Myopia control awareness and practice of optometrists in KwaZulu-Natal, South Africa

Abstract

Background: Eyecare practitioners play a pivotal role in implementing myopia control (MC) strategies to reduce the burden of progressive myopia. This awareness and execution, however, vary significantly across different regions.
Aim: This study aims to establish the awareness and practices of MC among optometrists practicing in KwaZulu-Natal, South Africa, in 2023.
Settings: Public and private eyecare facilities in KwaZulu-Natal, South Africa.
Methods: A cross-sectional survey was conducted among optometrists in KwaZulu-Natal, South Africa. A validated questionnaire, formatted via Google Forms, was administered electronically through email and various social media platforms, targeting all optometrists in KwaZulu-Natal.
Results: Of the 53 participants, 58.5% % (n = 31) had ‘Not good’ awareness of MC methods, and 58.5% (n = 31) were active in its execution. The association between awareness and practice was statistically significant (P < 0.05). Patient education (86.8%; n = 46) was the greatest MC adopted, while 22.6% (n = 12) utilised spectacle under-correction. The major barriers to MC implementation were cost to parents (79.2%; n = 42) and practitioners (49.1%; n = 26), while cheaper products (75.5%; n = 40) were the main support needed.
Conclusion: Despite poor awareness of MC, many optometrists adopted MC measures in their practices. Due to the strong association between awareness and practice, increasing awareness will increase participation in MC. Collaborative efforts are essential to effectively manage and reduce myopia in the region.
Contribution: This study offers regional data on myopia awareness and management to guide public health efforts and improve patient outcomes.