{"title":"Book review: Adler's Physiology of the Eye, 12th ed.","authors":"Erica L Fletcher","doi":"10.1097/OPX.0000000000002199","DOIUrl":"10.1097/OPX.0000000000002199","url":null,"abstract":"","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":"101 11","pages":"644-645"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740190","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}
Nur Ain Mohamad, Meng Hsien Yong, Safinaz Mohd Khialdin, Mae-Lynn Catherine Bastion
{"title":"Case report: Acute macular neuroretinopathy post-COVID-19 infection.","authors":"Nur Ain Mohamad, Meng Hsien Yong, Safinaz Mohd Khialdin, Mae-Lynn Catherine Bastion","doi":"10.1097/OPX.0000000000002194","DOIUrl":"10.1097/OPX.0000000000002194","url":null,"abstract":"<p><strong>Significance: </strong>Acute macular neuroretinopathy (AMN) is a rare disease that causes transient or permanent visual disturbance. The exact etiology remains unknown, but vascular compromise of the deep retinal capillary plexus was postulated as the main mechanism. Retinal vascular event post-coronavirus disease 2019 (COVID-19) infection is recently highlighted during the pandemic, which includes AMN.</p><p><strong>Purpose: </strong>To report a case of AMN post-COVID-19 infection.</p><p><strong>Case report: </strong>A 24-year-old Indian woman presented with acute-onset painless bilateral central scotoma for a day. The symptom was preceded by a history of COVID-19 infection 3 weeks prior. Ocular examination revealed a near-normal visual acuity for both eyes. Fundus examination showed bilateral dull foveal reflex with mild scattered cotton wool spot and vascular tortuosity. Optical coherence tomography macula revealed a distinct short hyperreflective band involving the outer plexiform and outer nuclear layers nasal to the fovea. The Bjerrum perimetry test revealed central scotoma temporal to the fixation. Optical coherence tomography lesions and scotomas are identical and congruous in both eyes. Serial fundus photographs are captured showing the evolving changes of near-normal macula to pigmented wedge-shaped petaloid lesions around the fovea. The patient was diagnosed as bilateral AMN and treated with oral prednisolone. On subsequent follow-up, the central scotoma improved.</p><p><strong>Conclusions: </strong>This case illustrates a clear temporal and possible causal relationship of COVID-19 infection with AMN. Further studies and data are required to justify its association, but the rising cases of AMN shall be anticipated as COVID-19 infections have become endemic worldwide.</p>","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":" ","pages":"677-682"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604797","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":"Extended release of ciprofloxacin from commercial silicone-hydrogel and conventional hydrogel contact lenses containing vitamin E diffusion barriers.","authors":"Mehdi Al Atrach, Chau-Minh Phan, Lyndon W Jones","doi":"10.1097/OPX.0000000000002196","DOIUrl":"10.1097/OPX.0000000000002196","url":null,"abstract":"<p><strong>Significance: </strong>Vitamin E could be used as a coating with commercial silicone hydrogel lenses to extend the release of various ophthalmic drugs. This concept could provide a promising approach to improve overall ocular therapeutic outcomes for topical ocular drugs.</p><p><strong>Purpose: </strong>This study aimed to develop a contact lens-based ocular drug delivery system using vitamin E as a diffusion barrier to extend the release duration of ciprofloxacin.</p><p><strong>Methods: </strong>Five commercial lenses were soaked for 24 hours in various concentrations of vitamin E dissolved in ethanol (0.0125 to 0.2 g/mL). The lenses were loaded with ciprofloxacin for 24 hours in 3 mL of 3 mg/mL of ciprofloxacin/acetic acid solution. The drug release was evaluated in 3 mL of phosphate-buffered saline solution. At t = 0.5, 1, 2, 4, 6, 8, 12, 16, and 24 hours, the amount of ciprofloxacin released was measured using a UV-VIS spectrophotometer at 270 nm.</p><p><strong>Results: </strong>There was a decrease in ciprofloxacin loading with increasing amounts of vitamin E loaded into the silicone hydrogel lenses. For each lens type, there was an optimal amount of vitamin E loaded that extended the release duration of the drug from 1 hour (without vitamin E) to as long as 16 hours. In contrast, vitamin E loaded into hydrogel lenses had no effect on the amounts of drugs loaded or the release duration.</p><p><strong>Conclusions: </strong>Vitamin E can be used as a diffusion barrier with commercially available silicone hydrogel lenses to provide sustained release of ciprofloxacin. The results suggest that vitamin E may form blockages in channels within a silicone hydrogel lens material, thereby forcing a longer path for drugs to diffuse into and out of the lens material. There is an optimal amount of vitamin E that needs to be loaded to extend the release duration, and this is lens material dependent.</p>","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":" ","pages":"666-676"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604800","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}
Katherine K Weise, Michael X Repka, Yufeng Zhu, Ruth E Manny, Aparna Raghuram, Danielle L Chandler, Allison I Summers, Katherine A Lee, Lori Ann F Kehler, Yi Pang, Megan S Allen, Heather A Anderson, S A Erzurum, Richard P Golden, Cassandra A Koutnik, Annie F Kuo, Phoebe D Lenhart, Preeti L Mokka, David B Petersen, Benjamin H Ticho, Emily K Wiecek, Huizi Yin, Wesley T Beaulieu, Raymond T Kraker, Jonathan M Holmes, Susan A Cotter
{"title":"Baseline factors associated with myopia progression and axial elongation over 30 months in children 5 to 12 years of age.","authors":"Katherine K Weise, Michael X Repka, Yufeng Zhu, Ruth E Manny, Aparna Raghuram, Danielle L Chandler, Allison I Summers, Katherine A Lee, Lori Ann F Kehler, Yi Pang, Megan S Allen, Heather A Anderson, S A Erzurum, Richard P Golden, Cassandra A Koutnik, Annie F Kuo, Phoebe D Lenhart, Preeti L Mokka, David B Petersen, Benjamin H Ticho, Emily K Wiecek, Huizi Yin, Wesley T Beaulieu, Raymond T Kraker, Jonathan M Holmes, Susan A Cotter","doi":"10.1097/OPX.0000000000002187","DOIUrl":"10.1097/OPX.0000000000002187","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify baseline factors associated with greater myopia progression and axial elongation in children with myopia.</p><p><strong>Methods: </strong>This study performed a post hoc analysis of data from a 30-month randomized trial of atropine 0.01% versus placebo in children 5 to <13 years old with baseline spherical equivalent refractive error (SER) of -1.00 to -6.00 D, astigmatism of ≤1.50 D, and anisometropia of <1.00 D SER. Data from atropine 0.01% and placebo groups were pooled given outcomes were similar. Baseline factors of age, SER, axial length, race, sex, parental myopia, and iris color were evaluated for association with changes in SER and with changes in axial length at 30 months (24 months on treatment and then 6 months off) using backward model selection.</p><p><strong>Results: </strong>Among 187 randomized participants, 175 (94%) completed 30 months of follow-up. The mean change in SER was greater among younger children (-0.19 D per 1 year younger; 95% confidence interval [CI], -0.25 to -0.14 D; p<0.001) and children with higher myopia (-0.14 D per 1 D more myopia at baseline; 95% CI, -0.23 to -0.05 D; p=0.002). The mean change in axial length was also greater among younger children (0.13 mm per 1 year younger; 95% CI, 0.10 to 0.15 mm; p<0.001) and children with higher baseline myopia (0.04 mm per 1 D more myopia; 95% CI, 0.002 to 0.08; p=0.04).</p><p><strong>Conclusions: </strong>Younger children with higher myopia had greater myopic progression and axial elongation over 30 months than older children with lower myopia. Developing effective treatments to slow the faster myopic progression in younger children should be a target of further research.</p>","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":"101 10","pages":"619-626"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546645","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}
Tianjing Li, Suhsun Liu, Susan A Cotter, Tawna L Roberts, Elise Harb
{"title":"Empowering optometrists with evidence: The American Academy of Optometry and Cochrane Eyes and Vision Educational Program.","authors":"Tianjing Li, Suhsun Liu, Susan A Cotter, Tawna L Roberts, Elise Harb","doi":"10.1097/OPX.0000000000002198","DOIUrl":"10.1097/OPX.0000000000002198","url":null,"abstract":"","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":"101 10","pages":"615-617"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546647","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}
María Del Pilar Oviedo-Cáceres, Samuel Arias-Valencia, Andrea Hernández-Quirama
{"title":"Experiences of life and intersectionality of people with low vision: A qualitative approach.","authors":"María Del Pilar Oviedo-Cáceres, Samuel Arias-Valencia, Andrea Hernández-Quirama","doi":"10.1097/OPX.0000000000002179","DOIUrl":"10.1097/OPX.0000000000002179","url":null,"abstract":"<p><strong>Significance: </strong>Low vision is a public health priority disability condition. People with this condition face multiple types of discrimination in a society that is not accustomed to diversity.</p><p><strong>Purpose: </strong>This study aimed to describe the life experience of people with low vision from an intersectional perspective in Medellín, Colombia.</p><p><strong>Methods: </strong>A qualitative ethnographic case study was conducted, considering the intersectional perspective as an analytical element to comprehend the everyday experience of people with low vision. Twenty-nine interviews were conducted with 10 participants, along with 16 participant observation exercises in their daily lives, with prior informed consent.</p><p><strong>Results: </strong>Participants experienced discrimination due to their visual condition, which had negative implications for the development of their life projects. Three categories emerged: Discrimination in everyday contexts: ocularcentrism, gender challenges in the lives of people with low vision, and challenges in seeking vision rehabilitation services.</p><p><strong>Conclusions: </strong>The results of the study show that people experience discrimination, exclusion, and stigmatization in their daily activities, which vary according to the traditionally assigned roles of gender, social class, age, and educational level, among others. Given the complexity of the experience, it is important for health and visual rehabilitation professionals to broaden their perspective and transition toward vision rehabilitation models that address the various dimensions affected by this condition.</p>","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":"101 10","pages":"633-639"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546648","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":"Book review: Introduction to Visual Optics: A Light Approach.","authors":"Ben Balas","doi":"10.1097/OPX.0000000000002190","DOIUrl":"10.1097/OPX.0000000000002190","url":null,"abstract":"","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":"101 10","pages":"618"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546646","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}
Shyam Sunder Tummanapalli,Leiao Leon Wang,Roshan Dhanapalaratnam,Ann Poynten,Eric B Papas,Arun Vishwanathan Krishnan,Maria Markoulli
{"title":"Moderate-severe peripheral neuropathy in diabetes associated with an increased risk of dry eye disease.","authors":"Shyam Sunder Tummanapalli,Leiao Leon Wang,Roshan Dhanapalaratnam,Ann Poynten,Eric B Papas,Arun Vishwanathan Krishnan,Maria Markoulli","doi":"10.1097/opx.0000000000002178","DOIUrl":"https://doi.org/10.1097/opx.0000000000002178","url":null,"abstract":"SIGNIFICANCEThis study establishes an increased risk of developing dry eye disease (DED) in patients with diabetic peripheral neuropathy using validated diagnostic criteria for both conditions.PURPOSEThe disruption of ocular surface homeostasis has been associated with diabetes. However, it remains unclear if this association is independently influenced by peripheral neuropathy secondary to diabetes. This study aimed to investigate the clinical signs and symptoms of DED and their association with the severity of peripheral neuropathy in participants with type 2 diabetes.METHODSThis prospective cross-sectional study recruited 63 participants with type 2 diabetes. All participants underwent a detailed assessment of DED using dry eye questionnaires (Ocular Surface Disease Index, Dry Eye Questionnaire-5), tear osmolarity, lipid layer thickness, noninvasive keratographic tear breakup time, phenol red thread test (PRT), and ocular surface staining. Corneal nerve morphology was imaged using corneal confocal microscopy. Based on the Total Neuropathy Scale, participants were stratified into no/mild (n = 48) and moderate/severe (n = 15) neuropathy groups.RESULTSDry eye disease was diagnosed in 31 participants (50%) of the total cohort, and the odds of developing DED in the moderate/severe neuropathy group were four times (95% confidence interval, 1.10 to 13.80; p=0.030) higher compared with the no/mild neuropathy group. The Dry Eye Questionnaire-5 scores were significantly higher (p=0.020), and PRT values (p=0.048) and corneal nerve fiber length (p<0.001) were significantly reduced in the moderate/severe neuropathy group compared with the no/mild neuropathy group. In regression analysis, neuropathy scores were independently associated with PRT measurements (β = -0.333, p=0.023) and nerve fiber length (β = -0.219, p=0.012) while adjusting for age, gender, hemoglobin A1c, and duration of diabetes.CONCLUSIONSType 2 diabetic patients with peripheral neuropathy have a risk of developing DED, which increases with the severity of neuropathy. The observation that worsening peripheral neuropathy is associated with reduced tear secretion suggests that it may contribute to aqueous insufficiency.","PeriodicalId":19649,"journal":{"name":"Optometry and Vision Science","volume":"25 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257107","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}