Erdinest Nir, London Naomi, Morad Yair, Naroo Shehzad A
Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Private practice, Jerusalem, Israel.
Eur J Ophthalmol. 2024 Jul;34(4):980-985. doi: 10.1177/11206721231211465. Epub 2023 Oct 30.
Myopia management is practiced by ophthalmologists and optometrists This study evaluated the approach and standard of myopia management among eye-care practitioners (ECPs) in Israel. The findings may ultimately affect the quality of care.
A questionnaire was sent to 954 optometrists and 365 ophthalmologists, including demographic questions; whether they owned any devices to monitor myopia progression; the lowest progression they considered significant; various questions pertaining to myopia management and treatment methods.
Responses from 135 optometrists and 126 ophthalmologists were collected, the majority practicing more than five years; 94% of optometrists, and 64% of ophthalmologists. Around 53% of optometrists and 27% of the ophthalmologists proclaimed to practice myopia management. ECPs primary parameters influencing risk assessment for progression were age, genetic background and history of progression. Time outdoors, during daylight hours, is advised by ophthalmologists (97%) and optometrists (78%). Limiting screentime is encouraged by 87% of ophthalmologists and 69% of optometrists. Myopia progression of 0.50D-0.75D after six months is regarded to require intervention by 93% of ophthalmologists and 83% of optometrists. Optometrists selected multiple myopia management treatments, primarily optical (ophthalmic myopia management lenses 40%, multifocal ophthalmic lenses 24%, peripheral blur contact lenses 38%, orthokeratology 11%), while 95% of ophthalmologists chose atropine and only 3-11% selected any additional treatments to consider.
This study highlighted ECPs' agreement on the principles, importance of, and timeline of intervention with myopia management. The disconnect between the two professions lies in management methods. Genuine dialogue and co-management should be encouraged for maximum implementation, benefit and effectiveness of available patient treatments.
眼科医生和验光师都开展近视管理工作。本研究评估了以色列眼保健从业者（ECP）近视管理的方法和标准。研究结果可能最终影响医疗质量。
向954名验光师和365名眼科医生发送了一份问卷，包括人口统计学问题；他们是否拥有监测近视进展的设备；他们认为有意义的最低进展程度；与近视管理和治疗方法相关的各种问题。
收集到135名验光师和126名眼科医生的回复，大多数从业者从业超过五年；验光师占94%，眼科医生占64%。约53%的验光师和27%的眼科医生宣称开展近视管理。影响进展风险评估的ECP主要参数是年龄、遗传背景和进展史。眼科医生（97%）和验光师（78%）都建议在白天增加户外活动时间。87%的眼科医生和
