小E的马甲 发表于 2025-01-18 11:46
ok镜很多年了，customize的尺寸比较多。misight 只有一个尺寸，所以不是所有的娃眼球都适合。娃当时就是misight的尺寸不适合，只能ok镜。后来带了感觉挺好，因为是运动娃，OK镜更方便，白天和不近视一样。我们眼科医生这两个收费都是一样的。 目前来看ok镜可能有两个问题，第一个是医生要求娃完全会自己戴才能拿回家，这个学起来的确比较难，不舒服。第二个是如果后面青春期，睡眠时间太短，佩戴时间不够的话，效果就没有那么好了。

customize的意思就是对医生技术考验很高。但是很多草台医生其实不知道自己在做什么。我建议你每年暑假彻底停戴一次。完全角膜回弹才知道真实效果如何。

看来我们这里算贵的

医生建议ok镜，说是第一年大概三千五，后面几年会便宜些每年一千五就够了

章鱼小丸子_V 发表于 2025-01-18 12:56

customize的意思就是对医生技术考验很高。但是很多草台医生其实不知道自己在做什么。我建议你每年暑假彻底停戴一次。完全角膜回弹才知道真实效果如何。

OK镜已经出现几十年了，技术越来越好，目前有计算机软件帮助按照病人个人眼睛设计的镜片更舒适。高科技真是造福人类！misight 属于批量生产不如OK镜的个性化设计。OK镜的个性化设计戴上会更舒适。

Mark, misight

miaommiaomm 发表于 2025-01-17 14:45

这种只有25度的左眼不需要戴吧，OK镜就只戴右眼就好了。

也可以带，隔几天才带一晚。

hellohey 发表于 2025-01-18 19:44

OK镜已经出现几十年了，技术越来越好，目前有计算机软件帮助按照病人个人眼睛设计的镜片更舒适。高科技真是造福人类！misight 属于批量生产不如OK镜的个性化设计。OK镜的个性化设计戴上会更舒适。

你可能根本不知道这两样东西啥区别。

OK镜已经出现几十年了，技术越来越好，目前有计算机软件帮助按照病人个人眼睛设计的镜片更舒适。高科技真是造福人类！misight 属于批量生产不如OK镜的个性化设计。OK镜的个性化设计戴上会更舒适。

hellohey 发表于 2025-01-18 19:44

ok镜的原理本身就有巨大的缺陷。再怎么高科技软件也无法改变本身的理论缺陷。 懂得都懂，不多说了。

Ok 镜有啥原理巨大缺陷啊？说来听听呗。

你可能根本不知道这两样东西啥区别。

xdsqc 发表于 2025-01-18 20:00

建议家长最好找两种都会做的医生，而不是只会做其中一种的医生。

来看看chatGPT 的回答

是的，OK镜（角膜塑形镜）与MiSight（美赛瞳，主要为日戴型的软性隐形眼镜）在设计理念和功能上有显著差异，其中包括以下几点：

1. OK镜（角膜塑形镜）特点

• 作用原理：

OK镜通过夜间佩戴改变角膜形状，从而暂时矫正近视和控制眼轴增长。它主要通过调控角膜的中央和周边屈光力分布，形成离焦区，达到近视控制效果。

• 定制化设计：

目前的OK镜采用先进的计算机辅助设计（CAD）和高精度制造技术，根据患者的角膜地形图和眼部数据（如角膜曲率、直径等）个性化定制。镜片能更精准地贴合眼球表面，提供更舒适的佩戴感和更高的矫正效果。

• 使用方式：

夜间佩戴6-8小时，白天无需戴镜即可获得清晰的视力。

2. MiSight（软性隐形眼镜）特点

• 作用原理：

MiSight是一款日戴型软性隐形眼镜，主要通过多焦点设计（包括中心清晰区和周边离焦区）来减缓眼轴增长，从而达到近视控制的目的。

• 标准化设计：

与OK镜不同，MiSight通常为批量生产的标准镜片，适用于一定范围的角膜参数，适配范围较为固定。虽然它有多个参数选择，但个性化程度不如OK镜高。

• 使用方式：

白天佩戴，晚上摘除，每天更换一副（为日抛型）。

两者的核心区别

1. 定制化程度：

• OK镜是根据患者的眼部情况量身定制，个性化更强。

• MiSight是标准化生产，适配范围较窄。

2. 佩戴时间：

• OK镜是夜戴型，白天无需佩戴眼镜。

• MiSight是日戴型，需要全天佩戴。

3. 矫正方式：

• OK镜通过物理塑形改变角膜曲率。

• MiSight通过多焦设计的光学机制减缓眼轴增长。

总结

OK镜目前在镜片设计上确实更依赖计算机软件技术和患者个性化参数，能更精确地满足不同患者的需求。而MiSight虽然简单易用，但个性化和适配能力不如OK镜，适合一些眼部条件符合要求、追求方便的患者。选择时需结合验光师的专业建议和患者的使用需求。

来再看看其他配镜网站回答

What are the disadvantages of MiSight?

Disadvantages. MiSight can be detrimental to children with moderate astigmatism. Ill-fitting lenses can cause misalignment of vision zones since all of them are standard for all patients. Because your child needs to wear them during the day, it is hard to monitor their activities.

https://www.findclarityvision.com/blog/contact-lenses-for-childhood-myopia-misight.html#:~:text=Disadvantages,hard%20to%20monitor%20their%20activities.

While MiSight contact lenses are an excellent choice to treat low levels of myopia, vision correction using MiSight lenses is more limited than what can be achieved using Ortho-k lenses. In addition, the MiSight lens design consists of one standard size and shape. If the lens fit isn’t ideal, the visual acuity that can be achieved will be compromised. While MiSight lenses can restore far vision, they cannot correct astigmatism.

https://www.miamicontactlens.com/misight-vs-orthokeratology-which-option-is-better-for-your-child/

章鱼小丸子_V 发表于 2025-01-18 20:10

ok镜的原理本身就有巨大的缺陷。再怎么高科技软件也无法改变本身的理论缺陷。 懂得都懂，不多说了。

What are the disadvantages of MiSight?

Disadvantages. MiSight can be detrimental to children with moderate astigmatism. Ill-fitting lenses can cause misalignment of vision zones since all of them are standard for all patients.Because your child needs to wear them during the day, it is hard to monitor their activities.

https://www.findclarityvision.com/blog/contact-lenses-for-childhood-myopia-misight.html#:~:text=Disadvantages,hard%20to%20monitor%20their%20activities.

While MiSight contact lenses are an excellent choice to treat low levels of myopia, vision correction using MiSight lenses is more limited than what can be achieved using Ortho-k lenses. In addition, the MiSight lens design consists of one standard size and shape. If the lens fit isn’t ideal, the visual acuity that can be achieved will be compromised. While MiSight lenses can restore far vision, they cannot correct astigmatism.

https://www.miamicontactlens.com/misight-vs-orthokeratology-which-option-is-better-for-your-child/

hellohey 发表于 2025-01-19 01:36

What are the disadvantages of MiSight?

Disadvantages. MiSight can be detrimental to children with moderate astigmatism. Ill-fitting lenses can cause misalignment of vision zones since all of them are standard for all patients.Because your child needs to wear them during the day, it is hard to monitor their activities.

https://www.findclarityvision.com/blog/contact-lenses-for-childhood-myopia-misight.html#:~:text=Disadvantages,hard%20to%20monitor%20their%20activities.

While MiSight contact lenses are an excellent choice to treat low levels of myopia, vision correction using MiSight lenses is more limited than what can be achieved using Ortho-k lenses. In addition, the MiSight lens design consists of one standard size and shape. If the lens fit isn’t ideal, the visual acuity that can be achieved will be compromised. While MiSight lenses can restore far vision, they cannot correct astigmatism.

https://www.miamicontactlens.com/misight-vs-orthokeratology-which-option-is-better-for-your-child/

谢谢科普！

Follow

周围一堆戴 OK 的， 没听见一个抱怨的。

白天不用戴， 方便的太多太多， 尤其小孩有体育活动的话

there are toric multifocal contact lens too for kids with astigmatism.

There are no current studies regarding multifocal toric contact lenses and the impact of myopia progression. However, if the patient has over 1.00D of astigmatism, the Proclear Toric multifocal, Proclear Toric multifocal XR and Biofinity toric multifocal are available. If clinicians choose to use a custom lens, a smaller optical zone is preferred to affect a larger retinal area and allow greater myopia control.4 

https://www.reviewofoptometry.com/article/add-multifocals-to-your-myopia-toolbox

What are the disadvantages of MiSight?

Disadvantages. MiSight can be detrimental to children with moderate astigmatism. Ill-fitting lenses can cause misalignment of vision zones since all of them are standard for all patients.Because your child needs to wear them during the day, it is hard to monitor their activities.

https://www.findclarityvision.com/blog/contact-lenses-for-childhood-myopia-misight.html#:~:text=Disadvantages,hard%20to%20monitor%20their%20activities.

While MiSight contact lenses are an excellent choice to treat low levels of myopia, vision correction using MiSight lenses is more limited than what can be achieved using Ortho-k lenses. In addition, the MiSight lens design consists of one standard size and shape. If the lens fit isn’t ideal, the visual acuity that can be achieved will be compromised. While MiSight lenses can restore far vision, they cannot correct astigmatism.

https://www.miamicontactlens.com/misight-vs-orthokeratology-which-option-is-better-for-your-child/

hellohey 发表于 2025-01-19 01:36

misight 唯一现在的解决不了的就是没有散光度数，所以我说的ok镜只适用于极端案例比如散光很大。现在ok镜有巨大的产业链，但是对于他的问题科普却很少。

ok镜的两大幻觉： 1. 早上起来视力20/20 == 小孩度数一定没涨。 2.只要customized一定好过standardized，

贡献一个新鲜的数据点：

医生推荐用misight, 之前自己根据本版的推荐也倾向misight。

training fee 大约不到三百， 去训练了两个 sessions才勉强戴上后就可以购买了。一千出头一年， 还给了两百刀coupon，所以价格貌似不贵了。 保险不包

主要问题是 咱娃亚洲人眯眯眼小啊，娃真是自己戴不上， 回家后没一次自己成功戴上的。 现在我每天早上帮他戴， 从一开始要预留二三十分钟戴眼镜的时间到现在留出几分钟戴。

戴上后， 没有任何感觉， 也根本不会掉下来。 刚开始的时候娃说掉下来了， 上学备着眼镜， 但其实是没戴好。 现在完全没发生掉下的情况。

其实叫multifocal，MiSight是其中一个牌子。multifocal有不同的品牌，厂家。医生会给找到最适合的品牌。

Mark一下