{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T21:20:59Z","timestamp":1781990459135,"version":"3.54.5"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This work aimed to establish the largest UK and Ireland consensus on myopia management in children and young people (CYP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A modified Delphi consensus was conducted with a panel of 34 optometrists and ophthalmologists with expertise in myopia management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two rounds of voting took place and 131 statements were agreed, including that interventions should be discussed with parents\/carers of all CYP who develop myopia before the age of 13\u2009years, a recommendation for interventions to be publicly funded for those at risk of fast progression and high myopia, that intervention selection should take into account the CYP's hobbies and lifestyle and that additional training for eye care professionals should be available from non\u2010commercial sources. Topics for which published evidence is limited or lacking were areas of weaker or no consensus. Modern myopia management contact and spectacles are suitable first\u2010line treatments. The role and provision of low\u2010concentration atropine needs to be reviewed once marketing authorisations and funding decisions are in place. There is some evidence that a combination of low\u2010concentration atropine with an optical intervention can have an additive effect; further research is needed. Once an intervention is started, best practice is to monitor non\u2010cycloplegic axial length 6 monthly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Research is needed to identify those at risk of progression, the long\u2010term effectiveness of individual and combined interventions, and when to discontinue treatment when myopia has stabilised. As further evidence continues to emerge, this consensus work will be repeated to ensure it remains relevant.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.13381","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T02:49:22Z","timestamp":1726714162000},"page":"1368-1391","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["2024\n                    <scp>UK<\/scp>\n                    and Ireland modified Delphi consensus on myopia management in children and young people"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7402-4350","authenticated-orcid":false,"given":"Annegret H.","family":"Dahlmann\u2010Noor","sequence":"first","affiliation":[{"name":"NIHR Moorfields Biomedical Research Centre  London UK"},{"name":"Moorfields Eye Hospital NHS Foundation Trust  London UK"},{"name":"University College London Institute of Ophthalmology  London UK"},{"name":"Myopia Consortium  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9171-3070","authenticated-orcid":false,"given":"Neema","family":"Ghorbani\u2010Mojarrad","sequence":"additional","affiliation":[{"name":"Myopia Consortium  UK"},{"name":"School of Optometry and Vision Science University of Bradford  Bradford UK"},{"name":"Wolfson Centre for Applied Health Research  Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4596-3938","authenticated-orcid":false,"given":"Katie M.","family":"Williams","sequence":"additional","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust  London UK"},{"name":"University College London Institute of Ophthalmology  London UK"},{"name":"Myopia Consortium  UK"},{"name":"King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Ghoneim","sequence":"additional","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4536-7215","authenticated-orcid":false,"given":"Peter M.","family":"Allen","sequence":"additional","affiliation":[{"name":"Myopia Consortium  UK"},{"name":"Vision and Hearing Research Centre Anglia Ruskin University  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle L.","family":"Beach","sequence":"additional","affiliation":[{"name":"Park Vision  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8299-4085","authenticated-orcid":false,"given":"Gillian","family":"Bruce","sequence":"additional","affiliation":[{"name":"Cameron Optometry  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8203-7979","authenticated-orcid":false,"given":"Hetal D.","family":"Buckhurst","sequence":"additional","affiliation":[{"name":"Myopia Consortium  UK"},{"name":"School of Health Professions University of Plymouth  Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6037-0597","authenticated-orcid":false,"given":"Phillip J.","family":"Buckhurst","sequence":"additional","affiliation":[{"name":"Myopia Consortium  UK"},{"name":"School of Health Professions University of Plymouth  Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6661-4118","authenticated-orcid":false,"given":"Fiona E.","family":"Cruickshank","sequence":"additional","affiliation":[{"name":"Myopia Consortium  UK"},{"name":"University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew P.","family":"Cufflin","sequence":"additional","affiliation":[{"name":"School of Optometry and Vision Science University of Bradford  Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8701-8032","authenticated-orcid":false,"given":"Mhairi D.","family":"Day","sequence":"additional","affiliation":[{"name":"Myopia Consortium  UK"},{"name":"Department of Vision Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9549-7192","authenticated-orcid":false,"given":"Lesley","family":"Doyle","sequence":"additional","affiliation":[{"name":"Myopia Consortium  UK"},{"name":"Centre for Optometry and Vision Science Ulster University  Coleraine UK"},{"name":"Northern Ireland Clinical Research Network  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2824-4595","authenticated-orcid":false,"given":"Bruce J. 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