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Empfehlungen bei progredienter Myopie im Kindes- und Jugendalter

Stellungnahme von DOG und BVA. Stand Dezember 2018

Recommendations for progressive myopia in childhood and adolescence

Statement of the German Society of Ophthalmology (DOG) and the Professional Association of German Ophthalmologists (BVA). Status December 2018

  • Leitlinien, Stellungnahmen und Empfehlungen
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Literatur

  1. Schuster AK, Elflein HM, Pokora R, Urschitz MS (2017) Prevalence and risk factors of myopia in children and adolescents in Germany – results of the KiGGS survey. Klin Padiatr 229:234–240

    Article  Google Scholar 

  2. Williams KM et al (2015) Prevalence of refractive error in Europe: the European Eye Epidemiology (E(3)) Consortium. Eur J Epidemiol 30:305–315

    Article  Google Scholar 

  3. Holden BA et al (2016) Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology 123:1036–1042

    Article  Google Scholar 

  4. Wesemann W (2017) Analysis of spectacle lens prescriptions shows no increase of myopia in Germany from 2000 to 2015. Ophthalmologe. https://doi.org/10.1007/s00347-017-0601-0

    Article  PubMed  Google Scholar 

  5. Flitcroft DI (2012) The complex interactions of retinal, optical and environmental factors in myopia aetiology. Prog Retin Eye Res 31:622–660

    Article  CAS  Google Scholar 

  6. Tedja MS et al (2018) Genome-wide association meta-analysis highlights light-induced signaling as a driver for refractive error. Nat Genet 50:834–848

    Article  CAS  Google Scholar 

  7. Jones LA et al (2007) Parental history of myopia, sports and outdoor activities, and future myopia. Invest Ophthalmol Vis Sci 48:3524–3532

    Article  Google Scholar 

  8. Jones-Jordan LA et al (2010) Early childhood refractive error and parental history of myopia as predictors of myopia. Invest Ophthalmol Vis Sci 51:115–121

    Article  Google Scholar 

  9. French AN, Ashby RS, Morgan IG, Rose KA (2013) Time outdoors and the prevention of myopia. Exp Eye Res 114:58–68

    Article  CAS  Google Scholar 

  10. Xiong S et al (2017) Time spent in outdoor activities in relation to myopia prevention and control: a meta-analysis and systematic review. Acta Ophthalmol (Copenh) 95:551–566

    Article  Google Scholar 

  11. He M et al (2015) Effect of time spent outdoors at school on the development of myopia among children in China: a randomized clinical trial. JAMA 314:1142–1148

    Article  CAS  Google Scholar 

  12. Jin J‑X et al (2015) Effect of outdoor activity on myopia onset and progression in school-aged children in northeast China: the Sujiatun Eye Care Study. BMC Ophthalmol 15:73

    Article  Google Scholar 

  13. Gwiazda J, Deng L, Manny R, Norton TT, COMET Study Group (2014) Seasonal variations in the progression of myopia in children enrolled in the correction of myopia evaluation trial. Invest Ophthalmol Vis Sci 55:752–758

    Article  Google Scholar 

  14. Wu P‑C et al (2018) Myopia prevention and outdoor light intensity in a school-based cluster randomized trial. Ophthalmology 125:1239–1250

    Article  Google Scholar 

  15. Karouta C, Ashby RS (2014) Correlation between light levels and the development of deprivation myopia. Invest Ophthalmol Vis Sci 56:299–309

    Article  Google Scholar 

  16. Mountjoy E et al (2018) Education and myopia: assessing the direction of causality by mendelian randomisation. BMJ 361:k2022

    Article  Google Scholar 

  17. Ip JM, Rose KA, Morgan IG, Burlutsky G, Mitchell P (2008) Myopia and the urban environment: findings in a sample of 12-year-old Australian school children. Invest Ophthalmol Vis Sci 49:3858–3863

    Article  Google Scholar 

  18. Prousali E et al (2017) Interventions to control myopia progression in children: protocol for an overview of systematic reviews and meta-analyses. Syst Rev 6:188

    Article  Google Scholar 

  19. Wolffsohn JS et al (2016) Global trends in myopia management attitudes and strategies in clinical practice. Contact Lens Anterior Eye 39:106–116

    Article  Google Scholar 

  20. Lagrèze WA, Schaeffel F (2017) Preventing myopia. Dtsch Arztebl Int 114:575–580

    PubMed  Google Scholar 

  21. Derby H (1874) On the atropine treatment of acquired and progressive myopia. Trans Am Ophthalmol Soc 2:139–154

    CAS  PubMed  PubMed Central  Google Scholar 

  22. Huang J et al (2016) Efficacy comparison of 16 interventions for myopia control in children: a network Meta-analysis. Ophthalmology. https://doi.org/10.1016/j.ophtha.2015.11.010

    Article  PubMed  PubMed Central  Google Scholar 

  23. Gong Q et al (2017) Efficacy and adverse effects of atropine in childhood myopia: a Meta-analysis. JAMA Ophthalmol 135:624–630

    Article  Google Scholar 

  24. Chia A, Lu Q‑S, Tan D (2016) Five-year clinical trial on atropine for the treatment of myopia 2: myopia control with atropine 0.01 % Eyedrops. Ophthalmology. https://doi.org/10.1016/j.ophtha.2015.07.004

    Article  PubMed  Google Scholar 

  25. Lagrèze WA (2016) Myopia. Ophthalmologe. https://doi.org/10.1007/s00347-016-0384-8

    Article  PubMed  Google Scholar 

  26. Polling JR, Kok RGW, Tideman JWL, Meskat B, Klaver CCW (2016) Effectiveness study of atropine for progressive myopia in Europeans. Eye 30:998–1004

    Article  CAS  Google Scholar 

  27. Kollbaum PS, Jansen ME, Tan J, Meyer DM, Rickert ME (2013) Vision performance with a contact lens designed to slow myopia progression. Optom Vis Sci 90:205–214

    Article  Google Scholar 

  28. Lin H‑J et al (2014) Overnight orthokeratology is comparable with atropine in controlling myopia. BMC Ophthalmol 14:40

    Article  Google Scholar 

  29. Cho P, Cheung S‑W (2017) Protective role of orthokeratology in reducing risk of rapid axial elongation: a reanalysis of data from the ROMIO and TO-SEE studies. Invest Ophthalmol Vis Sci 58:1411–1416

    Article  Google Scholar 

  30. Chen C, Cheung SW, Cho P (2013) Myopia control using toric orthokeratology (TO-SEE study). Invest Ophthalmol Vis Sci 54:6510–6517

    Article  Google Scholar 

  31. Tsukiyama J, Miyamoto Y, Higaki S, Fukuda M, Shimomura Y (2008) Changes in the anterior and posterior radii of the corneal curvature and anterior chamber depth by orthokeratology. Eye Contact Lens 34:17–20

    Article  Google Scholar 

  32. Cheung S‑W, Cho P (2013) Validity of axial length measurements for monitoring myopic progression in orthokeratology. Invest Ophthalmol Vis Sci 54:1613–1615

    Article  Google Scholar 

  33. Hung L‑F et al (2018) The adenosine receptor antagonist, 7‑methylxanthine, alters Emmetropizing responses in infant macaques. Invest Ophthalmol Vis Sci 59:472–486

    Article  CAS  Google Scholar 

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Redaktionskomitee

Prof. Dr. Wolf A. Lagrèze, Freiburg (federführend)

Prof. Dr. med. Bernd Bertram, Aachen

Prof. Dr. Michael P. Schittkowski, Göttingen

Prof. Dr. rer. nat. Frank Schaeffel, Tübingen

Prof. Dr. Focke Ziemssen, Tübingen

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Authors and Affiliations

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    Berufsverband der Augenärzte Deutschlands e. V. (BVA)

    Deutsche Ophthalmologische Gesellschaft (DOG)

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    Interessenkonflikt

    Siehe Tab. 1 im Anhang

    Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

    Additional information

    Diese Stellungnahme erscheint ebenfalls in der Zeitschrift Klinische Monatsblätter für Augenheilkunde, Georg Thieme Verlag, Stuttgart.

    Anhang

    Anhang

    Tab. 1 Tabellarische Zusammenfassung der Erklärungen über Interessenkonflikte – Stellungnahme Empfehlungen bei progredienter Myopie im Kindes- und Jugendalter
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    Berufsverband der Augenärzte Deutschlands e. V. (BVA)., Deutsche Ophthalmologische Gesellschaft (DOG). Empfehlungen bei progredienter Myopie im Kindes- und Jugendalter. Ophthalmologe 116, 340–345 (2019). https://doi.org/10.1007/s00347-019-0874-6

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    • DOI: https://doi.org/10.1007/s00347-019-0874-6

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