Clinical and Experimental Optometry最新文献

{"title":"Quarter of a century of contact lens prescribing trends in Australia (2000-2024).","authors":"Nathan Efron, Craig A Woods, Philip B Morgan","doi":"10.1080/08164622.2025.2451346","DOIUrl":"https://doi.org/10.1080/08164622.2025.2451346","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Knowledge of contact lens prescribing trends can (a) assist practitioners to benchmark their own prescribing habits, (b) help the contact lens industry understand preferred products, and (c) support academics in scholarly writings.</p><p><strong>Background: </strong>This work aims to document contact lens prescribing trends in Australia over the past quarter of a century.</p><p><strong>Methods: </strong>An annual survey of contact lens prescribing trends was conducted in Australia each year from 2000 to 2024, inclusive, by asking optometrists to provide information relating to 10 consecutive contact lens fits undertaken between January and March.</p><p><strong>Results: </strong>Over the 25-year survey period, a total of 20,281 contact lens fits were reported. Lens wearers were 34.4 ± 14.7 years of age and 65% were female. Over the survey period, rigid lenses increased from 13% to 21% of all lens fits. Of all soft lens fits, silicone hydrogel lenses increased from 22% to 96%; soft torics increased from 24% to 30%; daily disposables increased from 7% to 63%; soft extended wear decreased from 16% to 5%; multifocals increased from 5% to 26%; and myopia control (first fit in 2011) reached 3% by 2024. Rigid lens extended wear (primarily orthokeratology) increased from 0.3% to 17% of rigid lens fits, primarily for myopia control. Multi-purpose lens care solutions are ubiquitous, and peroxide systems are seldom prescribed. Rigid lenses and monthly replacement soft lenses are largely worn full time, whereas daily disposables are worn full time and part time in equal measure. Australian and global prescribing trends are broadly consistent.</p><p><strong>Conclusions: </strong>Contact lens fitting trends this century can be characterised as: soft lenses - significant increase in silicone hydrogels, daily disposables, torics and multifocals; rigid lenses - dominance of high-Dk materials, and recent resurgence in scleral and orthokeratology fits. There is little extended wear fitting. Multi-purpose care systems are ubiquitous.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969792","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":"Changes in corneal wavefront aberrations and anterior segment parameters after horizontal rectus muscle surgeries assessed using Pentacam®.","authors":"Aynura Sariyeva Aydamirov, Ayna Sariyeva Ismayilov, Duygu Topaktaş Emekli","doi":"10.1080/08164622.2024.2446485","DOIUrl":"https://doi.org/10.1080/08164622.2024.2446485","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Horizontal rectus muscle surgeries may cause changes in corneal and anterior segment parameters. Corneal topography is an important device for identifying these alterations.</p><p><strong>Background: </strong>The aim of this work is to evaluate the effects of horizontal rectus muscle surgeries on corneal topography, anterior chamber parameters and corneal wavefront aberrations.</p><p><strong>Methods: </strong>Patients who had horizontal rectus muscle surgery from a single hospital in Turkey between September 2021 and March 2022 were invited to participate. Anterior segment parameters and corneal wavefront aberrations were analysed using a Pentacam device. Axial lengths were measured with an intraocular lens biometric instrument. Tests were performed prior to surgery and 3 months after surgery and results were compared. Parameters with significant change were determined in the whole study group, single muscle and two-muscle groups. The amount of change (Δ) in all parameters was compared between the groups that underwent single muscle and two-muscle surgeries.</p><p><strong>Results: </strong>For this prospective study, 44 eyes of 35 patients were included. The mean age was 18.10 ± 6.93 (7-28) (mean ± standard deviation (range)) years. Of the eyes, 22 (50%) underwent single muscle recession surgery. Two-muscle surgeries (recession and resection combination) were performed in 22 eyes. In the whole study group, axial length, anterior corneal surface-steep keratometry, anterior corneal astigmatism and anterior chamber volume increased significantly in the postoperative period (<i>p</i> = 0.002, <i>p</i> < 0.001, <i>p</i> < 0.001, and <i>p</i> = 0.007 respectively). Anterior corneal surface-flat keratometry decreased significantly (<i>p</i> = 0.002). While root mean square (RMS)-Spherical aberration increased significantly for the total corneal surface (<i>p</i> < 0.001), RMS-Trefoil 0° decreased (<i>p</i> = 0.039). Only ΔSteep keratometry and ΔMean keratometry parameters were changed significantly between the two groups.</p><p><strong>Conclusions: </strong>Horizontal muscle surgeries may cause changes in corneal topography, anterior chamber parameters and corneal aberrations. The number of muscles operated during the surgery does not seem to greatly affect the magnitude of changes that occur.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969785","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":"Pedagogic credentials: a key to optimising the effectiveness of optometry educators.","authors":"Babu Noushad, Faraz Khurshid","doi":"10.1080/08164622.2024.2442015","DOIUrl":"https://doi.org/10.1080/08164622.2024.2442015","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-3"},"PeriodicalIF":1.7,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969788","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":"Duplicate iris: a case report on bilateral accessory iris membrane.","authors":"Vineet Ratra, P Preethi, Thandalam Sundararajan Surendran, Subramanian Krishnakumar, Dhanashree Ratra","doi":"10.1080/08164622.2023.2291066","DOIUrl":"10.1080/08164622.2023.2291066","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"97-99"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138497893","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":"Impaired brachial flow-mediated dilation may predict choroidal and retinal nerve fibre layer thickness changes in people with obesity.","authors":"Gurcan Dogukan Arslan, Levent Dogan, Burcu Gonul, Gulcin Zengin, Emrah Tas","doi":"10.1080/08164622.2024.2306960","DOIUrl":"10.1080/08164622.2024.2306960","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Choroidal thickness and peripapillary retinal nerve fibre layer (RNFL) changes are known to occur in obesity. Endothelial dysfunction and systemic atherosclerosis may play a role in the pathophysiology of these differences.</p><p><strong>Background: </strong>Flow-mediated dilation (FMD) is reduced in patients with endothelial dysfunction, and the ankle-brachial index is a surrogate marker for atherosclerosis. This study was conducted to examine the relationship between systemic vascular parameters (FMD, and ankle-brachial index), subfoveal choroidal thickness, and peripapillary RNFL thickness in obese individuals.</p><p><strong>Methods: </strong>This observational, cross-sectional study involved 108 total participants who were divided into two groups. One group consisted of 54 obese subjects who each had a body mass index of 30 kg/m² or more. The other control group contained 54 participants who each had a body mass index of 25 kg/m² or less but higher than 20 kg/m² . For each participant, only one eye was examined in this study. Subfoveal choroidal thickness, RNFL thickness, ankle-brachial index, and ultrasound measurement of the brachial artery FMD were performed. FMD was categorised according to receiver operating characteristic analysis, and endothelial dysfunction was defined as an FMD ≤ 7.29%.</p><p><strong>Results: </strong>Subfoveal choroidal and RNFL thicknesses in the temporal quadrant were significantly lower in the obese group (<i>p</i> < 0.05). Lower mean values of subfoveal choroidal and RNFL thicknesses in the temporal and inferior quadrants were observed in subjects with an FMD ≤ 7.29% (<i>p</i> < 0.05). In people with obesity, FMD was positively correlated with subfoveal choroidal thickness (<i>r</i> = 0.322, <i>p</i> = 0.001), inferior RNFL thickness (<i>r</i> = 0.259, <i>p</i> = 0.007), and temporal RNFL thickness (<i>r</i> = 0.297, <i>p</i> = 0.002). However, the ankle-brachial index was not correlated with obesity.</p><p><strong>Conclusions: </strong>Impaired FMD was associated with reduced subfoveal choroidal and RNFL thicknesses in the temporal and inferior quadrants of people with obesity.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"49-55"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520305","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":"Burning eyes - a medical explanation for Elvis's iconic sunglasses.","authors":"Richard Hc Zegers, Katy C Liu, Joost Heutink, Forest Tennant, Robert N Weinreb","doi":"10.1080/08164622.2024.2385134","DOIUrl":"10.1080/08164622.2024.2385134","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"92-93"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901064","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":"Large choroidal tuberculoma simulating a choroidal melanoma as the first manifestation of disseminated tuberculosis.","authors":"Miguel Ángel Montenegro-Quintana, Carla Rodríguez Fernández, José Luis Sánchez-Vicente, González-Jáuregui-López Bosco, Magdalena Sotomayor-Toribio, López-Herrero Fernando","doi":"10.1080/08164622.2023.2268057","DOIUrl":"10.1080/08164622.2023.2268057","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"100-102"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410950","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":"Appropriate addition power for aphakic infants determined by a smart wearable device Clouclip.","authors":"Xinting Liu, Shuyun Wen, Muhan Sun, Yu Rong, Sijun Zhao, Tianhao Huang, Weizhong Lan, Chong Chen, Fan Lu, Xinjie Mao","doi":"10.1080/08164622.2024.2316811","DOIUrl":"10.1080/08164622.2024.2316811","url":null,"abstract":"<p><strong>Clinical relevance: </strong>It is particularly important to perform reasonable and effective optical correction to enable visual development after primary lens removal surgery for congenital cataracts. Aphakic infants need a suitable addition power of prescription (ADD) to help them focus on close visual objects.</p><p><strong>Background: </strong>It is challenging to obtain appropriate ADD power for infants due to poor cooperation and lack of subjective feedback. We aimed to determine the appropriate ADD for aphakic infants using a recently developed smart wearable device called Clouclip.</p><p><strong>Methods: </strong>The study was a cross-sectional, observational pilot study. Twenty-three aphakic infants (aged from 6 months to 3.5 years) were invited to wear a smart wearable device for 7 days consecutively to monitor the near viewing distance in real life. Viewing habits and its associations with the possible influencing factors were investigated based on the data obtained from the device.</p><p><strong>Results: </strong>The average proportion of near viewing time was 77.9% (95% confidence interval (CI) 72.1-83.7%). The average of the median near viewing distance was 23.8 cm (95% CI 20.6 cm-27.0 cm), which corresponded to an ADD of +4.25 D (95% CI + 3.75 D - +4.75 D) spectacle prescription. The height of the child was found to be positively correlated with the median of near viewing distance (<i>r</i> = 0.646, <i>p</i> = 0.001). Age, current ADD, age of cataract extraction surgery and bilaterality or monocularity of the aphakic eyes showed no significant correlation with the aforementioned viewing habits (all <i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>By using the novel wearable device, we found the suitable ADD of spectacle prescription for aphakic infants is about +4.25 D. The height of the child was an influencing factor for ADD.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"65-71"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140130861","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":"Rare presentation of peripapillary staphyloma with normal visual acuity.","authors":"Anthony Chapman-Davies, Regine Chapman-Davies","doi":"10.1080/08164622.2024.2341834","DOIUrl":"10.1080/08164622.2024.2341834","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"103-105"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851666","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":"Evaluating referrals of flashing lights and floaters coming into secondary care from primary care.","authors":"Shahzaib Rehan, Roger McPherson","doi":"10.1080/08164622.2024.2319759","DOIUrl":"10.1080/08164622.2024.2319759","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Optometrists should look to take every opportunity to expand their knowledge, understanding and skills pertaining to vitreoretinal conditions.</p><p><strong>Background: </strong>Despite the existence of acute eye care schemes and the up-skilling of optometrists, many units are still noticing large numbers of poor-quality referrals with high false positive rates. The authors pondered whether these schemes are effective.</p><p><strong>Methods: </strong>At two different time points, a prospective analysis of patients took place, of all the flashing lights and floaters referrals coming into secondary care at the Royal Glamorgan Hospital, Wales, UK. The following data was captured: the exact source of the primary care referral, the diagnosis being queried, the secondary care diagnoses made and the secondary care management decisions. The accuracy of retinal break and Shafer's sign detection were also directly compared between primary care and secondary care using Cohen's Kappa Coefficient.</p><p><strong>Results: </strong>For the 2018 period, <i>n</i> = 51 patients were included. For the 2022-23 period <i>n</i> = 100 patients were included. The majority of referrals during both periods were from optometrists (>80%) via the WECS pathway. The most common diagnoses being queried were retinal breaks (~50%), followed by retinal detachments (~20%). Interestingly up to 20% of patients seen in secondary care were diagnosed as normal examinations and ~ 20%. Over 1/3 of patients were discharged after their first visit to the EEC. Statistically significant differences were found between the accuracy of retinal tear and Shafer's identification between the primary and secondary care settings.</p><p><strong>Conclusion: </strong>A high number of false positive referrals are coming into secondary care from the WECS pathway and clear training and education needs have been identified.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"33-39"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139982506","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}