Clinical Optometry最新文献

{"title":"Quality of Life in Digital Device Users Who are Treated with Systane Hydration PF.","authors":"Andrew D Pucker,&nbsp;Chris Lievens,&nbsp;Gerald McGwin,&nbsp;Quentin X Franklin,&nbsp;Amy Logan,&nbsp;Gregory S Wolfe","doi":"10.2147/OPTO.S398496","DOIUrl":"https://doi.org/10.2147/OPTO.S398496","url":null,"abstract":"<p><strong>Purpose: </strong>To understand the impact of Systane Hydration PF on dryness symptoms and quality of life in digital device users and to determine if participants prefer either the unit-dose or multi-dose dispensing system of Systane Hydration PF.</p><p><strong>Materials and methods: </strong>This 2-week, three visit study recruited regular digital device users. Participants were required to score ≤80 on the Impact of Dry Eye on Everyday Life (IDEEL) Quality of Life (QoL) Work domain and between 13 and 32 on the Ocular Surface Disease Index (OSDI) questionnaire. Participants were randomized to either Systane Hydration PF unit-dose or multi-dose for 1 week and switched to the alternative dosing system for the second week. Participations were evaluated by completing the full IDEEL-QoL module and OSDI questionnaire at each visit. Likert surveys were completed to probe dispensing system preferences.</p><p><strong>Results: </strong>Thirty participants with a mean ± SD age of 28.6 ± 12.0 years (70% female) were recruited. Participants had significant improvements in all three IDEEL-QoL domains as well as in OSDI scores (all p < 0.0001). Participants had similar preferences for the two dispensing systems, though they were more likely to indicate that they thought that the multi-dose bottle was more environmentally friendly than the unit-dose vials.</p><p><strong>Conclusion: </strong>Digital device users with dry eye symptoms had meaningful improvements in eye comfort and quality of life scores after being treated with Systane Hydration PF for 2 weeks. Participants did not have a clear dispensing system preference suggesting that the best dispensing system may depend on the patient.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"45-54"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/13/c1/opto-15-45.PMC10007863.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9112832","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":"Spotlight on Digital Eye Strain.","authors":"Ioanna Mylona,&nbsp;Mikes N Glynatsis,&nbsp;Georgios D Floros,&nbsp;Stylianos Kandarakis","doi":"10.2147/OPTO.S389114","DOIUrl":"https://doi.org/10.2147/OPTO.S389114","url":null,"abstract":"<p><p>Digital Eye Strain (DES) is a clinical syndrome manifested with visual disturbances and/or ophthalmic dysfunction related to the usage of screen-enabled digital equipment. This term is gradually replacing the older term computer vision syndrome (CVS) that focused on the same symptoms found on personal computer users. DES is encountered more frequently during the past years due to the explosive increase in the usage of digital devices and subsequent increase in time in front of any screens. It presents with a series of atypical symptoms and signs stemming from asthenopia, dry eye syndrome, preexisting untreated vision issues and poor screen ergonomics. This review summarizes research data to date to determine whether the concept of DES has been conclusively defined and demarcated as a separate entity and if sufficient guidance is offered on professionals and the lay public. The maturity of the field, grouping of symptoms, examination techniques, treatment and prevention modalities are summarily presented.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"29-36"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/5a/opto-15-29.PMC9983433.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9395948","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":"Acuity Comparison Methods via Timed Test-Retest Precision of Matching-Card e-ETDRS Compared to PDI Check in Treated Amblyopes and Superb Normals.","authors":"Lucas E Hepler,&nbsp;Samuel J Martin,&nbsp;Kennedy Fuglseth,&nbsp;Laney Cuddihee,&nbsp;Peter Giannulis,&nbsp;Robert W Arnold","doi":"10.2147/OPTO.S409358","DOIUrl":"https://doi.org/10.2147/OPTO.S409358","url":null,"abstract":"<p><strong>Purpose: </strong>Existing and emerging visual acuity methods like dynamic and dichoptic presentation, preferential looking and eye tracking promise to afford better and earlier assessment in children with and without amblyopia so we propose methods needed to easily evaluate and compare their metrics.</p><p><strong>Subjects and methods: </strong>Patients older than 8 years with treated amblyopia and superb vision (logMAR -0.1 to -0.3) normals performed timed, patched eETDRS with Sloan matching card at 3.00 m and PDI Check dichoptic near rivalry dynamic test to demonstrate test re-Test and compared disparate acuity with intraclass correlation (ICC) and Bland Altman 95% limits of agreement (LOA) to generate a simple method of qualifying acuity test matching.</p><p><strong>Results: </strong>26 amblyopic patients and 11 superb-vision normals performed eETDRS retest, PDI Check retest and combined ICC of 0.98, 0.60 and 0.27, respectively, and Bland Altman LOA of 0.24, 2.06 and 2.28 logMAR. The time to test one eye with eETDRS had median (interquartile range; IQR) duration of 280 (205 to 346) seconds, while the PDI Check autostereoscopic dichoptic for both eyes only took 39 (30 to 47) seconds. Optimum ICC and LOA for visual acuity comparison should be >0.95 and <0.3 logMAR, whereas \"good\" ICC and should be 0.75-0.89 ICC and 1.0-1.49 logMAR LOA.</p><p><strong>Conclusion: </strong>Superb vision subjects (logMAR < -0.1) and treated amblyopic patients confirmed optimum comparable eETDRS, and fair test re-Test PDI Check but suppression on near dichoptic testing confirmed disparity compared to optimized eETDRS distance acuity.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"81-95"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/0e/opto-15-81.PMC10163880.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9497757","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":"Factors Affecting Unmet Need for Presbyopia Correction Among School Teachers in Debre Tabor Town, Northwest Ethiopia.","authors":"Amsalu Belete Yalew,&nbsp;Haile Woretaw Alemu,&nbsp;Abiy Maru Alemayehu","doi":"10.2147/OPTO.S411708","DOIUrl":"https://doi.org/10.2147/OPTO.S411708","url":null,"abstract":"<p><strong>Background: </strong>Uncorrected presbyopia is the leading cause of near visual impairment among working-age adults in the world. In Ethiopia, there was limited evidence on the magnitude of uncorrected presbyopia and its associated factors among school teachers. Therefore, this study aimed to determine the magnitude of untreated presbyopia and its associated factors among school teachers in Debre Tabor town, Northwest Ethiopia.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted on 448 school teachers at Debre Tabor town using a simple random sampling technique. The data were collected using a face-to-face interview and a comprehensive ocular examination. A binary multivariable logistic regression model was conducted to identify associated factors of the uncorrected presbyopia.</p><p><strong>Results: </strong>Generally, the prevalence of uncorrected presbyopia among school teachers was 63.62% (95% CI: 59.2-67.9). Age (35-45) (AOR: 4.56, 95% CI: 1.74, 11.91), female gender (AOR: 3.03, 95% CI: 1.75, 5.26), unaware of presbyopia (AOR: 2.35, 95% CI: 1.30, 4.25), unaware of refraction site (AOR: 4.21, 95% CI: 2.42, 7.33), no eye checkup history (AOR: 2.76, 95% CI: 1.52, 5.01), and no family history of spectacle use (AOR: 2.61, 95% 4.67) were significantly associated with uncorrected presbyopia.</p><p><strong>Conclusion: </strong>In the current study, the magnitude of uncorrected presbyopia was high. Age below 45 years, female gender, lack of awareness of presbyopia and refraction site, lack of history of eye checkups, and family spectacle use were significantly associated with uncorrected presbyopia. The early correction of presbyopia, health education on presbyopia, and the provision of affordable spectacle corrections for school teachers were recommended.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"129-138"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/0a/opto-15-129.PMC10281454.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10088502","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":"Potential Role of Biofeedback Visual Training in High-Speed Motorbike Drivers.","authors":"Enzo Maria Vingolo,&nbsp;Carmelo Chines,&nbsp;Cesare Tanassi,&nbsp;Angel Charte,&nbsp;Lucio Cecchinello,&nbsp;Mauro Campigotto","doi":"10.2147/OPTO.S418679","DOIUrl":"https://doi.org/10.2147/OPTO.S418679","url":null,"abstract":"<p><strong>Purpose: </strong>In several sports, appropriate training strategies remain a challenge for athletes and coaches, with the goal of improving performance. Extensive research has proposed several technical tools for obtaining parametric evaluations before competition in real life. This study aimed to assess whether some retinal performances might be improved using psychophysical techniques in health professionals involved in motorcycle sports (FIM MotoE).</p><p><strong>Methods: </strong>Two MotoE drivers were screened at baseline using complete ophthalmological examinations and evaluation of retinal reaction times, followed by a biofeedback training program. After 4 months of training, the subjects underwent a control visit using the same protocol as the baseline.</p><p><strong>Results: </strong>Central reaction time was shorter for 75% of drivers, with a consistent reduction (mean value of 20%). The peripheral reaction time showed an increasing trend after visual training. In both drivers, fixation stability improved dramatically (in 30% increments).</p><p><strong>Conclusion: </strong>The potential role of advanced technology was applied to high-speed drivers. Our results may be due to an attentional shift from the peripheral retina to the central retina during training. In our opinion, training potentiates the most useful pathways at the expense of less involved retinal and cortical areas, thus improving driving abilities and safety.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"185-190"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/94/opto-15-185.PMC10503555.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10307531","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":"High Prevalence of Symptomatic Dry Eye Disease Among University Students During the COVID-19 Pandemic in University of West Indies, Trinidad and Tobago.","authors":"Ngozika Ezinne,&nbsp;Haile W Alemu,&nbsp;Tarekegn Cheklie,&nbsp;Kingsley Ekemiri,&nbsp;Ryan Mohammed,&nbsp;Sakeem James","doi":"10.2147/OPTO.S396135","DOIUrl":"https://doi.org/10.2147/OPTO.S396135","url":null,"abstract":"<p><strong>Background: </strong>The Covid-19 pandemic lockdown obligated higher education students to attend online courses, leading to prolonged exposure to digital displays. Excessive time on digital devices could be a risk factor for ocular problems, including symptomatic dry eye. There are limited evidences to show the magnitude of symptomatic dry eye disease and its associated factors during COVID-19 pandemic. This study aimed to fill this gap, among university students in Trinidad and Tobago.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study was conducted among undergraduate students attending the University of West Indies, Saint Augustine Campus from October 2020 to April 2021. The standardized ocular surface disease index questionnaire, descriptive statics and binary logistic regression were used to assess the prevalence and associated factors of dry eye diseases. Variables with a p-value of less than 0.05 were considered to be statistically significant.</p><p><strong>Results: </strong>Four hundred (96.3%) participants completed the questionnaire. Among all, 64.8% were female and 50.5% were east Indians. About 48% were using visual display units for average of 10-15 hours/day. The prevalence of symptomatic dry eye disease was 84.3% (95% CI = 80.8-87.5%) with OSDI score ≥13. Lack of education about dry eye 2.69 (95% CI: 1.41-5.13), use of the reading mode of computer 3.92 (95% CI: 1.57-9.80), refractive error 3.20 (95% CI: 1.66-6.20), previous systemic medications 2.80 (95% CI: 1.15-6.81), and average hours of visual display unit use/day (p<0.001) were significantly associated with symptomatic dry eye disease.</p><p><strong>Conclusion: </strong>Symptomatic dry eye disease was a prominent problem among students at the University of West Indies. Average of >4 hours of visual display unit use/day, refractive error, positive history of systemic medication, lack of education about dry eye, and using computers in reading mode were associated factors.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"37-43"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/1b/opto-15-37.PMC9990450.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9140875","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":"Applied Forces Changed Myopia Lens Optical Performance but Not Retinal Image Quality Tested Using a Newly Designed Digital Colmascope.","authors":"Xiaoning Li,&nbsp;Lun Pan,&nbsp;Weizhong Lan,&nbsp;Zhikuan Yang","doi":"10.2147/OPTO.S400840","DOIUrl":"https://doi.org/10.2147/OPTO.S400840","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate the effects of applied forces generated by a rim screw on the optical performance of mounted myopia lenses. The residual refractive error and retinal image quality of the corrected eyes were also investigated.</p><p><strong>Methods: </strong>For 120 lenses, internal lens stress was measured using a newly designed digital strain viewer (colmascope). Sixty myopic adults (120 eyes) were recruited. The effects of internal lens stress on residual refraction and retinal image quality were evaluated using OPD Scan III. The results were compared between loose and tight mounting and between the right and left eyes.</p><p><strong>Results: </strong>Significant differences were observed among nine lens zones in both the right and left lenses, regardless of the mounting state (P < 0.001). The differences were mainly derived from the five vertically arranged zones (P < 0.05). Significant differences in internal lens stress were observed between the right and left lenses (P < 0.05). No significant differences in central residual refractive error and retinal image quality of the corrected eyes were found between the loose- and tight-mounted lenses.</p><p><strong>Conclusion: </strong>The applied forces generated by the rim screw changed the peripheral optical performance of the mounted myopia lenses but exerted only negligible impacts on the central residual refractive error and visual image quality.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"65-74"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/15/opto-15-65.PMC10108864.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9384644","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":"Effects of Lens-Induced Astigmatism at Near and Far Distances.","authors":"Silvia Tavazzi,&nbsp;Natalia Vlasak,&nbsp;Fabrizio Zeri","doi":"10.2147/OPTO.S405472","DOIUrl":"https://doi.org/10.2147/OPTO.S405472","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate and compare the degradation of visual acuity (VA) in myopic presbyopes due to lens-induced astigmatism at near and at far distance.</p><p><strong>Patients and methods: </strong>Fourteen corrected myopic presbyopes were recruited. VA (logarithm of the minimum angle of resolution) was measured binocularly for different conditions of lens-induced astigmatism: cylindrical powers of -0.25, -0.50, -0.75, -1.00, -1.50, and -2.00 diopters (and positive spherical power of half the cylindrical power) with two axis orientations (with-the-rule WTR and against-the-rule ATR) were added to their optical correction. Measurements were carried out at far and near distance both in photopic and mesopic conditions, and for high and low contrast (HC/LC) stimuli. The paired Wilcoxon signed-rank statistics test was used to evaluate difference between conditions.</p><p><strong>Results: </strong>The measured VA as a function of the lens-induced astigmatism was described by regression lines in all investigated experimental conditions. The angular coefficients (slopes) of these lines represent the VA degradation, ie, the variation in logMAR corresponding to the addition of 1.00 diopters of cylindrical power. In photopic HC conditions, the VA degradation is significantly more pronounced at far distance than at near distance (0.22±0.06 diopters^-1 vs 0.15±0.05 diopters^-1, p = 0.0061 in WTR conditions; 0.18±0.06 diopters^-1 vs 0.12±0.05 diopters^-1, p = 0.0017 in ATR conditions), although VAs at near and at far with zero cylinder were similar (-0.14±0.10 vs -0.14±0.08, p = 0.824).</p><p><strong>Conclusion: </strong>The better tolerance to lens-induced astigmatism blur at near than at far distance in photopic conditions with HC stimuli is tentatively attributed to a possible experience-mediated neural compensation associated to the tendency of the eye toward an inherent astigmatism at near.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"105-117"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/42/opto-15-105.PMC10171221.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462456","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":"Patients' Satisfaction with Topical Anti-Glaucoma Medications and Associated Factors at Gondar University Tertiary Eye Care and Training Center, Northwest Ethiopia, 2021.","authors":"Natnael Yeneneh Belie,&nbsp;Fisseha Admassu Ayele,&nbsp;Belayneh Mengist,&nbsp;Abiy Maru Alemayehu,&nbsp;Abel Sinshaw Assem,&nbsp;Sofonias Addis Fekadu,&nbsp;Betelhem Temesgen Yibekal","doi":"10.2147/OPTO.S411390","DOIUrl":"https://doi.org/10.2147/OPTO.S411390","url":null,"abstract":"<p><strong>Background: </strong>Glaucoma is one of the leading cause of global irreversible blindness if left untreated. Satisfaction is a multifaceted outcome based on sufficient information and encouragement from the practitioner and based on the medications' nature. Determining patients' satisfaction is essential to increase their courage in their long-time follow-up of medical care.</p><p><strong>Objective: </strong>To assess Patients' satisfaction with topical anti-glaucoma medications and associated factors among glaucoma patients at Gondar University Tertiary Eye Care and Training Center, Northwest Ethiopia.</p><p><strong>Methods: </strong>Hospital-based cross-sectional study was conducted from June 30 to August 27, 2021, among 395 glaucoma patients at Gondar University Tertiary Eye Care and Training Center. Data was entered into Epi info version 7 and exported to SPSS version 26 software for analysis. A Binary logistic regression model was used to determine factors associated with satisfaction with topical anti-glaucoma medications. Statistical significance was considered when p-value < 0.05.</p><p><strong>Results: </strong>A total of 395 study subjects participated in the study with a response rate of 93.38%. The overall satisfaction with topical anti-glaucoma medication was 62.5% with 95% CI: (57.5-67.8%). The absence of ocular side effects (AOR=5.39, 95% CI: 2.35-12.37) and the absence of ocular surface diseases (AOR=4.12, 95% CI: 1.69-10.09) were significantly associated with patient satisfaction.</p><p><strong>Conclusion: </strong>More than half of the study participants were satisfied with topical anti-glaucoma medications. The absence of ocular side effects and absence of Ocular surface diseases were significantly associated with patient satisfaction with anti-glaucoma medication.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"139-146"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/d7/opto-15-139.PMC10289171.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9714048","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":"The Patients' Perspective for the Impact of Late Detection of Ocular Diseases on Quality of Life: A Cross-Sectional Study.","authors":"Ahmed Almazroa,&nbsp;Hessa Almatar,&nbsp;Reema Alduhayan,&nbsp;Maram Albalawi,&nbsp;Mansour Alghamdi,&nbsp;Saja Alhoshan,&nbsp;Suhailah Alamri,&nbsp;Norah Alkanhal,&nbsp;Yara J Alsiwat,&nbsp;Saad Alrabiah,&nbsp;Mohammed Aldrgham,&nbsp;Ahmed A AlSaleh,&nbsp;Hessa Abdulrahman Alsanad,&nbsp;Barrak Alsomaie","doi":"10.2147/OPTO.S422451","DOIUrl":"https://doi.org/10.2147/OPTO.S422451","url":null,"abstract":"<p><strong>Background: </strong>Late detection of ocular diseases negatively affects patients' quality of life (QoL), encompassing health status, psychological, financial, and social aspects. However, the early detection of eye conditions leads to rapid intervention and avoiding complications, thus preserving the QoL. This study assessed the impact of ocular diseases late detection on patients' QoL at multi-eye clinics based on questionnaire responses.</p><p><strong>Methods: </strong>We developed an original Arabic-English questionnaire to assess the QoL of patients with ocular diseases referred from primary and secondary healthcare centers to tertiary hospitals. It covered preliminary data, patient perspectives on having lately detected ocular disease and treatment costs, and the impact of late detection on finances, social life, psychology, health status, and awareness of current initiatives. Logistic regression analysis was used to explore the associations between patient perspectives on having ocular diseases detected at a late stage and its impact on different domains. Multivariate logistic regression was applied with impact types of health status, psychological, financial, and social (dependent variables) and age, income levels, and hospital type (independent variables).</p><p><strong>Results: </strong>Three hundred and eighty-eight responded, with 50% experiencing psychological effects, 27% health issues, 23% social impacts, and 23% financial burdens. Two hundred seventeen patients (56%) reported having ocular condition detected in late stage. Logistic regression analysis showed positive association with health status, social well-being, and financial effects (p < 0.05). Multivariate analysis revealed pronounced effects in patients ≤ 50 years, with income < 5000 SAR, and those visiting private clinics (p < 0.05). The social impact was greater in patients visiting private hospitals. Ninety percent of all patients emphasized the importance of increasing awareness for better QoL.</p><p><strong>Conclusion: </strong>Significant associations were found between the late detection of eye diseases and their impact on QoL. Therefore, early detection and increasing patients' awareness of ocular diseases and treatment are essential.</p>","PeriodicalId":43701,"journal":{"name":"Clinical Optometry","volume":"15 ","pages":"191-204"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/b8/opto-15-191.PMC10503557.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299476","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}