Spectacle prescription in children: Understanding practical approach of Indian ophthalmologists

Monga, Sumit; Dave, Paaraj

doi:10.4103/ijo.ijo_1240_17

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…A survey of hospital‐based optometrists in the United Kingdom indicates that most would prescribe a partial correction, reduced from the full refractive error. 8 Similar surveys have been conducted amongst optometrists or ophthalmologists in the United States, 9 , 10 India, 11 Saudi Arabia 12 and amongst community and hospital optometrists in the United Kingdom. 13 However, the reasons for this practice are unclear, and there are currently no data on the prescribing practices of community‐based optometrists in the United Kingdom.…”

Section: Introductionmentioning

confidence: 92%

Refractive prescribing for preschool children by optometrists in England

Thompson

Conway

Ctori

et al. 2022

Ophthalmic Physiologic Optic

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Purpose Correction of refractive error in children is important for visual and educational development. The aim of this questionnaire‐based study was to explore paediatric refractive correction by optometrists in England. Methods An online questionnaire was piloted and distributed to optometrists in England. The questionnaire asked about respondents' characteristics (such as type of practice), management of refractive error in 1‐ and 3‐year‐old children and sources of information used as a basis for decisions on prescribing refractive error in children. Results Two hundred and ninety‐three questionnaires were returned, although only 139 (47%) were fully completed. In an average month, about half of respondents examined no children between 0 and 2 years of age, and about half examined no more than five children aged 3–4 years. A significant proportion indicated they would refer children aged 1 or 3 years with refractive error and no other signs or symptoms into the hospital eye service. Almost a quarter would prescribe in full or in part an isometropic refractive correction of +2.00 D for a 3‐year‐old (within the normal range) with no other signs or symptoms, suggesting a degree of unnecessary prescribing. Almost all would act in cases of clinically significant refractive error. Respondents made similar use of their colleagues, optometric or postgraduate/continuing education, professional guidance and peer‐reviewed research as sources of evidence on which to base decisions about prescribing for paediatric refractive errors. Most reported ‘never’ or ‘rarely’ using Cochrane reviews. Conclusions These results suggest optometrists often defer management of paediatric refractive error to the hospital eye service, with implications in terms of underutilisation of community optometric expertise and burden on the National Health Service. In some cases, the results indicate a mismatch between respondents' reported management and existing guidance/guidelines on paediatric prescribing.

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Section: Introductionmentioning

confidence: 92%

Refractive prescribing for preschool children by optometrists in England

Thompson

Conway

Ctori

et al. 2022

Ophthalmic Physiologic Optic

View full text Add to dashboard Cite

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“…Approximately 42% of the participants in this survey reported being involved in selecting the lens materials and frames for spectacle production. In a similar survey of ophthalmologists practicing in India, Monga and Dave[ 14 ] reported that close to 67% of the participants were involved in the spectacle-making process (lens material and frame selection). Regarding the decision to monitor refraction [Q4 Table 1 ], most participants (89%) reported that they followed-up with their patients and considered visual acuity, alignment, and binocular vision state.…”

Section: Discussionmentioning

confidence: 99%

“…Permission to use the questionnaire was granted by Monga and Dave. [ 14 ] The questionnaire was divided into two parts: the first part captured demographic data, and the second part included ten multiple-choice questions about commonly encountered pediatric refraction cases (supplemental file). The thrust of the survey was on the decision-making approach regarding when and how much the practitioner would prescribe for children for a given refractive error.…”

Section: Ethodsmentioning

confidence: 99%

Clinical study of age-related macular degeneration-incidence, visual acuity assessment, and risk factors

Malaika

Raffa

Algethami

et al. 2021

J Datta Meghe Inst Med Sci Univ

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PURPOSE: This study aims to understand the approach to prescribing spectacles for children and the interpretation of refractive errors among ophthalmologists/optometrists in Saudi Arabia. METHODS: A cross-sectional survey was conducted between September and November 2018 using a database of online registrants for ophthalmologists and optometrists practicing in Saudi Arabia. The survey included 10 multiple-choice questions designed to elicit information about how ophthalmologists and optometrists deal with commonly encountered case scenarios covering different practical aspects of pediatric refraction. The responses were compared using the proportion of pediatric clientele received in the respondents' practices (Group A: <25%, Group B: 25%) and drawing upon concepts from the published literature. RESULTS: One hundred and three participants, including ophthalmologists, specialists/registrars, and optometrists from across Saudi Arabia, participated in this survey. Approximately 25% were classified as Group A. Large discrepancies were observed between the participants' responses and actual practices based on guideline recommendations. Responses varied significantly between Groups A and B on certain issues pertaining to pseudomyopia ( P < 0.001), anisometropia ( P = 0.033), and high astigmatism ( P = 0.023). CONCLUSION: Practice patterns regarding pediatric spectacle prescription varied among ophthalmologists and optometrists in Saudi Arabia. The approach to managing refractive errors in children was better among ophthalmologists/optometrists servicing a larger pediatric clientele, suggesting the need to increase awareness among all groups of ophthalmologists/optometrists.

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“…More recently, All India Ophthalmologic Society (AIOS) Guidelines were released at the AIOC, Coimbatore, based on the deliberations of the group of Pediatric Ophthalmologists and Strabismologists of our country [ Table 1 ]. [ 1 ] In this issue, Monga and Dave[ 2 ] have published the results of their online survey done to understand the perspective of Indian ophthalmologists toward spectacle prescription in children. They have found a wide disparity in the pattern of pediatric spectacle prescription among the responders.…”

mentioning

confidence: 99%