Final answer:
During the first follow-up with ortho K lenses, it is important to assess lens fit and visual acuity, check for lens deposition and comfort, and evaluate corneal topography and refraction.
Step-by-step explanation:
When a patient comes in for their first follow-up with ortho K lenses on, there are several things that should be done and kept in mind. These include:
A. Assess lens fit and visual acuity: The doctor should check how well the lenses fit on the patient's eyes and assess their visual acuity to ensure that the lenses are providing the desired correction.
B. Check for lens deposition and comfort: The doctor should examine the lenses for any deposition that may affect their performance and ask the patient about their comfort level while wearing the lenses.
C. Evaluate corneal topography and refraction: It is important to assess the corneal topography and refraction to ensure that the ortho K lenses are properly shaping the cornea and correcting any refractive errors.
Therefore, the correct answer is D. All of the above.