What is Ortho-K? Orthokeratology and overnight lenses

Ortho-K, or orthokeratology, is an advanced contact-lens technique that uses rigid gas-permeable lenses overnight to temporarily and reversibly reshape the cornea. The goal is clear daytime vision without glasses or daytime lenses.

Ojo con lente de contacto Orto-K

What is Ortho-K?

  • Ortho-K stands for orthokeratology.
  • It involves wearing special contact lenses while you sleep.
  • These lenses temporarily reshape the cornea.
  • On waking, many people can see better during the day without glasses or daytime lenses.
  • The effect is reversible.
  • It requires continued use and professional follow-up.

Ortho-K can be especially interesting for people with an active life in Barcelona: children, teenagers, students, athletes or adults who want to reduce their use of glasses during the day.

How it works in detail

Ortho-K lenses are inserted before sleep and removed on waking.

During the night, their special geometry gently redistributes the most superficial layers of the cornea (the epithelium), slightly flattening its central zone. This small optical change compensates for myopia and, often, mild astigmatism.

Unlike refractive surgery such as LASIK or PRK, Ortho-K does not cut or remove corneal tissue: the effect is fully reversible.

If you stop wearing the lenses, the cornea gradually returns to its original shape within a few days.

The lenses are highly oxygen-permeable, allowing the cornea to breathe properly during overnight wear.

Fitting is always personalised and requires specific tests such as corneal topography.

Ortho-K is not an off-the-shelf product

each pair of lenses is selected or designed based on ocular health, prescription, corneal shape and the patient's lifestyle.

Potential benefits

Daytime vision without glasses or daytime lenses

Worn overnight

Non-surgical alternative

Reversible effect

May support myopia control strategies

Useful for sports, school, work and daily life

Personalised fitting

Professional follow-up

Results may vary depending on prescription, cornea, age, consistency of use and professional follow-up.

Elena Sentís

Content reviewed by Elena Sentís, optometrist (registration no. 18568) and owner of Looptica Poblenou. Specialist in advanced contact-lens fitting, Ortho-K and myopia control.

Last reviewed: July 2026About Elena Sentís
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