Abstract
Purpose :
This study aimed to evaluate the effectiveness of the integrated people-centered eye care model, known as "365 eyecare," in controlling myopia among children and adolescents in northeast China. Additionally, the study aimed to explore the model's impact on different subgroups.
Methods :
A retrospective analysis was conducted on 380 participants enrolled in the "365 eyecare" program from October 2018 to March 2022. Control participants, who received standard care, were matched to the intervention group based on age, sex, baseline spherical equivalent (SE), and correction type. Follow-up was conducted for one year. T tests and linear regression were employed to compare the one-year change in SE between the "365 eyecare" and control groups. We further tested the interaction factors (age, sex, baseline SE) and conducted subgroup analysis based on the significant interacting factors.
Results :
The one-year change in SE was -0.50D (IQR: -0.75 to 0) for the "365 eyecare" group and -0.75D (IQR: -1.13 to -0.25) for the control group (p<0.01). The "365 eyecare" group exhibited 0.25D less change in SE (β=0.25, 95%CI [0.16, 0.34]) compared to the control group. Age (p=0.86) and sex (p=0.49) did not interact significantly with the group. However, baseline SE showed a significant interaction with the group (p=0.03). In the pre-myopia subgroup, the "365 eyecare" group demonstrated a 0.5D reduction in SE compared to the control group (p<0.01). In the mild myopia subgroup, the "365 eyecare" group showed a 0.25D reduction in SE compared to the control group (p<0.01). No significant difference was observed between the "365 eyecare" group and the control group in the high myopia subgroup (p=0.7).
Conclusions :
The integrated people-centered eye care model, "365 eyecare," holds promise for myopia control, particularly in children and adolescents with pre-myopia and mild myopia.
This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.