Patient and Parent Perceptions of Myopia Modalities



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Background: Previous studies have reported quality of life (QoL) with soft contact lenses (SCL), orthokeratology (OK), or glasses (GL) in adults and children, but have not compared QoL across all three modalities nor compared adults to children. Studies have compared parent/child QoL responses for visually impaired children, but not in normally sighted children. The aim of this study was to compare QoL of myopic adults and children in GL, SCL, and OK lenses as well as parent/child responses. Methods: Forty-eight adults (aged 18 - 26 years), 49 children (aged 9 - 17 years) and the children’s parents completed Pediatric Refractive Error Profile 2 (PREP2), a validated questionnaire with 7 subscales (symptoms, vision, activities, appearance, peer perception, handling, and overall). Adults and children had to have worn their correction for at least three years. Parents were asked to answer how they thought their child would answer. Scores were compared between age groups, correction groups, and between children and their parents using non-parametric ANOVA, Mann-Whitney U and Wilcoxon Signed Rank tests, as appropriate. Post-hoc pairwise comparisons between correction groups were conducted with Bonferroni adjustment. Results: Average age of adults was 21.9 ± 2.4 and children was 14.1 ± 2.2 years and duration of correction use was 8.2 ± 3.3 for adults and 5.0 ± 2.2 years for children (both p < 0.01). Adult OK wearers were more satisfied with vision (p = 0.04), activities (p < 0.001) and overall (p = 0.03) compared to GL wearers. Children OK wearers reported higher scores for activities than SCL (p = 0.048) and GL wearers (p < 0.001). Parents of contact lens wearers reported higher perceived in activities (OK p < 0.001; SCL p = 0.02), handling (OK p = 0.02; SCL p < 0.001), appearance (SCL p = 0.001), and overall (OK p = 0.001; SCL p < 0.001) subscales than parents of child GL wearers. Conclusion: Activity driven children and adults should consider being fit in OK. Parents’ perceptions did not align with their children’s perceptions of their correction.



Myopia, Quality of life, Orthokeratology, Soft contact lens, Glasses, Pediatric Refractive Error Profile