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Episode 53 - Trans-Limbal Ortho-K Explained: Why Bigger Lenses Change Everything (Part 1)
Most doctors stop at corneal ortho-k.
This episode starts where that comfort zone ends.
In Part 1 of this two-part series, host Matthew Herzberg is joined by Dr. Anith Pillai and Dr. Matthew Martin to break down trans-limbal ortho-k—what it is, what it is not, and why it’s quietly transforming how experienced clinicians approach adult, hyperopic, and high-challenge cases.
In Part 1, we cover:
What “trans-limbal” actually means—and why the distinction matters
Why larger diameters improve centration and comfort, particularly in adults
How lens mass and design give you more control over tissue manipulation
Why this approach is off-label—and how experienced doctors manage expectations without fear
The types of patients who benefit most (and who absolutely should not be fit)
View all episodes
By The Myopia MindsetMost doctors stop at corneal ortho-k.
This episode starts where that comfort zone ends.
In Part 1 of this two-part series, host Matthew Herzberg is joined by Dr. Anith Pillai and Dr. Matthew Martin to break down trans-limbal ortho-k—what it is, what it is not, and why it’s quietly transforming how experienced clinicians approach adult, hyperopic, and high-challenge cases.
In Part 1, we cover:
What “trans-limbal” actually means—and why the distinction matters
Why larger diameters improve centration and comfort, particularly in adults
How lens mass and design give you more control over tissue manipulation
Why this approach is off-label—and how experienced doctors manage expectations without fear
The types of patients who benefit most (and who absolutely should not be fit)