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Red and green defocus curves and duochrome test in different age groups 不同年龄组的红绿散焦曲线和双色测试
IF 2.3 Q1 Health Professions Pub Date : 2023-12-20 DOI: 10.1016/j.optom.2023.100497
Riccardo Rolandi , Fabrizio Zeri , Alessandro Duse , Giulia Carlotta Rizzo , Erika Ponzini , Silvia Tavazzi

Purpose

To compare the eye defocus curves (DCs) obtained with stimuli on red, green, and white backgrounds and to investigate the applicability of the duochrome test (DT) in different age groups.

Methods

12 elderly (ELD: 59.3 ± 3.9 years) and 8 young (YG: 22.1 ± 1.1 years) subjects were recruited. An optometric assessment with the DT was carried out to obtain the subjective refraction at distance. DCs at distance on green, white, and red backgrounds were measured and the following parameters were deduced: dioptric difference between red-green, green-white, red-white focal positions (minima of the DCs), best corrected visual acuity (BCVA), and widths of the DCs for red, green, and white.

Results

The DC difference between the green-white focal positions (mean ± standard deviation) was -0.12±0.17 diopters (D) (ELD, p = 0.012) and -0.11±0.12 D (YG, p = 0.039), while the red-white difference was not statistically significant. The DC red-green difference was 0.20±0.16 D (ELD, p = 0.002) and 0.18±0.18 D (YG, p = 0.008). The ELD BCVA with green background was significantly worse than BCVA with red (p = 0.007) and white (p = 0.007). The mean value of the DC's width in ELD for green (1.01±0.36 D) was higher than for red (0.77±0.21 D) and for white (0.84±0.35 D), but with no statistical significance.

Conclusion

Both age groups showed a slight focusing preference for red when using white light. Moreover, ELD showed a worse BCVA with a green compared to a red background. Despite these results deduced by DC analyses, these aspects do not compromise the possibility of using the DT in clinical practice both in the young and in the elderly. Furthermore, the difference of about 0.20 D between red-green DC in both groups confirms the clinical appropriateness of the widespread use of 0.25 D step as the standard minimum difference in power between correcting lenses.

目的:比较在红色、绿色和白色背景刺激下获得的眼睛离焦曲线(DC),并研究双色测试(DT)在不同年龄组中的适用性。方法:招募 12 名老年受试者(ELD:59.3 ± 3.9 岁)和 8 名年轻受试者(YG:22.1 ± 1.1 岁)。使用 DT 进行验光评估,以获得远处的主观屈光度。测量了绿色、白色和红色背景下的远距离直流电,并推导出以下参数:红绿、绿白、红白焦点位置之间的屈光度差(直流电的最小值)、最佳矫正视力(BCVA)以及红、绿、白的直流电宽度:绿白焦点位置之间的直流差(平均值±标准偏差)分别为-0.12±0.17屈光度(D)(ELD,p = 0.012)和-0.11±0.12屈光度(YG,p = 0.039),而红白之间的直流差无统计学意义。直流红绿差为 0.20±0.16 D(ELD,p = 0.002)和 0.18±0.18 D(YG,p = 0.008)。ELD BCVA 的绿色背景明显差于 BCVA 的红色背景(p = 0.007)和白色背景(p = 0.007)。在 ELD 中,绿色的 DC 宽度平均值(1.01±0.36 D)高于红色(0.77±0.21 D)和白色(0.84±0.35 D),但没有统计学意义:结论:两个年龄组的人在使用白光时都对红光有轻微的聚焦偏好。此外,与红色背景相比, ELD 在绿色背景下的 BCVA 更差。尽管直流电分析得出了这些结果,但这些方面并不影响在临床实践中对年轻人和老年人使用 DT 的可能性。此外,两组红绿DC之间约0.20 D的差异证实了临床上广泛使用0.25 D作为矫正镜片之间最小功率差异标准的适当性。
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引用次数: 0
Visual function correlates of self-reported vision-related nighttime driving difficulties 自我报告的视力相关夜间驾驶困难的视觉功能相关性。
IF 2.3 Q1 Health Professions Pub Date : 2023-12-20 DOI: 10.1016/j.optom.2023.100506
Samuel Bert Boadi-Kusi , Princess Marie Aikins , Ebenezer Zaabaar , Anthony Gyimah Duku

Purpose

To investigate the visual function correlates of self-reported vision-related night driving difficulties among drivers.

Methods

One hundred and seven drivers (age: 46.06 ± 8.24, visual acuity [VA] of 0.2logMAR or better) were included in the study. A standard vision and night driving questionnaire (VND-Q) was administered. VA and contrast sensitivity were measured under photopic and mesopic conditions. Mesopic VA was remeasured after introducing a peripheral glare source into the participants' field of view to enable computation of disability glare index. Regression analyses were used to assess the associations between VND-Q scores, and visual function measures.

Results

The mean VND-Q score was -3.96±1.95 logit (interval scale score: 2.46±1.28). Simple linear regression models for photopic contrast sensitivity, mesopic VA, mesopic contrast sensitivity, and disability index significantly predicted VND-Q score (P<0.05), with mesopic VA and disability glare index accounting for the greatest variation (21 %) in VND-Q scores followed by photopic contrast sensitivity (19 %), and mesopic contrast sensitivity (15 %). A multiple regression model to determine the association between the predictors (photopic contrast sensitivity, mesopic VA, mesopic contrast sensitivity, and disability index) and VND-Q score yielded significant results, F (4, 102) = 8.58, P < 0.001, adj. R2 = 0.2224. Seeing dark-colored cars was the most challenging vision task.

Conclusion

Changes in mesopic visual acuity, photopic and mesopic contrast sensitivity, as well as disability glare index are associated with and explain night driving-related visual difficulties. It is recommended to incorporate measurement of these visual functions into assessments related to driving performance.

目的:研究驾驶员自我报告的与视力有关的夜间驾驶困难的视觉功能相关性:研究对象包括 107 名司机(年龄:46.06 ± 8.24,视力 [VA] 为 0.2logMAR 或更佳)。进行了标准视力和夜间驾驶问卷调查(VND-Q)。视力和对比敏感度是在光视和中视条件下测量的。在参与者视野中引入外围眩光源后,重新测量中视视力,以便计算残疾眩光指数。回归分析用于评估 VND-Q 分数与视觉功能测量之间的关联:结果:VND-Q 平均得分为 -3.96±1.95 logit(间隔量表得分:2.46±1.28)。光镜对比敏感度、中焦 VA、中焦对比敏感度和残疾指数的简单线性回归模型可显著预测 VND-Q 评分(P2 = 0.2224)。看深色汽车是最具挑战性的视觉任务:结论:中视角视力、光视角和中视角对比敏感度以及残疾眩光指数的变化与夜间驾驶相关的视觉困难有关,并能解释其原因。建议将这些视觉功能的测量纳入与驾驶表现相关的评估中。
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引用次数: 0
Utility of retinoscopy to examine peripheral refraction 视网膜镜检查周边屈光的实用性。
IF 2.3 Q1 Health Professions Pub Date : 2023-12-20 DOI: 10.1016/j.optom.2023.100505
Maciej Perdziak , Krystian Prymula , Anna Przekoracka–Krawczyk

Purpose

This study explored whether retinoscopy (RET) provides comparable results of relative peripheral refraction (RPR) to open–field autorefractometry (AR) in myopic subjects.

Methods

Peripheral refraction was measured in 20 myopic and 20 control adult subjects. Both central and peripheral refraction (20° nasal and temporal eccentricity) were measured using RET and open-field AR. Differences in the median central spherical equivalent (SE), median RPR, and median J45/J180 power vectors between the RET and AR techniques were analyzed. Moreover, Bland – Altman plots were used to assess the agreement between RET and AR methods for RPR measurements in MG.

Results

For MG, the median RPR values were positive (hyperopic shift), and no significant differences were observed between the RET and AR techniques with respect to RPR measurement. In addition, we did not observe any significant differences in the RPR values between the nasal and temporal eccentricities for either the RET or AR technique for myopic subjects. There was also a significant correlation and agreement between the RET and AR technique for RPR measurements. With respect to central refraction, the median SE was slightly more positive for the RET than for the AR technique. Inside the CG, we also found significant correlation between the RET and AR technique for RPR measurements, and we observed a myopic shift in peripheral eccentricities.

Conclusion

Our results show that retinoscopy may be a useful tool for objective measurements of RPR in myopic subjects and may be used interchangeably with the open-field AR method in everyday clinical practice.

目的:本研究探讨了在近视受试者中,视网膜镜(RET)是否能提供与开视野自动折射仪(AR)相当的相对周边屈光度(RPR)结果:对 20 名近视成年受试者和 20 名对照成年受试者进行了周边屈光度测量。使用 RET 和开视野自动屈光仪测量中心和周边屈光度(20° 鼻偏心和颞偏心)。分析了 RET 和 AR 技术的中心球面等效中值 (SE)、RPR 中值和 J45/J180 功率矢量中值的差异。此外,还使用 Bland - Altman 图评估了 RET 和 AR 方法在测量 MG RPR 时的一致性:对于 MG,RPR 中位值为正值(远视偏移),RET 和 AR 技术在 RPR 测量方面没有发现明显差异。此外,无论是 RET 还是 AR 技术,我们都没有观察到近视受试者鼻偏心和颞偏心的 RPR 值有明显差异。在 RPR 测量方面,RET 和 AR 技术之间也存在明显的相关性和一致性。在中心屈光度方面,RET 技术的 SE 中值比 AR 技术的 SE 中值更正。在中心视网膜内部,我们还发现 RET 和 AR 技术的 RPR 测量结果之间存在显著的相关性,而且我们观察到周边偏心率出现了近视偏移:我们的研究结果表明,视网膜镜可能是客观测量近视受试者RPR的有用工具,在日常临床实践中可与开视野AR法交替使用。
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引用次数: 0
Efficacy of anti-suppression therapy in improving binocular vision in children with small-angle Esotropia 抗抑制治疗改善儿童小角度内斜视双眼视力的疗效观察
IF 2.3 Q1 Health Professions Pub Date : 2023-12-06 DOI: 10.1016/j.optom.2023.100490
Preeti Sharma, Shailja Tibrewal, Prem Kumar Singh, Suma Ganesh

Purpose

To evaluate the efficacy of anti-suppression exercises in children with small-angle esotropia in achieving binocular vision.

Methods

A retrospective review of patients aged 3–8 years who underwent anti-suppression exercises for either monocular or alternate suppression between January 2016 and December 2021 was conducted. Patients with esotropia less than 15 prism diopters (PD) and visual acuity ≥ 6/12 were included. Patients with previous intra-ocular surgery or less than three-month follow-up were excluded. Success was defined as the development of binocular single vision (BSV) for distance, near, or both (measured clinically with either the 4 prism base out test or Worth four dot test) and maintained at two consecutive visits. Qualified success was defined as the presence of diplopia response for both distance and near. Additionally, improvement in near stereo acuity was measured using the Stereo Fly test.

Results

Eighteen patients with a mean age of 5.4 ± 1.38 years (range 3–8 years) at the time of initiation of exercises were included in the study. The male female ratio was 10:8. The mean best corrected visual acuity was 0.18 LogMAR unit(s) and the mean spherical equivalent was +3.8 ± 0.14 diopters (D). The etiology of the esotropia was fully accommodative refractive esotropia (8), microtropia (1), post–operative infantile esotropia (4), partially accommodative esotropia (1), and post-operative partially accommodative esotropia (4). Patients received either office-based, home-based, or both modes of treatment for an average duration of 4.8 months (range 3–8). After therapy, BSV was achieved for either distance or near in 66.6 % of patients (95 % CI = 40.03–93.31 %). Binocular single vision for both distance and near was seen in 50 % of children. Qualified success was observed in 38.46% of patients. Persistence of suppression was observed in one patient (5.5 %). Near stereopsis improved to 200 s of arc or more in 60% of the patients. The mean esotropia reduced from 5.7 ± 4.0 PD for distance and 6.2 ± 4.66 PD for near to 2.7 ± 2.4 PD and 3.38 ± 4.7 PD respectively, at the last follow-up (p-value 0.004 and 0.006). Failure of therapy was noticed after six months of follow-up in the child with infantile esotropia.

Conclusion

Anti-suppression exercises may be beneficial to improve binocular vision functions in children with small-angle esotropias of variable etiologies. Recurrence of suppression after cessation of therapy is possible, warranting regular follow up.

目的评价小角度内斜视儿童抗抑制运动对恢复双眼视力的效果。方法回顾性分析2016年1月至2021年12月期间接受单眼或交替抑制抗抑制运动的3-8岁患者。内斜视小于15棱镜屈光度(PD),视力≥6/12。既往有眼内手术或随访时间少于3个月的患者被排除在外。成功的定义是双眼单视力(BSV)的发展,距离,近,或两者(临床上用4棱镜基准测试或Worth四点测试测量),并在连续两次就诊时保持。合格的成功被定义为在远处和近处都有复视反应。此外,使用stereo Fly测试测量了近立体视力的改善。结果18例患者纳入研究,开始运动时平均年龄为5.4±1.38岁(3-8岁)。男女比例为10:8。平均最佳矫正视力为0.18 LogMAR单位(s),平均球面等效度为+3.8±0.14屈光度(D)。内斜视的病因为完全调节性屈光性内斜视(8)、微斜视(1)、术后婴儿内斜视(4)、部分调节性内斜视(1)和术后部分调节性内斜视(4)。患者接受办公室治疗、家庭治疗或两种治疗方式的治疗,平均持续时间为4.8个月(范围3-8)。治疗后,66.6%的患者在远处或近处达到了BSV (95% CI = 40.03 - 93.31%)。50%的儿童在近处和远处均有双眼单视力。38.46%的患者获得了合格的成功。1例患者(5.5%)出现持续抑制。60%的患者近立体视改善到200s弧度或更高。在最后一次随访时,平均内斜视分别从远处的5.7±4.0 PD和近处的6.2±4.66 PD降至2.7±2.4 PD和3.38±4.7 PD (p值分别为0.004和0.006)。治疗失败后六个月的随访发现,儿童与婴儿内斜视。结论抗抑制运动有助于改善儿童可变病因小角度内斜视的双眼视力。停止治疗后抑制复发是可能的,需要定期随访。
{"title":"Efficacy of anti-suppression therapy in improving binocular vision in children with small-angle Esotropia","authors":"Preeti Sharma,&nbsp;Shailja Tibrewal,&nbsp;Prem Kumar Singh,&nbsp;Suma Ganesh","doi":"10.1016/j.optom.2023.100490","DOIUrl":"https://doi.org/10.1016/j.optom.2023.100490","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate the efficacy of anti-suppression exercises in children with small-angle esotropia in achieving binocular vision.</p></div><div><h3>Methods</h3><p>A retrospective review of patients aged 3–8 years who underwent anti-suppression exercises for either monocular or alternate suppression between January 2016 and December 2021 was conducted. Patients with esotropia less than 15 prism diopters (PD) and visual acuity ≥ 6/12 were included. Patients with previous intra-ocular surgery or less than three-month follow-up were excluded. Success was defined as the development of binocular single vision (BSV) for distance, near, or both (measured clinically with either the 4 prism base out test or Worth four dot test) and maintained at two consecutive visits. Qualified success was defined as the presence of diplopia response for both distance and near. Additionally, improvement in near stereo acuity was measured using the Stereo Fly test.</p></div><div><h3>Results</h3><p>Eighteen patients with a mean age of 5.4 ± 1.38 years (range 3–8 years) at the time of initiation of exercises were included in the study. The male female ratio was 10:8. The mean best corrected visual acuity was 0.18 LogMAR unit(s) and the mean spherical equivalent was +3.8 ± 0.14 diopters (D). The etiology of the esotropia was fully accommodative refractive esotropia (8), microtropia (1), post–operative infantile esotropia (4), partially accommodative esotropia (1), and post-operative partially accommodative esotropia (4). Patients received either office-based, home-based, or both modes of treatment for an average duration of 4.8 months (range 3–8). After therapy, BSV was achieved for either distance or near in 66.6 % of patients (95 % CI = 40.03–93.31 %). Binocular single vision for both distance and near was seen in 50 % of children. Qualified success was observed in 38.46% of patients. Persistence of suppression was observed in one patient (5.5 %). Near stereopsis improved to 200 s of arc or more in 60% of the patients. The mean esotropia reduced from 5.7 ± 4.0 PD for distance and 6.2 ± 4.66 PD for near to 2.7 ± 2.4 PD and 3.38 ± 4.7 PD respectively, at the last follow-up (<em>p</em>-value 0.004 and 0.006). Failure of therapy was noticed after six months of follow-up in the child with infantile esotropia.</p></div><div><h3>Conclusion</h3><p>Anti-suppression exercises may be beneficial to improve binocular vision functions in children with small-angle esotropias of variable etiologies. Recurrence of suppression after cessation of therapy is possible, warranting regular follow up.</p></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888429623000389/pdfft?md5=85274c84146e460060c509e5f6b21c9b&pid=1-s2.0-S1888429623000389-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500823","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
Citation network analysis on keratoconus 圆锥角膜的引文网络分析。
IF 2.3 Q1 Health Professions Pub Date : 2023-11-29 DOI: 10.1016/j.optom.2023.100498
Cesar Villa-Collar , Cristina Alvarez-Peregrina , Clara Martinez-Perez , Miguel Ángel Sánchez-Tena

Objective

The high incidence of keratoconus has caused its management, etiology, and pathogenesis to be controversial topics in the ophthalmology field. This study aims to analyze the relationship between the different publications and authors through citation networks, as well as to identify the research areas and determine the most cited article.

Methods

The search for publications was carried out through the Web of Science database, using the term “Keratoconus” between 1900 and December 2022. The Citation Network Explorer and CiteSpace software were used for the publication analysis.

Results

9,655 publications were found, with 124,379 citations generated on the network. The year with the highest number of publications was 2021. The most cited publication was “Keratoconus” by Rabinowitz, published in 1998. Cluster function gave five groups of research areas about keratoconus: corneal signs and parameters, cross-linking efficiency and effects, clinical factors, keratoplasty, and treatment.

Conclusions

The citation network offers an objective and comprehensive analysis of the papers on keratoconus.

目的:圆锥角膜的高发病率使其治疗、病因及发病机制一直是眼科界争论的话题。本研究旨在通过引文网络分析不同出版物和作者之间的关系,并确定研究领域,确定被引最多的文章。方法:通过Web of Science数据库检索出版物,检索词为“角膜圆锥”,检索时间为1900年至2022年12月。使用引文网络浏览器和CiteSpace软件进行发表分析。结果:共发现出版物9655篇,共产生引用124379次。发表论文数量最多的年份是2021年。被引用最多的出版物是Rabinowitz于1998年出版的《圆锥角膜》(Keratoconus)。聚类函数给出了圆锥角膜的5组研究领域:角膜体征和参数、交联效率和效果、临床因素、角膜移植和治疗。结论:该引文网络对圆锥角膜相关文献进行了客观、全面的分析。
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引用次数: 0
IF 2.3 Q1 Health Professions Pub Date : 2023-11-22 DOI: 10.1016/j.optom.2023.100504
Maria Vinas-Pena
{"title":"","authors":"Maria Vinas-Pena","doi":"10.1016/j.optom.2023.100504","DOIUrl":"https://doi.org/10.1016/j.optom.2023.100504","url":null,"abstract":"","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888429623000523/pdfft?md5=6703d275d63f5118991c1ee46992e61a&pid=1-s2.0-S1888429623000523-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138412266","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
National estimate and associated factors of myopia among schoolchildren in Ethiopia: A systematic review and meta-analysis 埃塞俄比亚学龄儿童近视的国家估计和相关因素:系统回顾和荟萃分析
IF 2.3 Q1 Health Professions Pub Date : 2023-11-16 DOI: 10.1016/j.optom.2023.100480
Molla Yigzaw Birhanu , Getamesay Molla Bekele , Cheru Tesema Leshargie , Selamawit Shita Jemberie

Introduction

Myopia is a global public health concern that has a significant socioeconomic and psychological impact on schoolchildren. If Myopic patients are not detected early, they are exposed to retinal detachment, cataracts, and glaucoma. There have been previous studies conducted in Ethiopia, but there is significant inconsistency among studies. Hence, the aim of this study was to provide a single figure as well as associated factors for Myopia among Ethiopian schoolchildren.

Method

The national and international databases and gray literature were searched for important research articles. This review included school-based cross-sectional studies that were reported in English. The data were extracted using Microsoft word and exported to Stata™ Version 17.0 statistical software for further management and analysis .The presence of heterogeneity was checked using Cochrane Q test via fixed effects model and presented by forest plots with 95% CI. Due to the presence of substantial heterogeneity, I2 test using random effects model was computed to estimate the effect size. The existing heterogeneity among studies was explained by regional difference. To identify factors associated with myopia, meta regression was computed and significant factors was reported using OR with 95% CI.

Results

In this systematic review and meta-analysis, 12 studies with a total of 9688 schoolchildren were included. The national estimate of myopia among schoolchildren in Ethiopia was 6.49% (95%CI: 4.86, 8.12). Having family history of myopia (OR: 9.18, 95%CI: 3.5,24.02) and being female (OR: 0.94, 95% CI: 0.50, 0.98) were the identified factors associated with myopia.

Conclusion

Myopia is one of the most prevalent childhood health condition in Ethiopia, which affects about one in every fourteen schoolchildren. Schoolchildren who had family history of myopia and being female were the identified risk factors of myopia among schoolchildren. Clinical and public engagement activities are needed to address the burden of myopia.

近视是一个全球性的公共卫生问题,对学龄儿童具有重大的社会经济和心理影响。如果不及早发现近视患者,就有可能发生视网膜脱离、白内障和青光眼。以前在埃塞俄比亚进行过研究,但研究之间存在明显的不一致。因此,本研究的目的是提供埃塞俄比亚学童近视的单一数据及其相关因素。方法检索国内外数据库和灰色文献,查找重要的研究文章。本综述包括以英语报道的以学校为基础的横断面研究。使用Microsoft word提取数据,导出到Stata™Version 17.0统计软件进行进一步管理和分析。采用固定效应模型的Cochrane Q检验检验异质性的存在,并以95% CI的森林样地表示。由于存在较大的异质性,采用随机效应模型计算I2检验来估计效应量。研究间存在的异质性可以用区域差异来解释。为了确定与近视相关的因素,计算了meta回归,并使用OR和95% CI报告了显著因素。结果本系统综述和荟萃分析共纳入12项研究,共9688名学童。埃塞俄比亚学龄儿童近视的全国估计为6.49% (95%CI: 4.86, 8.12)。有近视家族史(OR: 9.18, 95%CI: 3.5,24.02)和女性(OR: 0.94, 95%CI: 0.50, 0.98)是确定的近视相关因素。结论近视是埃塞俄比亚儿童最常见的健康问题之一,每14名小学生中就有1人近视。有近视家族史和女性是小学生近视的危险因素。需要开展临床和公众参与活动,以解决近视的负担。
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引用次数: 0
Prevalence of dry eye disease in the low vision population at the University of Colorado 科罗拉多大学低视力人群中干眼病的患病率。
IF 2.3 Q1 Health Professions Pub Date : 2023-11-07 DOI: 10.1016/j.optom.2023.100501
Kaleb Abbott, Kara S. Hanson, James Lally

Purpose

To evaluate the prevalence of diagnosed dry eye syndrome, meibomian gland dysfunction, and blepharitis amongst the low vision population.

Methods

A retrospective analysis was conducted on patients seen in the University of Colorado Low Vision Rehabilitation Service between the dates of 12/1/2017 and 12/1/2022. 74 ICD-10 codes were used to identify patients as having dry eye syndrome or not having dry eye syndrome. Data was further analyzed to determine the prevalence of blepharitis and meibomian gland dysfunction using 29 blepharitis and 9 meibomian gland dysfunction ICD-10 codes. Data were also analyzed to determine the age and sex of the patients with diagnosed dry eye syndrome.

Results

The percentage of patients with a diagnosis of dry eye syndrome by an eyecare provider was 38.02 %. The prevalence of dry eye syndrome by age group was 3.57 % for 0–19 years, 14.35 % for 20–39 years, 29.07 % for 40–59 years, 43.79 % for 60–79 years, and 46.21 % for 80 and above. The prevalence of meibomian gland dysfunction and blepharitis was 11.90 % and 9.1 % respectively. Dry eye syndrome prevalence amongst males was 31.59 % and 42.47 % for females.

Conclusion

This study demonstrates that dry eye syndrome in the low vision population is a significant co-morbidity occurring in over a third of patients in the University of Colorado Low Vision Rehabilitation Service. These findings are meaningful as ocular comfort should not be overlooked while managing complex visual needs.

目的:评估低视力人群中诊断为干眼综合征、睑板腺功能障碍和睑缘炎的患病率。方法:对2017年1月12日至2022年1月1日期间在科罗拉多大学低视力康复服务中心就诊的患者进行回顾性分析。74个ICD-10代码用于识别患有干眼症或没有干眼症的患者。使用29个睑缘炎和9个睑板腺功能障碍ICD-10代码对数据进行进一步分析,以确定睑板炎和睑板腺功能紊乱的患病率。还对数据进行了分析,以确定被诊断为干眼症的患者的年龄和性别。结果:眼科护理人员诊断为干眼综合征的患者比例为38.02%。按年龄组划分,干眼综合症的患病率在0-19岁为3.57%,在20-39岁为14.35%,在40-59岁为29.07%,在60-79岁为43.79%,在80岁及以上为46.21%。睑板腺功能障碍和睑缘炎的患病率分别为11.90%和9.1%。男性干眼症患病率为31.59%,女性为42.47%。结论:这项研究表明,在科罗拉多大学低视力康复服务中心,超过三分之一的患者患有低视力人群的干眼综合征。这些发现是有意义的,因为在管理复杂的视觉需求时,眼睛的舒适度不应被忽视。
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引用次数: 0
Measuring visual acuity and spherical refraction with smartphone screens emitting blue light 用发出蓝光的智能手机屏幕测量视力和球面折射率。
IF 2.3 Q1 Health Professions Pub Date : 2023-11-06 DOI: 10.1016/j.optom.2023.100494
Rosa María Salmerón-Campillo , Félix Tomás Varona-Gómez , Mari Ogino , Stephen Hunter , Vincent Hussey , Donny W. Suh , Rujuta Gore , Mateusz Jaskulski , Norberto López-Gil

Introduction

A periodical self-monitoring of spherical refraction using smartphones may potentially allow a quicker intervention by eye care professionals to reduce myopia progression. Unfortunately, at low levels of myopia, the far point (FP) can be located far away from the eye which can make interactions with the device difficult. To partially remedy this issue, a novel method is proposed and tested wherein the longitudinal chromatic aberration (LCA) of blue light is leveraged to optically bring the FP closer to the eye.

Methods

Firstly, LCA was obtained by measuring spherical refraction subjectively using blue pixels in stimuli shown on organic light-emitting diode (OLED) screens and also grey stimuli with matching luminance. Secondly, the visual acuity (VA) measured with a smartphone located at 1.0 m and 1.5 m and displaying blue optotypes was compared with that obtained clinically standard measurements. Finally, the spherical over refraction obtained in blue light with a smartphone was compared with clinical over-refraction with black and white (B&W) optotypes placed at 6 m.

Results

Mean LCA of blue OLED smartphone screens was −0.67 ± 0.11 D. No significant differences (p > 0.05) were found between the VA measured with blue optotypes on a smartphone screen and an eye chart. Mean difference between spherical over-refraction measured subjectively by experienced subjects with smartphones and the one obtained clinically was 0.08 ± 0.34 D.

Conclusions

Smartphones using blue light can be used as a tool to detect changes in visual acuity and spherical refraction and facilitate monitoring of myopia progression.

引言:使用智能手机定期自我监测球面屈光度可能会让眼科护理专业人员更快地进行干预,以减少近视的进展。不幸的是,在近视程度较低的情况下,远点(FP)可能位于远离眼睛的位置,这可能会使与设备的交互变得困难。为了部分解决这个问题,提出并测试了一种新的方法,其中利用蓝光的纵向色差(LCA)使FP在光学上更接近眼睛。方法:首先,使用有机发光二极管(OLED)屏幕上显示的刺激中的蓝色像素和亮度匹配的灰色刺激,主观测量球面折射,获得LCA。其次,将智能手机在1.0米和1.5米处测量的显示蓝色视标的视力(VA)与临床标准测量值进行比较。最后,将智能手机在蓝光中获得的球形过度折射与放置在6米处的黑白(B&W)视标的临床过度折射进行了比较。结果:蓝色OLED智能手机屏幕的平均LCA为-0.67±0.11 D。在智能手机屏幕上用蓝色视标测量的VA和眼图之间没有发现显著差异(p>0.05)。有经验的受试者用智能手机主观测量的球面过度折射与临床获得的球面过度屈光之间的平均差异为0.08±0.34D。结论:使用蓝光的智能手机可以用作检测视力和球面折射变化的工具,并有助于监测近视进展。
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引用次数: 0
Silicone oil insulation effects on flash electroretinogram and visual evoked potential in patients with retinal detachment 硅油绝缘对视网膜脱离患者闪光视网膜电图和视觉诱发电位的影响。
IF 2.3 Q1 Health Professions Pub Date : 2023-11-04 DOI: 10.1016/j.optom.2023.100502
Anastasia Papachristou , Argiri Lambraki , Trisevgeni Giannakopoulou , Miltiadis K. Tsilimbaris , Sotiris Plainis

Background

Silicone oil is used as endotamponade following vitreoretinal surgery to maintain the retina reattached when indicated. This study investigates the hypothesis that silicone oil causes insulation effects on the retina by affecting its response to light.

Methods

Electrophysiological responses to a flash stimulus were recorded using full-field electroretinography (ERG) and visual evoked potentials (VEP). Recordings were performed in 9 patients who underwent surgery for retinal detachment, before (1–2 days) and after (2–3 weeks) silicone oil removal (SOR) in both the study and the control eye. Flash ERG and VEP recordings were performed according to the ISCEV standard protocol.

Results

Statistically significant differences were found in the study eye in the amplitudes of the ERG responses and their corresponding ratios, i.e. the amplitude after SOR over the amplitude before SOR, in all conditions tested. No differences were observed in the control eye. The mean ratio of photopic ERG response was 3.4 ± 2.4 for the study and 1.0 ± 0.3 for the control eye (p<0.001). The mean ratio of ERG flicker response was 3.1 ± 2.4 and 1.0 ± 0.3, respectively (p = 0.003). Scotopic flash ERG ratio was 5.0 ± 4.4 for the study and 1.3 ± 0.6 for the control eye (p = 0.012). No differences were observed for the amplitude and latency of flash VEP response after SOR.

Conclusions

Silicone oil causes a reduction in flash ERG responses; no effect was found on flash VEP responses. ERGs in eyes filled with silicone oil should not be considered representative of retinal functionality, in contrast to VEPs, which are not affected by silicone oil presence.

背景:在玻璃体视网膜手术后,硅油被用作内amponade,以在需要时保持视网膜复位。这项研究调查了硅油通过影响视网膜对光的反应而对视网膜产生绝缘作用的假设。方法:用全视野视网膜电图(ERG)和视觉诱发电位(VEP)记录对闪光刺激的电生理反应。对9名接受视网膜脱离手术的患者在研究眼和对照眼的硅油去除(SOR)前(1-2天)和后(2-3周)进行了记录。根据ISCEV标准方案进行闪光ERG和VEP记录。结果:在所有测试条件下,研究眼的ERG反应幅度及其相应比率(即SOR后的幅度与SOR前的幅度)存在统计学上的显著差异。在对照眼中未观察到差异。研究的光视觉ERG反应的平均比率为3.4±2.4,对照眼为1.0±0.3(结论:硅油会导致闪光ERG反应减少;未发现对闪光VEP反应的影响。与不受硅油影响的VEP相比,充满硅油的眼睛中的ERG不应被视为代表视网膜功能。
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引用次数: 0
期刊
Journal of Optometry
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