Frequently Asked Questions
Top 20 Frequently Asked Questions About Overnight Corneal Reshaping
All of the above are really the same thing, just said in a different way. These are all FDA-approved ways to temporarily reduce nearsightedness, with or without moderate astigmatism, with the use of specialized contact lenses worn while sleeping.
While sleeping, the retainer lens causes your tear film to alter the shape of the central outer-most layer of the cornea called the epithelium. The epithelium becomes flatter, and the epithelial cells migrate peripherally, allowing for a central circular area of the cornea that is flatter than it was before. This new shape allows you to see as if you were wearing glasses or contact lenses.
Typically, it takes 7-10 days before you reach your full correction and it lasts all day long. However, it varies from person to person and from prescription to prescription. Usually higher amounts of nearsightedness take a little longer to treat.
No. If you discontinue wearing your lenses while you sleep, your vision will return to its normal state in as little as 3-5 days.
During the period of time when your eyes are reaching full correction, you may need to wear supplemental soft contacts during part of the day and evening. During your after the first night of wear, your eye care practitioner will determine what prescription you need, if any, to minimize any visual discomfort during the fitting process.
Patients with up to 6.00 diopters of nearsightedness with or without moderate astigmatism. Also, this treatment is FDA approved for people of all ages, so children make excellent candidates due to their active lifestyles. Prior to the fitting process, you will need to undergo a comprehensive eye examination to ensure your eyes are healthy and there are no medical issues that would make overnight corneal reshaping a poor choice for you.
There are risks involved with any type of contact lens wear. Overnight corneal reshaping has been found to be as safe as any other kind of contact lens wear, and safer than overnight soft contact lens wear.
Yes, as long as you have discontinued your treatment and your corneas have returned to their pre-treatment shape, which usually takes no longer than a month at the most.
Yes, you may still be a candidate for overnight corneal reshaping, but you may need to treat your dry eyes either before or during the fitting process. Your eye care practitioner will evaluate your dry eye problem and determine how you should proceed.
I have heard of Orthokeratology from a friend of mine. She said her uncle tried it 20 years ago, and it took lots of pairs of lenses and almost a year for him to finish his treatment, without a lot of success. How is this different?
Orthokeratology is not a new concept. Actually, it has been around for over 30 years. Unfortunately, the idea was ahead of its time. The technology did not exist at that time to make orthokeratology successful. In recent years, advances in materials, designs, manufacturing and eye care have allowed orthokeratology to become a safe and successful alternative to surgery, spectacles and daytime contact lens wear.
Based on your prescription and corneal shape, we can estimate how many office visits you will need for your fitting and follow-up, and what lens design would be best for you. We developed a tiered pricing structure based on that information. After your consultation we will be able to give you an exact cost for the procedure.
Yes. We have established a relationship with a company called Care Credit. This company offers a 12 month interest free plan if you are interested. They also offer plans for fewer than 12 months or more than 12 months. We will be happy to discuss all of your payment options at the time of your consultation.
No. These lenses are taken care of just like any other gas permeable contact lens.
There is no set replacement schedule for your lenses. As long as the lenses stay in good shape and your prescription does not change, you can continue wearing them. We always recommend a spare pair of lenses in case one breaks or gets lost. You can purchase a spare pair at a reduced cost as soon as your treatment is completed.
No. Typically your prescription changes at a rate that would allow us to make small changes in your lens parameters that would usually necessitate just purchasing a new pair of lenses. After the first year, your annual cost should be about the same as if you were wearing traditional gas permeable contact lenses.
Yes. All of the corneal reshaping designs we use allow you to see well at distance while wearing them. Depending on your age, you may still need to wear reading glasses with or without your lenses on.
Since these lenses are meant to only be worn while sleeping, it is much easier to adapt to wearing them. Patients are ordinarily over the break-in period within 3-5 days.
In the rare instance the procedure is unsuccessful or you are not satisfied with your outcome, you will have the option of being fit in traditional contact lenses or eyeglasses. If these options do not appeal to you, a portion of your fee (which will be stated up front), will be refunded once you have returned your corneal reshaping lenses.
You just may be. Each patient however, would need to be evaluated prior to making that determination.
There have been several studies done on this topic, some of which are still ongoing, but no conclusive evidence has yet proven that corneal reshaping will arrest the development of nearsightedness or astigmatism. Many parents with high myopia , have been proactive in choosing CRT for their pre-disposed children, as the primary method to stabilize myopic progression.