Global trends in myopia management attitudes and strategies in clinical practice-2019 Update

doi:10.1016/j.clae.2019.11.002

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/24937

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24937

Title:	Global trends in myopia management attitudes and strategies in clinical practice-2019 Update
Authors:	Wolffsohn, JS;Calossi, A;Cho, P;Gifford, K;Jones, L;Jones, D;Guthrie, S;Li, M;Lipener, C;Logan, NS;Malet, F;Peixoto-de-Matos, SC;Gonzalez-Meijome, JM;Nichols, JJ;Orr, JB;Santodomingo-Rubido, J;Schaefer, T;Thite, N;van der Worp, E;Tarutta, E;Iomdina, E;Ali, BM;Villa-Collar, C;Abesamis-Dichoso, C;Chen, C;Pult, H;Blaser, P;Johanna, GPS;Iqbal, F;Ramos, R;Orihuela, GC;Boychev, N
Keywords:	Myopia control;Myopia progression;Myopia management;Orthokeratology;Global;Attitudes
Date:	2020
Issue Date:	2022-08-09T08:10:29Z (UTC)
Publisher:	ELSEVIER
ISSN:	1367-0484
Abstract:	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 practice of myopia management in future.
URI:	http://dx.doi.org/10.1016/j.clae.2019.11.002 https://www.webofscience.com/wos/woscc/full-record/WOS:000505209800004 https://ir.csmu.edu.tw:8080/handle/310902500/24937
Relation:	CONTACT LENS & ANTERIOR EYE ,2020 ,v43 ,issue 1 ,p9-17
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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