1. Global trends in myopia management attitudes and strategies in clinical practice – 2019 Update
- Author
-
César Lipener, Guillermo Carrillo Orihuela, Kate L. Gifford, Nicola S Logan, Jason J. Nichols, Carmen Abesamis-Dichoso, Sarah E. Guthrie, Bariah Mohd Ali, Deborah Jones, Eef van der Worp, Nikolay Boychev, Jacinto Santodomingo-Rubido, Garzon Parra Sandra Johanna, Florence Malet, Sofia C. Peixoto-de-Matos, Raul Ramos, Fatima Iqbal, Antonio Calossi, Tania Schaefer, Pauline Cho, Janis B. Orr, Lyndon Jones, Pascal Blaser, Nilesh Thite, Elena N. Iomdina, Heiko Pult, José Manuel González-Méijome, César Villa-Collar, James S. Wolffsohn, Connie Chen, Elena P. Tarutta, Ming Li, and Universidade do Minho
- Subjects
Health Knowledge, Attitudes, Practice ,Optometrists ,Miopía ,genetic structures ,Ciências Naturais::Ciências Físicas ,medicine.medical_treatment ,Ciências Físicas [Ciências Naturais] ,Psychological intervention ,Eye care ,Global Health ,Myopia progression ,03 medical and health sciences ,Tratamiento médico ,0302 clinical medicine ,Surveys and Questionnaires ,medicine ,Myopia ,Humans ,Practice Patterns, Physicians' ,Thesaurus (information retrieval) ,Medical education ,Science & Technology ,Ophthalmologists ,business.industry ,Orthokeratology ,Global ,General Medicine ,Myopia management ,Contact Lenses, Hydrophilic ,Health Surveys ,eye diseases ,3. Good health ,Clinical Practice ,Ophthalmology ,Eyeglasses ,Attitudes ,030221 ophthalmology & optometry ,Oftalmología ,The Internet ,business ,Psychology ,Enfermedad ,030217 neurology & neurosurgery ,Myopia control ,Orthokeratologic Procedures ,Optometry - Abstract
uncorrected proof article, Purpose: A survey in 2015 identified a high level of eye care practitioner concern about myopia with a reported moderately high level of activity, but the vast majority still prescribed single vision interventions to young myopes. This research aimed to update these findings 4 years later.Methods: A self-administrated, internet-based questionnaire was distributed in eight languages, through professional bodies to eye care practitioners globally. The questions examined: awareness of increasing myopia prevalence, perceived efficacy of available strategies and adoption levels of such strategies, and reasons for not adopting specific strategies.Results: Of the 1336 respondents, concern was highest (9.0 +/- 1.6; p < 0.001) in Asia and lowest (7.6 +/- 2.2; p < 0.001) in Australasia. Practitioners from Asia also considered their clinical practice of myopia control to be the most active (7.7 +/- 2.3; p < 0.001), the North American practitioners being the least active (6.3 +/- 2.9; p < 0.001). Orthokeratology was perceived to be the most effective method of myopia control, followed by pharmaceutical approaches and approved myopia control soft contact lenses (p < 0.001). Although significant infra-regional differences existed, overall, most practitioners did not consider single-vision distance under-correction to be an effective strategy for attenuating myopia progression (79.6 %), but prescribed single vision spectacles or contact lenses as the primary mode of correction for myopic patients (63.6 +/- 21.8 %). The main justifications for their reluctance to prescribe alternatives to single vision refractive corrections were increased cost (20.6 %) and inadequate information (17.6 %).Conclusions: While practitioner concern about myopia and the reported level of activity have increased over the last 4 years, the vast majority of eye care clinicians still prescribe single vision interventions to young myopes. With recent global consensus evidence-based guidelines having been published, it is hoped that this will inform the pr, This project was supported by many eye care organisations and individuals across the globe, in particular the Association of Malaysia Optometrists, British Contact Lens Association, College of Optometrists (UK), International Association of Contact Lens Educators, Optometry Today, Spanish General Council of the Colleges of Opticians-Optometrists, Contact Lens Spectrum and Caroline Christie.
- Published
- 2020