Journal of Aapos最新文献

Agreement between the Spot Vision Screener and cycloplegic retinoscopy for toddlers with astigmatism. 斑点视力筛检和独眼性视网膜镜检查对散光幼儿的影响。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-30 DOI: 10.1016/j.jaapos.2025.104656

J Daniel Twelker, Andrew W Arthur, Rita Bhakta, Amy L Davis, Leslie K Dennis, Siomara G Enriquez, Kimberly D Gerhart, Chiu-Hsieh Hsu, M Sandra González Marshall, Jenifer Martin, Eileen R McGrath, Joseph M Miller, Divya Ramesh, Erin M Harvey

{"title":"Agreement between the Spot Vision Screener and cycloplegic retinoscopy for toddlers with astigmatism.","authors":"J Daniel Twelker, Andrew W Arthur, Rita Bhakta, Amy L Davis, Leslie K Dennis, Siomara G Enriquez, Kimberly D Gerhart, Chiu-Hsieh Hsu, M Sandra González Marshall, Jenifer Martin, Eileen R McGrath, Joseph M Miller, Divya Ramesh, Erin M Harvey","doi":"10.1016/j.jaapos.2025.104656","DOIUrl":"https://doi.org/10.1016/j.jaapos.2025.104656","url":null,"abstract":"Background: We investigated the agreement between the Spot Vision Screener (Welch Allyn) and gold standard cycloplegic retinoscopy in infants and toddlers, with special attention to astigmatism.Methods: Participants were children 12-35 months of age who failed a routine photoscreening using the Spot conducted at a recent well-child visit and who subsequently received a cycloplegic eye examination through the Spectacle Prescribing in Early Childhood Study (SPECS).Results: The final sample included 410 children, with an average age of 20.24 months. The Spot mean spherical equivalent value (M) was significantly less hyperopic than cycloplegic retinoscopy M (+0.35 D vs +0.80 D, t[409] < 0.001), and mean Spot Vision Screener cylinder (CYL) was significantly higher than cycloplegic retinoscopy CYL (1.84 D. vs 1.58 D, t[409] < 0.001).Conclusions: Cycloplegic retinoscopy found more hyperopic, or conversely, less myopic sphere power, in 60% of participants at the clinically significant level of >0.50 D. When using the Spot, this could result in under-referral to an eye care professional for moderate to high hyperopia. About 1 in 4 subjects showed higher clinically significant cylinder (>1.00 D) using the Spot compared with cycloplegic retinoscopy, which could result in over-referral for astigmatism when using the 2013 criteria for astigmatism.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104656"},"PeriodicalIF":1.3,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology of strabismus among adults in the United States: insights from the All of Us database. 美国成人斜视的流行病学：来自全美数据库的见解。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-29 DOI: 10.1016/j.jaapos.2025.104657

Alexander C Lieu, Evan H Walker, Shira L Robbins, David B Granet, Jolene Rudell

{"title":"Epidemiology of strabismus among adults in the United States: insights from the All of Us database.","authors":"Alexander C Lieu, Evan H Walker, Shira L Robbins, David B Granet, Jolene Rudell","doi":"10.1016/j.jaapos.2025.104657","DOIUrl":"https://doi.org/10.1016/j.jaapos.2025.104657","url":null,"abstract":"Purpose: To determine the prevalence of adult-diagnosed strabismus and its associations with sex, age, and race in a large, diverse population database in the United States.Methods: Sex, age, and race data were collected from 413,457 individuals in the All of Us database. The χ2 test with post hoc pairwise comparisons was used to determine significant differences in distributions of sex, age, and race data in 3,734 strabismus patients compared with the overall database.Results: There is a higher proportion of males among patients with strabismus compared with the overall database (43.34% vs 38.34% [P < 0.001]). There is a significantly higher proportion of patients aged over 65 years among patients with strabismus compared with the overall database (45.77% vs 24.7% [P < 0.001]). There is also a significantly different racial distribution of individuals with strabismus compared with the overall database (P < 0.001). Pairwise comparisons showed a significantly lower proportion of Asian individuals among patients with strabismus or heterotropia, a lower proportion of Black individuals with most subtypes, and a higher proportion of White individuals among patients with any strabismus.Conclusions: These results suggest that there is a lower proportion of females, Asian, and Black participants with diagnosed strabismus compared with the overall population in the All of Us database. These findings may indicate that strabismus affects patient populations differently, or that there is differential access to care and diagnosis of strabismus across sex, age, and race.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104657"},"PeriodicalIF":1.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socioeconomic trends of adult strabismus in the United States: an analysis of the All of Us database. 美国成人斜视的社会经济趋势：对全美数据库的分析。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-29 DOI: 10.1016/j.jaapos.2025.104655

Alexander C Lieu, Evan H Walker, Shira L Robbins, David B Granet, Jolene Rudell

{"title":"Socioeconomic trends of adult strabismus in the United States: an analysis of the All of Us database.","authors":"Alexander C Lieu, Evan H Walker, Shira L Robbins, David B Granet, Jolene Rudell","doi":"10.1016/j.jaapos.2025.104655","DOIUrl":"https://doi.org/10.1016/j.jaapos.2025.104655","url":null,"abstract":"Purpose: To determine associations of income and education level with a diagnosis of strabismus and to identify socioeconomic variables that may affect timely access to diagnosis.Methods: Annual income, high level of education completed, and ZIP code income, high school completion, poverty, and socioeconomic deprivation metrics were collected from 413,360 participants in the database. A χ2 test was used to determine significant differences in distributions of income, education, and ZIP code metrics in 3,734 strabismus patients compared with the overall database.Results: Participants living in ZIP codes with lower multidimensional deprivation indices (less deprivation) are more likely to be diagnosed with strabismus. Participants with annual income below $10,000 (10.10%) or who completed education between fifth grade and a high school diploma or GED (20.06%) are less likely to receive a diagnosis for certain strabismus subtypes. Participants with annual income over $200,000 (7.07%), advanced degrees (27.02%), living in ZIP codes with higher income, and higher high school completion rates were more likely to be diagnosed with certain strabismus subtypes.Conclusions: Participants diagnosed with strabismus tend to have higher incomes, an advanced degree, and reside in more affluent ZIP codes, whereas those with lower income and education levels are less likely to be diagnosed. These findings reveal potential socioeconomic disparities in access to ophthalmic diagnostic services and care. Findings emphasize the importance of addressing socioeconomic barriers in eye care to enable equitable access.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104655"},"PeriodicalIF":1.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Phased multimodal consent in a Baltimore school-based vision program: a novel approach. 巴尔的摩学校视觉项目的阶段性多模态同意：一种新方法。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-26 DOI: 10.1016/j.jaapos.2025.104654

Jenny Chun Ling Kuo, Xinxing Guo, Megan E Collins

引用次数: 0

Fibrotic bands in thyroid eye disease: a contributing factor to persistent postoperative restriction. 甲状腺眼病的纤维化带：术后持续限制的一个因素。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-26 DOI: 10.1016/j.jaapos.2025.104653

Veronika Yehezkeli, Stacy L Pineles, Federico G Velez

引用次数: 0

Modified Nishida's procedure combined with medial rectus recession in a case of Moebius syndrome. 改良西田手术合并内侧直肌萎缩一例莫比乌斯综合征。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-21 DOI: 10.1016/j.jaapos.2025.104652

Sowmya Raveendra Murthy, Sahil Sharma

引用次数: 0

Vision and developmental delay in toddlers. 幼儿的视力和发育迟缓。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-20 DOI: 10.1016/j.jaapos.2025.104650

Juan Sanchez, Kimberly Gerhart, Andrew W Arthur, Erin Harvey, John D Twelker, Chiu-Hsieh Hsu, Leslie K Dennis, Joseph M Miller

引用次数: 0

How Do We Fix This Mess? 我们如何解决这个烂摊子？

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-19 DOI: 10.1016/j.jaapos.2025.104649

R Michael Siatkowski

引用次数: 0

Uveal involvement as the presenting sign of recurrence of systemic B-cell lymphoma: a case report and description of biopsy technique. 葡萄膜受累为全身性b细胞淋巴瘤复发的表现：1例报告及活检技术描述。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-19 DOI: 10.1016/j.jaapos.2025.104651

Benjamin K J Host, Aban Bahabri, Sarah Alexander, Kamiar Mireskandari

引用次数: 0

Post-pandemic changes in demographics and outcomes of children at an inner-city vision outreach program: Give Kids Sight Day. 流行病后人口统计数据的变化和儿童在市中心视力外展项目的结果：给孩子视力日。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2025-09-18 DOI: 10.1016/j.jaapos.2025.104638

John E Williamson, Laurel Lam, Nina R Spitofsky, Alexandra R Zaloga, Sudheshna Vemula, Gabriella Baldassarre, Sara Flanagan, Rebecca J Elias, Bruce M Schnall, Kammi B Gunton, Barry N Wasserman

{"title":"Post-pandemic changes in demographics and outcomes of children at an inner-city vision outreach program: Give Kids Sight Day.","authors":"John E Williamson, Laurel Lam, Nina R Spitofsky, Alexandra R Zaloga, Sudheshna Vemula, Gabriella Baldassarre, Sara Flanagan, Rebecca J Elias, Bruce M Schnall, Kammi B Gunton, Barry N Wasserman","doi":"10.1016/j.jaapos.2025.104638","DOIUrl":"https://doi.org/10.1016/j.jaapos.2025.104638","url":null,"abstract":"Purpose: To characterize how pediatric screening demographic characteristics changed after the COVID-19 pandemic in children attending Give Kids Sight Day (GKSD), a free vision screening program in Philadelphia.Methods: Three data sets were analyzed: (1) prospective survey from guardians attending GKSD 2023, (2) retrospective analysis of GKSD attendee records, and (3) pre-pandemic (2009-2020) GKSD data.Results: A total of 293 children attended GKSD in 2023, and 189 surveys were completed. Compared with pre-pandemic GKSD events, there were more repeat participants (15% to 26% [P < 0.001]), greater percentage uninsured (26%-27% to 38% [P < 0.001]), and more insured without vision coverage (30% to 46% [P = 0.002]). More children required refractive correction (28%-61% to 76% [P < 0.001]) and subsequent follow-up (10%-15% to 17% [P = 0.004]). Of children receiving their first pair of glasses, 47% had not failed a previous vision screening. Ninety-one percent of missed appointments were for first-time attendees. Eye-care-naive attendees commonly learned of GKSD from school (59%). Perceived barriers to care were diverse and equally distributed among respondents.Conclusions: Since the COVID-19 pandemic, insurance coverage for vision care has declined, with rising unmet ophthalmic needs in event attendees. Many children with refractive pathology had never failed prior school-based vision screening, suggesting lapses in current screening systems. School-based initiatives, funding, and community social worker support are needed to connect eye-care-naive patients with ophthalmic care, ensure community screening is completed effectively, and connect families to subsidized insurance plans.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104638"},"PeriodicalIF":1.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0