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Selecting the most appropriate strategy with effective communication

Clinical communication and parental understanding is commonly cited as a barrier to implementation of myopia management. In this edition powered by CooperVision, we explore what questions you can ask to find the ideal solution for your patient and their family. A brand new format of Case Study brings you the real-life experiences of clinical leaders to provide more examples and advice on communication. Finally, the latest science and additional resources support your journey in putting it all into practice. 

Read on to gain clinical pearls and practical advice on communication in myopia management. 

Clinical Article

Which Is The Most Appropriate Contact Lens Option? Questions To Ask Patients And Parents.
Myopia controlling contact lenses offer numerous benefits for children. How can you select the best option, specific to the individual child and their family? Explore these key questions in clinical communication to learn more.

Case Studies

Clinical Leader Case Study: The Reluctant Child And Contact Lenses
Commencing contact lens wear can be intimidating for children. In our new Clinical Leader Case Study format, read how optometrist Rachael Smith approached clinical communication to overcome reluctance to wear contact lenses.
Clinical Leader Case Study: Transitioning From Soft Contact Lenses To Orthokeratology
When an occasional wearer of single vision soft contact lenses expresses keenness for orthokeratology, what discussions are necessary to increase potential for success? How do you move parental understanding from myopia correction to management? Optometrist Keyur Patel shares a clinical case of this situation.

Science Snippets

Eye care practitioner perceptions on myopia control contact lenses

This research abstract details a 25-minute online survey to examine eye care practitioner’s (ECPs) attitudes, motivations and perceived beliefs of fitting myopia management contact lenses (MM-CLs) to children. ECP’s agree on the importance of MM’s in children that are fast-progressing/higher myopes, with independent practitioners and those practicing >15 years more likely to fit them. The choice of MM product is most commonly guided by best clinical results, demonstrating a strong desire to implement evidence based practice. 50% of ECPs are comfortable fitting children into CLs at age 8, which increases to 78% for ages ≥10. Around 6 in 10 ECPs recommend time outdoors and less device screen time for paediatric myopes, indicating a key aspect of management may be being overlooked. Barriers to CL implementation include parents not wanting to put children in CLs, perceived high cost, and parents not understanding the MM need and ocular health risks.

Sulley A, Venezia C, Gardner J, Zucaro A, Lumb E. Global survey on eye care practitioner perceptions and attitudes regarding myopia and its management. Contact Lens and Anterior Eye. 2021;44(1):13-14.  
Ocular health of children wearing daily disposable contact lenses over a 6-year period

This study investigated the safety of daily disposable soft contact lens (omafilcon A) wear in children during a 6 year double masked trial, totaling 653 patient-wearing years. The 8 to 12-year-old neophyte cohort were successful contact lens wearers, with no contact lens related serious adverse events (corneal infections, microbial keratitis) or significant changes on biomicroscopy (eg. hypoxia). Importantly, no adverse events were observed in children under 10 years of age, providing assurance of an acceptable range of safety. The rate of corneal infiltrative events was 0.61% with a mean age of adverse event presentation of 12.6±2.0 years of age, emphasizing the importance of regular re-education on healthy contact lens wear. The highest proportion of adverse events (approximately one-third) and discontinuation (9.7%) occurred in the first month of wear and hence children should be followed closely during this time. These results suggest that children as young as 8 years of age at fitting can successfully wear daily disposable hydrogel contact lenses for multiple consecutive years.

Woods J, Jones D, Jones L, Jones S, Hunt C, Chamberlain P, McNally J. Ocular health of children wearing daily disposable contact lenses over a 6-year period. Cont Lens Anterior Eye. 2021 Aug;44(4):101391.

Helpful resources from CooperVision

Visit My Myopia Clinic
Professor Nicola Logan welcomes you to the Myopia Clinic at Aston University. In discussion with 8-year-old Eva, Nicola demonstrates how adaptations to your case history questions can help to determine the best strategy for each individual child and their family.
CooperVision myopia information page
This page provides general information for parents about vision, children’s eye exams and contact lenses for kids; myopia education; info on contact lenses; support videos and a MiSight 1 day Overview Fact Sheet.

Myopia Profile Academy learning platform update

Our world leading, completely free Myopia Management in Practice online course has been updated with a brand new look in our engaging, interactive new text-based format. The content has also been updated to include the latest research on efficacy and outcomes of myopia management interventions. Have you checked it out yet? 

Recently we have also launched two brand new online courses entitled Communicating the Myopia Message and also Mastering Refraction for Kids. Both two hour courses, these are designed to be engaging with animations, interactive communication scenarios, downloads and more to support your clinical skills and practice. Learn more about our courses and try out the first chapter(s) of any course for free here.

Our Resources to help you manage myopia

Courses Our world first, FREE Myopia Management in Practice course will get you started on your learning journey. Check out our five additional courses on Binocular Vision Fundamentals, Orthokeratology Fundamentals, Contact Lenses for Kids, Mastering Refraction for Kids and Communicating the Myopia Message.
Managing Myopia Guidelines Infographics Designed to support your clinical communication with parents and young patients, our hugely popular infographics are free to download and available in eight languages with various options based on your region and scope of practice. 
 
MyKidsVision.org Our public awareness website supports your in-room communications with fast facts, a risk survey, a detailed blog and 18 How-To videos to explain myopia to parents. All are freely available for you to link and share to your own website and social media accounts.
Instagram Follow MyopiaProfile for more links and learning experiences for eye care practitioners. Follow MyKidsVision for bite-sized, graphically appealing info on myopia and children's vision for parents which you can share to your own platforms.
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