Optometrist reviewing a corneal map with a patient during an Ortho-K consultation at River City Eye Care in Edmonton

An Ortho-K consultation at River City Eye Care takes about one visit and covers four things: your eye health history, a full eye exam, detailed measurements of your eyes, and a personalized treatment plan. Nothing is fitted until we know Ortho-K is a good match for you or your child.

If you’re considering Orthokeratology (Ortho-K), the special overnight lenses that gently reshape the cornea so you can see clearly without glasses or contacts during the day, here is what the first visit looks like. New to the topic? Start with our guide to what Ortho-K is and how it works.

Step 1: What Happens When We Review Your Eye Health History?

We start with a conversation. Your optometrist asks about your vision history, any eye conditions or surgeries, your general health, and your goals. For children, we also ask how quickly the prescription has been changing, because Ortho-K is often chosen to help slow myopia progression.

Bring your current glasses or contact lenses, and any recent prescription, if you have them.

Step 2: What Does the Comprehensive Eye Exam Include?

Ortho-K only works on a healthy eye, so the exam comes first. We check:

  • The cornea, the clear front surface that Ortho-K reshapes
  • Your tear film, since dry eye affects how comfortably lenses are worn
  • Your eyelids and lashes
  • The front and back of the eye, including the retina

If something in the exam makes Ortho-K a poor fit, we tell you and talk through the alternatives.

Step 3: What Measurements Do We Take for Ortho-K?

This is the step that makes the fit custom. Each lens is designed from measurements of your own eye:

  • Corneal topography: a map of the cornea’s shape and curvature. River City Eye Care uses a Medmont Meridia topographer for this.
  • Axial length: how long the eye is front to back, which matters for tracking myopia progression in children.
  • Pupil size: it affects how the lens is designed and how you see at night.
  • Refraction: your precise prescription.
  • Additional testing: anything else your optometrist feels is needed for your eyes.

The measurements are quick and painless, with no needles and no drops required for the mapping itself.

Step 4: What Is in Your Personalized Ortho-K Treatment Plan?

Before you leave, your optometrist walks you through the plan so there are no surprises:

  • How Ortho-K works and what results to expect
  • A realistic timeline, including how the first weeks of wear go
  • How to clean, store and handle your lenses
  • Costs and what’s included
  • Follow-up visits, which are an important part of keeping Ortho-K safe. See Is Ortho-K safe? for the full picture.

How Much Does an Ortho-K Consultation Cost?

Costs depend on the testing needed and the lens design. We give you a clear breakdown at the consultation so you can decide with full information. Call us at 587-520-8821 and we’ll explain what to expect before you book.

Who Should Book an Ortho-K Consultation?

Ortho-K is worth asking about if you or your child is nearsighted and wants freedom from daytime glasses and contacts, or if you’re looking for options to help manage myopia in a child. It is also popular with people who play sports or work in dusty or active settings. Our guide to children and contact lenses is a good companion read for parents.

Book Your Ortho-K Consultation in Edmonton

River City Eye Care is in the Newcastle Shopping Centre at 16957 127 St NW, Edmonton. Book online or call 587-520-8821 to schedule your Ortho-K consultation.