Clinical and Experimental Optometry最新文献

{"title":"Caught at the edge: post-traumatic lens dislocation anchored by Weigert's ligament.","authors":"Vinayak S Gadad, Vaishali Tomar","doi":"10.1080/08164622.2025.2569598","DOIUrl":"https://doi.org/10.1080/08164622.2025.2569598","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-2"},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243458","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":"Understanding barriers and enablers to collaborative eye care in Queensland, Australia.","authors":"Katrina L Schmid, Melinda Toomey, Fiona Moore, Ho Ching Hui, Jeremy Lee, Jennifer Su, Jingjing Zhang, Xiaowei Zhang, Ann L Webber","doi":"10.1080/08164622.2025.2560968","DOIUrl":"https://doi.org/10.1080/08164622.2025.2560968","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Collaborative eye care, where the skills of health professionals are utilised to their maximum capability, enhances patient outcomes. Optometrists are highly skilled eye care practitioners and yet their involvement in collaborative care is relatively limited.</p><p><strong>Background: </strong>The aim was to understand the barriers and enablers to optometrists working in collaborative eye care within Queensland and identify key factors that affect optometry involvement.</p><p><strong>Methods: </strong>A mixed-methods approach comprised three parts. A) Survey of optometrists working in Queensland asking for their opinion on collaborative eye care. B) Interviews with optometrists working in public hospitals in Queensland. C) Responses from both the survey and interviews were deductively coded to the Theoretical Domains Framework (TDF) to identify barriers and enablers to collaborative eye care. The survey included 21 Likert-scaled questions and 9 free-text questions. Structured interviews asked questions about working in a collaborative eye care environment, transcripts were downloaded and checked for accuracy. Key TDF domains were mapped to the Capability, Opportunity, Motivation-Behaviour (COM-B) model and Behaviour Change Wheel (BCW) to identify potential intervention functions to support collaborative eye care.</p><p><strong>Results: </strong>Survey responses were received from 41 optometrists and 10 interviews were conducted. The Likert section of the questionnaire demonstrated strong internal consistency (Cronbach's alpha = 0.837) and response variation to individual questions (Friedman Chi-Square = 233, <i>p</i> = 0.001). Key enablers included optometrists having strong professional networks, effective communication pathways, high confidence in clinical skills and proximity to specialist care. Collaboration was constrained by inadequate referral pathways, lack of recognition of the role of optometrists and inadequate remuneration. Identified intervention strategies include enhancing capability through mentorship, restructuring environments to include shared information platforms, appropriate renumeration, and professional development opportunities.</p><p><strong>Conclusion: </strong>Critical enablers and barriers to collaborative eye care amongst Queensland optometrists were identified. Addressing the lack of infrastructure, professional recognition, and financial incentives could strengthen collaborative practices.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198596","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":"Validity and reliability of the Persian translation of the McMonnies dry eye questionnaire.","authors":"Samira Hassanzadeh, Mohammad Mahdi Ghorbani, Masoud Rostami, Maliheh Karimpour, Mahdi Sharifi, Parviz Marouzi","doi":"10.1080/08164622.2025.2565459","DOIUrl":"https://doi.org/10.1080/08164622.2025.2565459","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Forty-nine dry eye questionnaires are available which are different in terms of purpose, length, target population, mode of administration, and content. Psychometric characteristics of a questionnaire in a specific population can determine how effective it will work. and reveal the importance of the studies in this regard.</p><p><strong>Background: </strong>The McMonnies questionnaire (MQ) is one of the effective tools widely used for dry eye screening. The purpose of this study was to translate the McMonnies dry eye questionnaire into Persian language and assess its validity and reliability.</p><p><strong>Methods: </strong>Translation and cultural adjustment of the English language McMonnies dry eye questionnaire into Persian was performed. Forty-two patients with dry eye and 42 healthy subjects were involved and validity and reliability aspects of the questionnaire were evaluated. All the participants were asked to complete the Persian translation of the McMonnies dry eye questionnaire, at baseline and 2 weeks later. Statistical analyses of the survey items were conducted using SPSS version 23.</p><p><strong>Results: </strong>Based on standardised items, the Cronbach ⍺ was acceptable (0.714). The items correlated well with an average inter-item correlation of 0.173 (range, 0.118 to 0.246). The test-retest reliability was high and significant (<i>r</i> = 0.988, <i>p</i> < 0.001). All the items showed factor loadings greater than 0.50. For the recommended cut-off point of 14.5, the sensitivity and specificity were 42.5% and 100% respectively. These values changed to 85.7% and 81% with a new cut-off point of 9.5.</p><p><strong>Conclusion: </strong>The Persian McMonnies questionnaire demonstrated acceptable internal consistency, good validity, and acceptable accuracy as a screening tool for dry eye in the Persian population. To increase the sensitivity of the instrument, a new cut-off point should be considered.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184644","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":"Prevalence and risk factors of premyopia in preschoolers: a kindergarten-based cluster sampling study.","authors":"Jianping Hu, Jianing Pu, Yuxin Fang, Wei Chen, Jing Liang, Yonghong Jiao","doi":"10.1080/08164622.2025.2564691","DOIUrl":"https://doi.org/10.1080/08164622.2025.2564691","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Identifying the prevalence and risk factors of premyopia in preschoolers is crucial for early intervention. This knowledge provides a basis for developing public health policies to address the rising trend of myopia and protect children's eye health.</p><p><strong>Background: </strong>The aim of this study is to evaluate the prevalence of premyopia and identify genetic and other risk factors among children aged 3-6 years.</p><p><strong>Methods: </strong>A cluster-randomised sampling study was conducted between December 2020 and February 2021, involving 2,109 children from 23 kindergartens in Haidian disctict, Beijing, China. Cycloplegic refraction was assessed using 1% cyclopentolate. Premyopia was defined as a spherical equivalent refraction (SER) of > -0.50 D and ≤+0.75 D in the eye with the less SER value. Myopia was defined as an SER of ≤-0.50 D, while hyperopia was characterised as an SER of >+0.75 D. Parents were asked to complete a questionnaire regarding refractive status, categorised as: no myopia ( > -0.5 D), low/moderate myopia (≤-0.5 D to ≥-6 D), and high myopia ( < -6 D).</p><p><strong>Results: </strong>The prevalence of myopia, premyopia, and hyperopia among the children was 4.60%, 24.32%, and 71.08%, respectively. Boys exhibited higher prevalence rates for premyopia (28.03%; 95% CI, 25.45%-30.75%) and myopia (5.64%; 95% CI, 4.43%-7.17%) compared to girls (premyopia: 20.30%; 95% CI, 17.93%-22.89%, myopia: 3.47%; 95% CI, 2.50%-4.78%; both <i>p</i> < 0.001). Significant risk factors for premyopia included male gender (adjusted OR, 1.62; 95% CI, 1.32-2.00), paternal low/moderate myopia (adjusted OR, 1.50; 95% CI, 1.18-1.92), paternal high myopia (adjusted OR, 1.99; 95% CI, 1.41-2.81), and maternal high myopia (adjusted OR, 1.89; 95% CI, 1.35-2.64).</p><p><strong>Conclusions: </strong>Prevention and control of premyopia in preschool children should be emphasised, particularly for boys and children with myopic parents, due to their higher risk of developing premyopia.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184694","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":"Re: 'validity of keratoconus screening tests'.","authors":"Nir Erdinest, Naama Aharoni","doi":"10.1080/08164622.2025.2564699","DOIUrl":"https://doi.org/10.1080/08164622.2025.2564699","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-3"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184642","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":"Impact of ocular aberrations and pupil diameter on vision with four daily multifocal contact lenses.","authors":"Elena Martínez-Plaza, Ainhoa Molina-Martín, Kevin Mena-Guevara, Dolores de Fez, Violeta Gómez-Vicente, David P Piñero","doi":"10.1080/08164622.2025.2565457","DOIUrl":"https://doi.org/10.1080/08164622.2025.2565457","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Understanding which ocular optical factors are clearly influencing the visual performance achieved with MFCLs is essential for conducting a more optimised procedure when fitting this type of lenses.</p><p><strong>Background: </strong>To assess and compare the induction of ocular higher-order aberrations by four daily multifocal contact lenses and evaluate the influence of pupil diameter on their performance.</p><p><strong>Methods: </strong>A randomised, crossover study evaluated four contact lenses in 20 presbyopic participants. Subjective refraction, distance/intermediate/near visual acuity and patient-reported visual satisfaction, and pupil diameter under four lighting conditions were assessed. Pupillary dynamic were calculated as the difference between mesopic and photopic pupil sizes. Primary coma, trefoil, spherical aberration, and higher-order aberration (HOA) root mean square were analysed.</p><p><strong>Results: </strong>A significant negative induction of primary spherical aberration was found with all lenses (<i>p</i> ≤ 0.04); being greater with MyDay than Moist in both eyes and with Total1 than Moist in non-dominant eyes (<i>p</i> ≤ 0.02). Coma and HOA increased significantly with all lenses (<i>p</i> ≤ 0.03), except for the Moist lens in dominant eyes; being greater with Total1 than Moist in dominant eyes (<i>p</i> ≤ 0.049). Odd aberrations showed inverse correlations with intermediate/near visual acuity and patient satisfaction (rho≤-0.58, <i>p</i> ≤ 0.04). Greater pupillary dynamic variation was significantly associated with better intermediate/near visual acuity for MyDay and Biotrue MCLs in dominant eyes (rho≤-0.59, <i>p</i> ≤ 0.04).</p><p><strong>Conclusions: </strong>Centre-near multifocal contact lenses induce negative primary spherical aberration. Interestingly, greater coma aberration correlates with improved visual acuity and patient satisfaction at intermediate and near distances. Additionally, larger pupillary dynamic variation may enhance visual acuity and satisfaction in certain presbyopic contact lens wearers.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191176","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 near add power in pre-presbyopic glaucoma patients treated with medication.","authors":"Masahiko Ayaki, Akiko Hanyuda, Kazuno Negishi","doi":"10.1080/08164622.2025.2564693","DOIUrl":"https://doi.org/10.1080/08164622.2025.2564693","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Near add power increases earlier in glaucoma patients than non-glaucoma subjects. Although many factors have been proposed to be implicated in this, the role of glaucoma medication in the progression of presbyopia remains unclear.</p><p><strong>Background: </strong>The aim of this work is to investigate whether glaucoma medication accelerates the progression of presbyopia in glaucoma patients by comparing with near add power in control subjects at pre-presbyopia ages.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was performed on consecutive subjects attending the Otake Eye Clinic, Kanagawa, Japan, and included bilateral phakic participants aged 30-39 years. The cohort comprised 187 controls (mean age 36.0 ± 2.7 years) and 106 patients with primary open-angle glaucoma (mean age 35.8 ± 2.7 years) who had been using topical glaucoma medication for over six months. The near add power and other ocular parameters were then compared between the two groups.</p><p><strong>Results: </strong>The mean near add power and the prevalence of near add power ≥ 1.50 D were 0.91 ± 0.74 D and 20.9% for controls, and 1.61 ± 0.71 D (<i>p</i> < 0.01) and 51.9% (<i>p</i> < 0.01) for glaucoma group, respectively. Univariable regression analysis of near add power and ocular parameters in the control group indicated that age, myopic errors, astigmatism, anisometropia, full macular thickness, ganglion cell complex thickness, and retinal nerve fibre layer thickness were significantly associated with near add power. Kaplan-Meier survival analysis showed that the glaucoma group reached the endpoint of near add power of + 1.50 D significantly earlier than controls (<i>p</i> < 0.01, log-rank test).</p><p><strong>Conclusion: </strong>Glaucoma patients aged 30-39 years exhibited higher near add power compared to controls. These findings could help improve the management of glaucoma patients with early presbyopia.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184662","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":"Effects of retinopathy of prematurity and preterm birth on childhood visual outcomes.","authors":"Myra Leung, Joanna Black, Tina Y Gao, Benjamin Thompson, Jane M Alsweiler","doi":"10.1080/08164622.2025.2561861","DOIUrl":"https://doi.org/10.1080/08164622.2025.2561861","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Late-childhood visual outcomes in children born preterm, with or without retinopathy of prematurity (ROP), are not well understood, limiting the opportunities for preventative and early interventions.</p><p><strong>Background: </strong>This observational study investigated how ROP and preterm birth may affect late-childhood visual outcomes.</p><p><strong>Methods: </strong>Children born at gestational age <30 weeks or birth weight <1250 grams and screened for ROP, and at full-term (gestational age ≥ 37 weeks) were assessed at 8-10 years corrected age. The primary outcome, favourable overall visual outcome (good presenting vision in the better eye [≤0.30 logMAR], no strabismus, passing stereoacuity, not requiring spectacles), and other outcomes were compared using generalised linear regression models.</p><p><strong>Results: </strong>The study included 111 children (ROP <i>n</i> = 47 [stages: 1 = 23, 2 = 19, 3 = 4, 4 or worse = 1; 3 laser photocoagulation treatment]; preterm birth and no ROP <i>n</i> = 17; and term <i>n</i> = 37), aged 8.9 (interquartile range 8.6, 9.4) years. There were no significant differences in favourable overall visual outcome (composite measure) between the groups (ROP, 21/44 (48%); preterm birth and no ROP, 8/14 (57%); term, 20/32 (63%); <i>p</i> = 0.43). Children with ROP had shorter axial length (<i>p</i> = 0.01) and steeper corneal curvature (<i>p</i> = 0.001) than the term group; both preterm groups had thicker central retinas than the term group (<i>p</i> < 0.0001). The term group had better visuomotor integration scores than the ROP group (<i>p</i> = 0.01). No group differences in global motion or electrophysiology were observed.</p><p><strong>Conclusion: </strong>In this small observational cohort, children with mainly mild ROP had similar visual outcomes to children born preterm without ROP and at full-term but remain at risk of reduced visuomotor integration in late childhood. Children born preterm are at risk of ocular structural changes, but further investigation is required to understand the long-term implications.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136656","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":"Early detection of ocular surface squamous neoplasia with corkscrew vascular pattern.","authors":"Arpita Wadhva, Harshita Pandey","doi":"10.1080/08164622.2025.2564695","DOIUrl":"https://doi.org/10.1080/08164622.2025.2564695","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-3"},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130218","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 transient increase in intraocular pressure on anterior eye parameters.","authors":"Celine Hyland, Khyber Alam, Mendel Lim, Christopher Dougherty, Jingyi Chen, Hamed Niyazmand","doi":"10.1080/08164622.2025.2560973","DOIUrl":"https://doi.org/10.1080/08164622.2025.2560973","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Transient changes in intraocular pressure (IOP) cause axial elongation and choroidal thinning; however, associated effects on anterior eye components which could be relevant to myopia remain unclear.</p><p><strong>Background: </strong>This study aimed to investigate the impact of transient IOP changes on anterior eye and to assess the repeatability of anterior chamber measurement and segmentation.</p><p><strong>Methods: </strong>The right eye of 21 healthy adults (40 ± 16 years) was included. Baseline axial length and anterior chamber parameters including anterior chamber angle, anterior chamber depth, angle opening distance (AOD), and trabecular iris space area (TISA) were measured three times using optical coherence tomography. Participants wore modified swimming goggles to induce a transient change in IOP. The same parameters were measured 5 minutes after wearing and immediately upon removal of the swimming goggles. ANOVA was used to assess the effects of IOP change on the anterior eye. Intrasession repeatability of semi-automated segmentations was calculated using within-subject standard deviation.</p><p><strong>Results: </strong>Swimming goggles increased IOP (2.4 ± 2.7 mmHg, <i>p</i> < 0.05) and axial length (16 ± 25 µm, <i>p</i> < 0.05). Transient increase in IOP had no effects on anterior chamber parameters (all <i>p</i> > 0.05); however, negative correlation was found between change in IOP and change in nasal anterior chamber angle (<i>r</i> = -0.47) and between age and change in anterior chamber depth (<i>r</i> = -0.44). Within-subject SD of three repeated scans of AOD500, AOD750, TISA500, TISA750 for nasal angle were 36μm, 63μm, 11μm², and 21μm² and for temporal angle were 79μm, 98μm, 27μm², and 46µm², respectively.</p><p><strong>Conclusions: </strong>Transient increase in IOP led to axial elongation but had no significant effect on anterior eye parameters. A greater increase in IOP correlated with greater narrowing of nasal anterior chamber angle. Semi-automated segmentation of the angle parameters provided repeatable measurements; however, the repeatability was worse in the temporal compared to the nasal quadrant.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124283","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}