The College of Optometrists

Orthokeratology

A360
You should explain the benefits and discuss the risks with the patient, or their parents if appropriate, so the patient can make an informed decision whether to be fitted with orthokeratology lenses, and in particular cover the: 
  1. increase in risk of complications during overnight wear, and
  2. in the case of children, the further increase in risk.
A361
You should explain to patients that infectious keratitis is a sight threatening complication of overnight wear and tell them about: 
  1. the importance of lens hygiene
  2. signs and symptoms to look out for
  3. the need for prompt medical care
  4. the importance of attending for regular aftercare, and
  5. an out of hours contact number for emergencies and the number of the local eye casualty department.
A362
You should use an overnight trial fitting to confirm the patient’s physiological response prior to beginning the treatment. 

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