Ophthalmic and Physiological Optics最新文献

{"title":"Should combination treatments be the standard of care to maximise efficacy for myopia treatment?","authors":"Padmaja Sankaridurg, Audrey Chia, Pauline Kang","doi":"10.1111/opo.13474","DOIUrl":"https://doi.org/10.1111/opo.13474","url":null,"abstract":"","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of spectacle lenses with highly aspherical lenslets on changes in peripheral eye length and asymmetry.","authors":"Yingying Huang, Xue Li, Yanqing Wang, Björn Drobe, Hao Chen, Jinhua Bao","doi":"10.1111/opo.13500","DOIUrl":"https://doi.org/10.1111/opo.13500","url":null,"abstract":"<p><strong>Purpose: </strong>Spectacle lenses with highly aspherical lenslets (HAL) have been shown to slow myopia progression and axial length (AL) elongation effectively. The effects of HAL on peripheral eye length (PEL) and peripheral refraction (PR) were investigated in children who continued wearing HAL or switched from single-vision spectacle lenses (SVL) or spectacle lenses with slightly aspherical lenslets (SAL) to HAL.</p><p><strong>Methods: </strong>Fifty-two participants who had worn HAL for 2 years continued their use (HAL group), while 51 and 48 participants who had originally worn SAL or SVL for 2 years switched to HAL (SAL-HAL and SVL-HAL groups, respectively) in Year 3. A new SVL group of 56 participants, 10-15 years of age, was enrolled in Year 3 (new-SVL group). PEL and PR were measured every 10° from 30° nasal to 30° temporal and from 30° superior to 10° inferior retina.</p><p><strong>Results: </strong>There were significant differences in the changes in AL and PEL on the temporal side among the groups (all p ≤ 0.001). All three HAL groups exhibited less elongation than the new-SVL group. PR changes in the parafoveal temporal (p = 0.002) and superior (p = 0.001) regions differed among the groups; the new-SVL group progressed more than the other three groups. The AL in the new-SVL group exhibited greater elongation than the PEL (all p < 0.02). However, there were no significant differences between the AL and PEL changes in the three HAL groups (all p > 0.05).</p><p><strong>Conclusions: </strong>Compared with wearing SVL, switching to or continuing to wear HAL could slow central and temporal elongation of eye length. Wearing HAL could impact retinal steepness and symmetry.</p>","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hard braking events in bioptic drivers with central vision impairment.","authors":"Rebecca A Deffler, Elise Frazee, San-San L Cooley, Bradley E Dougherty","doi":"10.1111/opo.13496","DOIUrl":"https://doi.org/10.1111/opo.13496","url":null,"abstract":"<p><strong>Purpose: </strong>Some individuals with central vision impairment can obtain or maintain driving privileges using bioptic telescopes. Previous work has often demonstrated an increased collision risk for bioptic drivers, but some on-road studies find similar safety to that of normally sighted drivers. The purpose of this study was to compare exposure-controlled hard braking and speeding events measured with naturalistic recording in visually impaired bioptic drivers and normally sighted control drivers.</p><p><strong>Methods: </strong>Visual acuity was measured for each eye individually and through the bioptic when indicated. Contrast sensitivity was measured binocularly with the Mars chart. Binocular integrated visual fields were constructed from monocular 24-2C SITA Faster plots. A commercially available GPS recorder was installed into drivers' personal vehicles for at least 6 weeks. Total mileage, instances of hard braking, travel over 65 miles per hour (mph) and posted speed limit violations were counted. Exposure-controlled rates were calculated for each of these safety events. Driver characteristics and hard braking events were compared using median tests, and Spearman correlation was used to assess the relationships among vision measurements and driving safety events.</p><p><strong>Results: </strong>Twenty licensed bioptic drivers and 20 control drivers were enrolled. Bioptic drivers were significantly more likely to perform hard braking manoeuvres than controls. Among bioptic drivers, hard braking frequency was not predicted by visual acuity, contrast sensitivity or binocular integrated visual field deviation. Bioptic drivers with poorer contrast sensitivity were more likely to travel above 65 mph. Speeding events were not related to hard braking.</p><p><strong>Conclusions: </strong>Bioptic drivers demonstrated nearly three times as many hard braking events per 1000 miles driven, but vision measurements did not predict hard braking. Bioptic drivers with poorer contrast sensitivity were more likely to drive faster than 65 mph. Further work exploring relationships among vision and driving safety in bioptic drivers is warranted.</p>","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143720838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors' Reply.","authors":"Laura Clavé","doi":"10.1111/opo.13499","DOIUrl":"https://doi.org/10.1111/opo.13499","url":null,"abstract":"","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Binocular instability (fusional vergence dysfunction) and ADHD.","authors":"Bruce J W Evans","doi":"10.1111/opo.13497","DOIUrl":"https://doi.org/10.1111/opo.13497","url":null,"abstract":"","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corneal aberrations and anterior segment parameters in preterm children with or without a history of retinopathy of prematurity.","authors":"Marzieh Najjaran, Hadi Ostadimoghaddam, Siamak Zarei-Ghanavati, Alireza Eslampoor, Jorge L Alió, Mohammed Ziaei","doi":"10.1111/opo.13493","DOIUrl":"https://doi.org/10.1111/opo.13493","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare corneal aberrations and anterior segment parameters in preterm children, aged 4-8 years, with or without a history of retinopathy of prematurity (ROP).</p><p><strong>Methods: </strong>A comparative cohort study was conducted using corneal tomography to analyse anterior segment parameters in preterm children. Four groups of children were included (n = 30 in each group): children with a history of ROP who were treated with intravitreal bevacizumab, children whose ROP regressed spontaneously and received no treatment, preterm children without ROP and age- and gender-matched full-term children.</p><p><strong>Results: </strong>A total of 120 eyes from 120 children with a mean age of 6.63 ± 1.25 years were analysed. Mean anterior corneal curvature was significantly steeper in the treated ROP, spontaneously regressed ROP and preterm (no ROP) groups compared with full-term children (p < 0.001, p = 0.001 and p = 0.04, respectively). Similarly, posterior corneal curvature was steeper in these same groups compared with full-term children (p < 0.001, p < 0.001 and p = 0.007, respectively). Further, the treated and spontaneously regressed ROP groups exhibited narrower iridocorneal angles compared with full-term children (p = 0.02 and p = 0.002, respectively). Higher order aberrations of the anterior cornea and trefoil of the total cornea were elevated in the treated ROP group compared with preterm children (both p = 0.02). Posterior spherical aberration was significantly higher in the spontaneously regressed ROP group compared with full-term controls (p = 0.02).</p><p><strong>Conclusion: </strong>Preterm children, regardless of their ROP status, demonstrated steeper anterior and posterior corneal curvatures than full-term children. Children with a history of ROP also exhibited narrower iridocorneal angles and increased corneal aberrations.</p>","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is central vision (and a fovea) needed for emmetropisation?","authors":"Ranjay Chakraborty, Frank Schaeffel, Christine Wildsoet","doi":"10.1111/opo.13494","DOIUrl":"https://doi.org/10.1111/opo.13494","url":null,"abstract":"","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysing diagnostic practices and referral pathways for glaucoma in Australian primary eye care.","authors":"Catherine L Jan, Randall S Stafford, Xianwen Shang, Jacqueline Henwood, Christian Davey, Jiahao Liu, Peter van Wijngaarden, George Y X Kong, Jennifer C Fan Gaskin, Mingguang He, Algis Vingrys","doi":"10.1111/opo.13491","DOIUrl":"https://doi.org/10.1111/opo.13491","url":null,"abstract":"<p><strong>Background: </strong>Glaucoma is the leading cause of irreversible blindness globally, posing a significant public health challenge in Australia, particularly among individuals aged 55 years and older. As primary health care providers, optometrists play a crucial role in the early diagnosis and management of glaucoma, making them central to efforts aimed at reducing the burden of this sight-threatening condition. This study investigates the practice patterns of Australian optometrists in diagnosing and managing glaucoma, focusing on test utilisation, diagnostic confidence, referral practices and intra- and inter-observer variabilities in grading glaucomatous optic neuropathy (GON).</p><p><strong>Methods: </strong>A mixed-method cross-sectional design was conducted, involving 50 Australian optometrists who graded 120 colour digital retinal photographs for GON and completed an online survey regarding their diagnostic methods and confidence levels. Statistical analyses assessed inter- and intra-observer agreement in GON grading.</p><p><strong>Results: </strong>The results showed that 82% of optometrists surveyed possessed optical coherence tomography (OCT) instruments and 96% had visual field analysers. Despite a majority expressing confidence in glaucoma detection, only 8% felt capable of independently diagnosing the disease and initiating treatment. Inter-observer agreement for glaucoma detection from retinal photographs was moderate (kappa = 0.53, 95% CI 0.50-0.54), while intra-observer agreement was substantial (kappa = 0.73, 95% CI 0.70-0.77). Inter-observer agreement of optometrists was similar to that of ophthalmologists.</p><p><strong>Conclusion: </strong>Most optometrists have access to advanced diagnostic tools, know how to appropriately diagnose and manage glaucoma and have similar inter-observer variability when assessing fundus photographs to that of glaucoma sub-specialists, but few feel confident in independently diagnosing and managing glaucoma.</p>","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can short-term changes in the choroid in humans predict long-term eye growth?","authors":"Pavan K Verkicharla, Ranjay Chakraborty, Lisa A Ostrin","doi":"10.1111/opo.13478","DOIUrl":"https://doi.org/10.1111/opo.13478","url":null,"abstract":"","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143616703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can we predict which high myopes will develop pathological myopia?","authors":"Nicola Rizzieri, Quan V Hoang, Ian Flitcroft","doi":"10.1111/opo.13462","DOIUrl":"https://doi.org/10.1111/opo.13462","url":null,"abstract":"","PeriodicalId":19522,"journal":{"name":"Ophthalmic and Physiological Optics","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}