Vision-related quality of life with myopia management: A review

Lipson, Michael; Boland, Brittany; McAlinden, Colm

doi:10.1016/j.clae.2021.101538

Cited by 16 publications

(15 citation statements)

References 69 publications

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“…In a study of Chinese children, Yang et al used the same questionnaire to compare the two correction methods and reached similar conclusions [ 14 ]. PREP is a tool especially used to measure the quality of life of children receiving refractive correction [ 15 ], and the questionnaire related to vision-related quality of life includes National Eye Institute-Refractive Quality of Life (NEI-RQL), Self-Perception Profile for Children Global Self-Worth scale (S-PPCGS-W), Study-specific Questionnaire, Quality of Life Impact of Refractive Correction (QIRC), Orthokeratology and Contact Lens Quality of Life Questionnaire (OCL-QoL), and National Eye Institute-Visual Function Questionnaire (NEI-VFQ) [ 16 ]. These tools are generally used to evaluate functional vision or quality of life under specific eye conditions and only allow children or parent's reporting but not allow the reporting from both of them.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Functional Vision and Eye‐Related Quality of Life between Myopic Children Treated with Orthokeratology and Single‐Vision Spectacles in Southern China

Yang

Wen

et al. 2023

Journal of Ophthalmology

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Objective. To compare eye-related quality of life between Chinese children wearing orthokeratology (OK) contact lenses and single-vision spectacles (SVS) using the Pediatric Eye Questionnaire (PedEyeQ) and to evaluate the impact of different myopia correction methods on children and their parents. Methods. Children aged 12–17 years and their parents/legal guardians were recruited. The children’s myopia ranged from −0.50 to −5.00 diopters (D), and their astigmatism was <1.50 D. They had all been wearing OK contact lenses or SVS for at least 12 months. The children completed the Child PedEyeQ. One of their parents (or a legal guardian) completed the Proxy PedEyeQ and the Parent PedEyeQ. Rasch-calibrated PedEyeQ scores were calculated for each domain and were converted to a scale from 0 to 100 for statistical analysis. Results. A total of 50 children wearing OK contact lenses, 43 children wearing SVS, and their parents/legal guardians completed the questionnaires. The scores of all Child, Proxy, and Parent PedEyeQ domains in the OK contact lens group were higher than those in the SVS group (all P < 0.05 ). In the mild and moderate myopia subgroups, the Child, Proxy, and Parent PedEyeQ scores in the mild myopia OK contact lens subgroup were higher than those in the mild myopia SVS group (all P < 0.05 ) except functional vision and bothered by eyes/vision domains for the proxy PedEyeQ. Similarly, the Child, Proxy, and Parent PedEyeQ scores in the moderate myopia OK contact lens subgroup were higher than those in the moderate myopia SVS subgroup (all P < 0.05 ) except impact on parent and family domain for the parent PedEyeQ. In the subgroup analysis of glasses type, no significant score difference of any Child, Proxy, and Parent PedEyeQ domain was detected between mild and moderate myopia in either the OK contact lens group or the SVS group (all P > 0.05 ). Conclusion. Compared with children wearing SVS, children wearing OK contact lenses have better functional vision and eye-related quality of life. Moreover, OK contact lens has a better correction effect, higher acceptance rates, and less impact on parents and families than SVS.

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Section: Introductionmentioning

confidence: 99%

Comparison of Functional Vision and Eye‐Related Quality of Life between Myopic Children Treated with Orthokeratology and Single‐Vision Spectacles in Southern China

Yang

Wen

et al. 2023

Journal of Ophthalmology

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“…Subjective patient-reported outcomes aim to capture information from the user's perspective 9 . If patient satisfaction is low, patients may elect to discontinue lens wear, which would negate any myopia management treatment effects.…”

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confidence: 99%

“…Many patient-reported outcome instruments have been developed to assess a specific type of refractive error correction. A recent review showed that only two instruments have been used for both orthokeratology and soft contact lenses for myopia management 9 -the National Eye Institute Refractive Error Quality of Life42 10 and the Orthokeratology and Contact Lens Quality of Life questionnaires. 11 The purpose of this study was to quantify objective and subjective clinical outcomes with toric orthokeratology and soft toric multifocal contact lenses in the same cohort of myopic wearers with moderate to high astigmatism.…”

mentioning

confidence: 99%

“…[6][7][8] Subjective patient-reported outcomes aim to capture information from the user's perspective. 9 If patient satisfaction is low, patients may elect to discontinue lens wear, which would negate any myopia management treatment effects. Many patient-reported outcome instruments have been developed to assess a specific type of refractive error correction.…”

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confidence: 99%

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Clinical Outcomes of a Randomized Trial with Contact Lenses for Astigmatic Myopia Management

Tomiyama

Richdale

2022

Optom Vis Sci

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SIGNIFICANCEThere are limited treatment options for myopia management of patients with moderate to high astigmatism. This work directly compares toric orthokeratology and soft toric multifocal lenses to show differences in visual acuity and patient satisfaction that could impact clinical care. Toric orthokeratology caused reduced visual acuity but was preferred subjectively for vision and overall.PURPOSEThis study aimed to quantify objective and subjective clinical differences between toric orthokeratology and soft toric multifocal contact lenses in the same cohort of myopic wearers with moderate to high astigmatism.METHODSThirty adults with refractive myopia (plano to −5.00 D) and astigmatism (1.25 to 3.50 D) were fitted empirically with both toric orthokeratology and soft toric multifocal contact lenses. Participants wore lenses for 10 days in random order, separated by a 14-day washout period. High-contrast visual acuity, low-contrast visual acuity, and glare logMAR visual acuity were measured. Surveys ascertained subject preference for comfort, vision, handling, and cost. Friedman, Wilcoxon signed rank, and χ2 tests were performed.RESULTSA subset of participants (n = 17) who achieved good vision with both lens types was analyzed. High-contrast and glare acuity with toric orthokeratology were reduced by one line compared with soft toric multifocal lenses (both 0.00 vs. −0.10, P ≤ .003). Participants preferred toric orthokeratology for vision (P ≤ .03) but soft toric multifocal lenses for handling (P ≤ .006). When forced to choose between lens types, participants preferred toric orthokeratology for vision and overall (both P ≤ .007).CONCLUSIONSParticipants who achieved good vision with both lens types preferred toric orthokeratology over soft toric multifocal lenses, despite reduced high-contrast and glare visual acuity. Further research is needed to understand the relationship between visual performance and patient satisfaction.

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Cost-Effectiveness Analysis of Myopia Progression Interventions in Children

Agyekum,

Chan,

Adjei

et al. 2023

JAMA Netw Open

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ImportanceSeveral interventions exist for treating myopia progression in children. While these interventions’ efficacy has been studied, their cost-effectiveness remains unknown and has not been compared.ObjectiveTo determine cost-effective options for controlling myopia progression in children.Design, Setting, and ParticipantsIn this cost-effectiveness analysis, a Markov model was designed to compare the cost-effectiveness of interventions for controlling myopia progression over 5 years from a societal perspective in a simulated hypothetical cohort of patients aged 10 years with myopia. Myopia interventions considered included atropine eye drops, 0.05% and 0.01%, defocus incorporated multiple segment spectacles, outdoor activity, soft contact lenses (daily disposable and multifocal), rigid gas-permeable contact lenses, progressive addition lenses, bifocal spectacle lenses, orthokeratology, highly aspherical lenslets (HALs), and red light therapy; all interventions were compared with single-vision lenses. Deterministic and probabilistic sensitivity analysis determined the association of model uncertainties with the cost-effectiveness. Costs were obtained from the charges of the Hospital Authority of Hong Kong and The Chinese University of Hong Kong Eye Center.Main Outcome and MeasuresThe mean costs (in US dollars) per child included the cost of hospital visits, medications, and optical lenses. The outcomes of effectiveness were the annual spherical equivalent refraction (SER) and axial length (AL) reductions. Incremental cost-effectiveness ratios (ICERs) were calculated for each strategy relative to single-vision lenses over a time horizon of 5 years.ResultsOutdoor activity, atropine (0.05%), red light therapy, HALs, and orthokeratology were cost-effective. The ICER of atropine, 0.05%, was US $220/SER reduction; red light therapy, US $846/SER reduction; and HALs, US $448/SER reduction. Outdoor activity yielded a savings of US $5/SER reduction and US $8/AL reduction. Orthokeratology resulted in an ICER of US $2376/AL reduction.Conclusions and RelevanceThese findings suggest that atropine eye drops, 0.05%, and outdoor activity are cost-effective for controlling myopia progression in children. Though more expensive, red light therapy, HALs, and orthokeratology may also be cost-effective. The use of these interventions may help to control myopia in a cost-effective way.

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Vision-related quality of life with myopia management: A review

Cited by 16 publications

References 69 publications

Comparison of Functional Vision and Eye‐Related Quality of Life between Myopic Children Treated with Orthokeratology and Single‐Vision Spectacles in Southern China

Comparison of Functional Vision and Eye‐Related Quality of Life between Myopic Children Treated with Orthokeratology and Single‐Vision Spectacles in Southern China

Clinical Outcomes of a Randomized Trial with Contact Lenses for Astigmatic Myopia Management

Cost-Effectiveness Analysis of Myopia Progression Interventions in Children

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