Optometry and ophthalmology have a complicated past — but the future looks completely different. Recently both optometry (via the AAOMC) and ophthalmology (via AAPOS) have vocalized public positions on managing pediatric progressive myopia.

Learn how ethnicity, age, environment, and axial length all play critical roles in predicting progression—and why sometimes the most important choice is knowing when not to treat.

In this episode, the myopia management community is calling for the formal recognition of myopia as a chronic, progressive disease. The AAOMC (American Academy of Orthokeratology and Myopia Control) highlights a major regulatory gap in the U.S., where the FDA’s device division has approved multiple tools to slow myopia progression, but the drug division has yet to recognize or authorize pharmaceutical options such as SYD-101 low-dose atropine — despite growing global momentum and strong clinical evidence.

Dr. Thanh Mai shares how he went from failed cold starts to building four thriving myopia practices using mindset, systems, and storytelling.

Are patients slipping through the cracks in your myopia management practice? Dr. Grant Miller and Dr. Justin Kwan join Matthew Herzberg to reveal how small communication leaks and system gaps cost practices big — and how to fix them fast.

How do the best Ortho-K clinics avoid endless re-fits and keep patients happy? In this episode of The Myopia Mindset, host Matthew Herzberg sits down with experienced Ortho-K clinicians (Dr. Paul Levine and Dr. Matthew Martin) to unpack real-world troubleshooting, the new-patient experience, team training, and how to build a reliable specialty workflow.

Pioneers like Randy Kojima shaped myopia management one topography map at a time. Discover how Ortho-K evolved from the ‘wild west’ of contact lens fitting into one of the most powerful tools in modern eye care. Randy Kojima has helped shape how we understand and teach myopia management — from the early days of orthokeratology to cutting-edge topography and lens design.

Matthew Herzberg sits down with a panel of myopia management experts to unpack what EssilorLuxottica’s FDA authorization for Stellest™ lenses means for clinicians, parents, and the future of myopia management.

How do you move from fitting Ortho-K lenses to designing them? In this episode of The Myopia Mindset, host Matthew Herzberg closes out the Road to Vision by Design 2025 series with two of the field’s top fitters: Dr. Sherman Tung and Dr. Laurence Wong.

Before he was known as one of the most respected minds in orthokeratology, Dr. Kenneth Maller was simply an optometrist obsessed with understanding lenses — how they work, how they fail, and what they can teach you if you pay attention.

Three thousand papers are published on myopia every year. How do you know which ones matter? Dr. Langis Michaud breaks it all down—and Dr. Cary Herzberg explains why Vision by Design is the Super Bowl of myopia science.

Taking over a trailblazing Ortho-K practice comes with high expectations. Dr. Andrew Brauer shares how time, empathy, and personal experience helped him find his identity as a myopia management practitioner.

Think you’re not ready for myopia management? Dr. Brianna Rue shows why you don’t need to be perfect—you just need to start. From her first patient to building a thriving referral network, discover the mindset shift that can transform your practice.

Consultation is where the battle for myopia management is won—or lost. In this episode, three experts reveal the exact strategies they use to win parents’ trust, boost conversions, and set kids up for success.

Is myopia really just about the eyes—or is it about the whole child? Dr. Dan Press reveals why screen time, outdoor play, sleep, and even family habits matter just as much as lenses or drops.

Imagine being told a patient can’t be fit with Ortho-K. For Dr. Joelle Holland, those were the moments that defined her career—because with the right consultation and support from lens designer Mark Cosgrove, those patients walked away with life-changing results.

Running a successful myopia management practice is about more than just fitting lenses—it’s about conquering the pain points that can make or break your business.

What makes a practitioner truly successful in myopia management? In this episode, Dr. Nate Bonilla-Warford shares how his journey—from early ortho-k curiosity to becoming a Vision By Design speaker—has shaped his approach to patient care, education, and practice growth.

What if you could know—within the first month—whether your myopia control treatment is working? In this episode, Pat Caroline and Randy Kojima reveal how they’re rewriting the Ortho-K playbook with signal-driven customization, cutting-edge measurements, and design tweaks that could transform patient outcomes.

What’s next for myopia management? In this episode, we talk with Dr. Bruce Koffler and Dr. Michael Lipson about their upcoming session at Vision By Design 2025. They share how specific patient attributes influence the risk and progression of myopia—and introduce a practical total risk scoring system that guides fully customized treatment plans to slow myopic progression.