KiasuParents - Parenting in Singapore

We went down to Titus Eye Care today for a trial and assessment of suitability for OrthoK. My P5 daughter tolerated the lens well and she wore it for 30 min or so.

Titus is professional and he isn't pushy at all. There will be risks of infection for any contact lens wearers but this can be minimized with good hygiene. Atropine 0.01% is bot controlling the myopia progression sufficiently and hence we are now moving on to OrthoK. Also I think at this age the kids are better able to handle the wearing and removing of lens themselves.

Looking forward to receiving the lens within 2 weeks and let's see how long it takes for the vision correction to be effected and whether the correction can achieve 6/6 in the day time.

It hs been 13 months now since my son started wearing Ortho K lenses.

He recently went for his quarterly check (@ Stan Isaacs) where the opto who usually attends to him said things were fine. Except that his right eye had gone up marginally (he was originally L:275 R:300 when we started), but by less than 25. I will settle for this level of progression. Zero is ideal, but I am aware we don't enforce the strictest standards of how he reads or uses devices so I shouldn't complain.

I'm not sure how she tests it, but I'll take her word for it, and his myopia seems to be well controlled since he doesn't complain about not being able to see things on days after he's worn the lenses. I still try to give his eyes a rest on Saturday nights.

Hi,
My son started Ortho-K lens since 07/2017 at Dr Stan Issacs, after 5 months of wearing, unfortunately in the last check up in mid Dec 2017 the optometrist said his vision seems got worse for approx -0.17, now, my son's vision is not very stable, esp Left eyes. His right eye is clear, as he said, but for left eye, sometimes he said a bit blur, sometimes not so clear... I am so frustrated why his vision went worse so fast with Ortho-k lens, since I heard all the positive news of this lens ....

My son was 11 1/2 when he first wearing Ortho-k lens and he is turning 12 soon, as preteen is the age when eye ball tends to grow fast, is it the reason that his vision went worse so fast?

I scheduled to see the optometrist this friday, I assume he needs another new pair, or at least a new one for his left eye. Anyone who can share the experience of wearing ortho-k lens without good result?

Hi Pathfinder,

Does your package with Stan Issacs guarantee that the lens will be fitted until child achieves 6/6 vision? Titus Eye Care will change the ortho-K lens at no charge if 6/6 vision is not achieved in the course of the first year. 90+% chance is that the lens fit is spot on the first time round, but for high myopia, the 6/6 vision may not be achieved at the 1st try.

Both my kids are with Titus Eye Care. Of course if we lose the lens or break it or misplace it, we have to pay for a replacement. We do not have to pay for replacement of lens to achieve 6/6 vision. My daughter started at mid-P5 and my son started at end P6.

Hi,

I am new to this forum. My daughter is in P2. and she has myopia about a year ago. We found out from her after school care class mates (two boys) started Okto-K and both have good results in slowing down myopia. I have been doing research online and it seems to narrow down to Titus Eye Care and Stan Isaccs. I did see others like Optical Point Group too. I wonder if there is any advice on this? I am hoping to decide one soon. Any advice will be most appreciated. Thank you.

doodbug wrote:Hi Pathfinder,

Does your package with Stan Issacs guarantee that the lens will be fitted until child achieves 6/6 vision? Titus Eye Care will change the ortho-K lens at no charge if 6/6 vision is not achieved in the course of the first year. 90+% chance is that the lens fit is spot on the first time round, but for high myopia, the 6/6 vision may not be achieved at the 1st try.

Both my kids are with Titus Eye Care. Of course if we lose the lens or break it or misplace it, we have to pay for a replacement. We do not have to pay for replacement of lens to achieve 6/6 vision. My daughter started at mid-P5 and my son started at end P6.

Hi doodbug,

I haven't back to this post for long time and happy to see your reply.

Since my child started wearing ortho-k lens with Stan Issac in 07/2017, lots of frustration. After the few check up, in 03/2018 my son felt the vision wasn't clear and unstable, the optometrist said his vision didn't deteriorate and it is due to "corneal regression", so he needs another pair of lens with "stronger press" on cornea. Unfortunately it wasn't FOC, I had to pay $625 for a new pair!

After wearing the new pair of 'stronger pressed" lens, my son's vision wasn't stable as well. I will say 1 in 10 days his vision is slightly blur, either one eye or both. I checked with the optometrist every time about the curvature of the lens (to make sure it is correct, cause this is what I always doubt) but she always say it is correct.

In Oct 2018, (15 months after wearing the lens) after routine check up, everything was fine. But in less than 1 month, my son found that vision was not clear, we went back in Nov 2018 and his vision had deteriorated from -3.0 to -4.0!! That was really shock for me, in just 1 month's time his vision deteriorated! Optometrist suggested me to have the chemical clean for the lens and see if it helps or not, and we will see her in 2 weeks' time. But it seems the chemical clean didn't help any at all!

I really doubt how can it be deteriorated so fast in just 1 month, provided that my child spend reasonable time on close work. I actually always doubt why after wearing the lens, the "effect" is not stable, sometimes it is clear and sometimes not??

I am now considering other provider after 16 months' torture. I lost confident on the professionalism on the optometrist of Stan Issac.

Any advice from you for a good provider here?

wow pathfinder, my journey is far more uneventful.
both my kids were with Titus Eye Care. the hardest part I thought, was learning how to wear the lens. after that, it was fairly smooth sailing.
my daughter started in Jun 2017, and my son, in Nov 2017. both just finished their exams and went back to Titus Eye Care for a checkup last week. Both of them had no change to their eyesight (no increase and no decrease in shortsightedness). No change in lens required as well as their OrthoK lens are in good shape.
Some optometrists do not custom make OrthoK - it's like daily disposables, they pick one set of OrthoK lens from an existing stock of lens, and then try it out on the child to see if it work. Lens are changed if good vision is not achieved. For Titus Eye Care, every pair of lens is custom made and are not off the shelf. This means that if you lose your lens and require a replacement - you may have to wait up to 3 weeks. Titus' lens are custom made in the US. My two kids did not require any additional lens - they are still using the very first custom made pair by Titus.
However, he guarantees you the fit and correction. Within a year, if you are not getting perfectly corrected vision, he will replace the lens at no charge.

I haven't been here for a long time as well, and I'm sorry to hear about how things for gone for your son with Stan Isaacs. Perhaps a change of practitioner might help your son?

My son has been on his lenses for almost 2.5 years now and his myopia has deteriorated very little in the time since he started so fortunately for him it seems to be going well.

pathfinder wrote:

doodbug wrote:Hi Pathfinder,

Does your package with Stan Issacs guarantee that the lens will be fitted until child achieves 6/6 vision? Titus Eye Care will change the ortho-K lens at no charge if 6/6 vision is not achieved in the course of the first year. 90+% chance is that the lens fit is spot on the first time round, but for high myopia, the 6/6 vision may not be achieved at the 1st try.

Both my kids are with Titus Eye Care. Of course if we lose the lens or break it or misplace it, we have to pay for a replacement. We do not have to pay for replacement of lens to achieve 6/6 vision. My daughter started at mid-P5 and my son started at end P6.

Hi doodbug,

I haven't back to this post for long time and happy to see your reply.

Since my child started wearing ortho-k lens with Stan Issac in 07/2017, lots of frustration. After the few check up, in 03/2018 my son felt the vision wasn't clear and unstable, the optometrist said his vision didn't deteriorate and it is due to "corneal regression", so he needs another pair of lens with "stronger press" on cornea. Unfortunately it wasn't FOC, I had to pay $625 for a new pair!

After wearing the new pair of 'stronger pressed" lens, my son's vision wasn't stable as well. I will say 1 in 10 days his vision is slightly blur, either one eye or both. I checked with the optometrist every time about the curvature of the lens (to make sure it is correct, cause this is what I always doubt) but she always say it is correct.

In Oct 2018, (15 months after wearing the lens) after routine check up, everything was fine. But in less than 1 month, my son found that vision was not clear, we went back in Nov 2018 and his vision had deteriorated from -3.0 to -4.0!! That was really shock for me, in just 1 month's time his vision deteriorated! Optometrist suggested me to have the chemical clean for the lens and see if it helps or not, and we will see her in 2 weeks' time. But it seems the chemical clean didn't help any at all!

I really doubt how can it be deteriorated so fast in just 1 month, provided that my child spend reasonable time on close work. I actually always doubt why after wearing the lens, the "effect" is not stable, sometimes it is clear and sometimes not??

I am now considering other provider after 16 months' torture. I lost confident on the professionalism on the optometrist of Stan Issac.

Any advice from you for a good provider here?

Hi Pathfinder,

Stan Issac is actually quite renowned in and out of the industry.
The lenses are supposed to slow down progression of myopia but it is not 100% foolproof. No one can actually guarantee the lens will work 100% to stop or slow down but it definitely will help a little if it is used.
Indeed, it could be the inadequacy of the practitioner or lenses but every child is different and sometimes it might be a more challenging, less straight forward case.
Many other practitioners do fit ortho-k lenses along with other methods of myopia progression.
Do ask around and see which practitioner makes you feel comfortable and confident and then make the decision.

Hi Doodbug, Anfield and icechandol,

for my son's last visit, his vision is not as worse as the previous one. I am lucky to say that the designated optometrist is very professional and experienced (I tried the other optometrist at Stan Issac before but not as good as her), she tested my son's vision with lens on, so she confirmed that his vision is unchanged. But for the reason why it is not stable, she just guess it maybe due to dry eye, but it seems it is not the case.

Anyway, my child's vision isn't stable so far, i will switch to Titus real soon since I see many good reviews of it.

Stan Issac is one of the best for Ortho-k lens, this is what I thought at the beginning, that's why I chose him, unfortunately it is not a case for us. He maybe suit the others but definitely not mine.