Journal of Optometry最新文献

{"title":"Real-world outcomes on myopia management efficacy of diverse segmented defocus optics (DSDO) and defocus incorporated multiple segments (DIMS) spectacle lenses in Chinese children: An initial 12-month prospective clinical study.","authors":"Yuzhuo Fan, Huihui Chu, Zisu Peng, Jingwei Zhou, Jiahui Ma, Yuchang Lu, Chenxu Zhao, Yanyan Wang, Qiulin Deng, Jifeng Yu, Yan Li, Kai Wang, Mingwei Zhao","doi":"10.1016/j.optom.2024.100533","DOIUrl":"https://doi.org/10.1016/j.optom.2024.100533","url":null,"abstract":"<p><strong>Purposes: </strong>To investigate the 12-month effectiveness of Diverse Segmented Defocus Optics (DSDO) and Defocus Incorporated Multiple Segments (DIMS) spectacle lenses in a real-world clinical population in myopic and pre-myopic Chinese children.</p><p><strong>Methods: </strong>About 364 subjects prescribed DSDO or DIMS were enrolled. Axial length (AL) and cycloplegic spherical equivalent refraction (SER) changes over 12 months were measured. The subjects were further divided into age sub-group (6-9; 10-14) and SER sub-group (+0.75D≤SER<-0.50D; -0.50D≤SER<-2.00D; -2.00D≤SER<-4.00D; SER≤-4.0D). Contrast sensitivity and visual experience were also reported. The rate of myopia progression was compared with historical single-vision spectacles (SVS) lenses data to evaluate the effectiveness of the regime.</p><p><strong>Results: </strong>317 subjects were analyzed. At 12-month, AL changes in the DSDO and DIMS group were 0.16±0.16 mm and 0.21±0.22 mm, respectively (P = 0.0202). DSDO spectacle lenses had better control effect in +0.75D≤SER<-0.50D and SER≤-2.0D sub-groups. The proportion of participants had no greater than 0.20 mm AL elongation was 65.00% and 55.41% of in DSDO and DIMS group separately. Myopia control effect in DSDO group was 47%-69% and 33%-62% in DIMS group compared to historical SVS lenses.</p><p><strong>Conclusions: </strong>Both DSDO and DIMS spectacle lenses retarded AL elongation. DSDO showed more stable myopia control effect comparing to DIMS, especially in groups of SER≤-2.0D sub-groups and older patients. DSDO showed initial potential myopia prevention effect in pre-myopic children compared with historical SVS lenses data. However, the small sample and no control group in pre-myopes of this study are key limitations. Further research is needed to confirm and understand DSDO's role for pre-myopic children.</p>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"18 1","pages":"100533"},"PeriodicalIF":2.2,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972732","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":"The correlation between relative peripheral refraction and myopia progression: A commentary on the utility of retinoscopy for peripheral refraction assessment.","authors":"Gladson Joyse Stanly","doi":"10.1016/j.optom.2024.100526","DOIUrl":"https://doi.org/10.1016/j.optom.2024.100526","url":null,"abstract":"","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"18 1","pages":"100526"},"PeriodicalIF":2.2,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972733","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":"Comment on: \"Mean cycloplegic refractive error in emmetropic adults: The Tehran eye study\".","authors":"Suraj Kumar Chaurasiya, M Optom","doi":"10.1016/j.optom.2024.100532","DOIUrl":"https://doi.org/10.1016/j.optom.2024.100532","url":null,"abstract":"","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"18 1","pages":"100532"},"PeriodicalIF":2.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956613","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":"Influence of lens thickness on the accommodative range in healthy eyes.","authors":"Louise Vermeulen, Carina Koppen, Luc Van Os, Barbara K Pierscionek, Jos J Rozema","doi":"10.1016/j.optom.2024.100528","DOIUrl":"https://doi.org/10.1016/j.optom.2024.100528","url":null,"abstract":"<p><strong>Background: </strong>The maximum accommodative range is a useful indication of visual function. It decreases with age, but the exact cause of this decrease is not fully understood. It is associated with the increasing rigidity of the lens and changes to the lens shape, as well as the geometry of the zonular attachments. This work aims to determine the relationship between the accommodative range and lens shape in a group of healthy young adults.</p><p><strong>Methods: </strong>This study includes 40 emmetropic participants between 20 and 30 years of age. They filled in a questionnaire and underwent accommodation measurements using the RAF Convergence Rule and the Negative Lens Test. After a drop of Tropicamide 0.5 % and Cyclopentolate 1 %, participants underwent measurements with autorefractor, Scheimpflug tomography (Pentacam HR, Oculus), anterior segment Optical Coherence Tomography and optical biometry.</p><p><strong>Results: </strong>The accommodative range did not correlate significantly (p>0.05) with any of the lenticular or ocular parameters considered, such as lens thickness, lens radii of curvature, axial length, or corneal power.</p><p><strong>Conclusion: </strong>The crystalline lens shape does not affect the accommodative range of the eye. This may be due to the smaller deformation required to bring a thicker lens to the same level of accommodation as a thinner lens. The amount of force on the zonular fibres may therefore be similar, in all lenses, regardless of the lens shape.</p>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"18 1","pages":"100528"},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956629","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":"Blue light stimulation of the optic nerve head reduces melatonin levels in rabbit posterior segment","authors":"Carlos Carpena-Torres ,&nbsp;Fernando Huete-Toral ,&nbsp;Gonzalo Carracedo","doi":"10.1016/j.optom.2024.100525","DOIUrl":"10.1016/j.optom.2024.100525","url":null,"abstract":"","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"17 4","pages":"Article 100525"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510167","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 performance of a new trifocal intraocular lens design evaluated with a clinical adaptative optics visual simulator","authors":"Anabel Martínez-Espert ,&nbsp;Diego Montagud-Martínez ,&nbsp;Vicente Ferrando ,&nbsp;Salvador García-Delpech ,&nbsp;Juan A. Monsoriu ,&nbsp;Walter D. Furlan","doi":"10.1016/j.optom.2024.100527","DOIUrl":"10.1016/j.optom.2024.100527","url":null,"abstract":"<div><h3>Objective</h3><div>The digital transformation of daily routines has increased visual demands, especially at intermediate and near distances. The Devil multifocal intraocular lens (MIOL) design was developed to enhance intermediate visual performance. This design is a novel trifocal intraocular lens inspired by the fractal structure known as the 'Devil's staircase'. The aim of this research is to evaluate the visual performance of the Devil MIOL design in real patients.</div></div><div><h3>Methods</h3><div>The visual acuity defocus curve was obtained from 25 eyes of healthy volunteers using the Visual Adaptive Optics Simulator (VAO, Voptica SL, Murcia, Spain). Additionally, images of optotypes simulating those seen through the Devil MIOL design were captured to qualitatively illustrate optotype perception at different vergence values.</div></div><div><h3>Results</h3><div>Mean visual acuity values of the evaluation were 0.03 logMAR at 0.00 D vergence, 0.10 logMAR at +1.50 D vergence, and 0.11 logMAR at +3.00 D vergence, corresponding to far (optical infinity), intermediate (66.7 cm), and near foci (33.3 cm), respectively. The experimental outcomes were indeed slightly better than numerical results obtained previously in a model eye.</div></div><div><h3>Conclusions</h3><div>The Devil MIOL design provides satisfactory visual acuity across three primary foci and produces extended depth of focus between the intermediate and near foci.</div></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"17 4","pages":"Article 100527"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649102","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 a vergence-accommodation conflict induced during a 30-minute Virtual Reality game on vergence-accommodation parameters and related symptoms","authors":"Maciej Dymczyk,&nbsp;Anna Przekoracka-Krawczyk,&nbsp;Zuzanna Kapturek,&nbsp;Paulina Pyżalska","doi":"10.1016/j.optom.2024.100524","DOIUrl":"10.1016/j.optom.2024.100524","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the study was to verify the hypotheses that vergence-accommodation conflict (VAC) induced with head-mounted device (HMD) could cause symptoms in relation to changes in the accommodative-vergence system. In order to test this hypothesis, the Virtual Reality (VR) exposures were carried out in two types of VAC: VAC_small and VAC_large.</div></div><div><h3>Method</h3><div>Eighteen females, with a mean age of 22.5 ± 2.0 years, participated in two 30-minutes sessions with VR, which were separated by at least one week. Two sessions were differentiated by intensity of VAC presented in the VR system (VAC_small and VAC_large). Visual parameters were measured such as associated and dissociated phoria, accommodative response, the near point of convergence (NPC), fusional vergence ranges (FVR) and subjective complaints were measured using Simulator Sickness Questionnaire (SSQ). The parameters were measured immediately before (Pre-test) and after (Post-test) the VR exposure.</div></div><div><h3>Results</h3><div>The subjective symptoms as nausea, oculomotor disorders and disorientation increased significantly after 30-minutes of exposure on VAC_large (<em>P</em>&lt;0.05). The associated and dissociated phoria, lag of accommodation, FVR and the NPC did not significantly change after the VR exposure (<em>P</em>&gt;0.05).</div></div><div><h3>Conclusion</h3><div>Short-term use of HMD (30-min) did not significantly affect accommodative-vergence functions regardless of the size of VAC (VAC_small and VAC_large). However, the level of symptoms increased after VR sessions, which was probably related to inappropriate oculo-vestibular relationship.</div></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"17 4","pages":"Article 100524"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630199","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":"Analysis of patient referrals from primary care to ophthalmology. The role of the optometrist","authors":"Rafael Carrasco Solís ,&nbsp;María Rosario Rodríguez Griñolo ,&nbsp;Beatríz Ponte Zúñiga ,&nbsp;Beatriz Mataix Albert ,&nbsp;María Leticia LLedó de Villar ,&nbsp;Rocío Martínez de Pablos ,&nbsp;Enrique Rodríguez de la Rúa Franch","doi":"10.1016/j.optom.2024.100521","DOIUrl":"10.1016/j.optom.2024.100521","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to characterize the quality of primary care referrals of patients to ophthalmology at the Virgen Macarena Hospital in Seville. This will enable us to optimize ophthalmologic resources and to evaluate the role of the optometrist in improving referrals.</div></div><div><h3>Methods</h3><div>We performed a retrospective cross-sectional review of 220 ophthalmology consultations referred from primary care to the hospital from March to May 2022.</div><div>The following data were extracted: age, sex, reason for consultation, diagnosis, priority level, whether it was an initial consultation or a follow-up visit, whether there was a secondary referral and whether the referral was appropriate. Excel (version 2312) was used for the data analysis.</div></div><div><h3>Results</h3><div>The age range of the patients was from 3 years to 91 years. The patients were 41.8 % male and 58.2 % female. The conditions found were grouped as follows: cataracts (27.27 %), refractive errors (20.9 %), anterior segment disease (18.8 %), posterior segment disease (14.07 %), normal examination (18.63 %) and others (0.9 %). The most common reason for consultation was blurred vision or loss of vision (43.63 %). In total, 41.36 % of the consultations were considered inappropriate. The age group requiring the highest number of consultations was over 65 years (38.64 %).</div></div><div><h3>Conclusions</h3><div>With 41.36 percent of referrals deemed unnecessary, it is clear that referrals can be improved. This would reduce strain on the ophthalmology service and improve patient care. The importance of the optometrist in primary care is demonstrated by the fact that 20.9 % of the diagnoses were refractive errors.</div></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"17 4","pages":"Article 100521"},"PeriodicalIF":2.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320315","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":"Corneal higher-order aberrations in different types of irregular cornea","authors":"Clara Martínez-Pérez ,&nbsp;Jacinto Santodomingo-Rubido ,&nbsp;Cesar Villa-Collar ,&nbsp;Julia Bodas-Romero ,&nbsp;Gonzalo Carracedo ,&nbsp;María Serramito Blanco ,&nbsp;Asaki Suzaki","doi":"10.1016/j.optom.2024.100522","DOIUrl":"10.1016/j.optom.2024.100522","url":null,"abstract":"<div><h3>Objetive</h3><div>To assess differences in corneal higher-order aberrations (i.e., HOAs) between six different types of irregular corneas (i.e, keratoconus (KC), keratoglobus (KG), pellucid marginal degeneration (PMD), laser-assisted in situ keratomileusis (LASIK), penetrating keratoplasty (PK), and intrastromal corneal ring segments (ICRS)).</div></div><div><h3>Methods</h3><div>Corneal aberration data from the 3^rd and 4^th order together with secondary vertical and horizontal coma, and secondary spherical aberration were retrospectively retrieved from a corneal tomographer and compared between irregular cornea types and for 3-, 5-, and 7-mm pupil diameters.</div></div><div><h3>Results</h3><div>Significant differences were observed in vertical coma, oblique trefoil, secondary oblique astigmatism, primary spherical, and secondary spherical between irregular cornea types across all three pupil sizes (all p≤0.025). Vertical coma consistently exhibited the greatest magnitude of HOA across all irregular cornea types and pupil diameters. For the larger pupil diameters (5 and 7 mm), the 3rd order aberrations (mainly coma-like), the 4th order aberrations (mainly spherical-like), and total HOA RMS were significantly lower in the LASIK group compared to all other irregular cornea types (all p≤0.003). Additionally, at pupil sizes of 5 and 7 mm, the 3rd, 4th, coma-like, spherical-like, and total HOA RMS were significantly lower in KC compared to the ICRS and PK groups (all p≤0.01). Furthermore, the 4th, spherical-like, and total HOA RMS were significantly lower in KC compared to KG at pupil diameters of 3 and 7 mm, 5 and 7 mm, and 7 mm, respectively (all p≤0.03).</div></div><div><h3>Conclusions</h3><div>Vertical coma was the most elevated HOA across all irregular cornea types and pupil diameters. Corneal aberrations were lower in LASIK and KC, and higher in KG and PK.</div></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"17 4","pages":"Article 100522"},"PeriodicalIF":2.2,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888429624000104/pdfft?md5=01a0535522c52aaec155dab0857ec429&pid=1-s2.0-S1888429624000104-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142310354","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":"Intraocular pressure and its association with ocular biometrics in Iranian children","authors":"Hassan Hashemi ,&nbsp;Mehdi Khabazkhoob ,&nbsp;Samira Heydarian ,&nbsp;Mohammad Hassan Emamian ,&nbsp;Akbar Fotouhi","doi":"10.1016/j.optom.2024.100523","DOIUrl":"10.1016/j.optom.2024.100523","url":null,"abstract":"<div><h3>Purpose</h3><p>To determine the mean value and normative distribution of intraocular pressure (IOP) in children and their association with demographic and ocular biometrics.</p></div><div><h3>Methods</h3><p>Cluster sampling was done to select the students in urban areas of Shahroud, northeast Iran, while all students living in rural areas were selected. IOP was measured in mmHg using a non-contact tonometer, along with corneal and retinal imaging and ocular biometric measurement.</p></div><div><h3>Results</h3><p>After applying the exclusion criteria, 9154 eyes of 4580 students were analyzed, of whom 2377 (51.9 %) were boys. The mean age of the participants was 12.35±1.73 years (range: 9–15 years). The mean IOP was 15.58±2.83 (15.47–15.69) in total, 15.31±2.77 (15.17–15.46) in boys, and 15.88±2.86 (15.73–16.03) in girls (<em>p</em> &lt; 0.001). The mean IOP was 15.07 and 15.49 in students aged 9 and 15 years, respectively. The mean IOP was 15.7 ± 2.64 (15.58–15.81) in urban and 14.52±4.05 (14.27–14.77) in rural students (<em>p</em> &lt; 0.001). In the multiple generalized estimating equation model, IOP had a positive association with female sex (β=0.84, <em>P</em> &lt; 0.001), systolic blood pressure (β=0.02, <em>P</em> &lt; 0.001), cup volume (β=0.99, <em>P</em> &lt; 0.001), corneal thickness (β=0.04, <em>P</em> &lt; 0.001) and anterior chamber volume (β=0.007, <em>P</em> &lt; 0.001) and a negative association with living in the rural area (β=−0.65, <em>P</em> &lt; 0.001), rim area (β=−0.39, <em>P</em> &lt; 0.001), and corneal diameter (β=−0.18, <em>P</em> = 0.045). Furthermore, individuals with myopia exhibited a significantly higher IOP (β=0.35, <em>P</em> &lt; 0.001) compared to those with emmetropia.</p></div><div><h3>Conclusion</h3><p>This study showed the normative distribution of IOP and its associated factors in children. The results can be used in diagnosis and management of glaucoma.</p></div>","PeriodicalId":46407,"journal":{"name":"Journal of Optometry","volume":"17 4","pages":"Article 100523"},"PeriodicalIF":2.2,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888429624000116/pdfft?md5=302bb87452dbc79545cbcaf70b1090ed&pid=1-s2.0-S1888429624000116-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142270724","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}