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The issue of juvenile myopia from the parents’ point of view

https://doi.org/10.21516/2072-0076-2022-15-1-46-50

Abstract

The success of preventing the development and progression of myopia in children depends on establishing compliance between the doctor and the patient (parents).
Purpose: to study the attitude of parents of myopic children towards the issue of myopia and methods of its control.
Materials and methods. 106 doctors from 53 regions of Russia and 2931 parents of myopic children took part in a prospective multicenter epidemiological observational study in the form of a questionnaire.
Results. As preferable interventions to control myopia, parents mention single vision glasses (67.9 %), glasses with perifocal lenses (16.3 %), bifocal or progressive glasses (3.4 %), other types of glasses (1.6 %), soft contact lenses (11.5 %), orthokeratology lenses (5.8 %), while 13.8 % of myopic children do not use any of those. The average time that children spend on visual work amounts to 10 hours a day, while their light-time daily outdoor activities last for 2.12 ± 1.39 hours. Only 27.1 % of the parents surveyed follow all recommendations of the eye doctor. The reasons for not following are lack of time (45.1 %), complexity of implementation (7.3 %), high cost of treatment (8.5 %), other reasons (39.1 %). Parents consider that the most effective interventions to control myopia are eye drops instillation courses (53.4 %), device-assisted therapy (59.6 %), home visual gymnastics (52.4 %), orthokeratology lenses (13.7 %), bifocal soft contact lenses (4.6 %), specialty glasses (22.7 %), vitamins intake (44.4 %), while 10.6 % believe opinion that no effective myopia control methods exist.
Conclusion. Parents choose single vision glasses as the main optical interventi on method. Near visual work significantly reduces physical activity in the children’s daily routine. Parents’ failure to comply with the medical advice is mostly due to lack of time. The most effective methods of myopia control are considered to be pharmacological treatment, device-assisted therapy and home visual gymnastics.

About the Authors

Zh. N. Pokrebysheva
National Myopia Institute Educational Center
Russian Federation

Zanna N. Poskrebysheva - ophthalmologist, researcher of the department of orthokeratology and myopia control

63B, Bldg. 4, Mikhalkovskaya St., Moscow, 125438



A. V. Myagkov
National Myopia Institute Educational Center
Russian Federation

Alexander V. Myagkov - Dr. of Med. Sci., professor, director

63B, Bldg. 4, Mikhalkovskaya St., Moscow, 125438



References

1. Pararajasegaram R. VISION 2020 — the right to sight: from strategies to action. Am. J. Ophthalmol. 1999; 128 (3): 359–60.

2. Tarutta Е.P., Proskurina O.V., Markossian G.A., et al. A strategically oriented conception of optical prevention of myopia onset and progression. Russian ophthalmological journal. 2020; 13 (4): 7–16 (in Russian). https://doi.org/10.21516/2072-0076-2020-13-4-7-16

3. Wu P.C., Tsai C.L., Hu C.H., Yang Y.H. Effects of outdoor activities on myopia among rural school children in Taiwan. Ophthalmic epidemiology. 2010; 17 (5): 338–42. https://doi.org/10.3109/09286586.2010.508347

4. Yi J.H., Li R.R. [Influence of near-work and outdoor activities on myopia progression in school children]. Chinese journal of contemporary pediatrics. 2011; 13 (1): 32–5.

5. Deng L., Pang Y. Effect of outdoor activities in myopia control: meta-analysis of clinical studies. Optometry and Vision Science. 2019; 96 (4): 276–82. doi: 10.1097/OPX.0000000000001357

6. Huang H.M., Chang D.S., Wu P.C. The association between near work activities and myopia in children – a systematic review and meta-analysis. PLoS One. 2015; 10 (10): e0140419. https://doi.org/10.1371/journal.pone.0140419

7. Chen H. Parents' attitudes and expectations regarding science education: comparisons among American, Chinese-American, and Chinese families. Adolescence. 2001; 36 (142): 305–13.

8. Qin D.B., Chang T.F., Han E.J., Chee G. Conflicts and communication between high-achieving Chinese American adolescents and their parents. New Dir Child. Adolesc. Dev. Spring. 2012; (135): 35–57. doi: 10.1002/cd.20003

9. Saw A., Berenbaum H., Okazaki S. Influences of personal standards and perceived parental expectations on worry for Asian American and White American college students. Anxiety Stress Coping. 2013; 26 (2): 187–202. doi: 10.1080/10615806.2012.668536

10. Morgan I.G, Rose K.A. Myopia and international educational performance. Ophthalmic Physiol. Opt. 2013; 33 (3): 329–38. doi: 10.1111/opo.12040

11. Saw S.M., Wu H.M., Seet B., et al. Academic achievement, close up work parameters, and myopia in Singapore military conscripts. Br. J. Ophthalmol. 2001; 85 (7): 855–60. doi: 10.1136/bjo.85.7.855

12. Avetisov E.S. Myopia. Moscow: Meditsina; 2002 (in Russian).

13. Proskurina O.V., Markova E.Yu., Brzheskij V.V., et al. Prevalence of myopia in schoolchildren in some regions of Russia. Ophthalmology in Russia. 2018; 15 (3): 348–53 (in Russian)]. https://doi.org/10.18008/1816-5095-2018-3-348-353

14. Kempen J.H., Mitchell P., Lee K.E. The prevalence of refractive errors among adults in the United States, Western Europe, and Australia. Arch. Ophthalmol. 2004; 122 (4): 495–505. doi: 10.1001/archopht.122.4.495

15. Markova E.Yu., Pron’ko N.A., Bezmelnitsyna L.Yu., Aminulla L.V., Venediktova L.V. To the question of school myopia. Ophthalmology in Russia. 2018; 15 (1): 87–91 (in Russian)]. https://doi.org/10.18008/1816-5095-2018-1-87-91

16. Francis V., Korsch B.M., Morris M.J. Gaps in doctor-patient communication: Patients' response to medical advice. N. Engl. J. Med. 1969; 280 (10): 535–40. doi: 10.1056/NEJM196903062801004

17. Charm J., Cho P. High myopia-partial reduction ortho-k: a 2-year randomized study. Optom. Vis. Sci. 2013; 90 (6): 530–9. doi: 10.1097/OPX.0b013e318293657d

18. Chen C., Cheung S.W., Cho P. Myopia control using toric orthokeratology (TO-SEE study). Invest. Ophthalmol. Vis. Sci. 2013; 54 (10): 6510–7. doi: 10.1167/iovs.13-12527

19. Cho P., Cheung S.W. Retardation of myopia in orthokeratology (ROMIO) study: a 2-Year randomized clinical trial. Invest. Ophthalmol. Vis. Sci. 2012; 53 (11): 7077–85. doi: 10.1167/iovs.12-10565

20. Cho P., Cheung S.W., Edwards M. The longitudinal orthokeratology research in children (LORIC) in Hong Kong: a pilot study on refractive changes and myopic control. Curr Eye Res. 2005; 30 (1): 71–80. doi: 10.1080/02713680590907256

21. Tarutta E.P., Verzhanskaya T.Yu. Efficacy of myopia control by combination of orthokeratology and instillation of low-concentration atropine. The EYE GLAZ. 2019; 21(2): 22–30 (in Russian)]. https://doi.org/10.33791/2222-4408-2019-2-22-30

22. Nagorsky P.G., Kikhtenko N.A., Milyukhina V.V. Orthokeratology lenses and myopia control.The EYE GLAZ. 2019; 21(2): 13–20 (in Russian). https://doi.org/10.33791/2222-4408-2019-2-13-20

23. Santodomingo-Rubido J., Villa-Collar C., Gilmartin B., Guti rrez-Ortega R. Myopia control with orthokeratology contact lenses in Spain (MCOS): refractive and biometric changes. Invest. Ophthalmol. Vis. Sci. 2012; 53 (8): 5060–65. doi: 10.1167/iovs.11-8005

24. Walline J.J., Jones L.A., Sinnott L.T. Corneal reshaping and myopia progression. Br. J. Ophthalmol. 2009; 93 (9): 1181–5. doi: 10.1136/bjo.2008.151365

25. Hiraoka T., Kakita T., Okamoto F., Takahashi H., Oshika T. Long-term effect of overnight orthokeratology on axial length elongation in childhood myopia: a 5-year follow-up study. Invest. Ophthalmol. Vis. Sci. 2012; 53 (7): 3913–9. doi: 10.1167/iovs.11-8453

26. Kakita T., Hiraoka T., Oshika T. Influence of overnight orthokeratology on axial elongation in childhood myopia. Invest. Ophthalmol. Vis. Sci. 2011; 52 (5): 2170–4. doi: 10.1167/iovs.10-5485

27. Swarbrick H.A., Alharbi A., Watt K., Lum E., Kang P. Myopia control during orthokeratology lens wear in children using a novel study design. Ophthalmology 2015; 122 (3): 620–30. doi: 10.1016/j.ophtha.2014.09.028

28. Lam C.S., Tang W.C., Tse D.Y., Tang Y.Y., To C.H. Defocus incorporated soft contact (DISC) lens slows myopia progression in Hong Kong Chinese schoolchildren: a 2-year randomised clinical trial. Br. J. Ophthalmol. 2014; 98 (1): 40–5. doi: 10.1136/bjophthalmol-2013-303914

29. Anstice N.S., Phillips J.R. Effect of dual-focus soft contact lens wear on axial myopia progression in children. Ophthalmology. 2011; 118 (6): 1152–61. doi: 10.1016/j.ophtha.2010.10.035

30. Walline J.J., Greiner K.L., McVey M.E., Jones-Jordan L.A. Multifocal contact lens myopia control. Optom. Vis. Sci. 2013; 90 (11): 1207–14. doi: 10.1097/OPX.0000000000000036

31. Sankaridurg P., Holden B., Smith E., et al. Decrease in rate of myopia progression with a contact lens designed to reduce relative peripheral hyperopia: one-year results. Invest. Ophthalmol. Vis Sci. 2011; 52 (130): 9362–7. doi: 10.1167/iovs.11-7260

32. Aller T.A., Liu M., Wildsoet C.F. Myopia control with bifocal contact lenses: a randomized clinical trial. Optom. Vis. Sci. 2016; 93 (4): 344–52. doi: 10.1097/OPX.0000000000000808

33. Li S.M., Kang M.T., Wu S.S., et al. Studies using concentric ring bifocal and peripheral add multifocal contact lenses to slow myopia progression in school aged children: a meta-analysis. Ophthalmic Physiol. Opt. 2017; 37 (1): 51–9. doi: 10.1111/opo.12332

34. Cheng X., Xu J., Chehab K., Exford J., Brennan N. Soft contact lenses with positive spherical aberration for myopia control. Optom. Vis. Sci. 2016; 93 (4): 353–66. doi: 10.1097/OPX.0000000000000773

35. Avetisov S.E., Myagkov A.V., Egorova A.V., Poskrebysheva Z.N., Zhabina O.A. Results of a two-year clinical study of myopia control with bifocal defocus-inducing soft contact lenses. Vestnik oftal’mologii. 2021; 137 (3): 5–12 (in Russian)]. https://doi.org/10.17116/oftalma20211370315

36. Slyshalova N.N., Khvatova N.V. Our experience of using soft bifocal contact lenses in children with progressive myopia. The EYE GLAZ. 2021; 23 (2): 19–26 (in Russian)]. https://doi.org/10.33791/2222-4408-2021-2-19-26


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For citations:


Pokrebysheva Zh.N., Myagkov A.V. The issue of juvenile myopia from the parents’ point of view. Russian Ophthalmological Journal. 2022;15(1):46-50. (In Russ.) https://doi.org/10.21516/2072-0076-2022-15-1-46-50

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