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Orthokeratology Fitting and Care Agreement & Informed Consent Contract
April 10th, 2024
  • Filed
    April 10th, 2024

This document is supplemented by an Orthokeratology (Ortho-K) pre-treatment evaluation, about Ortho-K and care of Ortho-k shaping lenses, which I have read and understood. All questions that I have were answered by Dr. . This program involves the patient wearing specially designed gas permeable reshaping lenses overnight (while sleeping) that reshape the cornea(s) in order to provide enhanced vision. I understand that the Ortho-K effect is temporary and reversible and that it may be necessary to wear my shaping lenses longer to maintain satisfactory distance vision, especially if I fail to wear the Ortho-K shaping lenses as advised. I further understand that the quality of the unaided vision that I achieve is dependent on the wearing of the shaping lenses as prescribed by the doctor and on that the overall quality of my visual acuity will be based on the degree to which my ocular astigmatism is present in my eye(s). I also understand that changing in my astigmatism is not always predic

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