{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:16:47Z","timestamp":1788412607319,"version":"build-2803163510"},"reference-count":44,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004695","name":"University of KwaZulu-Natal","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004695","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/04qzfn040","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vision"],"abstract":"<jats:p>Myopia is a growing public health problem expected to affect half the global population by 2050, making appropriate management of the condition necessary. Therefore, the purpose of this study was to investigate the knowledge and practices of South African optometrists regarding childhood myopia management. A quantitative, cross-sectional, descriptive design with a survey method was employed. An online questionnaire was distributed to practicing optometrists and included questions related to demographic information, knowledge of myopia and associated ocular pathologies, diagnostic work-up and management of childhood myopia. Data were summarised using descriptive statistics, and further analysed with univariate binary and ordinal logistic regression analysis where the independent variables were years of experience, certification and interest. A total of 124 completed questionnaires were received. The majority of participants used non-cycloplegic refraction and less than 20% performed dilated fundus examinations. Single vision distance spectacles were most commonly prescribed despite awareness of the efficacy of interventions to slow myopia progression. However, factors such as cost and the need for clinical guidelines limit the practice of evidence-based management. Participants were aware of some of the ocular pathologies associated with high myopia, indicating that this knowledge needs to be reinforced. Results from this study may be used to aid optometry policy development, regulatory council decisions and guide the content of professional development programmes to enhance knowledge.<\/jats:p>","DOI":"10.3390\/vision10040063","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:31:13Z","timestamp":1788251473000},"page":"63","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and Practices of South African Optometrists Regarding Childhood Myopia Management"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1900-8497","authenticated-orcid":false,"given":"Shivani","family":"Naipal","sequence":"first","affiliation":[{"name":"Discipline of Optometry, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, KwaZulu-Natal, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"}]},{"given":"Nishanee","family":"Rampersad","sequence":"additional","affiliation":[{"name":"Discipline of Optometry, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, KwaZulu-Natal, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1487-6380","authenticated-orcid":false,"given":"Rekha","family":"Hansraj","sequence":"additional","affiliation":[{"name":"Discipline of Optometry, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, KwaZulu-Natal, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1016\/j.ophtha.2016.01.006","article-title":"Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050","volume":"123","author":"Holden","year":"2016","journal-title":"Ophthalmology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1136\/bjo-2024-325427","article-title":"Global prevalence, trend and projection of myopia in children and adolescents from 1990 to 2050: A comprehensive systematic review and meta-analysis","volume":"109","author":"Liang","year":"2025","journal-title":"Br. J. Ophthalmol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1772","DOI":"10.1136\/bjophthalmol-2021-319307","article-title":"Myopia incidence and lifestyle changes among school children during the COVID-19 pandemic: A population-based prospective study","volume":"106","author":"Zhang","year":"2021","journal-title":"Br. J. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1167\/iovs.62.5.2","article-title":"IMI impact of myopia","volume":"62","author":"Sankaridurg","year":"2021","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1038\/eye.2013.255","article-title":"Practical applications to modify and control the development of ametropia","volume":"28","author":"Sankaridurg","year":"2014","journal-title":"Eye"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1167\/iovs.66.6.41","article-title":"Myopia correction, myopia control and myopia management: Definitions and recommended usage","volume":"66","author":"Flitcroft","year":"2025","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_7","unstructured":"World Council of Optometry (2022, September 25). World Council of Optometry Resolution: The Standard of Care for Myopia Management by Optometrists. Available online: https:\/\/worldcouncilofoptometry.info\/resolution-the-standard-of-care-for-myopia-management-by-optometrists\/."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.clae.2019.11.002","article-title":"Global trends in myopia management attitudes and strategies in clinical practice\u20142019 update","volume":"43","author":"Wolffsohn","year":"2020","journal-title":"Contact Lens Anterior Eye"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1111\/cxo.12936","article-title":"Knowledge, perspectives and clinical practices of Australian optometrists in relation to childhood myopia","volume":"103","author":"Douglass","year":"2020","journal-title":"Clin. Exp. Optom."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"30","DOI":"10.12688\/hrbopenres.12954.2","article-title":"Is optometry ready for myopia control? Education and other barriers to the treatment of myopia","volume":"2","author":"McCrann","year":"2020","journal-title":"HRB Open Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"101597","DOI":"10.1016\/j.clae.2022.101597","article-title":"Trends in myopia management attitudes and strategies in clinical practice: Survey of eye care practitioners in Africa","volume":"46","author":"Nti","year":"2022","journal-title":"Contact Lens Anterior Eye"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.optom.2022.03.002","article-title":"Strategies and attitudes on the management of myopia in clinical practice in Spain","volume":"16","author":"Wolffsohn","year":"2023","journal-title":"J. Optom."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Naik, A., Karthikeyan, S.K., Ramesh, J.J., Bhaskar, S., Ganapathi, C.A., and Biswas, S. (2024). An insight into knowledge, perspective, and practices of Indian optometrists towards childhood myopia. Vision, 8.","DOI":"10.20944\/preprints202402.1331.v1"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"4247","DOI":"10.1007\/s10792-023-02835-7","article-title":"Attitudes and knowledge of myopia management by Spanish optometrists","volume":"43","author":"Di","year":"2023","journal-title":"Int. Ophthalmol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1167\/iovs.64.6.6","article-title":"IMI\u2014Global trends in myopia management attitudes and strategies in clinical practice\u20142022 update","volume":"64","author":"Wolffsohn","year":"2023","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"015002","DOI":"10.1088\/1748-9326\/aa94fe","article-title":"Urbanization in Africa: Challenges and opportunities for conservation","volume":"13","author":"Lwasa","year":"2017","journal-title":"Environ. Res. Lett."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Ovenseri-Ogbomo, G., Osuagwu, U.L., Ekpenyong, B.N., Agho, K., Ekure, E., Ndep, A.O., Ocansey, S., Mashige, K.P., Naidoo, K.S., and Ogbuehi, K.C. (2022). Systematic review and meta-analysis of myopia prevalence in African school children. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0263335"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.4102\/aveh.v84i1.1052","article-title":"Myopia control awareness and practice of optometrists in KwaZulu-Natal, South Africa","volume":"84","author":"Nirghin","year":"2025","journal-title":"Afr. Vis. Eye Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"267","DOI":"10.18240\/ijo.2023.02.14","article-title":"Perspectives and clinical practices of optometrists in Saudi Arabia concerning myopia in children","volume":"16","author":"Alanazi","year":"2023","journal-title":"Int. J. Ophthalmol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"4140","DOI":"10.4102\/PHCFM.v16i1.4140","article-title":"Ocular therapeutics and the profession of optometry in South Africa","volume":"16","author":"Hansraj","year":"2024","journal-title":"Afr. J. Prim. Health Care Fam. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1097\/ICL.0000000000001206","article-title":"Challenges and practices in the management of childhood myopia progression among Nigerian optometrists\u2014A cross-sectional national survey","volume":"51","author":"Uwagboe","year":"2025","journal-title":"Eye Contact Lens"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1167\/iovs.62.5.4","article-title":"IMI Accommodation and binocular vision in myopia development and progression","volume":"62","author":"Logan","year":"2021","journal-title":"Investig. Opthalmol. Vis. Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.1167\/iovs.16-19093","article-title":"The response AC\/A ratio before and after the onset of myopia","volume":"58","author":"Mutti","year":"2017","journal-title":"Investig. Opthalmol. Vis. Sci."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"6162","DOI":"10.1167\/iovs.15-17200","article-title":"Relative peripheral hyperopia does not predict development and progression of myopia in children","volume":"56","author":"Atchison","year":"2015","journal-title":"Investig. Opthalmol. Vis. Sci."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"M31","DOI":"10.1167\/iovs.18-25967","article-title":"IMI\u2014Report on experimental models of emmetropization and myopia","volume":"60","author":"Troilo","year":"2019","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"105","DOI":"10.2147\/OPTO.S134985","article-title":"Myopia onset and role of peripheral refraction","volume":"9","author":"Rotolo","year":"2017","journal-title":"Clin. Optom."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"555709","DOI":"10.19080\/JOJO.2019.07.555709","article-title":"Posterior segment manifestations of pathological myopia: A review","volume":"7","author":"Elnahry","year":"2019","journal-title":"JOJ Ophthalmol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2347","DOI":"10.1097\/IAE.0000000000001489","article-title":"Overview of the complications of high myopia","volume":"37","author":"Ikuno","year":"2017","journal-title":"Retina"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1111\/cxo.13060","article-title":"Posterior segment conditions associated with myopia and high myopia","volume":"103","author":"Jagadeesh","year":"2020","journal-title":"Clin. Exp. Optom."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"The Eye Disease Case-Control Study Group (1993). Risk factors for idiopathic rhegmatogenous retinal detachment. Am. J. Epidemiol., 137, 749\u2013757.","DOI":"10.1093\/oxfordjournals.aje.a116735"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1016\/j.ophtha.2021.04.032","article-title":"The risks and benefits of myopia control","volume":"128","author":"Bullimore","year":"2021","journal-title":"Ophthalmology"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"M106","DOI":"10.1167\/iovs.18-25958","article-title":"IMI\u2014Interventions for controlling myopia onset and progression report","volume":"60","author":"Wildsoet","year":"2019","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1002\/jcph.2320","article-title":"Incidence of adverse events induced by atropine in myopic children: A meta-analysis","volume":"63","author":"Sun","year":"2023","journal-title":"J. Clin. Pharmacol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1111\/cxo.12967","article-title":"Which low-dose atropine for myopia control?","volume":"103","author":"Khanal","year":"2020","journal-title":"Clin. Exp. Optom."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"M161","DOI":"10.1167\/iovs.18-25963","article-title":"IMI\u2014Industry guidelines and ethical considerations for myopia control report","volume":"60","author":"Jones","year":"2019","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_36","unstructured":"(2026, May 16). SAHPRA Registered Health Products. Available online: https:\/\/medapps.sahpra.org.za:6006\/."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/ICL.0000000000000867","article-title":"Myopia control with orthokeratology: A review","volume":"48","author":"Hiraoka","year":"2022","journal-title":"Eye Contact Lens"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1007\/s44402-026-00071-x","article-title":"Current evidence on options and efficacy of combination therapy for myopia control\u2014A narrative review","volume":"46","author":"Thakur","year":"2026","journal-title":"Ophthalmic Physiol. Opt."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1007\/s00417-021-05423-6","article-title":"Single-vision spectacle use and myopia progression in children with low myopia, a propensity score matching study","volume":"260","author":"Zhang","year":"2022","journal-title":"Graefe\u2019s Arch. Clin. Exp. Ophthalmol."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Rajabpour, M., Kangari, H., Pesudovs, K., Khorrami-Nejad, M., Rahmani, S., Mohaghegh, S., and Moradnejad, S. (2024). Refractive error and vision related quality of life. BMC Ophthalmol., 24.","DOI":"10.1186\/s12886-024-03350-8"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1111\/opo.13259","article-title":"Myopia progression patterns among paediatric patients in a clinical setting","volume":"44","author":"Moore","year":"2024","journal-title":"Ophthalmic Physiol. Opt."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1111\/opo.12455","article-title":"Parental attitudes to myopia: A key agent of change for myopia control?","volume":"38","author":"McCrann","year":"2018","journal-title":"Ophthalmic Physiol. Opt."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/aos.15779","article-title":"Empowering patients with high myopia: The significance of education","volume":"102","author":"Ravenstijn","year":"2024","journal-title":"Acta Ophthalmol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e001527","DOI":"10.1136\/bmjophth-2023-001527","article-title":"Eyecare practitioner perspectives and attitudes towards myopia and myopia management in the UK","volume":"9","author":"Coverdale","year":"2024","journal-title":"BMJ Open Ophthalmol."}],"container-title":["Vision"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2411-5150\/10\/4\/63\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T04:40:47Z","timestamp":1788410447000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2411-5150\/10\/4\/63"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":44,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["vision10040063"],"URL":"https:\/\/doi.org\/10.3390\/vision10040063","relation":{},"ISSN":["2411-5150"],"issn-type":[{"value":"2411-5150","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}