Episode 58 - Orthokeratology Success Success, What Fitters Often Overlook (Part 1)

Looking for more Myopia Mindset? Consider becoming a subscriber on our substack: https://myopiamindset.substack.com/In this episode of The Myopia Mindset, host Matthew Herzberg sits down with industry pioneer Dr. Cary Herzberg to break down some of the most overlooked drivers of orthokeratology success, the fundamentals that many fitters miss.While many practitioners focus on surface level metrics, this conversation goes deeper into the why behind successful Ortho-K outcomes. The discussion covers key concepts such as corneal volume, HVID, diameter selection, eccentricity, and overall corneal shape. Dr. Herzberg shares decades of clinical insight, explaining how these variables interact and why even low myopia cases can sometimes be more challenging than higher prescriptions.You will also hear the origin story behind important Ortho-K principles, including the role of hydraulic forces, the evolution of lens design, and how modern approaches have improved outcomes. More importantly, this episode emphasizes the mindset shift required to truly master Ortho-K by moving away from total reliance on labs and toward developing strong clinical intuition and problem solving skills.If you have ever struggled with inconsistent results, confusing fits, or cases that should have worked but did not, this episode provides a clearer framework for evaluating and approaching your patients.This is Part 1 of a deeper series on Ortho-K success, so be sure to subscribe and stay tuned for what comes next.