How We Practice, and Why

Precision Over Shortcuts

There is a faster way to fit Ortho-K. You take two keratometry readings, choose a diagnostic lens from a fitting set, put it on the eye, and adjust from a manufacturer table. It works often enough that a practice doing a handful of fits a year can get acceptable results most of the time.

We do not work that way. Every design starts from full corneal topography of that specific eye, both eyes are designed independently because they are rarely similar enough to share parameters, and the design is verified against a morning difference map after the first night rather than accepted because the patient read the chart.

• What it costs us. More chair time per patient, more imaging, and more redesigns that we absorb rather than bill.
• What you should see. Your own corneal map on a screen, a comparison map after your first night, and a doctor who says the words treatment zone is slightly nasal rather than looks fine.
• Why it matters. A decentred treatment zone can produce acceptable chart vision and still cause night glare and vision that fades by evening.

See technology and diagnostics for the instruments involved and custom lens design and fitting for the sequence.

Partnership Over Transactions

The transactional version of this treatment sells you lenses and charges for everything that follows. Every adjustment is a visit fee, every question is an appointment, and the incentive quietly runs against getting your fit right quickly.

We build follow-up into the program instead. The first month of visits is part of what you paid for, not a series of surprises, and the design revisions that adaptation sometimes requires are part of doing the job rather than a chargeable event.

• What it costs us. Revenue that a fee-per-visit model would collect, and the discipline of quoting a program price that has to cover an uncertain number of early visits.
• What you should see. A written summary of what your program includes and excludes before you commit, and no invoice arriving for a week-two adjustment.
• Training that is verified. Lenses do not go home until you, or the parent handling them, can insert, remove, and clean independently in front of us.

See what is included and follow-up care.

Honesty About Candidacy

This is the expensive one. A candidacy evaluation that always ends in a fitting is a sales process wearing a clinical costume. Ours produces a no reasonably often, and the reasons are published rather than discovered.

• Corneal shape that will not support a stable design. Including early keratoconus found on a first topography.
• Prescriptions outside the correctable range. Partial correction may still be worth doing, but only with the limit stated in advance.
• Significant untreated ocular surface disease. Treated first where possible, and sometimes a permanent no.
• A patient or household that will not maintain hygiene. A safety threshold, not a character assessment.

Read realistic expectations and is Ortho-K safe before you decide, not after.

How to Hold Us to This

Principles are only useful if a patient can test them. Here are four questions that will tell you quickly whether any Ortho-K practice, including this one, is doing what it says.

1. 1Can I see my corneal map? If the answer involves an extra fee or a delay, the design probably was not built from it.
2. 2Is axial length measured, and can I see the chart? For a child, this is the question that separates myopia management from myopia correction.
3. 3What does the program price include, in writing, and what does it exclude? Ask for the exclusions specifically.
4. 4Under what circumstances would you tell me no? A practice that cannot answer this quickly may not have a threshold.

See why choose us for how these translate into practical differences, and about the practice for the broader context.