To propose practical consensus recommendations for incorporating contact lens-based approaches into routine childhood myopia care in the Asia-Pacific region.
Approach:
Survey and Roundtable: Developed following an online survey and an in-person roundtable meeting with 34 eye care professionals from various Asia-Pacific countries.
Expert Review: Sixteen expert eye care professionals reviewed findings and agreed on consensus statements covering various aspects of myopia control.
Key Findings:
Myopia control contact lenses may be fitted in children as young as five years old.
Trial lens fitting is recommended for myopia control soft contact lenses.
Intensive follow-up is necessary for orthokeratology, with specific visit schedules outlined.
Treatment success benchmarks include refractive progression of no more than 0.50 D and axial length increases of less than 0.20-0.30 mm for children aged nine and below.
Interpretation:
The position statement provides a framework for aligning practices in myopia control, focusing on protocols and monitoring.
Limitations:
Small survey sample size.
Regional focus may limit generalizability.
Conclusion:
Contact lens-based myopia control outcomes depend on adherence to protocols and communication with caregivers.
