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


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 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 %). 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.

Publication DOI:
Divisions: College of Health & Life Sciences > School of Optometry > Optometry
College of Health & Life Sciences > School of Optometry > Optometry & Vision Science Research Group (OVSRG)
College of Health & Life Sciences
College of Health & Life Sciences > School of Optometry > Vision, Hearing and Language
Additional Information: © 2019, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Uncontrolled Keywords: Attitudes,Global,Myopia control,Myopia management,Myopia progression,Orthokeratology,Ophthalmology,Optometry
Publication ISSN: 1476-5411
Last Modified: 11 Jun 2024 07:15
Date Deposited: 06 Dec 2019 14:37
Full Text Link:
Related URLs: https://linking ... 367048419302589 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2020-02
Published Online Date: 2019-11-21
Accepted Date: 2019-11-01
Authors: Wolffsohn, James S (ORCID Profile 0000-0003-4673-8927)
Calossi, Antonio
Cho, Pauline
Gifford, Kate
Jones, Lyndon
Jones, Deborah
Guthrie, Sarah
Li, Ming
Lipener, Cesar
Logan, Nicola S (ORCID Profile 0000-0002-0538-9516)
Malet, Florence
Peixoto-de-matos, Sofia C.
González-méijome, José M.
Nichols, Jason J
Orr, Janis B
Santodomingo-rubido, Jacinto
Schaefer, Tania
Thite, Nilesh
Van Der Worp, Eef
Tarutta, Elena
Iomdina, Elena
Ali, Bariah Mohd
Villa-collar, César
Abesamis-dichoso, Carmen
Chen, Connie
Pult, Heiko
Blaser, Pascal
Parra Sandra Johanna, Garzon
Iqbal, Fatima
Ramos, Raul
Carrillo Orihuela, Guillermo
Boychev, Nikolay

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