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A Mixed-Methods Investigation of Myopia Management Practices Among Eye Care Practitioners in China
Jong Mei Khew1,2,3, Mohd Zaki Awg Isa4,5, Monica Jong6,7
1Department of Optometry and Vision Science, Management and Science University, 4, Persiaran Olahraga, Section 13, 40000, Shah Alam, Selangor Darul Ehsan, Malaysia. jongmeikhew@gmail.com.
Ophthalmology and Therapy
|August 12, 2026
Summary
Effective myopia management in China requires addressing public awareness, costs, and compliance. Myopia control spectacles are the preferred treatment, but standardized, evidence-based practices are needed across diverse settings.
Area of Science:
- Ophthalmology
- Optometry
- Public Health
Background:
- China faces a significant myopia burden, prompting rapid expansion of myopia management strategies.
- Practitioner training, settings, and locations present challenges to standardized myopia management.
- A systematic, evidence-based approach is needed to enhance myopia management practices.
Purpose of the Study:
- To explore practitioner perceptions of myopia management in China.
- To compare optometrist and ophthalmologist perspectives on myopia management.
- To identify and address barriers to effective myopia management.
Main Methods:
- Mixed-method research combining qualitative (interviews) and quantitative (surveys) approaches.
- Stage 1: 37 practitioners (27 optometrists, 10 ophthalmologists) interviewed.
- Stage 2: 500 practitioners (401 optometrists, 99 ophthalmologists) surveyed using logistic regression.
Main Results:
- Common barriers identified: limited public awareness, high treatment costs, poor compliance, and unpredictable outcomes.
- Geographical and practice-setting differences noted in clinical guidance, commercialization, and instrument costs.
- Myopia control spectacles were the most preferred and effective treatment option.
Conclusions:
- Effective myopia management requires improved public education, cost management, and patient compliance.
- Addressing unpredictable outcomes and promoting patient-centered care are crucial.
- Standardized, accessible myopia management necessitates expanded continuing education for practitioners across diverse settings.
