Clinical Optometry最新文献

{"title":"\"If I Wear Glasses, I Will Go Blind\": Misconceptions, Stigma, and Nonadherence to Spectacle Wear in Somalia's Outpatient Eye Clinics.","authors":"Abdulsalam Ahmed Mohamed, Abdullahi Abdirahman Omar, Fartun Abdullahi Hassan Orey","doi":"10.2147/OPTO.S601110","DOIUrl":"https://doi.org/10.2147/OPTO.S601110","url":null,"abstract":"<p><p>This commentary examines how misconceptions and stigma undermine adherence to spectacle wear in Somalia's outpatient eye clinics, despite clinically meaningful visual improvement during refraction. In routine practice, patients may refuse spectacles or wear them inconsistently because they believe spectacles weaken the eyes, create dependence, or lead to blindness, and because of social concerns such as being labeled as blind or disabled. These perceptions interact with service delivery constraints, including limited counselling time, variable optical quality, affordability barriers, and weak follow up, resulting in avoidable persistence of functional vision impairment and reduced educational and occupational performance. We synthesize commonly encountered themes in Somali outpatient care with relevant published evidence and propose pragmatic actions to improve acceptance and sustained wear. These include brief myth focused counselling integrated into routine workflow, clear separation of refractive error from blinding disease in patient communication, attention to comfort and dispensing quality, family engagement, early follow up for first time wearers, and low cost community normalization strategies delivered through trusted messengers.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"601110"},"PeriodicalIF":1.8,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refractive Surprises After Cataract Surgery: Identification and Management in Optometric Practice- A Comprehensive Review.","authors":"Bharat Gurnani, Kirandeep Kaur","doi":"10.2147/OPTO.S572733","DOIUrl":"https://doi.org/10.2147/OPTO.S572733","url":null,"abstract":"<p><p>Refractive surprises remain one of the most challenging postoperative complications in modern cataract surgery, where precision and patient expectations for plano refractive outcomes continue to rise. Despite advances in optical biometry, intraocular lens (IOL) formula optimization, and surgical technology, postoperative refractive error still occurs in a subset of patients and may significantly affect visual satisfaction and quality of life. This review synthesizes contemporary evidence on the causes, detection, and optometric management of refractive surprises, with a practical focus on the evolving role of the optometrist in co-management. Residual refractive error most commonly results from biometric inaccuracies, keratometric misalignment, incorrect estimation of effective lens position, prior corneal refractive procedures, and anatomical extremes such as axial myopia or hyperopia. Early recognition through comprehensive postoperative assessment-including manifest refraction, keratometric stability, IOL position evaluation, corneal tomography, and retinal imaging-is critical to differentiating optical errors from pathology. Management options include spectacles and contact lenses for mild errors, while significant ametropia may require corneal refractive surgery, arcuate keratotomy, piggyback IOL implantation, or IOL exchange depending on patient factors, ocular anatomy, and refractive stability. The review further discusses algorithmic approaches to decision-making, counseling strategies for dissatisfied patients, and considerations when dealing with toric and multifocal IOLs. As optometrists increasingly serve as primary comanagers of cataract surgery patients, understanding the etiology and management of refractive surprises is essential. Improved diagnostic workflows, individualized IOL planning, and collaborative postoperative care pathways can greatly enhance refractive predictability and visual outcomes.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"572733"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distribution and Patterns of Refractive Errors in a Pediatric Amblyopic Cohort Aged 3-5 Years: A Descriptive Study in a Pakistani Tertiary Eye Care Center.","authors":"Syeda Filzah Bukhari, Farah Akhtar, Hira Ghafar Shah, Nabila Younas, Talia Ahmed, Nadia Rasool","doi":"10.2147/OPTO.S592703","DOIUrl":"https://doi.org/10.2147/OPTO.S592703","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the patterns and severity of different refractive errors in children aged 3 to 5 years presenting with established amblyopia in a tertiary care eye centre in Pakistan.</p><p><strong>Patients and methods: </strong>A cross-sectional study was conducted at a tertiary care eye center involving 178 children (aged 3-5 years). The study specifically included only those with refractive amblyopia; children with strabismic or sensory deprivation amblyopia were excluded. From each participant, only the amblyopic eye (or the eye with the worse visual acuity in bilateral cases) was analyzed to ensure statistical independence. All participants underwent a comprehensive ophthalmic examination, including cycloplegic refraction (using 1% cyclopentolate) and dilated fundus evaluation. Refractive errors were classified according to MEPEDS criteria, and data was analyzed using SPSS version 24.0.</p><p><strong>Results: </strong>Among the 178 amblyopic eyes, astigmatism (53.4%) was common, particularly myopic astigmatism (n = 28, 15.7%) and hyperopic astigmatism (n = 27, 15.2%). Females were more likely to have myopia or astigmatism, whereas males were more likely to have hyperopia or astigmatism which may indicate some gender-specific patterns in amblyopia. Hyperopia was mostly low to moderate, while moderate astigmatism was more common than high astigmatism. These differences were also statistically significant (p < 0.001). Amblyopes with myopic astigmatism (n = 28, 15.7%) and hyperopic astigmatism (n = 27, 15.2%) exhibited the poorest visual acuity (mean LogMAR VA 1.05 ± 0.49 and 0.96 ± 0.46).</p><p><strong>Conclusion: </strong>Astigmatic refractive errors are more likely associated with greater amblyopia severity, and even lower thresholds of refractive error have the potential to cause amblyopia. By establishing these amblyogenic patterns, our study provides the surveillance data essential for early intervention. These findings advocate for preschool screening to prevent irreversible vision loss, directly advancing the WHO SPECS 2030 goal of people-centered eye care.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"592703"},"PeriodicalIF":1.8,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: A Predictive Model for Personalized Fitting of Peripheral Defocus Spectacles Based on Ocular Biometric Parameters [Corrigendum].","authors":"","doi":"10.2147/OPTO.S617164","DOIUrl":"https://doi.org/10.2147/OPTO.S617164","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2147/OPTO.S576749.].</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"617164"},"PeriodicalIF":1.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns and Predictors of Upper Limb and Neck Work-Related Musculoskeletal Disorders Among Practicing Optometrists in Jordan: A Cross-Sectional Survey.","authors":"Mera F Haddad, Khader Almhdawi, Lama A Zraigat","doi":"10.2147/OPTO.S593432","DOIUrl":"https://doi.org/10.2147/OPTO.S593432","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the prevalence and predictors of upper quadrant work-related musculoskeletal disorders (WMSDs) among practicing optometrists in Jordan and to highlight potential occupational health implications.</p><p><strong>Patients and methods: </strong>A cross-sectional survey was distributed to registered optometrists working in public and private health sectors in Jordan. A total of 138 optometrists (n=138) participated in the study. Standardized instruments were used, including the Nordic Musculoskeletal Questionnaire (NMQ), the Depression Anxiety Stress Scale (DASS), the Pittsburgh Sleep Quality Index (PSQI), and the International Physical Activity Questionnaire (IPAQ). Sociodemographic characteristics, work practices, and ergonomic factors were also collected. Descriptive statistics were used to determine the prevalence of musculoskeletal complaints, while logistic regression analysis identified predictors of WMSDs across upper quadrant body regions.</p><p><strong>Results: </strong>The 12-month prevalence of musculoskeletal pain was highest in the shoulders (73.9%), neck (70.3%), and upper back (62.3%), followed by wrists and hands (24.6%), while elbows had the lowest prevalence (15.2%). Several factors were significantly associated with increased WMSDs (p < 0.05). Notably, marital status showed a strong association with neck pain (OR ≈ 7.1), while other predictors included writing and typing during work, poor ergonomics during vision testing, cigarette smoking, poor sleep quality, and psychological stress.</p><p><strong>Conclusion: </strong>Upper quadrant WMSDs are highly prevalent among practicing optometrists in Jordan and may negatively affect occupational well-being and work performance. These findings highlight the need for targeted ergonomic interventions, improved clinical workstation design, and occupational health programs to reduce musculoskeletal strain and support healthier workplace practices among eye care professionals.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"593432"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Training for Myopia Control: An Independent and Additive Inhibitor of Axial Growth.","authors":"Zhao-Yang Meng, Hao Wang, Dan-Dan Wang, Lin Yang, Peng Zhou","doi":"10.2147/OPTO.S598467","DOIUrl":"https://doi.org/10.2147/OPTO.S598467","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of visual training (VT) in retarding axial elongation in myopic children and to determine its additive clinical value when combined with standard myopia control modalities, including orthokeratology (OK), defocus spectacles (DS), and low-concentration atropine (LCA).</p><p><strong>Methods: </strong>This is a retrospective, multicenter, self-controlled cohort study. A total of 208 myopic children (mean age 9.73 ± 2.08 years) who underwent a structured visual training program were included. Subjects were stratified into five subgroups based on concurrent treatments: VT monotherapy, VT+DS, VT+OK, VT+DS+LCA, and VT+OK+LCA. Annualized axial elongation rates were calculated for the pre-training (baseline) and post-training intervals. The primary outcome was the reduction in axial elongation rate.</p><p><strong>Results: </strong>The mean axial elongation rate significantly attenuated from a baseline of 0.38 ± 0.34 mm/year to 0.23 ± 0.30 mm/year following the intervention (P < 0.001), representing a mean reduction of 0.15 ± 0.31 mm/year. There were no statistically significant differences in the magnitude of rate reduction among the five subgroups (P = 0.826), indicating that VT confers a consistent additive benefit independent of concurrent optical or pharmacological therapies. Pearson correlation analysis revealed a good positive association between baseline progression rate and treatment efficacy (r = 0.57, P < 0.001), suggesting that children with faster initial progression derived the greatest therapeutic benefit.</p><p><strong>Conclusion: </strong>Visual training effectively slows axial elongation, shifting pathological growth trajectories toward physiological norms. It functions as a universal adjunctive therapy, providing robust and independent protective effects regardless of whether the patient is using OK lenses, defocus spectacles, or atropine. These findings support the use of visual training as a priority \"rescue therapy\" for rapid progressors.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"598467"},"PeriodicalIF":1.8,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comfort and Ocular Surface Impact of Verofilcon A Daily Disposable Contact Lenses in Satisfied Senofilcon A Daily Disposable Lens Wearers: A Prospective Non-Interventional Study.","authors":"Jérémy Petelet, Emera Chhuy, Raphael Auger, Edouard Ollier, Marie-Caroline Trone","doi":"10.2147/OPTO.S588438","DOIUrl":"https://doi.org/10.2147/OPTO.S588438","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate quality of life, comfort, and vision in long-term satisfied wearers of Senofilcon A daily disposable contact lens (SA) contact lenses after switching to Verofilcon A daily disposable contact lenses (VA), and to assess ocular surface parameters using an objective diagnostic platform C.DIAG (Quantel Medical, a brand of Lumibird, Clermont-Ferrand, France), a multimodal imaging platform for tear film assessment.</p><p><strong>Methods: </strong>This was a prospective, single-center, non-interventional study including 30 participants aged 20-40 years, all satisfied SA wearers. After 14 ± 2 days of vA wear, participants completed the CLDEQ-8 questionnaire and rated comfort and vision using a visual analog scale (VAS). Objective ocular surface assessments were performed using C.diag, including non-invasive tear break-up time (NIBUT), interferometry, blink analysis, and tear meniscus height. Statistical analysis was performed using paired Student's t-tests to compare subjective outcomes before and after the lens switch. Statistical significance was defined as p < 0.05.</p><p><strong>Results: </strong>The mean CLDEQ-8 score with va was 6.33 ± 2.82, with 56.7% of participants categorised as \"excellent.\" VAS scores for vision and comfort with va were 87.3 ± 9.4 and 86.6 ± 10.8, respectively. No statistically significant deterioration in tear film parameters was observed after switching lenses (p > 0.05). NIBUT measurements were 11.5 ± 4.4 seconds (od) and 11.8 ± 4.3 seconds (os), with stable interferometry scores and consistent tear meniscus height observed.</p><p><strong>Conclusion: </strong>VA daily disposable contact lenses provided high levels of subjective comfort and stable objective ocular surface parameters in previously satisfied daily disposable lens wearers. The C.DIAG device enabled standardized and non-invasive tear film analysis during contact lens wear. Further randomized and long-term studies are warranted to confirm these findings.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"588438"},"PeriodicalIF":1.8,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes Towards the Use of Silicone Hydrogel Daily Disposable Contact Lenses (Verofilcon A) Among Neophyte Wearers: Results of a Short-Term Evaluation.","authors":"Fabrizio Zeri, Silvia Tavazzi, Giulia Carlotta Rizzo","doi":"10.2147/OPTO.S583712","DOIUrl":"https://doi.org/10.2147/OPTO.S583712","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the intention to continue wearing silicone hydrogel daily disposable contact lenses (CLs) in verofilcon A (PRECISION1^®, Alcon Laboratories, USA) among neophyte wearers after a short period of use and to identify potential factors influencing this intention.</p><p><strong>Methods: </strong>A prospective, single-masked, single-arm clinical trial, was conducted at the University of Milano-Bicocca on ninety-five ametropic non-contact lens wearers (52 females and 43 males; mean age ± SD: 25.4 ± 5.3 years; range: 18-40). Participants were fitted in verofilcon A daily disposable CLs, and after receiving training on lens application and removal, were instructed to wear them for 14 days (at least 5 days a week, minimum 5 hours a day). At the follow-up visit, participants completed a series of subjective evaluations (0-100 visual analogue scales; VAS) referring to their experience over the 14-day with lens insertion and removal, comfort at insertion, end of day comfort, quality of vision, and overall satisfaction. They also rated their intention to continue CLs wear (0-100 VAS scale) and indicated their main reasons for doing so.</p><p><strong>Results: </strong>The mean (± SD) CL power prescribed was -1.90±1.42 D (range +2.00 to -6.00) for the right eye and -1.86±1.43 D (range +1.50 to -6.00) for the left eye. At the follow-up visit, monocular visual acuity with CLs was -0.15±0.08 logMAR in both eyes and -0.20±0.07 logMAR binocularly. Hierarchical regression analysis incorporating motivation-to-continue wear variables accounted for 57% of the variance. Three motivational factors (aesthetic, convenience, and sport) were significant predictors of the intention to continue CL wear.</p><p><strong>Conclusion: </strong>Providing ametropic non-CL wearers with a structured, evidence-based CL fitting experience can be an effective strategy to promote long-term CL adoption. Behavioral intention to continue daily disposable CL wear was mainly influenced by motivational factors related to aesthetics, convenience and sport activities.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"583712"},"PeriodicalIF":1.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the Optometry Workforce in Somalia: A Strategic Approach to Preventing Avoidable Blindness and Expanding Access to Vision Care.","authors":"Abdullahi Abdirahman Omar, Abdulsalam Ahmed Mohamed","doi":"10.2147/OPTO.S578251","DOIUrl":"10.2147/OPTO.S578251","url":null,"abstract":"<p><strong>Purpose: </strong>Somalia faces a substantial burden of avoidable eye disease, while access to primary eye-care services remains uneven and optometry training capacity is limited. This rapid communication reports the pattern of ocular conditions and service needs identified in a large service-based eye-care dataset from Mogadishu and outlines a practical implementation framework for strengthening the optometry workforce in Somalia.</p><p><strong>Methods: </strong>This study was conducted as a retrospective review of routine service data from 2,890 patients evaluated during community- and hospital-based eye-care programs at Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia, between January and October 2025. Patients underwent routine eye assessments according to program protocols, including torchlight examination, visual-acuity testing, refraction assessment, intraocular-pressure measurement, and dilated fundus examination where indicated. Diagnoses and treatment/referral decisions were recorded and analyzed descriptively using frequencies and percentages.</p><p><strong>Results: </strong>Among 2,890 examined patients, the most common ocular condition was conjunctivitis (n=1,231; 42.6%), followed by cataract (n=644; 22.3%) and refractive error plus computer vision syndrome (n=410; 14.2%). Other ocular conditions accounted for the remaining cases (n=605; 20.9%). Comorbid conditions included glaucoma with IOP >21 mmHg (n=176; 6.1%), diabetes (n=116; 4.0%), hypertension (n=98; 3.4%), and diabetic retinopathy (n=14; 0.5%). Treatment modalities consisted of medical therapy (n=1,789; 61.9%), prescription spectacles (n=595; 20.6%), surgical procedures (n=457; 15.8%), and referrals (n=64; 2.2%).</p><p><strong>Conclusion: </strong>The findings indicate a high burden of preventable and treatable eye conditions and support the need for a structured optometry workforce in Somalia. We propose a three-component implementation framework: (1) workforce training (optometry and optical-technician education), (2) decentralized service delivery with referral pathways, and (3) sustainable multi-sector partnerships to expand access to vision care and strengthen long-term eye-care service delivery.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"578251"},"PeriodicalIF":1.8,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superficial Keratectomy with Cryopreserved Amniotic Membrane for Ocular Surface Optimization in Patients with Epithelial Basement Membrane Dystrophy.","authors":"S Wade Kimmell","doi":"10.2147/OPTO.S588116","DOIUrl":"https://doi.org/10.2147/OPTO.S588116","url":null,"abstract":"<p><strong>Purpose: </strong>Epithelial Basement Membrane Dystrophy (EBMD)-induced irregular astigmatism can lead to unreliable biometry and suboptimal refractive outcomes in cataract surgery patients. Herein, we assessed the use of superficial keratectomy followed by placement of cryopreserved amniotic membrane (cAM) to improve the ocular surface.</p><p><strong>Methods: </strong>This was a single-center, retrospective study of consecutive patients with EBMD that underwent superficial keratectomy with adjunctive treatment with cAM between November 2022 and March 2025. Time to complete epithelialization, visual acuity (LogMAR), higher order aberration Root Mean Square (HOA RMS), cylinder power, and IOL biometry were assessed up to two months post-treatment.</p><p><strong>Results: </strong>A total of 27 eyes of 21 patients with EBMD were included in the study and received cAM for a mean of 3.0 ± 0.4 days. Complete re-epithelialization was noted in an average 7.0 ± 4.7 days, with 96.3% (26/27) of eyes achieved epithelialization within 10 days. At the two month follow up, LogMAR VA slightly improved from 0.34 ± 0.21 to 0.31 ± 0.23 (p=0.42). HOA RMS significantly improved from 0.68 ± 0.53 μm to 0.42 ± 0.23 μm (p=0.006), and cylinder power significantly changed from 1.38 ± 0.75 D to 1.09 ± 0.71 D (p=0.022).</p><p><strong>Conclusion: </strong>Superficial keratectomy with cAM led to complete re-epithelialization in the majority (96.3%) of cases within 10 days, which was associated with a significant change in HOA RMS, cylinder power and IOL SE. This treatment may be considered in patients prior to cataract surgery to return the cornea to healthy state and change the biometry input for IOL selection.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"18 ","pages":"588116"},"PeriodicalIF":1.8,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12991371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}