Abstract：
OBJECTIVE: This study compared quality of life (QoL) of myopic adults and children who were established spectacle, soft contact lens (SCL), or orthokeratology (OK) wearers as well as parent/child responses using Pediatric Refractive Error Profile 2 (PREP2).
METHODS: Forty-eight adults (aged 18-26 years), 49 children (aged 9-17 years), and the children\'s parent, completed PREP2, with 7 subscales (symptoms, vision, activities, appearance, peer perception, handling, and overall). Adults and children must have worn their correction for at least three years. Parents were asked to answer how they thought their child would answer. Scores were compared between age groups, among correction groups, and between children and their parents using non-parametric ANOVA, Mann-Whitney U and Wilcoxon Signed-Rank tests, as appropriate. Post-hoc pairwise comparisons among correction groups were conducted with Bonferroni adjustment.
RESULTS: Average age of adults was 22 ± 2 and children was 14 ± 2 years, and duration of correction use was 8 ± 3 for adults and 5 ± 2 years for children (both p < 0.01). Adult OK wearers were more satisfied with vision (p = 0.04), activities (p < 0.001) and overall (p = 0.03) compared to spectacle wearers. Children OK wearers reported higher scores for activities than SCL (p = 0.048) and spectacle wearers (p < 0.001). Parents of contact lens wearers reported higher perceived QoL for activities (OK p < 0.001; SCL p = 0.02), handling (OK p = 0.02; SCL p < 0.001), appearance (SCL p = 0.001), and overall (OK p = 0.001; SCL p < 0.001) subscales than parents of child spectacle wearers.
CONCLUSIONS: Activity-driven children and adults perceive significant benefits from OK over spectacles. Parents\' perceptions did not align with their children\'s perceptions of their correction.
METHODS: Forty-eight adults (aged 18-26 years), 49 children (aged 9-17 years), and the children\'s parent, completed PREP2, with 7 subscales (symptoms, vision, activities, appearance, peer perception, handling, and overall). Adults and children must have worn their correction for at least three years. Parents were asked to answer how they thought their child would answer. Scores were compared between age groups, among correction groups, and between children and their parents using non-parametric ANOVA, Mann-Whitney U and Wilcoxon Signed-Rank tests, as appropriate. Post-hoc pairwise comparisons among correction groups were conducted with Bonferroni adjustment.
RESULTS: Average age of adults was 22 ± 2 and children was 14 ± 2 years, and duration of correction use was 8 ± 3 for adults and 5 ± 2 years for children (both p < 0.01). Adult OK wearers were more satisfied with vision (p = 0.04), activities (p < 0.001) and overall (p = 0.03) compared to spectacle wearers. Children OK wearers reported higher scores for activities than SCL (p = 0.048) and spectacle wearers (p < 0.001). Parents of contact lens wearers reported higher perceived QoL for activities (OK p < 0.001; SCL p = 0.02), handling (OK p = 0.02; SCL p < 0.001), appearance (SCL p = 0.001), and overall (OK p = 0.001; SCL p < 0.001) subscales than parents of child spectacle wearers.
CONCLUSIONS: Activity-driven children and adults perceive significant benefits from OK over spectacles. Parents\' perceptions did not align with their children\'s perceptions of their correction.
摘要：
目的：本研究比较了近视成人和已形成眼镜的儿童的生活质量（QoL），软性隐形眼镜(SCL),或角膜塑形术(OK)佩戴者以及使用儿童屈光不正谱2(PREP2)的父母/子女反应。
方法：48名成年人（18-26岁），49名儿童（9-17岁），和孩子的父母，完成PREP2，有7个分量表(症状，愿景,活动,外观,同伴感知，处理,和总体)。成人和儿童必须佩戴矫正至少三年。父母被要求回答他们认为孩子会如何回答。比较年龄组之间的分数，在矫正组中，在孩子和父母之间使用非参数方差分析，Mann-WhitneyU和Wilcoxon签名等级测试，视情况而定。校正组之间的事后成对比较采用Bonferroni校正。
结果：成人平均年龄为22±2岁，儿童平均年龄为14±2岁，成人矫正使用时间为8±3年，儿童为5±2年（均p<0.01）。成人OK佩戴者对视力更满意(p=0.04)，与眼镜佩戴者相比，活动(p<0.001)和总体(p=0.03)。儿童OK佩戴者报告的活动得分高于SCL（p=0.048）和眼镜佩戴者（p<0.001）。隐形眼镜佩戴者的父母报告了较高的活动感知QoL（OKp<0.001；SCLp=0.02），处理(OKp=0.02；SCLp<0.001)，外观（SCLp=0.001），总体(OKp=0.001；SCLp<0.001)分量表比儿童眼镜佩戴者的父母高。
结论：活动驱动的儿童和成人认为OK比眼镜有显著的好处。父母的看法与孩子对他们的矫正的看法不一致。
方法：48名成年人（18-26岁），49名儿童（9-17岁），和孩子的父母，完成PREP2，有7个分量表(症状，愿景,活动,外观,同伴感知，处理,和总体)。成人和儿童必须佩戴矫正至少三年。父母被要求回答他们认为孩子会如何回答。比较年龄组之间的分数，在矫正组中，在孩子和父母之间使用非参数方差分析，Mann-WhitneyU和Wilcoxon签名等级测试，视情况而定。校正组之间的事后成对比较采用Bonferroni校正。
结果：成人平均年龄为22±2岁，儿童平均年龄为14±2岁，成人矫正使用时间为8±3年，儿童为5±2年（均p<0.01）。成人OK佩戴者对视力更满意(p=0.04)，与眼镜佩戴者相比，活动(p<0.001)和总体(p=0.03)。儿童OK佩戴者报告的活动得分高于SCL（p=0.048）和眼镜佩戴者（p<0.001）。隐形眼镜佩戴者的父母报告了较高的活动感知QoL（OKp<0.001；SCLp=0.02），处理(OKp=0.02；SCLp<0.001)，外观（SCLp=0.001），总体(OKp=0.001；SCLp<0.001)分量表比儿童眼镜佩戴者的父母高。
结论：活动驱动的儿童和成人认为OK比眼镜有显著的好处。父母的看法与孩子对他们的矫正的看法不一致。
