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Journal article
Prescribing patterns for paediatric hyperopia among paediatric eye care providers
Ophthalmic & physiological optics, v 43(5), pp 972-984
01 Sep 2023
PMID: 37334937
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose
To survey paediatric eye care providers to identify current patterns of prescribing for hyperopia.
Methods
Paediatric eye care providers were invited, via email, to participate in a survey to evaluate current age-based refractive error prescribing practices. Questions were designed to determine which factors may influence the survey participant's prescribing pattern (e.g., patient's age, magnitude of hyperopia, patient's symptoms, heterophoria and stereopsis) and if the providers were to prescribe, how much hyperopic correction would they prescribe (e.g., full or partial prescription). The response distributions by profession (optometry and ophthalmology) were compared using the Kolmogorov–Smirnov cumulative distribution function test.
Results
Responses were submitted by 738 participants regarding how they prescribe for their hyperopic patients. Most providers within each profession considered similar clinical factors when prescribing. The percentages of optometrists and ophthalmologists who reported considering the factor often differed significantly. Factors considered similarly by both optometrists and ophthalmologists were the presence of symptoms (98.0%, p = 0.14), presence of astigmatism and/or anisometropia (97.5%, p = 0.06) and the possibility of teasing (8.3%, p = 0.49). A wide range of prescribing was observed within each profession, with some providers reporting that they would prescribe for low levels of hyperopia while others reported that they would never prescribe. When prescribing for bilateral hyperopia in children with age-normal visual acuity and no manifest deviation or symptoms, the threshold for prescribing decreased with age for both professions, with ophthalmologists typically prescribing 1.5–2 D less than optometrists. The threshold for prescribing also decreased for both optometrists and ophthalmologists when children had associated clinical factors (e.g., esophoria or reduced near visual function). Optometrists and ophthalmologists most commonly prescribed based on cycloplegic refraction, although optometrists most commonly prescribed based on both the manifest and cycloplegic refraction for children ≥7 years.
Conclusion
Prescribing patterns for paediatric hyperopia vary significantly among eye care providers.
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Details
- Title
- Prescribing patterns for paediatric hyperopia among paediatric eye care providers
- Creators
- Ann M. Morrison (Corresponding Author) - The Ohio State UniversityMarjean T. Kulp - The Ohio State UniversityElise B. Ciner - Salus UniversityG. Lynn Mitchell - SUNY College of OptometryCatherine E. McDaniel - The Ohio State UniversityRichard W. Hertle - Akron Children's HospitalT. Rowan Candy - Indiana University BloomingtonTawna L. Roberts - Stanford UniversityM. Millicent Peterseim - Medical University of South CarolinaDavid B. Granet - University of California, San DiegoShira L. Robbins - University of California, San DiegoGayathri Srinivasan - Smith-Kettlewell Eye Research InstituteChristine L. Allison - Illinois College of OptometryGui Shuang Ying - University of PennsylvaniaDeborah Orel-Bixler - University of California, BerkeleySandra S. Block - Illinois College of OptometryBruce R. Moore - New England College of Optometry
- Publication Details
- Ophthalmic & physiological optics, v 43(5), pp 972-984
- Publisher
- Wiley
- Number of pages
- 13
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pennsylvania College of Optometry (PCO)
- Web of Science ID
- WOS:001014629400001
- Scopus ID
- 2-s2.0-85163044854
- Other Identifier
- 991022088942004721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Ophthalmology