Children's myopia treatment dropout differed across optical approaches
A review found fewer discontinuations with spectacles and more with soft contact lenses, with different reasons for stopping across treatment types.
Based on the published abstract. The full paper may contain additional methods, results and limitations.
The 30-second takeaway
Children in optical myopia-control trials stopped treatment at different rates depending on the approach studied. Spectacles had the lowest dropout and soft contact lenses the highest. These findings describe continued participation and reasons for stopping; they do not establish which approach best controls myopia or which would suit a particular child.
The review included randomized and nonrandomized trials, and unknown reasons accounted for some discontinuations. Dropout comparisons alone cannot distinguish treatment burden, follow-up difficulties and other influences on participation.
What researchers found
Annual treatment dropout rate
Spectacles, soft contact lenses and orthokeratology compared; lowest with spectacles, highest with soft lenses (p < 0.001).
Reasons for stopping differed
Spectacles had fewer discontinuations linked to symptoms, vision, appearance or handling, but more attributed to administrative or logistical reasons than contact lenses. Soft lenses had fewer eye-related adverse-event discontinuations than orthokeratology.
Some differences were not detected
Discontinuation attributed to treatment or adherence, and to health reasons unrelated to the eyes, did not differ significantly across approaches. Standardized reporting could make the reasons for stopping easier to compare.
The original publication
Dropout rates among optical interventions for myopia control: a systematic review.
Santodomingo-Rubido J, Martínez-Pérez C, Villa-Collar C
Cont Lens Anterior Eye · 2025
- PubMed ID
- 41481944
- Record checked
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