To learn more about Harbir Sian and the 20/20 Podcast, visit: https://aboutmyeyes.com/

Dr. Harbir Sian is an award-winning optometrist based in Vancouver, Canada. In The 20/20, Dr. Sian interviews guests from various backgrounds and industries to share their struggles and successes. Guests include business owners, entrepreneurs, world-class athletes, media personalities, medical professionals, and more.
Through conversations with these guests, Canada’s number 1 optometry podcast brings clarity to business, entrepreneurship, and eyecare. Dr. Sian also shares his personal experiences through his shorter Eye2Eye segment. In these short episodes, Dr. Sian opens up and provides a vulnerable look into the challenges he has faced (and overcome) in his personal and professional life.
The 20/20 Podcast gives you a look through different lenses and helps you focus on your growth.
This milestone episode marks the first COPE-approved CE activity offered through The 20/20 Podcast in partnership with the New England College of Optometry. Dr. Harbir Sian presents his signature lecture on “The Business of Myopia,” focusing not on clinical refraction techniques, but on the real-world systems required to deliver effective myopia management in everyday practice.
Dr. Sian reframes myopia as an ocular disease with a refractive component and outlines how optometrists must move beyond simple correction toward comprehensive, lifelong management. The lecture walks listeners through the entire patient experience—from online discovery and front-desk scripting to consultation design, equipment decisions, treatment selection, documentation, pricing, and marketing.
Whether you are just starting with myopia control or refining an established program, this episode provides a practical blueprint for building a scalable, profitable, and patient-centered myopia service.
Key Takeaways
- Think Beyond Correction → Think Management
Myopia must be treated as an ocular disease, not just a refractive error. True management spans prevention, treatment, monitoring, and lifelong eye health.
- The Patient Journey Starts Before the Exam
Websites, phone scripting, intake forms, and in-office messaging determine whether families engage in myopia care before the doctor ever enters the room.
- Start Small, Build Systems First
Begin with one treatment modality and focus on protocols, staff training, and communication tools before expanding to multiple options.
- Axial Length Is the Critical Metric
Just as IOP guides glaucoma care, axial length measurement is essential for tracking myopia progression and treatment success.
- Compliance Drives Outcomes
The “best” therapy is the one the child will actually use—treatment selection must be individualized around lifestyle, motivation, and family preferences.
How to Earn Your CE Credit
Listen to the full episode on your preferred platform.
Visit: https://neco.pdx.catalog.canvaslms.com/
Register for the course and complete the short quiz.
Download your COPE certificate for 1 hour of CE credit.
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