Journal of Optometry最新文献

英文中文

Comment on: Prevalence of refractive error within a Portuguese sample of optometric records 评论：葡萄牙视光记录样本中屈光不正的普遍性。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-02-07 DOI: 10.1016/j.optom.2023.100509

Navneet Sharma , Mahendra Singh , Suraj Kumar Chaurasiya

引用次数: 0

Binocular vision parameters and visual performance in bilateral keratoconus corrected with spectacles versus rigid gas-permeable contact lenses 用眼镜和硬性透气接触镜矫正双侧角膜炎患者的双眼视力参数和视觉表现

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-02-06 DOI: 10.1016/j.optom.2024.100514

Luis Fernando Barba–Gallardo , Lina María Jaramillo-Trejos , Ana María Agudelo-Guevara , Andrea Paola Galicia-Durán , Elizabeth Casillas–Casillas

Purpose

To analyze binocular vision of individuals aged 18 to 35 years diagnosed with keratoconus, utilizing spectacles and rigid gas-permeable (RGP) contact lenses. Research was led by the Universidad Autónoma de Aguascalientes, México and Fundación Universitaria del Área Andina Pereira, Colombia.

Methods

A single center, prospective non-randomized, comparative, interventional, open-label study, in which the differences in binocular vision performance with both spectacles and RGP contact lenses was carried out from December 2018 to December 2019. Sampling was performed according to consecutive cases with keratoconus that met the inclusion criteria until the proposed sample size was reached.

Results

Rigid gas-permeable (RGP) contact lenses notably enhanced distance and near visual acuity in keratoconus patients compared to spectacles. Visual alignment analysis shows exophoria at both distances and is slightly higher with RGP contact lenses. The difference was statistically significant (p<0.05), with 82.5 % presenting compensated phoria with spectacles and pnly 42.50% with RGP contact lenses. Stereoscopic vision improved while wearing RGP contact lenses (42.59 %), although accommodation and accommodative flexibility remained within normal ranges.

Conclusions

Patients with keratoconus fitted with RGP contact lenses have improved binocular vision skills such as visual acuity, stereopsis, and accommodative flexibility. However, even when the vergence and motor system is decompensated with respect to normal ranges, the range between break and recovery points for both fusional reserves and the near point of convergence (NPC) improves with the use of RGP contact lenses, giving indications of an adaptive condition of the motor system from the medium to the long term.

目的分析 18 至 35 岁被诊断为角膜炎的患者使用眼镜和硬性透气 (RGP) 隐形眼镜的双眼视力。研究由墨西哥阿瓜斯卡连特斯自治大学（Universidad Autónoma de Aguascalientes）和哥伦比亚安第斯佩雷拉大学基金会（Fundación Universitaria del Área Andina Pereira）牵头进行。方法在2018年12月至2019年12月期间开展了一项单中心、前瞻性、非随机、比较性、干预性、开放标签研究，其中包括使用眼镜和RGP隐形眼镜的双眼视力表现差异。研究根据符合纳入标准的角膜炎连续病例进行抽样，直至达到建议的样本量。结果与眼镜相比，硬性透气（RGP）隐形眼镜显著提高了角膜炎患者的远视力和近视力。视觉配准分析表明，RGP 隐形眼镜在两种距离上的外斜率都略高。82.5%的角膜塑形镜患者配戴眼镜时会出现代偿性视力下降，而配戴 RGP 隐形眼镜时仅为 42.50%。结论配戴 RGP 隐形眼镜的角膜病患者的双眼视觉能力，如视力、立体视和容纳灵活性都有所提高（42.59%）。然而，即使屈光和运动系统相对于正常范围失衡，在使用 RGP 隐形眼镜后，融合储备和近辐辏点（NPC）的断点和恢复点之间的范围也会改善，这表明运动系统从中期到长期都处于适应状态。

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引用次数: 0

Replay to Comment from Kumar et al. on the publication Prevalence of refractive error within a Portuguese sample of optometric records 回放 Kumar 等人就出版物《葡萄牙视力测定记录样本中屈光不正的患病率》发表的评论

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-01-20 DOI: 10.1016/j.optom.2024.100513

Vera L. Alves-Carneiro, José M. González-Méijome

引用次数: 0

Mean cycloplegic refractive error in emmetropic adults – The Tehran Eye Study 散光成人的平均屈光不正 - 德黑兰眼科研究

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-01-19 DOI: 10.1016/j.optom.2023.100512

Jos J. Rozema , Rafael Iribarren , Hassan Hashemi , Mehdi Khabazkhoob , Akbar Fotouhi

Purpose

In children under 20 years, refractive development targets a cycloplegic refractive error of +0.5 to +1.5D, while presbyopes over 40 years generally have non-cycloplegic errors of ≥ +1D. Some papers suggest these periods are separated by a period of myopic refractive error (i.e., ≤ –0.50D), but this remains unclear. Hence, this work investigates the mean cycloplegic refractive error in adults aged between 20 – 40 years.

Methods

In 2002 a cross-sectional study with stratified cluster sampling was performed on the population of Tehran, providing cycloplegic and non-cycloplegic refractive error data for the right eyes of 3,576 participants, aged 30.6 ± 18.6 years (range: 1–86 years). After grouping these data into age groups of 5 years, the refractive error histogram of each group was fitted to a Bigaussian function. The mean of the central, emmetropized peak was used to estimate the mean refractive error without the influence of myopia.

Results

The mean cycloplegic refractive error at the emmetropized peak decreased from +1.10 ± 0.11D (95 % confidence interval) to +0.50 ± 0.04D before 20 years and remains stable at that value until the age of 50 years. The non-cycloplegic refractive error also sees a stable phase at 0.00 ± 0.04D between 15 – 45 years. After 45 – 50 years both cycloplegic and non-cycloplegic refractive error become more hypermetropic over time, +1.14 ± 0.12D at 75 years.

Conclusions

The cycloplegic refractive error in adults is about +0.50D between 20 – 50 years, disproving the existence of the myopic period at those ages.

目的在 20 岁以下的儿童中，屈光发育的目标是+0.5 到+1.5D 的屈光环视误差，而 40 岁以上的老花眼一般有≥+1D 的非环视误差。一些论文认为，这两个时期之间有一个近视屈光不正期（即≤-0.50D），但这一点仍不清楚。方法 2002 年，对德黑兰人口进行了一项分层群组抽样的横断面研究，提供了年龄为 30.6 ± 18.6 岁（范围：1-86 岁）的 3,576 名参与者右眼的屈光不正和非屈光不正数据。将这些数据按 5 岁为一组进行分组后，每组的屈光不正直方图都被拟合为毕高斯函数。结果在 20 岁之前，屈光不正峰值的平均环视屈光不正从 +1.10 ± 0.11D (95 % 置信区间) 下降到 +0.50 ± 0.04D，并在 50 岁之前一直保持稳定。非环镜屈光不正在 15 - 45 岁期间也处于 0.00 ± 0.04D 的稳定阶段。结论成人的屈光不正在 20 - 50 岁之间约为 +0.50D，这推翻了该年龄段存在近视期的说法。

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引用次数: 0

Study of stereopsis using a depth sensation detection platform equipped with computer vision technology (DALE3D) 使用配备计算机视觉技术的深度感觉检测平台（DALE3D）进行立体视觉研究

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-01-12 DOI: 10.1016/j.optom.2023.100491

Carmen Alejandra Porcar Plana , Ezequiel Campos Mollo , Fernando Boronat Seguí , María Dolores Lledó Riquelme , Daniel Marfil Regero , Clara Silvestre Beneito , Cristina Peris Martínez

Background and objectives

The invention described herein is a prototype based on computer vision technology that measures depth perception and is intended for the early examination of stereopsis.

Materials and methods

The prototype (software and hardware) is a depth perception measurement system that consists on: (a) a screen showing stereoscopic models with a guide point that the subject must point to; (b) a camera capturing the distance between the screen and the subject's finger; and (c) a unit for recording, processing and storing the captured measurements. For test validation, the reproducibility and reliability of the platform were calculated by comparing results with standard stereoscopic tests. A demographic study of depth perception by subgroup analysis is shown. Subjective comparison of the different tests was carried out by means of a satisfaction survey.

Results

We included 94 subjects, 25 children and 69 adults, with a mean age of 34.2 ± 18.9 years; 36.2 % were men and 63.8 % were women. The DALE3D platform obtained good repeatability with an interclass correlation coefficient (ICC) between 0.94 and 0.87, and coefficient of variation (CV) between 0.1 and 0.26. Threshold determining optimal and suboptimal results was calculated for Randot and DALE3D test. Spearman's correlation coefficient, between thresholds was not statistically significant (p value > 0.05). The test was considered more visually appealing and easier to use by the participants (90 % maximum score).

Conclusions

The DALE3D platform is a potentially useful tool for measuring depth perception with optimal reproducibility rates. Its innovative design makes it a more intuitive tool for children than current stereoscopic tests. Nevertheless, further studies will be needed to assess whether the depth perception measured by the DALE3D platform is a sufficiently reliable parameter to assess stereopsis.

背景和目的本文所述的发明是一种基于计算机视觉技术的深度知觉测量原型，用于立体视觉的早期检查。材料和方法该原型（软件和硬件）是一种深度知觉测量系统，由以下部分组成：(a) 一个显示立体模型的屏幕，屏幕上有一个引导点，受试者必须指向该引导点；(b) 一个摄像头，用于捕捉屏幕与受试者手指之间的距离；(c) 一个用于记录、处理和存储捕捉到的测量值的装置。在测试验证方面，通过将测试结果与标准立体测试结果进行比较，计算出了该平台的可重复性和可靠性。通过分组分析对深度知觉进行了人口统计学研究。结果我们纳入了 94 名受试者，其中 25 名儿童，69 名成人，平均年龄为 34.2 ± 18.9 岁；男性占 36.2%，女性占 63.8%。DALE3D 平台具有良好的重复性，类间相关系数 (ICC) 在 0.94 和 0.87 之间，变异系数 (CV) 在 0.1 和 0.26 之间。计算出了 Randot 和 DALE3D 检验的最佳和次佳结果阈值。阈值之间的斯皮尔曼相关系数无统计学意义（P 值为 0.05）。结论 DALE3D 平台是测量深度知觉的潜在有用工具，具有最佳的再现率。与目前的立体测试相比，它的创新设计使其成为儿童更直观的工具。尽管如此，还需要进一步的研究来评估 DALE3D 平台测量的深度知觉是否是评估立体视的足够可靠的参数。

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引用次数: 0

Refractive features and amblyopia in Duane's Retraction Syndrome: A review of the 582 patients 杜安回缩综合征的屈光特征和弱视：对 582 例患者的回顾。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-01-12 DOI: 10.1016/j.optom.2023.100508

Masoud Khorrami-Nejad , Mohammad Reza Akbari , Motahhareh Sadeghi , Babak Masoomian , Arash Mirmohammadsadeghi , Mohammed Khalaf Mohsin , Noor Hamad

Purpose

To report the visual and refractive characteristics and the prevalence of amblyopia in patients with different types of Duane's Retraction Syndrome (DRS).

Method

This retrospective study was performed on hospital records of 582 DRS patients at Farabi Hospital, Iran, from 2012 to March 2022.

Results

The mean age of patients was 19.4 ± 11.9 (range, 3–70) years [335 (57.6 %) females and 247 (42.4 %) males (P < .001)]. DRS type I, II, III, and IV were presented in 347 (59.6 %), 148 (25.4 %), 82 (14.1 %), and 5 (0.9 %) patients, respectively. There were 530 (91.1 %) patients with unilateral and 52 (8.9 %) with bilateral involvement. In the unilateral patients, the DRS eyes' corrected distance visual acuity (CDVA) and astigmatism were significantly worse than the Non-DRS Eyes (P < .001). The mean amount of all refractive and visual parameters in bilateral patients' right or left eyes was significantly lower than in unilateral patients' non-DRS eyes (all P < .05). Anisometropia was observed in 75(12.9 %) of the patients. Amblyopia was observed in 18.5 % (98 patients) and 36.5 % (19 patients) of unilateral and bilateral DRS patients, respectively (P < .001). In unilateral patients, amblyopia was found in 57 (16.4 %) patients with Type I, 22 (14.9 %) patients with Type II, 16 (19.5 %) patients with Type III, and 3 (60 %) patients with Type IV. Forty-four (37.6 %) of patients with amblyopia had anisometropia.

Conclusion

This large-scale study indicates that DRS types differ in terms of refractive error, visual acuity, and the prevalence of amblyopia and anisometropia. Clinicians should be aware of the clinical features associated with different types of DRS.

目的：报告不同类型杜安氏回缩综合征（DRS）患者的视觉和屈光特征以及弱视患病率：这项回顾性研究对伊朗法拉比医院2012年至2022年3月期间582名DRS患者的住院记录进行了分析：患者的平均年龄为 19.4 ± 11.9（范围为 3-70）岁[女性 335 人（57.6%），男性 247 人（42.4%）（P 结论：这项大规模研究表明，DRS 的类型有很多种：这项大规模研究表明，DRS 类型在屈光不正、视力以及弱视和异视发生率方面存在差异。临床医生应了解不同类型 DRS 的相关临床特征。

{"title":"Refractive features and amblyopia in Duane's Retraction Syndrome: A review of the 582 patients","authors":"Masoud Khorrami-Nejad , Mohammad Reza Akbari , Motahhareh Sadeghi , Babak Masoomian , Arash Mirmohammadsadeghi , Mohammed Khalaf Mohsin , Noor Hamad","doi":"10.1016/j.optom.2023.100508","DOIUrl":"10.1016/j.optom.2023.100508","url":null,"abstract":"<div><h3>Purpose</h3><p>To report the visual and refractive characteristics and the prevalence of amblyopia in patients with different types of Duane's Retraction Syndrome (DRS).</p></div><div><h3>Method</h3><p>This retrospective study was performed on hospital records of 582 DRS patients at Farabi Hospital, Iran, from 2012 to March 2022.</p></div><div><h3>Results</h3><p>The mean age of patients was 19.4 ± 11.9 (range, 3–70) years [335 (57.6 %) females and 247 (42.4 %) males (<em>P</em> < .001)]. DRS type I, II, III, and IV were presented in 347 (59.6 %), 148 (25.4 %), 82 (14.1 %), and 5 (0.9 %) patients, respectively. There were 530 (91.1 %) patients with unilateral and 52 (8.9 %) with bilateral involvement. In the unilateral patients, the DRS eyes' corrected distance visual acuity (CDVA) and astigmatism were significantly worse than the Non-DRS Eyes (<em>P</em> < .001). The mean amount of all refractive and visual parameters in bilateral patients' right or left eyes was significantly lower than in unilateral patients' non-DRS eyes (all <em>P</em> < .05). Anisometropia was observed in 75(12.9 %) of the patients. Amblyopia was observed in 18.5 % (98 patients) and 36.5 % (19 patients) of unilateral and bilateral DRS patients, respectively (<em>P</em> < .001). In unilateral patients, amblyopia was found in 57 (16.4 %) patients with Type I, 22 (14.9 %) patients with Type II, 16 (19.5 %) patients with Type III, and 3 (60 %) patients with Type IV. Forty-four (37.6 %) of patients with amblyopia had anisometropia.</p></div><div><h3>Conclusion</h3><p>This large-scale study indicates that DRS types differ in terms of refractive error, visual acuity, and the prevalence of amblyopia and anisometropia. Clinicians should be aware of the clinical features associated with different types of DRS.</p></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888429623000560/pdfft?md5=521f0c2e94cbf6df742c2a2db0844563&pid=1-s2.0-S1888429623000560-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reply to: Comment on: Comparison of the ocular ultrasonic and optical biometry devices in different quality measurements 答复评论眼部超声波和光学生物测量设备在不同质量测量中的比较

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-01-11 DOI: 10.1016/j.optom.2023.100511

Masoud Khorrami-Nejad , Ahmed Mohammed Khodair , Mehdi Khodaparast , Farshid Babapour Mofrad , Farzaneh Dehghanian Nasrabadi

引用次数: 0

Job satisfaction of Spanish and Portuguese optometrists 西班牙和葡萄牙验光师的工作满意度。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2024-01-02 DOI: 10.1016/j.optom.2023.100492

Cristina Alvarez-Peregrina , Alejandro Garcia de la Noceda , Clara Martinez-Perez , Miguel Ángel Sánchez-Tena , Grupo de Investigação Optovisão ISEC Lisboa

Purpose

Given the increase in demand for optometry services by society and the importance of the Optometry profession in Portugal and Spain, the objective of this study was to determine job satisfaction and important factors related to this satisfaction in a sample of Portuguese and Spanish optometrists.

Methods

A prospective, cross-sectional, and observational study was carried out from June to December 2021. An adaptation of the 15-item job satisfaction in eye-care personnel (JSEP) questionnaire validated by Paudel et al. was administered to Portuguese and Spanish optometrists. The questionnaire was shared through different social media (Facebook, LinkedIn, WhatsApp, etc.) in a Google form during the months of June to December 2021 in Portugal and Spain.

Results

A total of 530 surveys were collected in Portugal (42.3%; n = 224) and Spain (57.7%; n = 306). The factors that most influence overall job satisfaction are salary, career development opportunities, recognition/prestige in society, good work-life balance (all p<0.001), workplace equipment and facilities, and encouragement reward positive feedback (both p = 0.002). When comparing the determinants of job satisfaction of optometrists, it was found that Portuguese professionals were generally more satisfied than Spanish ones (p<0.001). However, Spanish optometrists reported feeling more supported by their colleagues (p<0.001).

Conclusion

This study has shown that the level of job satisfaction was higher in Portugal than in Spain. The most important factors influencing job satisfaction were salary, job stability, and support from colleagues.

目的：鉴于葡萄牙和西班牙社会对视光服务需求的增加以及视光师职业的重要性，本研究旨在确定葡萄牙和西班牙视光师样本的工作满意度以及与满意度相关的重要因素：方法：2021 年 6 月至 12 月进行了一项前瞻性、横断面观察研究。研究对 Paudel 等人验证过的 15 个项目的眼科护理人员工作满意度（JSEP）问卷进行了改编，并对葡萄牙和西班牙验光师进行了问卷调查。该问卷于 2021 年 6 月至 12 月期间在葡萄牙和西班牙以谷歌形式通过不同社交媒体（Facebook、LinkedIn、WhatsApp 等）进行分享：在葡萄牙（42.3%；n = 224）和西班牙（57.7%；n = 306）共收集到 530 份调查问卷。对总体工作满意度影响最大的因素是薪酬、职业发展机会、社会认可度/声望、良好的工作与生活平衡（所有因素均影响总体工作满意度）：本研究表明，葡萄牙的工作满意度高于西班牙。影响工作满意度的最重要因素是薪酬、工作稳定性和同事支持。

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引用次数: 0

Assessing the role of visual dysfunctions in the association between visual symptomatology and the use of digital devices 评估视觉功能障碍在视觉症状与使用数码设备之间的关联中的作用。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-12-21 DOI: 10.1016/j.optom.2023.100510

Pilar Cacho-Martínez , Mario Cantó-Cerdán , Francisco Lara-Lacárcel , Ángel García-Muñoz

Purpose

To evaluate the association between visual symptoms and use of digital devices considering the presence of visual dysfunctions.

Methods

An optometric examination was conducted in a clinical sample of 346 patients to diagnose any type of visual anomaly. Visual symptoms were collected using the validated SQVD questionnaire. A threshold of 6 hours per day was used to quantify the effects of digital device usage and patients were divided into two groups: under and above of 35 years old. A multivariate logistic regression was employed to investigate the association between digital device use and symptoms, with visual dysfunctions considered as a confounding variable. Crude and the adjusted odds ratio (OR) were calculated for each variable.

Results

57.02 % of the subjects reported visual symptoms, and 65.02% exhibited some form of visual dysfunction. For patients under 35 years old, an association was found between having visual symptoms and digital device use (OR = 2.10, p = 0.01). However, after adjusting for visual dysfunctions, this association disappeared (OR = 1.44, p = 0.27) and the association was instead between symptoms and refractive dysfunction (OR = 6.52, p < 0.001), accommodative (OR = 10.47, p < 0.001), binocular (OR = 6.68, p < 0.001) and accommodative plus binocular dysfunctions (OR = 46.84, p < 0.001). Among patients over 35 years old, no association was found between symptoms and the use of digital devices (OR = 1.27, p = 0.49) but there was an association between symptoms and refractive dysfunction (OR = 3.54, p = 0.001).

Conclusions

Visual symptoms are not dependent on the duration of digital device use but rather on the presence of any type of visual dysfunction: refractive, accommodative and/or binocular one, which should be diagnosed.

目的：考虑到存在视觉功能障碍，评估视觉症状与使用数码设备之间的关联：方法：对 346 名临床样本患者进行视力检查，以诊断任何类型的视觉异常。使用经过验证的 SQVD 问卷收集视觉症状。使用数字设备的影响以每天 6 小时为阈值进行量化，并将患者分为两组：35 岁以下和 35 岁以上。研究人员采用多变量逻辑回归法研究使用数码设备与症状之间的关系，并将视觉功能障碍视为混杂变量。结果显示，57.02%的受试者表示使用过数字设备：57.02%的受试者报告了视觉症状，65.02%的受试者表现出某种形式的视觉功能障碍。在 35 岁以下的患者中，发现视觉症状与使用数字设备之间存在关联（OR = 2.10，P = 0.01）。然而，在对视觉功能障碍进行调整后，这种关联消失了（OR = 1.44，p = 0.27），取而代之的是症状与屈光功能障碍（OR = 6.52，p < 0.001）、适应功能障碍（OR = 10.47，p < 0.001）、双眼功能障碍（OR = 6.68，p < 0.001）和适应功能障碍加双眼功能障碍（OR = 46.84，p < 0.001）之间的关联。在 35 岁以上的患者中，没有发现症状与使用数码设备有关（OR = 1.27，p = 0.49），但症状与屈光功能障碍有关（OR = 3.54，p = 0.001）：视觉症状并不取决于使用数码设备的时间长短，而是取决于是否存在任何类型的视觉功能障碍：屈光性、适应性和/或双眼功能障碍。

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引用次数: 0

Comment on: Comparison of the ocular ultrasonic and optical biometry devices in different quality measurements 评论眼部超声波和光学生物测量设备在不同质量测量中的比较。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-12-20 DOI: 10.1016/j.optom.2023.100507

Suraj Kumar Chaurasiya , Mahendra Singh , Jayant Jha , Radhika

引用次数: 0

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