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Global trends in myopia management attitudes and strategies in clinical practice - 2019 Update.
- Source :
-
Contact Lens & Anterior Eye . Feb2020, Vol. 43 Issue 1, p9-17. 9p. - Publication Year :
- 2020
-
Abstract
- <bold>Purpose: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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 intra-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 %).<bold>Conclusions: </bold>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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 13670484
- Volume :
- 43
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Contact Lens & Anterior Eye
- Publication Type :
- Academic Journal
- Accession number :
- 141029258
- Full Text :
- https://doi.org/10.1016/j.clae.2019.11.002