5 Key Takeaways

• 1

  Every orthokeratology follow-up provides essential clues for troubleshooting, including topography maps, visual acuity, comfort, and corneal health.

• 2

  A smaller back optic zone diameter can enhance myopia control outcomes, but may lead to complaints of glare and halos during night activities.

• 3

  Central islands in the treatment zone indicate excessive sagittal depth, requiring a reduction to improve vision quality.

• 4

  Inferior decentration suggests a lens that is too steep, while superior decentration indicates a lens that is too flat, both needing adjustments.

• 5

  Not all problematic maps necessitate redesign; if the patient is comfortable and sees well, it may be best to observe without changes.