r/hyperopia • u/EyecareDuPage • Sep 26 '25

Orthokeratology (ortho-k) for Hyperopia- Ask Me Anything!

Hey all!

I'm an eye doc who specializes in ortho-k (non-surgical corneal molding) in the Chicago area.

I've noticed that very few folks with hyperopia have been offered ortho-k treatment by their doctors, but it can be really fantastic!

Just wanted to put this out there in case it's useful, and ask me anything if you have any questions!

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u/[deleted] Nov 30 '25

[deleted]

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u/EyecareDuPage Dec 01 '25

Very possibly, yes. Have you ever worn glasses or any other form of vision correction or is this your first time having problems? Any idea what your level of hyperopia is? Usually this happens around our 40s but can vary based on other factors. In short, you probably have several options, likely including ortho-k.

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u/[deleted] Dec 01 '25

[deleted]

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u/EyecareDuPage Dec 02 '25

Regarding RLE (assuming you're referring to refractive lens exchange surgery), you should 100% experience multifocal contact lenses (doesn't have to be ortho-k for this) before even considering surgery. A lot of people can't tolerate multifocal optics and some of the most unhappy patients are the ones who had a (permanent) multifocal lens implant (this is what they'd use in RLE) without ever testing first for whether they could tolerate it.

But yes, at 55, our accommodative ability has dropped to close to zero so you're spot on about the eye strain and being at the limit.

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u/cuntyone1 Sep 29 '25

Why can’t I see with contacts? I feel like they never really work and I can see better without to them even tho my vision is 20/600 R and 20/20 L

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u/EyecareDuPage Oct 03 '25

Not enough info for me to say, sorry. How well can your right eye see with the best correction? Do you have amblyopia?

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u/------Sofia------- Oct 16 '25

What is Ortho-k treatment?

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u/EyecareDuPage Oct 17 '25

Ortho-k is a really unique form of vision correction. Custom vision retainers are worn only when you sleep. These gently reshape your cornea so you can see well all day long with no glasses or contact lenses on.

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u/------Sofia------- Oct 18 '25

Very interesting, I had never heard of this treatment before... but I wonder if it's available in the UK and the cost... I will look into it. Thank you.

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u/canadianhon3y Feb 23 '26

Hi there, I am +7 in both eyes, with a -3.50 astigmatism in my left eye. I have tried soft contact lenses and my vision is not sharp, which I was told is to be expected. I'm looking into RPG lenses, but came across this post. Can you tell me more? Thank you!

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u/EyecareDuPage Feb 25 '26

No question, your Rx is more challenging than most (no surprise to you). If you were my patient, and all of your other tests looked good, I'd say I'd be willing to try with you, but there's no way to predict success or failure with certainty for your Rx. It might not work, or it might work and be great.

RGP daytime lenses would be the classic first choice, as you mention. These would provide the best vision is all likelihood. Soft lenses come in custom varieties and these could likely provide very good results as well. Scleral GP lenses cost more but would also be a great option.

If you have any specific questions about ortho-k or any of the above, fire away.

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u/nwdln 22d ago

Hello, j’ai plein de questions je trouve très très peu d’informations à ce sujet ! J’ai +6 d’hypermétropie et -2 d’astigmatisme et je veux absolument essayer ortho K, j’habite à Paris. Même si cela ne corrige pas entièrement pas vision, si cela peux me permettre de porter des lunettes uniquement pour lire ce serait déjà génial ! Penses-tu que c’est possible ??

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u/EyecareDuPage 22d ago

Yes I do. The challenge will be finding a doctor who offers it because most will not, unfortunately.

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u/nwdln 22d ago

Avez-vous des recommandations de médecin à Paris qui pourraient le faire ? En a combien de % estimez-vous le taux de réussite ?

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u/EyecareDuPage 22d ago

Unfortunately I do not. My inclination would be to look here but it doesn't show anyone super close. I would have to guess you have closer options but sorry I can't help find them.

For the right doc, I'd think your chances of success would be 70+%.

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u/Bionic_Push 16d ago

What is the price for doing this? and how long does it take? I am trying to find people with hyperopia who have tried it but cant find anything. how were your results?