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Purpose: To determine methods tried in clinical trials to reduce the progression of myopia in children, and spectacle
prescribing patterns of hospital ophthalmologists.
Methods: A multi-sectioned survey composed of Likert items relating to the methods of reducing myopia progression
(orthokeratology lenses [O-K lenses], undercorrected glasses, and topical atropine) and the patterns of
prescribing spectacles for children (including two cases involving a 5-year-old girl and an 8-year-old boy) were
distributed to members of the Korean Ophthalmological Society, and the collected data was statistically
analyzed.
Results: A total of 78 out of 130 ophthalmologists returned the survey. On a scale of 1 to 5, the mean rates of whether
the ophthalmologists think O-K lenses arrest myopia progression, and whether they recommend their patients
to wear O-K lenses if indicative, were 3.06 and 2.75, respectively. Moreover, the mean rates of whether they consider
that wearing glasses which are undercorrected would slow down the progression of the myopia, or if they
think topical atropine helps in arresting myopia progression in children, were 2.34 and 1.27, respectively. In response
to the case studies, the majority of practitioners preferred to prescribe the full amount found in cycloplegic
refraction to pediatric patients with myopia.
Conclusions: Ophthalmologists in clinical practice encouraged children to wear O-K lenses more than undercorrected
glasses as a way to retard myopia progression. However, the application of atropine is rarely tried in
clinical trials. In managing pediatric patients with myopia (case specific), the majority of the practitioners chose to
prescribe glasses with full cycloplegic correction.

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