If your OrthoK lenses used to work well but your vision or comfort has changed, it is time to have them checked. An OrthoK review assesses your eyes, daytime vision and lenses together. The next step may be care advice, treatment of an eye-surface problem, replacement lenses or a change to the lens design. It starts with understanding what has changed.
Regular follow-up remains important even when you are seeing clearly. Overnight lenses need ongoing eye-health and lens checks, and children using OrthoK for myopia management also need monitoring of progression. Clear daytime vision alone does not show whether eye growth is adequately controlled. 1 3
At Vision Camberwell Optometrists, we’ll explain the findings and the options before recommending a refit. If you have pain, redness, light sensitivity or sudden blur, remove your lenses and seek urgent assessment rather than waiting for a routine appointment. 4
Contents
Why OrthoK reviews continue after fitting
OrthoK temporarily changes the shape of the cornea to reduce daytime blur. Early reviews assess the response to overnight wear; ongoing appointments monitor eye health, lens condition and the quality of vision. Long-term care depends on both the wearer’s routine and professional follow-up. 1
Early checks after starting or changing lenses
The initial fitting period involves closer follow-up than established wear. We’ll tell you when to attend and whether to arrive wearing your lenses. These instructions depend on what we need to assess, so check with us rather than assuming every appointment has the same preparation.
Your ongoing review schedule
We’ll set your next appointment according to your eyes, treatment stage and any concerns. Children whose myopia is progressing may need a different schedule from someone with stable findings. IMI guidance supports individual review planning rather than relying on one interval for everyone. 2
If you miss an appointment, contact us to rearrange it. Adults also need ongoing OrthoK aftercare; a general eye examination does not automatically cover all the lens and treatment checks you need.
What we check at an OrthoK review
Tell us what happens over a typical day, including whether vision fades towards evening, one eye seems less clear or lenses are harder to remove. The timing and pattern help us decide what to investigate.
Daytime vision and remaining prescription
We measure your vision and check whether additional correction is needed. We also ask about glare, ghosting and night-driving difficulties. Research describes variation in visual quality with OrthoK, including effects associated with missed nights and higher starting prescriptions. These symptoms deserve assessment if they are new, persistent or affecting daily activities. 1
Corneal shape and eye-surface health
We assess the corneal surface and use corneal mapping to review the treatment pattern. We look at lens alignment and the condition of the eye surface alongside your vision, rather than judging the result from a prescription measurement alone. Corneal topography and anterior eye-health examination are part of the assessment tools described in IMI guidance. 2
Lens condition and your care routine
Bring the lenses you actually wear, their case and your cleaning products. We inspect the lenses and ask you to explain your routine, including cleaning, disinfection, storage and removal. This helps us identify whether the current care system and handling instructions need attention.
Myopia progression in children
For children, we review the myopia-management plan as well as the lens fit. Axial length, which measures the eye from front to back, helps monitor growth over time. IMI’s updated guidance emphasises monitoring axial length where available, refraction and ocular health. A child can see clearly after OrthoK while myopia continues to progress. 2 3
Does a change in vision mean I need a refit?
Not necessarily. A review comes first. Tell us about missed nights, changed sleep patterns, a different cleaning product, recent illness or damage to a lens. We’ll use that history and the examination to decide whether the current design remains suitable.
When the existing design may still be suitable
Sometimes the next step is to address handling, the lens surface or eye-surface health, then reassess. We’ll explain whether you can continue wearing the lenses and what follow-up is needed. Do not try to fix a problem by changing products or extending wear without advice.
When we may recommend a new design
A refit changes the lens design to address findings such as an unsuitable treatment pattern or inadequate correction. We’ll explain the reason, the intended result and the review process. If a child’s myopia is progressing, we also reassess the wider treatment plan; a new lens design is not automatically the complete answer. 3
Lens replacement and refitting are different
Replacement means supplying a new lens, which may use the existing design if it remains appropriate. Refitting involves reassessing and changing the design. We’ll make clear which we are recommending and why, including the lens and consultation costs before ordering.
Lens condition and ocular health need monitoring throughout treatment. 1 We’ll advise on replacement using the lens manufacturer’s guidance, our examination and your wearing history. A damaged lens should not be worn while you wait for advice. Do not assume that acceptable vision means an old lens is suitable to keep wearing indefinitely.
Symptoms that need urgent assessment
Pain, unusual redness, light sensitivity, discharge or sudden reduced vision can indicate a contact-lens complication. Remove your lenses and contact an eye-care professional promptly. Do not reinsert them or wait for the next planned review. If we are unavailable, seek urgent care through another eye-care service or an emergency department. Bring your lenses and case for assessment. 4
Good hygiene matters between visits: clean and disinfect as instructed, use fresh solution and keep lenses away from water. Our OrthoK lens care guide covers the full routine. These precautions reduce avoidable risks but cannot make overnight lens wear risk-free. 4
Before your review appointment
Bring your current OrthoK lenses, case, care products and glasses. If your lenses were fitted elsewhere, bring any available prescription, lens-design details and previous corneal maps. Tell us when you last wore the lenses, how many nights you have missed and when the problem began.
Ask us whether to wear or remove your lenses before attending. Do not stop for an arbitrary number of nights or continue through irritation just to preserve the treatment effect. If symptoms are urgent, seek assessment first.
Arrange an OrthoK review in Camberwell
Vision Camberwell Optometrists is at 784 Burke Road, Camberwell VIC 3124, in Melbourne’s inner east. We welcome patients from Camberwell, Hawthorn, Balwyn, Kew, Canterbury and across Melbourne. Jue Wang offers consultations in English and Mandarin.
Call (03) 9882 5666 or contact our team to arrange your review. Tell us when booking if your vision or comfort has changed so we can advise on the timing and preparation. For an introduction to treatment, read our orthokeratology overview.
Questions about OrthoK aftercare
Do I need reviews if my vision is good?
Yes. Good vision is only one part of successful treatment. Eye health and lens condition still need checking, and children need progression monitoring as part of their myopia-management plan. 1 3
Can you review lenses fitted at another practice?
Contact us to arrange an assessment and tell us where your lenses were fitted. Existing records help us understand the design and treatment history. We’ll explain what can be assessed and whether further measurements or a refit are needed before taking over ongoing care.
Does every review mean buying new lenses?
No. A review establishes whether the current lenses and treatment remain appropriate. We’ll recommend replacement or refitting when the findings justify it and explain the costs before you decide.
Can I keep using a chipped lens or an old spare?
Do not wear a chipped or damaged lens. Contact us for advice, and ask before using an old spare because its condition and design may no longer suit your eyes. We can help plan temporary vision correction while the issue is resolved.
What if my child’s myopia is still progressing?
Book a treatment review. We’ll assess the measurements over time and discuss whether the current approach needs adjusting. IMI recommends individual treatment selection and ongoing monitoring; no single result or symptom should determine the plan alone. 3
References
- Charm J. Orthokeratology: clinical utility and patient perspectives. Clinical Optometry. 2017;9:33–40. doi:10.2147/OPTO.S104507.
- Gifford KL, Richdale K, Kang P, et al. IMI – Clinical Management Guidelines Report. Investigative Ophthalmology & Visual Science. 2019;60(3):M184–M203. doi:10.1167/iovs.18-25977.
- Tahhan N, Bullimore MA, He X, et al. IMI—2025 Digest. Investigative Ophthalmology & Visual Science. 2025;66(12):27. doi:10.1167/iovs.66.12.27.
- United States Food and Drug Administration. Contact Lens Risks. Patient guidance. Accessed 14 September 2026.
Reviewed by Dr Shonit Jagmohan, B.Optom (Hons), FIAOMC, IACMM, Ophthalmic Medicines Prescriber, Fellowship Chair for the International Academy of Orthokeratology and Myopia Control (Oceania). Last reviewed October 2026.
Visit us in Camberwell
T. (03) 9882 5666
E. vision@visioncamberwell.com.au
Find Us at:
784 Burke Rd, Camberwell
Victoria 3124, Australia
Opening Hours:
Monday, Tuesday and Friday. 9am – 6pm
Wednesday. 9am – 5pm
Thursday. 10.30am – 7.30pm
Saturday. CLOSED
Book your appointment with one of our friendly team members today
T: (03) 9882 5666
Serving Camberwell and the Surrounding South Eastern Suburbs
An independent practice in Camberwell since 1951, we are experts in OrthoK review, aftercare and refitting, for adults and children. We welcome patients from Hawthorn, Deepdene, Surrey Hills, Balwyn, Kew, Canterbury, Box Hill, Glen Iris, and across greater Melbourne.
