Spectacle Adherence Among Four-Year-Old Children in the Infant Aphakia Treatment Study.
Aphakia, Postcataract
/ physiopathology
Cataract
/ congenital
Cataract Extraction
Child, Preschool
Contact Lenses
Eyeglasses
/ statistics & numerical data
Female
Humans
Lens Implantation, Intraocular
Male
Patient Compliance
/ statistics & numerical data
Prosthesis Fitting
Refraction, Ocular
/ physiology
Refractive Errors
/ therapy
Retrospective Studies
Surveys and Questionnaires
Visual Acuity
/ physiology
Journal
American journal of ophthalmology
ISSN: 1879-1891
Titre abrégé: Am J Ophthalmol
Pays: United States
ID NLM: 0370500
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
03
08
2018
revised:
28
12
2018
accepted:
29
12
2018
pubmed:
12
1
2019
medline:
18
12
2019
entrez:
12
1
2019
Statut:
ppublish
Résumé
To evaluate spectacle adherence with impact-resistant lenses among 4-year-old children after unilateral cataract surgery in the Infant Aphakia Treatment Study. Retrospective cohort analysis of randomized clinical trial data. Setting: Multicenter. One hundred and fourteen children randomized to contact lens correction or intraocular lens implantation following unilateral cataract surgery during infancy. One-week diaries completed annually and retrospective telephone interviews conducted every 3 months to age 5 years to assess spectacle adherence with impact-resistant lenses. Visual acuity was assessed by a traveling examiner at age 4.5 years. Spectacle adherence between ages 4 and 5 years. Children with 20/40 or better vision in their treated eye were more likely to wear spectacles ≥80% of their waking hours than children with vision worse than 20/40 (66% vs 42%, P = .034). Reported adherence to spectacle wear correlated with reported patching (r = 0.30, P = .002). Spectacle adherence did not correlate with sex, type of healthcare insurance, or the refractive error in the treated or fellow eye. Seven patients with reduced vision in their treated eye reported <10% spectacle adherence. These results confirm that it is possible to achieve high levels of spectacle adherence among 4-year-old children after unilateral cataract surgery during infancy. However, children with vision worse than 20/40 in their worse eye, who needed eye protection the most, had the worst adherence.
Identifiants
pubmed: 30633891
pii: S0002-9394(19)30001-7
doi: 10.1016/j.ajo.2018.12.017
pmc: PMC6445735
mid: NIHMS1518155
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
26-33Subventions
Organisme : NEI NIH HHS
ID : UG1 EY013287
Pays : United States
Organisme : NEI NIH HHS
ID : UG1 EY025553
Pays : United States
Organisme : NEI NIH HHS
ID : UG1 EY013272
Pays : United States
Organisme : NEI NIH HHS
ID : P30 EY026877
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY013272
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY013287
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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