Journal of Optometry最新文献_第5页

Strategies and attitudes on the management of myopia in clinical practice in Spain - 2022 update 西班牙临床实践中近视管理的策略和态度——2022年更新。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-23 DOI: 10.1016/j.optom.2023.100496

Clara Martínez-Pérez , César Villa-Collar , Jacinto Santodomingo-Rubido , James S. Wolffsohn

Objective

This study analyses strategies and attitudes on myopia management reported by eye care practitioners (ECP) from Spain in 2022.

Methods

A questionnaire was distributed to ECPs worldwide via the internet through professional associations. The questionnaire was distributed by email to all registered Spanish optician-optometrists. Questions examined awareness of increasing myopia prevalence; perceived efficacy; uptake of available approaches; and reasons preventing further uptake of specific approaches.

Results

Of 3,107 practitioners who participated in the study, 380 were Spanish ECPs. Using a 10-point scale, Spanish practitioners reported less concern about increasing pediatric myopia (8.3 ± 1.6) compared to ECP's worldwide (8.5 ± 1.9) (p < 0.001), but similar level of clinical activity in myopia control (7.8 ± 2.3 vs. 7.5 ± 2.5, respectively) (p > 0.05); however, around half of all prescribed treatments were single-vision distance spectacles/contact lenses both in Spain and in most regions, with Spanish practitioners prescribing less single-vision spectacles than African and Asian (p < 0.001), but more than Australasian practitioners (p = 0.04). No significant differences were found between Spain and the other regions in the perceived efficacy of combined therapy, orthokeratology, and outdoor time (p > 0.05), with the former being perceived as the most effective myopia control method followed by orthokeratology. No significant differences were found between Spain and the world's average in factors preventing the prescription of myopia control approaches (p > 0.05). Spanish practitioners reported that embracing myopia management has a positive, but lower impact on customer loyalty, practice revenue and job satisfaction compared with the other regions (all p < 0.001).

Conclusions

Myopia control is increasing, although around half of practitioners still prescribe single-vision distance spectacles/contact lenses to young/progressive myopes. Combined therapy followed by orthokeratology were perceived as the most effective treatments. Embracing myopia management improved patient loyalty and job satisfaction.

目的：本研究分析了2022年西班牙眼科护理从业者（ECP）报告的近视管理策略和态度。方法：通过专业协会通过互联网向全球ECP分发问卷。调查问卷通过电子邮件分发给所有注册的西班牙眼镜商验光师。问题考察了人们对近视患病率上升的认识；感知效能；采用现有方法；以及阻止进一步采用特定方法的原因。结果：在参与研究的3107名从业者中，380名是西班牙ECP。使用10分量表，西班牙从业者报告称，与全球ECP（8.5±1.9）相比，他们对儿童近视（8.3±1.6）增加的担忧较少（p0.05）；然而，在西班牙和大多数地区，约有一半的处方治疗是单视距眼镜/隐形眼镜，西班牙医生开出的单视眼镜少于非洲和亚洲医生（p0.05），前者被认为是最有效的近视控制方法，其次是角膜塑形术。在预防近视控制方法处方的因素方面，西班牙与世界平均水平之间没有发现显著差异（p>0.05）。西班牙从业者报告称，接受近视管理对客户忠诚度有积极但较低的影响，与其他地区相比，实习收入和工作满意度（所有p结论：近视的控制正在增加，尽管大约一半的医生仍然为年轻/进行性近视患者开单眼距眼镜/隐形眼镜。联合治疗和角膜塑形术被认为是最有效的治疗方法。接受近视管理可以提高患者的忠诚度和工作满意度。

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引用次数: 0

Distance horizontal fusional facility (DFF): A new diagnostic vergence test for the acquired brain injury (ABI) population 距离水平融合设施（DFF）：一种针对获得性脑损伤（ABI）人群的新诊断收敛性测试。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-09 DOI: 10.1016/j.optom.2023.100487

Barry Tannen , Emma Karlin , Kenneth J. Ciuffreda , Noah Tannen , John Shelley-Tremblay

Purpose

To report the retrospectively-based, clinical diagnostic findings for the horizontal, distance, fusional facility (DFF) test in the non-TBI (traumatic brain inury), ABI (acquired brain injury) population.

Methods

The DFF test (4 pd base-out/2 pd base-in) was assessed and compared retrospectively in the first author's optometric practice in three clinical populations: (1) post-mTBI, visually-symptomatic (n = 52), (2) post-ABI, non-mTBI, visually-symptomatic (n = 34), and (3) visually-normal, visually asymptomatic (n = 44).

Results

The DFF values in each group were significantly different from each other (p < 0.05). The mean non-TBI, ABI group value was significantly lower than found in the mTBI group, and both were significantly lower than the mean found in the normal cohort (p < 0.05). There was a significant reduction in DFF with increased age (p < 0.001). ROC values for the AUC ranged from excellent to acceptable (0.94–0.74).

Conclusion

The DFF test is a new and useful way to assess horizontal, distance, dynamic, fusional facility in those with presumed non-mTBI, ABI neurological conditions to assist in its diagnosis.

目的：报告非创伤性脑损伤（TBI）、获得性脑损伤（ABI）人群的水平、距离、融合设施（DFF）测试的回顾性临床诊断结果。方法：在第一作者的验光实践中，对三个临床人群的DFF测试（4个pd碱基out/2个pd碱基in）进行了回顾性评估和比较：（1）mTBI后，视觉症状（n=52），（2）ABI后，非mTBI，视觉有症状（n=34），和（3）视觉正常，视觉无症状（n=44）。结果：各组的DFF值存在显著差异（p结论：DFF测试是一种新的、有用的方法，可以评估那些假定为非mTBI、ABI神经系统疾病的患者的水平、距离、动态、融合功能，以帮助其诊断。

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引用次数: 0

Utility of the Actiwatch Spectrum Plus for detecting the outdoor environment and physical activity in children Actiwatch Spectrum Plus用于检测儿童户外环境和身体活动的实用性。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-03 DOI: 10.1016/j.optom.2023.100483

Einat Shneor , Ariela Gordon-Shaag , Ravid Doron , Julia S. Benoit , Lisa A. Ostrin

Purpose

To describe the performance of the Actiwatch Spectrum Plus (Philips, Respironics) for determining real world indoor and outdoor environments and physical activity in children.

Methods

Children wore the device while performing 10 different activities, ranging from sedentary to vigorous physical-activity, and under different indoor and outdoor conditions. Repeated measures ANOVA was implemented via mixed effects modeling to determine illuminance (lux) and physical activity (counts per 15 s, CP15) across conditions. Receiver operator characteristics (ROC) analysis assessed the accuracy to detect indoor versus outdoor settings.

Results

Illuminance was found to be statistically different across indoor (793 ± 348 lux) and outdoor (4,413 ± 518 lux) conditions (P<.0001), with excellent diagnostic accuracy to detect indoor versus outdoor settings (Area under the ROC Curve, AUC 0.94); 1088 lux was identified as the optimal threshold for outdoor illuminance (sensitivity: 93.0%; specificity: 85.0%). Using published activity ranges, we found that when children were sitting, 94% of the physical-activity readings were classified as sedentary or light. When children were walking, 88% of readings were classified as light, and when children were running, 77% of readings were classified as moderate or vigorous.

Conclusion

The Actiwatch Spectrum Plus performed well during real world activities in children, showing excellent diagnostic accuracy at 1088 lux as a threshold to detect indoor versus outdoor environments and in categorizing physical activity.

目的：描述Actiwatch Spectrum Plus（飞利浦，Respironics）在确定真实世界的室内外环境和儿童体育活动方面的性能。方法：儿童在不同的室内和室外条件下进行10种不同的活动，从久坐到剧烈的体育活动。通过混合效应建模实施重复测量ANOVA，以确定不同条件下的照度（勒克斯）和体力活动（每15秒计数，CP15）。接收器操作员特征（ROC）分析评估了检测室内和室外设置的准确性。结果：发现室内（793±348勒克斯）和室外（4413±518勒克斯。

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引用次数: 0

Comparing the effect of benzalkonium chloride-preserved, polyquad-preserved, and preservative-free prostaglandin analogue eye drops on cultured human conjunctival goblet cells 比较苯扎氯铵保存液、聚甲醛保存液和不含防腐剂的前列腺素类似物滴眼液对培养的人结膜杯状细胞的影响。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-01 DOI: 10.1016/j.optom.2023.100481

Anne Hedengran , Josefine Freiberg , Pernille May Hansen , Gerard Boix-Lemonche , Tor P. Utheim , Darlene A. Dartt , Goran Petrovski , Steffen Heegaard , Miriam Kolko

Purpose

To investigate the effect of benzalkonium chloride (BAK)-preserved latanoprost and bimatoprost, polyquad (PQ)-preserved travoprost, and preservative-free (PF) latanoprost and tafluprost, all prostaglandin analogues (PGAs), on human conjunctival goblet cell (GC) survival. Furthermore, to investigate the effect of BAK-preserved and PF latanoprost on the cytokine secretion from GC.

Methods

Primary human conjunctival GCs were cultivated from donor tissue. Lactate dehydrogenase (LDH) and tetrazolium dye colorimetric (MTT) assays were used for the assessment of GC survival. A cytometric bead array was employed for measuring secretion of interleukin (IL)-6 and IL-8 from GC.

Results

BAK-preserved latanoprost and bimatoprost reduced cell survival by 28% (p = 0.0133) and 20% (p = 0.0208), respectively, in the LDH assay compared to a negative control. BAK-preserved latanoprost reduced cell proliferation by 54% (p = 0.003), BAK-preserved bimatoprost by 45% (p = 0.006), PQ-preserved travoprost by 16% (p = 0.0041), and PF latanoprost by 19% (p = 0.0001), in the MTT assay compared to a negative control. Only PF tafluprost did not affect the GCs in either assay. BAK-preserved latanoprost caused an increase in the secretion of pro-inflammatory IL-6 and IL-8 (p = 0.0001 and p = 0.0019, respectively) compared to a negative control, which PF latanoprost did not.

Conclusion

BAK-preserved PGA eye drops were more cytotoxic to GCs than PQ-preserved and PF PGA eye drops. BAK-preserved latanoprost induced an inflammatory response in GC. Treatment with PF and PQ-preserved PGA eye drops could mean better tolerability and adherence in glaucoma patients compared to treatment with BAK-preserved PGA eye drops.

目的：研究苯扎氯铵（BAK）保存的拉坦前列素和比马前列素、聚四肽（PQ）保存的曲伏前列素、无防腐剂（PF）的拉坦前列素和塔夫卢前列素，所有前列腺素类似物（PGAs）对人结膜杯状细胞（GC）存活的影响。此外，为了研究保存的BAK和PF拉坦前列素对GC细胞因子分泌的影响。方法：从供体组织中培养原代人结膜GC。乳酸脱氢酶（LDH）和四氮唑染料比色法（MTT）测定用于评估GC存活率。结果：与阴性对照相比，BAK保存的拉坦前列素和比马前列素在LDH测定中分别降低了28%（p=0.0133）和20%（p=0.0208）。在MTT分析中，与阴性对照相比，BAK保存的拉坦前列素使细胞增殖减少54%（p=0.003），BAK保留的比马前列素减少45%（p=0.006），PQ保留的曲伏前列素减少16%（p=0.0041），PF保存的拉坦前列素减少19%（p=0.0001）。在这两种测定中，只有PF塔夫前列素不影响GC。与阴性对照相比，BAK保存的拉坦前列素导致促炎IL-6和IL-8的分泌增加（分别为p=0.0001和p=0.0019），而PF拉坦前列肽没有。结论：BAK保存的PGA滴眼液对GC的细胞毒性比PQ保存的和PF-PGA滴眼液强。BAK保存的拉坦前列素在GC中诱导炎症反应。与BAK保存的PGA滴眼液治疗相比，PF和PQ保存的PGA滴眼液治疗青光眼患者可能意味着更好的耐受性和依从性。

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引用次数: 1

Comparison of the ocular ultrasonic and optical biometry devices in the different quality measurements 不同质量测量中眼部超声和光学生物测量装置的比较。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-01 DOI: 10.1016/j.optom.2023.05.001

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

Purpose

To compare the reliability and agreement of axial length (AL), anterior chamber depth (ACD), and lens thickness (LT) measurements obtained with optical biometry based on swept-source optical coherence tomography (IOLMaster 700; Carl Zeiss, Germany) and an ultrasound biometry device (Nidek; US-4000 Echoscan, Japan) in different qualities of AL measurement.

Methods

A total of 239 consecutive eyes of 239 cataract surgery candidates with a mean age of 56 ± 14 years were included. The quality measurements were grouped according to the quartiles of SD of the measured AL by IOLMaster 700. The first and fourth quartile's SD are defined as high and low-quality measurement, respectively, and the second and third quartiles’ SD is defined as moderate-quality.

Results

The reliability of AL and ACD between the two devices in all patients and in different quality measurement groups was excellent with highly statistically significant (AL: all ICC=0.999 and P<0.001, ACD: all ICC>0.920 and P<0.001). AL and ACD in all quality measurements showed a very strong correlation between devices with highly statistically significant. However, there was poor (ICC=0.305), moderate (ICC=0.742), and good (ICC=0.843) reliability in measuring LT in low-, moderate-, and high-quality measurements, respectively. LT showed a very strong correlation (r = 0.854) with highly statistically significant (P<0.001) between devices only in patients with high-quality measurements.

Conclusions

AL and ACD of the IOLMaster700 had outstanding agreements with the US-4000 ultrasound in different quality measurements of AL and can be used interchangeably. But LT should be used interchangeably cautiously only in the high-quality measurements group.

目的：比较基于扫描源光学相干断层扫描（IOLMaster 700；Carl Zeiss，德国）和超声生物测量设备（Nidek；US-4000 Echoscan，日本）的光学生物测量在不同AL测量质量下获得的轴向长度（AL）、前房深度（ACD）和晶状体厚度（LT）测量的可靠性和一致性。方法：纳入239名白内障手术候选人的239只连续眼睛，平均年龄为56±14岁。根据IOLMaster 700测量的AL的SD四分位数对质量测量进行分组。第一和第四四分位数SD分别被定义为高质量和低质量测量，结果：在所有患者和不同质量测量组中，两种设备之间的AL和ACD的可靠性都非常好，具有高度统计学意义（AL：所有ICC=0.999、P0.920和PC结论：IOLMaster700的AL和ACD在AL的不同质量测量中与US-4000超声有显著的一致性，可以互换使用。但LT应仅在高质量测量组中谨慎地互换使用。

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引用次数: 0

Prevalence of refractive error within a Portuguese sample of optometric records 葡萄牙验光记录样本中屈光不正的患病率。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-01 DOI: 10.1016/j.optom.2023.04.001

Vera Lúcia Alves Carneiro, José Manuel González-Méijome

Purpose

Considering the burden of refractive error, clinical-based research methods are often used as epidemiological tools. This study aimed to generate evidence on the prevalence and distribution of refractive error in Portugal.

Methods

A cross-sectional retrospective study was designed to review optometric records from Portuguese practices during July 2021.

Results

348 optometric records were analysed. Subjects had a mean age of 44.2 ± 19.2 years (range 6–81) and 58.4% were female. The mean spherical equivalent was myopic, −0.65 ± 2.38 Diopters (D), varying from a minimum of −13.63 to a maximum of 6.25 D. According to sex, the mean spherical equivalent was −0.76 ± 2.29 D for female and −0.49 ± 2.49 D for male, with no significant difference between them (p = .307). The distribution of the spherical equivalent mean across the age groups, linearly varies from a myopic −1.62 ± 1.74 D in the age group of [6 – 29]; −1.58 ± 2.80 D in [30 – 44]; −0.09 ± 2.40 in [45 – 59] to a hyperopic 0.67 ± 1.61 D in the group of [60 – 81]. High myopia had a prevalence of 2.7% in the sample. Myopia was the most prevalent refractive error in the sample representing 41.3%. In the age group [6–29], myopia had a prevalence of 69.3%. Hyperopia had a prevalence in the sample of 29.7%.

Conclusions

Myopia represents the most prevalent refractive error within the sample and is the prevalence is higher in the younger age groups, demonstrating a shift towards an increase of myopia in the next years.

目的：考虑到屈光不正的负担，临床研究方法经常被用作流行病学工具。本研究旨在为葡萄牙屈光不正的患病率和分布提供证据。方法：设计了一项横断面回顾性研究，回顾2021年7月葡萄牙诊所的验光记录。结果：分析了348份验光记录。受试者的平均年龄为44.2±19.2岁（6-81岁），58.4%为女性。平均球面当量为近视，-0.65±2.38屈光度（D），从最小-13.63到最大6.25 D不等。根据性别，女性和男性的平均球面当量分别为-0.76±2.29 D和-0.49±2.49 D，两者之间没有显著差异（p=.307），在[6-29]年龄组中，近视-1.62±1.74 D呈线性变化-在[30-44]中为1.58±2.80 D-在[45-59]组为0.09±2.40，在[60-81]组为0.67±1.61D。高度近视的患病率为2.7%。近视是样本中最常见的屈光不正，占41.3%。在[6-29]年龄组中，近视的患病率为69.3%。远视在样本中的发病率为29.7%，这表明近视在未来几年会增加。

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引用次数: 0

Review of using the Dyop optotype for acuity and refractions 使用Dyop视标检查视力和屈光度的回顾。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-01 DOI: 10.1016/j.optom.2022.12.002

Allan N Hytowitz

引用次数: 2

Impact of strabismus and binocular dysfunctions in the developmental eye movement test and test of visual perception skills: A multicentric and retrospective study 斜视和双眼功能障碍对发育性眼动测试和视觉感知技能测试的影响：一项多中心回顾性研究。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-01 DOI: 10.1016/j.optom.2023.04.002

Marc Argilés , Joan Gispets , Núria Lupón , Bernat Sunyer-Grau , Cristina Rovira-Gay , Marta Pérez-Ternero , Marina Berta-Cabañas

Purpose

To compare the performance in the Developmental Eye Movement test (DEM) and the Test of Visual Perceptual Skills (TVPS) between three groups: individuals with strabismus and amblyopia, patients with binocular and accommodative dysfunctions, and subjects with normal binocular and accommodative function.

Methods

A multicentric, retrospective study including 110 children aged 6–14 years old was conducted to investigate the potential impact of strabismus, amblyopia, and different binocular conditions in DEM results (adjusted time in vertical and horizontal parts) and TVPS (percentiles in the seven sub-skills).

Results

No significant differences were found in the different subtests of the vertical and horizontal DEM and all the sub-skills in the TVPS between the three groups of the study. We found high variability of performance in the DEM test between participants with strabismus and amblyopia compared with binocular and accommodative problems.

Conclusion

DEM and TVPS scores have not been found to be influenced by the presence of strabismus with or without amblyopia, nor by binocular and accommodative dysfunctions. A slightly correlation tendency with horizontal DEM and degree of exotropia deviation was observed.

目的：比较斜视和弱视患者、双眼和调节功能障碍患者以及双眼和调节功能正常的受试者三组在发展性眼动测试（DEM）和视觉感知技能测试（TVPS）中的表现。方法：对110名6-14岁儿童进行多中心回顾性研究，以及DEM结果（垂直和水平部分的调整时间）和TVPS（七个子技能的百分位数）中不同的双眼条件。我们发现，与双眼和调节问题相比，斜视和弱视参与者在DEM测试中的表现差异很大。结论：DEM和TVPS评分不受斜视伴或不伴弱视的影响，也不受双眼和调节功能障碍的影响。观察到与水平DEM和外斜视程度略有相关的趋势。

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引用次数: 1

Who cites optometry journals? 谁引用了验光杂志？

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-01 DOI: 10.1016/j.optom.2023.05.002

Nathan Efron , Philip B. Morgan , Lyndon W. Jones , Jason J. Nichols

Purpose

This work seeks to identify the most impactful journals, papers, authors, institutions, and countries that cite optometry journal articles.

Methods

The Scopus database was searched for papers citing at least one article published in any of the 18 optometry journals included in that database (i.e. ‘optometry articles’). The 10 most highly cited papers that cite optometry journal articles were determined from 82,830 papers found. A h-index for “optometry journal citations” (the h_OJC-index) was derived for each entity in the categories of journals, papers, authors, institutions and countries to serve as a measure of impact.

Results

The h_OJC-index of the body of papers citing optometry journal articles is 370. Papers citing optometry journal articles have themselves been cited 2,054,816 times. Investigative Ophthalmology & Visual Science (h_OJC = 154) is the most impactful journal citing optometry articles and Optometry and Vision Science the most prolific (5310 papers). The most impactful paper citing optometry journal articles (5725 citations) was published in Journal of Clinical Epidemiology. Ophthalmologist Seang Mei Saw (h_OJC = 69) is the most impactful author and optometrist Nathan Efron is the most prolific (288 papers). Harvard University (h_OJC = 127) is the most impactful and UNSW Sydney is the most prolific institution (1761 papers). The United States is the most impactful and prolific nation (h_OJC = 313; 28,485 papers).

Conclusions

Optometry journal articles are cited extensively by optometrists, ophthalmologists, and vision scientists world-wide, as well as authors from a broad spectrum of non-ophthalmic research domains. This work confirms the utility and influence of optometry journals.

目的：这项工作旨在确定引用验光杂志文章的最具影响力的期刊、论文、作者、机构和国家。方法：在Scopus数据库中搜索引用该数据库中18种验光杂志中任何一种上发表的至少一篇文章的论文（即“验光文章”）。引用验光杂志文章最多的10篇论文是从发现的82830篇论文中确定的。针对期刊、论文、作者、机构和国家类别中的每个实体，推导出“验光期刊引文”的h指数（hOJC指数），作为衡量影响的指标。结果：引用验光杂志文章的论文体的hOJC指数为370。引用验光杂志文章的论文本身已被引用2054816次。《眼科与视觉科学研究》（hOJC=154）是引用验光文章最具影响力的期刊，《验光与视觉科学》是引用文章最多的期刊（5310篇论文）。引用验光杂志文章最具影响力的论文（5725次引用）发表在《临床流行病学杂志》上。眼科学家Seang Mei Saw（hOJC=69）是最有影响力的作者，验光师Nathan Efron是最多产的（288篇论文）。哈佛大学（hOJC=127）是最具影响力的，新南威尔士大学悉尼分校是最多产的机构（1761篇论文）。美国是最具影响力和多产的国家（hOJC=313；28485篇论文）。结论：验光杂志文章被世界各地的验光师、眼科医生和视觉科学家以及来自广泛非眼科研究领域的作者广泛引用。这项工作证实了验光杂志的效用和影响力。

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引用次数: 0

Efficacy of optometric phototherapy: a systematic review 验光光疗的疗效：一项系统综述。

IF 2.3 Q1 Health Professions

Journal of Optometry

Pub Date : 2023-10-01 DOI: 10.1016/j.optom.2023.03.002

Zaíra Cervera-Sánchez, Pilar Cacho-Martínez, Ángel García-Muñoz

Purpose

To analyse the scientific evidence about the efficacy of Syntonic phototherapy for producing changes in visual function.

Material and methods

A systematic review was performed to obtain studies on the effects of Syntonic phototherapy on vision. A search in health science databases (Medline, Scopus, Web of Science and PsycINFO) for studies published between 1980 and 2022 was conducted in accordance with the principles of Cochrane approach. The search identified 197 articles. Only clinical studies which used the Syntonic phototherapy as a vision therapy for any visual condition were included. Clinical cases and case series were excluded. Following the inclusion criteria, 8 clinical studies met inclusion, 5 of them being pseudo-experimental studies with an equivalent control group and 3 pre-post pseudo-experimental studies. GRADE tool was used to assess the certainty of the evidence of the studies. The GRADE evidence profile for the studies through the Soft table was made to analyse data.

Results

The studies analysed seven outcomes: visual symptoms, functional visual fields, visual acuity, contrast sensitivity, deviation (phoria/tropia), stereopsis and reading abilities. Finding table about results (Soft Table) showed that for all outcomes reviewed, all studies yielded very low certainty of evidence. Results revealed a lack of scientific evidence of the efficacy of Syntonic optometric phototherapy to produce changes in the visual function.

Conclusion

This systematic review found no consistent evidence for the efficacy of Syntonic phototherapy to cause changes in visual function. There is no scientific evidence to support its clinical use for treating any type of visual anomalies.

目的：分析Syntonic光疗对视觉功能改变的疗效的科学证据。材料和方法：系统回顾Syntonic光疗对视力影响的研究。根据Cochrane方法的原则，在健康科学数据库（Medline、Scopus、Web of science和PsycINFO）中搜索1980年至2022年间发表的研究。搜索发现了197篇文章。仅包括使用Syntonic光疗作为任何视觉状况的视觉治疗的临床研究。排除临床病例和病例系列。根据纳入标准，有8项临床研究符合纳入标准，其中5项为具有等效对照组的伪实验研究，3项为伪实验前后研究。GRADE工具用于评估研究证据的确定性。通过软表对研究的GRADE证据进行分析。结果：研究分析了七个结果：视觉症状、功能视野、视力、对比敏感度、斜视（斜视/斜视）、立体视觉和阅读能力。结果查找表（软表）显示，对于所审查的所有结果，所有研究的证据确定性都很低。结果显示，缺乏科学证据表明Syntonic验光光疗对视觉功能产生影响。结论：本系统综述没有发现一致的证据表明Syntonic光疗能引起视觉功能变化。没有科学证据支持它在临床上用于治疗任何类型的视觉异常。

{"title":"Efficacy of optometric phototherapy: a systematic review","authors":"Zaíra Cervera-Sánchez, Pilar Cacho-Martínez, Ángel García-Muñoz","doi":"10.1016/j.optom.2023.03.002","DOIUrl":"10.1016/j.optom.2023.03.002","url":null,"abstract":"<div><h3>Purpose</h3><p>To analyse the scientific evidence about the efficacy of Syntonic phototherapy for producing changes in visual function.</p></div><div><h3>Material and methods</h3><p>A systematic review was performed to obtain studies on the effects of Syntonic phototherapy on vision. A search in health science databases (Medline, Scopus, Web of Science and PsycINFO) for studies published between 1980 and 2022 was conducted in accordance with the principles of Cochrane approach. The search identified 197 articles. Only clinical studies which used the Syntonic phototherapy as a vision therapy for any visual condition were included. Clinical cases and case series were excluded. Following the inclusion criteria, 8 clinical studies met inclusion, 5 of them being pseudo-experimental studies with an equivalent control group and 3 pre-post pseudo-experimental studies. GRADE tool was used to assess the certainty of the evidence of the studies. The GRADE evidence profile for the studies through the Soft table was made to analyse data.</p></div><div><h3>Results</h3><p>The studies analysed seven outcomes: visual symptoms, functional visual fields, visual acuity, contrast sensitivity, deviation (phoria/tropia), stereopsis and reading abilities. Finding table about results (Soft Table) showed that for all outcomes reviewed, all studies yielded very low certainty of evidence. Results revealed a lack of scientific evidence of the efficacy of Syntonic optometric phototherapy to produce changes in the visual function.</p></div><div><h3>Conclusion</h3><p>This systematic review found no consistent evidence for the efficacy of Syntonic phototherapy to cause changes in visual function. There is no scientific evidence to support its clinical use for treating any type of visual anomalies.</p></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/38/main.PMC10518764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9521455","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}

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