Clinical and Experimental Optometry最新文献

{"title":"The Bradford Visual Function Box can predict visual acuity in children who are hard to test.","authors":"Amar Shah, Rachel F Pilling, J Margaret Woodhouse","doi":"10.1080/08164622.2025.2551749","DOIUrl":"https://doi.org/10.1080/08164622.2025.2551749","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Children with special educational needs can find it difficult to engage with traditional visual acuity testing methods; nonetheless, estimates of visual function are key to understanding how a child uses their vision for learning. Appreciating how functional vision testing relates to clinical scores is essential.</p><p><strong>Background: </strong>The Bradford Visual Function Box (BVFB) has been shown to be useful in estimating visual function in children who cannot participate in standard acuity tests. How outcomes of the BVFB relate to clinical acuity scores has yet to be determined.</p><p><strong>Methods: </strong>Retrospective clinical data of 79 children attending special schools were analysed, with particular attention to repeated visits over 7 years. At each visit, vision was awarded one of four classifications: normal, low vision, sight-impaired, and severely sight-impaired.</p><p><strong>Results: </strong>Overall, 31 children were assessed with the BVFB on at least one occasion, of whom 16 went on to participate in a conventional test on a later occasion. Nine children achieved the same classification with a conventional test as with the BVFB, four were under-estimated by BVFB and three were over-estimated.</p><p><strong>Conclusion: </strong>The BVFB is a useful tool to predict future visual potential of a child who has yet to develop skills to engage with formal acuity testing. Formal visual acuity testing should be pursued as the child develops as over time, as most children were able to engage with more complex testing regimes.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945042","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 comparative study of anterior segment variables between glaucomatous and non-glaucomatous Ghanaians.","authors":"Doreen Nelson-Ayifah, Khathutshelo Percy Mashige, Alvin Jeffrey Munsamy","doi":"10.1080/08164622.2025.2546004","DOIUrl":"https://doi.org/10.1080/08164622.2025.2546004","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Primary open-angle glaucoma is a major public health concern, particularly in Africa. Identifying population-specific risk factors for the disease will enable eye health clinicians to more precisely identify persons at risk for the disease.</p><p><strong>Background: </strong>Ghana has a high prevalence of primary open-angle glaucoma. This study compared anterior segment ocular variables associated with primary open-angle glaucoma between a glaucomatous and non-glaucomatous Ghanaian population which may provide more insight into the aetiology of the disease.</p><p><strong>Methods: </strong>Central corneal thickness, corneal diameter, corneal volume, anterior chamber angle, anterior chamber depth, and anterior chamber volume measurements were extracted from Pentacam results of 356 persons with primary open-angle glaucoma (mean age: 62.84 ± 14.59) and 311 controls (mean age: 60.80 ± 9.09). Intraocular pressure was measured using Goldmann applanation tonometry. Analysis of variance was used to compare means the measured ocular variables among the primary open-angle glaucoma and control groups. Cohen's d effect sizes and multivariate logistic regression were used to determine the primary open-angle glaucoma effect sizes and associations between primary open-angle glaucoma and the measured variables.</p><p><strong>Results: </strong>Thinner central corneal measurements were moderately associated with severe primary open-angle glaucoma (aOR = 0.59; 95% CI: 0.40-0.87). Lower corneal volume measurements were associated with moderate primary open-angle glaucoma (aOR = 0.63; 95% CI: 0.40-0.99) and highly associated with severe primary open-angle glaucoma (aOR = 0.47; 95% CI: 0.32-0.70). Elevated intraocular pressure was highly associated with all stages of primary open-angle glaucoma (aOR > 4.02), with the strength of this association increasing with severity of primary open-angle glaucoma.</p><p><strong>Conclusion: </strong>Risk factors for different stages of severity of primary open-angle glaucoma are revealed. Thinner central corneas, lower corneal volumes, and elevated intraocular pressure measurements are risk factors for primary open-angle glaucoma in Ghanaians.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945072","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":"Keratopathy associated with type 1 autoimmune polyglandular syndrome.","authors":"Bedia Kesimal, Sücattin İlker Kocamış","doi":"10.1080/08164622.2025.2550732","DOIUrl":"https://doi.org/10.1080/08164622.2025.2550732","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944991","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 iris pigmented naevus on pupil tracking during femtosecond LASIK surgery.","authors":"Cheng-Hua Wei, Wei-Yi Fu, Juan Cao, Linlin Wang, Peng-Fei Zhang, Yanfeng Gao","doi":"10.1080/08164622.2025.2544855","DOIUrl":"https://doi.org/10.1080/08164622.2025.2544855","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-4"},"PeriodicalIF":1.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815940","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 myopia management university-based learning on self-reported clinical practice.","authors":"Stephanie Kearney, Mhairi Day","doi":"10.1080/08164622.2025.2543014","DOIUrl":"10.1080/08164622.2025.2543014","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Myopia management interventions are available across the UK but uptake by eye care practitioners (ECPs) is variable. Research is yet to explore the effectiveness of postgraduate training on clinical practice as perceived by ECPs.</p><p><strong>Background: </strong>This research explores the impact of university-based learning on clinical practice and barriers to practising myopia management in a cohort of ECPs.</p><p><strong>Methods: </strong>A survey in REDCap (https://www.project-redcap.org/) was completed by ECPs who had undertaken the Myopia Management Module at Glasgow Caledonian University (Module detail | Glasgow Caledonian University | Scotland, UK) between 2022-2023 (<i>n</i> = 48) and 2023-2024 (<i>n</i> = 43). Questions followed a Likert (1-5) scale or binary (yes/no) with free text options.</p><p><strong>Results: </strong>The response rate was 36% (33/91). The primary barrier to practising myopia management before university-based learning was insufficient knowledge (79%) and confidence (67%) despite the majority having undertaken prior training (73%). Following university-based learning, there was a decrease in those not dispensing intervention (30% vs 9%, <i>p</i> = 0.00) and an increase in those measuring axial length (21% vs 52%, <i>p</i> = 0.002). Other aspects of clinical practice which significantly changed were evaluated; these included the frequency that advice was given to pre-myopes (<i>p</i> = 0.00) and progressing myopes (<i>p</i> = 0.00), the frequency that the risk of progression (<i>p</i> = 0.00), and that the success of the intervention (<i>p</i> = 0.02). There was a change to eyecare for a total of 528 paediatric eye appointments/year per ECP educated. Workplace satisfaction increased (54%) and risk of complaints decreased (87%). After university-based learning, the most common barrier to practising myopia management was the lack of a biometer (48%) due to affordability.</p><p><strong>Conclusions: </strong>University-based learning can significantly change clinical practice, increase the dispensing of interventions, increase workplace satisfaction, and decrease perceived risk of patient complaints as perceived by ECPs. After completion, the most common barrier was the lack of a biometer. Employers should consider investing in university-based learning to improve ECP engagement with myopia management.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815941","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":"Accuracy and repeatability of autorefraction in young adults: a comparison of cycloplegic and non-cycloplegic methods.","authors":"Megan Doyle, Veronica O'Dwyer, Michael Moore, Síofra Harrington","doi":"10.1080/08164622.2025.2542321","DOIUrl":"10.1080/08164622.2025.2542321","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Cycloplegic refraction remains crucial in young adults, where accommodative activity can obscure accurate refractive status. Autorefractor repeatability is essential for precise optical correction and refractive error categorisation in clinical and research settings.</p><p><strong>Background: </strong>Cycloplegic autorefraction is recommended for individuals up to 20 years to prevent hyperopia underestimation and myopia overestimation. This study evaluated differences between non-cycloplegic and cycloplegic spherical equivalent refraction following cyclopentolate hydrochloride (cycloplegic agent) administration in young adults. This study also explored whether this difference varied by refractive status (hyperopia (≥1.00D), emmetropia ( >-0.50, <1.00D), myopia (≤-0.50D)) or pre-instillation of proxymetacaine hydrochloride and whether cycloplegia improved autorefractor repeatability.</p><p><strong>Methods: </strong>Participants were 182 young adults (17-30 years) (mean (standard deviation): 21.66 (2.86) years). The right eye received 0.5% proxymetacaine hydrochloride and one (blue/green irides) or two drops (brown/hazel irides) of 1.0% cyclopentolate hydrochloride. The left eye received cyclopentolate hydrochloride only. Autorefraction was performed before and after cycloplegia. Analysis included paired t-testing, Deming regression, Bland-Altman analysis and equivalence testing.</p><p><strong>Results: </strong>Cycloplegic autorefraction was significantly more hyperopic than non-cycloplegic autorefraction (mean difference: 0.68(0.71) D in right eyes, 0.53(0.53) D in left eyes; <i>p</i> < 0.001) with 48.4% of participants exhibiting clinically significant differences of ≥ 0.50D. Agreement between non-cycloplegic and cycloplegic measurements was poor (limits of agreement: -0.71 D to +2.07 D, right eye). Hyperopes showed the greatest shift (1.39(0.91) D), compared to emmetropes (0.66(0.47) D) and myopes (0.31 (0.34) D). Cycloplegia improved repeatability, narrowing limits of agreement (-0.16 D to +0.15 D vs -0.24 D to +0.21 D). Proxymetacaine hydrochloride pre-instillation enhanced cycloplegic effect (+0.15 (0.07) D), particularly in hyperopic participants.</p><p><strong>Conclusions: </strong>A clinically significant difference was observed between non-cycloplegic and cycloplegic autorefraction in young adult participants, particularly among hyperopes. Cycloplegic measurements showed better repeatability, supporting their use for accurate refraction. Further research is needed on potential enhancing effects of proxymetacaine hydrochloride, particularly in diverse populations.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815939","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":"Ranking of top 50 optometry academics in African universities by research impact.","authors":"Samuel Kyei, Paul Owusu, Joseph Mannyeya Sa-Ambo, Gideon Owusu, Randy Asiamah, Rita Yelimaa Benyem, Pious Tawiah Amoako, Raphael Osei Owusu, Samuel Ankamah, Samuel Bert Boadi-Kusi","doi":"10.1080/08164622.2025.2540350","DOIUrl":"10.1080/08164622.2025.2540350","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Optometry as a profession constitutes a distinct body of knowledge informed and sustained by evidence-based approaches derived from painstaking peer-reviewed scientific research publications.</p><p><strong>Background: </strong>The contribution of African Optometric academics affiliated with African universities to the body of knowledge of the profession is yet to be assessed. This study sought to profile the research impact of African optometrists as a contribution to knowledge in the field of Optometry.</p><p><strong>Methods: </strong>A structured bibliometric search was conducted on the Scopus database using a list of all Optometry training institutions in Africa and comprehensive optometry-related search terms.The resulting publications were systematically screened in two stages: (a) identification of articles directly related to optometry and (b) identification of the authors of those optometry-related publications who are optometrists affiliated with optometry schools in Africa. The authors were then ranked based on h-index, research productivity, citation metrics, and publication rate. The final data was extracted on 31 March 2025.</p><p><strong>Results: </strong>The Top 50 African Optometric academics ranked by research impact have h-indices ranging from 5 to 52 and have published between 8 and 166 papers. Eleven (22%) are women. Kovin Shunmugam Naidoo is the most impactful researcher on the African continent, with the highest h-index of 52 and a citation count of 64,357. The most prolific author is William Frith Harris (166 papers). Uchechukwu Levi Osuagwu and Mutali Musa have the fastest publishing rate (11.3 papers per year). The active publication years ranged from 2 to 29 years, with a median of 10 years.</p><p><strong>Conclusion: </strong>African optometric academics have made moderate contributions to optometry literature, and their shorter active publication years depict a great potential for further contributions over time. The 50 most impactful optometrists in Africa are identified for collaboration and partnership.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815942","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":"Retinal vascular density changes detected by optical coherence tomography angiography following Nd:YAG laser posterior capsulotomy.","authors":"Serhat Ayla, Sevim Ayça Seyyar, Kıvanç Güngör","doi":"10.1080/08164622.2025.2542325","DOIUrl":"https://doi.org/10.1080/08164622.2025.2542325","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Nd:YAG laser capsulotomy is a standard treatment for posterior capsule opacification. While effective, it may induce subclinical changes in retinal structure or perfusion. Optical coherence tomography angiography enables non-invasive visualisation of retinal microvasculature and is a valuable tool for monitoring potential vascular effects of intraocular laser procedures.</p><p><strong>Background: </strong>Posterior capsule opacification is the most common delayed complication following cataract surgery. Nd:YAG laser posterior capsulotomy is the standard treatment, but its effects on retinal microcirculation remain under-investigated. Optical coherence tomography angiography offers high-resolution vascular imaging but differentiating true vascular alterations from improved visualisation after media clearing presents a diagnostic challenge.</p><p><strong>Methods: </strong>This prospective study included 30 pseudophakic patients undergoing Nd:YAG capsulotomy for visually significant posterior capsule opacification. optical coherence tomography angiography imaging was performed at baseline, 1 hour, 1 week, and 1 month after treatment. The untreated pseudophakic fellow eyes of 25 patients served as internal controls. Vessel density measurements were obtained from the superficial capillary plexus (SCP-VD), deep capillary plexus (DCP-VD), and radial peripapillary capillaries. Intra-group changes were analysed with repeated measures ANOVA, and inter-eye comparisons were performed using independent samples t-tests.</p><p><strong>Results: </strong>SCP-VD showed significant increases in nasal and inferior parafoveal and perifoveal sectors at 1 week and 1 month (<i>p</i> < 0.05). DCP-VD also increased postoperatively, particularly in the foveal and superior perifoveal areas. Deep foveal vascular density at 1 month was significantly higher than in fellow eyes (<i>p</i> = 0.013). Peripapillary capillaries vascular density increased significantly over time (<i>p</i> = 0.035), though inter-eye differences were not significant.</p><p><strong>Conclusion: </strong>Optical coherence tomography angiography detects localised vascular changes following Nd:YAG capsulotomy. Incorporating fellow-eye controls strengthens interpretive accuracy by minimising the confounding effects of image quality improvement, supporting the clinical use of optical coherence tomography angiography in postoperative retinal assessment of pseudophakic patients.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783632","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 unilateral multifocal circumscribed choroidal haemangiomas.","authors":"Carolina Cruz-Wegener, Timothy Murray, Aaron Gold, Belinda Rodriguez, Judith Guillaume","doi":"10.1080/08164622.2025.2542316","DOIUrl":"https://doi.org/10.1080/08164622.2025.2542316","url":null,"abstract":"","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783631","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 fusional vergence facility in young adults with dry eye syndrome.","authors":"Fatemeh Alaei, Mehdi Khabazkhoob, Abdollah Farzaneh, Payam Nabovati","doi":"10.1080/08164622.2025.2542323","DOIUrl":"https://doi.org/10.1080/08164622.2025.2542323","url":null,"abstract":"<p><strong>Clinical relevance: </strong>Symptoms associated with dry eye and those related to vergence and accommodative disorders exhibit considerable overlap, suggesting a possible dysfunction in vergence/accommodative performance in individuals with dry eye.</p><p><strong>Background: </strong>This cross-sectional study aimed to assess the accommodative and binocular vision performance in young adults with dry eye syndrome compared to a control group.</p><p><strong>Methods: </strong>Forty individuals with dry eye syndrome and 40 healthy controls were enrolled. Each participant underwent a comprehensive ocular examination including visual acuity measurement, refraction, slit-lamp examination, tear film evaluation, and assessments of accommodative and binocular vision performance.</p><p><strong>Results: </strong>The mean age of the participants was 22.70 ± 2.40 years in the dry eye group and 22.51 ± 2.21 years in the control group (<i>p</i> = 0.720). Twelve (30%) and thirteen (32.5%) participants in the dry eye and control groups were male, respectively (<i>p</i> = 0.550). No statistically significant differences were found in best-corrected visual acuity, sphere, cylinder, or spherical equivalent refraction between the dry eye and control groups (all p-values > 0.05). The median vergence facility in the dry eye group was significantly lower than that of the control group (9 vs. 15 cycles per minute <i>p</i> < 0.001). The analysis indicated no statistically significant differences between the groups regarding other measures, such as distance and near phoria, near point of convergence break and recovery, distance and near positive and negative fusional vergence amplitudes, stereoacuity, and accommodative parameters. Furthermore, a statistically significant negative correlation was identified between the vergence facility and the ocular surface disease index (<i>r</i> = -0.285, <i>p</i> = 0.011), while a significant positive correlation (<i>r</i> = 0.288, <i>p</i> = 0.010) was noted between the vergence facility and the tear break-up time.</p><p><strong>Conclusion: </strong>Dry eye negatively affects vergence facility in young adults. This vergence dysfunction contributes to the symptoms reported by dry eye patients and shows a significant positive correlation with tear film instability.</p>","PeriodicalId":10214,"journal":{"name":"Clinical and Experimental Optometry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783630","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}