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Prevalence and Determinants Associated With Spectacle-Wear Compliance in Aphakic Infants

Qianzhong Cao1, Xiaoyan Li1, Duoru Lin1

  • 1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, People's Republic of China.

Translational Vision Science & Technology
|November 28, 2018
PubMed

Insights

Spectacle wear compliance in aphakic infants with congenital cataracts was low initially but improved with age. Strategies are needed to enhance spectacle adherence in these young patients.

Area of Science:

  • Ophthalmology
  • Pediatric ophthalmology
  • Public health

Background:

  • Congenital cataracts require lens extraction, often necessitating spectacle correction in infants.
  • Ensuring spectacle wear compliance is crucial for visual development in aphakic infants.

Purpose of the Study:

  • To determine the prevalence of spectacle wear and associated compliance factors in aphakic infants post-lens extraction in South China.
  • To identify determinants influencing spectacle-wearing adherence in this pediatric population.

Main Methods:

  • A cohort of 192 infants (3 months to 3 years) undergoing lens extraction for congenital cataracts was enrolled.
  • Caregiver interviews were conducted to assess spectacle wear prevalence and identify compliance determinants.

Main Results:

  • Spectacle wear compliance increased with age, from 30.9% (3-12 months) to 87.0% (2-3 years).
  • Soft spectacle frames (OR=3.6) and communication among caregivers (OR=0.1) were significantly associated with compliance.
  • Lower compliance was observed in younger infants and those with less caregiver communication.

Conclusions:

  • Spectacle wear compliance in aphakic infants is age-dependent, improving over time.
  • While compliance increases with age, overall adherence requires improvement through targeted strategies.
  • Findings provide insights for developing interventions to enhance spectacle wear in infants with congenital cataracts.
Abstract

Keywords:
aphakic infantsassociated factorscongenital cataractspectacle-wearing compliance

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