Robert F Hess, B Thompson, J M Black, G Machara, P Zhang, W R Bobier, J Cooperstock
{"title":"An iPod treatment of amblyopia: an updated binocular approach.","authors":"Robert F Hess, B Thompson, J M Black, G Machara, P Zhang, W R Bobier, J Cooperstock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe the successful translation of computerized and space-consuming laboratory equipment for the treatment of suppression to a small handheld iPod device (Apple iPod; Apple Inc., Cupertino, California). A portable and easily obtainable Apple iPod display, using current video technology offers an ideal solution for the clinical treatment of suppression. The following is a description of the iPod device and illustrates how a video game has been adapted to provide the appropriate stimulation to implement our recent antisuppression treatment protocol. One to 2 hours per day of video game playing under controlled conditions for 1 to 3 weeks can improve acuity and restore binocular function, including stereopsis in adults, well beyond the age at which traditional patching is used. This handheld platform provides a convenient and effective platform for implementing the newly proposed binocular treatment of amblyopia in the clinic, home, or elsewhere.</p>","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 2","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"2012-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31115883","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":"Central toxic keratopathy: a case study and literature review.","authors":"Linda A Morgan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Central toxic keratopathy (CTK) is a rare, non-inflammatory corneal opacity that can occur after corneal laser refractive surgery. It is characterized by the absence of inflammatory cells within the cornea or anterior chamber, central stromal necrosis, and corneal opacification, with an onset of 3 to 9 days after refractive surgery;</p><p><strong>Case study: </strong>This case report reviews the clinical findings, differential diagnosis, possible etiologies, and management of CTK;</p><p><strong>Conclusion: </strong>Though listed in the literature under numerous names, including diffuse lamellar keratitis (DLK) Stage IV, central lamellar keratitis (CLK), central flap necrosis (CFN), flap necrosis syndrome (FNS), and keratocyte-induced corneal microedema (KME), the conditions share characteristics with CTK, including clinical findings and treatment modalities. Treatment for CTK is controversial, though studies show best practices include close monitoring for possible corneal melt, avoiding topical corticosteroids, and possible enhancements for resultant hyperopia.</p>","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 2","pages":"74-9"},"PeriodicalIF":0.0,"publicationDate":"2012-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31115881","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":"Chiari I malformation presenting as downbeat nystagmus: clinical presentation, diagnosis, and management.","authors":"Denise Goodwin, Ami R Halvorson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Chiari I malformation is a congenital, neurological condition that is characterized by defects of the skull base resulting in herniation of the cerebellum through the foramen magnum into the cervical spinal canal. Because the condition can result in visual symptoms, patients will often search for answers from their eye care providers;</p><p><strong>Case report: </strong>A 28-year-old Hispanic diabetic male with a 10-year history of nystagmus was referred to the neuro-ophthalmic disease clinic following the initiation of oscillopsia 1 year previous. Downbeat nystagmus, which worsened in right and down gaze, was evident. Cranial nerve testing was unremarkable, but the patient did report trouble with choking on food and drink. Neuroimaging revealed Chiari I malformation. The patient underwent a suboccipital craniectomy which resulted in lessened nystagmus and improved symptoms;</p><p><strong>Discussion: </strong>The majority of patients with Chiari I malformation have an onset of symptoms in the second or third decade of life. Most commonly, a suboccipital headache that worsens with Valsalva maneuver is present. Visual symptoms include retro-orbital pain, flashing lights or floaters, blurred vision, photophobia, diplopia, transient vision loss, and peripheral vision loss. Objective evidence is often lacking in these patients; however, horizontal or vertical nystagmus is present in up to 45% of those with Chiari I malformation. Surgery has proven to be an effective and safe method to treat symptomatic Chiari I malformation.</p>","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 2","pages":"80-6"},"PeriodicalIF":0.0,"publicationDate":"2012-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31115882","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":"1971 - 2011: Forty year history of scope expansion into medical eye care.","authors":"Sherry L Cooper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The focus of this paper is to provide a historical timeline for many of the well over 180 incremental scope of practice expansion and amplification legislative successes achieved in the United States (U.S.) during the 40-year period 1971 - 2011 that cumulatively expanded optometry into medical eye care. This paper also serves to update the historical timeline of scope of practice amplification legislation enacted after the year 1999, which was so comprehensively described up to that point by Dr. Melvin D. Wolfberg.</p>","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 2","pages":"64-73"},"PeriodicalIF":0.0,"publicationDate":"2012-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31116504","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":"Ninety is the new...ninety!","authors":"Paul B Freeman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 2","pages":"61-2"},"PeriodicalIF":0.0,"publicationDate":"2012-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31116503","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}
OptometryPub Date : 2012-01-01DOI: 10.1016/j.optm.2011.06.012
Walter J. Psoter D.D.S., Ph.D. , David L. Glotzer D.D.S. , Kera Fay Weiserbs Ph.D. , Linda S. Baek , Rajiv Karloopia D.D.S.
{"title":"A survey of optometry leadership: Participation in disaster response","authors":"Walter J. Psoter D.D.S., Ph.D. , David L. Glotzer D.D.S. , Kera Fay Weiserbs Ph.D. , Linda S. Baek , Rajiv Karloopia D.D.S.","doi":"10.1016/j.optm.2011.06.012","DOIUrl":"10.1016/j.optm.2011.06.012","url":null,"abstract":"<div><h3>Background</h3><p>A study was completed to assess the academic and state-level professional optometry leadership views regarding optometry professionals as surge responders in the event of a catastrophic event.</p></div><div><h3>Methods</h3><p>A cross-sectional survey was conducted using a 21-question, self-administered, structured questionnaire. All U.S. optometry school deans and state optometric association presidents were mailed a questionnaire and instructions to return it by mail on completion; 2 repeated mailings were made. Descriptive statistics were produced and differences between deans and association presidents were tested by Fisher exact test.</p></div><div><h3>Results</h3><p>The questionnaire response rate was 50% (25 returned/50 sent) for the state association presidents and 65% (11/17) for the deans. There were no statistically significant differences between the leadership groups for any survey questions. All agreed that optometrists have the skills, are ethically obligated to help, and that optometrists should receive additional training for participation in disaster response. There was general agreement that optometrists should provide first-aid, obtain medical histories, triage, maintain infection control, manage a point of distribution, prescribe medications, and counsel the “worried well.” Starting intravenous lines, interpreting radiographs, and suturing were less favorably supported. There was some response variability between the 2 leadership groups regarding potential sources for training.</p></div><div><h3>Conclusions</h3><p>The overall opinion of optometry professional leadership is that with additional training, optometrists can and should provide an important reserve pool of catastrophic event responders.</p></div>","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 1","pages":"Pages 27-32"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.optm.2011.06.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30238144","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}
OptometryPub Date : 2012-01-01DOI: 10.1016/j.optm.2011.05.009
Eric S. Hussey O.D.
{"title":"Remote treatment of intermittent central suppression improves quality-of-life measures","authors":"Eric S. Hussey O.D.","doi":"10.1016/j.optm.2011.05.009","DOIUrl":"10.1016/j.optm.2011.05.009","url":null,"abstract":"<div><h3>Background</h3><p>Intermittent central suppression (ICS) is a repetitive intermittent (“on-and-off”) loss of central visual sensation without strabismus or amblyopia. These repetitive seconds-long suppressions have been suggested to create visual confusion and instability that would cause vision symptoms, contribute to reading complaints, and even impair reading.</p></div><div><h3>Methods</h3><p>Teacher-identified Job Corps students were diagnosed with ICS and then treated with 5-Hz electronic liquid crystal shutter alternate occlusion.</p></div><div><h3>Results</h3><p>Twenty-six young adult students (19.7 ± 1.6 y) had their ICS treated over 5.9 ± 3.7 months. Suppression periods decreased in length (<em>P</em> < 0.0001) and “binocular” nonsuppressed periods increased in length (<em>P</em><span> < 0.0001). Overall, College of Optometrists in Vision Development (COVD) quality-of-life (QOL) scores improved (</span><em>P</em> < 0.0001), 16 reading behavior COVD QOL questions improved (<em>P</em> < 0.0001), and individual QOL questions improved. Posttherapy reading scores (N = 18) improved 3.7 (± 2.6) years (<em>P</em> < 0.0001).</p></div><div><h3>Conclusions</h3><p>Treating ICS with electronic alternate occlusion reduced suppression periods, increased binocular periods, and improved symptoms as measured in the COVD QOL questionnaire. Positive changes also occurred in reading scores. These data suggest ICS should be considered a probable cause for symptoms of reading problems.</p></div>","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 1","pages":"Pages 19-26"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.optm.2011.05.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30312674","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}
OptometryPub Date : 2012-01-01DOI: 10.1016/j.optm.2011.10.002
Virginia A. Jacko, Alan P. Levitt O.D., Steven E. Marcus Ed.D., Alfred A. Rosenbloom O.D., D.O.S.
{"title":"The Florida Heiken Children's Vision Program","authors":"Virginia A. Jacko, Alan P. Levitt O.D., Steven E. Marcus Ed.D., Alfred A. Rosenbloom O.D., D.O.S.","doi":"10.1016/j.optm.2011.10.002","DOIUrl":"10.1016/j.optm.2011.10.002","url":null,"abstract":"","PeriodicalId":51265,"journal":{"name":"Optometry","volume":"83 1","pages":"Pages 43-46"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.optm.2011.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30409134","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}