The Myopia Mindset

The Myopia Mindset

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.

  1. APR 2

    Episode 59 - Ortho-k Success, What Fitters Often Overlook | Part 2

    Looking for more Myopia Mindset? Subscribe on our Substack for full episodes and bonus content: https://myopiamindset.substack.com/ Welcome back to The Myopia Mindset! In Part 2 of this Ortho-K deep dive, Matthew Herzberg and Dr. Cary Herzberg continue their conversation on what truly drives success in orthokeratology and why most fitters struggle to reach consistent outcomes. This episode shifts from foundational concepts into real clinical application. The discussion focuses on common pitfalls, including inaccurate measurements, poor diameter selection, limited topography data, and misunderstanding lens design precision. Dr. Herzberg emphasizes that Ortho-K is not something you can casually implement. It requires commitment, attention to detail, and a willingness to continuously refine your approach. A major highlight of this episode is a clear and practical breakdown of Jessen Factor, what it is, how it works, and why it plays a critical role in effective myopia management. The conversation challenges common fears around overcorrection and explains how increasing treatment effect can actually improve outcomes when applied correctly. You will also learn how to troubleshoot difficult cases by working through the “usual suspects,” why 80 percent of fits can succeed even when imperfect, and how to close the gap on the remaining 20 percent that define true expertise. Beyond technique, this episode reinforces a mindset shift. Great Ortho-K outcomes come from precision, repetition, and ownership of the process, not shortcuts or overreliance on software. If you want to elevate your results and build confidence in complex cases, this episode delivers a practical framework you can apply immediately.

  2. MAR 26

    Episode 58 - Ortho-k 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.

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About

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.