Optometry & Contact Lenses最新文献

{"title":"Sequentielle multimodale optometrische Behandlungsverfahren des pädiatrischen Nystagmus","authors":"Daniella Rutner","doi":"10.54352/dozv.lebj5167","DOIUrl":"https://doi.org/10.54352/dozv.lebj5167","url":null,"abstract":"Purpose. The purpose of this article is to present multimodal sequencing as a clinical therapeutic approach for the treat- ment of pediatric patients with nystagmus based on a per- sonal assessment by the author. While several papers have recommended various therapeutic interventions, a sequenc- ing of these multiple therapeutic managements has never been explicit. Material and Methods. Extensive literature search (e.g., Pub- Med, Google Scholar), as well as over 20 years of clinical ex- perience have been used to develop a comprehensive clinical optometric protocol for sequencing of available therapeutic optometric management for pediatric nystagmus. Results. A comprehensive multi-modal therapeutic protocol for pediatric patients with nystagmus is presented. It includes: refraction, contact lenses, biofeedback, vision therapy, low vision, and referrals for ancillary treatment. Conclusion. For the first time, a detailed and comprehen- sive clinical protocol for the management of the pediatric patient with nystagmus has been presented. This should allow for improved patient care, especially with respect to the developmental aspects of nystagmus to provide optimal vision early in life. Keywords Nystagmus, management of nystagmus, biofeedback, contact lenses, prism, eye movements","PeriodicalId":347784,"journal":{"name":"Optometry & Contact Lenses","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129676033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Überblick und Handlungsleitfaden bei visuellen Störungen im Zusammenhang mit Kiefer- und Haltungsstörungen","authors":"M. Friedrich","doi":"10.54352/dozv.spsd4683","DOIUrl":"https://doi.org/10.54352/dozv.spsd4683","url":null,"abstract":"Purpose. The human system consists of various subsystems. These are anatomically and functionally connected and form a structural unit. As a result, disorders in one subsystem can also affect other subsystems and the human system as a whole. Material and Methods. Using literature review and practi- cal experience, an overview of visual disorders associated with jaw and posture disorders is presented. These are visual acuity differences, spherical and astigmatic anisometropia, and binocular disorders. Visual disorders may be primary or secondary. Therefore, to determine visual asymmetry, testing for visual acuity and ametropias, as well as for sym- metric eye movement, convergence, and binocular function are useful. Results. Visual disorders with jaw and postural disorders can be transmitted by disorders of the nerve pathways (afferent as well as efferent disorders), muscles and skeleton. Therefore, an interdisciplinary assessment/diagnosis and selection of care and appropriate management is important. Conclusion. Optometrists must recognize visual disorders as- sociated with postural disorders in order to provide thorough history and treatment. Keywords symmetry, asymmetry, jaw disorders, postural disorders, binocular disorders","PeriodicalId":347784,"journal":{"name":"Optometry & Contact Lenses","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116762185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Quality Indicators with Multifocal and Dual-Focus Soft Contact Lenses for Myopia Control","authors":"Frank Spors, Ching-Ying Cheng, Dorcas K. Tsang, Mike Chih-Wei Yeh, John Ching-Jen Hsio","doi":"10.54352/dozv.pehz8942","DOIUrl":"https://doi.org/10.54352/dozv.pehz8942","url":null,"abstract":"Purpose. The purpose of this study was to determine and compare visual quality indicators in eyes wearing multifocal center-distance, and dual-focus soft contact lenses that are specifically designed for the purpose of myopia progression management, as well as single-vision soft contact lenses. Material and Methods. Visual quality indicators of 34 eyes of healthy, young myopic adults ages 20 to 35 were determined. Non-cycloplegic measurements were conducted without contact lenses (baseline) and while subjects wore soft multi- focal center-distance soft contact lenses (ArtMost SoftOK SMR and SEED 1-day Pure UP Multistage daily disposable), dual-focus soft contact lenses (CooperVision MiSight 1 Day), and single-vision soft contact lenses (iLens Aqua Bi-weekly). In this study, the lenses were referred to as SoftOK, Pure UP, MiSight, and iLens. The measured and analyzed visual quality indicators included high-contrast distance and near visual acuity, stereopsis, accommodative amplitude, accommo- dative response, spherical aberration, and horizontal coma. Results. High-contrast distance and near visual acuities, accommodative responses, and stereopsis values achieved with the SoftOK, Pure UP, and MiSight contact lenses werecomparable to those achieved with the iLens single-vision soft contact lenses and to baseline values. Accommodative amplitude was slightly reduced with the MiSight contact lens and spherical aberration was significantly higher with the SoftOK lens compared to the other lenses. Both findings had statistical significance (P = 0.047 and P < 0.001, respec- tively). Horizontal coma, most likely resulting from slight lens decentration, was higher and more variable with the SoftOK lens compared to the other lenses, although no statistical significance was determined. Conclusion. Dual-focus and multifocal center-distance soft contact lenses allow for good visual quality, especially clear vision at distance and near. Small differences in accommoda- tive amplitude and spherical aberration were found between lens designs, however the clinical impact requires further investigation. Keywords myopia management, soft multifocal contact lens, visual quality indicators, spherical aberration, accommodative amplitude","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128795682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutische Schutzverbandskontaktlinsen bei Blepharophimose-Ptosis- Epicanthus-inversus-Syndrom","authors":"Michael Bärtschi","doi":"10.54352/dozv.bhnf9333","DOIUrl":"https://doi.org/10.54352/dozv.bhnf9333","url":null,"abstract":"Purpose. The case report describes the fitting of bandage contact lenses for bilateral severe visual impairment, severe ocular pain and glare sensitivity and the rehabilitative effect on the life of the affected patient. Material and Methods. Structured fitting of silicone hydro- gel bandage contact lenses and visual rehabilitation in a 49-year-old female patient with bilateral blepharophimo- sis-ptosis-epicanthus-inversus syndrome (BPES) and neu- trophilic ulceration bilaterally, as a result of lagophthalmos in marked incomplete blink OD and nearly inactive eyelids OS and bilateral ptosis. Results. By means of structured and targeted fitting of phys- iologically acceptable bandage contact lenses in continuous wear modality, almost all limiting visual and pathophysiological symptoms of the patient such as glare sensitivity and pain could be eliminated. The corrected visual acuity could be increased from light perception to 1.0−2. The patient again participates regularly in normal work and leisure life and is fully reintegrated into society. Conclusion. Bandage contact lenses are used in daily clinical practice. A goal oriented fitting procedure often allows a com- plete visual and social rehabilitation even in severe cases. The field of application is multifarious, and the patients concerned are very grateful for the rapid and uncomplicated help. Keywords blepharophimosis-ptosis-epicanthus-inversus syndrome, bandage contact lens, rehabilitation","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128425799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RGP-Kontaktlinsen, Netzhautforamen und Aderhautnävus","authors":"Wolfgang Cagnolati, Bastian Cagnolati","doi":"10.54352/dozv.vhmh6157","DOIUrl":"https://doi.org/10.54352/dozv.vhmh6157","url":null,"abstract":"Purpose. The case report describes the management of a retinal hole and two choroidal nevi during RGP contact lens fitting. Material and Methods. During a comprehensive eye exami- nation as part of a contact lens fitting, a retinal hole and two choroidal nevi were detected in the patient’s right eye by in- direct ophthalmoscopy and Optomap ultra-widefield imaging (Optos Daytona Plus). The preoperative and postoperative findings and optometric/ophthalmological co-management are described. Results. The retinal hole was completely closed by laser coagulation. The suspected diagnosis of two choroidal nevi was confirmed. Conclusion. Myopia in particular is often associated with secondary retinal diseases. For this reason, regular retinal examinations are indicated in myopic patients. A full eye examination is normally recommended in the prescribtion of visual aids for those affected. Keywords Myopia, contact lenses, retinal foramen, choroidal nevus","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123730213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthokeratologie bei Hyperopie und Presbyopie – ein Fallbeispiel","authors":"Rainer Bronner","doi":"10.54352/dozv.odwq3597","DOIUrl":"https://doi.org/10.54352/dozv.odwq3597","url":null,"abstract":"Purpose. The aim of this case report is to describe accelerated orthokeratology for hyperopia and associated presbyopia with a customized contact lens. Material and Methods. Four-curve, spherical, reverse contact lenses were fitted with the assistance of topography, simu- lation of the fluorescein pattern of the first contact lens, and analyses from the orthokeratology literature. Fitting success was determined by comparing results before the first night and after the thirtieth night after orthokeratology. Results. After thirty nights of orthokeratolgy the best unaid- ed visual acuity for distance was 1.0 and for near 0.63. The dioptric power of the corneal surface was comparable with the dioptric power of a multifocal simultaneous contact lens. The success of unaided visual acuity could not completely explained by the corneal dioptric power. Orthokeratology in hyperopia was comfortable and without pathological changes on the cornea. Conclusion. Customized reverse spherical orthokeratology contact lenses could compensate hyperopia and associated presbyopia. Keywords Orthokeratology, hyperopia, presbyopia, reverse contact lens","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116748564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kontaktlinsenhygiene ein Literatur-Review","authors":"A. Hartwig","doi":"10.54352/dozv.yetm2888","DOIUrl":"https://doi.org/10.54352/dozv.yetm2888","url":null,"abstract":"Purpose. Contact lens hygiene is a crucial factor for a success- ful contact lens fitting and, above all, for long-term healthy contact lens wear. A review of the literature is intended to summarize the most important points especially in relation to recent publications. Material and Methods. A narrative literature review was performed to identify relevant publications. PubMed (www. pubmed.gov) was used as the platform for the search. The search term used was “contact lens hygiene”. Results. Successful contact lens hygiene depends on the effectiveness of the care solution, the instruction of the pa- tient by the contact lens practitioner and the correct imple- mentation of the recommended care steps. Basically, either multipurpose solutions (combination solutions) or peroxide systems are available for care. The advantage of peroxide systems is the higher disinfection performance compared to multipurpose solutions. For rigid gas permeable contact lenses, manual surface cleaning in combination with a surface cleaner is essential. The likelihood of occurrence of microbial keratitis is lower in wearers of rigid gas permeable contact lenses than in wearers of soft contact lenses. Conclusion. In addition, to hand hygiene, the selection of the care product and regular instruction of the user by the eye care practitioner play a vital role. From a hygienic perspective, daily disposable contact lenses are the safest option. Keywords Contact lens hygiene, contact lens compliance, contact lens storage case, microbial keratitis, RGP contact lenses, soft contact lenses","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130433389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kontaktlinsen als vielversprechende Therapiemittel","authors":"J. Storsberg, O. Mauger, S. Sel","doi":"10.54352/dozv.ixvs8458","DOIUrl":"https://doi.org/10.54352/dozv.ixvs8458","url":null,"abstract":"Purpose. Insights into the scientific research about contact lenses and their development, and information about their use as therapeutic tools for various eye diseases are provid- ed. The specificities of the human eye due to its particular physiology and anatomy are outlined and the relation with the resulting therapeutic difficulties is presented. Therapeutic lenses as bandage and as drug-delivering contact lenses are described. Material and Methods. The topics of the selected literature include relevant developments in biomaterials for contact lenses. Reports and publications on worldwide ocular dis- eases, global current market analysis in the field of eye drops, as well as publications on modern drug release methods for ocular systems tend to depict the topic. Results. As a result of a long-lasting development, contact lenses are worldwide successful on the optical device market. Therapeutic contact lenses as bandage lenses are effective tools in ophthalmic surgery and therapy. Conclusions. Novel therapeutic contact lenses used for ocular drug delivery significantly improve the bioavailability and thus perform better as conventional eye treatments. Keywords copolymers, protein adhesion, vision threatening disorders, blood ocular barrier, therapeutic and bandage contact lenses, ocular drug delivery systems","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116313126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kontaktlinsenhygiene - kleiner Aufwand, große Bedeutung","authors":"Yasna Glauser, E. Neuenschwander","doi":"10.54352/dozv.kklu6857","DOIUrl":"https://doi.org/10.54352/dozv.kklu6857","url":null,"abstract":"Purpose. The aim is to update the knowledge of hygiene guidelines related to contact lens wear. Material and Methods. The following literature review high- lights the causes of microbial keratitis and provides an over- view of the current research on contact lens hygiene, with particular emphasis on the use of tap water. In addition, a case report is used to highlight rare consequences of non- compliant behavior. Results. The main causative agents of microbial keratitis are bacteria, such as staphylococci and pseudomonas aeruginosa, fungi, and acanthamoeba. Because infection often requires rapid medical therapy and can lead to complications that reduce visual acuity, great importance should be placed on patient counseling and preventative measures. This includes conscientious hand hygiene, information on the problem tap water, and the use of the correct care product with necessary compliance. Conclusion. Good and correct contact lens hygiene is es- sential for long-term, low complication and safe contact lens wear. Especially the care of the contact lens case should not be ignored. To improve patient compliance, it is important to know the exact reasons for any non-compliant behavior in order to develop adapted and individual strategies. It is also relevant that hygiene guidelines are standardized to avoid confusing patients with different recommendations. Keywords Contact lens hygiene, tap water, microbial keratitis, compliance","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131078586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Covid-19-Pandemie: Empfehlungen zur Infektionsprävention in Optometriepraxen","authors":"A. Kramer, Roald Papke","doi":"10.54352/dozv.wcps1785","DOIUrl":"https://doi.org/10.54352/dozv.wcps1785","url":null,"abstract":"Purpose. The recommendations justify infection control measures to minimize SARS-CoV-2 transmission in optometry practices. Material and Methods. During January 2020 to September 2022, a literature search on infection control of COVID-19 was conducted in NCBI PubMed, Web of Science, Cochrane COVID-19 study register, WHO COVID-19 Global Literature on Coronavirus linked to the keywords SARS-CoV-2 and COVID-19 with the following links: Transmission, tenacity, risk assessment, screening, protective measures, vaccination, virucidal disinfection, virucidal antisepsis and post-exposure prophylaxis. Results. While the primary vector of transmission of SARS- CoV-2 is the inhalation of virus particles via the oro-naso- pharyngeal path, ocular means of transmission also have to be considered. Especially hand to eye contacts present a danger. Vaccination proves to be effective for decreasing difficult disease progressions and transmission. Surgical masks are effective tools for slowing the spread of SARS-CoV-2, especially when considered as “source-control” when worn by potentially infectious persons. Hand antiseptics, mucous membrane antiseptics and surface disinfectants declared as “limited virucidal” are effective against SARS-CoV-2. Since viral particles remain potentially infectious for up to several days, proper surface disinfection is crucial. Conclusion. Infection control concepts in optometry practic- es have to incorporate interruption of all transmission path- ways of SARS-CoV-2 in this professional field. Professionals and patients should wear surgical masks. Staff should wear masks with a higher protective standard (for example CN95/ FFP2) when treating patients with symptoms of respiratory infections. Personnel should be vaccinated and trained in hand antisepsis. The indications for surface disinfection of critical surfaces and equipment must be maintained. Any staff showing signs of respiratory infections is to be tested immediately; contacts to COVID-19 positive persons have to be tested for 5 d daily. After contact with possibly or definitely infectious person virucidal gargling and virucidal nose spray may prove beneficial. Keywords SARS-CoV-2, tenacity, anamnestic risk assessment, infection control, personal protective equipment, disinfection, antisepsis, screening, post-exposure prophylaxis","PeriodicalId":347784,"journal":{"name":"Optometry &amp; Contact Lenses","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124726549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}