Abstract
Purpose
This study compared quality of life (QoL) of myopic adults and children who were established
spectacle, soft contact lens (SCL), or orthokeratology (OK) wearers as well as parent/child
responses using Pediatric Refractive Error Profile 2 (PREP2).
Methods
Forty-eight adults (aged 18–26 years), 49 children (aged 9–17 years), and the children’s
parent, completed PREP2, with 7 subscales (symptoms, vision, activities, appearance,
peer perception, handling, and overall). Adults and children must have worn their
correction for at least three years. Parents were asked to answer how they thought
their child would answer. Scores were compared between age groups, among correction groups, and between children
and their parents using non-parametric ANOVA, Mann-Whitney U and Wilcoxon Signed-Rank
tests, as appropriate. Post-hoc pairwise comparisons among correction groups were
conducted with Bonferroni adjustment.
Results
Average age of adults was 22 ± 2 and children was 14 ± 2 years, and duration of correction
use was 8 ± 3 for adults and 5 ± 2 years for children (both p < 0.01). Adult OK wearers
were more satisfied with vision (p = 0.04), activities (p < 0.001) and overall (p = 0.03)
compared to spectacle wearers. Children OK wearers reported higher scores for activities
than SCL (p = 0.048) and spectacle wearers (p < 0.001). Parents of contact lens wearers
reported higher perceived QoL for activities (OK p < 0.001; SCL p = 0.02), handling
(OK p = 0.02; SCL p < 0.001), appearance (SCL p = 0.001), and overall (OK p = 0.001;
SCL p < 0.001) subscales than parents of child spectacle wearers.
Conclusion
Activity-driven children and adults perceive significant benefits from OK over spectacles.
Parents’ perceptions did not align with their children’s perceptions of their correction.
Keywords
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Article info
Publication history
Published online: October 26, 2022
Accepted:
October 18,
2022
Received in revised form:
September 15,
2022
Received:
May 11,
2022
Identification
Copyright
© 2022 Published by Elsevier Ltd on behalf of British Contact Lens Association.