Vision Specific Quality of Life of Pediatric Contact Lens Wearers

ArticleinOptometry and vision science: official publication of the American Academy of Optometry 87(8):560-6 · August 2010with30 Reads
DOI: 10.1097/OPX.0b013e3181e6a1c8 · Source: PubMed
Abstract
Several studies have shown that children are capable of wearing and caring for contact lenses, but it is not known whether the benefits outweigh the risks associated with contact lens wear. The purpose of this article is to compare the vision-related quality of life benefits of children randomized to wear spectacles or contact lenses for 3 years using the Pediatric Refractive Error Profile. The Pediatric Refractive Error Profile was administered to 484 children who wore glasses at baseline. The children were then randomly assigned to wear contact lenses (n = 247) or spectacles (n = 237) for 3 years. The survey was administered at the baseline examination, at 1 month, and every 6 months for 3 years. During 3 years, the overall quality of life improved 14.2 +/- 18.1 units for contact lens wearers and 2.1 +/- 14.6 units for spectacle wearers (p < 0.001). In all scales except the visual performance scales (Distance Vision, Near Vision, and Overall Vision), the quality of life improved more for older subjects than younger subjects. The three scales with the largest improvement in quality of life for contact lens wearers were Activities, Appearance, and Satisfaction with Correction. Myopic children younger than 12 years of age report better vision-related quality of life when they are fit with contact lenses than when they wear glasses. Older children, children who participate in recreational activities, children who are motivated to wear contact lenses, and children who do not like their appearance in glasses will benefit most.
  • Article · · Cochrane database of systematic reviews (Online)
  • [Show abstract] [Hide abstract] ABSTRACT: Nearsightedness (myopia) causes blurry vision when looking at distant objects. Approximately 33% of the population in the United States is nearsighted, and some Asian countries report that up to 80% of children are nearsighted. Several studies have examined a variety of methods (including eye drops, incomplete correction (known as 'undercorrection') of nearsightedness, multifocal lenses and contact lenses) to slow the worsening of nearsightedness. In this review we included 23 clinical investigations of myopia treatments in children. Two studies investigated undercorrection of myopia; twelve studies investigated multifocal spectacles (progressive addition lenses (PALs) or bifocal spectacles); one study investigated bifocal soft contact lenses (BSCLs); one study investigated novel lenses designed to reduce peripheral hyperopic defocus (peripheral vision farsightedness) (i.e. lenses that help to focus peripheral vision as well as central vision); two studies investigated rigid gas permeable contact lenses (RGPCLs); and six studies investigated pharmaceutical eye drops (five of these studies were of anti-muscarinic medications). There was one study that evaluated both multifocal lenses and pharmaceutical eye drops. In all studies the interventions of interest were compared with each other, single vision lenses (SVLs) (spectacles), single vision soft contact lenses (SVSCLs) or placebo. The follow-up period was at least one year for all studies. The largest positive effects for slowing myopia progression were exhibited by anti-muscarinic medications (eye drops), but they either cause light sensitivity or blurred near vision, and are not yet available for use. Multifocal spectacles including PALs and bifocal spectacles were found to yield a small slowing of myopia progression. Undercorrection of myopia was found to increase myopia progression slightly, while RGPCLs were found to have no evidence of effect on myopic eye growth.
    Full-text · Article · Dec 2011
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    Full-text · Article · Jan 2011 · Cochrane database of systematic reviews (Online)
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