Dr. Nieka Sabeti, OD
Dr. Nieka Sabeti, OD

“As a practising optometrist, I see what an impact myopia has to my patients’ lives, not just as a refractive error, but more so as a sight-threatening condition that can ultimately impact quality of life.”

Dr. Nieka Sabeti, OD, independent consultant of the clinical support team at Specsavers Canada, discusses how myopia management care was introduced at Specsavers by optometrists, opticians and their store teams.

 

Why did clinic owners feel it was important to introduce myopia management into their practice?

Myopia currently affects approximately 30% of the world’s population1. The World Health Organization and other international health bodies have declared it a global public health concern because of its potential to become the most common cause of irreversible visual impairment and blindness worldwide, with approximately half of the global population predicted to have myopia by the year 20502. Addressing the growing prevalence, the Specsavers network of optometrists is working together to make a greater impact on community eye health.

Given that myopia progresses mainly during childhood, there is a key window to intervene with preventative strategies, when the eye is more susceptible to growth and subsequent vision changes. This can reduce the risk of a patient developing sight-threatening conditions later in life due to the structural changes of the eye.

How did Specsavers support the development of a myopia management program for optometrists?

The optometrists within the Specsavers network raised an interest in introducing myopia management into their practice. Specsavers recognizes its importance as a standard of care in Canada and other regions, so we engaged and consulted our Optometry Steering Groups, a committee of independent optometrists in each province, on developing a training program and the option to introduce it to their practice.

My role was to work alongside an incredibly talented group, spearheaded by the clinical team, at the support office that were dedicated to this mission and bringing this program to life. After trials in several locations within BC, we were able to take learnings and successes to develop our official launch plan.

We also partnered with industry leaders to offer an accreditation course to allow optometrists, opticians and their teams to receive comprehensive training to provide myopia management care and products and to go through case studies to prepare them for various patient scenarios.

 

 Specsavers Dr. and patient

What are you hearing from clinic owners since starting the program?

So far, we’ve received very positive feedback on the accreditation, training, support, and overall approach for the program. Many eyecare professionals who may have already been accredited have commented on the extensive training that is provided through our program at Specsavers. So, they appreciate how comprehensive it is as it builds more confidence around this practice area.

When everyone is offered comprehensive training, it results in a more accurate, consistent, and unified approach at all points of the patient journey. Many of the teams have already reported impressive numbers of patients receiving this care.

Being able to provide tools and resources that can help empower eyecare professionals to become active participants in getting ahead of the curve to change the predicted trajectory of myopia brings me so much joy. Together we’re helping to make an impact in changing lives through better sight – not just in the short-term, but also in the future.

  1. Holden BA, Wilson DA, Jong M, Sankaridurg P, Fricke TR, Smith EL III, Resnikoff S. Myopia: a growing global problem with sight-threatening complications. Community Eye Health. 2015;28(90):35. PMID: 26692649; PMCID: PMC4675264.
  2. Nouraeinejad A. More Than Fifty Percent of the World Population Will Be Myopic by 2050. Beyoglu Eye J. 2021 Dec 17;6(4):255-256. doi: 10.14744/bej.2021.27146. PMID: 35059569; PMCID: PMC8759558.2. Holden BA, et al. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology, 2016. 123(5): p. 1036-42.

 

 

 


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Myopia Practice Experts

While the evidence of the long-term risks of unchecked myopia development in children is well documented, and the clinical evidence for effectiveness of different modalities is continually evolving, starting a successful myopia management subspecialty within a primary care practice remains a challenge for many.

Dr. Gary Gerber
Dr. Gary Gerber

Myopia practice management experts, including Dr. Gary Gerber and Dr. Habir Sian are among the faculty presenting at THE Myopia Meeting, to be held in Vancouver on June 11th.  The event includes 4 hours of COPE accredited continuing education and four “Clinical Review” sessions from leading device suppliers.

The Continuing Education agenda will start with a presentation from Dr. Gerber, co-founder of Treehouse Eyes. Dr. Gerber is also the founder and Chief Dream Officer for The Power Practice®, a practice building and consulting company.

Dr. Gerber spoke with Eye Care Business Canada. “It’s been a while since I’ve spoken in Canada, and I’m honored to be invited to kick off  THE Myopia Meeting. I’ll be sharing the two most important sentences you need to grow your myopia practice. What you say to parents, how and when you say it, can be the largest determinants or detriments to creating an explosive myopia management practice.”

Dr. Gerber’s bona fides in this area are well founded: Treehouse Eyes is the first North American organization dedicated exclusively to providing myopia management services to children. His presentation is based upon the Treehouse experience in treating thousands of children.

Harbir Sian, OD
Dr. Habir Sian

Dr. Harbir Sian is the co-owner of two optometric practices in the Vancouver area. Dr. Sian has spent years in the clinic diving into different specialty areas of optometry, including myopia management. Dr. Sian’s 1-hour presentation, entitled, “The Myopia Startup: Implementing Myopia Management in Your Practice” is also COPE accredited.

Both presentations promise to provide thought-provoking content for those who have started up a myopia management subspecialty or are contemplating doing so.

THE Myopia Meeting Canada is  presented by Review of Myopia Management and GMAC (Global Myopia Awareness Coalition) which is comprised of a number of companies and associations partnering  globally to increase public awareness of childhood myopia, the risk of eye disease associated with myopia, and encourage consumers to ask their eye care professionals about treatment options for childhood myopia.  CRO (Clinical & Refractive Optometry) Journal is the COPE-administrator for this event.

On the clinical side, Dr. Sherman Tung, private practice owner of Eyelab in Vancouver will present, ” Orthokeratology Advanced Grand Rounds”. The event will be chaired by Dr. Dwight Ackerman, Chief Medical Editor of the Review of Myopia Management. Dr. Ackerman’s presentation, “Myopia Management from A to Z” will round out the 4 hours of COPE CE for the day.

Each of the sponsoring companies, including HOYA, CooperVision and Johnson & Johnson Vision, will present clinical reviews as part of the jam-packed day dedicated to enhancing your knowledge of myopia management from both the clinical and practice management perspective.

Registration for this event is now open. Attendee cost is $80 which includes refreshment breaks and lunch, clinical reviews and all 4 hours of COPE accredited CE.

THE Myopia Meeting (TMM) made its Canadian successful debut in Toronto in 2022. Based on the vast interest in the topic, the Vancouver edition of TMM has been added to the agenda. TMM will be returning to Toronto on December 2, 2023. Circle the date.

 

 

 

 

 

 

 

 


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Eyes Wide Open Podcast Host, Dr Glen Chiasson explores the field of myopia management, particularly the use of new spectacle lens options from ZEISS that are specifically designed to reduce myopic progression in children.

Glen interviews Dr. Jeff Goodhew, who launched their optometric practice into myopia management four years ago. Along the way, Jeff and business-life partner Dr. Tina Goodhew, learned about the new technologies and evolved their practice protocol to optimize how patients and parents were educated about treatment options for myopia control.

Best Quote:

“We can’t think that glasses are simply a fix for the refractive error, they are a therapeutic option to treat myopia.”

 


Dr. Jeff Goodhew

About the Guest

Dr. Goodhew graduated from the University of Waterloo with his Optometry degree in 1993 and became therapeutically licensed in 2000. He enjoys being an active part of his profession, having served as the President of the Ontario Association of Optometrists from 2014 through 2016. Dr. Goodhew also served as the co-chair of the National Public Education Committee for the Canadian Association of Optometrists. Dr. Goodhew has served as a consultant/speaker for ZEISS, Alcon, Johnson & Johnson Vision Care and Cooper Vision.

 


Episode Notes

The Brien Holden Institute predicts that ½ the world’s population will be myopic by the year 2050 and the linkage of severe juvenile-onset myopia to later-in-life serious eye diseases is well-known.

Jeff offers tips on integrating myopia management into your practice, and the need for well-defined processes to optimize patient care and define a practice protocol.

He discusses ZEISS spectacle lens options for myopia management, and what role these more benign treatment options play in myopia management, including their mechanism of action, which lens option to use for various cases and what results might be expected.

Dr. Goodhew stresses the opportunity in myopia control for Optometry and shares an interesting anecdote about an encounter with a Family Physician on the role of Optometry versus Ophthalmology.

Resources

 

Dr. Glen Chiasson

Dr. Glen Chiasson

Dr. Glen Chiasson is a 1995 graduate of the University of Waterloo School of Optometry. He owns and manages two practices in Toronto. In 2009, he co-hosted a podcast produced for colleagues in eye care, the “International Optometry Podcast”. He is a moderator of the Canadian Optometry Group, an email forum for Canadian optometrists. As  a host of  “Eyes Wide Open”, Glenn  looks forward to exploring new new technologies and services for eye care professionals.

Dr. Chiasson enjoys tennis, hockey, and reading. He lives in Toronto with his wife and two sons.

Dr. Chiasson splits EWO podcast hosting duties with Roxanne Arnal.


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