Abstract

The World Health Organization has identified a shortage of trained human resources as one of the greatest challenges to increasing the availability of eye care services and reducing preventable visual impairment around the world. Increased prevalence of myopia and new strategies for myopia management have raised the prospect of various interventions, including contact lenses for therapeutic use as well as for refractive correction. More personnel skilled in contact lens fitting will be needed to address potential worldwide demand for these interventions. This review investigates the current status and future requirements of global contact lens education in light of these developments. The COVD-19 pandemic led educational institutions worldwide to move towards online delivery. An online survey among 546 educators, conducted in May 2020, investigated changes to contact lens education delivery before and after the onset of the pandemic. A total of 214 responses were received from 32 countries. Prior to COVID-19 restrictions, 23% of educators had conducted more than 50% of their total teaching online; however, 69% expected to conduct more than half of their teaching online by the end of 2020 and 12% anticipated 90% or more of their teaching would be online. Some 76% of educators expected to provide more online lectures after the pandemic and 63% anticipated new methods to deliver practical education. Around half were planning to introduce new teaching online platforms (54%) and more online assessment methods (53%). The global need for increasing numbers of skilled personnel points to a crucial role for educators in teaching the contact lens practitioners of the future. Contact lens education delivery was already evolving prior to COVID-19, and changes that are currently occurring may lead to permanent differences in the way contact lenses are taught in future. The International Association of Contact Lens Educators (IACLE) provides educators with a standardised global curriculum, online resources and teaching technology that could also serve as a model for wider ophthalmic education in future.

Highlights

  • The 2019 World Health Organization (WHO) World Report on Vision identified a shortage of trained personnel as one of the greatest challenges to increasing the availability of eye care services and reducing the prevalence of preventable visual impairment around the world.[1]

  • This review investigates the current status and future requirements of global contact lens education in light of these developments

  • Will there be sufficient numbers of educators to teach students contact lens fitting skills if the number of optometry schools increases? And how can the level of education provided be standardised and maintained around the world? This review investigates the current status and future requirements of global contact lens education in light of these developments

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Summary

Introduction

The 2019 World Health Organization (WHO) World Report on Vision identified a shortage of trained personnel as one of the greatest challenges to increasing the availability of eye care services and reducing the prevalence of preventable visual impairment around the world.[1]. The number of people worldwide with myopia is projected to rise from 2.62 billion in 2020 to 4.76 billion – nearly half the world’s population (49.8%) – by 2050.2 The overall prevalence of myopia is highest in high-income countries of the Asia-Pacific region (53%) and in East Asia. Orthokeratology contact lenses, not intended to modify refractive error, were more effective than single-vision contact lenses in slowing axial elongation.[4]

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