Objective:

To discuss the role of diagnostic imaging in fitting and evaluating orthokeratology (ortho-k) lenses for myopia management.

Key Findings:

• Ortho-k lenses can slow axial length progression by 36% to 46%.
• Slit lamp imaging helps monitor lens fit and facilitates consultations for adjustments.
• Corneal topography enables empirical fitting and customization of ortho-k lenses.
• A smaller back optical zone diameter (5.0 mm) improves myopia management efficacy.

Interpretation:

Diagnostic imaging techniques enhance the fitting process of ortho-k lenses, leading to better patient outcomes and more efficient follow-up.

Limitations:

• Reliance on provider's clinical experience may still affect fitting outcomes.
• Potential variability in patient responses to ortho-k treatment.

Conclusion:

Integrating slit lamp imaging and corneal topography into ortho-k fitting processes can optimize vision correction and slow myopia progression effectively.