Level of Compliance in Orthokeratology

Jiang, Jun; Bian, Zhiwen; Wang, Feifu; Lian, Lili; Lu, Fan

doi:10.1097/icl.0000000000000516

Cited by 22 publications

(37 citation statements)

References 31 publications

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“…However, it has been reported that compliance with care procedures did not actually improve as the wearers grew older. 29 Good compliance is important to ensure safe lens wear, and has been shown to be associated with a reduced rate of contamination of contact lenses and accessories. 30,31 Serious complications, such as microbial keratitis, can lead to vision loss or blindness.…”

Section: Discussionmentioning

confidence: 99%

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

Wang

Yang

Liu

et al. 2020

Ophthalmic Physiologic Optic

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Purpose To investigate factors that influence parental decisions to use orthokeratology (ortho‐k) as a myopia control method for their children, and parents’ perspectives during children’s ortho‐k treatment in a hospital setting. Methods Parents/guardians of children wearing ortho‐k lenses for at least six months were required to complete a face‐to‐face survey to investigate the reasons for choosing ortho‐k and their experience of the treatment. Results Parents/guardians of 128 ortho‐k wearers were recruited from the West China Hospital, Sichuan, China. The majority of the participants (74%) were mothers. Wearers' mean age at the time of the survey was 12.0 ± 2.0 years, with a mean history of ortho‐k lens wear of 20.3 ± 8.0 months. Most participants had learned about ortho‐k through word of mouth (56%) or from ophthalmologists (40%); in China, only ophthalmologists may prescribe ortho‐k. The highest ranked motivation was the rapid progression of their children’s myopia (54%), followed by ophthalmologists’ advice (17%) or participants’ who felt they had obtained enough knowledge (17%) of ortho‐k (Kruskal‐Wallis test, p = 0.002). ‘Effectiveness' was the most common reason that participants decided to use ortho‐k (81%), and potential injury was their major concern (75%). Itchy/sore eye was the most common initial adverse effect experienced with lens wear (22%), while a lost or broken ortho‐k lens was the most frequently reported problem (34%). Parents of older lens wearers were significantly less involved in all procedures (Spearman rank correlation test, all p < 0.001). Most wearers, according to either the participants or the wearers themselves, were willing to wear ortho‐k lenses at treatment commencement (80%), and the most common reason was ‘to avoid having to wear spectacles in the daytime’. Conclusions The most powerful motivation for parents to enrol their children in ortho‐k treatment was the rapid progression of myopia. The main reason why participants chose ortho‐k, which most participants learned of by word of mouth, was the effectiveness of the treatment. During use, the most common symptom reported was itchy or sore eyes, but only initially. Children’s willingness to participate is very important for successful ortho‐k treatment; however, their motivation can be quite different from that of their parents. Ortho‐k is a well‐accepted option for myopia control in children.

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Section: Discussionmentioning

confidence: 99%

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

Wang

Yang

Liu

et al. 2020

Ophthalmic Physiologic Optic

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“…Non-compliance related to hygiene procedures and care procedures remains a serious concern and is a major causative factor of serious ocular complications for all contact lens modalities [156][157][158][159]. Over time, contact lens patients may become lax in lens care and handling techniques [160], and in adhering to the recommended aftercare schedule [161]. In China, poor lens care and inadequate hand washing were the two most common non-compliant behaviours in ortho-k lens wearers [161].…”

Section: Non-compliancementioning

confidence: 99%

“…Over time, contact lens patients may become lax in lens care and handling techniques [160], and in adhering to the recommended aftercare schedule [161]. In China, poor lens care and inadequate hand washing were the two most common non-compliant behaviours in ortho-k lens wearers [161]. The lens case has also been identified as the most contaminated item in new ortho-k lens wearers [162].…”

Section: Non-compliancementioning

confidence: 99%

BCLA CLEAR - Orthokeratology

Vincent

Cho

Chan³

et al. 2021

Contact Lens and Anterior Eye

114

103

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Orthokeratology (ortho-k) is the process of deliberately reshaping the anterior cornea by utilising specialty contact lenses to temporarily and reversibly reduce refractive error after lens removal. Modern ortho-k utilises reverse geometry lens designs, made with highly oxygen permeable rigid materials, worn overnight to reshape the anterior cornea and provide temporary correction of refractive error. More recently, ortho-k has been extensively used to slow the progression of myopia in children.This report reviews the practice of ortho-k, including its history, mechanisms of refractive and ocular changes, current use in the correction of myopia, astigmatism, hyperopia, and presbyopia, and standard of care. Suitable candidates for ortho-k are described, along with the fitting process, factors impacting success, and the potential options for using newer lens designs. Ocular changes associated with ortho-k, such as alterations in corneal thickness, development of microcysts, pigmented arcs, and fibrillary lines are reviewed. The safety of ortho-k is extensively reviewed, along with an overview of non-compliant behaviours and appropriate disinfection regimens. Finally, the role of ortho-k in myopia management for children is discussed in terms of efficacy, safety, and potential mechanisms of myopia control, including the impact of factors such as initial fitting age, baseline refractive error, the role of peripheral defocus, higher order aberrations, pupil size, and treatment zone size.

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“…Correct completion of compliance records is compulsory for individualization of health education to achieve care goals. Previous research has also found that non-compliance behaviors vary with different wearing times [ 15 , 28 ]. In addition, the OK lens wearing process is the most frequently asked question by parents in the Facebook community.…”

Section: Discussionmentioning

confidence: 99%

“…Regular monitoring of OK lenses during follow-up visits could aid in monitoring the growth of the axial length as well as reducing the risk of infection [ 14 ]. However, the risk of non-compliance among young children in wearing OK lenses is considerably higher than that of other age groups [ 15 ], which can affect the achievement of visual acuity among children [ 16 ]. Furthermore, non-compliance with the lens wear schedule may have a detrimental effect on the control of myopia progression.…”

Section: Introductionmentioning

confidence: 99%

A Cooperative Management App for Parents with Myopic Children Wearing Orthokeratology Lenses: Mixed Methods Pilot Study

Sun

Liao

et al. 2021

IJERPH

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Orthokeratology (OK) lens wear is an effective modality to inhibit axial elongation in myopic children. Willingness for commitment from both parents and children contributes to the success of OK treatment. We aimed to develop and assess the usability of a mobile application on OK lens wear by quantitatively and qualitatively evaluating parents with myopic children and eye care professionals (ECPs). Moreover, the preliminary outcome was also evaluated in this study. The app was developed and tested using a co-design approach involving key stakeholders. Two prototype tests were conducted during the feasibility and utility assessment. The app features include self-reported compliance documentation, analytics, and personalized and generalized messages for compliance behaviors of OK lenses. After the trial period, the full usage of app functions ranged from 40% to 60% among the enrolled parents. After app implementation, the compliance with follow-up visits substantially improved. Qualitative data show that the high-satisfaction app functions reported by parents were the app’s reminder and axial length recording, although it was recommended that the number of compliance questions should be reduced to minimize the survey completion time. Additionally, who should complete the recording of the axial length data as well as the management and reminder for the follow-up visit remained controversial. This is the first app developed to improve parents of myopic children’s compliance with OK lens wear and to assist ECPs and parents in collaboratively monitoring and managing the use and care of OK lenses among myopic children. This study highlights the importance of interdisciplinary collaboration in the design, development, and validation of such an app.

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Level of Compliance in Orthokeratology

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 22 publications

References 31 publications

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

BCLA CLEAR - Orthokeratology

A Cooperative Management App for Parents with Myopic Children Wearing Orthokeratology Lenses: Mixed Methods Pilot Study

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