Attempts to Reduce the Progression of Myopia and Spectacle Prescriptions during Childhood: A Survey of Eye Specialists
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: To determine methods tried in clinical trials to reduce the progression of myopia in children, and spectacle prescribing patterns of hospital ophthalmologists. Methods: A multi-sectioned survey composed of Likert items relating to the methods of reducing myopia progression (orthokeratology lenses [O-K lenses], undercorrected glasses, and topical atropine) and the patterns of prescribing spectacles for children (including two cases involving a 5-year-old girl and an 8-year-old boy) were distributed to members of the Korean Ophthalmological Society, and the collected data was statistically analyzed. Results: A total of 78 out of 130 ophthalmologists returned the survey. On a scale of 1 to 5, the mean rates of whether the ophthalmologists think O-K lenses arrest myopia progression, and whether they recommend their patients to wear O-K lenses if indicative, were 3.06 and 2.75, respectively. Moreover, the mean rates of whether they consider that wearing glasses which are undercorrected would slow down the progression of the myopia, or if they think topical atropine helps in arresting myopia progression in children, were 2.34 and 1.27, respectively. In response to the case studies, the majority of practitioners preferred to prescribe the full amount found in cycloplegic refraction to pediatric patients with myopia. Conclusions: Ophthalmologists in clinical practice encouraged children to wear O-K lenses more than undercorrected glasses as a way to retard myopia progression. However, the application of atropine is rarely tried in clinical trials. In managing pediatric patients with myopia (case specific), the majority of the practitioners chose to prescribe glasses with full cycloplegic correction.
Abstract
Purpose: To determine methods tried in clinical trials to reduce the progression of myopia in children, and spectacle prescribing patterns of hospital ophthalmologists. Methods: A multi-sectioned survey composed of Likert items relating to the methods of reducing myopia progression (orthokeratology lenses [O-K lenses], undercorrected glasses, and topical atropine) and the patterns of prescribing spectacles for children (including two cases involving a 5-year-old girl and an 8-year-old boy) were distributed to members of the Korean Ophthalmological Society, and the collected data was statistically analyzed. Results: A total of 78 out of 130 ophthalmologists returned the survey. On a scale of 1 to 5, the mean rates of whether the ophthalmologists think O-K lenses arrest myopia progression, and whether they recommend their patients to wear O-K lenses if indicative, were 3.06 and 2.75, respectively. Moreover, the mean rates of whether they consider that wearing glasses which are undercorrected would slow down the progression of the myopia, or if they think topical atropine helps in arresting myopia progression in children, were 2.34 and 1.27, respectively. In response to the case studies, the majority of practitioners preferred to prescribe the full amount found in cycloplegic refraction to pediatric patients with myopia. Conclusions: Ophthalmologists in clinical practice encouraged children to wear O-K lenses more than undercorrected glasses as a way to retard myopia progression. However, the application of atropine is rarely tried in clinical trials. In managing pediatric patients with myopia (case specific), the majority of the practitioners chose to prescribe glasses with full cycloplegic correction.
참고문헌 (18)
- Saw SM, "Incidence and progression of myopia in Singaporean school children", Invest Ophthalmol Vis Sci, 46, pp.51~57 (2005)
- Goldschmidt E, "The mystery of myopia", Acta Ophthalmol Scand, 81, pp.431~436 (2003)
- Lin LL, "Epidemiologic study of ocular refraction among schoolchildren in Taiwan in 1995", Optom Vis Sci, 76, pp.275~281 (1999)
- Saw SM, "Epidemiology of myopia", Epidemiol Rev, 18, pp.175~187 (1996)
- Saw SM, "Near-work activity and myopia in rural and urban schoolchildren in China", J Pediatr Ophthalmol Strabismus, 38, pp.149~155 (2001)
- Chan B, "Orthokeratology practice in children in a university clinic in Hong Kong", Clin Exp Optom, 91, pp.453~460 (2008)
- Heng LS, "Can contact lenses control the progression of myopia?", Singapore Med J, 35, pp.367~370 (1994)
- Rubin ML, "Myopia--a treatable"disease"?", Surv Ophthalmol, 21, pp.65~69 (1976)
- Bedrossian RH, "The effect of atropine on myopia", Ann Ophthalmol, 3, pp.891~897 (1971)
- 최태호, "아트로핀이 소아 근시진행에 미치는 영향", 대한안과학회지, 46(7), pp.1189~1195 (2005), 대한안과학회
- Adler D, "The possible effect of undercorrection on myopic progression in children", Clin Exp Optom, 89, pp.315~321 (2006)
- Gwiazda J, "Treatment options for myopia", Optom Vis Sci, 86, pp.624~628 (2009)
- Saw SM, "Myopia:attempts to arrest progression", Br J Ophthalmol, 86, pp.1306~1311 (2002)
- Syniuta LA, "Atropine and bifocals can slow the progression of myopia in children", Binocul Vis Strabismus Q, 16, pp.203~208 (2001)
- Van Meter WS, "Safety of overnight orthokeratology for myopia: a report by the American Academy of Ophthalmology", Ophthalmology, 115, pp.2301~2313.e1. (2008)
- McLeod SD, "Overnight orthokeratology and corneal infection risk in children", Arch Ophthalmol, 125, pp.688~689 (2007)
- Chung K, "Undercorrection of myopia enhances rather than inhibits myopia progression", Vision Res, 42, pp.2555~2559 (2002)
- Tong L, "Atropine for the treatment of childhood myopia:effect on myopia progression after cessation of atropine", Ophthalmology, 116, pp.572~579 (2009)