As an optometrist here in Fayetteville, I’ve had the privilege of helping hundreds of patients—from young children to adults—discover the freedom of orthokeratology. There’s nothing quite like seeing the look on a patient’s face when they realize they can enjoy clear vision all day without glasses or daytime contacts. It’s a game-changer, especially for the active families and military personnel we serve around Fort Liberty and throughout Cumberland County.
But with the freedom of sleepSEE® lenses comes a great responsibility: proper lens care. Think of your ortho-k lenses as a long-term investment in your vision. Just like any high-performance tool, they require consistent, meticulous care to keep them working effectively and, most importantly, to keep your eyes healthy. In this guide, I'll walk you through everything you need to know to protect your investment and enjoy the full benefits of your sleepSEE® journey. We’re not just correcting vision; we’re actively pursuing myopia control to protect the future of your or your child’s sight.
A consistent cleaning routine is the cornerstone of successful ortho-k wear. It’s not just about clear vision; it’s about preventing infections and ensuring your lenses last as long as they should. Here’s the simple, five-step process I teach all my patients, a routine that should become a daily habit, just like brushing your teeth.
1. Wash Your Hands Thoroughly
Before you even think about touching your lenses, wash your hands with a mild, lotion-free soap and dry them with a lint-free towel. This simple step is your first line of defense against transferring dirt, oils, and bacteria to your lenses and eyes. Think about all the things you touch throughout the day – doorknobs, keyboards, your phone. You don’t want any of that near your eyes. I recommend a good 20-second scrub, about the time it takes to hum the “Happy Birthday” song twice.
2. Remove and Rinse
One eye at a time, gently remove your sleepSEE® lens using the small suction tool provided. Immediately rinse it with a sterile saline or multipurpose solution to wash away surface debris and tear film that have accumulated overnight. This initial rinse is like a pre-wash for your dishes – it gets the big stuff off before the deep clean.
3. Rub and Clean
Place the lens in the palm of your hand, add a few drops of your prescribed cleaning solution, and gently rub both sides of the lens with your fingertip for about 20 seconds. This friction is crucial for removing stubborn protein and lipid deposits that can build up and cloud your vision. Be firm but gentle; you don’t want to scratch the lens. I tell my patients to use the pad of their pinky finger, as it’s often the softest and cleanest.

Proper cleaning technique is a skill that ensures the longevity and safety of your sleepSEE® lenses. I always take the time to walk my patients through this process in our Fayetteville office, ensuring they feel confident and comfortable with their new routine.
*4. Disinfect and Store
Place your lenses in their designated left and right sides of the case and fill it with fresh disinfecting solution. Never top off old solution! This is a critical step. Topping off old solution is like bathing in dirty water – it just doesn’t work. Let the lenses soak for the recommended time, usually at least four to six hours, to ensure they are fully disinfected and neutralized.
5. The Morning-After Routine
In the morning, after you remove your lenses, give them another quick rinse with saline before storing them for the day in their clean, dry case. This ensures they are free of any remaining disinfectant and ready for you to wear that night. A dry case is a happy case; leaving it wet can encourage bacterial growth.

Following these critical steps every day is non-negotiable for safe and effective ortho-k wear. It’s a small time commitment for a huge payoff in clear, healthy vision.
*Choosing the Right Cleaning Solution
Walking down the eye care aisle can be overwhelming. There are so many bottles, all promising the best clean. For ortho-k lenses, there are two primary types of cleaning systems I recommend: hydrogen peroxide-based solutions and multipurpose solutions (MPS).

This chart illustrates the general effectiveness of different cleaning solutions against common lens deposits and bacteria. As you can see, hydrogen peroxide systems offer a superior level of disinfection.
*Hydrogen Peroxide vs. Multipurpose Solutions (MPS)
| Feature | Hydrogen Peroxide Systems | Multipurpose Solutions (MPS) |
|---|---|---|
| Cleaning Power | Excellent; deep cleans and removes proteins effectively. The bubbling action of the peroxide helps to dislodge debris. | Good; convenient for cleaning, rinsing, and disinfecting in one bottle. |
| Preservatives | Preservative-free once neutralized, ideal for sensitive eyes and long-term wear. | Contains preservatives, which can cause irritation, dryness, or even allergic reactions for some patients. |
| Ease of Use | Requires a special case with a neutralizing disc; must soak for at least 6 hours. No rubbing required with some systems. | Simpler one-step process, but a separate rubbing step is always recommended for the best clean. |
| Best For | Patients prone to heavy deposits, those with sensitive eyes, or anyone looking for the highest standard of disinfection. | Patients looking for convenience, who travel frequently, and who are not sensitive to preservatives. |
While hydrogen peroxide systems offer a superior clean, they are also more demanding. You can't rinse your lenses with the solution and put them directly in your eye—it will sting! The solution must be fully neutralized first. MPS is more convenient, but it may not be as effective for everyone. We'll determine the best solution for you during your candidacy quiz [blocked] and initial consultation. I generally start my patients on a hydrogen peroxide system because I believe it’s the gold standard for ortho-k lens care.
Essential Lens Care Habits
Beyond the daily cleaning routine, a few key habits will protect your lenses and your eyes.
Case Replacement: A Non-Negotiable Rule
Your lens case is a breeding ground for bacteria. Even with daily rinsing, an invisible film of bacteria called biofilm can build up over time. That’s why you must discard your old case and start with a new one at least every three months. I tell my patients to time it with the seasons. New season, new case. It’s a small, inexpensive step that can save you from a serious eye infection.
Common Mistakes to Avoid
- Never use tap water: It contains microorganisms, like Acanthamoeba, that can cause severe, sight-threatening eye infections.
- Don't 'top off' solution: Always use fresh disinfecting solution every day. Reusing solution is like inviting bacteria to a party in your lens case.
- Avoid saliva: Your mouth is full of bacteria. Never use it to wet your lenses. It’s a dangerous and ineffective shortcut.
- Keep the solution bottle tip clean: Don't let it touch any surfaces, including your fingers or the lens case, to avoid contamination.
- Don't switch solutions without asking: Not all solutions are compatible with ortho-k lenses. Always check with our office before trying a new brand.
What to Do if You Drop a Lens
It happens to everyone. The moment of panic is real. If you drop a lens, the first step is to find it. If you can't see it, try using a flashlight held at a low angle to the floor; the lens will often glint in the light. Once you find it, pick it up carefully with the suction tool, not your fingernails. Then, you must re-clean and disinfect it thoroughly before putting it in your eye. A quick rinse is not enough. If the lens appears damaged, chipped, or scratched in any way, do not wear it and contact our office immediately. A damaged lens can harm your cornea.
Traveling with Your sleepSEE® Lenses
For the many military families we work with at our Fayetteville practice, travel is a fact of life. With a little planning, traveling with your ortho-k lenses is easy. I always recommend a dedicated travel kit with travel-sized (under 3.4 ounces) solutions. And always, always pack your lens care supplies in your carry-on bag. You don’t want to be stuck in a new city or, worse, a new country, without your lenses or cleaning solutions! Imagine landing at Fayetteville Regional Airport after a long trip and realizing your lens case is in your checked bag that got lost. It’s a nightmare you can easily avoid.
Investing in Your Vision
sleepSEE® myopia control is a specialty service not covered by insurance. Flexible payment options and HSA/FSA funds are accepted. We believe that clear vision is a valuable investment in your quality of life and, for our younger patients, in their future. Proper lens care is how you protect that investment. Think of it as the insurance policy on your new-found visual freedom.
Frequently Asked Questions (FAQs)
How often should I replace my sleepSEE® lenses?
Typically, ortho-k lenses are replaced annually. This ensures the lenses are providing the most effective treatment and that the material, which can change shape and accumulate deposits over time, is still in optimal condition for your cornea.
Can I use any contact lens solution for my ortho-k lenses?
No. This is a critical point. Ortho-k lenses are made from a different, more rigid material than soft contact lenses and require specific cleaning and disinfecting solutions. Using the wrong product can damage your lenses, warp their shape, or be ineffective at preventing infections. Always use the solutions we recommend.
What happens if I forget to clean my lenses one night?
While we strongly advise against it, if you miss one cleaning, you should be fine. However, do not make it a habit. Consistent cleaning is key to preventing long-term problems. If you have any redness, irritation, or blurred vision, contact us immediately.
Is it normal for my vision to be a little blurry in the morning after taking the lenses out?
For the first week or so, it is common to experience some slight blurriness or fluctuations in your vision as your eyes adapt to the treatment. This should improve as your corneas stabilize. If it persists, please let us know.
What if I break or lose a lens?
Contact our office immediately. We always have replacement lenses on hand and can get you a new one quickly. It’s a good idea to have a pair of backup glasses with a recent prescription, just in case.
Conclusion
Proper care of your sleepSEE® lenses is simple, but it requires diligence. By making it a part of your daily routine, you can enjoy years of clear, comfortable vision. If you have any questions about your lens care routine or want to learn more about how ortho-k can help with myopia control [blocked], we invite you to visit our how it works [blocked] page, find a provider near you [blocked], or schedule a consultation. Our team is here to support you every step of the way on your journey to better vision.
References
[1] American Academy of Ophthalmology. https://www.aao.org/
[2] National Institutes of Health. https://www.nih.gov/
Last reviewed: February 2026
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The sleepSEE Clinical Team is a group of licensed eye care professionals dedicated to evidence-based education on myopia control, orthokeratology, and nonsurgical vision correction.



