Integrating Topography-Based OrthoK into a Busy Practice

Efficient, Predictable and Patient-Centered

Published on Mar. 2, 2026

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Myopia continues to rise globally, increasing demand for effective, evidence-based myopia management solutions. Orthokeratology (OrthoK) is an effective modality, but many practices hesitate to integrate it due to perceived complexity, chair time demands and workflow disruption. Topography-based OrthoK addresses these concerns by transforming the process into a predictable, efficient and scalable service.

Why it matters

Topography-based OrthoK fitting allows clinicians to achieve faster success and greater predictability from the initial dispense, reducing chair time and improving first-fit success rates. Predictable outcomes supported by objective topography data reinforce parental confidence and strengthen long-term treatment adherence. Integrating topography into routine exams also allows practices to identify potential OrthoK candidates early, creating organic opportunities for education and discussion.

The details

Topography provides detailed, objective data on corneal curvature, shape and symmetry, enabling clinicians to select initial lens parameters using full-surface corneal data rather than traditional keratometry. This data-driven lens selection significantly improves first-fit success and reduces the need for lens remakes. Topography-based OrthoK can also reduce chair time by enabling optimized first fits and minimizing follow-up visits. Objective corneal maps provide visual assessment of treatment progress, making troubleshooting faster and more precise. Research has shown OrthoK can slow axial elongation in children by 32–55%, depending on patient compliance.

  • Myopia continues to rise at an alarming rate worldwide, with projections estimating that nearly 50% of the global population will be myopic by 2050.

The players

Dr. Gabriela Olivares

An optometrist who brings extensive knowledge and passion for the diagnosis and treatment of ocular disease, as well as myopia management and control.

FitAbiliti

A software-based platform that allows clinicians to design OrthoK lenses quickly using corneal topography data, eliminating guesswork and reducing chair time.

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What they’re saying

“Topography-based systems simplify the process, removing much of the guesswork and allowing clinicians to rely on objective data rather than trial-and-error. With consistent use, the learning curve shortens quickly, and confidence grows.”

— Dr. Gabriela Olivares

The takeaway

Topography-based OrthoK is easy to integrate, easy to monitor and easy to scale within a busy practice. With the right tools, workflow and support, orthokeratology is not only achievable, but one of the most impactful services clinicians can offer their patients and their families.