West China School of Medicine, Sichuan University, Chengdu, China.
West China Hospital, Sichuan University, Chengdu, China.
Ophthalmic Physiol Opt. 2021 Jan;41(1):3-12. doi: 10.1111/opo.12744. Epub 2020 Oct 16.
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.
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.
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'.
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.
调查影响家长决定使用角膜塑形术（ortho-k）作为子女近视控制方法的因素，以及家长在医院环境中对子女 ortho-k 治疗的看法。
要求佩戴 ortho-k 镜片至少 6 个月的儿童的父母/监护人进行面对面调查，以调查选择 ortho-k 的原因和治疗体验。
从中国四川华西医院招募了 128 名佩戴 ortho-k 镜片的儿童的父母/监护人。大多数参与者（74%）为母亲。调查时佩戴者的平均年龄为 12.0±2.0 岁，佩戴 ortho-k 镜片的平均时间为 20.3±8.0 个月。大多数参与者通过口口相传（56%）或眼科医生（40%）了解 ortho-k；在中国，只有眼科医生可以开具 ortho-k 处方。排名最高的动机是他们孩子近视的快速进展（54%），其次是眼科医生的建议（17%）或参与者认为他们已经获得了足够的 ortho-k 知识（17%）（Kruskal-Wallis 检验，p=0.002）。“有效性”是参与者决定使用 ortho-k 的最常见原因（81%），潜在的伤害是他们最大的担忧（75%）。佩戴镜片时最常见的初始不良反应是眼痒/眼痛（22%），而最常报告的问题是丢失或损坏的 ortho-k 镜片（34%）。佩戴时间较长的镜片的家长在所有程序中的参与度明显较低（Spearman 秩相关检验，所有 p<0.001）。根据参与者或佩戴者自己的说法，大多数佩戴者在开始治疗时都愿意佩戴 ortho-k 镜片（80%），最常见的原因是“避免白天戴眼镜”。
家长让孩子接受 ortho-k 治疗的最有力动机是近视的快速进展。参与者选择 ortho-k 的主要原因是治疗效果，而大多数参与者是通过口口相传来了解的。使用过程中，最常见的症状是眼痒或眼痛，但只是最初出现。儿童参与的意愿对 ortho-k 治疗的成功非常重要；然而，他们的动机可能与父母的动机有很大不同。ortho-k 是儿童近视控制的一种被广泛接受的选择。
