Ortho-K vs. Scleral Lenses: Which Vision Correction Option Is Right for You?

When it comes to modern vision correction, patients have more choices than ever before. Two of the most advanced options available today are Orthokeratology (Ortho-K) and scleral lenses. Each offers unique benefits for achieving clear vision, but they work in very different ways and are suited to different needs. If you’re exploring your options for better eyesight, understanding the differences between Ortho-K and scleral lenses can help you decide which solution is right for your eyes and your lifestyle.

What Is Ortho-K?

Orthokeratology, commonly known as Ortho-K, uses specially designed rigid gas-permeable contact lenses worn overnight. These lenses gently reshape the cornea while you sleep, temporarily correcting nearsightedness (myopia). In the morning, you remove the lenses and can enjoy clear vision throughout the day - no daytime glasses or contacts needed.

Key Benefits of Ortho-K:

•           Daytime Freedom: Great for those who play sports, have active lifestyles, or work in environments where glasses and contacts are inconvenient.

•           Non-surgical: No permanent alteration to your eyes; the effect is reversible.

•           Myopia Management: Ortho-K has been shown to slow the progression of myopia in children and teenagers.

Ortho-K is typically ideal for people with mild to moderate myopia and low astigmatism. It’s especially popular among children and teenagers looking to slow myopia progression, as well as adults who want freedom from daytime corrective lenses.

What Are Scleral Lenses?

Scleral lenses are large, gas-permeable contact lenses that vault over the entire cornea and rest on the white part of the eye (the sclera). Because they are larger than regular contacts, scleral lenses offer unique benefits for people with irregular corneas or dry eye disease.

Key Benefits of Scleral Lenses:

•           Exceptional Comfort: The fluid reservoir between the lens and the eye provides comfort and moisture, making them ideal for those with dry eyes.

•           Sharp Vision for Irregular Corneas: Excellent for people with conditions like keratoconus, post-surgical eyes, or significant astigmatism.

•           Stable Fit: Less likely to dislodge, even during active movement.

Scleral lenses are often recommended for individuals with irregular corneas, severe dry eye, or those who have not achieved good vision or comfort with other types of contact lenses. They can also be a solution for patients who have had corneal surgery or eye injuries.

How to Choose Between Ortho-K and Scleral Lenses

The best option for you depends on your vision needs, eye health, lifestyle, and personal preferences. Here are a few considerations:

•           Lifestyle: If you want lens-free vision during the day and have a stable corneal shape, Ortho-K may be a better choice.

•           Eye Health: If you have dry eye, corneal irregularities, or trouble with comfort in standard lenses, scleral lenses may offer significant relief and better vision.

•           Age & Myopia Progression: Children and teens with progressing myopia can benefit from Ortho-K for both vision correction and myopia management.

•           Comfort & Adaptation: Both lens types require proper fitting and adaptation, so regular follow-ups with your optometrist are essential.

Our optometrist will conduct a thorough exam and review your eye health and lifestyle to determine which option is best for your needs.

Discover Your Best Vision Correction Option at Esther Ahn Optometry

Both Ortho-K and scleral lenses offer innovative solutions for clearer vision, each with distinct advantages depending on your eyes and your lifestyle. With expert guidance, you can enjoy comfortable vision correction that fits your daily life and long-term goals.