Global survey on eye care practitioner perceptions and attitudes regarding myopia and its management

Global survey on eye care professional perceptions and attitudes regarding myopia and its management


Anna Sulley BSc MCOptom FBCLA FAAO
Claire Venezia BA MBA
James Gardner BSc
Aldo Zucaro PhD MBA
Elizabeth Lumb BSc MCOptom FBCLA


Purpose: While there is interest about myopia and correction options, less is known about eye care practitioner (ECP) opinions on this topic. This research sought to understand ECP attitudes, motivations and perceived benefits of fitting myopia management contact lenses (MM-CLs) to children, along with challenges in recommending options to patients.

Method: A large-scale, 25-minute online survey was conducted by an independent market research agency (Decision Analyst). ECPs in UK, Canada, Hong Kong, Australia/New Zealand, Germany and Spain were surveyed (August/September 2019). Statistical significance testing was performed at the 95% confidence level (p<0.05).

Results: A total of 402 ECPs were surveyed across the 6 countries. ECPs agree on MM’s importance for fast-progressing or higher myopia in children; Aus/NZ more likely to say options should be offered to everyone. ECPs in Germany and Aus/NZ show the strongest interest in fitting MM-CL, and independent practitioners, optometrists, and those practicing >15 years are more likely to consider fitting them. 50% of ECPs are comfortable putting children into CLs at age 8 (higher in HK, age 11 versus 9); for ages ≥10, this increases significantly to 78%. Around 6 in 10 ECPs recommend time outdoors and less device screen time for paediatric myopes. ECPs are more likely to choose a MM product with best clinical results (58%), ease of use (44%) or an approved product (44%); in Germany & HK, product familiarity is key. Parents not wanting to put children in CLs, perceived high cost, and parents not understanding the MM need and ocular health risks are key ECP challenges.

Conclusions: This research provides evidence that, while there are some differences between countries, ECPs share strong beliefs and perceptions relating to the benefits of MM-CLs, and recognise the importance of recommending MM options, yet they experience hurdles from parents.

1st Author Biography: Anna Sulley graduated as from Aston University and worked in private practice before moving to Visioncare Research Ltd as a clinical investigator. She joined Johnson and Johnson Vision Care in 2000 where she was UK Professional Affairs Manager until 2004. After some years dividing her time between private practice, medical writing, clinical research and consultancy to the contact lens industry, Anna worked at Johnson and Johnson Vision from 2009 for Global Medical Affairs until 2018. Anna joined CooperVision in 2019 as Director Global Medical Affairs. She is a Fellow of the BCLA and AAO, and Past President of the BCLA.

*Data correct at the time of submission to BCLA by NCC.