In the clinic “Doctor Lins” children and adolescents with myopia are measured PZO (the length of the anteroposterior segment) of the eye by the method of optical biometrics – the most accurate and fast non-contact method.
Measurement at intervals of 6-12 months allows you to assess the rate of progression of myopia in children and adolescents.
Clinic Doctor Linz was the first in Russia to start practicing the Orthokeratology method in 2002. We have accumulated 18 years of experience in the selection of orthokeratological lenses. More than 30,000 patients are observed in our clinic. For our patients, 15 rooms have been opened in Moscow, where highly professional ophthalmologists are waiting for them.
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Fitting night lenses
Ideally, matching requires four visits.
During this visit, the patient is examined and the lenses that should fit him are calculated. Then these lenses are put on the eyes, after which the patient waits from half an hour to an hour (it takes time to reduce tearing and develop the first phase of the effect). Then the doctor assesses the fit of the fitted lenses and topograms. If the fit is satisfactory and the effect of the lens is central, then the fit ends there. Usually during the same visit, the patient is trained to remove and don the lenses. As a rule, all of the above is within 2 hours. The initial appointment can be slightly longer if the first pair of lenses does not fit. In this case, the doctor changes it to another and after a while again evaluates the fit.
The patient puts on a matched pair of lenses before going to bed (the day is chosen by agreement with the doctor), sleeps in it, and the next morning, if possible, without removing the lenses, comes to the appointment. The doctor evaluates the fit of the lenses, removes them and examines the patient. If the result is satisfactory, the patient is scheduled for an appointment after 7-14 days.
It is better if this visit takes place in the afternoon to assess the rate of regression of the effect of night lenses. The doctor examines the patient and, if the result is satisfactory, the patient is scheduled for an appointment 3 to 5 weeks later with the instruction to wear the lenses every night.
This visit is similar to visit # 3. If the result is satisfactory, the doctor may decide on trial passes in wearing the lenses (you cannot skip the nights on your own!). The next visit (like all subsequent ones) is scheduled in 3 – 4 months. The selection is over at this point, the dispensary observation begins.
The number of visits may increase if the lenses need to be replaced during the second or third visit. The number of visits also increases to five if the lenses are selected empirically: they are not handed out to the patient from the set available in the office, but are ordered from the manufacturer.
Patient advice: until fitting is complete, the lenses should be handled with particular care and attention, since there is usually no confident skill in removing, putting on and caring for them.
An integral part of OK-therapy is the ophthalmologist’s control over the health of the eyes. We accompany our patients during the entire time of using OK lenses. For our patients, dispensary examinations, with a frequency of 3-4 times a year, are free of charge. Planned replacement of OK lenses is the key to successful long-term use of the orthokeratology method. We recommend that our patients change OK lenses after a year of wearing.
We measure our patients the length of the anteroposterior segment of the eye (APO) using optical biometrics to assess the rate of myopia progression. This allows us to take additional measures to stabilize it in a timely manner.
Study of the method of orthokeratology
The Clinic “Doctor Linz ” has been cooperating for 17 years with the Helmholtz National Medical Research Center for Eye Diseases” of the Ministry of Health of Russia, with the Laboratory of Myopia of the Department of Refraction Pathology, Binocular Vision and Ophthalmoergonomics (Head of the Department – Professor, MD Tarutta E. P.).
Long-term scientific research confirms the effectiveness and safety of the orthokeratology method, subject to the algorithm of its application.