Prevalence and Determinants Associated With Spectacle-Wear Compliance in Aphakic Infants.

Abstract

PurposeWe assess the prevalence of spectacle wear and the factors associated with compliance among aphakic infants with congenital cataracts who underwent lens extraction in South China.MethodsInfants aged 3 months to 3 years were enrolled from among participants in the Childhood Cataract Program of the Chinese Ministry of Health (CCPMOH). The prevalence and potential determinants of spectacle-wearing compliance were identified from interviews with the infants' caregivers.ResultsAmong 192 infant caregivers, the mean (SD) age of the infants was 1.89 (0.50) years, and 57% were males. Compliance was 30.9% in the 3-month- to 1-year-old age group, 78.0% in the 1- to 2-year-old age group, and 87.0% in the 2- to 3-year-old age group. The following two factors were associated with spectacle-wearing compliance: softness of the spectacles frame (β = 1.273, P = 0.002, odds ratio [OR] = 3.6, 95% confidence interval [CI] = 1.6–8.0) and communication with other caregivers regarding the spectacle-wearing experience (β = −2.955, P = 0.034, OR = 0.1, 95% CI = 0–0.8).ConclusionsCompliance with spectacle wear was low during the earlier stage, but increased with time in aphakic infants. However, overall compliance should be improved. Therefore, efficient strategies aimed at improving spectacle-wearing compliance are needed.Translational RelevanceThese findings reveal the low spectacle-wearing compliance in aphakic infants and support useful information to improve compliance.