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Orthokeratology after LASIK can feel intimidating for many clinicians...but is it actually more predictable than traditional ortho-k in certain cases? In this clip from of The Myopia Mindset, we explore the key clinical differences between fitting orthokeratology lenses on post-LASIK corneas versus untreated corneas. The discussion highlights important considerations such as corneal thickness, molding response, treatment range, risk management, and patient education. While thinner post-surgical corneas may respond more efficiently to corneal reshaping, practitioners must also carefully consider flap-related risks, treatment boundaries, and medico-legal concerns when approaching these specialty cases. This conversation provides valuable perspective for optometrists and specialty contact lens fitters looking to expand confidence in advanced ortho-k applications and better understand real-world clinical decision-making. Looking for more Myopia Mindset? 👉 Support the podcast to access extended clinical conversations and exclusive bonus episodes: https://myopiamindset.substack.com/