2024 UK and Ireland modified Delphi consensus on myopia management in children and young people
Year: 2024
Type: article
Abstract: INTRODUCTION: This work aimed to establish the largest UK and Ireland consensus on myopia management in children and young people (CYP). METHODS: A modified Delphi consensus was conducted with a panel of 34 optometrists and ophthalmologists with expertise in myopia management. RESULTS: Two rounds of voting took place and 131 statements were agreed, including that interventions should be discussed with parents/carers of all CYP who develop myopia before the age of 13 years, a recommendation for interventions to be publicly funded for those at risk of fast progression and high myopia, that intervention selection should take into account the CYP's hobbies and lifestyle and that additional training for eye care professionals should be available from non-commercial sources. Topics for which published evidence is limited or lacking were areas of weaker or no consensus. Modern myopia management contact and spectacles are suitable first-line treatments. The role and provision of low-concentration atropine needs to be reviewed once marketing authorisations and funding decisions are in place. There is some evidence that a combination of low-concentration atropine with an optical intervention can have an additive effect; further research is needed. Once an intervention is started, best practice is to monitor non-cycloplegic axial length 6 monthly. CONCLUSION: Research is needed to identify those at risk of progression, the long-term effectiveness of individual and combined interventions, and when to discontinue treatment when myopia has stabilised. As further evidence continues to emerge, this consensus work will be repeated to ensure it remains relevant.
DOI: 10.1111/opo.13381
Authors: Annegret H. Dahlmann‐Noor, Neema Ghorbani‐Mojarrad, Katie M. Williams, Ahmed Ghoneim, Peter M. Allen, Michelle L. Beach, Gillian Bruce, Hetal D. Buckhurst, Phillip J. Buckhurst, Fiona E. Cruickshank, Matthew P. Cufflin, Mhairi D. Day, Lesley Doyle, Bruce J. W. Evans, Daniel Ian Flitcroft, Lyle S. Gray, Indie Grewal, Jeremy A. Guggenheim, Christopher J. Hammond, Jason C. Higginbotham, Imran Jawaid, Stephanie Kearney, John G. Lawrenson, Nicola S. Logan, James Loughman, Edward A. H. Mallen, Sara J. McCullough, Manbir Nagra, Kathryn J. Saunders, Dirk Seidel, Tanvi Shah, Niall C. Strang, Kathryn J. Webber, James S. Wolffsohn, Alexandra L. Young
Institutions: Moorfields Eye Hospital NHS Foundation Trust, NIHR Moorfields Biomedical Research Centre, University College London, University of Bradford, King's College London, Anglia Ruskin University, University of Plymouth, University of Manchester, Glasgow Caledonian University, University of Ulster, St George's, University of London, City St George's, University of London, Technological University Dublin, Cardiff University, Guy's and St Thomas' NHS Foundation Trust, Queen's Medical Centre, Aston University, NHS Lothian, Princess Alexandra Eye Pavilion
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,050
Funder: Fight for Sight UK
OpenAlex ID: W4402653529