The Invisalens Overnight System

Invisalens is the overnight Ortho-K system used at Better Sight Overnight. The optical principle is the same one that governs any well-fitted Ortho-K lens, and we are not going to pretend otherwise. What differs is the delivery: every lens is designed from a three-dimensional map of the specific eye it will sit on, each eye is treated as its own problem, the material is chosen for closed-eye oxygen transmission, and the follow-up schedule is built into the program rather than sold as a series of extras. In a treatment where outcomes vary far more with fitting quality than with brand, delivery is where the result actually comes from. This page describes exactly what that means in practice.

What Invisalens Is

What is Invisalens?

Invisalens is the branded overnight orthokeratology system provided by Better Sight Overnight, the specialty Ortho-K practice of Arizona Vision Eye Care Center. It consists of custom reverse-geometry lenses designed individually for each eye from corneal topography, manufactured in high-oxygen gas-permeable material, and supported by a defined training and follow-up program under Dr. Mark Page.

It is worth being straightforward about what a branded system is and is not. Invisalens is not a different way of bending light. Ortho-K works the way How Ortho-K Works describes, and that is true whoever fits it. What varies enormously between providers is how the design is derived, how carefully the fit is verified, how thoroughly patients are trained, and whether anyone checks the result on a schedule. Those four things account for most of the difference between a patient who loves Ortho-K and a patient who gave up in month two.

Invisalens is our commitment to doing those four things the same way every time, for every patient, and telling you in advance exactly what they involve.

Topography-Guided Design, One Eye at a Time

The most consequential decision in an Ortho-K fitting happens before any lens exists, when the design parameters are chosen. There are two ways to make that decision: from a table of standard curves indexed to a prescription, or from a measured map of the actual cornea. We do the second one.

The Map Comes First

A corneal topographer captures thousands of elevation and curvature data points across the corneal surface in a few seconds without touching the eye. That produces a picture of not just how steep your cornea is at the center, but how quickly it flattens toward the periphery, how symmetric it is, and where any irregularity sits.

Those secondary characteristics matter because the reshaping force is transmitted through the tear film, and the shape of that fluid layer depends on the whole contour, not the central reading. Two eyes with identical prescriptions and identical central curvature can need noticeably different lens designs. More on the instrument and the visit itself on Corneal Topography.

Each Eye Designed Separately

Human eyes are rarely symmetric. Prescriptions differ, corneal eccentricity differs, astigmatism axis differs, and pupil size can differ. Designing a pair as a matched set is faster and it is also how you end up with one excellent eye and one merely acceptable one.

Every Invisalens fitting produces two independent designs. Where one eye needs a toric peripheral geometry and the other does not, that is what gets ordered. Where the treatment zone diameter should differ because scotopic pupil sizes differ, it differs.

Reviewed Before the Order Is Placed

Dr. Page reviews each proposed design against the topography it was calculated from before the lenses are manufactured. The point is to catch mismatches while they cost a few minutes rather than after a two-week fabrication cycle and a disappointing first week of wear.

High-Oxygen Lens Material

Overnight wear is the entire premise of Ortho-K, and it is also the source of its principal risk. A closed eyelid substantially reduces the oxygen reaching the corneal surface, and a lens sitting on top of that reduces it further. An under-oxygenated cornea swells, tolerates lens wear poorly, and is more vulnerable to infection.

Dk is the standard measure of how readily a material transmits oxygen. Modern high Dk gas-permeable materials transmit several times more oxygen than the rigid lens materials of earlier decades, and that single change is most of the reason overnight corneal reshaping became a reasonable thing to do at all. Every Invisalens lens is made in a high Dk material chosen for closed-eye wear.

A Night With Invisalens

From the patient side the routine is short. From the corneal side, a good deal happens between lights out and the alarm.

Typical Ortho-K vision timeline over the first two weeksA rising curve showing vision quality improving sharply after night one and stabilizing by day fourteen.StartNight 1Day 3Week 1Week 2StableVision quality
Insertion, settling, sustained reshaping through the sleep cycle, removal, and a full day of stable unaided vision.
  • Insertion, about two minutes. Hands washed, lenses rinsed, a drop of solution in each bowl, lenses in. Awareness of the lens usually fades within a few minutes of lying down.
  • The first hour. The lens centers itself, the tear film settles into its patterned profile, and the pressure differential across the cornea establishes.
  • Hours two through seven. The reshaping happens. This is why six to eight hours is the target and why chronically short nights produce partial results.
  • Removal, about one minute. Lenses out, cleaned, and stored. The treated corneal profile stays behind.
  • The day. Vision holds. In the first two weeks some patients notice slight softening late in the evening, which normally resolves as treatment stabilizes.

What the very first night feels like, and what is normal versus worth a phone call, is covered on First Night Adaptation.

Structured Follow-Up, Not Optional Extras

Ortho-K results are protected at follow-up visits. A decentered treatment zone, an incomplete correction, or early corneal staining are all easy to fix when they are found at week one and much more annoying when they are found at month six. So the schedule is defined and the first month is inside the program price.

The Invisalens follow-up schedule
VisitWhenWhat we check
Next morningThe day after your first nightYou arrive with lenses in so we can assess overnight fit and centration directly, then measure the initial corneal response.
One weekDay 7Unaided acuity, topography compared to baseline, treatment zone centration, corneal surface health, and how handling is going.
One monthDay 30Whether vision holds through the full waking day, stability of the treatment pattern, and lens condition.
Three monthsMonth 3Ongoing corneal health, lens surface deposits, and for myopia control patients, progress against the plan.
Six monthsMonth 6Health check, lens replacement planning, and axial length remeasurement for children and teens.
AnnuallyEvery 12 monthsFull reassessment, updated topography, and a forward plan for the year ahead.
The Invisalens follow-up schedule

Lens parameters get refined when the data indicates they should be, not on a fixed calendar. A design change in the first month is a normal part of the process rather than a sign that something has gone wrong. More on the schedule at Follow-Up Care and Long-Term Maintenance.

What Makes It Different

The Invisalens system

  • Design calculated from your own corneal topography
  • Each eye designed independently, including toric geometry where indicated
  • Design reviewed against the corneal map before the order is placed
  • High Dk material selected specifically for overnight wear
  • Training that must be demonstrated before lenses go home
  • Six defined follow-up checkpoints, with the first month in the program price
  • Starting price published, exact figure in writing before you commit

Ortho-K as an occasional side service

  • Parameters chosen from a standard table indexed to prescription
  • Lenses ordered as a matched pair for both eyes
  • First real fit assessment happens when the lenses arrive
  • Material chosen by what the lab stocks by default
  • Verbal instructions and a printed handout
  • Follow-up scheduled if the patient asks or a problem develops
  • Price quoted only after an appointment

None of this is exotic. It is what careful Ortho-K looks like when a practice does it constantly rather than a few times a year. Read more about the technology and diagnostics behind it, and our clinical philosophy.

What the Program Includes

The Invisalens program is priced as one system rather than as a sequence of billable events. A complete custom program starts at $1,800. A standalone candidacy consultation starts at $250 and is credited toward your program if you go ahead. You receive your exact figure in writing before you commit.

That covers the consultation and candidacy evaluation, corneal topography, custom design for each eye, both lenses in high Dk material, insertion and removal training, a starter care kit, and the first month of follow-up visits. What falls outside it, such as replacement lenses after the warranty window and care solutions once the starter kit runs out, is listed plainly rather than discovered later.

For children and teens continuing on myopia control, the ongoing program starts at $1,200 per year after the initial fitting and includes scheduled axial length remeasurement. See Package Pricing, What Is Included, and Financing.

Who Invisalens Is For

The system suits the same people Ortho-K suits generally, which is to say most people with low to moderate nearsightedness, healthy corneas, and the willingness to keep a nightly routine.

  • Children with progressive myopia, where the goal is slowing axial growth as well as correcting blur.
  • Teens who want to play sport and get through a school day without glasses.
  • Adults who want daytime freedom without a permanent procedure.
  • Athletes in water sports, contact sports, and dusty outdoor conditions.
  • Soft lens dropouts whose eyes cannot tolerate daytime lens wear.

Our office is at 15215 S 48th St Ste 180 in Ahwatukee Foothills, Phoenix, near the I-10 and Loop 202 interchange, open Monday to Friday from 9:00 AM to 5:00 PM. Call (480) 706-3937 or book a consultation.

Our Process

Every Ortho-K patient follows the same structured pathway. You will know what happens at each visit, how long it takes, and what success looks like before you begin.

  1. Consultation and Candidacy Evaluation

    Visit 1, about 60 to 90 minutes

    We review your history and goals, measure your prescription, examine corneal health, and determine whether Ortho-K is a good fit. You leave knowing your candidacy, the realistic timeline, and the full investment.

    • Complete refraction and binocular vision assessment
    • Corneal health evaluation including tear film and epithelial integrity
    • Baseline axial length measurement for every myopia control patient
    • Honest discussion of who is and is not a good candidate
  2. Corneal Topography and Mapping

    Same visit or Visit 2, about 20 minutes

    A non-invasive topographer captures thousands of data points across the corneal surface to build a precise three-dimensional map. That map, not a stock lens table, is what your lens design is calculated from.

    • Elevation and curvature mapping across the full treatment zone
    • Pupil size measurement under scotopic conditions
    • Corneal eccentricity and asymmetry analysis
  3. Custom Lens Design and Ordering

    About 7 to 14 days for fabrication

    Dr. Page designs reverse-geometry lenses to your individual corneal shape and prescription. Each eye is designed separately. Lenses are manufactured in high-oxygen gas-permeable material and shipped to our office.

    • Independent parameter selection for each eye
    • High Dk material selected for safe overnight oxygen transmission
    • Design reviewed against your topography before the order is placed
  4. Dispensing and Handling Training

    Visit 3, about 60 minutes

    We do not send lenses home until you or your child can demonstrate insertion, removal, and cleaning independently. You receive printed and digital care instructions plus a direct contact path for questions.

    • Hands-on insertion and removal until it is comfortable and repeatable
    • Full cleaning, disinfection, and storage routine
    • A clear guide to what is normal in the first week and when to call us
  5. First Night and Early Adaptation

    Night 1 through week 2

    Most patients notice a meaningful improvement after the very first night. Vision continues to sharpen and stabilize over the following one to two weeks as the cornea settles into its new shape.

    • Next-morning follow-up visit with lenses still in place
    • One-week progress check with topography comparison
    • Direct access to the office during the adaptation window
  6. Follow-Up Care and Long-Term Monitoring

    Ongoing, typically 3 to 4 visits in year one

    We track vision, corneal health, lens fit, and for myopia control patients, axial length. Lens parameters are refined when the data says they should be, not on a fixed schedule.

    • Scheduled progress checks at one week, one month, three months, and six months
    • Axial length remeasured at defined intervals to confirm control is working
    • Lens refinement or replacement as eyes change over time

What's Included

The Complete Ortho-K Starter Program is priced as one system rather than a series of separate appointments. Investment starts at $1,800 for a full custom fitting, and we give you the exact figure in writing before you commit to anything.

  • Comprehensive consultation and candidacy evaluation

    Full refraction, corneal health assessment, and a direct answer on whether Ortho-K will work for you.

  • Corneal topography and mapping

    Three-dimensional surface mapping that your custom lens design is calculated from.

  • Custom Invisalens design for each eye

    Reverse-geometry lenses designed independently per eye from your own topography, not selected from a stock table.

  • High-oxygen gas-permeable lenses

    Both lenses in high Dk material selected for safe overnight wear.

  • Insertion, removal, and care training

    Hands-on instruction until handling is independent, plus printed and digital care guides.

  • Starter care kit

    Cleaning and disinfecting solutions, storage case, and handling accessories to begin treatment.

  • First month of follow-up visits

    Next-morning check, one-week progress visit, and one-month assessment included in the program price.

  • Direct support during adaptation

    A named contact path so first-week questions get answered quickly.

Not included, quoted separately

  • Replacement lenses after the warranty period. Lost or damaged lenses outside the initial coverage window are quoted separately.
  • Ongoing care solutions. Cleaning and storage supplies after the starter kit is used.
  • Follow-up beyond month one. Continuing care is available as a year-one continuity package or per visit.

Frequently Asked Questions

Is Invisalens a different treatment from Ortho-K?

No. Invisalens is overnight orthokeratology as delivered by this practice. The lenses are custom reverse-geometry gas-permeable designs of the kind used in Ortho-K generally.

What the name refers to is our specific protocol: topography-guided design per eye, high Dk material selection, verified handling training, and a defined follow-up schedule with the first month included.

How long does it take to get my Invisalens lenses?

Design happens at or immediately after your topography visit. Fabrication typically takes seven to fourteen days, after which you return for a fit assessment and handling training.

You go home with lenses that same day, provided you can demonstrate insertion, removal, and cleaning independently. First wear is that night, and you return the next morning with the lenses still in.

How often do Invisalens lenses need replacing?

Most patients replace lenses annually. Gas-permeable lenses are durable, but surface deposits accumulate, minor scratches develop, and in children the design often needs updating as the eye changes.

Replacement is quoted separately from the initial program. If a lens is lost or damaged inside the initial coverage window, tell us promptly rather than skipping nights.

What happens if the first design does not work well?

It is adjusted. Parameter refinement in the first weeks is a normal part of a careful fitting, not a failure. The one-week topography check exists precisely to catch a decentered or incomplete treatment pattern early.

If several design revisions do not produce an acceptable result, we will say so directly and discuss alternatives rather than continuing to iterate indefinitely.

Can I travel with Invisalens lenses?

Yes, and travel is one of the situations where patients appreciate the treatment most, since your correction is finished before you leave the hotel room.

Carry your lenses, case, and solutions in hand luggage, never rinse in tap water or bottled water of unknown quality, and consider a backup set if you travel frequently. A backup pair is quoted separately.

Is the Invisalens system suitable for young children?

Yes. Children are often the best candidates because the treatment corrects vision and creates the peripheral optics associated with slower myopia progression at the same time.

For younger children, parents typically handle insertion and removal at first, and we train the parent alongside the child. Baseline axial length is measured for every child before treatment begins. See Pediatric Ortho-K.

Last updated . Clinically reviewed by Dr. Mark Page.

Ready to Experience Clear Vision Without Surgery?

Book a consultation with Dr. Mark Page and find out whether Ortho-K is right for you. You will leave knowing your candidacy, the realistic timeline, and the full investment in writing.

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