June 2019

Focus On What We Know, Not What We Don't Know

Dwight Akerman, OD, MBA, FAAO
Chief Medical Editor

During discussions with optometric and ophthalmologic colleagues, I will occasionally hear, “There is not enough evidence for me to treat children who demonstrate progressive myopia.” I will then specifically ask, “What are the evidence gaps?”
After several minutes of discussion, it usually becomes clear that they are not up to date with the peer-reviewed myopia literature. While I acknowledge that we have much to learn about myopia management in children and teenagers, we already know so much.

Lifestyle Modifications to Reduce Incidence and Progression of Myopia:  What Are They and How...

It is crucial to prevent the onset of myopia and if not, to intervene at the earliest possible age to reduce the risk of progression.

How to Incorporate Myopia Management into a Primary Care Practice

Vision Therapy (VT) works great when the right therapy is prescribed correctly to the right patient by a skilled practitioner using the right technology and protocols. Yet, why have so few doctors successfully integrated this important optometric discipline into their practices?

Overnight Orthokeratology for Myopia Management: What Does the Evidence Say?

The three most-researched treatment approaches that have validated a reduction in the long-term progression of myopia are orthokeratology, soft distance centered bifocal contact lenses, and antimuscarinic agents (atropine).

Orthokeratology for Myopia Management: How Does it Fit into a Primary Care Practice?

How do we fit it in, how can we create an action plan for efficient, clinically excellent orthokeratology care among the hustle and flow of a primary eye care optometric practice? While this is still a work-in-progress, I’d like to propose a blueprint.

Practice Management

Keys to Remember as You Build a Myopia Management Specialty

Here’s how my pediatrics-only practice, which is part of Children's Mercy Hospital of Kansas City, Mo., has grown our myopia management services.

Practice Success Strategies: 12 Actions to Create a Myopia Management Specialty

Achieving success in myopia management requires a strategy. The following 12 actions are integral to building a myopia management specialty...

Myopia Treatments: How to Choose and When to Use?

Effective management in children and young adults may require different interventions. Learn which works best for your case.

Latest Research Summaries

Efficacy Comparison of 16 Interventions for Myopia Control in Children

This network analysis indicates that a range of interventions can significantly reduce myopia progression when compared with single vision spectacle lenses or placebo.

Spending Time Outside in Childhood Might Be a Good Investment for Eyesight

A recent meta-analysis shows a beneficial effect of increased outdoor time with a reduction of risk for myopia development, but surprisingly not for progression.

Does Orthokeratology Affect Ocular Surface and Meibomian Gland Dysfunction?

The aim of this study was to investigate the effect of overnight orthokeratology (OOK) on ocular surface and meibomian gland dysfunction in teenagers with myopia.

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Myopia Management Tools

Myopia Calculator

  The ‘Myopia Calculator’ is a web-based tool developed by Brien Holden Vision Institute Limited to support clinicians in communicating and educating...

Myopia Management Guidelines

The ‘Guidelines for Myopia Management’, developed by Brien Holden Vision Institute Limited, are an easy-to-use, practical tool developed to help the busy...

Videos & Podcasts


Practice Pearls in Myopia Management with Linda Chous, OD, and Pamela Lowe, OD

Linda Chous, OD, and Pamela Lowe, OD provide practice pearls in myopia management that you can integrate into your own practice.


Brien Holden Vision Institute Discussion, Part 1

Discussion with Judith Stern, BOptom, and Michael Morton, BOptom, of the Brien Holden Vision Institute, Part 1


Brien Holden Vision Institute Discussion, Part 2

Discussion with Judith Stern, BOptom, and Michael Morton, BOptom, of the Brien Holden Vision Institute, Part 2


Brien Holden Vision Institute Discussion, Part 3

Discussion with Judith Stern, BOptom, and Michael Morton, BOptom, of the Brien Holden Vision Institute, Part 3.

Continuing Education

How Environment and Genetics Give Rise to Myopia

More than half of the world’s population will be myopic by 2050. What factors are causing this epidemic?
By Erin Tomiyama, OD, and Kathryn...

Myopia Education Program

Find out why 98% of practitioners have changed the way they practice after completing the program.
The biggest innovation in myopia care since...

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