Preferred Patterns of Myopia Control in the Philippines.pdf
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Preferred Patterns in Myopia Control (Philippines) was presented at the online conference dedicated to Myopia: Challenges and New Treatment Methods, June 9, 2023, organized by the Ministry of Education and Science, Republic of Poland, Okulistyka 21, etc.
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Preferred Patterns of Myopia Control in the Philippines.pdf
- 1. Practical Patterns in Myopia Control Alvina Pauline Dy Santiago, MD June 9, 2023 Philippines Financial Disclosure: Lecturer for STADA Philippines (Naabak, Hyabak)
- 2. Affiliations
- 3. Practical Patterns in Myopia Control.ph Atropine (LAMP) And other behavioral modifications WSPOS, 2023 Outdoors PH COVID-19 Pandemic What works 2023 2019-2023 https://www.nationaljewish.org https:// images.squarespace- cdn.com/
- 4. 1 Outdoors 2 Decrease gadget time 3 Decrease near work 4 Atropine 0.01-0.1% ATOM 2: ● 0.5%>0.1%>0.01% LAMP: ● 0.05% > 0.025% > 0.01% LAMP 2: 0.05% 5 Spectacles ● DIMS ● HAL 6 Contact Lenses ● Soft Multifocal Lenses ● Orthokeratology “What appears to work” WSPOS 2023 BEHAVIORAL PHARMACOLOGIC OPTICAL
- 5. 1 Outdoors 2 Decrease gadget time 3 Decrease near work 4 Atropine 0.01-0.05% 5 Spectacles ● DIMS ● HAL 6 Contact Lenses ● Soft Multifocal Lenses ● Orthokeratology “Practical Patterns” Philippines BEHAVIORAL PHARMACOLOGIC OPTICAL
- 7. “Children, play under the sun for your eyes to stay clear.” Slide from PSPOS deck
- 8. Outdoors ● Sensory pathways From PSPOS fb page, 2019
- 9. Slide from PSPOS deck
- 10. Slide from PSPOS deck
- 11. From PSPOS 2019 https://fb.watch/kFmzamQD5C/
- 16. History of Philippines Reduce Gadget Time 2
- 18. Slide from PSPOS deck
- 20. Longest enhanced community quarantine: March 17 to May 15, 2020 Extend to May 31, 2020 in some Children indoors Children online instructions Some children back to school only in 2021 Philippines COVID Response
- 21. The Impact of the COVID-19 Pandemic on Myopia Progression in Children: A Systematic Review (2022) Progression of Myopia ○ Reduced time spent outdoors ○ Increased Screen time ○ Use of electronic devices and tablets Cyril Kurupp AR, Raju A, Luthra G, Shahbaz M, Almatooq H, Foucambert P, Esbrand FD, Zafar S, Panthangi V, Khan S. The Impact of the COVID-19 Pandemic on Myopia Progression in Children: A Systematic Review. Cureus. 2022 Aug 26;14(8):e28444. doi: 10.7759/cureus.28444. PMID: 36176879; PMCID: PMC9512310.
- 22. - A fourth 20: viewing distance >20 cm? Slide from PSPOS deck
- 24. Project Meetings on bigger screens TV > Desktop > Tablets > Smartphones https://airmore.com/wp-content/uploads/2022/01/zoom-cover.jpg https://metro.co.uk/wp-content/uploads/2020/12/ PRI_177148634.jpg?quality=90&strip=all
- 25. Atropine 4
- 26. Sau SAS, Santiago APD, Peralta MDCT et al. Efficacy of atropine eyedrops in reducing myopia progression and axial elongation in myopic children: a meta-analysis. Asian J Ophthalmol. 2021;18:75-91, https://doi.org/10.35119/asjoo.v18i1.593
- 29. Atropine 0.01% had equivocal results Reducing myopia Axial length elongation Recommendation: Randomized Clinical Trial 0.01%, 0.02%, 0.05% LAMP was born: 0.01%, 0.02%, 0.05% (Low concentration atropine for myopia prevention)
- 30. Atropine 1% ● Available ● Supply chain woes
- 32. Atropine 1% to 0.01% 1 ml A1% in 99 ml diluent (0.1 + 9.9; 0.05 + 4.95) Subtract 0.05 ml 5 ml Aspirate 0.05 ml
- 34. 0.01% 1 ml + 99 ml 0.02% 2 ml + 98 ml 0.05% 5 ml + 95 ml Low Dose Atropine ● 0.1 ml in 9.9 ml ● 0.05 ml in 4.95 ml ● 0.15 ml in 14.85 ml ● 0.2 ml in 9.8 ml ● 0.1 ml in 4.9 ml ● 0.3 ml in 14.7 ml ● 0.5 ml in 9.5 ml ● 0.25 ml in 4.75 ml ● 0.75 ml in 14.25 ml
- 35. Atropine Low Dose Ampule 1 mg/ml (0.1%) (ml) Diluent (ml) 0.01% (1 mg/100ml) 1 0.10 0.05 99 9.9 4.95 0.02% (2 mg/100 ml) 2 0.2 0.1 98 ml 9.8 4.9 0.05% (5 mg/100 ml) 5 0.5 0.25 95 ml 9.5 4.75 Atropine Ampule is 1 mg/ml = 0.1% https://ta-pharm.co.il/wp-content/uploads//tamc-old/products/190/Atropine%20sulfate%201_1600764166.jpg
- 37. References 1. World Society of Pediatric Ophthalmology & Strabismus. Myopia Consensus Statement 2023. www.wspos.org 2. Philippine Society of Pediatric Ophthalmology and Strabismus. KLARO 2019. https://www.facebook.com/pspos1 3. Philippine Society of Pediatric Ophthalmology & Strabismus. Klaro (Video). From PSPOS 2019 https:// fb.watch/kFmzamQD5C/ 4. Philippine Society of Pediatric OPhthalmology & Strabismus. Recommended screen time for kids. https:// www.facebook.com/pspos1 5. Sau SAS, Santiago APD, Peralta MDCT et al. Efficacy of atropine eyedrops in reducing myopia progression and axial elongation in myopic children: a meta-analysis. Asian J Ophthalmol. 2021;18:75-91, https://doi.org/10.35119/asjoo.v18i1.593 6. Yam JC, Jiang Y, Tang SM, et al. Low-concentration atropine for myopia progression (LAMP) study: a randomized, doubleblinded, placebo-controlled trial of 0.05%, 0.025%, and 0.01% atropine eye drops in myopia control. Ophthalmology 2019; 126: 113–124. 7. Yam JC, Li FF, Zhang X, et al. Two-year clinical trial of the lowconcentration atropine for myopia progression (LAMP) study: phase 2 report. Ophthalmology 2020; 127: 910–919. 8. T Yam JC, Zhang XJ, Zhang Y, et al. Three-Year Clinical Trial of Low-Concentration Atropine for Myopia Progression (LAMP) Study: Continued Versus Washout.Ophthalmology. 2022 Mar;129(3): 308-321 9. Li FF, Zhang Y, Zhang X, et al. O Age Effect on Treatment Responses to 0.05%, 0.025%, and 0.01% Atropine: Low-Concentration Atropine for Myopia Progression Study. Ophthalmology. 2021 Aug;128(8):1180-1187.
- 38. CREDITS: This presentation template was created by Slidesgo, including icons by Flaticon and infographics & images by Freepik Thank you! adsantiago1@up.edu.ph