Vision By Design 2023

Thank you for your interest in viewing the AAOMC Vision by Design 2023 recordings! Immerse yourself in the latest developments in orthokeratology and myopia control with exclusive access to our comprehensive training sessions.  

 For $299, you can unlock a wealth of knowledge from top experts in the field and gain insights that will elevate your practice. Purchase your 3-month access today! 

Vision by Design 2023 Online 


Wednesday, September 6th  Bootcamp 


Epidemiology of Myopia 

Caroline Cauchi, OD, FIAOMC and Cheryl Chapman, OD, FAAO, FIAOMC, Dipl ABO   

This course covers the prevalence of myopia in the world.  Attendees will learn the factors that 

 increase the risk of developing myopia as well as increasing myopia.  The impact myopia has  

social and economically will be covered.  More importantly, the various pathologies the resulting 

from increasing myopia will be discussed. 

Creating the Myopia Management Treatment Profile 

Nathan Bonilla-Warford, OD and Nazia Marediai, OD, IACMM 

This course will review the data needed to create a child’s myopia profile. 

 Axial Length: Why and How to Measure 

Cheryl Chapman, OD, FAAO, FIAOMC, Dipl ABO   

This course covers what is Axial length, how it is measured, why these data are important and how to utilize to assess risk. 

Options for Managing Myopia   

Dwight Barnes, OD, FIAOMC and Jonathan Skoner, OD, FIAOMC 

This course covers the current theories of myopia development as well  as all the treatment options available to practitioners.  Each option will be discussed  in detail except orthoK.  That will be covered  in the OrthoK section. 

Myopia Management Scenarios 

Marie Homa-Palladino, OD, FIAOMC, Patrick Simard, OD, MSc, MBA, FAAO, FBCLA, FIACLE, IACMM; Sherman Tung, OD, FIAOMC, IACMM 

Examples of different/ specific scenarios and what appropriate treatment protocols might look like for each scenario.   

The Economics of Myopia Management 

Dwight Barnes, OD, FIAOMC and Cheryl Chapman, OD, FAAO, FIAOMC, Dipl ABO   

Learn what you need to start or convert your practice into a serious myopia management office.  We will cover what it costs to get started and what  equipment/items are important.  Scheduling for a MM patient is different, learn how to be efficient.  Get a grasp of your income sources as well as how to construct your fees. 

Integrating Orthokeratology for Dummies 

Nick Despotidis, OD, FIAOMC 

Orthokeratology is not a contact lens fit; treating it as such can have negative effects on your practice and ultimately lead to frustration. Lean the intricacies of integrating this powerful service into your practice, optimizing your efforts and overall practice fulfillment.  

Thursday, September 7th Bootcamp 


How Does OrthoK Work? 

Thomas Weshefsky, OD, FIAOMC 

Learn about the anatomy of an orthoK lens.  How does it create its treatment.   

What are the function of the curves.  Is it safe? 

Fitting the OrthoK Lens 

Dwight Barnes, OD, FIAOMC,  Paul Levine, OD, FIAOMC and Thomas Weshefsky, OD, FIAOMC 

Learn the various methods to fit/design an orthoK lens and the data you will need create the lens.  How does a standard design differ  from a myopia control or high minus design.  Finally, learn how insertion  and removal training is different from a standard RGP. 

Informed Consent Myopia Management 

Caroline Cauchi, OD, FIAOMC 

Learn the components of a well-designed informed consent contract.  A careful contract will protect you and educate your patient. 

Topography – Part 1 

Randy Kojima, FAAO, FSLS, FIAOMC 

How to capture terrific, useful images   

Topography – Part 2 

Randy Kojima, FAAO, FSLS, FIAOMC 

An essential Orthokeratology tool – pre and post treatment 

Troubleshooting the OrthoK fit   

Cheryl Chapman, OD, FAAO, FIAOMC, Dipl ABO  and Matthew Martin, OD, FIAOMC 

An overview of common pitfalls regarding fitting of orthokeratology lenses. Discussion on how to troubleshoot those pitfalls. 

Myopia Management EyeQ 

Caroline Cauchi, OD, FIAOMC, IACMM; Matthew Martin, OD, FIAOMC 

This will be a knowledge test over the basics of Myopia Management 


Thursday, September 7th  General Session 

Scleral Lens Update 

Stephanie Woo, OD 

This course reviews some of the recent technologies in fitting and managing scleral contact lenses. We will discuss innovations such as scleral profilometry, using 3D imaging to create custom lenses, impression based lenses, and higher order aberration technology. 

Scleral Topography – Why It Matters 

Brianna Rhue, OD, FAAO, FSLS 

This course will discuss the importance of corneoscleral topography and the factors that measuring the scleral plays on the success of fitting a scleral lens. This course will help the practitioner understand the importance of corneoscleral topography, how to identify problems caused by irregularities on the scleral and how to modify the scleral landing zone to improve the outcomes of their scleral lens fittings to give patients better vision, better comfort and help with the overall success of the scleral lens fitting process. 

‘The Missed Train?’ – What You Need to Know for Managing Pediatric Unilateral and Anisometropic Myopia 

Kevin Chan, OD, MS 

Anisometropic myopia is a complex and peculiar entity which involves a myriad of genetic, environmental, and behavioral factors. Management of anisometropic myopia can be intriguing for which it may not always follow typical routes or expectations. This course is to examine and discuss the ocular etiology of anisometropic myopia and effective management strategies and insights for the pediatric population. 

Unusual Applications of Myopia Control 

Brittany Boland, OD; Colleen Podd, OD 

Myopia control is a growing specialty within the optometric field.  There are numerous studies documenting the use and outcomes of myopia control methods in children.  However, these studies by their nature almost universally conform to a specific patient population regarding age and amount of initial myopia.  While most myopia control patients will fit to these standards, the question remains of what to do when a patient presents for myopia control but falls outside of these norms.  Cases of patients with exceptionally high myopia at very young ages and young adults over 18 will give examples of those whose outcomes from myopia control are not studied. 

Pupils in Myopia Management and It’s Clinical Assessment 

Jaume Pauné Fabrém DOO, PhD, FIAOMC 

Latest research has shown that the size and the shape of the treatment optic zones in orthokeratology relative to the pupil diameter influences axial length growth in children. Knowing that pupil size contributes directly to the optical quality of the eye and modulating optical aberrations that land on the retina, it is logical to conclude that pupillary changes may impact on the optical mechanisms for myopia control. 

One of the issues around the pupil is the proper way to measure pupillary diameter as it is easily modified under different light conditions or methods. 

This lecture will cover possible mechanisms around the relevance of pupil size in myopia control, but also different procedures to measure pupil size in the clinical setting. 

Optimization of Refractive and Visual Examination for Myopia Management 

Marino Formenti, OD, FIAOMC and Langis Michaud, OD M.Sc. FAAO (Dipl) FBCLA FSLS 

1/2 Day Workshop: Visual profile of the myopic child, Binocular vision risk factors in myopia onset and progression, Refraction & cycloplegic refraction, Binocular vision evaluation, The diagnosis of a visual dysfunction related to myopia, The case discussion and strategy proposal.  


Friday, September 8th Scientific Session 

Pupil Profiling and Its Role in Individualized Myopia Treatment 

Maria Liu, OD PhD MPH MBA 

The talk discusses critical indices of pupil behavior, similarities and differences between static and dynamic pupillometry, and the important role of pupil profiling in guiding optical design customization as well as monitoring productive absorption of topical atropine. 

Roles of Ocular Growth Curves in Myopia Management 

Maria Liu, OD PhD MPH MBA 

This course discuss the use of ocular growth curves/charts in myopia management, with the focus on the similarities and differences for the growth curves developed by various research groups, the cohort, age, and gender effect on the growth curves, and their clinical implications. 

Delaying the Onset of Myopia 

Jeff Walline, OD, PhD 

The strongest predictor of the amount of myopia in adulthood is the age of myopia onset. If we can delay the onset of myopia, we may be able to ultimately reduce the amount of nearsightedness and, by extension, possibly reduce the risk of sight-threatening complications of myopia. Currently, there are two ways to potentially delay the onset of myopia, increased outdoor time and low concentration atropine. The audience will learn which treatment is most likely to be effective and gain evidence-based knowledge on delaying myopia onset. 

Does Choroid Play a Relevant Role for the Control of Myopia Development and Progression? 

Tania Schaefer, MD 

The role of choroid in myopia development and progression is still not totally known for the eye-care professionals. Hence, this lecture will present an overview of the role of choroid, its anatomy and specifically its thickness and challenge the participants to discuss the topic in an in-depth manner. 

Current and Emerging Treatments for Myopia: Optical, Pharmacological, and Light-Based 

Lisa Ostrin, OD, PhD 

This course discusses the clinical and basic science evidence regarding current and emerging treatments for myopia, including optical methods, such as orthokeratology, soft multifocal contact lenses, and novel spectacle lenses, pharmacological treatments, including atropine and 7-methylxanthine, and more recent light-based therapies, such as interventional studies to increase time outdoors and using devices that emit narrowband red light 

Friday, September 8th General Session

Update on 2022 Literature 

Langis Michaud, OD M.Sc. FAAO (Dipl) FBCLA FSLS 

What can we find as emerging science that has /will have clinical impact on the way we manage myopia. It is a literature grand rounds with topics like: red light exposure, retinal metabolism, impact of lens design on the choroid, nutrition impact…. Emergent trends and topics we should all be aware of… trying to find the next best and big thing. 

Advanced OrthoK Troubleshooting 

Paul Levine, OD, FIAOMC & Matthew Martin , OD, FIAOMC 

Troubleshooting for the advanced Ortho-K fitter. 


Saturday, September 9th General Session 

Remediation of visual efficiency problems with peripheral anti-defocus (ADF) devices 

Arthur (Hsiao Ching) Tung, OMD and Tze Yu Tung, OD 

Improvement of fusion through methods of altering relative peripheral refraction may lead to overall enhancement of binocularity and ocular motility. Two cases of different severity of binocular vision dysfunction show rehabilitated convergence ability and improved saccadic & pursuit eye movements with myopia control methods that have strong progressive inward defocus design. 

Hyperopic Orthok: 11 Tips for Success 

Julio Arroyo, OD, FIAOMC, CFMP, MBA 

We are tackling ortho-k from a different viewpoint. There is a massive market opportunity in the grown-up population. Learning the art of hyperopic/presbyopic ortho-k opens a whole new level of possibilities to help patients that, having been virtual emmetropes or low hyperopes and therefore lenses free for most of their life, dislike having to wear spectacles. These patients are usually not ideal candidates for Lasik and contact lenses and hyperopic ortho-k becomes that perfect middle of the road option, that is safe and convenient enough to be very appealing to the right candidates. This presentation will demystify the art of ortho-k in hyperopia. The presenter will explore different considerations to assist the clinician in selecting the ideal candidate, while providing with effective communication tips leading to a higher conversion rate. Lastly, the audience will come out equipped with powerful design tips to achieve successful outcomes. 

Post LASIK  OrthoK: How to Succeed 

Juan Bolivar, OD 

The usual problems that can arise in this type of case will be addressed. How to make an adequate patient selection. And once done, knowing what data should be assessed to start the fitting, and how the new tecnology could help us. In order to improve the final result, post-lasik ortho-k fitting must be approached in a different way than ortho-k in non-surgical eyes. It will show what are those differences that must be taken into account.All this will show the way to increase succeed rate in Post-lasik Ortho-k. 

Low-Concentration Atropine 

Helen Changmin Duan, OD, MD, MS, FIAOMC, IACMM 

Low-Concentration Atropine Eye Drops for Myopia Management 

To Ortho K or not to Ortho K?  That is the question. Thinking Outside the Box 

Matthew Martin, OD, FIAOMC, Thomas Weshefsky, OD 

We will use a Shakespearian-themed presentation to discuss best practices, and strategies for managing orthokeratology and myopic progression in light of complicating factors like AXL, topographical considerations, age, accessibility etc. 

Building Momentum In Myopia Management 

Cheryl Chapman, OD, FAAO, FIAOMC, Dipl ABO and Matthew Martin, OD, FIAOMC 

Fitting a few ortho-k patients for myopia management is an essential first step. Just as challenging is making the leap to integrating myopia management and building a successful myopia management practice. 

Key Learnings: 

  • How do you make the leap and build your practice
  • Successful habits that build positive momentum
  • How to capture the patient and get referrals.
  • Getting the staff involved in myopia management


Clinical Grand Rounds 

Remy Marcotte-Collard, OD, Langis Michaud, OD M.Sc. FAAO (Dipl) FBCLA FSLS, Patrick Simard, OD, MSc, MBA, FAAO, FBCLA, FIACLE 

This course aims to present a variety of challenging cases allowing to explore and translate theoretical concepts of myopia management into clinical applications. 

We hope to see you in Dallas, TX October 2 – 5, 2024 for VBD2024! #SeeYouAtVBD2024