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Children adapt well to diffusion optics technology™ (DOT) spectacle lenses 儿童能很好地适应扩散光学技术™ (DOT) 镜片
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102205
Marcella McParland, Lucill Wang, Jennifer Hill
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引用次数: 0
Evaluation of a new corneal scleral contact lens design in keratoconus 评估角膜塑形镜的新型角膜巩膜接触镜设计
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102206
Anastasia Rotondi , Claudia Stratta , Mauro Frisani
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引用次数: 0
Influence of multifocal contact lens design on patient acceptance 多焦点隐形眼镜设计对患者接受度的影响
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102209
Michel Guilon , Anna Sulley , Pasquale Pepe , Percy Lazon de la Jara
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引用次数: 0
NCC doing research: The frequency of protocol and informed consent use for contact lens instructions in the Netherlands and Belgium NCC 开展研究:荷兰和比利时在隐形眼镜说明书中使用协议和知情同意书的频率
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102210
Maurice Heunen, Byki Huntjens, Carolina Kunnen, Jeanine Lammens, Marianne Lindenberg, Cristian Mertz, Cor Oosting-Klock, Josien Zeeman
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引用次数: 0
BCLA CLEAR presbyopia: Management with intraocular lenses BCLA CLEAR 老花眼:使用眼内镜片进行管理
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102253
Cristina Schnider , Leonard Yuen , Radhika Rampat , Dagny Zhu , Sandeep Dhallu , Tanya Trinh , Bharat Gurnani , Ahmed Abdelmaksoud , Gurpreet Bhogal-Bhamra , James S. Wolffsohn , Shehzad A. Naroo

Cataract surgery including intraocular lens (IOL) insertion, has been refined extensively since the first such procedure by Sir Harold Ridley in 1949. The intentional creation of monovision with IOLs using monofocal IOL designs has been reported since 1984. The first reported implantation of multifocal IOLs was published in 1987. Since then, various refractive and or diffractive multifocal IOLs have been commercialised. Most are concentric, but segmented IOLs are also available. The most popular are trifocal designs (overlaying two diffractive patterns to achieve additional focal planes at intermediate and near distances) and extended depth of focus designs which leave the patient largely spectacle independent with the reduced risk of bothersome contrast reduction and glare. As well as mini-monovision, surgical strategies to minimise the impact of presbyopia with IOLs includes mixing and matching lenses between the eyes and using IOLs whose power can be adjusted post-implantation. Various IOL designs to mimic the accommodative process have been tried including hinge optics, dual optics, lateral shifts lenses with cubic-type surfaces, lens refilling and curvature changing approaches, but issues in maintaining the active mechanism with post-surgical fibrosis, without causing ocular inflammation, remain a challenge. With careful patient selection, satisfaction rates with IOLs to manage presbyopia are high and anatomical or physiological complications rates are no higher than with monofocal IOLs.

自哈罗德-里德利爵士于 1949 年首次实施白内障手术(包括植入人工晶体)以来,该手术已得到广泛改进。自 1984 年以来,使用单焦点人工晶体设计的人工晶体有意创造单视点的报道不断出现。多焦点人工晶体植入术的首次报道发表于 1987 年。从那时起,各种屈光性和衍射性多焦点人工晶体开始商业化。大多数是同心型人工晶体,但也有分段式人工晶体。最流行的是三焦点设计(叠加两个衍射图案,在中距离和近距离获得额外的焦点平面)和扩展焦深设计,使患者在很大程度上不需要佩戴眼镜,同时降低了令人烦恼的对比度降低和眩光的风险。除了迷你单视,使用人工晶体将老花眼影响降至最低的手术策略还包括在双眼之间混合和匹配镜片,以及使用植入后可调整功率的人工晶体。人们尝试了各种人工晶体设计来模拟适应过程,包括铰链光学、双光学、具有立方体表面的侧移镜片、镜片重新填充和曲率改变方法,但在不引起眼部炎症的情况下维持手术后纤维化的活性机制仍然是一个挑战。经过精心挑选,患者对人工晶体治疗老花眼的满意度很高,解剖或生理并发症的发生率也不高于单焦点人工晶体。
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引用次数: 0
BCLA CLEAR Presbyopia – Current learning evidence academic reports BCLA CLEAR 老花眼 - 当前学习证据学术报告
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102254
Shehzad A. Naroo, James S. Wolffsohn, Philip B. Morgan
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引用次数: 0
A survey on the use of fitting guides for soft multifocal contact lenses 关于软性多焦点隐形眼镜验配指南使用情况的调查
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102196
Katharina Manz , Sebastian Golczyk , Werner Eisenbarth , Laura Hanenberg
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引用次数: 0
Impact of scleral lens anterior and posterior asphericity on high order aberrations 巩膜透镜前后非球面度对高阶像差的影响
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102199
Langis Michaud, Alexandre Poirier-Lavallée
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引用次数: 0
The influence of lens type and power on contact lens handling characteristics 镜片类型和功率对隐形眼镜操作特性的影响
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102238
Michael Read , Philip Morgan , Gary Orsborn , Anna Sulley
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引用次数: 0
BCLA CLEAR Presbyopia: Management with contact lenses and spectacles BCLA CLEAR 老花眼:隐形眼镜和眼镜的管理。
IF 4.1 3区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-08-01 DOI: 10.1016/j.clae.2024.102158

This paper seeks to outline the history, market situation, clinical management and product performance related to the correction of presbyopia with both contact lenses and spectacles. The history of the development of various optical forms of presbyopic correction are reviewed, and an overview is presented of the current market status of contact lenses and spectacles. Clinical considerations in the fitting and aftercare of presbyopic contact lens and spectacle lens wearers are presented, with general recommendations for best practice. Current options for contact lens correction of presbyopia include soft simultaneous, rigid translating and rigid simultaneous designs, in addition to monovision. Spectacle options include single vision lenses, bifocal lenses and a range of progressive addition lenses. The comparative performance of both contact lens and spectacle lens options is presented. With a significant proportion of the global population now being presbyopic, this overview is particularly timely and is designed to act as a guide for researchers, industry and eyecare practitioners alike.

本文旨在概述与隐形眼镜和眼镜矫正老花眼相关的历史、市场状况、临床管理和产品性能。本文回顾了各种老花眼矫正光学形式的发展历史,并概述了隐形眼镜和眼镜的市场现状。介绍了老花眼隐形眼镜和眼镜佩戴者验配和术后护理的临床注意事项,以及最佳实践的一般建议。目前用于矫正老花眼的隐形眼镜包括软性同步设计、硬性平移设计和硬性同步设计,此外还有单光设计。眼镜的选择包括单焦镜片、双焦镜片和一系列渐进附加镜片。本报告介绍了隐形眼镜和眼镜的性能比较。目前,全球有很大一部分人口都患有老花眼,因此本综述特别及时,旨在为研究人员、行业和眼科从业人员提供指导。
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引用次数: 0
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