Clinical Optometry最新文献

{"title":"Response to \"Vision-Related Quality of Life Among Diabetic Retinopathy Patients\" [Letter].","authors":"Heru Santoso Wahito Nugroho, Nimsi Melati, Vivi Retno Intening","doi":"10.2147/OPTO.S479049","DOIUrl":"10.2147/OPTO.S479049","url":null,"abstract":"","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"143-144"},"PeriodicalIF":1.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301808","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":"Vision-Related Quality of Life Among Diabetic Retinopathy Patients in a Hospital-Based Population in the Sultanate of Oman.","authors":"Zoelfigar Mohamed, Gopi Suesh Vankudre, Janitha Plackal Ayyappan, Babu Noushad, Awatif Nasser Alzeedi, Sheikha Said Alazzani, Aisha Juma Alkaabi","doi":"10.2147/OPTO.S462498","DOIUrl":"10.2147/OPTO.S462498","url":null,"abstract":"<p><strong>Background: </strong>The global prevalence of diabetic retinopathy (DR) among individuals with diabetes is 22.27%. This highlights the likelihood of developing burden of retinopathy within the at risk population and can have a detrimental impact on an individual's quality of life (QoL). The aim of this study is to assess the vision-related QoL in individuals with (DR) in a hospital-based population in the Al-Buraimi governorate, Sultanate of Oman.</p><p><strong>Methods: </strong>The study was conducted in the Ophthalmology Outpatient Department of Al Buraimi Hospital and Polyclinic. This study enrolled 218 patients (114 males, 104 females) diagnosed with DR. The NEI-VFQ-25 questionnaire was adopted in this study. The patients were classified into different groups according to their type of diabetes and other relevant demographic information.</p><p><strong>Results: </strong>A total of 218 patients responded to the NEI-VFQ-25 questionnaire. The mean age of the participants was 57.49 ± 12.3 years, 52.3% were male, and 47.7% were female. The overall QoL score was 41.53± 20.8. Patients aged more than 75 years had the lowest QoL scores compared with the other age groups (<i>p = 0.02</i>). The results showed that the duration of diabetes had no significant impact on the overall QoL scores (<i>p = 0.06</i>). A higher QoL score was observed among patients with type II diabetes mellitus (DM) than with type I diabetes mellitus (<i>p = 0.01</i>). Patients diagnosed with proliferative DR (PDR) had a significantly lower QoL score than those diagnosed at other stages (<i>p < 0.001</i>).</p><p><strong>Conclusion: </strong>The QoL of the population with DR is negatively affected by various factors, including demographics, disease severity, and in patients with DM type II. It is important to consider these factors to enhance QoL in patients with DR. Regular evaluation of an individual's QoL is beneficial for both physicians and healthcare teams.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"123-129"},"PeriodicalIF":1.7,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089233","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":"Prevalence of Ocular Morbidity and Associated Factors Among Hearing Impaired Children at Embangweni School of the Deaf in Mzimba District, Malawi.","authors":"Tambuzai Liyo, Grace Obumneke Ogbonna, Thokozani Mzumara, Ngozika Esther Ezinne","doi":"10.2147/OPTO.S444216","DOIUrl":"10.2147/OPTO.S444216","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the prevalence of ocular morbidities and associated factors among hearing-impaired (HI) students at the Embangweni School for the Deaf in Mzimba, Malawi.</p><p><strong>Methods: </strong>This was an institutional cross-sectional study of HI students at Embangweni School for the Deaf. A series of optometric and audiometric tests was performed, and the results were exported to the Statistical Package for Social Science for statistical analysis (SPSS) version 25. Pearson's chi-square test was used to assess correlations and associations between variables. A <i>P</i>-value less significance was set at p < 0.05.</p><p><strong>Results: </strong>A total of 147 children comprising of 76 (51.7%) males and 71 (48.3%) females participated in this study. The prevalence of ocular conditions and visual impairment was 39 (26.5%) and 2 (1.4%), respectively. The Prevalence of eye disease was significantly associated with male sex (p=0.02) and type of HI (p=0.031). Allergic conjunctivitis 36 (24.5%) was the most common ocular condition, followed by refractive error 28 (19%).</p><p><strong>Conclusion: </strong>The prevalence of ocular conditions among HI students was significant and associated with sex. Regular school vision screening of students with HI is highly advised to reduce the burden of visual impairment.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"115-122"},"PeriodicalIF":1.7,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877563","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":"Successful Management of Bilateral Uncontrolled Advanced Primary Open Angle Glaucoma in a Pregnant Woman during the Restrictive COVID-19 Lockdown.","authors":"Asem A Alqudah, Abdelwahab Aleshawi","doi":"10.2147/OPTO.S451799","DOIUrl":"10.2147/OPTO.S451799","url":null,"abstract":"<p><p>COVID-19 is a viral illness that can cause severe respiratory symptoms. COVID-19 has caused a worldwide pandemic that necessitated many countries to perform a national lockdown. In Jordan, a lockdown was imposed by the government. During the lockdown, the hospitals were only dealing with outpatient emergency cases, urgent referrals from primary or secondary health institutions, and inpatients whose medical conditions required keeping them admitted. Elective clinics and surgeries were canceled. At the King Abdullah University Hospital (KAUH), which is the only tertiary center in northern Jordan, we dealt with an unusual case of uncontrolled and advanced primary open angle glaucoma in a 38-year-old pregnant female patient. The patient was presented with an intraocular pressure (IOP) of 53 mmHg in the right eye and 40 mmHg in the left eye despite using dorzolamide and timolol eye drops twice daily. The angle was opened in gonioscopy. The decision was made to implant Ahmed glaucoma valves (AGV) in each eye in one session under general anesthesia which was performed successfully. At the last follow-up visit 4 years later, the IOP was maintained at 15 mmHg.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"101-105"},"PeriodicalIF":1.4,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337131","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":"Wear Experiences with Two Soft Contact Lenses for Astigmatism of Different Modalities.","authors":"Jennifer Swingle Fogt, Nidhi Satiani, Katherine M Bickle, Gina Wesley, Kimberly Patton","doi":"10.2147/OPTO.S452132","DOIUrl":"10.2147/OPTO.S452132","url":null,"abstract":"<p><strong>Introduction: </strong>Patients expect to have excellent vision and comfort when wearing soft contact lenses. The purpose of this study was to compare the wear experiences of participants with astigmatism when wearing a daily disposable soft toric lens to an established, commonly used reusable toric lens.</p><p><strong>Methods: </strong>In this crossover study, habitual soft toric lens wearers were fit with a daily replacement soft toric lens (delefilcon A) and a reusable, 1-month replacement soft toric lens (comfilcon A) in a randomized order. After 30 days of wear, Visual analog scale (VAS) surveys were used to assess wear experience, including vision and comfort, for overall wear and end-of-day wear. Scores were compared statistically with mixed-effects linear models. Participants also responded to questions about convenience, ease of use, and satisfaction with both lenses and preference questions based upon comfort, vision, and overall performance.</p><p><strong>Results: </strong>Fifty-nine participants completed the multi-site crossover study. VAS scores [mean(std dev)] for overall quality of vision for the delefilcon A [80.4(16.4)] and comfilcon A [66.8(27.7)] lenses were statistically significant (P=0.002). The difference in the mean overall comfort scores for the delefilcon A lenses [71.6(26.3)] and comfilcon A lenses [63.2(28.9)] was 8.4, which exceeds the establish criteria for clinical significance, although not statistically significant (P=0.08). Overall satisfaction scores were 68.8(26.9) for the delefilcon A and 59.7(30.3) for the comfilcon A lenses (P=0.08). Both lenses provided mean binocular visual acuities better than 20/20 Snellen equivalent. Over half of the participants preferred the delefilcon A lenses based upon comfort, vision, and overall performance. Convenience, ease of use, and satisfaction all scored higher with delefilcon A lenses.</p><p><strong>Conclusion: </strong>The results of this study show that wear experience with delefilcon A lenses for astigmatism can meet or exceed that of comfilcon A toric lenses while also providing healthy, daily disposable lens wear.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"93-100"},"PeriodicalIF":1.7,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10981420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337132","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":"Barriers to the Diagnosis and Management of Keratoconus Among Optometrists in Kenya [Letter].","authors":"Mahdi Sadeghi, Sabrina Shahid","doi":"10.2147/OPTO.S465922","DOIUrl":"10.2147/OPTO.S465922","url":null,"abstract":"","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"89-90"},"PeriodicalIF":1.7,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10929643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111752","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":"Effect of Contact Lens Solutions in Stabilizing the Activity of Tear Lysozyme [Response to Letter].","authors":"Catherine Scheuer, Vicki L Barniak, Nitasha R Phatak, Marjorie J Rah, William Reindel","doi":"10.2147/OPTO.S463864","DOIUrl":"10.2147/OPTO.S463864","url":null,"abstract":"","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"81-82"},"PeriodicalIF":1.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040538","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":"Barriers to the Diagnosis and Management of Keratoconus Among Optometrists in Kenya.","authors":"Zahra Aly Rashid, Vanessa Raquel Moodley, Khathutshelo Percy Mashige, Kingsley Emwinyore Agho","doi":"10.2147/OPTO.S446599","DOIUrl":"10.2147/OPTO.S446599","url":null,"abstract":"<p><strong>Background: </strong>Early diagnosis and management of keratoconus (KC) are important for limiting visual complications of the disease. This study aimed to explore the perspectives of optometrists on the barriers to effective diagnosis and management of KC in Kenya.</p><p><strong>Methods: </strong>An online questionnaire was distributed to optometrists in Kenya to collect data on barriers to the diagnosis and management of KC.</p><p><strong>Results: </strong>The majority (60.9%) of optometrists were confident in retinoscopy and subjective refraction. Fewer were confident in the use of keratometers (46.4%) and corneal topographers (24.9%) and in the fitting of rigid gas permeable (RGP) contact lenses (25.0%). The most commonly reported barriers to improving their knowledge and skills were, limited continuous professional development opportunities (87.4%), high costs of conferences (86.1%) and the lack of diagnostic tools (79.5%). Impediments cited to diagnosing and managing KC effectively were a lack of national guidelines (64.9%), patient education material (71.5%), equipment (58.9%) and RGP supply (68.2%) and cost (67.5%). Most commonly reported barriers related to patients were compliance (91.4%), affordability (90.7%), RGP discomfort (89.4%), willingness to pay (88.1%) and the lack of patient education about KC (87.4%).</p><p><strong>Conclusion: </strong>This study showed that the lack of national guidelines, essential equipment and adequate practitioner knowledge and skills were barriers to KC diagnosis and management. Regulation of optometric education and clinical practice, development of national guidelines for diagnosis and management of KC, up-skilling of practitioners and cost-effective solutions for equipment procurement and maintenance may improve both access to, and quality of, care to patients with KC.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"71-79"},"PeriodicalIF":1.7,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984142","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":"Alteration Ocular Motility in Retinitis Pigmentosa: Case-Control Study.","authors":"Anna Maria Comberiati, Chiara Lomartire, Mariaelena Malvasi, Raffaele Migliorini, Fernanda Pacella, Vito Maurizio Malvasi, Paolo Turchetti, Elena Pacella","doi":"10.2147/OPTO.S446717","DOIUrl":"10.2147/OPTO.S446717","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate ocular motility (OM) disorders and strabismus in a sample of patients with retinitis pigmentosa (RP) and a control sample.</p><p><strong>Methods: </strong>In this cross-sectional retrospective analysis, we studied a sample of RP patients with a mean age of 48.74 years and an average visual acuity of 7/10 based on Snellen optotype and a sample of control patients with similar mean age (49 years [men], 47 years [women]) and sex and an average visual acuity of 9.9/10, with the aim of assessing correlations between alteration of OM and strabismus in RP patients based on age, high refractive defect, or severely impaired binocular vision. The examination followed a protocol of testing for anamnesis and best-corrected visual acuity, as well as a complete eye examination, corneal reflex, cover test, OM, Hess screen, and Lang test.</p><p><strong>Results: </strong>At the first orthoptic evaluation, 45.16% of patients showed strabismus, 41.93% exotropia (25% of cases intermittent), 3.22% esotropia, and 6.45% vertical deviation. Later evaluation showed strabismus in 25.80% of patients, exotropia in 19.35% (9.67% intermittent), esotropia in 3.22%, and vertical deviation in 3.22%. Assessment of eye motility study showed 51.6% overaction of the inferior oblique and hypofunction of the superior rectus, and 18% overaction of the lateral rectus and hypofunction of the medial rectus. According to our results, alterations in OM and strabismus in RP patients are not correlated with age or high refractive defect. Therefore, motility disorders and strabismus are attributed to a genetic factor to which men are more susceptible.</p><p><strong>Conclusion: </strong>The incidence of OM disorder was 77.42%, and strabismus was present in 45.16% of patients.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"55-69"},"PeriodicalIF":1.7,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10895995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973863","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":"Baseline Accommodation and Binocular Vision Measures in Malay Schoolchildren Enrolled in the Myopia Control Study Using Spectacle Lenses in Kuala Lumpur.","authors":"Fatin Nur Najwa Norazman, Bariah Mohd-Ali, Syarifah Faiza Syed Mohd Dardin, Mizhanim Mohamad Shahimin, Norliza Mohamad Fadzil, Mohd Norhafizun Mohd Saman, Norhani Mohidin","doi":"10.2147/OPTO.S432496","DOIUrl":"https://doi.org/10.2147/OPTO.S432496","url":null,"abstract":"<p><p>Myopia control lenses have been shown to modify visual function; however, it is arguable if these changes are short-term or long-term. We investigated the changes in accommodative behaviour and binocular vision functions of Malay myopic children who participated in a myopia control trial utilising spectacle lenses (n = 40). This article presents baseline accommodation and binocular vision measurements. The mean (± SD) age, spherical equivalent measured by cycloplegic autorefraction, and axial length (AL) for the right eyes were 10.00 ± 1.47 years, -3.02 ± 1.20 D, and 24.42 ± 0.93 mm, respectively. All participants had good distance and near visual acuities with high-contrast charts (100%), which were significantly better than low-contrast charts (10%) (<i>p</i> < 0.001). The mean (± SD) accommodative lag at baseline was 1.14 ± 0.35 D, while monocular and binocular accommodative amplitudes were 15.35 ± 2.07 D and 16.82 ± 2.27 D, respectively. Malay schoolchildren in this study were more esophoric at near compared to distance, with an accommodative-convergence over accommodation (AC/A) ratio of 5.64 ± 0.66 ∆/D. A higher degree of myopia was found to be associated with a longer AL (<i>r</i> = -0.49, <i>p</i> < 0.05) and higher esophoria at near (<i>r</i> = -0.46, <i>p</i> < 0.05). These baseline measures are consistent with data from other studies showing that myopic children have a high accommodative lag, an elevated AC/A ratio, a longer AL, and are more esophoric at near. The measures reported herein will serve as a basis for examining changes that occur within 12 months of wearing myopia control spectacle lenses.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"16 ","pages":"45-52"},"PeriodicalIF":1.7,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10893784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973864","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}