Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/92796
DC Field | Value | Language |
---|---|---|
dc.contributor | School of Optometry | en_US |
dc.contributor | University Research Facility in Behavioral and Systems Neuroscience | en_US |
dc.contributor | School of Optometry | - |
dc.contributor | Research Centre for SHARP Vision | - |
dc.contributor | University Research Facility in Behavioral and Systems Neuroscience | - |
dc.creator | Choi, KY | en_US |
dc.creator | Chun, RKM | en_US |
dc.creator | Tang, WC | en_US |
dc.creator | To, CH | en_US |
dc.creator | Lam, CSY | en_US |
dc.creator | Chan, HHL | en_US |
dc.date.accessioned | 2022-05-19T02:21:52Z | - |
dc.date.available | 2022-05-19T02:21:52Z | - |
dc.identifier.issn | 2574-3805 | en_US |
dc.identifier.uri | http://hdl.handle.net/10397/92796 | - |
dc.language.iso | en | en_US |
dc.publisher | American Medical Association | en_US |
dc.rights | © 2022 Choi KY et al. JAMA Network Open. | en_US |
dc.rights | Open Access: This is an open access article distributed under the terms of the CC-BY License (https://jamanetwork.com/pages/cc-by-license-permissions). | en_US |
dc.rights | The following publication Choi, K. Y., Chun, R. K. M., Tang, W. C., To, C. H., Lam, C. S. Y., & Chan, H. H. L. (2022). Evaluation of an Optical Defocus Treatment for Myopia Progression Among Schoolchildren During the COVID-19 Pandemic. JAMA network open, 5(1), e2143781-e2143781 is available at https://doi.org/10.1001/jamanetworkopen.2021.43781 | en_US |
dc.title | Evaluation of an optical defocus treatment for myopia progression among schoolchildren during the COVID-19 pandemic | en_US |
dc.type | Journal/Magazine Article | en_US |
dc.identifier.volume | 5 | en_US |
dc.identifier.issue | 1 | en_US |
dc.identifier.doi | 10.1001/jamanetworkopen.2021.43781 | en_US |
dcterms.abstract | Importance Myopia progression has been found to be worsening during the COVID-19 pandemic. It is important to control the rapid myopia progression in this period. | en_US |
dcterms.abstract | Objective To analyze the association of COVID-19–related lockdown measures with myopia progression in schoolchildren and to compare the performance of defocus incorporated multiple segments (DIMS) lens with that of single vision lens (SVL) treatment in reducing myopia progression. | en_US |
dcterms.abstract | Design, Setting, and Participants This cohort study involved an exploratory, prespecified, comparison of 2 independent longitudinal studies performed at the same institute beginning in 2019. Data from Hong Kong schoolchildren (aged 7-13 years) were gathered and analyzed. Data analysis was performed from June to July 2021. | en_US |
dcterms.abstract | Exposure Schoolchildren in study 1 wore a DIMS lens for 18 months, and those in study 2 wore a SVL for 24 months. | en_US |
dcterms.abstract | Main Outcomes and Measures Cycloplegic spherical equivalent refraction and axial length were measured. Studies 1 and 2 started before the start of lockdown measures and continued throughout the lockdown. In both studies, periods of fewer and more COVID-19–related lockdown measures were identified. Because COVID-19 lockdown caused deviations from the visit schedule, myopia progression was normalized to 12-month change, which were compared between DIMS and SVL groups, also during the periods with less and more lockdown time. | en_US |
dcterms.abstract | Results There were 115 participants (58 girls [50.4%]; mean [SD] age, 10.3 [1.5] years) in the DIMS group; their mean (SD) baseline refraction was −4.02 (1.46) D. There were 56 participants (29 girls [51.8%]; mean [SD] age, 10.8 [1.5] years) in the SVL group; their mean (SD) baseline refraction was −2.99 (1.06) D. After controlling for the covariates, DIMS treatment was significantly associated with 34% less axial elongation (0.19 mm [95% CI, 0.16 to 0.22 mm] vs 0.30 mm [95% CI, 0.25 to 0.35 mm]; P < .001) and 46% less myopic progression after 12 months (−0.31 D [95% CI, −0.39 to −0.23 D] vs −0.57 D [95% CI, −0.69 to −0.45 D]; P = .001) compared with SVL treatment. In both the DIMS and SVL groups, more lockdown time was associated with significantly more spherical equivalent refraction (−0.54 D [95% CI, −0.64 to 0.44 D] vs −0.34 D [95% CI, −0.44 to −0.25 D]; P = .01) and axial length (0.29 mm [95% CI, 0.25 to 0.32 mm] vs 0.20 mm [95% CI, 0.16 to 0.24 mm]; P = .001) compared with less lockdown time. No significant interaction between treatment type and lockdown time was observed. | en_US |
dcterms.abstract | Conclusions and Relevance In this exploratory analysis, myopia progressed more rapidly in schoolchildren during the period when there were more COVID-19–related lockdown measures. However, optical treatment with DIMS was significantly associated with slower myopia progression compared with SVL treatment during the lockdown period. | en_US |
dcterms.accessRights | open access | en_US |
dcterms.bibliographicCitation | JAMA network open, Jan. 2022, v .5, no. 1, e2143781 | en_US |
dcterms.isPartOf | JAMA network open | en_US |
dcterms.issued | 2022-01 | - |
dc.identifier.isi | WOS:000742415000006 | - |
dc.identifier.scopus | 2-s2.0-85123425129 | - |
dc.identifier.pmid | 35029662 | - |
dc.identifier.artn | e2143781 | en_US |
dc.description.validate | 202205 bcvc | en_US |
dc.description.oa | Version of Record | en_US |
dc.identifier.FolderNumber | SO-0102 | - |
dc.description.fundingSource | RGC | en_US |
dc.description.fundingSource | Others | en_US |
dc.description.fundingText | PolyU-HKIF Children Eye Care Project; the Food and Health Bureau; the Innovation and Technology Fund; the Government of the Hong Kong Special Administrative Region | en_US |
dc.description.pubStatus | Published | en_US |
dc.identifier.OPUS | 61066219 | - |
Appears in Collections: | Journal/Magazine Article |
Files in This Item:
File | Description | Size | Format | |
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Choi_Evaluation_Optical_Defocus.pdf | 750.74 kB | Adobe PDF | View/Open |
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