Hamza Inayat , Mura Abdul-Nabi , Bernice Leung , Jason Jiang , Sara Robertson , Monali S. Malvankar-Mehta
{"title":"Detrimental impact on work productivity in patients with glaucoma: a systematic review","authors":"Hamza Inayat , Mura Abdul-Nabi , Bernice Leung , Jason Jiang , Sara Robertson , Monali S. Malvankar-Mehta","doi":"10.1016/j.jfop.2024.100142","DOIUrl":"10.1016/j.jfop.2024.100142","url":null,"abstract":"<div><h3>Introduction</h3><div>Glaucoma, the leading cause of irreversible blindness globally, presents a growing public health concern with its prevalence expected to reach 111.8 million by 2040. This condition imposes both direct and indirect economic costs. In addition to medical expenses, indirect costs encompass lost productivity and adverse effects on mental health and independence. Early glaucoma stages primarily manifest as peripheral vision loss, but as it progresses, it significantly impairs one's quality of life. There is a growing body of research exploring the relationship between glaucoma and workplace functioning, including absenteeism and productivity loss. This systematic review aims to comprehensively investigate how glaucoma affects work productivity and the associated economic burden.</div></div><div><h3>Methods</h3><div>This study adheres to the PRISMA guidelines. A literature search was conducted across multiple databases, including MEDLINE, Embase, CINAHL, and PsycINFO. Two independent reviewers screened titles, abstracts, and full-text articles based on predefined inclusion and exclusion criteria. Covidence software was employed for study selection and quality assessment. The Modified Downs and Black Checklist was used to evaluate study quality and thematic analysis was used to analyze data.</div></div><div><h3>Results</h3><div>17 studies met the inclusion criteria. The results revealed a significant impact of glaucoma on workplace functioning including, individuals with glaucoma experienced higher sickness absenteeism rates than those without glaucoma, glaucoma was associated with reduced labor force participation, leading to substantial productivity losses. Individuals with visual impairments and blindness earned less than those with normal vision, contributing to a significant financial burden. Glaucoma had a substantial impact on daily physical, emotional, and occupational functioning. Individuals with glaucoma faced limitations in performing daily activities and experienced difficulties in social interactions and household chores. Visual impairment due to glaucoma resulted in work disability, with some individuals reporting glaucoma-related visual disability as the main cause of their unemployment. A significant association between unemployment and glaucoma was observed in various studies, particularly in developing countries.</div></div><div><h3>Conclusion</h3><div>Glaucoma significantly impairs work productivity and performance, resulting in substantial economic burdens on individuals, businesses, and society. Addressing these challenges requires multifaceted approaches, including workplace accommodations and holistic care.</div></div>","PeriodicalId":100740,"journal":{"name":"JFO Open Ophthalmology","volume":"8 ","pages":"Article 100142"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142434119","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}
{"title":"Assessing the awareness and knowledge of the adverse ocular side effects associated with oral contraceptives among women between the ages of 16 and 40 in Benin-city, Edo state, Nigeria","authors":"Obehi Suzan Idogen","doi":"10.1016/j.jfop.2024.100140","DOIUrl":"10.1016/j.jfop.2024.100140","url":null,"abstract":"<div><h3>Purpose</h3><p>Oral contraceptives are routinely used by women, because they are effective birth control methods, but few women are aware of their adverse ocular side effects. This study was carried out to determine the level of awareness and knowledge of the adverse ocular side effects associated with oral contraceptive use among women in Benin-City, Edo State, Nigeria.</p></div><div><h3>Method</h3><p>This was a cross-sectional study conducted over an eight-month period from February 2023 to September 2023, including 402 women (n = 402). The study employed both self-administered online and printed questionnaires.</p></div><div><h3>Results</h3><p>The mean age of the participants was 27.76 ± 7.03. A total of 196 had tertiary education, 131 had secondary education and 75 had no educational background. Two-hundred thirty-seven participants were users of oral contraceptives, while 165 had never used them. Of the participants that were users of oral contraceptives, 44 had previously experienced visual problems as a side. The study results reveal that 289 participants (71.9%) were not aware of the potential adverse effects of oral contraceptives, while only 82 participants (20.4%) were aware.</p></div><div><h3>Conclusion</h3><p>The results of this study show that there is poor awareness of the side effects of oral contraceptives, more specifically, the adverse effects on the eyes. It is recommended that more public health awareness campaigns be initiated, with the goal of accurately educating women about the ocular pathologic risks associated with oral contraceptives. Furthermore, healthcare workers should effectively communicate the risks associated with oral contraceptives to their patients. This can help women looking for contraception options make informed decisions about using oral contraceptives.</p></div>","PeriodicalId":100740,"journal":{"name":"JFO Open Ophthalmology","volume":"8 ","pages":"Article 100140"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949889924000643/pdfft?md5=8f8d2195053db436a9e04dd7fd627f5b&pid=1-s2.0-S2949889924000643-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271868","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}
Yaw Akye Essuman , Benjamin Abaidoo , Vera Adobea Essuman , Kwesi Nyan Amissah-Arthur
{"title":"An assessment of the vision-related quality of life among adult patients with diabetes mellitus in Accra, Ghana","authors":"Yaw Akye Essuman , Benjamin Abaidoo , Vera Adobea Essuman , Kwesi Nyan Amissah-Arthur","doi":"10.1016/j.jfop.2024.100139","DOIUrl":"10.1016/j.jfop.2024.100139","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess the overall vision-related quality of life (VRQoL) of adults with diabetes mellitus attending selected diabetic and eye care facilities in Accra, Ghana.</p></div><div><h3>Methods</h3><p>This was a hospital-based analytical cross-sectional study which took place from January to July 2023. A purposive consecutive sampling technique was used to select 150 participants. A questionnaire consisting of the WHO-PBD/VF20 and EuroQol Five Dimensional Scale instruments was used to obtain information pertaining to the demographic characteristics, vision-related quality of life and health-related quality of life of selected participants.</p></div><div><h3>Results</h3><p>The median participant age was 61.0 years. Participants with diabetic retinopathy had a worse mean overall total VRQoL score (19.4) than those without (79.9) in all domains; general visual functioning, 41.3 vs. 78.7, p = 0.002; general functioning, 15.1 vs. 80.2, p = 0.001; psychosocial, 35.7 vs. 79.3, p = 0.001; and visual symptoms, 24.4 vs. 80.4, p = 0.001. Participants with diabetic retinopathy also had a worse mean overall HRQoL score (17.4) than those without (81.0) in all domains; mobility, 32.4 vs. 79.6, p = 0.001; self-care, 53.9 vs. 77.6, p = 0.001; usual activities, 30.2 vs. 79.8, p = 0.001; pain/discomfort, 36.3 vs. 79.2, p = 0.001; and anxiety, 31.5 vs. 79.7, p = 0.001.</p></div><div><h3>Conclusion</h3><p>Our findings suggest a significant deterioration in both vision-related and health-related quality of life with the development of diabetic retinopathy. They highlight the need for nationwide screening programs to identify people with diabetes mellitus, as well as effective glycemic control to prevent the development of complications such as diabetic retinopathy.</p></div>","PeriodicalId":100740,"journal":{"name":"JFO Open Ophthalmology","volume":"8 ","pages":"Article 100139"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949889924000631/pdfft?md5=2dffe5984ff198286d47f9d3f0b3544f&pid=1-s2.0-S2949889924000631-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271976","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}
{"title":"Retinal thickness and macular microvascular changes seen on optical coherence tomography angiography (OCTA) in patients with sickle cell retinopathy in a tertiary care eye hospital","authors":"Olufemi Oderinlo, Oyekunle Idris, Lateefat Oshunkoya, Adekunle Hassan, Abiodun Olukotun","doi":"10.1016/j.jfop.2024.100138","DOIUrl":"10.1016/j.jfop.2024.100138","url":null,"abstract":"<div><h3>Purpose</h3><div>To report retinal thickness values and macular vascular flow characteristics identified by optical coherence tomography angiography (OCT-A) in patients with various sickle cell genotypes in a population from sub-Saharan Africa.</div></div><div><h3>Design</h3><div>Retrospective, observational study.</div></div><div><h3>Methods</h3><div>This is a single-institution case series of adult patients with various sickle cell genotypes who presented to the Eye Foundation Hospital Lagos between January 2022 and December 2023. Case files of patients were reviewed, and macular OCT and OCT-A images analyzed quantitatively for macular thickness, areas of flow loss, size of foveal avascular area, parafoveal flow, as well as vascular density in both the superficial and deep vascular plexi. The findings were compared by sickle cell genotype and comparisons made with age matched normal patients.</div></div><div><h3>Results</h3><div>A total of 38 eyes of 19 patients’ records were reviewed, and 35 eyes met the inclusion criteria; 16 eyes of 9 age and gender matched controls were included. The mean central foveal thickness (CFT) was 242.4 μm ± 33.3 μm among patients’ eyes, while a mean CFT of 236.1 μm ± 10.1 μm was measured among controls (p = 0.312). A smaller mean FAZ area of 0.270 mm<sup>2</sup> ± 0.116 mm<sup>2</sup> was seen among the control eyes compared to a mean of 0.314 mm<sup>2</sup> ± 0.206 mm<sup>2</sup> among patients’ eyes (p = 0.439). The mean flow area was larger among control eyes with 0.849 mm<sup>2</sup> ± 0.647 mm<sup>2</sup> compared to a mean flow of 0.822 mm<sup>2</sup> ± 0.471 mm<sup>2</sup> among patients’ eyes (0.868). The mean superficial foveal vessel density was greater among control eyes (19.30 ± 4.58) compared to patient eyes (18.77 ± 7.78) (p = 0.765). The mean deep foveal vessel density was greater among controls (35.30 ± 8.36) than among patients (34.06 ± 9.30) (p = 0.650). The difference between eyes of SC (53.37 ± 5.13) patients and SS (47.94 ± 8.44) patients in the deep temporal perifoveal VD was statistically significant (p = 0.035).</div></div><div><h3>Conclusion</h3><div>The retina in eyes with sickle retinopathy and that of controls tends to be thickest in the nasal quadrant, then the superior, then inferior, and then thinnest in the temporal quadrant. Macular vessel density in both the superficial and deep capillary plexi was thicker among controls compared to eyes with sickle cell retinopathy. Among patients’ eyes, the deep capillary vessel density in the temporal perifoveal quadrant was greater among SC patients compared to SS (p = 0.035).</div></div>","PeriodicalId":100740,"journal":{"name":"JFO Open Ophthalmology","volume":"8 ","pages":"Article 100138"},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294988992400062X/pdfft?md5=bfa00719d917cae1357d1a0421faf9e2&pid=1-s2.0-S294988992400062X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311607","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}
Michael Balas , Kamiar Mireskandari , Matthew B. Schlenker
{"title":"Screentime and myopia: can technology offer solutions?","authors":"Michael Balas , Kamiar Mireskandari , Matthew B. Schlenker","doi":"10.1016/j.jfop.2024.100125","DOIUrl":"10.1016/j.jfop.2024.100125","url":null,"abstract":"","PeriodicalId":100740,"journal":{"name":"JFO Open Ophthalmology","volume":"7 ","pages":"Article 100125"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949889924000497/pdfft?md5=2831bc98e70b9fd8caf15b3f5e66755a&pid=1-s2.0-S2949889924000497-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122922","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}
Rafah Fairaq , Halah Bin Helayel , Halla Abdulhadi , Sarah M. Almuwarraee , Sarah A. Almatrafi , Rahaf Alruwaili , Danya AlDahan , Sami T. Hameed , Mohammed AlShehri , Mohammed AlMutlak
{"title":"Implantable Collamer Lens for Visual Rehabilitation in keratoconus - A Narrative Review of Visual and Refractive Outcomes","authors":"Rafah Fairaq , Halah Bin Helayel , Halla Abdulhadi , Sarah M. Almuwarraee , Sarah A. Almatrafi , Rahaf Alruwaili , Danya AlDahan , Sami T. Hameed , Mohammed AlShehri , Mohammed AlMutlak","doi":"10.1016/j.jfop.2024.100131","DOIUrl":"10.1016/j.jfop.2024.100131","url":null,"abstract":"<div><p>Keratoconus (KC) is a progressive corneal condition characterized by ectasia, which causes progressive myopia and irregular astigmatism, resulting in decreased vision. Visual rehabilitation and refractive error management of keratoconic eyes are challenging. There is increasing interest in using the implantable collamer lens (ICL) off label in KC in light of encouraging reports of safety and efficacy in stable disease. The main concerns in considering ICL for visual rehabilitation include stability of the disease, magnitude of the refractive error, type of astigmatism, keratometric readings, and patient satisfaction with spectacles. This article reviews the indications for ICL in keratoconus and the timing between ICL implantation and corneal crosslinking and/or intrastromal corneal ring segment procedures. Additionally, we review challenges with ICL sizing in keratoconus, along with the factors and frequency associated with exchange and rotation post-ICL implantation.</p></div>","PeriodicalId":100740,"journal":{"name":"JFO Open Ophthalmology","volume":"8 ","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949889924000552/pdfft?md5=1e0e6a290289c64e6f5323c7feedf460&pid=1-s2.0-S2949889924000552-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173803","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}
Amer Mosa Alwreikat , Cansu Yüksel Elgin , David J. Ramsey , Paul R. Cotran
{"title":"Cumulative dissipated energy during phacoemulsification is associated with bleb failure in eyes with prior trabeculectomy","authors":"Amer Mosa Alwreikat , Cansu Yüksel Elgin , David J. Ramsey , Paul R. Cotran","doi":"10.1016/j.jfop.2024.100130","DOIUrl":"10.1016/j.jfop.2024.100130","url":null,"abstract":"<div><h3>Introduction</h3><p>Trabeculectomy is the most effective method of lowering the intraocular pressure (IOP) in patients with open-angle glaucoma refractory to pharmacological treatment or laser trabeculoplasty. Many phakic glaucoma patients later require cataract surgery after trabeculectomy. The purpose of this study is to determine factors that predict bleb failure after phacoemulsification.</p></div><div><h3>Methods</h3><p>This retrospective, observational study included 33 eyes from 30 patients with open-angle glaucoma who had successful trabeculectomy with mitomycin (MMC) and subsequently underwent uncomplicated cataract surgery by means of clear corneal phacoemulsification performed by a single surgeon between 2006 and 2018. Bleb failure was defined as an eye that required the addition of two or more glaucoma medications or had an IOP > 21 mmHg at any follow-up visit more than one month after surgery. Kaplan-Meier analysis was conducted to visualize bleb survival over the two-year study period.</p></div><div><h3>Results</h3><p>Ten eyes (30.3%) experienced bleb failure, at an average of 325 ± 254 days after phacoemulsification surgery. A further six eyes (18.2%) partially failed over this period. Blebs that remained fully functional (51.5%) two years after phacoemulsification surgery received lower total cumulative dissipated energy (CDE; 12.6 ± 7.2 versus 19.0 ± 7.7, <em>P</em> = 0.027).</p></div><div><h3>Conclusion</h3><p>Higher levels of ultrasound energy at the time of cataract surgery, as reflected by CDE, are associated with bleb failure. Removing cataracts at a stage when the lens is less dense so that it will require less total ultrasound energy and allow shorter duration for surgery may benefit eyes with functioning filtering blebs.</p></div>","PeriodicalId":100740,"journal":{"name":"JFO Open Ophthalmology","volume":"8 ","pages":"Article 100130"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949889924000540/pdfft?md5=831c5a0e9cd984631c6fd7ab44e6d983&pid=1-s2.0-S2949889924000540-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173802","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}