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.

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.

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.

Children under 12 with myopia.

Utilize a clear clinical framework for matching patients to appropriate myopia management modalities.

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.