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Eye care service at EyeCare Center OC

ACUVUE Abiliti Overnight | FDA-Approved Ortho-K for Myopia Management in Orange County

The first FDA-approved orthokeratology lens specifically for the management of myopia in children.

Medically reviewed by Dr. Alexander Bonakdar, O.D. · Updated April 2026

Understanding Abiliti Overnight

About Abiliti Overnight

ACUVUE Abiliti Overnight by Johnson & Johnson Vision (Menicon technology) received FDA approval (PMA) on May 12, 2021 — the first orthokeratology lens specifically approved for the management of myopia. Worn overnight, these custom gas-permeable lenses reshape the cornea for clear daytime vision without glasses or contacts. Clinical data shows approximately 0.28mm less axial elongation over 2 years compared to controls. A specialized astigmatism design (approved 2022) extends candidacy to children with both myopia and astigmatism.

Benefits of Abiliti Overnight Treatment

  • First FDA-approved ortho-k specifically for myopia management
  • Glasses-free and contact-free daytime vision
  • Astigmatism design available (2022) for combined myopia + astigmatism
  • J&J Vision quality and manufacturing standards
  • Reversible — cornea returns to original shape if discontinued

The Abiliti Overnight Process

1

Myopia & Ortho-K Evaluation

Corneal topography, axial length measurement, refraction, and candidacy assessment.

45-60 minutes
2

Custom Lens Fitting

Abiliti lenses are custom-designed from your topography maps. Trial lenses verify the fit.

30-45 minutes
3

Overnight Trial & Monitoring

First overnight wear with morning follow-up to assess corneal reshaping and visual acuity.

15-20 minutes

Is Abiliti Overnight Right for You?

Candidacy overview for Abiliti Overnight

Good Candidates

  • Children with progressive myopia
  • Children and adults wanting overnight correction
  • Patients with myopia and astigmatism (specialized design available)
  • Active children who prefer no daytime lens wear

May Need Evaluation

  • !Very high myopia outside the lens design range
  • !Those unable to commit to nightly lens wear and hygiene routine

Common Questions About Abiliti Overnight

Abiliti Overnight is priced within the same range as our ortho-k program ($2,000-$4,500) depending on prescription complexity. The cost typically includes custom lenses, fitting, and first-year follow-up visits.
Both are FDA-approved ortho-k lenses worn overnight. The key difference: Abiliti is specifically FDA-approved for the management of myopia (May 2021), while Paragon CRT is approved for temporary myopia correction (myopia management use is off-label). Abiliti also has a specialized astigmatism design. We fit both and recommend based on your child's specific needs.
Abiliti is designed for children old enough to handle overnight lens wear and follow a hygiene routine, typically ages 8 and up. We assess each child individually for maturity and motivation.
Yes. A specialized astigmatism design was FDA-approved in 2022, making Abiliti an option for children with both myopia and astigmatism — a common combination that some other ortho-k designs handle less effectively.

Schedule Your Consultation

Get expert abiliti overnight care from Dr. Alexander Bonakdar

(949) 323-3600Book Online

Cost & Insurance

Typical Cost Range

$2,000 - $4,500

Insurance Coverage

Coverage similar to other ortho-k lenses. Some vision plans cover a portion. FSA/HSA eligible.

Financing Available

CareCredit and Alphaeon Credit available

Apply for CareCredit

*Costs vary based on individual needs. Contact us for a personalized quote.

Last reviewed: July 14, 2026

Medical content is reviewed regularly to ensure accuracy and reflect current best practices.

Schedule your acuvue abiliti overnight lenses consultation

Conveniently located in Orange County

Same-Day Appointments

Often available

Convenient Location

Santa Ana, CA

Most insurance plans accepted • We don't take Medi-Cal • Flexible financing available

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Schedule Your ACUVUE Abiliti Overnight Lenses Consultation

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Medical Disclaimer

The information provided on this page is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment.

Always seek the advice of your eye care professional or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Individual results may vary. The information on this site does not establish a doctor-patient relationship.

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We don't take Medi-Cal