Delivering A Stellar Myopia Control Consultation


Make Them Want To Sign Up YESTERDAY!

When delivered properly, the information on myopia management is so compelling that patients often cannot wait to get started.

In my practice, we have a specific Myopia Control Consultation. After identifying that a patient is at risk and would benefit from myopia control, we want further testing to determine which therapy will best suit the patient. We schedule them back for topography, axial length and an ample amount of time for discussion and patient education.

I also perform Myopia Control Consultations on referrals from other offices that are not yet offering myopia control. Though we often have previous exam records, these are time-consuming consultations and the parents come armed with many questions.

Designate Time in Your Schedule

If you want to do myopia control, you absolutely must make time for it. I set specific times in my schedule that can only be used to schedule specialty services. In my practice, this means myopia control consults as well as scleral contact lens fits and ocular surface evaluations for dry eye. If you try to ‘squeeze-in’ these specialty services, you will be rushed and you won’t be able to give these patients the time they deserve.

Don’t start listing any excuses as to why you can’t designate that time in your schedule. As Nike would say… Just Do It. Start by blocking one or two appointments per week. If you don’t have a specialty service scheduled… spend that time working on it behind the scenes (ie compose letters to local pediatricians regarding myopia control).

Consultation Pearls

  • Brien Holden Myopia Calculator: I have this bookmarked on my computer. It allows you to input your patient’s data to give them a snapshot of their specific case. Check out this free tool here.

  • Risk Progression Sheet: I keep a one page laminated sheet in each exam room that illustrates how risk of retinal detachment, glaucoma, etc. increase as myopia increases.

  • Progression Risk Infographic: I discuss this with the parents so that they understand the level of risk for progression of their child’s myopia. You can use my sheet here.

  • Make a recommendation: You will typically have a strong sense of which form of Myopia Control is most appropriate for this patient at this time. You are the expert. Recommend what you know is best.

  • Demonstrate: This is my ALL TIME FAVORITE PEARL! If you plan to recommend orthokeratology, put a lens on their eye for 10 minutes and have them close their eyes while they wait. Measure topography and uncorrected visual acuity before and after. Just 10 minutes and you will have several lines of improved acuity and really cool topographical maps. Gets ‘em every time.

  • Fit your staff, your children, your spouse, yourself: Look around you and identify a few good Orthokeratology candidates. Parents find comfort knowing that this treatment is so good you would do it on your own children.

  • Designate a Staff Advocate: Find your staff member that thinks Myopia Control is the coolest thing since sliced bread (because, really, it is) and train them to be as knowledgeable as possible. They are a wonderful resource for additional questions that inevitably arise. In addition, they can discuss the fine details of the enrollment contract when the patient is signing up for treatment.

  • Information Packets: I keep informational packets stocked in the exam room that are customized for each mode of therapy (Atropine, Dual Focus Soft Lenses, and Orthokeratology). These packets are equipped with the enrollment contract, pricing info, a list of FAQ’s and, most importantly, a few peer reviewed studies regarding safety and efficacy.

Myopia Control Course:

If you would like to dive a little deeper into a fee setting exercise, pre-enroll for my Myopia Management courses below: