Episode 53 - Trans-Limbal Ortho-K Explained: Why Bigger Lenses Change Everything (Part 1)

Most doctors stop at corneal ortho-k.This episode starts where that comfort zone ends.In Part 1 of this two-part series, host Matthew Herzberg is joined by Dr. Anith Pillai and Dr. Matthew Martin to break down trans-limbal ortho-k—what it is, what it is not, and why it’s quietly transforming how experienced clinicians approach adult, hyperopic, and high-challenge cases.In Part 1, we cover:What “trans-limbal” actually means—and why the distinction mattersWhy larger diameters improve centration and comfort, particularly in adultsHow lens mass and design give you more control over tissue manipulationWhy this approach is off-label—and how experienced doctors manage expectations without fearThe types of patients who benefit most (and who absolutely should not be fit)