Why Myopia Management Fails in Private Practice and How to Fix It
Keshav Bhat, OD, outlines the top 3 ways he sees myopia management fail in private practice and provides fixes to propel clinicians forward.
-
By
-
Keshav Bhat, MSc, OD
-
May 1, 2026
-
Clinical Scorecard: Why Myopia Management Fails in Private Practice and How to Fix It
At a Glance
| Category | Detail |
|---|
| Condition | Myopia Management |
| Key Mechanisms | Integration of orthokeratology, soft myopia management contact lenses, and spectacle-based interventions. |
| Target Population | Children under 12 presenting with myopia. |
| Care Setting | Private optometric practice. |
Key Highlights
- Myopia management requires a dedicated clinical pathway, not an add-on to existing exam flows.
- Cost discussions should follow the establishment of value to avoid sticker shock.
- Patients prefer explicit recommendations over a menu of options.
- Implementation confidence is crucial for effective myopia management.
- Independent practices can deliver meaningful myopia management through relationship management.
Guideline-Based Recommendations
Diagnosis
- Implement axial length measurement for myopia assessment.
Management
- Create a structured workflow for myopia management during patient intake.
Monitoring & Follow-up
- Use progression trends to inform treatment decisions and discussions.
Risks
- Communicate the long-term risks associated with untreated myopia.
Patient & Prescribing Data
Children under 12 with myopia.
Utilize a clear clinical framework for matching patients to appropriate myopia management modalities.
Clinical Best Practices
- Train staff to initiate myopia management conversations during pretesting.
- Lead patient discussions with the rationale for treatment before discussing costs.
- Provide explicit recommendations based on individual patient circumstances.
Related Resources & Content
