Myopia Management:A Survey of Optometrists and Ophthalmologists in Israel

Abstract

Purpose Myopia management is practiced by ophthalmologists and optometrists. This study evaluated the approach and standard of myopia management among eye-care practitioners (ECPs) in Israel. The findings may ultimately affect the quality of care. Methods A questionnaire was sent to 954 optometrists and 365 ophthalmologists, including demographic questions; whether they owned any devices to monitor myopia progression; the lowest progression they considered significant; various questions pertaining to myopia management and treatment methods. Results Responses from 135 optometrists and 126 ophthalmologists were collected, the majority practicing more than five years; 94% of optometrists, and 64% of ophthalmologists. Around 53% of optometrists and 27% of the ophthalmologists proclaimed to practice myopia management. ECPs primary parameters influencing risk assessment for progression were age, genetic background and history of progression. Time outdoors, during daylight hours, is advised by ophthalmologists (97%) and optometrists (78%). Limiting screentime is encouraged by 87% of ophthalmologists and 69% of optometrists. Myopia progression of 0.50D–0.75D after six months is regarded to require intervention by 93% of ophthalmologists and 83% of optometrists. Optometrists selected multiple myopia management treatments, primarily optical (ophthalmic myopia management lenses 40%, multifocal ophthalmic lenses 24%, peripheral blur contact lenses 38%, orthokeratology 11%), while 95% of ophthalmologists chose atropine and only 3–11% selected any additional treatments to consider. Conclusion This study highlighted ECPs’ agreement on the principles, importance of, and timeline of intervention with myopia management. The disconnect between the two professions lies in management methods. Genuine dialogue and co-management should be encouraged for maximum implementation, benefit and effectiveness of available patient treatments.

Publication DOI: https://doi.org/10.1177/11206721231211465
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
Aston University (General)
Uncontrolled Keywords: eye care practitioners,myopia control,myopia management,ophthalmologists,optometrists,survey,Ophthalmology
Publication ISSN: 1724-6016
Last Modified: 02 Dec 2024 09:00
Date Deposited: 30 Oct 2023 10:41
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Related URLs: https://journal ... 206721231211465 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2023-10-30
Accepted Date: 2023-10-16
Submitted Date: 2023-01-19
Authors: Erdinest, Nir
London, Naomi
Morad, Yair
Naroo, Shehzad A. (ORCID Profile 0000-0002-6373-7187)

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