{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:32:35Z","timestamp":1787761955373,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The coronavirus disease 2019 (COVID-19) pandemic profoundly impacts lifestyle habits and myopia control in children worldwide. This study investigated the changes in eyecare habits, orthokeratology compliance, axial length, and time interval of follow-up visits during home confinement in the COVID-19 pandemic in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This investigation was part of a prospective study undertaken to evaluate the effectiveness of a mobile application. A semi-structured telephone interview was conducted with parents retrospectively to document eyecare habits and myopia control during the COVID-19 home confinement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Thirty-three children with myopia participated in the follow-up of orthokeratology lenses for 2 years. The children\u2019s time viewing digital devices such as tablets and televisions significantly increased during the COVID-19 pandemic (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). An analysis using McNemar\u2019s test found that the proportional growth of axial length &lt;0.2 mm in 2021 was significantly higher than that in 2020 (77.42% vs. 58.06%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). In the multivariate logistic regression analysis, onset &lt;10 years of age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001) and parents with high myopia (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) were independent risk factors for the growth of axial length \u22650.2 mm in 2021.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The suspension of face-to-face classes and after-school tutorials benefited myopic axial elongation in children during COVID-19 home confinement. The use of digital devices and staying indoors may not be the exclusive reasons for myopia progression. Educating parents about the influence of extra learning classes after school on myopia progression would be prudent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1384_22","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T06:19:36Z","timestamp":1678256376000},"page":"962-966","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Orthokeratology compliance, digital device use, and myopia control among children with myopia during COVID-19 home confinement in Taiwan"],"prefix":"10.4103","volume":"71","author":[{"given":"Li-Chun","family":"Chang","sequence":"first","affiliation":[{"name":"Chang Gung University of Science and Technology, Taoyuan City, Taiwan"},{"name":"Chang Gung University, Taoyuan City, Taiwan"},{"name":"Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung City, 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