Thursday, November 29, 2018

Ortho-K for Kids with Videre Eyecare

Being an avid reader since young,  Xav has been on glasses when he started Primary 1. But boys being boys, I needed to constantly remind him to handle his glasses properly, not to act cool by removing or wearing the glasses with a single hand, clean the smudged lens when needed for he can be totally oblivious to it, check for worn-out nose pads and scratched lens and the list goes on.

Orthokeratology or Ortho-K for short, this may sound familiar to some of you and foreign to some. Ortho-K is the use of gas permeable contact lenses (hard lens) to be worn at night so that the lens can gently reshaped the cornea and temporary correct the short-sightedness while one is sleeping so that the next day, one can still function without having the need to wear glasses or contact lenses and also to slow down the progression of myopia.

This is a totally new experience for us and especially so, for the boy as it can be quite fearful for some kids to put a foreign object in their eyes. To be honest, I do have my reservation about it because at the end of the day, it concerns his vision and his eye health as well as concerns like infection and ulceration with regards to this journey. I will cover this in the later part of the post. 

We made our first consultation with Yee Leen, one of the optometrist from Videre Eyecare for an Ortho-K evaluation and also a trial fit to assess if Xav was suitable for it.


Below image is a WAM 700 machine that can check for multiple objective refraction, eye pressure, axial length of the eye and many more.


Was it only me? I was amazed by this little station that could straight away give the reading of power of the lens directly from the lens.


Yee Leen gave Xav a thorough professional Comprehensive Eye Examination, Corneal Health Screening, Dry Eyes Detection, Corneal Curvature Mapping (Topography), Eye Pressure (Intra-Ocular Pressure), Contact Lens Fit, Wear & Care as well as Contact Lens Safety Recommendation.


With Yee Leen, explaining to him how Ortho-K treatment works. 



Being a competitive swimmer, Ortho-K treatment would be of beneficial to him and he would definately love to have clearer vision under water.


After explaining to Xav what the routine involved, the safety precaution to take, the commitment and discipline needed for this treatment, he told us he would love to give it a try! Whooo hooo! He is ready to throw away his glasses! 


This is his new commitment and routine (day and night), I was surprised that he was actually more cautious and remembered the steps much better than me which was good! The hygiene and proper handling of the lens is very crucial to prevent any risk of infection.

Daily routine

As his eyes are a little dry due to the regular swim, he has to do the following in the morning before school:
1. Drip blink Intensive Eyedrops before he removes the lens and drip again after he removes so as to moisturize the eyes. 
2. Use the saline to rinse the suction pump before using it to remove the lens.




Before wearing the lens to sleep (at night):
1. Drip blink Intensive Eyedrops before he dons on the lens and drip again after he wears it.
2. After pouring away the contents (conditioning solution), use the saline to rinse the lens holder, overturn it and leave to dry.

I have raised some of my concerns, here are some advice given to me on how to prevent eye infection, ulceration and lack of oxygen to the corneal: 
1. Always wash your hands clean (with soap) before handling the lens. 

2. DO NOT clean the Ortho-K lens with tap water. Tap water is teeming with bacterial although it has gone through intensive filtering, always wash with Saline. 

3. Commitment to return for regular check of the eyes to make sure eye health is in optimal condition is essential. Early detection is always better than allowing any poor eye health to deteriorate. 

4. Most would have thought that it is fine to keep using the same contact lens casing. But do you know that it is essential to change it every quarterly? 

5. Once the lens are being put on, the child should be heading to bed straight away. The optimum hours of sleep is between 6 to 8 hours with the lens on. For Xav, he usually sleeps at 10.30pm due to his training hours but thankfully it still meets the sleep requirement of 8 hours. 

How often did we go back for review?
The first night after Xav donned on the Ortho-K lens, we have to return to very next day for a review to see if the fitting had taken place well.

The second visit was a week later and third was two weeks later. The frequency of returning for reviews will be stretched longer as it goes.

What Xav experienced was, after the first night, he removed it and vision was much better than when he was totally off glasses (before he started Ortho-K treatment) though it was still blurred. Second day onwards, he excitedly told me "Mummy, my vision is so much clearer now!"

Xav is now enjoying lens-free in the day and can indulge himself in all kind of sports without having the risk of getting broken glasses or bent frame at the end of the day.



The price of Ortho-K lens starts from $1,800 onwards depending on individual complexity and can last for 1 to 2 years before you change. 


Thank you Videre Eyecare! for all the knowledge and patience in guiding us on this journey. Should you be keen to start your child on the Ortho-K journey, do give Videre Eyecare a call and make an appointment for an consultation and lens fitting at 6369 0041. Book your appointment online at http://videre-eyecare.com.sg/our-services/professional-eye-examination-by-age-group/ortho-k

Videre Eyecare is located at:
Forum the Shopping Mall
583 Orchard Road
#01-26/27/35/36/37
Singapore 238884 Email: forum@videre-eyecare.com.sg
Website: videre-eyecare.com.sg 

For more information, you can also visit Videre Eyecare:


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Disclaimer: This review post is a collaboration between Videre Eyecare and MyFatPocket, all opinions are of my own.

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