Pharmacological Myopia Control Influence on Quality of Life and Psyche among Adolescents.

Andrzej Michalski, Małgorzata Rogaczewska, Magdalena Maleszka-Kurpiel, Marcin Stopa
Author Information
  1. Andrzej Michalski: Department of Ophthalmology, Chair of Ophthalmology and Optometry, Poznan University of Medical Sciences, 60-780 Poznan, Poland.
  2. Małgorzata Rogaczewska: Department of Ophthalmology, Chair of Ophthalmology and Optometry, Poznan University of Medical Sciences, 60-780 Poznan, Poland.
  3. Magdalena Maleszka-Kurpiel: Optegra Eye Health Care Clinic in Poznan, 61-101 Poznan, Poland.
  4. Marcin Stopa: Department of Ophthalmology, Chair of Ophthalmology and Optometry, Poznan University of Medical Sciences, 60-780 Poznan, Poland. ORCID

Abstract

Myopia is a global problem affecting all aspects of patients' lives.
OBJECTIVES: The aim of the study was to evaluate the influence of low dose atropine (LDA) myopia control on the quality of life in patients with myopia.
MATERIAL AND METHODS: A self-constructed questionnaire, including eight questions, was distributed among 40 patients. The questionnaire was divided into two subsections: (1) influence of LDA on visual functions and (2) influence of LDA on self-esteem. Answers were collected separately for boys (18 patients) and girls (22 patients) and compared considering spherical equivalent (SE) and myopia progression rate.
RESULTS: Girls reported more issues with near activities and pupil size. Boys and girls complained similarly, regarding the sun glare. We found a high level of certainty about the efficacy of LDA therapy among both examined groups and a little improvement in self-esteem. Girls recommended LDA therapy more often than boys, especially when the progression rate was low. There was no statistically significant difference in answer scores between groups with different myopia progression rates for boys. Girls with lower progression rates reported more issues with near work and sun glare and less trust in LDA therapy's effectiveness than girls with a higher progression rate. There was no statistically significant correlation between SE and the total answer score for both genders.
CONCLUSIONS: Findings concerning childrens' and adolescents' psyche are a new aspect of myopia control. We prove that patients during pharmacological myopia control did not report significant problems caused by LDA therapy and they were convinced about its efficacy, had greater self-esteem, and recommended it to peers.

Keywords

References

  1. BMJ. 1991 Apr 13;302(6781):887-9 [PMID: 1821624]
  2. BMC Ophthalmol. 2016 Nov 14;16(1):201 [PMID: 27842529]
  3. Am J Psychoanal. 2009 Sep;69(3):221-37 [PMID: 19794421]
  4. Ophthalmology. 2020 Jul;127(7):910-919 [PMID: 32019700]
  5. J Cataract Refract Surg. 2000 Apr;26(4):497-509 [PMID: 10771222]
  6. Ophthalmology. 2017 Dec;124(12):1857-1866 [PMID: 28669492]
  7. Am J Epidemiol. 1993 Apr 1;137(7):749-57 [PMID: 8484366]
  8. Ophthalmology. 2012 Feb;119(2):347-54 [PMID: 21963266]
  9. Optom Vis Sci. 2016 Dec;93(12):1485-1494 [PMID: 27668638]
  10. Br J Ophthalmol. 2000 Sep;84(9):1031-4 [PMID: 10966960]
  11. Ophthalmology. 2019 Jan;126(1):113-124 [PMID: 30514630]
  12. J Clin Med. 2018 Sep 07;7(9): [PMID: 30205439]
  13. Optom Vis Sci. 2013 Dec;90(12):1467-72 [PMID: 24076540]
  14. J R Coll Gen Pract. 1975 Aug;25(157):558-66 [PMID: 1195230]
  15. Biomed Res Int. 2015;2015:507572 [PMID: 26605331]
  16. Optom Vis Sci. 2016 Apr;93(4):344-52 [PMID: 26784710]
  17. Clin Ophthalmol. 2016 Sep 26;10:1859-1864 [PMID: 27713617]
  18. Invest Ophthalmol Vis Sci. 2008 Mar;49(3):882-6 [PMID: 18326707]
  19. Ophthalmology. 2016 May;123(5):1036-42 [PMID: 26875007]
  20. J Refract Surg. 2006 Jan-Feb;22(1):19-27 [PMID: 16447932]
  21. Ophthalmology. 2006 Dec;113(12):2285-91 [PMID: 16996612]
  22. Am J Optom Physiol Opt. 1976 Nov;53(11):735-9 [PMID: 998715]
  23. Clin Exp Ophthalmol. 2004 Apr;32(2):159-63 [PMID: 15068432]
  24. Br J Ophthalmol. 2016 Nov;100(11):1525-1529 [PMID: 26903521]

Word Cloud

Created with Highcharts 10.0.0myopiaLDAcontrolpatientsprogressionself-esteeminfluencelowamongboysgirlsrateGirlstherapysignificantMyopiadoseatropinequestionnaireSEreportedissuesnearsunglareefficacygroupsrecommendedstatisticallyanswerratespsycheglobalproblemaffectingaspectspatients'livesOBJECTIVES:aimstudyevaluatequalitylifeMATERIALANDMETHODS:self-constructedincludingeightquestionsdistributed40dividedtwosubsections:1visualfunctions2Answerscollectedseparately1822comparedconsideringsphericalequivalentRESULTS:activitiespupilsizeBoyscomplainedsimilarlyregardingfoundhighlevelcertaintyexaminedlittleimprovementoftenespeciallydifferencescoresdifferentlowerworklesstrusttherapy'seffectivenesshighercorrelationtotalscoregendersCONCLUSIONS:Findingsconcerningchildrens'adolescents'newaspectprovepharmacologicalreportproblemscausedconvincedgreaterpeersPharmacologicalControlInfluenceQualityLifePsycheAdolescents

Similar Articles

Cited By