Who is a FIAO?

  • A FIAO (Fellow of the International Orthokeratology Academy) is a high standard practitioner of Orthokeratology. 
  • A Fellow of the International Academy of Orthokeratology (FIAO) possess and demonstrate the highest level of knowledge, ethics and patient care with respect to the practice of Orthokeratology. 
  • Fellows serve as mentors and role models for new Ortho-K doctors. 

Why Become a Fellow

  • You are viewed as an Ortho-K authority/expert by patients researching Ortho-K on the internet.
  • You have a distinctive listing on the AAOMC, IAO and OrthoKDoctors.com websites.
  • The study/preparation process hones your Ortho-K skills and broadens your knowledge.
  • Your patients will see the FIAO after your name and inquire, giving you and your staff the opportunity to promote Ortho-K to them and their friends. 
  • When your IAO colleagues (nationally and Internationally) need to refer a relocating patient, they will chose you as you are viewed as an expert. 

Application Requirements

  • Must be a member of the IAO for two years
  • Must be recommended by a FIAO
  • Must have fit at least a total of 50 orthoK patients with at least two or more different manufacturers and provide documentation (from manufacturer, ledgers, etc.)
  • Must have attended one of the IAO (not National meeting) section meetings within the last 2 years.
  • Must be able to fit a minimum of two different types of orthoK lenses
  • If the candidate is applying from mainland China they must hold the rank of SIAOA (senior member of the IAOA) before they may apply to take the FIAO test.

FIAO Testing Protocol


  • Read the requirements for application and if you feel you meet the requirements, carefully fill and submit the Application Form
  • Your section FIAO committee will review your application and if you meet the requirements, you will be asked to provide documentation.


  • The application specifies the list of required documents to support your application.
  • Provide all the documents requested.
  • Your section fellowship chair will review all the data you have provided and if you are selected, they will schedule a phone interview with you to determine your level of preparedness.


  • You will be asked a series of questions to determine if you have attained a master level of orthoK knowledge. 
  • The committee will then choose the most qualified applicants to proceed.

If you were one of the applications selected to proceed with testing:

  • At this point you must Pay your FIAO Testing Fee.  Please note you have to pay in 1 week. If payment is not received by that date, the position will be offered to another candidate.
  • Your testing will involve 3 steps

o   Case presentations

o   Written testing

o   Oral testing (always conducted last)



You will be provided with a mentor to guide and assist you with your case presentation and study.

The mentor will be the one whom you present 3 cases and prepare you for your oral examination.



  • 75 multiple choice questions and
  • A design test. 

o   You will be given the data for one eye (demographics, refractive, maps, etc.).

o   You must design a lens for that patient using whatever method you normally employ (eg, template, software, etc). 

o   Then you will be provided with an outcome map and asked to make changes in your lens design to enhance the outcome.


  • You will participate in a 1-1.5 hour oral examination to determine you have become a Master of the Science and technology of OrthoK.  Your committee will consist of 3 FIAOs one will be your mentor.  You will discuss your last two cases as well as answer questions designed to test your mastery of the field.

PREPARATION  - Study Resources for Written and Oral Exam

  • IAO study guide provided by your section fellowship chair
  • Review Class  A mandatory four-hour class will be given to review material to be covered on the written test, on testing day.  This class is really valuable and a great opportunity to have any questions answered.
  • Your personal FIAO mentor
  • Orthokeratology:  Principles and Practice by  Mountford, Ruston and Trusit.   This book is no longer in print, but is available in PDF form.  It will be provided to applicant by Dropbox. John has given us permission to share it electronically.  He is currently writing a revised form.
  • Purchase Orthokeratology Practice - A basic guide for practitioners   Edited by Pauline Cho, Mike Collins and Tadashi Sawano (available at the OAA store www.orthokacademy.com)
  •  Internet
  • IAO study guide
  • Orthokeratology Practice : A basic guide for practitioners  Cho, Collins and Sawano
  • 书名 实用角膜塑形学,主编 谢培英 迟蕙,人民卫生出版社2012年3月第一版323千字  (Practical Orthokeratology Authors: Xie, peiying, Chi, Hui, People's health publication co. March, 2012, first edition,
  • PowerPoint of “Fundamentals of OrthoK” lecture (revised and expanded with audio) in preparation
  • Articles provided by Jaume Paune Fabre


  • The test is given in written English or Chinese.  If you do not speak either of these, you may bring an interpreter or use Google Translate. 
  • The interpreter must be approved prior to the test and cannot be a doctor familiar with orthoK. 
  •  If Google translate is used, the proctor must be present each time it is accessed.



Requirements for Maintaining the FIAO in Good Standing

Yearly Requirements to maintain the FIAO Status

A total of 5 points from the following
Activity Points
Attendance an an IAO annual or section meeting 1pt/day
Attend an advanced GP lens conference 1
Mentor an FIAO candidate 5
Sit on an oral exam panel for an FIAO candidate 3
Publish an orthoK article in a peer reviewed journal 2
Lecture on orthoK at a professional meeting 1
Lecture on orthoK at an educational institution 1
Actively participate in the IAO Google group (min 3 posting per month) 1
Actively Participate in mentoring program 2
Active participation on an IAO committee 2