正常人学(OK)已被证明是近视控制的最有效形式之一。由于近视管理的积极主动开始涉及年幼的孩子,因此表明隐形眼镜对父母来说可能会令人惊讶,尤其是如果他们自己没有视力矫正。常见的问题可能是“对儿童安全吗?我的孩子太年轻,无法接触隐形眼镜吗?”您如何解决这些问题以使父母开始正常化?
Here, CK has shared such acase因此,患者的母亲理解并同意正常人学的建议,但父亲仍然持怀疑态度。
我们应该如何解释角膜矫正术的父母呢?
Firstly, it is good to highlight the benefits of orthokeratology (OK) lens wear. OK lenses are one of the most effective interventions to slow myopia progression and axial elongation.1Another plus point is that they are good for children who are active in contact and water sports as they will not require optical aids during waking hours to see clearly. Children wearing OK lenses rate their overall vision, distance vision, appearance, academic performance, ability to participate in activities, peer perceptions and overall satisfaction as significantly better than children wearing spectacles, with only handling rated as more difficult, and near vision, daytime symptoms and academic performance rated as similar.2
其次,传达OK镜头磨损的安全性 - 尽管有感染的风险,但通过良好的隐形眼镜卫生协议,风险变得非常低。3It has been shown that that the rate of soft contact lens complications is lower in children compared to teens and adults.When it comes to OK specifically, one case study analysis has shown that children and teens have a slightly higher risk of infection than adults when both are wearing OK, but overall this risk is around 1 per 1,000 patient wearing years, which is similar to the risk of wearing a reusable silicone hydrogel contact lens. Read more about this in儿童的隐形眼镜安全。
第三,如许多OK镜头研究所示,传达儿童非常有能力处理隐形眼镜。研究表明,儿童只需要额外的10-15分钟来学习如何处理隐形眼镜,然后在拟合过程中跟进约会不比青少年或成人所需的时间。4
Read more about explaining the general benefits and safety of contact lenses for kids in在近视管理中进行交流的关键.
如何让矛盾的父母与正er学
1.了解父母的担忧
调查父母保留的具体原因并一一介绍它们是最有效的。面对面的父母讨论可以帮助他们更好地理解正常人学,并提高适合OK镜头的意图。5Participatory discussion with parents can also improve compliance.6
2. Back up your recommendations with research
Some parents may request scientific evidence or additional sources to support your recommendations. To grow your own myopia management knowledge and confidence, the links mentioned above onContact Lens Safety in Kidsand在近视管理中进行交流的关键are important for this scenario - the latter which takes you through theManaging Myopia Guidelines Infographics这是示意图,易于交流的室内临床通信指南。它还为正在进行的管理提供了主席参考。
在父母的进一步阅读188足彩比分直播My Kids Visionpublic awareness website, which includes a myopia blog with explanations of orthokeratology and other contact lens options; and theHow-To Video Guides提供有关儿童隐形眼镜的好处,甚至如何申请,删除和清洁正直角色镜片的简短,可共享的视频。可以在咨询室中一起查看这些资源,然后通过电子邮件发送给父母,以进一步阅读和支持您的讨论。
3.传达近视控制的“为什么”
This child is -3.00D at age 12, so is likely still progressing.7由于只有一半的近视停止进展15岁,因此8她的母亲是个高毛皮,9她自己有自己进入高近视的风险。高敏化会大大增加眼部疾病的终身风险。10解释这些风险的现实可能有助于父母理解为什么预防尝试比治愈更好。
A parent, though, may not understand what they're looking at when viewing an image of a compromised retina. In this case, the increased risks can be explained numerically. TheManaging Myopia Guidelines Infographicsprovide a panel which shows how the lifelong risk of cataract, retinal detachment and myopic maculopathy increases with increasing levels of myopia. Read more about how to explain this to parents appropriately, avoiding too much alarmism, in在近视管理中进行交流的关键.
带回家消息:
当试图让父母使用正er词或您建议的任何隐形眼镜选项时,该方法包括:
- 了解父母的具体问题并直接解决。
- Back up your recommendations with the latest evidence. Use external sources of information to support and validate your clinical communication.
- Visual guides can help support you in explaining the benefits of contact lenses as well as the lifelong risks of higher myopia.
进一步阅读正差异学
Is orthokeratology useful for myopia control in low myopia?
Clinical case: Fitting orthokeratology successfully for a patient with astigmatism
Clinical case: Which is best? Myopia management for an astigmatic myope
如果您想自己开始拟合正直角色学,请查看我们的近视资料学院在线课程正差基本原理, which is structured to step you through your first handful of fits with safety and success.
关于金伯利
Kimberley Nguis a clinical optometrist from Perth, Australia, with experience in patient education programs, having practiced in both Australia and Singapore.
由于不受限制的教育赠款,这些教育内容是给您带给您的
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参考:
- Huang J, Wen D, Wang Q, McAlinden C, Flitcroft I, Chen H, Saw SM, Chen H, Bao F, Zhao Y, Hu L. Efficacy comparison of 16 interventions for myopia control in children: a network meta-analysis. Ophthalmol. 2016 Apr 1;123(4):697-708.(关联)
- 杨B,Ma X,Liu L,Cho P.与单一视力眼镜相比,中国儿童接受正常角色治疗的视力相关的生活质量。连续镜头前眼。2021年8月; 44(4):101350。((link)
- Liu YM, Xie P. The safety of orthokeratology—a systematic review. Eye Contact Lens. 2016 Jan;42(1):35.(关联)
- Walline JJ, Jones LA, Rah MJ, Manny RE, Berntsen DA, Chitkara M, Gaume A, Kim A, Quinn N. Contact Lenses in Pediatrics (CLIP) Study: chair time and ocular health. Optom Vis Sci. 2007;84:896-902.(关联)
- Kaufman J, Ryan R, Walsh L, Horey D, Leask J, Robinson P, Hill S. Face‐to‐face interventions for informing or educating parents about early childhood vaccination. Cochrane Database of Systematic Reviews. 2018(5).(关联)
- Connors JT, Slotwinski KL, Hodges EA. Provider-parent communication when discussing vaccines: a systematic review. J Ped Nursing. 2017 Mar 1;33:10-5.(关联)
- SAW SM,Nieto FJ,Katz J,Schein OD,Levy B,Chew SJ。与新加坡儿童近视发展有关的因素。Optom Vis Sci。2000年10月1日; 77(10):549-54。(关联)
- COMET Group. Myopia stabilization and associated factors among participants in the Correction of Myopia Evaluation Trial (COMET). Invest Ophthalmol Vis Sci. 2013 Dec 3;54(13):7871-84.(关联)
- 江韩廖C,丁X, X, Y et al。削减的作用ntal Refractive Status in Myopia Progression: 12-Year Annual Observation From the Guangzhou Twin Eye Study. Invest Ophthalmol Vis Sci 2019;60(10):3499-3506.(关联)
- Williams K,Hammond C. High Myopia及其风险。社区眼睛的健康。2019; 32(105):5。(关联)






