Lockdown in Hong Kong Promotes Myopia Progression in Schoolchildren: A Case Report.

Background: We describe two cases of monocular orthokeratology with rapid myopia progression in the contralateral untreated eye during a time that children stopped attending school due to COVID-19 and switched to an online mode of learning. Case Reports: An 11-year-old female unilateral myopic aniso...

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Publicado en:Optometry & Visual Performance Vol. 10; pp. 19 - 25
Autores principales: Ka Yan Leung, Carly Siu Yin Lam, Sheung Shun Ng, Dominic Chun Pong Chim
Formato: case study diagnostic images tables/charts Journal Article
Publicado: Optometric Extension Program 2022 Special Issue
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2022 Special Issue
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Lockdown in Hong Kong Promotes Myopia Progression in Schoolchildren: A Case Report.
      aug:
        au:
          Ka Yan Leung
          Carly Siu Yin Lam
          Sheung Shun Ng
          Dominic Chun Pong Chim
        affil: Centre for Myopia Research, School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China
      sug:
        subj:
          Myopia In Infancy and Childhood
          Disease Progression
          Stay-at-Home Orders Hong Kong
          Child
          Adolescence
          Hong Kong
          Female
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
      ab: Background: We describe two cases of monocular orthokeratology with rapid myopia progression in the contralateral untreated eye during a time that children stopped attending school due to COVID-19 and switched to an online mode of learning. Case Reports: An 11-year-old female unilateral myopic anisometrope was fitted with an orthokeratology lens only in her left eye. The right eye (non-treated eye) showed myopic progression and axial length elongation, while the left eye (orthokeratology treated eye) showed no change in refractive error or axial length from Jan 2020 to Jun 2020, which was the class suspension period. The change in myopia (spherical equivalent) was -0.50 D in the right eye (non-treated eye) but remained unchanged in the left eye (orthokeratology treated eye). The change in axial length was 0.14 mm in the right eye (non-treated eye) and -0.1 mm in the left eye (orthokeratology treated eye) at around 5 months. A 13-year-old female unilateral myopic anisometrope was fitted with an orthokeratology lens in her left eye. The refractive error of each eye was stable before the class suspension, but myopic progression was demonstrated in both eyes during class suspension. The change in myopia (spherical equivalent) was -0.75 D and -0.50 D in the right eye (non-treated eye) and the left eye (orthokeratology treated eye), respectively. The non-treated eye showed -0.25 D more myopic change than the treated eye in a 4-month interval. Conclusions: Myopia progressed 2 to 5 times faster during lockdown; thus, the change of learning mode and lifestyle under the COVID-19 pandemic are possible risk factors for myopia progression. Protective behaviors and myopia control intervention should be publicized and implemented as promptly as possible.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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