Caroline Guerrero Cauchi, OD, FIAO operates a myopia control and orthokeratology practice on University Avenue in La Mesa, bringing UC Berkeley School of Optometry training and International Academy of Orthokeratology fellowship credentials earned in 2007. Pediatric myopia-management cases often begin with referrals from primary-care offices like Grossmont Pediatrics, where routine wellness visits flag progressive refractive shifts in school-age children. Orthokeratology corneal-reshaping molds worn overnight flatten the central cornea to reduce or eliminate daytime lens dependence, a treatment Cauchi has refined since 2004 and now teaches as Chair of the Fellowship Program for the American Academy of Orthokeratology and Myopia Control. Her earlier career in child psychology and special education produced the published manual Effective Approaches, co-authored for teachers of children with disabilities through the U.S. Government Press. Cases requiring surgical intervention beyond ortho-K correction, such as corneal cross-linking for keratoconus progression, route to the refractive-surgery team at Alvarado Eye La Mesa - an NVISION Eye Center. Advanced myopia-control protocols layer overnight corneal-reshaping lenses with low-dose atropine therapy to achieve dual-mechanism axial-length stabilization in patients under twelve.