Orthokeratology Continuing Education Course

(Examination Route)


Jointly offered by

British Contact Lens Association (BCLA)

Hong Kong Academy of Orthokeratology (HKAOK)

Open for registration: May


China: 12

HK:       6

Course fee: HKD12,500 (10,000rmb)

Entrance Requirement:

  • Practitioners with Optometry background and has been practicing orthokeratology for over 5 years
  • Members or Associate members of BCLA or HKAOK (Annual Fee: HK$800)




Demonstrate (with respect to orthokeratology practice)


Evidence of understanding of the basic theory, the pros and cons, selection of patients, and other issues related to orthokeratology practice (covered in the lectures/labs) 


Safe and ethical practice and professional competency (including use of corneal topographer, preliminary examination, selection of trial lenses based on preliminary data, assessment of lens fittings, interpretation of corneal topographical maps)


Knowledge on how to identify potential problems from data collected from examination or presented


Evidence of assimilation and consolidation of various principles/theories that govern patient management, and suggest appropriate treatments or actions


Demonstrates initiative, resourcefulness in seeking information/advice, and to be able to propose modification of decisions or alternatives in the light of new information and considerations, or to overcome learning gaps (if any) (i.e. apply knowledge/skills learned to new problems and situations)


Evidence of reflection and a higher degree of reasoning, decision making and judgment

Learning Outcomes:

On completion of these modules, the participants will be able to

1.    assess/monitor corneal integrity with clinical equipment (eg. slit lamp, corneal topographer)

2.    diagnose/interpret information from assessments made in 1

3.    explain the effect of ortho-k

4.    explain pros, cons and limitations of ortho-k, including how to select suitable candidates

5.    identify and explain factors affecting ortho-k effect

6.    explain the indications and contraindications of ortho-k treatment

7.    explain the function/effect of each curve of an ortho-k lens on lens fitting and effect on the corneal topography

8.    demonstrate competency in ortho-k lens fitting/assessment and management, including interpreting corneal topographical maps before and after ortho-k lens wear

9.    identify common ortho-k-related problems and recommend appropriate management protocols

10.  communicate clearly the purposes and procedures of each type of ortho-k consultations, including instructions and procedures related to lens handling, care and wear

11.  discuss importance of compliance, possible sources of contamination, areas of non-compliance, and consequences of non-compliance

12.  reflect and analyse ortho-k cases (via case analysis), including practical, professional and ethical issues


General outline

This course is designed for practitioners who have been practicing orthokeratology and who want to have certification on orthokeratology practice and include

  • 4-6 hours lectures on selected topics
  • 6 hours of lab sessions (1: 6 ratio)
  • Practical exam – 1 hour per participant (1:1 ratio)
  • Written exam – 3 hours
  • 10 Case reports (Template will be provided) (+ viva where deemed necessary by the Board of Examiners)

Medium:        English

Putonghua (China)

Tentative plan (to be confirmed)

  • Commencement of course: 2019
  • Self study: 3-4 months
  •  Lectures/Labs/examination: between 2019


Assessment and Certificate

* Certificate (issued by BCLA-HKAOK) will be given to those who pass both the written and practical examinations.

Course material

  • Textbook
  • Pre & Post quiz (to be confirmed)
  • Lab manual/report

Examination will include the following topics (to be confirmed)


Revision of corneal physiology


Corneal topography


Reverse geometry lenses


Ortho-k lens fitting


Ocular and refractive changes in ortho-k


Ortho-k consultation


Complications in ortho-k


Non-compliance and contamination


Good practice in ortho-k


Legal aspects and professional issues in ortho-k 


Good practice in ortho-k


Case management/Trouble shooting


Mechanisms of myopic control (eg.  peripheral refraction, choroidal thickness, aberration)


Updates: Recent research on ortho-k (eg. Corneal Biomechanics; Participants may be directed to attend specific talks at conferences locally or regionally)

Reexamination Fee – to be determined

Requirements to be Associate members of HKAOK

Associate members of HKAOK will also be expected to make HKAOK’s membership pledge

HKAOK Membership Pledge and Agreement

I understand that the mission of HKAOK is to assure quality contact lens/orthokeratology care for the public. As a condition of membership in HKAOK, I pledge myself to support the following Standards of Conduct.

1.   HKAOK members shall be of good moral character and shall strive for excellence in orthokeratology practice to promote a positive image within the community

2.   HKAOK members shall be responsible for the consequences of their acts and shall do their best to ensure that services provided are appropriate, professional and ethical, and, when indicated, shall recommend alternate sources of care

3.   HKAOK members shall maintain the highest degree of professional competence by rendering services using up-to-date techniques and providing opinions that meet the highest standards of practice

4.   HKAOK members shall continue to engage and promote ongoing professional education and advancement of self and other members; to be flexible and open to new ideas and techniques to keep abreast with the changing health care system

5.   HKAOK members shall not make public statements, announcements and promotional activities that could be deceptive, fraudulent or misleading.

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