ROK

 

Welcome to the Research in Orthokeratology (ROK) group at the University of New South Wales.

Orthokeratology is a clinical technique of correcting mild to moderate degrees of short-sightedness through corneal reshaping using specially designed rigid contact lenses.

What is orthokeratology?

ORTHOKERATOLOGY (also known as OK, ortho-k or corneal refractive therapy - CRT) is a clinical technique of corneal reshaping using specially designed rigid contact lenses. In modern OK, lenses are usually worn only during sleep and are removed first thing in the morning. During the night the contact lenses gently reshape the front surface of the eye, correcting the refractive error and allowing clear vision through all waking hours without the need for spectacles or contact lenses.

Are my eyes suitable for OK?

At the moment we are able to correct low to moderate degrees of myopia (short-sightedness) with OK. If you know your prescription, this translates to a maximum of about 4.00 to 5.00 dioptres of myopia. The correction is achieved by applying gentle pressure to the centre of the cornea (the clear window of the eye) to flatten it slightly. This reduces the optical power of the cornea, thus correcting myopia.

OK lenses for myopia may correct about half of your astigmatism, but this varies from patient to patient. Some practitioners, particularly in Europe, are experimenting with relatively complex toric lens designs to correct astigmatism.

New lens designs for the correction of hyperopia (long-sightedness) are being developed here in Australia and also in the USA. These lenses aim to gently steepen the cornea, increasing corneal optical power and thus correcting hyperopia.

There are currently no OK lens designs specifically to help people who require glasses mainly for reading. This condition is known as presbyopia, and affects everyone over the age of 40 years. We have recently commenced trials of new lens designs aimed at creating a multi-focal cornea, to assist those patients who require glasses for correcting both near and far vision.

Apart from the refractive status of your eye, there are many other factors that may influence your suitability for overnight OK lens wear. In general, this procedure is only suitable for people with good ocular (and general) health and relatively low prescriptions. Patients must have the dexterity to handle the lenses for insertion and removal, and must closely follow practitioner instructions on lens wearing schedule and lens care procedures, to ensure safe lens wear.

Is the OK treatment permanent?

No, the effect of overnight OK lenses on corneal shape is temporary, and wears off over a few days if the lenses are not worn. To maintain the optical effect, lenses must be re-inserted and worn every night (or in some cases, every 2nd or 3rd night).

Is the OK treatment safe?

As with all contact lens wear, there are some risks associated with OK treatment. Strict adherence to practitioner instructions on lens wear, handling and care is absolutely essential to minimise these risks and ensure safe lens wear. This is particularly so because OK lenses are worn in the closed eye, which is a more risky environment than the open eye. In our previous studies we have not experienced any serious adverse reactions to OK lens wear. However, corneal infections resulting in scarring and loss of vision have been reported with this type of lens wear, particularly in Asia where clinical standards are not necessarily as strict as in Australia.

I am interested in being fitted with OK lenses. Where can I get further information?

If you are a low to moderate myope and would like to find out more about being fitted with OK lenses, the Orthokeratology Society of Oceania lists appropriately qualified Australian orthokeratology practitioners on its website at: http://www.osa.net.au.

I am interested in participating in ROK Group research on OK. What do I need to do?

We are always interested in recruiting subjects with different refractive errors (including myopia, hyperopia, presbyopia and astigmatism) to take part in our research at UNSW.  If you are interested in participating in our research, please contact us. Or you can fill out our on-line form here.