Global trends in myopia management attitudes and strategies in clinical practice

Global trends in myopia management attitudes and strategies in clinical practice

Author Wolffsohn, James S. Google Scholar
Calossi, Antonio Google Scholar
Cho, Pauline Google Scholar
Gifford, Kate Google Scholar
Jones, Lyndon Google Scholar
Li, Ming Google Scholar
Lipener, Cesar Autor UNIFESP Google Scholar
Logan, Nicola S. Google Scholar
Malet, Florence Google Scholar
Matos, Sofia Google Scholar
Gonzalez Meijome, Jose Manuel Google Scholar
Nichols, Jason J. Google Scholar
Orr, Janis B. Google Scholar
Santodomingo-Rubido, Jacinto Google Scholar
Schaefer, Tania Google Scholar
Thite, Nilesh Google Scholar
van der Worp, Eef Google Scholar
Zvirgzdina, Madara Google Scholar
Abstract Purpose: Myopia is a global public health issue

however, no information exists as to how potential myopia retardation strategies are being adopted globally. Methods: A self-administrated, internet-based questionnaire was distributed in six languages, through professional bodies to eye care practitioners globally. The questions examined: awareness of increasing myopia prevalence, perceived efficacy and adoption of available strategies, and reasons for not adopting specific strategies. Results: Of the 971 respondents, concern was higher (median 9/10) in Asia than in any other continent (7/10, p < 0.001) and they considered themselves more active in implementing myopia control strategies (8/10) than Australasia and Europe (7/10), with North (4/10) and South America (5/10) being least proactive (p < 0.001). Orthokeratology was perceived to be the most effective method of myopia control, followed by increased time outdoors and pharmaceutical approaches, with under-correction and single vision spectacles felt to be the least effective (p < 0.05). Although significant intra-regional differences existed, overall most practitioners 67.5 (+/-37.8)% prescribed single vision spectacles or contact lenses as the primary mode of correction for myopic patients. The main justifications for their reluctance to prescribe alternatives to single vision refractive corrections were increased cost (35.6%), inadequate information (33.3%) and the unpredictability of outcomes (28.2%). Conclusions: Regardless of practitioners' awareness of the efficacy of myopia control techniques, the vast majority still prescribe single vision interventions to young myopes. In view of the increasing prevalence of myopia and existing evidence for interventions to slow myopia progression, clear guidelines for myopia management need to be established. (C) 2016 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
Keywords Myopia control
Myopia progression
Myopia management
xmlui.dri2xhtml.METS-1.0.item-coverage Amsterdam
Language English
Sponsor British Contact Lens Association
Date 2016
Published in Contact Lens & Anterior Eye. Amsterdam, v. 39, n. 2, p. 106-116, 2016.
ISSN 1367-0484 (Sherpa/Romeo, impact factor)
Publisher Elsevier Science Bv
Extent 106-116
Access rights Closed access
Type Article
Web of Science ID WOS:000372680000004

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