Clinical and Experimental Optometry最新文献

{"title":"Acute bilateral macular neuroretinopathy in a 12-year-old boy following a flu-like illness: a microperimetric longitudinal follow-up.","authors":"Mustafa Kayabaşı, Ayşe Bozkurt Oflaz, Seher Köksaldı, Ali Osman Saatci","doi":"10.1080/08164622.2024.2445065","DOIUrl":"https://doi.org/10.1080/08164622.2024.2445065","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professor Eric Papas: leading exponent of contact lens research and development.","authors":"Nathan Efron","doi":"10.1080/08164622.2025.2453046","DOIUrl":"https://doi.org/10.1080/08164622.2025.2453046","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-3"},"PeriodicalIF":1.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pupillary dynamics in diabetic and nondiabetic patients following uneventful phacoemulsification.","authors":"Levent Doğan, İbrahim Edhem Yılmaz, Mustafa Berhuni, Gizem Gürbostan Soysal, Zeynep Özer Özcan","doi":"10.1080/08164622.2025.2452269","DOIUrl":"https://doi.org/10.1080/08164622.2025.2452269","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Although laser refractive surgeries and multifocal intraocular lens implantation are generally avoided in patients with diabetic retinopathy, a substantial proportion of well-glycaemic-controlled type 2 diabetes mellitus patients are considered for these procedures. Pupil dynamics play a significant role in determining postoperative satisfaction in these patients.</p><p><strong>Background: </strong>To evaluate pupillary dynamics in patients with and without diabetes following uneventful phacoemulsification surgery.</p><p><strong>Method: </strong>This retrospective study involved 86 patients with type-2 diabetes and 41 non-diabetic patients undergoing phacoemulsification. Pupillary measurements were performed using the Sirius Topographer (CSO, Firenze, Italy) preoperatively and at the 1-month and 3-month postoperatively. Diabetic patients were categorised into non-diabetic retinopathy (without diabetic retinopathy), non-proliferative diabetic retinopathy (NPDR), and proliferative diabetic retinopathy (PDR) subgroups based on the presence and severity of diabetic retinopathy. Baseline and postoperative pupillometric values were then evaluated for all groups.</p><p><strong>Results: </strong>Preoperatively, baseline scotopic, mesopic, and photopic pupil diameters, and pupil redilation velocity were smaller in the NPDR and PDR subgroups compared to the control group (<i>p</i> < 0.05, for all). At 1-month postoperatively, pupil diameters in all lighting conditions significantly decreased in both the control and non-diabetic retinopathy groups (<i>p</i> < 0.05, for all), while pupil dilation rate increased (<i>p</i> = 0.011 and <i>p</i> = 0.002, respectively). In the PDR group, a significant increase in photopic pupil diameter was observed at 1 and 3 months postoperatively (<i>p</i> = 0.018 and <i>p</i> = 0.030, respectively). The PDR and NPDR groups showed a significant decrease in postoperative first- and third-month scotopic pupil diameter (<i>p</i> < 0.05, for all).</p><p><strong>Conclusion: </strong>Pupil diameter was smaller in diabetic patients compared to controls pre-and postoperatively. Patients with non- diabetic retinopathy and NPDR, who already exhibited smaller pupil diameters in all lighting conditions than the controls (in mesopic condition, 3.54 cf. 3.66, and 3.11 cf. 3.66 mm, respectively), experienced a further reduction in pupil size following phacoemulsification.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of an interprofessional education workshop about common ocular conditions for pharmacy and optometry students.","authors":"Catherine S Porter, Harsha Parmar","doi":"10.1080/08164622.2024.2447467","DOIUrl":"https://doi.org/10.1080/08164622.2024.2447467","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Interprofessional education and collaborative working are known to improve patient outcomes. The evidence to support this approach in optometry is lacking.</p><p><strong>Background: </strong>There is no published evidence into the effectiveness of interprofessional education for pharmacy and optometry students. This study aimed to evaluate the effectiveness of an interprofessional case-based learning session that took place between third year pharmacy students and final year optometry students at the University of Manchester.</p><p><strong>Methods: </strong>Students worked together in a 1.5-hour workshop to help each other gain an understanding of common ocular conditions that may present to primary care. Students were randomised into two groups; the control group answered all the pre and post questions before the teaching session. The intervention group answered the pre questions at the beginning and the post questions immediately after the teaching session. Nonparametric statistics were employed to look for differences in the two groups.</p><p><strong>Results: </strong>The control groups of pharmacy and optometry students did not significantly differ in their pre and post test scores (<i>p</i> = .069 pharmacy and <i>p</i> = .082 for optometry). The post scores for the intervention group were significantly higher than the control group. For pharmacy students the control group post score average was 44.9% (±20.5) and the intervention group was 63.2% (±15.9). For optometry students the control group post score average was 35% (±21.2) and the intervention group was 57.5% (±19.9).</p><p><strong>Conclusion: </strong>Interprofessional education is a useful way to increase student knowledge of the management of authentic clinical cases in primary care.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of dry eye parameters and meibomian gland function using the Lipiscan system in male androgenetic alopecia patients.","authors":"Huriye Aybüke Koc, Hakan Koc","doi":"10.1080/08164622.2025.2452275","DOIUrl":"https://doi.org/10.1080/08164622.2025.2452275","url":null,"abstract":"<p><strong>Clinical relevance: </strong>The prevalence of male androgenetic alopecia is increasing worldwide. Evaluation of dry eye parameters and meibomian glands of male androgenetic alopecia patients may help to better understand the effect of this disease on dry eye and to provide appropriate treatment for these patients.</p><p><strong>Background: </strong>The aim of this work is to evaluate the relationship between male androgenetic alopecia, dry eye, and meibomian gland function.</p><p><strong>Method: </strong>A total of 80 eyes of 80 patients, 40 eyes of 40 patients diagnosed with male androgenetic alopecia, and 40 eyes of 40 healthy men were included. The presence of dry eye was evaluated with the Schirmer I test, invasive tear film break-up time (TBUT), Oxford scale scoring (cornea and conjunctiva staining), and the Ocular Surface Disease Index score. Evaluation of the eyelid meibomian glands was performed using the LipiScan System, and the descending meibomian glands for each eyelid were scored proportionally.</p><p><strong>Results: </strong>The average age of patients with androgenetic alopecia and the control group is 41.93 ± 6.65 and 40.75 ± 7.32 years, respectively (<i>p</i> = 0.413). The mean Schirmer I test score was statistically significantly lower in the androgenetic alopecia group (<i>p</i> = 0.001), and the mean Ocular Surface Disease Index score was significantly higher in the androgenetic alopecia group compared to the control group (<i>p</i> = 0.001). In the androgenetic alopecia group, mean TBUT was lower (<i>p</i> = 0.001) and mean Oxford scale score was higher (<i>p</i> = 0.009). Total, upper, and lower meibomian gland scores were statistically significantly higher in the androgenetic alopecia group (<i>p</i> = 0.001, <i>p</i> = 0.001, and <i>p</i> = 0.001, respectively).</p><p><strong>Conclusion: </strong>There may be an association between male androgenetic alopecia and dry eye and meibomian gland dysfunction. Male individuals with androgenetic alopecia should be closely followed for dry eye and meibomian gland dysfunction.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Punctiform and polychromatic pre-Descemet corneal dystrophy, a rare corneal pathology.","authors":"Alba Gómez-Benlloch, Julia Widmer-Pintos, Consuelo Arnaldos-López","doi":"10.1080/08164622.2025.2452267","DOIUrl":"https://doi.org/10.1080/08164622.2025.2452267","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-2"},"PeriodicalIF":1.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of spectacle lenses with highly aspherical lenslets versus orthokeratology for the management of axial length elongation.","authors":"Haizhao Wang, Jianhua Li, Jinming Zhang, Xiaoyu Liu, Hui Guo","doi":"10.1080/08164622.2024.2447469","DOIUrl":"https://doi.org/10.1080/08164622.2024.2447469","url":null,"abstract":"<p><strong>Clinical relevance: </strong>When selecting an intervention for myopia management, parental inquiries centre around the comparative efficacy of orthokeratology versus myopic defocus spectacle lenses. This prompts an intriguing investigation into the nuanced differences between these two treatment methods.</p><p><strong>Background: </strong>This study aimed to compare the efficacy of spectacle lenses with highly aspherical lenslets (HAL) versus orthokeratology (Ortho-k) in controlling axial length elongation.</p><p><strong>Methods: </strong>Electronic medical records of children aged 8 to 14 years who were prescribed either spectacle lenses with HAL or one of the four Ortho-k brands were reviewed. The standardised axial length changes within one year were compared between HAL lenses and Ortho-k lenses with analysis of variance and multivariable regression analysis, adjusting for age, gender, and baseline spherical equivalent.</p><p><strong>Results: </strong>A total of 308 subjects were included in the analyses. The mean (standard error) of the standardised one-year changes in axial length was 0.12 ± 0.02 mm for HAL, 0.17 ± 0.02 mm for Dreamlite, 0.22 ± 0.02 mm for Alpha, 0.21 ± 0.02 mm for Lucid, and 0.18 ± 0.02 mm for Euclid user cohorts. After adjusting for covariates, the mean differences in axial length growth between HAL and both Alpha and Lucid cohorts were estimated at 0.11 mm (95% CI, 0.03 to 0.19 mm and 95% CI, 0.03 to 0.20 mm). The differences between HAL and Dreamlite or Euclid lenses were not statistically significant. Baseline spherical equivalent demonstrated a significant positive association with axial length growth in Lucid and Euclid lens users.</p><p><strong>Conclusions: </strong>Spectacle lenses with HAL design exhibited comparable or superior efficacy in mitigating axial length growth compared to conventional Ortho-k lenses. Furthermore, orthokeratology showed greater efficacy in controlling axial length elongation among individuals with greater baseline myopia.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Could entrustable professional activities support assessment in optometric clinical education in Australia and New Zealand?","authors":"Kathleen Watt, Isabelle Jalbert, Prashant Jhala, Linda Robinson","doi":"10.1080/08164622.2024.2448230","DOIUrl":"https://doi.org/10.1080/08164622.2024.2448230","url":null,"abstract":"<p><p>Entrustable professional activities (EPAs) are increasingly being adopted as an assessment tool by medicine and other health professions in a bid to enhance competency-based health professional education. EPAs are well-defined professional activities that can be entrusted to students to perform with varying levels of supervision. They were introduced to overcome some of the limitations of traditional assessment methods of competency such as individual skills assessment or Direct Observation of Procedures and Objective Structured Clinical Examinations. Could EPAs be beneficial in Australian and New Zealand optometric clinical education for advanced skills training and accreditation including the credentialing assessment of overseas educated practitioners? This paper discusses the historical context of how competencies were introduced and assessed in Australian optometry, the evolution of the concept of EPAs in medicine and other health professions, their design and implementation worldwide and whether EPAs could be adopted into optometric training and assessment in Australia and New Zealand.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of induced astigmatism on vestibulo-ocular reflex.","authors":"Javad Heravian Shandiz, Mahdi Joveini, Monireh Mahjoob, Sadegh Jafarzadeh, Jamshid Jamali, Abbas Azimi","doi":"10.1080/08164622.2024.2443471","DOIUrl":"https://doi.org/10.1080/08164622.2024.2443471","url":null,"abstract":"<p><strong>Clinical relevance: </strong>The vestibular-ocular reflex stabilises the retinal image and maintains balance during head movement. Astigmatism is one of the common refractive errors that can reduce the quality of visual inputs.</p><p><strong>Background: </strong>The purpose of this study was to investigate the effect of induced astigmatism on the function of the vestibular-ocular reflex.</p><p><strong>Methods: </strong>This prospective semi-experimental study was conducted on 48 participants aged 20 to 40 years who had no history of neurological, vestibular, or eye disorders. Simple myopic astigmatism was induced using three positive cylindrical lens powers of + 0.50D, +1.50D, and + 2.50D at three axes of 180, 45, and 90 degrees in both eyes. The vestibular-ocular reflex was evaluated by the ocular Vestibular Evoked Myogenic Potential (oVEMP) through acoustic stimulation (a 500 hz tone burst at an intensity of 95 dBnHL) of the ear, with potentials recorded from the lower oblique muscle. The latency of the N1 and P1 waves and the amplitude of N1-P1 were recorded for all participants in the baseline condition (without any induced astigmatism) and under different induced astigmatism conditions.</p><p><strong>Results: </strong>The latencies of N1 and P1 significantly increased with the increasing power of induced astigmatism; however, the powers of astigmatism had no effect on the amplitude of N1-P1. The axes of induced astigmatism did not have a significant effect on the latencies and amplitude of N1-P1.</p><p><strong>Conclusions: </strong>Induced astigmatism due to retinal image blur can deteriorate the function of the vestibular-ocular reflex by increase in the latencies of N1 and P1 oVEMP waves.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased SCUBE-1 levels in the aqueous humour of patients with pseudoexfoliation syndrome.","authors":"Esra Bahadır Camgöz, Berrak Sekeryapan Gediz, Mehmet Senes, Fatih Serin, Kadriye Ufuk Elgin","doi":"10.1080/08164622.2024.2445071","DOIUrl":"https://doi.org/10.1080/08164622.2024.2445071","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Pseudoexfoliation syndrome (PXS) is a common age-related disorder associated with glaucoma and cataract. Despite its clinical importance, the pathogenesis of PXS is not yet fully understood.</p><p><strong>Background: </strong>To evaluate levels of SCUBE-1 (signal peptide, CUB domain, and epidermal growth factor-like domain containing protein 1) in the serum and aqueous humour of patients with PXS in comparison with non-PXS controls.</p><p><strong>Methods: </strong>This prospective study included patients with and without PXS undergoing phacoemulsification surgery for cataract. Patients with pseudoexfoliative glaucoma were excluded. Aqueous humour samples collected at the beginning of phacoemulsification surgery were analysed by using the sandwich enzyme-linked immunosorbent assay method (human SCUBE-1 enzyme-linked immunosorbent assay kit; Elabscience).</p><p><strong>Results: </strong>There was a significant difference in mean aqueous humour SCUBE-1 levels between PXS patients (1.69 ± 0.41 ng/µL) and non-PXS controls (0.89 ± 0.33 ng/µL) (<i>p</i> = 0.012). However, the difference in mean serum SCUBE-1 levels was not significant (0.87 ± 0.36 ng/µL and 0.81 ± 0.35 ng/µL, respectively; <i>p</i> = 0.560). There was no significant correlation between aqueous humour and serum SCUBE-1 levels in either group (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>SCUBE-1 is an important marker of ischaemia and oxidative stress. Increased SCUBE-1 levels in the aqueous humour of patients with PXS may indicate a local effect of SCUBE-1 in the pathogenesis of PXS.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}