{"title":"Retinopathy of prematurity screening: can the examination time be reduced?","authors":"Sabit Kimyon, Alper Mete, Sevim Ayça Seyyar","doi":"10.1080/08164622.2024.2410025","DOIUrl":"https://doi.org/10.1080/08164622.2024.2410025","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Retinopathy of prematurity (ROP) is a significant cause of childhood blindness. Screening examinations that maintain accuracy, while improving the experience for families, could increase adherence to follow-up and decrease workload.</p><p><strong>Background: </strong>Traditional ROP screening examinations are known to be uncomfortable for babies and stressful for parents. A new strategy is proposed and tested for the accuracy of the outcome and the time taken.</p><p><strong>Methods: </strong>In this new screening strategy, the examiner performs a complete retinal examination on the first visit. If the area and stage of the nasal and temporal retinal regions are similar or the stage of the temporal half is worse, only the posterior pole and temporal half of the retina are evaluated at subsequent visits. A retrospective patient file review was conducted to compare the new proposal with accepted methods. ROP examination time was compared prospectively.</p><p><strong>Results: </strong>The data of 57 consecutive patients treated for ROP were evaluated. The ROP zone was the same in the nasal and temporal retina in all eyes at the first and last visit before treatment. Only two eyes had worse ROP stage in the nasal half at presentation but both halves developed the same degree of stage during follow-up. None of the treatment decisions were based only on the nasal region of the retina. Examination time was evaluated in 40 eyes of 20 infants. The average total time required for an examination with the accepted method was 241.3 ± 112.5 seconds. However, with the proposed strategy, the examination time was significantly reduced to 172.3 ± 69.2 seconds (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>This screening strategy shortens examination time, which may help reduce pain and related adverse events.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342729","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":"A chart-based test of contrast sensitivity in noise: reference ranges, effects of age and optical abnormality.","authors":"J Jason McAnany, Frederick T Collison","doi":"10.1080/08164622.2024.2402834","DOIUrl":"https://doi.org/10.1080/08164622.2024.2402834","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Contrast sensitivity plays an important role in the comprehensive assessment of visual function; however, measurement with standard eye charts can be affected by age and optical abnormality.</p><p><strong>Background: </strong>This study describes a novel chart-based test of letter contrast sensitivity (CS) in luminance noise (the Illinois Eye and Ear Noise CS test), defines normal reference ranges, estimates test-retest repeatability, and assesses the effects of age and simulated optical abnormalities.</p><p><strong>Methods: </strong>Seventy-five individuals with normal visual function (age 18-85 years) participated. Subjects identified letter optotypes that spanned a broad contrast range (0.9% to 59.6%) printed in a book-based test. Letters were presented against a grey background (no-noise condition) and in luminance noise that consisted of light and dark checks (noise condition). A subset of 10 subjects repeated the test to define short-term variability and performed the test under three additional conditions: simulated cataract, +2.00D defocus, and low room illuminance.</p><p><strong>Results: </strong>In the no-noise condition, CS was independent of age (mean log CS of 1.74) until approximately 54 years, and declined for older subjects (CS loss of 0.1 log unit/decade). CS measured in noise was independent of age across the range of ages tested (mean log CS of 0.91). The 95% limits of agreement for test-retest repeatability was 0.19 log units. Simulated cataract, +2.00D defocus, and reduced illumination significantly reduced CS in the no-noise condition (F = 102.6, <i>p</i> < 0.001), whereas these optical manipulations did not significantly affect CS in noise (F = 2.58, <i>p</i> = 0.074).</p><p><strong>Conclusions: </strong>Measurements of CS in luminance noise may be valuable, as these measures are largely independent of age and certain forms of optical degradation. CS measurements in noise may provide useful insight into visual function in patients who have combined neural and optical abnormality, as noise minimises CS loss from optical defects.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281243","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}
Parker Truong, Heather G Mack, Andrew B Metha, Nelofar Deen, Doron G Hickey, Aamira Huq, Alexis Ceecee Britten-Jones, Lauren N Ayton
{"title":"Forty-year odyssey to Refsum disease diagnosis: impact of diagnostic delay on effective treatment.","authors":"Parker Truong, Heather G Mack, Andrew B Metha, Nelofar Deen, Doron G Hickey, Aamira Huq, Alexis Ceecee Britten-Jones, Lauren N Ayton","doi":"10.1080/08164622.2024.2401509","DOIUrl":"https://doi.org/10.1080/08164622.2024.2401509","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281244","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":"Corneal vascularisation and haemorrhage associated with netarsudil drops","authors":"Tarun Sood, Neha Chahuan, Ananya Shree","doi":"10.1080/08164622.2024.2400322","DOIUrl":"https://doi.org/10.1080/08164622.2024.2400322","url":null,"abstract":"We report an interesting case of superficial corneal vascularization along with haemorrhages and microcystic edema confined to the inferior cornea in a female patient that are clearly attributed to...","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253231","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}
Jeremy Chung Bo Chiang, Zahra Tajbakhsh, James S Wolffsohn
{"title":"The clinical impact of contact lens wear on neural structure and function of the cornea","authors":"Jeremy Chung Bo Chiang, Zahra Tajbakhsh, James S Wolffsohn","doi":"10.1080/08164622.2024.2401511","DOIUrl":"https://doi.org/10.1080/08164622.2024.2401511","url":null,"abstract":"Contact lens (CL) use is growing rapidly, with a current estimate of over 100 million wearers worldwide. Vast improvements in materials and designs have occurred over the past decades with advancem...","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142212558","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":"The effect of sunglass filters on contrast sensitivity, monocular eye closure, and blinking rate in people with intermittent exotropia.","authors":"Masoud Rostami,Mohammad Yaser Kiarudi,Samira Hassanzadeh,Mahdi Sharifi,Mohammed Ziaei","doi":"10.1080/08164622.2024.2400317","DOIUrl":"https://doi.org/10.1080/08164622.2024.2400317","url":null,"abstract":"CLINICAL RELEVANCETransient monocular eye closure and photosensitivity under bright light have been reported in people with intermittent exotropia (IXT). The exact mechanism of these symptoms has not been established.BACKGROUNDThis study examines the effect of sunglass filters on contrast sensitivity (CS), transient monocular eye closure, and blinking rate under bright light in people with IXT.METHODSForty participants with IXT and complaints of photosensitivity were included in the study. The binocular CS test was performed under mesopic and photopic conditions with and without glare, and with and without two filters with different grades of light transmission (filter 1: 44-80%; filter 2: 20-43% light transmittance). The effect of two filters on transient eye closure, contrast sensitivity, and blinking rate was assessed under bright light. Also, participants were divided into 3 groups based on their degree of control of fusion (good, fair, and poor control).RESULTSThe mean age of the participants was 12.0 years ± 8.0 (standard deviation) (range: 7-40 years). There was no significant difference between the age (p = 0.139), stereopsis (p = 0.134), as well as the near and far degree of deviation (p = 0.516, and p = 0.237) between the three groups of fusion control. Under mesopic conditions with glare, mean binocular CS was significantly higher with filters (p < 0.001). Without filters, 57.5% of the participants exhibited monocular eye closure under a photopic setting with additional glare. No participant showed eye closure using filter 2. People in the poor control group showed exodeviation before monocular eye closure (62.5% without filter and 12.5% with filter 1, p = 0.01). The blinking rate decreased from 36.0 ± 4.0 blinks per minute without filter to 21.0 ± 3.0 using filter 1, and 20.0 ± 3.0 with filter 2.CONCLUSIONIn people with IXT, wearing sunglass filters of different transmittance reduces monocular eye closure and blinking rate under bright light. To improve these symptoms, sunglasses can be considered for IXT.","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142212566","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":"Association of benign and malignant neoplastic lesions of the eyelid with systemic inflammatory markers","authors":"Gulce Kayıkcı, Husna Topçu, Ayse Cetin Efe, Fatma Poslu Karademir, Mehmet Goksel Ulas","doi":"10.1080/08164622.2024.2399774","DOIUrl":"https://doi.org/10.1080/08164622.2024.2399774","url":null,"abstract":"The role and prognostic significance of systemic inflammatory markers in various malignancies have been the subject of investigation. The role of these inflammatory markers in eyelid lesions remain...","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142212565","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}
Raman Bhakhri, Rebecca Zoltoski, Moheera Athar, Shaadan Hasan
{"title":"Incidence of hordeola and chalazia during the COVID-19 pandemic: the role of mask wear.","authors":"Raman Bhakhri, Rebecca Zoltoski, Moheera Athar, Shaadan Hasan","doi":"10.1080/08164622.2024.2388125","DOIUrl":"https://doi.org/10.1080/08164622.2024.2388125","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Understanding the associations between mask wear and hordeola and chalazia formation are important for eyecare physicians as they may be overlooked as a direct cause. The literature on these possible relationships is limited.</p><p><strong>Background: </strong>The intention of this study was to determine if there was an increased incidence of internal/external hordeola and chalazia secondary to the implementation of mask wear due to the COVID-19 pandemic in an academic clinical setting.</p><p><strong>Methods: </strong>A retrospective chart review of electronic medical records at the Illinois Eye Institute was conducted. Cases were categorised into two groups: pre-COVID/pre- mask wear (December 2018-February 2020) and during the pandemic/mask wear (May 2020-July 2022). Demographic data were also compared between the two groups.</p><p><strong>Results: </strong>A total of 163 cases of hordeola and chalazia were reported pre-COVID, with an increase to 225 during the pandemic/mask wear period. Due to the reduction in patient visits because of COVID restrictions, an incidence analysis was conducted to determine occurrence rates per 1000 visits. The pre-COVID period showed a total incidence rate of 3.06 cases per 1000 patients (hordeola 1.6/chalazia 1.57) while during the mask wearing period the incidence rate increased to 6.32 cases per 1000 patients (hordeola 2.5/chalazions 3.82). A total incidence rate ratio was calculated to be 2.1 (hordeola 1.6/chalazia 2.6) correlating to a greater chance of developing the conditions during mask wear.</p><p><strong>Conclusions: </strong>An increase in the incidence of chalazia and hordeola were noted in the mask wear/pandemic group when compared to the pre-mask wear group. Increased mask wear may be a principal cause of hordeola and chalazia.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132012","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}