Myopia Control 2023-4 Question Title * 1. How concerned are you about the increasing frequency of paediatric myopia in your practice? Not at all Extremely ? ? Not at all ? ? ? ? ? ? ? ? ? Extremely Question Title * 2. From what you have heard / read about the effectiveness of myopia control options to date, what % reduction do you think the following options can achieve? (just type a number without "%") Undercorrection Single vision spectacles Bifocal spectacles Progressive spectacles Specific myopia controlling spectacles Rigid corneal lenses (alignment fit) Single vision soft contact lenses Standard multifocal soft contact lenses (even if off-label use) Specific myopia control soft contact lenses Orthokeratology Atropine 0.01% Atropine 0.05% Atropine ≥0.5% Light therapy (such as red light) Combination therapy (such as orthokeratology + atropine) Alternating treatments Increased time spent outdoors Question Title * 3. How active would you consider your clinical practice in the area of myopia control? Not at all Fully ? ? Not at all ? ? ? ? ? ? ? ? ? Fully Any Comments Question Title * 4. Do you have access to measure the following: Cycloplegic refractive error Autorefraction Corneal curvature Axial length Other (please specify) Question Title * 5. How many times have you prescribed the following primary correction options for progressing / young myopes over an average month? [Please consider the total number of progressing/young myopes and include all in your response] Single vision spectacles Bifocal spectacles Progressive spectacles Specific myopia controlling spectacles Rigid corneal lenses (alignment fit) Single vision soft contact lenses Standard multifocal soft contact lenses (even if off-label use) Specific myopia control soft daily disposable contact lenses Specific myopia control soft reusable contact lenses Orthokeratology Atropine 0.01% Atropine 0.05% Atropine ≥0.5% Light therapy Combination therapy (such as orthokeratology + atropine) Question Title * 6. How old (in years) would the patient have to be for you to consider each of the following options (not just for myopia control and assuming average handling skills and child/parent motivation)? 5 6 7 8 9 10 11 12 13 14 15 16 17 18 would not prescribe this Spectacles Spectacles 5 Spectacles 6 Spectacles 7 Spectacles 8 Spectacles 9 Spectacles 10 Spectacles 11 Spectacles 12 Spectacles 13 Spectacles 14 Spectacles 15 Spectacles 16 Spectacles 17 Spectacles 18 Spectacles would not prescribe this Daily disposable soft contact lenses Daily disposable soft contact lenses 5 Daily disposable soft contact lenses 6 Daily disposable soft contact lenses 7 Daily disposable soft contact lenses 8 Daily disposable soft contact lenses 9 Daily disposable soft contact lenses 10 Daily disposable soft contact lenses 11 Daily disposable soft contact lenses 12 Daily disposable soft contact lenses 13 Daily disposable soft contact lenses 14 Daily disposable soft contact lenses 15 Daily disposable soft contact lenses 16 Daily disposable soft contact lenses 17 Daily disposable soft contact lenses 18 Daily disposable soft contact lenses would not prescribe this Reusable soft contact lenses Reusable soft contact lenses 5 Reusable soft contact lenses 6 Reusable soft contact lenses 7 Reusable soft contact lenses 8 Reusable soft contact lenses 9 Reusable soft contact lenses 10 Reusable soft contact lenses 11 Reusable soft contact lenses 12 Reusable soft contact lenses 13 Reusable soft contact lenses 14 Reusable soft contact lenses 15 Reusable soft contact lenses 16 Reusable soft contact lenses 17 Reusable soft contact lenses 18 Reusable soft contact lenses would not prescribe this Rigid contact lenses Rigid contact lenses 5 Rigid contact lenses 6 Rigid contact lenses 7 Rigid contact lenses 8 Rigid contact lenses 9 Rigid contact lenses 10 Rigid contact lenses 11 Rigid contact lenses 12 Rigid contact lenses 13 Rigid contact lenses 14 Rigid contact lenses 15 Rigid contact lenses 16 Rigid contact lenses 17 Rigid contact lenses 18 Rigid contact lenses would not prescribe this Atropine Atropine 5 Atropine 6 Atropine 7 Atropine 8 Atropine 9 Atropine 10 Atropine 11 Atropine 12 Atropine 13 Atropine 14 Atropine 15 Atropine 16 Atropine 17 Atropine 18 Atropine would not prescribe this Light therapy Light therapy 5 Light therapy 6 Light therapy 7 Light therapy 8 Light therapy 9 Light therapy 10 Light therapy 11 Light therapy 12 Light therapy 13 Light therapy 14 Light therapy 15 Light therapy 16 Light therapy 17 Light therapy 18 Light therapy would not prescribe this Question Title * 7. What would be the minimum amount of myopia (in dioptres) for you to consider fitting a child with a specific myopia management correction? 0.0D 0.5D 1.0D 1.5D 2.0D 2.5D 3.0D Other (please specify) Question Title * 8. What is the minimum level of myopia progression you consider necessitates a myopia control approach? 0.01-0.25D/year 0.26-0.50D/year 0.51-0.75D/year 0.76-1.00D/year >1.00D/year Myopia control is not warranted Other (please specify) Question Title * 9. Do you use undercorrection as a strategy to slow myopia progression? No Sometimes Always ? ? No ? Sometimes ? Always Question Title * 10. If you have only ever fitted single vision spectacles/contact lenses for myopic patients, what has prevented you prescribing an alternative method? If not go to Q11. I don't think they are any more effective The outcome is not predictable Safety concerns Cost to the patient makes it uneconomic Additional chair time Inadequate information / knowledge Benefit / risk ratio Treatment availability Other (please specify) Question Title * 11. Please rank your criteria for starting myopia control in a progressing / young progressing myope: 1 2 3 4 5 6 7 8 9 10 11 12 13 Refractive error 1 2 3 4 5 6 7 8 9 10 11 12 13 Age 1 2 3 4 5 6 7 8 9 10 11 12 13 Myopic parent (one) 1 2 3 4 5 6 7 8 9 10 11 12 13 Myopic parents (two) 1 2 3 4 5 6 7 8 9 10 11 12 13 Axial length 1 2 3 4 5 6 7 8 9 10 11 12 13 Myopia progressing rate 1 2 3 4 5 6 7 8 9 10 11 12 13 Choroidal thickness 1 2 3 4 5 6 7 8 9 10 11 12 13 Choroidal thickness responsiveness to early treatment 1 2 3 4 5 6 7 8 9 10 11 12 13 Binocular vision status 1 2 3 4 5 6 7 8 9 10 11 12 13 AC/A ratio 1 2 3 4 5 6 7 8 9 10 11 12 13 Lifestyle 1 2 3 4 5 6 7 8 9 10 11 12 13 Patient preference 1 2 3 4 5 6 7 8 9 10 11 12 13 Parent/guardian preference Question Title * 12. How do you select which myopia management strategy to use first on a young progressing myope (select all that are relevant) Only have one treatment available to me Only comfortable/trained to use one treatment Age Refractive error (non-cycloplegic) Cycloplegic refraction Corneal topography Axial length Myopia progression rate Choroidal thickness Binocular vision status Patient preference Parent/guardian preference Risk factors such as parental myopia / lifestyle Other (please specify) Question Title * 13. How frequently do you usually follow-up myopia children you are managing (in months)? 0.5 months 1 month 2 months 3 months 6 months 12 months Other (please specify a number) Question Title * 14. What triggers you to adjust your Myopia management strategy? (click all that apply) I don’t Progression of refractive error Progression of axial length Changes in choroidal thickness Eye growth faster than expected for age A new treatment with a scientifically reported better efficacy Poor compliance Treatment comfort Complications Other (please specify) Question Title * 15. How has managing myopia changed your: Much less Less No change More Much More Customer loyalty Customer loyalty Much less Customer loyalty Less Customer loyalty No change Customer loyalty More Customer loyalty Much More Practice revenue Practice revenue Much less Practice revenue Less Practice revenue No change Practice revenue More Practice revenue Much More Job satisfaction Job satisfaction Much less Job satisfaction Less Job satisfaction No change Job satisfaction More Job satisfaction Much More Question Title * 16. Demographics Profession Principal working environment Years qualified Geographic location About you: Optometrist Contact lens optician Ophthalmologist Other About you: Profession menu Practice Academic Industry Other About you: Principal working environment menu 0 1-5 6-10 11-20 21-30 31+ About you: Years qualified menu COUNTRY NOT ON LIST - record in comments box below Antigua and Barbuda Australia Argentina Austria Bahamas Bahrain Bangladesh Barbados Belgium Belize Bolivia Botswana Brazil Brunei Burundi Cameroon Canada Chile China Chinese Taipei Colombia Cook Islands Costa Rica Croatia Cyprus Denmark Dominica Dominican Republic Ecuador Federated States of Micronesia Fiji Eritrea Ethiopia Finland France The Gambia Germany Ghana Greece Grenada Guatemala Guyana Holland Hong Kong Italy Israel India Iraq Ireland Jamaica Japan Jordan Kenya Kiribati Kuwait Latvia Lesotho Liberia Luxembourg Malawi Malaysia Maldives Malta Marshall Islands Mauritius Mexico Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Nigeria Niue Norway Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa Seychelles Sierra Leone Singapore Slovenia Solomon Islands South Africa South Sudan Spain Sri Lanka Sudan Swaziland Sweden Switzerland Taiwan Tanzania Thailand Tonga Trinidad and Tobago Turkey Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Vanuatu Venezuela Vietnam Zambia Zimbabwe About you: Geographic location menu Any further comments on myopia control? Done