Zhang Han-Yu, Xu Fang-Yu, Liu Kenneth Ka King, Chan Yan-Pui, Chow Amy, Jones Deborah, Lam Carly Siu Yin
Centre for Eye and Vision Research (CEVR), 17W Hong Kong Science Park, Hong Kong SAR, China.
School of Medicine, Nankai University, Tianjin 300071, China.
J Clin Med. 2025 Jan 22;14(3):698. doi: 10.3390/jcm14030698.
We aimed to investigate how optometrists in Hong Kong are managing myopic and "pre-myopic" children. Clinical files for children aged 6 to 10 years old who had eye examinations from 2017 to 2021 were retrospectively reviewed. Children were grouped by the initial spherical equivalent refractive error (SER) as myopes or pre-myopes. The demographic data, refractive error, and myopia management recommended by the optometrists were analyzed. A total of 1,318 children (859 myopes and 459 pre-myopes) from ten clinics in Hong Kong were included. Over 5 years, myopia management recommendations shifted significantly ( < 0.001). In 2017, only 18.4% of children were recommended to pursue myopia control (MC), increasing to 42.8% by 2021. The use of MC spectacle lenses increased from 7.3% in 2017 to 36.8% in 2021, becoming the most recommended option. Orthokeratology, MC contact lenses, and atropine remained stable at less than 5% over this period. Children recommended for MC approaches had significantly more myopia than those recommended single-vision lenses or monitoring ( < 0.05). Age of the first visit significantly correlated with SER change from the first visit to the next recommendation update for pre-myopes (r = 0.27, = 0.013) but not for myopes. From 2017 to 2021, myopia management patterns in Hong Kong shifted significantly, with more children being recommended for myopia control. MC spectacle lenses emerged as the most commonly recommended method. Younger pre-myopes at their first visit were more likely to have earlier management updates.
我们旨在调查香港的验光师如何管理近视和“近视前期”儿童。对2017年至2021年期间接受眼部检查的6至10岁儿童的临床档案进行了回顾性审查。根据初始等效球镜度（SER）将儿童分为近视组和近视前期组。分析了人口统计学数据、屈光不正情况以及验光师推荐的近视管理方法。共纳入了香港十家诊所的1318名儿童（859名近视儿童和459名近视前期儿童）。在5年时间里，近视管理建议发生了显著变化（<0.001）。2017年，只有18.4%的儿童被建议采取近视控制措施（MC），到2021年这一比例增至42.8%。使用MC眼镜片的比例从2017年的7.3%增至2021年的36.8%，成为最常被推荐的选项。在此期间，角膜塑形术、MC隐形眼镜和阿托品的使用比例一直稳定在5%以下。被建议采取MC方法的儿童近视程度明显高于那些被建议使用单焦点眼镜或进行监测的儿童（<0.05）。首次就诊年龄与近视前期儿童从首次就诊到下次建议更新时的SER变化显著相关（r = 0.27，= 0.013），但与近视儿童无关。从2017年到2021年，香港的近视管理模式发生了显著变化，更多儿童被建议进行近视控制。MC眼镜片成为最常被推荐的方法。首次就诊时年龄较小的近视前期儿童更有可能较早更新管理建议。
