Shattky Optometrists

Visique Shattky Optometrists has been serving the people of Hawke's Bay with trusted expert eyecare and eyewear since 1906. We continue a proud history of family ownership with successive father & son teams Ernest & Derek Shattky, Neil & Phil Donaldson plus Mark & Tim Eagle. Using the very latest technologies and systems we specialise in Glaucoma tests, Retinal photography, Diabetic management, Therapeutic drugs, dietary supplements and Behavioural Optometry. We are ACC primary eyecare providers and CAA certificated examiners. Our speciality Orthokeratology and Keratoconus contact lens services are very successful. Using Zeiss, Nikon & Essilor quality lenses, High Fashion frames and sunglasses we excel in providing award winning choice. We provide Irlen and Cellfield specialist services for 3D, binocular problems, Amblyopia and reading problems.

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Home > How We Help > Ortho K And RGP Contact Lenses > FAQ's about OrthoK

FAQ's about Ortho K

Shattky on Russell are the only optometrists in Hawke's Bay to provide the Ortho K therapy. Keeping up with the latest and best eye treatments is one of the strong values of Shattky's, who were the first to install a GDx instrument in Hawke's Bay to more accurately measure the onset of Glaucoma.

Here are answers to the most commonly asked questions about Ortho K:


Who can receive the Ortho K therapy?

Most people's eyes can have Orthokeratology with the Paragon Corneal Refractive Therapy (CRT) contact lenses, however, not everyone is suitable. Myopia and low amounts of Astigmatism can be treated. And we are now delighted to say that low to moderate amounts of Long-sightedness (Hyperopia) can also be treated!


Is there an age limit young or old?

There is no age limit young or old, children as young as seven have been successfully treated.

How do I get started to find out if I can have Ortho K therapy and throw away my daily wear contact lenses? A full eye exam at Shattky's is necessary prior to starting Ortho K, (even if you have had a recent eye examination at another optometrist) as several aspects of your eyes including health, vision and corneal shape will have to be assessed to establish if your eyes can have Ortho K.

If in the last 12 months you have had a full eye exam already at Shattkys, then you will need an initial assessment with Corneal Topography and a 15 minute Ortho K screening appointment with your Optometrist about Ortho K to see if it's right for you.


Is Ortho K therapy permanent?

No. It's temporary. If you stop wearing the lenses regularly while you sleep, your vision will return to its original state in as little as 72 hours.


How long does it take to reach good vision?

Most patients have rapid improvement in the first few days of therapy and achieve nearly their optimum vision in 10-14 days.


Are there any risks involved with wearing Ortho K Contact Lenses?

There is a small risk involved when any contact lens is worn. It is not expected that the Ortho K Contact Lenses will provide a risk that is greater than other contact lenses. There were no serious adverse events reported in the Ortho K Contact lenses with the Paragon CRT FDA clinical study.

Can I see with my Ortho K Contact Lenses in?

Yes. One of the great features of Ortho K Contact Lenses is that if you get up in the middle of the night, you will be able to see perfectly. You will enjoy great vision with your Ortho K Contact Lenses on or off.


How often will I have to replace my Ortho K Contacts?

Generally speaking the Ortho K Contact Lenses will have to be replaced annually. However, depending on factors such as protein build-up, how well the lenses are taken care of, etc., the lenses may have to be replaced more or less frequently.


How do I care for my Ortho K Contact Lenses?

Your lenses should be chemically disinfected after every use (not heat). We will instruct you about which care system is best for you.


How new is Ortho Keratology with Ortho K Contact Lenses?

The idea of Orthokeratology (contact lenses that reshape the cornea), is not a new concept, it's been around since the 1940s. However since 2002 it has now reached a safe reliable stage using the latest technological advancements in computerised corneal mapping, computerised manufacturing, and oxygen permeable contact lens materials. This has allowed Paragon CRT to produce a therapeutic contact lens that is like no other. In 2002 it was the first to earn FDA approval for night-time therapy.


What is the prescription range that Ortho K Contact Lenses can correct?

Ortho K can treat nearsightedness (myopia up to –6.00 dioptres) with or without minor astigmatism (up to –1.75 dioptres). And now also low to moderate amounts of long sightedness ( hyperopia up to +5.00 dioptres). We are now fitting for Presbyopia with multifocal corneal corrections up to a +3.00 add.

And because there are no age restrictions, it may be the perfect option for any member of the family including active Teenagers even some Preteens.


How much does Ortho Keratology therapy with Ortho K Contact Lenses cost?

Our initial cost for Ortho K therapy is $1950 for Fitting Spherical Myopia and Low Astigmatism.
For Specialty Ortho K for Hyperopia Presbyopia and higher Astigmatism the initial cost is $2250. 

This includes the design and fitting appointments, overnight trial with morning review, one week follow up, two week follow up, one month follow up, six month follow up, any other necessary visits to ensure appropriate fitting within the first year and one pair of Ortho K Contact Lenses.

We also offer optional payment plans, which we will be happy to review with you. Costs after the first year are about the same as regular contact lenses or glasses including cleaning solutions and preservative lubricating drops for insertion. Expect six monthly reviews with a full assessment every 12 months.


What costs are not included in the initial Ortho K Fitting cost?

You will need solutions to store and clean your lenses and preservative-free lubricating gels to coat the lenses and eye prior to insertion. These are the on going costs that are needed to make the whole system work, similar to how normal contact lenses need solutions.

However the first month (approx. 5 weeks) of solutions are included as a bonus in the set up fitting cost with us.

We now have a direct debit option to supply your solutions at a great value. This would mean every 3 months the pack of solutions, gels and cases arrive on your door step. This also includes the discount for our Ortho K Club members and the annual review appointment. To make the direct debit great value even better we will give you a bonus 2 months of solutions to get you through until the first solutions package arrives on your doorstep. We find this simplifies the process for our patients and us. We can cover more of the details in house when it's right for you.


What is the Refund policy if I am not a success with Ortho K?

Should the therapy be discontinued by either the patient or practitioner for any reason within the first four weeks, then the patient will get a partial refund.


Are the Ortho K Contact Lenses easy to insert & remove?

Yes. With correct teaching it becomes even easier over time.


Does Orthokeratology with Ortho K Contact Lenses hurt?

No! Most patients are surprised at how wonderfully comfortable they are. There may be some initial lens awareness but this is minimal, and because your eyes are closed when you sleep in them at night, you may feel nothing at all.


What happens if I lose or damage a lens?

It would be unusual to lose a lens, as you wear them at night at home. However, if a lens is lost or broken replacement lenses are available, but they can take a week or more to have made. We recommend that everyone has a back up pair of lenses to avoid the stress of a lost or broken lens which may cause your vision to be impaired the next day. These can be arranged once your Ortho K lens fit is appropriate.


How different are the Ortho K Contact Lenses from the soft disposable lenses I am wearing?

Ortho K Contact Lenses are a clever highly oxygen permeable material quite different to soft contact lenses, and although they appear like RGP Hard contact lenses they are quite different. The handling is completely different and we will teach you all the tricks for easy handling.


Can the Ortho K Contact Lenses damage my eyes?

Any soft, hard or Ortho K Contact Lenses can damage your eyes or cause an infection if it is not worn correctly, handled incorrectly or fitted appropriately. Your optometrist will explain all the correct handling and teach you the correct techniques to avoid these problems.


What will happen if I forget to wear my lenses for a night?

No matter, you can insert your Ortho K Contact Lenses in the morning to wear through the day, as the clever design allows you to have sharp vision with them on as well.


What if my Driver's License says I must wear glasses for driving?

Your Driver Licence may state that corrective lenses are required for driving. Your optometrist can write a letter explaining that you are participating in a vision therapy programme that eliminates the need for corrective lenses while you are operating a motor vehicle.


Can Ortho K stop my Myopia progressing?

Yes. Orthokeratology has been proven to slow or stop the progression of myopia.

Click here to see how Ortho K Can help control Myopia development.

Click here to see some research on this very question


I only need reading glasses, can Ortho K help me?

Yes. we can fit just one eye with an Ortho K lens and so adjust that eye to be clear to read with!

It works really well and now you need no spectacles for Distance nor for reading!

Here is a link to an article on this Click here


How does Orthokeratology work?

The Ortho K Contact Lenses gently reshape the central cornea by redistributing and compressing the epithelium (the top layer of the cornea) using hydrostatic forces of the tear film under the lens. This change achieves the desired vision correction, and the process is entirely reversible.

View Video


 click here to watch a video on Ortho K also known as Corneal Refractive Therapy

Note: Americans say 20/20 vision, kiwis say 6/6 vision.

The solutions suggested are different from what we use in NZ.

An American accent is not induced by Ortho K Contact Lenses!


Other Ortho K Contact Lens websites

www.myopiacontrol.org

www.contactlenses.org/orthok.htm
www.paragoncrt.com

www.osa.net.au/aboutok.php#work

Recent Articles

Optometrist Lachlan Scott-Hoy and Physicist Jake Brown      Click here


Further Research

Review of Myopia Options
Abstract for CRAYON Study
Slowing Myopia