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Is This the New Norm?:
Is Overcomplicating Ortho-k the New Normal?

After more than 20 years in practice, it can be surprising to see what products have gone out of favor.

By: Mile Brujic, OD, FAAO, DAVID L. KADING, OD, FAAO
Contact Lens Spectrum September 1, 2026 Vol 41, Issue September-October 2026 Page(s): 30
5 Key Takeaways

  • 1

    The Fitting of Orthokeratology in the United States (FOKUS) study estimates nearly 3,000 active ortho-k prescribers in the US.

  • 2

    Ortho-k prescribing is primarily driven by myopia management, despite its low adoption rate among practitioners.

  • 3

    The SMART study found that 80.5% of eyes achieved successful fits with the first lens, indicating improved fitting success.

  • 4

    Many clinicians perceive ortho-k as complicated due to a focus on troubleshooting in continuing education courses.

  • 5

    Success in ortho-k fitting may be defined by clear vision and performance rather than achieving perfect topography.