Dr Oliver Woo: Myopia Management Is a Joke!

Management is deemed a joke by highlighting the incongruity between our evolutionary progress and the rigid practices we still follow. The narrative underscores how the journey from primitive apes to modern humans challenges the seriousness of traditional management. Personal insights reveal that despite dramatic changes in life, outdated concepts persist. This reflection questions conventional norms by aligning human evolution with the absurdity of current management practices.

Myopia management is both a market trend and a professional obligation, yet many optometrists dismiss it due to time constraints and the comfort of familiar routines. Reluctance to take on this responsibility stems from fears and the desire to avoid change, leading to excuses like lacking resources. Embracing discomfort and stepping into challenging new practices is essential for professional growth and the evolution of optometric care.

Eye care practices often opt for the simplicity of dispensing single vision or multi-focal lenses, avoiding detailed consultations that can be time-consuming. This approach, while comfortable, sidesteps the deeper commitment to comprehensive myopia management, leading some to rely on referrals and existing research. Despite skepticism similar to other enduring misconceptions, there is a clear mission to prevent complications from axial elongation and high myopia. Ambitious goals aim to reduce forecasted myopia prevalence from 50% to 40% by 2050 through collective and targeted efforts.

A seven-year-old boy, with a family history of significant myopia, underwent his first examination in October 2018, which raised concerns about his evolving prescription. Over an 18‐month period, regular check-ups revealed gradual increases in his refractive error and axial length, with a notable acceleration linked to sustained indoor activity and online learning during the COVID-19 period. Advanced technology and big data charts clearly projected that without intervention, his myopia could worsen to as high as -9 to -10, underscoring the importance of early, proactive management.

Integrating advanced technology into practice has redefined the approach to managing ocular health and myopia. Strategically displayed, cutting-edge devices captivate parents and industry experts alike, evoking curiosity and praise. The use of these tools not only enhances patient outcomes by addressing individual needs more effectively but also drives continuous financial benefits. Embracing scientific progress and upgrading technology distinguishes the practice in a competitive field, ensuring optimal care.

A nine-year-old girl's vision shifted from mild hyperopia to severe myopia, marked by an axial length of 23.61 and a significant negative refractive error that raised substantial concerns about future retinal risks. Detailed charts and measurements revealed a steep progression trend, pressing for immediate and targeted action. Scientific evidence supports leveraging advanced options such as contact lenses, glasses, or atropine to flatten the progression curve. Innovative technology and data-driven strategies empower eye care professionals to confidently manage myopia and safeguard the child's long-term vision.

Active listening and careful observation forge strong emotional connections with patients and their families. A patient, non-judgmental approach is essential for understanding and addressing concerns, especially those raised by parents. Constant communication about treatment and expectations, combined with continuous professional care, builds an expert journey in myopia management. This unwavering commitment to proactive, enjoyable care transforms patient management into a genuinely rewarding practice.

A heartfelt message expresses deep gratitude for the vital assistance in preparing an important presentation. The seriousness of the undertaking is underscored by a call for collaboration and the sharing of ideas. Clear contact details are provided to encourage ongoing communication, aiming to transform collective efforts into a thriving optometry practice.