Your first night with sleepSEE may bring a few questions: Will I be able to put the lenses in? How will they feel? What will I see when I take them out?
You’ll practice handling your lenses at the fitting appointment. At home, give yourself time to get used to the steps. Whether you’re wearing the lenses yourself or helping your child, there’s no need to rush. The aim is clearer vision during the day, with less reliance on glasses or daytime contacts.
This guide covers your first night, your first morning and the rest of the week. Your doctor will tell you when to wear the lenses and when to return for checks. Those visits help show how your eyes are responding; day seven isn’t a deadline for reaching a particular result.
Day 1: Your First Night
Start with the instructions you were given at your fitting. Wash and dry your hands, lay out the recommended supplies and keep the right and left lenses separate. Use the insertion method you practiced with your doctor’s team. If you mix up the lenses or forget a step, check the written instructions or call the office.
Putting in the lenses may take a few tries. That’s part of learning. You may notice the lenses at first, but don’t push through pain—stop and contact your doctor. Use only the care products and drops recommended for your lenses.
Once you’ve finished, keep the instructions where you can find them in the morning. You’ll use the removal and cleaning routine you learned at the fitting. Having everything ready gives you one less thing to think about when you wake up.
Ortho-K lenses are rigid, gas-permeable lenses fitted to your eyes. They temporarily change the curve of the cornea while you sleep, then come out for the day. When people talk about “contacts you sleep in” for Ortho-K, this is what they mean. They’re different from ordinary soft contacts and lenses prescribed to stay in continuously. FDA: contact lens types and Ortho-K.
Day 2: The First Morning
Good morning! This is your first chance to notice how your vision changes after overnight wear. Some people notice improvement quickly; others need more time or fitting adjustments. Look at familiar objects at different distances and note what feels clearer, what remains blurry and whether clarity changes later in the day.
For removal, follow the technique demonstrated by your provider. If a lens seems difficult to remove, use the specific instructions you were given and contact the practice if you need help. Clean and store the lenses as directed so they are ready for the next scheduled wear period.
Your first follow-up is a chance for the provider to examine your eyes, check the lens position and fit, and measure the result. Ask whether you should bring the lenses in their case or arrive wearing them; practices may use different appointment instructions. Bring your questions and any observations about comfort or glare.
Your follow-up measurements show how much correction you have achieved. A small early study found improvement by day seven among its participants, but that result does not set an individual timetable. Original study of the early treatment period. Ask what backup correction to use during the adjustment period, particularly for driving, work or school. Do not assume the first morning’s improvement is sufficient for every task.
Days 3–4: Finding Your Groove
By now, insertion and removal may be getting easier. Keep practicing the same careful sequence instead of shortening the cleaning routine as you become more confident. Consistency helps you notice when something is different.
Pay attention to how vision holds up from morning to evening. Let your provider know about persistent blur, halos, glare or a difference between the two eyes. These observations help the practice decide whether you need an earlier check or an adjustment to the plan. There is no need to wait until a scheduled visit to ask about a concern.
This is also a good time to think about your normal activities. For an adult, that might mean a full workday, a commute or an evening run. For a child, it could mean reading the classroom board and participating in an after-school sport. Discuss the specific visual demands that matter to you, including any protective eyewear or backup glasses recommended for those activities.
Days 5–7: Building Your New Routine
By the end of the first week, you should have a clearer understanding of the handling routine and your provider’s expectations. Some wearers are approaching their desired daytime vision; others are still adjusting. Your follow-up measurements guide the next step.
The goal is to make overnight lens care a manageable habit, like other regular parts of getting ready for bed. Keep supplies in a clean, consistent place. If a parent helps a child, agree on who checks the lenses, prepares the case and confirms that the care steps are complete.
The first week is only the beginning of the program. Continue follow-up even when vision feels clear. For children receiving myopia management, the provider monitors changes over time as well as the quality of daytime vision. Explore how sleepSEE works and why people choose sleepSEE for the wider program picture.
Your First Week at a Glance
| Stage | What to pay attention to | What to bring to follow-up |
|---|---|---|
| Day 1 | Learning insertion, removal and prescribed care | Questions about handling and supplies |
| Day 2 | Vision after removal, comfort and any glare | Notes about your first night and morning |
| Days 3–4 | How clarity changes through a normal day | Specific tasks that remain difficult |
| Days 5–7 | A consistent routine and progress toward your goals | Questions about the next checks and backup correction |
This table describes practical milestones. Your provider’s measurements determine whether the fit and visual response are on track.
Frequently Asked Questions
Is it safe to sleep with lenses in my eyes?
Overnight Ortho-K is a prescribed contact-lens treatment that requires appropriate fitting, hygiene and follow-up. Ask which lens design you have and follow its patient instructions. Overnight wear carries risks, including infection, so the care routine is an essential part of treatment. FDA: Ortho-K patient information
What happens if I miss a night?
The temporary vision effect can diminish when wear stops. Ask your provider how to resume your routine and what correction to use in the meantime. Follow the prescribed schedule rather than trying to make up missed wear on your own.
Does insurance cover sleepSEE?
The founding Fayetteville location’s program fees are private-pay; insurance and TRICARE are not accepted for those fees. Cash, Visa, Mastercard and CareCredit are available payment options. HSA/FSA funds may be used for eligible expenses. See current fees and payment details.
Can I see with the lenses in?
Your vision with the lenses in depends on your prescription and fit. Ask your provider what to expect if you get up during the night. The program’s goal is daytime vision after removal, and your provider determines the appropriate wear schedule.
How long does it take to get used to Ortho-K?
Handling, comfort and visual response do not always settle at the same pace. Follow-up lets the provider assess each of them. Keep using the routine you were taught and discuss any difficulty; the first week is a learning period, not a pass-or-fail test.
When should I call the office?
Remove your lenses and contact your eye care professional promptly for pain, unusual redness, discharge or concerning changes in vision. Save the office and after-hours contact details before your first night. FDA: symptoms that need attention.
For a broader view of the fitting process, continue to Your First 30 Days with sleepSEE.
Is Ortho-K Right for Me?
Learn how sleepSEE Ortho-K may fit your eyes, your daily routine, and your budget.
- What the Ortho-K evaluation checks
- Work, reading, night driving, travel, and shift-work planning
- Non-surgical and post-surgical pricing, a five-year example, and a cost worksheet
- A first-month timeline, lens care, and six questions for the doctor
Is Ortho-K Right for Me?
8-page PDF · Fill in or print
Dr. James Singletary, OD, FIAOMC
Dr. James Singletary, OD, FIAOMC is a licensed optometrist and orthokeratology specialist with over 20 years of clinical experience in myopia control, myopia management, orthokeratology, and nonsurgical vision correction. He is the founder of Eye Medics Optometry in Fayetteville, NC and the creator of the sleepSEE ortho-k program.
Medical Disclaimer
This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified eye care professional for diagnosis and treatment of eye conditions. The information provided here should not be used as a substitute for professional medical advice.



