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Published on: September 27, 2024
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Patient and parent perceptions of myopia modalities
Lauren J Lattery1, Cecilia Chao2, Jeffrey J Walline3
1University of Houston College of Optometry, Houston, TX, United States.
Summary
Orthokeratology (OK) lenses offer superior vision and activity benefits for myopic adults and children compared to spectacles. Parent perceptions of their child's quality of life with correction did not align with the child's own reported experiences.
Area of Science:
- Ophthalmology
- Optometry
- Vision Science
Background:
- Myopia affects both adults and children, necessitating effective refractive correction.
- Quality of life (QoL) is a crucial factor in patient satisfaction with vision correction methods.
- Spectacles, soft contact lenses (SCLs), and orthokeratology (OK) are common myopia correction options.
Purpose of the Study:
- To compare the quality of life (QoL) experienced by myopic adults and children using spectacles, SCLs, or OK.
- To evaluate parent and child responses regarding the use of different myopia correction methods.
- To assess satisfaction across various QoL domains, including vision, activities, and appearance.
Main Methods:
- A cross-sectional study involving 48 adults and 49 children with myopia, all established wearers of spectacles, SCLs, or OK for at least three years.
- Participants completed the Pediatric Refractive Error Profile 2 (PREP2) questionnaire, assessing 7 subscales of QoL.
- Parental responses were collected to gauge their perception of their child's QoL, with statistical comparisons using non-parametric tests.
Main Results:
- Adult OK wearers reported higher satisfaction with vision, activities, and overall QoL compared to spectacle wearers.
- Children wearing OK lenses showed higher scores for activities compared to SCL and spectacle wearers.
- Parents of children using OK and SCLs reported higher perceived QoL for activities, handling, and overall satisfaction than parents of spectacle wearers.
Conclusions:
- Orthokeratology (OK) provides significant advantages in perceived QoL, particularly for activities, for both adult and child myopic patients compared to spectacle correction.
- Parental perceptions of their child's QoL related to their refractive correction did not consistently align with the children's self-reported experiences.
- These findings highlight the importance of considering patient-reported outcomes in myopia management and correction choices.
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