Year: 2020
Type: review
Abstract: Myopia is an emerging public health issue with potentially significant economic and social impact, especially in East Asia. However, many uncertainties about myopia and its clinical management remain. The International Myopia Summit workgroup was convened by the Singapore Eye Research Institute, the WHO Regional Office for the Western Pacific and the International Agency for the Prevention of Blindness in 2019. The aim of this workgroup was to summarise available evidence, identify gaps or unmet needs and provide consensus on future directions for clinical research in myopia. In this review, among the many 'controversies in myopia' discussed, we highlight three main areas of consensus. First, development of interventions for the prevention of axial elongation and pathologic myopia is needed, which may require a multifaceted approach targeting the Bruch's membrane, choroid and/or sclera. Second, clinical myopia management requires co-operation between optometrists and ophthalmologists to provide patients with holistic care and a tailored approach that balances risks and benefits of treatment by using optical and pharmacological interventions. Third, current diagnostic technologies to detect myopic complications may be improved through collaboration between clinicians, researchers and industry. There is an unmet need to develop new imaging modalities for both structural and functional analyses and to establish normative databases for myopic eyes. In conclusion, the workgroup's call to action advocated for a paradigm shift towards a collaborative approach in the holistic clinical management of myopia.
Source: British Journal of Ophthalmology
Authors: Chee Wai Wong, Li Lian Foo, Priya Morjaria, Ian Morgan, Andreas Mueller, Amanda Davis, Drew Keys, Mingguang He, Padmaja Sankaridurg, Jian Feng Zhu, Peter Hendicott, Donald Tan, Seang-Mei Saw, Ching Yu Cheng, Ecosse Luc Lamoureux, Jonathan G Crowston, Chui Ming Gemmy Cheung, Chelvin Sng, Cordelia Chan, Doric Wong, Shu Yen Lee, Rupesh Agrawal, Quan V Hoang, Xinyi Su, Adrian Koh, Cheryl Ngo, Hao Chen, Pei Chang Wu, Audrey Chia, Jost B Jonas, Tien Yin Wong, Marcus Ang
Institutions: National University of Singapore, Singapore National Eye Center, Singapore Eye Research Institute, Duke-NUS Medical School, London School of Hygiene & Tropical Medicine, International Centre for Eye Health, Australian National University, Centre for Eye Research Australia, World Health Organization Regional Office for the Western Pacific, International Agency for the Prevention of Blindness, Brien Holden Vision Institute, UNSW Sydney, Shanghai Eye Disease Prevention & Treatment Center, Queensland University of Technology, National University Hospital, Tan Tock Seng Hospital, National Healthcare Group, Columbia University, Agency for Science, Technology and Research, Institute of Molecular and Cell Biology, Wenzhou Medical University, Chang Gung University, Kaohsiung Chang Gung Memorial Hospital, Heidelberg University, Medizinische Fakultät Mannheim, SingHealth
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: green
Funder: World Health Organization
OpenAlex ID: W3058109403