Explore every episode of the podcast The Myopia Mindset

Support Our Substack For The Full Episode: https://myopiamindset.substack.com/

Are you playing it too safe with myopia management? In this episode, Brianna Rhue OD, FAAO joins me as we dive into how to be more aggressive, confident, and strategic in growing your myopia management practice. Success doesn’t come from waiting—it comes from clear communication, smart sales tactics, and a willingness to take risks.

For the extended version of this episode go to myopiamindset.substack.com and become a supporter.

Matthew Herzberg is joined by Cary Herzberg OD FIAOMC to discuss the state of the myopia industry and whether or not we are on the cusp of a new era in myopia management.

Follow The Myopia Mindset: @myopiamindset

Follow Matthew: @mattherzbergtv

Follow Cary: @oaadoc

The most successful ECPs in Myopia management have leaned how to think differently!

Join Matthew Herzberg as he introduces this special new podcast series where he studies the unique factors that only a small group of myopia management specialists are doing to learn passion and improve success.

This podcast series will feature interviews, news, and insights from clinicians, academics, and industry professionals. Discover how they find success in myopia management. Let their stories inspire, educate, and motivate you to find yours!

The Myopia Mindset podcast features deep interviews with passionate and successful change-makers in the myopia industry. As well as the latest news, topics, and commentary about what makes myopia management truly special.

Support the podcast on our substack and get the extended version of this episode: https://myopiamindset.substack.com/p/episode-6-is-myopia-management-a

Myopia management is more than just a trend—it’s a commitment to long-term eye health. But is it truly worth the investment? In this episode, we go beyond the science and dive into the real-world rewards of implementing myopia management in practice.

Hear from Matthew Martin OD FIAOMC, Paul Levine OD FIAOMC, and Cary Herzberg OD FIAOMC — passionate experts who have made it a core part of their practice, learn about the potential return on investment, and discover how you can make a meaningful impact on your patients' lives.

Support the podcast and get the extended version of this episode here: https://myopiamindset.substack.com/

Did we drop the ball on the myopia epidemic?

How well does the public grasp why myopia is so important?

Are we doing a good enough job communicating about it?

Matthew accidentally finds an unprompted discussion about the Myopia Epidemic on a podcast called, The Skeptics Guide To The Universe. The SGU is a science-based skepticism podcast. Cary and Matthew break down the discussion about what the SGU got right and what they missed. As well as how this reflects back on the myopia industry as a whole.

Get the extended version of this episode at myopiaminset.com via our substack and become a supporter.

Matthew is joined by Cary Herzberg OD FIAOMC to discuss some of the exciting things that have happened in the Myopia industry over the last few years.

Follow The Myopia Mindset:

@myopiamindset Follow

Matthew: @mattherzbergtv

Follow Cary: @oaadoc

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 Essential Edition of the podcast —

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. What does it really take to succeed with orthokeratology and myopia management? In this episode of The Myopia Mindset, host Matthew Herzberg is joined by two powerhouse guests: Dr. Joelle Holland – rising star in optometry, passionate about family eye care and tackling complex cases. Mark Cosgrove – world-renowned Ortho-K lens designer, co-developer of Doctor’s Own Design, with over 1 million successful lens designs.

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 Essentail Edition episode of The Myopia Mindset, host Matthew Herzberg sits down with Dr. Leah Johnson and Dr. Sheila Morrison, two leading experts in myopia management, to share their insights on practice management strategies, pricing pitfalls, scheduling hacks, and communication tips that keep patients happy and practices profitable.

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:

What makes a practitioner truly successful in myopia management? 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. Packed with real-world tips, mindset shifts, and a preview of his VBD 2025 session, this conversation will inspire any eye care professional looking to take the next step.

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/

This episode has been UNLOCKED for all audiences as part of our ROAD TO VISION BY DESIGN 2025 series.

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.

Discover how to optimize myopia control with customized orthokeratology lens designs. In this episode of The Myopia Mindset, industry legends Pat Caroline and Randy Kojima share a preview into their groundbreaking research on assessing the topographical myopia control signal and understanding sagittal depth for both Ortho-K and soft contact lenses. If you want the full lecture, don’t miss Pat and Randy’s session at Vision By Design in October—details at https://aaomc.org/vbd/

Looking for more? https://myopiamindset.substack.com/

Become a paid supporter to get longer discussions, 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, 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.

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, is Vision by Design really worth it? Bootcamp veterans say it’s the most energizing, career-changing event in myopia management.

In this episode, you’ll hear from the powerhouse Bootcamp faculty themselves—and discover why this ortho-k and specialty lens training could transform your practice in 2025. Join host Matthew Herzberg and the Bootcamp faculty—Drs. Dwight Barnes, Cheryl Chapman, Matthew Martin, Paul Levine, Brianna Rhue, and Tom Weshefsky—for an inside look at Bootcamp at Vision by Design 2025.

Whether you’re new to myopia management or a seasoned orthokeratology (ortho-k) expert, Vision By Design is the ultimate optometry conference experience.

In this episode, you’ll hear how Bootcamp began, why the “colleague, not competitor” mindset shapes the AAOMC community, and how specialty contact lens training can transform your eye care practice.

From myopia control breakthroughs to optometry CE opportunities, this conversation reveals why Vision by Design is more than just a meeting—it’s a network, a mentorship hub, and a career-defining event.

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/

This episode has been UNLOCKED for all audiences as part of our ROAD TO VISION BY DESIGN 2025 series.

How do you move patients from “Maybe later” to “I’m in”—without feeling like a pushy salesperson?

We’re kicking off our Road to Vision by Design 2025 series with none other than Dr. Steve Vargo, OD, MBA—bestselling author, seasoned consultant, and this year’s VBD keynote speaker.

🎟 Learn more about Vision by Design 2025 at https://aaomc.org/vbd/

In this episode of The Myopia Mindset, Dr. Vargo joins us for a practical, eye-opening conversation on trust, psychology, and the subtle art of patient communication. Whether you're struggling with treatment acceptance or want to sharpen your message, this one’s packed with insights you can use right away.

We cover:

Why most ODs feel uncomfortable “selling” myopia management

How to ask better questions that invite curiosity (not resistance)

The emotional triggers behind silent objections

What to do when you hear the dreaded “no”

How communication can set you apart in a world of rushed eye exams

Whether you're a seasoned ortho-k provider or just starting your journey, this episode will challenge the way you think about patient care—and help you grow without sacrificing your authenticity.

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

In this Essential Edition of the podcast, Dr. Monica Jong joins The Myopia Mindset to share her incredible journey—from her early days as a clinician in Australia to becoming one of the most influential voices in the global myopia movement.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at:

https://myopiamindset.substack.com/p/from-clinic-to-global-impact-dr-monica

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 supporter exclusive preview, Cary Herzberg OD FIAOMC joins us for a discussion on FDA indications in Myopia Management and off label orthokeratology.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/p/do-fda-indications-actually-matter

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, Dr. Nick Despotidis spent years building smart, innovative systems for his team and practice—turning patients into enthusiastic champions for his myopia care.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/p/hosting-a-myopia-event-in-your-practice

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 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.

In this Essential Edition of the episode, Dr. Grant Miller returns to share exactly how he built and scaled his wildly successful back-to-school myopia events over the past five years. From games and scavenger hunts to axial length demos and live lens trials, Grant walks us step-by-step through how to engage parents, excite kids, and drive real conversions.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/p/hosting-a-myopia-event-in-your-practice

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 episode, In this powerhouse follow-up episode, host Matthew Herzberg brings back Dr. Matthew Martin and Dr. Paul Levine for Part 2 of the Myopia Practice Showdown. These two leading voices in myopia management go deep into one of the most essential tools in the specialty: axial length measurement.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com/p/myopia-practice-showdown-part-2-with

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 episode, Dr. Glenda Aleman shares her incredible story—from working as a technician in Honduras to becoming an optometrist and founder of OK Love, a thriving myopia management practice.

Looking for more? Consider The Extended Edition of this episode, available for paid supporters at: https://myopiamindset.substack.com From Technician to Ortho-K Leader

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/

Get the full episode by supporting our Substack: https://myopiamindset.substack.com/

In this episode of The Myopia Mindset, we dive into one of the most overlooked growth strategies in myopia management—your existing patient base. Learn how to source and analyze patient files to identify ideal candidates for Ortho-K and other myopia control treatments. We break down what to look for, how to set up simple systems for flagging opportunities, and how to turn routine visits into meaningful conversations about long-term vision care. If you're looking to grow your myopia practice without relying solely on external marketing, this episode is for you.

You can get episodes early and in full by becoming a paid supporter of The Myopia Mindset!

Support Us On Substack here: https://myopiamindset.substack.com/

In this episode:

The American Academy of Orthokeratology & Myopia Control is a non-profit organization that supports, promotes and advances the science of orthokeratology and myopia control through quality education and scientific information. Should you be a member of the AAOMC should you go to their meeting Vision By Design? Disclaimers: The Myopia Mindset has not received remuneration of any kind for this episode. Matthew Herzberg has not received remuneration of any kind for this episode.

Support Us On Substack: https://myopiamindset.substack.com/

In this episode, we compare two distinct myopia management practices—one a multi-doctor, urban-based clinic led by Dr. Paul Levine, and the other a focused, rural practice run by Dr. Matthew Martin who has carved out a strong niche in a smaller market. We explore their unique philosophies on patient selection, lens fitting strategies, and communication styles. From lens design preferences and fitting challenges to patient education and expectation-setting, both doctors share their insights on what it takes to succeed in Ortho-K care.

We explore their unique philosophies on patient selection, lens fitting strategies, and communication styles. From lens design preferences and fitting challenges to patient education and expectation-setting, both doctors share their insights on what it takes to succeed in Ortho-K care.

Support Our Substack: https://myopiamindset.substack.com/

Take Your Myopia Practice to a Whole Other Level In this episode, we sit down with Dr. Ashley Tucker, OD to explore the strategies and insights that can help you elevate your myopia practice. Dr. Tucker shares her journey, challenges, and successful approaches that have taken her practice to new heights. From refining patient care techniques to integrating the latest technologies, Dr. Tucker provides actionable advice on how you can transform your practice and set yourself apart in the world of myopia management.

In this episode, we sit down with Dr. Cary Herzberg, OD, FIAOMC, to answer a question many practitioners face: How young can you start orthokeratology treatment? With decades of experience and a practice focused almost entirely on pediatric patients, Dr. Herzberg shares his insights on evaluating readiness, communicating with parents, and managing complex ortho-k cases in very young children. From clinical criteria to mindset, you'll hear firsthand what it takes to confidently treat the youngest—and often most rewarding—ortho-k candidates.

Delivering great myopia management is one thing—getting patients to recognize and rave about it is another.

Support us on Substack for the full episode: https://myopiamindset.substack.com/

In this episode, Matthew Martin OD FIAOMC joins as we explore the key strategies to turning satisfied patients into enthusiastic advocates for your practice.

In this episode, we dive into The Myopia Collective—a growing movement that brings together forward-thinking optometrists who are transforming the future of myopia care. Drs Tiffany Martinez, Shelby Johnson, and Justin Kwan join us for the discussion. We explore how the Collective was founded, what it stands for, and how it’s helping clinicians elevate their clinical outcomes, patient education, and business models through collaboration, innovation, and shared purpose.

Disclaimers: The Myopia Mindset has not received remuneration of any kind for this episode. Matthew Herzberg has not received remuneration of any kind for this episode. The views, opinions, and insights expressed by guests on this podcast are their own and do not necessarily reflect the views or positions of the host, the podcast, or its affiliates.

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.

Support us on Substack for the full episode: https://myopiamindset.substack.com/

In this episode, we sit down with Paul Levine OD FIAOMC, he is an expert myopia management practitioner who shares the real-life lessons behind his success. From trial-and-error treatments to challenging parent conversations, we explore what it truly takes to excel in this field—and why every misstep was simply the price of an education.

Support Us On Substack for 10+ more myopia upgrades you can implement right now: https://myopiamindset.substack.com/

Are you offering myopia management but not seeing the outcomes or patient engagement you'd hoped for? In this episode, we break down five actionable changes you can make today to improve your clinical success, strengthen communication with parents, and enhance patient retention. From optimizing your consultation flow to fine-tuning treatment protocols, this episode is packed with practical tips and insights to help you elevate your myopia management practice—no overhaul required. Whether you're just getting started or looking to sharpen your approach, this is a must-listen.

🔍 Tune in and take your myopia management to the next level!

Our guest for this episode is Dwight Barnes OD, FIAOMC, IACMM he wrote an amazing article for Review Of Optometry, A Checklist for Starting a Myopia Management Practice

https://www.reviewofoptometry.com/article/a-checklist-for-starting-a-myopia-management-practice

Dwight is going to talk to us about the article, his practice, and his passion for myopia management!

Matthew invites Sukhdev Gill OD, FIAOMC and Mark Cosgrove for an audience sourced Q&A for their new custom ortho-k design product; Doctor's Own Design.

Support us on Substack : https://myopiamindset.substack.com/

Contact Doctor's Own Design: https://doctorsowndesign.com/contact/

Disclaimers: The Myopia Mindset has not received remuneration of any kind for this episode. Matthew Herzberg has not received remuneration of any kind for this episode. The views, opinions, and insights expressed by guests on this podcast are their own and do not necessarily reflect the views or positions of the host, the podcast, or its affiliates.

Support us on Substack To Get This Bonus Episode: https://myopiamindset.substack.com/

In this episode we are talking about the myopia care marketplace. Are patients shopping around for myopia management and what does that mean for the modern myopia practice?

This topic was inspired by a conversation from the AAOMC google group. Become an AAOMC Member here: https://aaomc.org/

Support our Substack to get the extended episode: https://myopiamindset.substack.com/

Dr. Caroline Guerrero Cauchi is known as, “The Lion” amongst members of the AAOMC. She is a pioneer in the myopia industry and a trailblazing optometrist. She has been the driving force behind Vision By Design’s Bootcamp For Newcomers and the IAOMC’s Fellowship program, and so much more. Dr. Cauchi’s unique myopia mindset is one that informs the next generation and sets them up for success. Many in our industry have sighted Dr. Cauchi as an inspiration and she has personally participated in educating the future leaders of the myopia industry.

The video that Caroline and I made 10+ years ago can be found here:    • What is Orthokeratology?  

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/

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.

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—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.

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 episode of The Myopia Mindset, Dr. Dan Press shares his journey as a third-generation optometrist and previews his Vision By Design 2025 lecture, Myopia and the Whole Child.

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. This episode will change the way you think about myopia management.

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 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

Support the podcast at myopiamindset.com