Journal of Aapos最新文献_第3页

Vision screening for preschoolers with commercial insurance: impact of geography. 参加商业保险的学龄前儿童的视力筛查：地域的影响。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-16 DOI: 10.1016/j.jaapos.2024.104054

Afua O Asare, Joshua J Horns, Brian C Stagg, Rebecca Richards-Steed, Marielle Young, Melissa H Watt, Carole Stipelman, Guilherme Del Fiol, E Eugenie Hartmann, Heather T Keenan, Elliot A Asare, J D Smith

{"title":"Vision screening for preschoolers with commercial insurance: impact of geography.","authors":"Afua O Asare, Joshua J Horns, Brian C Stagg, Rebecca Richards-Steed, Marielle Young, Melissa H Watt, Carole Stipelman, Guilherme Del Fiol, E Eugenie Hartmann, Heather T Keenan, Elliot A Asare, J D Smith","doi":"10.1016/j.jaapos.2024.104054","DOIUrl":"10.1016/j.jaapos.2024.104054","url":null,"abstract":"Background: The American Academy of Pediatrics recommends pediatric vision screening to detect and refer vision disorders during the critical early years when intervention yields the greatest benefits. We determined the rate of vision screening for US children 3-5 years of age with commercial insurance and compared rates among those living in rural versus urban areas. Children in rural compared with urban areas were expected to have lower rates of vision screening.Methods: A cross-sectional study using commercial claims for 3- to 5-year-olds derived from the Merative MarketScan Database (IBM, Armonk, NY), 2011-2020, was conducted. Primary outcome was the proportion of children with a claim for vision screening. Adjusted incident rate ratios (aIRR) of vision screening with 95% confidence intervals were computed for children living in rural compared with urban areas of the United States.Results: Claims for 2,299,631 children were included. Most children (1,724,923 [75.0%]) were enrolled in preferred provider organization plans and lived in urban areas (2,031,473 [88.3%]). A total of 662,619 (28.8%) had a claim for a vision screening. Children living in rural versus urban areas had a lower adjusted incident rate of vision screening (15.1 vs 30.6%, aIRR 0.57; 95% CI, 0.53- 0.61) after adjusting for sex, age, region, and insurance type.Conclusions: For preschool age children with commercial insurance, vision screening is low, especially in rural compared with urban areas.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104054"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peripapillary hyperreflective ovoid mass-like structure (PHOMS): prevalence, risk factors, and development over time in Danish myopic children. 毛周卵圆形肿块样结构 (PHOMS)：丹麦近视儿童的发病率、风险因素和随时间的发展。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-08 DOI: 10.1016/j.jaapos.2024.104034

Niklas Cyril Hansen, Christopher Maximilian Behrens, Anders Hvid-Hansen, Steffen Hamann, Line Kessel

{"title":"Peripapillary hyperreflective ovoid mass-like structure (PHOMS): prevalence, risk factors, and development over time in Danish myopic children.","authors":"Niklas Cyril Hansen, Christopher Maximilian Behrens, Anders Hvid-Hansen, Steffen Hamann, Line Kessel","doi":"10.1016/j.jaapos.2024.104034","DOIUrl":"10.1016/j.jaapos.2024.104034","url":null,"abstract":"Background: On optical coherence tomography (OCT) scans of the optic nerve head, peripapillary hyperreflective ovoid mass-like structures (PHOMS) are sometimes seen as a sign of axonal distension. The phenomenon has been reported more frequently in myopic subjects. We investigated PHOMS-prevalence in a myopic pediatric cohort, associated risk factors, and PHOMS development over 18 months during low-dose atropine treatment.Methods: In this post hoc analysis of an investigator-initiated, placebo-controlled, randomized clinical trial, 97 6- to 12-year-old myopic participants were randomized to 0.1% atropine for 6 months, then 0.01% for 18 months (N = 33), 0.01% for 24 months (N = 32) or placebo for 24 months (N = 32). Primary outcome was presence of PHOMS. Secondary outcome was mean nasal PHOMS diameter measured on OCT B-scan. Outcomes were reported at baseline, 6, and 18 months. Logistic regression and linear mixed modelling were performed.Results: PHOMS were present in 26% of participants (n = 25), and 52% (n = 13) had bilateral presentation. Optic disk tilt (OR = 10.81; 95% CI, 3.58-32.58 [P < 0.001]) and longer axial length (AL) (OR = 2.06; 95% CI, 1.02-4.17 [P = 0.04]) increased the risk of having PHOMS. Greater increase in nasal peripapillary choroidal thickness over time was associated with smaller PHOMS diameter at 18 months (P = 0.05).Conclusions: PHOMS were common in our cohort of children with myopia. Longer AL increases the risk of, but not size of, PHOMS. The diameter of PHOMS seemed stable over time and unaffected by low-dose atropine.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104034"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631819","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

Clear lens extraction and intraocular lens implantation to correct extreme myopia after retinopathy of prematurity. 透明晶状体摘除术和眼内晶状体植入术矫正早产儿视网膜病变后的极度近视。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-10-14 DOI: 10.1016/j.jaapos.2024.104018

Natalia Correa-Venegas, Tiki Ewing, Jane Gardiner, Alfonso Iovieno, Christopher Lyons

引用次数: 0

The effect of inconsistent guidelines on variability in pediatric vision screening referral outcomes. 指导方针不一致对儿科视力筛查转诊结果差异的影响。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI: 10.1016/j.jaapos.2024.104057

Samantha J Sechrist, Alejandra G de Alba Campomanes

引用次数: 0

Characterization of pediatric low vision and socioeconomic determinants of health at an academic center: a 5-year analysis. 一个学术中心的小儿低视力和社会经济健康决定因素的特征：5 年分析。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-08 DOI: 10.1016/j.jaapos.2024.104033

Suzie Kim, Aleksandra Rachitskaya, Allison Babiuch, Marina Eisenberg, Fatema Ghasia, Jonathan Sears, Alexandra Williamson, Elias I Traboulsi

{"title":"Characterization of pediatric low vision and socioeconomic determinants of health at an academic center: a 5-year analysis.","authors":"Suzie Kim, Aleksandra Rachitskaya, Allison Babiuch, Marina Eisenberg, Fatema Ghasia, Jonathan Sears, Alexandra Williamson, Elias I Traboulsi","doi":"10.1016/j.jaapos.2024.104033","DOIUrl":"10.1016/j.jaapos.2024.104033","url":null,"abstract":"Purpose: To investigate the demographics, eye surgeries, and social determinants of health in pediatric patients with low vision in one or both eyes.Methods: This is a cross-sectional study of children 3-18 years of age examined at an academic eye center from 2014 to 2019. Low vision was present if one eye had a distance best-corrected visual acuity (BCVA) of <20/70. ZIP code was used to estimate patient income via a public third-party database.Results: Of 47,571 children examined during the study period, 882 had at least one eye with low vision. Of the 882, 88 (10%) had BCVA of <20/400 in at least one eye, and 228 patients (26%) had bilateral low vision. The most common cause of low vision was refractive/strabismic amblyopia (n = 304). The severest forms of vision loss (BCVA<20/200) were predominantly due to retinal dystrophies or detachment (n = 91). Three hundred patients (34%) had undergone at least one ophthalmic surgery-predominantly extraocular muscle procedures in eyes with mild visual loss and vitreoretinal surgeries in those with more severe loss. The severity of vision loss was significantly associated with a higher likelihood and number of surgeries (P < 0.0001). Income and insurance coverage did not have a significant association with BCVA or the likelihood of surgery.Conclusions: Refractive and strabismic amblyopia are the predominant causes of reduced worse-eye vision in children, and retinal diseases commonly caused severe vision loss. The type and number of surgeries correlate with the severity of vision loss. We did not find any association of income and insurance type with studied outcomes.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104033"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631810","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

Comparative analysis of biometry and anterior chamber metrics in the eyes of extreme hyperopic and emmetropic children. 极端远视儿童和弱视儿童眼球生物测量和前房指标的对比分析。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-08 DOI: 10.1016/j.jaapos.2024.104032

Benjamin Stern, Hadas Ben-Eli, Ilana Karshai, Hadas Mechoulam, Ori Saban, Yaacov Cnaany, Gabriel Greifner, Evelyne Cohen, Irene Anteby

{"title":"Comparative analysis of biometry and anterior chamber metrics in the eyes of extreme hyperopic and emmetropic children.","authors":"Benjamin Stern, Hadas Ben-Eli, Ilana Karshai, Hadas Mechoulam, Ori Saban, Yaacov Cnaany, Gabriel Greifner, Evelyne Cohen, Irene Anteby","doi":"10.1016/j.jaapos.2024.104032","DOIUrl":"10.1016/j.jaapos.2024.104032","url":null,"abstract":"Purpose: To investigate the clinical and biometric features of pediatric eyes with extreme hyperopia and report baseline biometric values.Methods: In this prospective case-control study, the biometric parameters of eyes in children with extreme hyperopia were compared to those of an emmetropic cohort of similar age. Comprehensive eye examinations were conducted for new patients. Anterior OCT (CASIA-2, Tomey) and ocular biometry imaging (IOL Master 700, Zeiss) were performed for all participants.Results: A total of 19 children (mean age, 12.3 ± 2.3 years) with extreme hyperopia (+8.84 ± 0.77) were compared with 17 emmetropic (+0.53 ± 0.43) controls of similar age (mean age, 12.4 ± 2.2 years [P = 0.864]). Extreme hyperopic eyes exhibited significantly shorter axial length, normal spherical equivalent corneal keratometry, higher astigmatism, lower anterior chamber area and volume, and narrower iridotrabecular angle optical coherence tomography (OCT) parameters. Lens thickness and curvature were similar, with a slightly anterior and tilted position.Conclusions: In our study cohort, extreme hyperopia was associated with shorter axial length, reduction in anterior chamber size, with well-formed, regular-sized lens positioned anteriorly, and a narrower iridotrabecular angle.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104032"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631812","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

Augmented-dose surgery based on the single Maddox rod test for acute acquired comitant esotropia. 基于单马多克斯棒试验的增量手术治疗急性获得性合并内斜视。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-12 DOI: 10.1016/j.jaapos.2024.104037

Jianming Zheng, Ying Wang, Tao Shen, Bingbin Ma, Yongguang Yuan, Xinping Yu, Jingchang Chen

{"title":"Augmented-dose surgery based on the single Maddox rod test for acute acquired comitant esotropia.","authors":"Jianming Zheng, Ying Wang, Tao Shen, Bingbin Ma, Yongguang Yuan, Xinping Yu, Jingchang Chen","doi":"10.1016/j.jaapos.2024.104037","DOIUrl":"10.1016/j.jaapos.2024.104037","url":null,"abstract":"Purpose: To compare the outcomes of augmented-dose surgery for acute acquired comitant esotropia (AACE) based on either the single Maddox rod test (SMRT), or the prism and alternate cover test (PACT), in cases where there is a clinically significant difference in the deviation using the two tests.Methods: The medical records of AACE patients who underwent augmented-dose surgery with a difference of ≥5Δ in preoperative deviations on PACT and SMRT were reviewed retrospectively. Augmented-dose surgery was based on the SMRT or PACT. Success was defined as elimination of diplopia and deviations ≤10Δ assessed with the PACT (PACT success) or with the SMRT (SMRT success) at both near and distance.Results: There were 18 patients in the SMRT group and 15 in the PACT group. In the SMRT group, the rate of PACT success was 94%, and SMRT success, 78%; postoperative distance esodeviation on PACT and SMRT were 0.72Δ ± 1.64Δ and 5.94Δ ± 4.73Δ, respectively. In the PACT group, the rate of PACT success was 80%, and SMRT success, 33%; postoperative distance esodeviation was 4.07Δ ± 5.15Δ (PACT) and 13.73Δ ± 7.96Δ (SMRT). The SMRT success rate was significantly higher in the SMRT group than in the PACT group (P = 0.010). The postoperative distance deviation was smaller in the SMRT group (P < 0.05).Conclusions: In our cohort of AACE patients, those whose augmented-dose surgery was based on the SMRT achieved more favorable surgical outcomes than those based on the PACT when there was a difference of ≥5Δ in preoperative deviations assessed with the two methods.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104037"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631829","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

Patient satisfaction with synchronous telehealth care after strabismus surgery. 斜视手术后患者对同步远程医疗服务的满意度。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-14 DOI: 10.1016/j.jaapos.2024.104045

Carolina Zuccolotto Pereira, Jéssica Queiroz Soares, Bárbara Palma Saccon, Júlia Dutra Rossetto, Luisa Moreira Höpker

{"title":"Patient satisfaction with synchronous telehealth care after strabismus surgery.","authors":"Carolina Zuccolotto Pereira, Jéssica Queiroz Soares, Bárbara Palma Saccon, Júlia Dutra Rossetto, Luisa Moreira Höpker","doi":"10.1016/j.jaapos.2024.104045","DOIUrl":"10.1016/j.jaapos.2024.104045","url":null,"abstract":"Background: To measure patient satisfaction with synchronous telehealth care, we administered the Telemedicine Satisfaction Questionnaire (TSQ) to assess the quality of care provided, its similarity to face-to-face meetings, and patients' perception of the interaction.Methods: The Portuguese version of the TSQ was administered during 2022 to patients who received postoperative synchronous telehealth care after strabismus surgery in Curitiba, Brazil, from 2020 to 2022. The interval between the questionnaire application and teleconsultation ranged from 2 to 22 months after the telehealth encounter. All patients received synchronous telehealth care from the same surgeon (LMH) between postoperative days 7 and 10 and attended an in-person consultation on postoperative day 30, 6 months after surgery, and yearly thereafter.Results: We analyzed the data for 53 patients, of whom 26 (49%) were male and 28 (53%) were <18 years of age. Synchronous telehealth care was considered an excellent experience, with an overall average TSQ rating of 4.3 on a scale of 1-5. The mean score for quality of care provided was 4.1; for similarity of care to face-to-face meetings, 4.5; and for patients' perception of the interaction, 4.5.Conclusions: Patient perceptions of the quality of care in the telehealth encounter were positive.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104045"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640191","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

Clinical significance of medial rectus tendon width in unilateral medial rectus resection for patients with previously recessed lateral rectus muscle for exotropia. 在单侧内侧直肌切除术中，内侧直肌肌腱宽度对曾因外侧直肌凹陷而导致外斜的患者的临床意义。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-15 DOI: 10.1016/j.jaapos.2024.104050

Eunseok Kang, Suk-Gyu Ha

引用次数: 0

Exposure to unblended oxygen may require earlier first retinopathy of prematurity screening examination and modification of existing screening guidelines in Sub-Saharan Africa. 在撒哈拉以南非洲地区，接触未混合的氧气可能需要更早地进行首次早产儿视网膜病变筛查检查，并修改现有的筛查指南。

IF 1.2 4区医学

Journal of Aapos Pub Date : 2024-12-01 Epub Date: 2024-11-16 DOI: 10.1016/j.jaapos.2024.104053

Lucy Namakula, Victoria Nakibuuka, Anna L Ells, Mike P Blair, Sarah Kasozi, Yvonne E Vaucher, Sarah H Rodriguez

{"title":"Exposure to unblended oxygen may require earlier first retinopathy of prematurity screening examination and modification of existing screening guidelines in Sub-Saharan Africa.","authors":"Lucy Namakula, Victoria Nakibuuka, Anna L Ells, Mike P Blair, Sarah Kasozi, Yvonne E Vaucher, Sarah H Rodriguez","doi":"10.1016/j.jaapos.2024.104053","DOIUrl":"10.1016/j.jaapos.2024.104053","url":null,"abstract":"The purpose of this case series is to consider whether preterm infants having gestational age (GA) ≥32 weeks and birth weight (BW) ≥1500 g exposed to unblended oxygen should be screened earlier than the current guidelines adopted from Kenya for the third epidemic of retinopathy of prematurity (ROP). Cases of such infants with severe, treatment-requiring ROP at St Francis Hospital Nsambya, Kampala, Uganda, were reviewed for severe ROP requiring treatment prior to 30 days of life. Since 2022, 3 infants required treatment prior to 30 days of life. All infants received unblended oxygen for 5-10 days after birth and were on room air at the time of treatment. GA ranged from 32 to 34 weeks, and all had BW >1500 g. All infants had chronological age of 2 weeks at treatment. Preterm babies who are born at GA ≥32 weeks and exposed to unblended oxygen may be at risk of developing severe, treatment-requiring ROP earlier than the adopted guidelines from other countries have suggested.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104053"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669558","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