Eye & Contact Lens最新文献_第8页

Treating Uncomfortable Contact Lens Wear With Orthokeratology. 角膜塑形术治疗不舒服的隐形眼镜佩戴。

IF 2.3

Eye & Contact Lens Pub Date : 2021-02-01 DOI: 10.1097/ICL.0000000000000690

Kim Duong, Gerald McGwin, Quentin X Franklin, Jared Cox, Andrew D Pucker

{"title":"Treating Uncomfortable Contact Lens Wear With Orthokeratology.","authors":"Kim Duong, Gerald McGwin, Quentin X Franklin, Jared Cox, Andrew D Pucker","doi":"10.1097/ICL.0000000000000690","DOIUrl":"https://doi.org/10.1097/ICL.0000000000000690","url":null,"abstract":"Objectives: Many contact lens (CL) users permanently discontinue wear because of ocular dryness and discomfort. This study aimed to determine whether refitting symptomatic soft CL wearers in to orthokeratology could improve ocular symptoms and signs.Methods: This was a prospective, 3-month, open-label study of symptomatic (Contact Lens Dry Eye Questionnaire [CLDEQ-8] ≥12) soft CL wearers who were between the ages of 18 and 45 years. All subjects were refit into orthokeratology CLs (Emerald, Euclid Systems). The following tests were completed: CL history, Standardized Patient Evaluation of Eye Dryness (SPEED) questionnaire, CLDEQ-8, CLDEQ-4, logarithm of the minimum angle of resolution visual acuity, pupil size, refractive error, slit-lamp biomicroscopy, noninvasive tear break-up time, tear meniscus height, phenol red thread, conjunctival staining, corneal aesthesiometry, and corneal topography.Results: Twenty-nine of 40 qualifying subjects (age=24.43±4.62 years) completed the study. No significant differences were detected between completed and noncomplete subjects. Completed subjects had significantly better CLDEQ-8, CLDEQ-4, and SPEED scores at 3 months compared with baseline. Completed subjects had significantly better conjunctival staining scores and flatter keratometry values at 1 month compared with baseline.Conclusions: Although not all symptomatic soft CL wearers were able to be refit into orthokeratology, subjects who were wearing orthokeratology at 3 months had a significant and clinically meaningful improvement in ocular symptoms. Additional work is needed to determine the mechanism leading to improved comfort because few clinical signs were changed after switching to orthokeratology.","PeriodicalId":502139,"journal":{"name":"Eye & Contact Lens","volume":" ","pages":"74-80"},"PeriodicalIF":2.3,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37676819","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}

引用次数: 9

Association Between Dry Eye and Polycystic Ovary Syndrome: Subclinical Inflammation May Be Part of the Process. 干眼症和多囊卵巢综合征之间的关系:亚临床炎症可能是过程的一部分。

IF 2.3

Eye & Contact Lens Pub Date : 2021-01-01 DOI: 10.1097/ICL.0000000000000716

Yonca Asfuroğlu, Özgür Kan, Mahmut Asfuroğlu, Emre Baser

{"title":"Association Between Dry Eye and Polycystic Ovary Syndrome: Subclinical Inflammation May Be Part of the Process.","authors":"Yonca Asfuroğlu, Özgür Kan, Mahmut Asfuroğlu, Emre Baser","doi":"10.1097/ICL.0000000000000716","DOIUrl":"https://doi.org/10.1097/ICL.0000000000000716","url":null,"abstract":"Purpose: To evaluate the changes in tear function in patients with polycystic ovary syndrome (PCOS) and establish whether there is a correlation between hormonal levels, novel hematologic biomarkers, and dry eye parameters.Material and method: Forty-seven patients with PCOS and 43 age-matched patients with unexplained infertility were included in the control group. Follicle-stimulating hormone, luteinizing hormone, estradiol, thyroid-stimulating hormone, prolactin, dehydroepiandrosterone sulfate (DHEA-S), 17-OH progesterone, fasting and postprandial glucose, fasting insulin, and cholesterol metabolites were evaluated in both groups. In addition, the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio were obtained from a complete blood count. The Ocular Surface Disease Index (OSDI) questionnaire was administered, and all patients underwent tear break-up time (BUT) and Schirmer I tests. Bivariate correlations were investigated using Spearman correlation coefficient analysis.Results: The mean age of the PCOS group and the control group was 27.66±3.96 years and 29.28±6.83 years, respectively. Schirmer I test scores and BUT values were significantly lower and OSDI results were significantly higher in the PCOS group (P=0.003, P<0.001, and P=0.004). An inverse correlation was found between DHEA-S and BUT values in the PCOS group (r=-0.296, P=0.043). Similarly, a negative correlation was also present between NLR and BUT values in the PCOS group (r=-0.322, P=0.027).Conclusions: Dry eye can be well established by sensitive tests in patients with PCOS. The severity of dry eye may be correlated with the level of inflammation and hyperandrogenism.","PeriodicalId":502139,"journal":{"name":"Eye & Contact Lens","volume":" ","pages":"27-31"},"PeriodicalIF":2.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38011704","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}

引用次数: 4

Marching Ahead Online and Leaving the Print Behind. 在线前进，把纸媒抛在脑后。

IF 2.3

Eye & Contact Lens Pub Date : 2021-01-01 DOI: 10.1097/ICL.0000000000000758

Bennie H Jeng

引用次数: 1

Simplified Classification of Tear Film Break-Up Patterns and Their Clinicopathological Correlations in Patients With Dry Eye Disease. 干眼病患者泪膜破裂模式的简化分类及其临床病理相关性。

IF 2.3

Eye & Contact Lens Pub Date : 2021-01-01 DOI: 10.1097/ICL.0000000000000706

Hee Dong Eom, Jae Uk Jung, Kyoung-Pil Lee, Jeongho Kim, Dong Hee Yoon, Myung Jun Kim, Byung Jae Son, Hong Kyun Kim

{"title":"Simplified Classification of Tear Film Break-Up Patterns and Their Clinicopathological Correlations in Patients With Dry Eye Disease.","authors":"Hee Dong Eom, Jae Uk Jung, Kyoung-Pil Lee, Jeongho Kim, Dong Hee Yoon, Myung Jun Kim, Byung Jae Son, Hong Kyun Kim","doi":"10.1097/ICL.0000000000000706","DOIUrl":"https://doi.org/10.1097/ICL.0000000000000706","url":null,"abstract":"Purpose: To analyze the pathophysiological differences between patients with dry eye disease (DED) having different tear film break-up patterns (TBUPs).Methods: This investigative analysis involved 91 eyes of 91 patients with DED who were divided into two groups: those with \"dot\" break-up pattern (group I) and those with \"random\" break-up pattern (group II). Clinical severity was evaluated using the Ocular Surface Disease Index (OSDI), Oxford stain score system (OSS) score, and tear film break-up time (TF-BUT). Eighteen patients in group I and 17 patients in group II were selected for sampling of tears and the conjunctiva, and the concentrations of inflammatory cytokines and mucin in the tears and conjunctival tissue were measured.Results: Thirty-seven patients were classified as group I and 54 patients as group II. Patients in group I had a statistically lower TF-BUT and a higher OSS score than those in group II, whereas the OSDI was not statistically different between the groups. The concentrations of interleukin (IL)-6 and IL-8 were statistically higher in group I than those in group II. Impression cytology showed that the expression of IL-1β and IL-8 was higher in group I, whereas that of other genes was not statistically different.Conclusions: We were able to clearly classify patients with DED with different TBUPs into two groups, and each group had different clinical and pathophysiological characteristics. In patients with the dot break-up pattern, the disease was strongly associated with ocular surface inflammation, as opposed to that in patients without this pattern.","PeriodicalId":502139,"journal":{"name":"Eye & Contact Lens","volume":" ","pages":"15-19"},"PeriodicalIF":2.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37966818","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}

引用次数: 3

Development of a Questionnaire for Detecting Changes in Dry Eye Disease-Related Symptoms. 干眼病相关症状变化检测问卷的研制

IF 2.3

Eye & Contact Lens Pub Date : 2021-01-01 DOI: 10.1097/ICL.0000000000000693

José Pinto-Fraga, Margarita Calonge, Amalia Enríquez-de-Salamanca, Itziar Fernández, María J González-García, Philipp Steven

{"title":"Development of a Questionnaire for Detecting Changes in Dry Eye Disease-Related Symptoms.","authors":"José Pinto-Fraga, Margarita Calonge, Amalia Enríquez-de-Salamanca, Itziar Fernández, María J González-García, Philipp Steven","doi":"10.1097/ICL.0000000000000693","DOIUrl":"https://doi.org/10.1097/ICL.0000000000000693","url":null,"abstract":"Objectives: Determining the changes in symptomatology suffered by dry eye disease (DED) patients after an intervention is difficult because there is only one validated questionnaire specifically designed to measure these changes and it is somewhat complex. This work uses a simplified questionnaire to evaluate the changes in DED-related symptoms.Methods: A new questionnaire based on a global rating of change scale was designed. The Change in Dry Eye Symptoms Questionnaire (CDES-Q) consists of 2 questions: CDES-Q1 asks for the change in symptoms (\"better,\" \"same,\" or \"worse\") relative to a determined previous time and CDES-Q2 quantifies this change (range: 0 to +100). To evaluate the CDES-Q, a prospective observational study was performed. At baseline (V1; day-0), DED-related symptoms were evaluated using the ocular surface disease index (OSDI). In the post-treatment visit (V2; day-90), OSDI, Symptoms Assessment Questionnaire in Dry Eye (SANDE) II, and CDES-Q were used. Also, clinical evaluations were performed in each visit.Results: Thirty-six patients were included. At V2, OSDI, SANDE II, and CDES-Q showed a significant reduction in symptoms (-7.17±12.73, P=0.0021; -11.29±20.95, P=0.0035; -25.28±42.28, P=0.0011, respectively). Patients who answered \"better\" in CDES-Q1 showed a significantly lower SANDE II than those who answered \"same\" or \"worse,\" while SANDE II did not discriminate between these groups.Conclusions: CDES-Q can be a useful tool for the evaluation of changes in DED-related symptoms. It is simple and better discriminates patients without changes from those who suffered a worsening than SANDE II.","PeriodicalId":502139,"journal":{"name":"Eye & Contact Lens","volume":" ","pages":"8-14"},"PeriodicalIF":2.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37676254","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}

引用次数: 3

Prevalence of Ocular Demodex Infestation in Children: An Epidemiological Survey in South China. 华南地区儿童眼蠕形螨感染流行病学调查。

IF 2.3

Eye & Contact Lens Pub Date : 2021-01-01 DOI: 10.1097/ICL.0000000000000705

Nuan Zhang, Yan Liu, Kuiyao Wen, Ling Jin, Chuan Chen, Qianyun Chen, Yangfa Zeng, Lingyi Liang

{"title":"Prevalence of Ocular Demodex Infestation in Children: An Epidemiological Survey in South China.","authors":"Nuan Zhang, Yan Liu, Kuiyao Wen, Ling Jin, Chuan Chen, Qianyun Chen, Yangfa Zeng, Lingyi Liang","doi":"10.1097/ICL.0000000000000705","DOIUrl":"https://doi.org/10.1097/ICL.0000000000000705","url":null,"abstract":"Objectives: To investigate the prevalence of and risk factors for Demodex mite infestation of the eyelashes in Chinese children.Methods: A total of 1,575 children were surveyed from June 2017 to January 2019 and stratified into two age groups: 3 to 6 and 7 to 14 years. All subjects underwent routine eye examination and lash epilation for Demodex mite identification and counting using microscopy. Demographic data and lifestyle habits were also recorded.Results: Demodex mites were detected in 189 of 1,575 (12.0%) children, including Demodex folliculorum (D. folliculorum) in 180 (11.4%), Demodex brevis (D. brevis) in 11 (0.7%), and both mites in 2 (0.1%). The median number of D. folliculorum mites was 1 (interquartile range [IQR], 1-2) and that of D. brevis was 1 (IQR, 1-1). Children with Demodex infestation did not exhibit more ocular discomfort than those without (21.2% vs. 23.1%; P=0.56). However, lash abnormalities, including trichiasis, cylindrical dandruff, or scaly discharge at the lash root, were more prevalent in children with Demodex infestation (24.9% vs. 12.8%; P<0.001) and in the 7 to 14-year subgroup (33.7% vs. 12.8%; P<0.001). Multiple logistic regression revealed that autumn-winter was associated with a higher detection rate of Demodex infestation (all P<0.05). In the 3-6-year subgroup, children residing in rural regions exhibited a higher prevalence of Demodex infestation (P=0.03).Conclusions: Ocular Demodex infestation, with a low Demodex mite count, was found in healthy Chinese children aged 3 to 14 years.","PeriodicalId":502139,"journal":{"name":"Eye & Contact Lens","volume":" ","pages":"60-64"},"PeriodicalIF":2.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37966890","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}

引用次数: 6

On Seeing Twenty-Twenty. 看到二十二。

IF 2.3

Eye & Contact Lens Pub Date : 2019-07-01 DOI: 10.1097/ICL.0000000000000625

Bennie H Jeng

引用次数: 0

It's Been Fun and Productive Too. 这很有趣，也很有成效。

IF 2.3

Eye & Contact Lens Pub Date : 2019-05-01 DOI: 10.1097/ICL.0000000000000600

Penny A Asbell

引用次数: 0

Therapeutic Penetrating Keratoplasty. 穿透性角膜移植术。

IF 2.3

Eye & Contact Lens Pub Date : 2019-05-01 DOI: 10.1097/ICL.0000000000000565

Juan Carlos Serna-Ojeda

{"title":"Therapeutic Penetrating Keratoplasty.","authors":"Juan Carlos Serna-Ojeda","doi":"10.1097/ICL.0000000000000565","DOIUrl":"https://doi.org/10.1097/ICL.0000000000000565","url":null,"abstract":"To the Editor: I read with interest the article by Roozbahani et al.1 The authors present an interesting study that report the findings of eyes undergoing therapeutic penetrating keratoplasty (Th PK) because of a corneal perforation, impending corneal perforation or recalcitrant infection in patients with infectious keratitis. Although the authors highlight the fact that the main objective with Th PK is to reestablish the integrity of the globe, many times in an urgent setting, the excellent results leading them to conclude that this procedure achieves corneal clarity and improves vision in most patients have to be taken to caution, specially in some scenarios. There is a considerable shortage of corneal graft tissue worldwide, with an important percentage of world’s population having no access to corneal transplantation.2 In some countries, although this effort is constantly made, the access to corneal tissue is still difficult; the corneal tissue without an optical quality, due to a low endothelial cell count, or inadequate corneal excision technique, is sometimes stored to be used in ophthalmic emergencies. These issues generate lower chances of improvement in corneal clarity at follow-up. In addition to that, the presence of aggressive pathogenic organisms may lead to different complications as mentioned by the authors, including cataract, glaucoma, or graft failure.1 In a previous series of nontraumatic corneal perforations presented by us, the infectious etiology group had a worst visual acuity at presentation (median logMAR 3.0, interquartile range [IQR] of 1.91–4), and also, a worst visual acuity at final consultation (median 3.0, IQR 1.18 to 3), with most of the patients in this group being treated with Th PK.3 Another important issue not mentioned is the possibility of an infection recurrence, being important in all bacterial, viral, and fungal keratitis, deserving attention and continued treatment.3,4 Finally, I emphasize the value of this article in supporting the use of Th PK in the treatment of corneal perforations.","PeriodicalId":502139,"journal":{"name":"Eye & Contact Lens","volume":" ","pages":"212"},"PeriodicalIF":2.3,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ICL.0000000000000565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40448435","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}

引用次数: 3

In Response. 作为回应。

IF 2.3

Eye & Contact Lens Pub Date : 2019-05-01 DOI: 10.1097/ICL.0000000000000564

Mehdi Roozbahani, Christopher J Rapuano

引用次数: 0