Orthokeratology, commonly known as corneal refractive therapy, is a refractive procedure that reshapes the cornea. It is a safe and reversible treatment for correcting myopia. With the development of post-refractive surgery ectasia and in patients where refractive surgery is contraindicated, orthokeratology may be a viable choice for patients with thin corneas. This case study features a successful orthokeratology patient who wears contact lenses every night. This case study illustrates the advantages of orthokeratology lenses as a treatment option for thin corneas.