The Myopia Mindset

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.

With Europe and the U.K. moving ahead on atropine approvals, the Academy is urging policymakers, industry partners, and clinicians to align U.S. standards with the global scientific consensus. Their message is clear: early intervention works, low-dose atropine is safe and effective, and it belongs alongside optical and behavioral treatments in comprehensive myopia management.

Dr. Cary Herzberg joins Matthew to share his perspective as a pioneer in myopia management — not only advocating for access and recognition, but working to amplify the collective voice of the profession. Together, they call on colleagues and the broader myopia-management community to join the AAOMC's efforts to elevate this message: Myopia Is a Disease.

Find out more at aaomc.org

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

In this Essential Edition (first 30 min) episode of The Myopia Mindset, Dr. Thanh Mai — VP of Innovation at Treehouse Eyes and managing partner of four successful practices — opens up about the real story behind his growth. He shares what it’s like to start cold, the lessons learned from rebuilding, and the systems that helped him scale without losing sight of what matters most — patient care.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/ You will get a longer discussion, more insights, and a bonus episode every month, exclusive to supporters.

Help us spread the word about what makes Myopia Management truly special. https://www.myopiamindset.com/

Are patients slipping through the cracks in your myopia management practice?

Dr. Grant Miller and Dr. Justin Kwan reveal how small communication leaks and system gaps cost practices big — and how to fix them fast. In this Essential Edition (first 30 min) episode of The Myopia Mindset, host Matthew Herzberg talks with Dr. Grant Miller (Treehouse Eyes Rookie of the Year) and Dr. Justin Kwan (Head of Myopia Management at CooperVision) about “The Leaky Bucket of Myopia Control.”

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/‍ ‍

You will get a longer discussion, more insights, and a bonus episode every month, exclusive to supporters.

Help us spread the word about what makes Myopia Management truly special. https://www.myopiamindset.com/

In the Essential Edition (first 30 minutes) of this episode of The Myopia Mindset, host Matthew Herzberg sits down with Dr. Paul Levine and Dr. Matthew Martin to dissect what really separates a smooth Ortho-K fitting process from a chaotic one.

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. In this episode of The Myopia Mindset, host Matthew Herzberg sits down with Randy to explore:

How Ortho-K evolved from a niche specialty to a cornerstone of modern optometry

The critical role of mentorship and organizations like the AAOMC and Vision by Design

Why topography capture remains one of the most important—and misunderstood—skills in eye care

The impact of AI on lens design and myopia control What industry gets wrong about modern ECPs

And how to inspire the next generation of myopia management leaders

Whether you’re an experienced fitter or just stepping into the world of myopia control, this episode offers deep insight into how the field has evolved—and where it’s going next.

🎧 Listen to the full episode and extended interviews at https://www.myopiamindset.com/

In this episode of The Myopia Mindset, host Matthew Herzberg sits down with industry leaders to unpack what EssilorLuxottica’s FDA authorization for Stellest™ lenses means for clinicians, parents, and the future of myopia management.

They discuss how this milestone fits into the broader movement toward early intervention, where the industry is heading next, and how practices can prepare for the rapid expansion of new treatment technologies.

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 innovators: Dr. Sherman Tung and Dr. Laurence Wong.

In the Essential Edition (first 30 min) of this in-depth interview, host Matthew Herzberg and Dr. Ken Maller unpack the mindset it takes to build a 100% contact lens practice, the lessons learned from the “wild west” of early Ortho-K, and how curiosity and patience shaped an entire career.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/

You will get a longer discussion, more insights, and a bonus episode every month, exclusive to supporters.

Help us spread the word about what makes Myopia Management truly special. https://www.myopiamindset.com/

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.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/

You will get a longer discussion, more insights, and a bonus episode every month, exclusive to supporters.

Help us spread the word about what makes Myopia Management truly special. https://www.myopiamindset.com/

In this Essential Edition of the podcast — 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.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/

You will get a longer discussion, more insights, and a bonus episode every month, exclusive to supporters.

Help us spread the word about what makes Myopia Management truly special. https://www.myopiamindset.com/