Episode 45 - The Good, The Bad, and The Ugly of Myopia Management: Real-World Cases episode artwork

EPISODE · Dec 3, 2025

Episode 45 - The Good, The Bad, and The Ugly of Myopia Management: Real-World Cases

from The Myopia Mindset · host Matthew Herzberg

There is a mandatory visual element to this episode, check out the YouTube version here: https://www.youtube.com/watch?v=78kOOo2iZCgLearn 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 special “lecture-style” episode, series regular Dr. Matthew Martin walks through The Good, The Bad, and The Ugly of real-world myopia management. From early onset cases to long-term ortho-k outcomes, he covers: 🔹 Case 1: “Mini-Me” – A 6-year-old with early risk factors. When should you start? 🔹 Case 2: “Don’t Stop ‘Til You Get Enough” – An 11-year-old who stopped orthok and ended up with less myopia. How? 🔹 Case 3: “It’s Raining Cats and Dogs” – Managing allergies, comfort, and ortho success in active kids. 🔹 Case 4: “Wet Cement” – The pitfalls of missing subtle corneal findings in adults. Dr. Martin also shares: Why axial length trumps refraction as a key metric How to structure fees for sustainability When to use (or avoid) low-dose atropine And the one thing you must check before fitting an orthok patient 🎧 Get the extended edition with audience Q&A and follow-up discussion at MyopiaMindset.com If you enjoy the show, please: ✅ Leave a 5-star review ✅ Share this episode with a colleague ✅ Follow us for more insights into building your myopia management practice 📧 Questions or comments? Email us: [email protected]

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