The World Council of Optometry recently adopted a position statement that establishes myopia management as part of the optometric standard of care. This position statement carries important impacts as it now obliges all concerned professionals to incorporate this therapeutic approach into their daily practice.

The question remains: how to do it? Where to start? How will this fit into my daily activities? There are many publications that allow practitioners to understand the importance of the topic, but reading these articles is time consuming, it is difficult to access all the resources available and most importantly, it is difficult to translate theoretical concepts or research findings into everyday practice.

This volume seeks to address this issue by first reviewing the peer-reviewed, evidence-based literature published in recent years. Then, the expertise developed at the Université de Montréal is explained and the decision tree that dictates the practice of the professionals who work there every day is explored. The treatment options are described, not only from a theoretical perspective, but also from the clinical perspective of the authors, who have been working in this field for the past 15 years.

Finally, clinical cases are used to illustrate the topic. These are not dream cases where everything goes well as in a fairy tale, but real cases, which sometimes required practitioners to think outside the box, in order to optimize the results obtained. Authors will be in the trench with you.

This book is therefore a practical guide to the management of myopia and axial length, bridging the gap between theory and practice, and describing the effectiveness of the Montreal experience and its application in real cases, similar to those that eye care professionals see on a daily basis around the world.

Most importantly, after reading this book, you will become convinced that optimal myopia management begins one child at a time.



All eye care professionals who manage myopic patients are looking for ways to do things, recipes to apply in clinic, and are trying to find the best product that will give the best result in the vast majority of cases, like a magic bullet.

This book demonstrates that such a magic bullet simply does not exist. The treatment and management of myopia/AL must be tailored to the patient's condition, and the follow-up schedule must be based on anticipated vs. achieved results. CUSTOMIZATION is the key work to remember.

Practitioners will discover a way to understand the modern literature in easy-to-understand clinical language and terms, with easy-to-understand implications for practice. They will understand the logical pathway behind the analysis of each case, which allows for personalized management and the best results.

They will be able to understand key concepts such as customization, dose-response, the importance of the pupil area and the unavoidable presence of axial length as the key marker for myopia evaluation and evolution, driving intensity and the nature of the management strategy.  

After reading this book, it is certain that clinicians and eye care professionals will approach myopia differently, having assimilated the concepts presented. But the greatest beneficiaries will be all those myopic children, treated in a personalized way, who will be able to preserve their ocular health throughout their lives.



  1. A clinical translation of the key concepts described in the literature and guidelines

  2. A practical way to understand myopia onset and development

  3. A logical step-by-step clinical approach to evaluate patient’s condition

  4. A structured way  (The Three Pillars) to establish the right personalized strategy for any myopic patient

  5. A validation of the Montreal experience algorithm