Prasannan Vaisakhi, Sabherwal Shalinder, Tibrewal Shailja, Siddiqui Zeeshan, Majumdar Atanu, Ganesh Suma
Department of Pediatric Ophthalmology, Strabismus and Neuro-ophthalmology, Dr Shroff's Charity Eye Hospital, New Delhi, Delhi, India.
Department of Public Health, Dr Shroff's Charity Eye Hospital, New Delhi, Delhi, India.
Indian J Ophthalmol. 2025 May 1;73(5):702-707. doi: 10.4103/IJO.IJO_1818_24. Epub 2025 Apr 24.
Compliance with spectacles provided during school eye-screening programs has been low. The aim of this study was to assess compliance to free-spectacles provided to children via a door-to-door screening model and to ascertain the reasons for non-compliance.
A cross-sectional study was conducted, including children aged 5-18 years, 3-6 months after spectacle prescription; vision screeners assessed compliance during unannounced visits via direct observation and parental enquiry. Full compliance was defined when a child was wearing spectacle at the time of visit, taking spectacles to school, and using them for ≥4 hours/day at home. Qualified compliance was considered if two of the above criteria were met, and non-compliance as one or no criteria met. Parents' and children's reasons for non-compliance were recorded using a mixed-type questionnaire, and spectacle quality was assessed. The association of compliance with age, gender, spectacle quality, parental education and occupation, parents' or siblings' use of spectacles, uncorrected visual acuity (UCVA), best corrected visual acuity, improvement of VA, and magnitude and type of refractive error was analyzed.
A total of 436 children, including 189 (43.3%) males, were included in the study. Full compliance, qualified compliance, and non-compliance were observed in 297 (68.1%), 34 (7.8%), and 105 (24.1%) children, respectively. Common reasons for non-compliance were unsatisfactory vision with the spectacles, dislike for the frames, watering eyes, and headache. Factors affecting compliance included spectacle quality, distance UCVA in the worse eye, father's education, and mothers' occupation.
Compliance to spectacles in a door-to-door screening model was 76%. Quality of the spectacles was the most important determinant of compliance.
在学校视力筛查项目中，提供的眼镜佩戴依从性一直很低。本研究的目的是评估通过上门筛查模式为儿童提供的免费眼镜的佩戴依从性，并确定不依从的原因。
进行了一项横断面研究，纳入5至18岁的儿童，在配镜后3至6个月；视力筛查人员通过直接观察和家长询问在未事先通知的家访中评估依从性。完全依从定义为儿童在访视时佩戴眼镜、将眼镜带到学校并在家中每天使用≥4小时。如果满足上述两项标准，则视为合格依从，如果仅满足一项或不满足任何标准，则视为不依从。使用混合型问卷记录家长和儿童不依从的原因，并评估眼镜质量。分析依从性与年龄、性别、眼镜质量、家长教育程度和职业、家长或兄弟姐妹是否使用眼镜、未矫正视力（UCVA）、最佳矫正视力、视力改善情况以及屈光不正的度数和类型之间的关联。
本研究共纳入436名儿童，其中男性189名（43.3%）。完全依从、合格依从和不依从的儿童分别有297名（68.1%）、34名（7.8%）和105名（24.1%）。不依从的常见原因是戴眼镜后视力不满意、不喜欢镜架、流泪和头痛。影响依从性的因素包括眼镜质量、较差眼的远距离UCVA、父亲的教育程度和母亲的职业。
上门筛查模式下眼镜的佩戴依从性为76%。眼镜质量是依从性的最重要决定因素。
