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Guidelines for Authors 作者指南
Pub Date : 2011-10-01 DOI: 10.1016/S1529-1839(11)00475-1
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引用次数: 0
2011 House of Delegates 2011年众议院
Pub Date : 2011-10-01 DOI: 10.1016/j.optm.2011.08.003
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引用次数: 0
Constitution and Bylaws 章程及附例
Pub Date : 2011-10-01 DOI: 10.1016/j.optm.2011.08.004
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引用次数: 0
Neovascular age-related macular degeneration therapy confirmed 新血管性年龄相关性黄斑变性治疗证实
Pub Date : 2011-10-01 DOI: 10.1016/j.optm.2011.08.010
Stephanie Frankel, Joseph Sowka O.D.
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引用次数: 1
Bilateral arteritic anterior ischemic optic neuropathy 双侧动脉前缺血性视神经病变
Pub Date : 2011-10-01 DOI: 10.1016/j.optm.2010.08.004
Michelle Matson O.D., Lane Fujimoto O.D.

Background

Arteritic anterior ischemic optic neuropathy (AION) is a disease of the optic nerve head seen in patients over the age of 50 and more commonly over the age of 70. With few exceptions, arteritic AION is caused by giant cell arteritis. Early diagnosis and prompt treatment with corticosteroids are essential for preventing potentially devastating visual loss from this disease.

Case Report

A 63-year-old white man presented with the complaints of blurred vision of the right eye and visual field loss of the left eye. Ocular examination found bilateral swollen optic nerve heads. Visual field testing showed altitudinal defects in each eye. Laboratory testing was significant for elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels. The patient was treated with oral prednisone for arteritic AION and referred to a rheumatologist. At follow-up, the patient’s ESR and CRP levels showed significant improvement. The optic nerve head of the left eye showed a reduction in swelling, and the visual field finding was stable.

Conclusion

Arteritic AION is an ocular emergency. Optometrists need to be able to recognize and diagnose this condition quickly to initiate critical corticosteroid treatment.

背景:蝶状体前部缺血性视神经病变(AION)是一种视神经头部疾病,常见于50岁以上的患者,70岁以上的患者更为常见。除少数例外,动脉性AION是由巨细胞动脉炎引起的。早期诊断和及时使用皮质类固醇治疗对于预防这种疾病可能造成的破坏性视力丧失至关重要。病例报告一例63岁白人男性,主诉右眼视力模糊,左眼视野丧失。眼部检查发现双侧视神经头肿胀。视野检查显示双眼高度缺损。实验室检测明显升高红细胞沉降率(ESR)和c反应蛋白(CRP)水平。患者接受口服强的松治疗动脉性AION,并转诊至风湿病专家。在随访中,患者的ESR和CRP水平明显改善。左眼视神经头肿胀减轻,视野稳定。结论动脉性出血是一种眼部急症。验光师需要能够识别和诊断这种情况迅速启动关键的皮质类固醇治疗。
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引用次数: 4
Reliability of a computer-based system for measuring visual performance skills 测量视觉表现技能的计算机系统的可靠性
Pub Date : 2011-09-01 DOI: 10.1016/j.optm.2011.01.012
Graham B. Erickson O.D. , Karl Citek O.D., Ph.D. , Michelle Cove O.D. , Jennifer Wilczek O.D. , Carolyn Linster , Brendon Bjarnason , Nathan Langemo

Background

Athletes have demonstrated better visual abilities than nonathletes. A vision assessment for an athlete should include methods to evaluate the quality of visual performance skills in the most appropriate, accurate, and repeatable manner. This study determines the reliability of the visual performance measures assessed with a computer-based system, known as the Nike Sensory Station.

Methods

One hundred twenty-five subjects (56 men, 69 women), age 18 to 30, completed Phase I of the study. Subjects attended 2 sessions, separated by at least 1 week, in which identical protocols were followed. Subjects completed the following assessments: Visual Clarity, Contrast Sensitivity, Depth Perception, Near–Far Quickness, Target Capture, Perception Span, Eye–Hand Coordination, Go/No Go, and Reaction Time. An additional 36 subjects (20 men, 16 women), age 22 to 35, completed Phase II of the study involving modifications to the equipment, instructions, and protocols from Phase I.

Results

Results show no significant change in performance over time on assessments of Visual Clarity, Contrast Sensitivity, Depth Perception, Target Capture, Perception Span, and Reaction Time. Performance did improve over time for Near-Far Quickness, Eye-Hand Coordination, and Go/No Go.

Conclusions

The results of this study show that many of the Nike Sensory Station assessments show repeatability and no learning effect over time. The measures that did improve across sessions show an expected learning effect caused by the motor response characteristics being measured.

运动员表现出比非运动员更好的视觉能力。运动员的视力评估应包括以最适当、准确和可重复的方式评估视觉表现技能质量的方法。这项研究确定了以计算机为基础的系统评估视觉表现的可靠性,该系统被称为耐克感官站。方法125名受试者(56名男性,69名女性),年龄18至30岁,完成了第一阶段的研究。受试者参加两个疗程,间隔至少1周,其中遵循相同的方案。受试者完成以下评估:视觉清晰度、对比敏感度、深度感知、远近速度、目标捕捉、感知广度、手眼协调、Go/No Go和反应时间。另外36名受试者(20名男性,16名女性),年龄22至35岁,完成了第二阶段的研究,包括对第一阶段的设备、说明和方案进行了修改。结果显示,随着时间的推移,在视觉清晰度、对比敏感度、深度感知、目标捕捉、感知广度和反应时间的评估方面,他们的表现没有显著变化。随着时间的推移,在近距离速度、手眼协调和Go/No Go方面的表现确实有所改善。结论:本研究的结果表明,许多耐克感官站评估具有可重复性,并且随着时间的推移没有学习效果。在不同的学习过程中确实有所改善的测量结果显示,被测量的运动反应特征导致了预期的学习效果。
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引用次数: 61
Thoughts about referrals 关于推荐的想法
Pub Date : 2011-09-01 DOI: 10.1016/j.optm.2011.07.011
Paul B. Freeman O.D.
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引用次数: 0
Inattentional blindness or looking without seeing 无意失明或看不见
Pub Date : 2011-09-01 DOI: 10.1016/j.optm.2011.08.001
Byron Y. Newman O.D.
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引用次数: 4
Safety and compliance of prescription spectacles ordered by the public via the Internet 市民透过互联网订购处方眼镜的安全及合规性
Pub Date : 2011-09-01 DOI: 10.1016/j.optm.2011.07.012
Karl Citek O.D., Ph.D. , Daniel L. Torgersen MBA, MS , Jeffrey D. Endres ABOC , Robert R. Rosenberg O.D.

Background

This study investigated prescription spectacles ordered from online vendors and delivered directly to the public for compliance with the optical tolerance and impact resistance requirements for eyewear dispensed in the United States.

Methods

Ten individuals ordered 2 pairs of spectacles from each of 10 of the most visited Internet vendors, totaling 200 eyewear orders. Spectacles ordered consisted of ranges of lens and frame materials, lens styles, and refractive corrections reflecting current distributions in the United States. Evaluations included measurement of sphere power, cylinder power and axis, add power (if indicated), horizontal prism imbalance, and impact testing.

Results

We received and evaluated 154 pairs of spectacles, comprising 308 lenses. Several spectacles were provided incorrectly, such as single vision instead of multifocal and lens treatments added or omitted. In 28.6% of spectacles, at least 1 lens failed tolerance standards for at least 1 optical parameter, and in 22.7% of spectacles, at least 1 lens failed impact testing. Overall, 44.8% of spectacles failed at least 1 parameter of optical or impact testing.

Conclusion

Nearly half of prescription spectacles delivered directly by online vendors did not meet either the optical requirements of the patient's visual needs or the physical requirements for the patient's safety.

本研究调查了从在线供应商订购并直接交付给公众的处方眼镜,以符合在美国配售的眼镜的光学公差和抗冲击要求。方法10名个人从10个访问量最大的互联网供应商中各订购了2副眼镜,共计200副眼镜订单。订购的眼镜包括镜片和框架材料的范围,镜片样式和折射校正,反映当前在美国的分布。评估包括测量球体功率,圆柱体功率和轴,添加功率(如果有指示),水平棱镜不平衡和冲击测试。结果我们收到并评价了154副眼镜,包括308个镜片。有几副眼镜提供不正确,例如单焦而不是多焦,以及增加或省略了晶状体治疗。在28.6%的眼镜中,至少有一个镜片不符合至少一个光学参数的公差标准,在22.7%的眼镜中,至少有一个镜片不符合冲击测试。总体而言,44.8%的眼镜在光学或冲击测试中至少有一个参数不合格。结论网络销售商直接提供的处方眼镜中,有近一半既不符合患者视觉需求的光学要求,也不符合患者安全的物理要求。
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引用次数: 9
Identify the practice’s best patients – and then duplicate them 找出最好的病人,然后复制他们
Pub Date : 2011-09-01 DOI: 10.1016/j.optm.2011.07.007
Gary Gerber O.D.
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引用次数: 0
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Optometry
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