Exploring non-adherence to contact lens wear schedule: Subjective assessments and patient related factors in children wearing single vision and myopia control contact lenses |
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| Affiliation: | 1. Brien Holden Vision Institute, Sydney, New South Wales, Australia;2. School of Optometry and Vision Science, University of New South Wales, Sydney, New South Wales, Australia;3. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Centre, Sun Yet Sen University, Guangzhou, China;1. Department of Pharmacy, Biotechnology, Optics and Optometry, European University of Madrid, Spain;2. Clinical and Experimental Optometry Research Laboratory (CEORLab) Center of Physics (Optometry), School of Sciences, University of Minho, Braga, Portugal;3. Department Optics I: Optometry and Vision. Universidad Complutense de Madrid, Madrid, Spain;4. Department of Statistics, Mathematics and Informatics. Area of Languages and Computer Systems. Miguel Hernández University of Elche, Spain;5. Doctoral and Research School, European University of Madrid, Spain;1. School of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan, ROC;2. Department of Nursing, Linkou Chang Gung Memorial Hospital, Linkou, Taiwan, ROC;3. Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan, ROC;4. Department of Health Management, I-Shou University, Kaohsiung City, Taiwan, ROC;1. School of Optometry and Vision Science, Faculty of Health, Institute of Health and Biomedical Innovation, Queensland University of Technology,60 Musk Avenue, Kelvin Grove, QLD 4059 Australia;2. School of Optometry and Vision Science, Faculty of Science, Rupert Myers Building, Barker Street, Kensington, NSW 2033 Australia |
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| Abstract: | PurposeTo determine factors associated with non-adherence to contact lens wear schedule involving single vision and myopia control contact lenses in children.MethodsData from 379 children enrolled in a prospective, double masked, randomized clinical trial, aged 8–13 years, cycloplegic spherical equivalent of -0.75 to -3.50D and wearing either: single vision silicone hydrogel (SiH) CL (control lens); two anti-myopia SiH CL that incorporated relative plus in the central and periphery in a stepped manner (test lens I and II); and two extended depth of focus hydrogel CL (test lens III and IV) was considered. A questionnaire was administered to the participants at every scheduled visit and gathered information on days of wear/week and subjective assessments of ocular comfort and visual quality on an analog scale of 1–10.Participants were categorized as “Adherent” when lens wear was ≥ 6 days/week or “Non-adherent” when lens wear ≤ 5 days/week. Categorized adherence data was summarized as a percentage across visits for each CL type. Differences between the two groups were analyzed using linear mixed model.ResultsFor the control lens, 79.6 % participants were adherent as compared to 63.7%–74.6% with test lenses (p=0.026). Non-adherence was greater in those that discontinued (p<0.001). Subjective ratings of visual quality for static and dynamic tasks were lower with non-adherent wearers and more variable between visits. Ocular comfort was also poorer in non-adherent wearers irrespective of lens material or lens design. Male gender, lower baseline myopia, lower high contrast visual acuity and esophoria were associated with a higher risk of non-adherence.ConclusionsThe study identified a wide range of factors associated with non-adherence to lens wear schedule. Paying specific attention to these factors when evaluating patients for CL wear and taking steps to ensure satisfaction in lens wear may promote longer term continuation of wear. |
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| Keywords: | Children Myopia Contact lens Non-adherence Subjective assessment Discontinuation |
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