Abstract
BACKGROUND: Uncorrected refractive error is a leading cause of visual impairment globally, significantly affecting an individual's educational outcomes, economic opportunities and overall well-being. This study evaluates the compliance with spectacle use among schoolchildren in Islamabad, Pakistan, and identifies factors influencing spectacle wearing. METHODS: A quasi-experimental study was conducted within 14 conveniently selected schools, targeting children aged 5-18 y. Children in Group 1 received free spectacles following an eye examination, while children in Group 2 received only a prescription for spectacles. Data were collected through interviews and the influence of mode of delivery on spectacles ownership and use was analysed. RESULTS: A total of 790 children participated. The overall compliance with spectacle use was 42.5%, significantly higher in Group 1 (53.6%) compared with Group 2 (34.7%) (p<0.005). The main reasons for non-compliance included broken/lost spectacles, a lack of time to obtain spectacles and a belief that they did not need them. CONCLUSIONS: Providing free spectacles significantly improves ownership and compliance with spectacle use among schoolchildren compared with children who received a prescription only. However, enhanced awareness and education about the value of eye health and the importance of spectacle use are recommended to maximise the benefits of these programmes.