Trends in myopia management attitudes and strategies in clinical practice: Survey of eye care practitioners in Africa
Eye care practitioners (ECPs) in Africa face a lack of information on myopia control strategies, and this study aims to provide a perspective on the adoption and perception of such strategies among African ECPs. A survey was distributed to ECPs across Africa, and 330 respondents from 23 African countries participated. The results showed that ECPs were highly concerned about the increasing prevalence of paediatric myopia in their clinics. Approved myopia control soft contact lenses were perceived as the most effective in slowing myopia progression, followed by single vision spectacles and orthokeratology. On the other hand, multifocal soft contact lenses and pharmaceutical agents like topical atropine drops were perceived as the least effective. Despite being aware of various myopia control options, a significant proportion of ECPs still prescribed single vision spectacles to young progressing myopes. Concerns about cost implications to patients and safety of, and inadequate information about myopia control options were reported. The study highlights the need for clear practice guidelines and continuing education on myopia control to ensure informed and effective management of myopic patients in Africa.