Contact Lens Spectrum Supplements

Special Edition 2017

Contact Lens Spectrum

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50 C O N T A C T L E N S S P E C T R U M S P E C I A L E D I T I O N 2 0 1 7 c l s p e c t r u m . c o m used. Just like your overall business plan, your market- ing and communication strategy is founded upon deep understanding of your practice and the environment in which it functions. Knowing how and where your customers find out about and consume eye care, and ortho-k specifically, is key to reaching them when they are decisional. Start small, build your expertise, and allow the ortho-k practice to grow organically. Too much too soon will overwhelm you, the staff, and the practice. Build into it with one ortho-k patient per month, then one per week, then perhaps one day you will have a clinic totally built around ortho-k. If you keep total costs in check, patients are happy, and if marketing and advertising continuously grow the patient base then at some point a fruitful ortho-k practice will naturally emerge. SUMMARY Ortho-k offers a multitude of opportunities that can sustain an optometric practice. Ortho-k gives patients the opportunity to experience uncorrected daytime vision, and by preventing high myopia through myopia control, it directly addresses the myopia epidemic. For practitioners, ortho-k is professionally rewarding and a potential foundation for a successful business. Becoming an expert in ortho-k is a life-long pursuit. If you fully commit yourself and your practice to it, patients will seek you out. Education is the starting point and the key to building a successful ortho-k practice. If you have the will to educate yourself, and if the environment will support it, entering the ortho-k field may be the best business decision you will ever make. CLS AUTHOR'S NOTE: I would like to thank Jon Andre- sen, MBA, PhD, San Antonio, and Jaume Paune, PhD, OD, MOVS, FIAO, Catalonia, Spain, for taking time away from their busy schedules to provide information and support for this article. Dr. Frogozo specializes in adult and pediatric specialty contact lenses. She is the director of the Contact Lens Institute of San Antonio and the owner of Alamo Eye Care in San Antonio, Texas. She also is a consultant to CooperVision and Visionary Optics. You can contact her at OR THOKERA TOLOGY REFERENCES 1. Jessen GN. Orthofocus techniques. Contacto. 1962;6:200-204. 2. Kerns RL. Research in orthokeratology. Part II: Experimental design, proto- col and method. J Am Optom Assoc. 1976;47:1275-1285. 3. Kerns RL. Research in orthokeratology. Part III: results and observations. J Am Optom Assoc. 1976;47:1505-1515. 4. Binder PS, May CH, Grant SC. An evaluation of orthokeratology. Ophthal- mology. 1980;87:729-744. 5. Polse KA, Brand RJ, Keener RJ, Schwalbe JS, Vastine DW. The Berkeley Orthokeratology Study, part III: safety. Am J Optom Physiol Opt. 1983;60:321- 328. 6. Polse KA, Brand RJ, Schwalbe JS, Vastine DW, Keener RJ. The Berkeley Orthokeratology Study, Part II: Efficacy and duration. Am J Optom Physiol Opt. 1983;60:187-198. 7. Coon LJ. Orthokeratology. Part II: Evaluating the Tabb method. J Am Optom Assoc. 1984;55:409-418. 8. Mountford J. An analysis of the changes in corneal shape and re- fractive error induced by accelerated orthokeratology. Int Cont Lens Clin. 1997;24:128-144. 9. Nichols JJ, Marsich MM, Nguyen M, Barr JT, Bullimore MA. Overnight orthokeratology. Optom Vis Sci. 2000;77:252-259. 10. Rah MJ, Jackson JM, Jones LA, Marsden HJ, Bailey MD, Barr JT. Over- night orthokeratology: preliminary results of the Lenses and Overnight Ortho- keratology (LOOK) study. Optom Vis Sci. 2002;79:598-605. 11. Rah MJ, Kinoshita B, Lampa M, Bennett ES, Herzberg CM. Orthokeratol- ogy. In Bennett ES, Henry VA, eds. Clinical Manual of Contact Lenses. 4th ed. Philadelphia: PA: Lippincott Williams and Wilkins; 2014. 12. Herzberg CM. An update on orthokeratology. Contact Lens Spectrum; March 2010. 13. Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123: 1036-1042. 14. Wu PC, Huang HM, Yu HJ, Fang PC, Chen CT. Epidemiology of myopia. Asia Pac J Ophthalmol (Phila) 2016;5:386-393. 15. Walline JJ. Myopia control: a review. Eye Contact Lens. 2016;42:3-8. 16. Walline J. Solving for m(y)opia. AOA Focus. 2016: June:16-17. 17. Hiraoka T, Okamoto C, Ishii Y, Kakita T, Okamoto F Oshika T. Time course of changes in ocular higher-order aberrations and contrast sensitivity after overnight orthokeratology. Invest Ophthalmol Vis Sci. 2008;49:4314-4320. 18. Kobayashi Y, Yanai R, Chikamoto N, Chikama T, Ueda K, Nishida T. Re- versibility of effects of orthokeratology on visual acuity, refractive error, corneal topography, and contrast sensitivity. Eye Contact Lens. 2008;34:224-228. 19. Stillitano I, Schor P, Lipener C, Hofling-Lima AL. Long-term follow-up of orthokeratology corneal reshaping using wavefront aberrometry and contrast sensitivity. Eye Contact Lens. 2008;34:140-145. 20. Hiraoka T, Mihashi T, Okamoto C, Okamoto F, Hirohara Y, Oshika T. Influ- ence of induced decentered orthokeratology lens on ocular higher-order wave- front aberrations and contrast sensitivity function. J Cataract Refract Surg. 2009;35:1918-1926. 21. Watt K, Swarbrick HA. Microbial keratitis in overnight orthokeratology: review of the first 50 cases. Eye Contact Lens. 2005;31:201-208. 22. Kim EC, Kim MS. Bilateral acanthamoeba keratitis after orthokeratology. Cornea. 2009;28:348-350. 23. Bullimore MA, Sinnott LT, Jones-Jordan LA. The risk of microbial keratitis with overnight corneal reshaping lenses. Optom Vis Sci. 2013;90:937-944. Figure 4. Example of ortho-k for hyperopia, which creates central steepening by gently reshaping the midperipheral cornea. Various refractive errors can be corrected with alternate ortho-k lens designs.

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