{"title":"Incomplete blinking and idiopathic nocturnal lagophthalmos, the overlooked dry eye components","authors":"Steven J Sindt, O.D","doi":"10.1016/S0953-4431(99)00007-7","DOIUrl":"10.1016/S0953-4431(99)00007-7","url":null,"abstract":"<div><p>Dry eye is a common condition in primary eye care presenting with many factors both endogenous and exogenous. Two such factors that are often subtle in presentation and easily overlooked are incomplete blinking and idiopathic nocturnal lagophthalmos. Whether they cause or exacerbate a dry eye through excessive exposure, it is important for all primary eye-care providers to be aware of these factors and include them in the differential diagnosis for each dry eye or exposure patient. Knowledge of their presence allows for a more complete treatment plan and better patient education. Presented here are two cases which demonstrated dry eye complications. One experienced contact lens intolerance due to incomplete blinking, the other was symptomatic from idiopathic nocturnal lagophthalmos.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 1","pages":"Pages 25-31"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00007-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469068","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":"Ocular inflammatory disease: pharmacologic update","authors":"Siret D Jaanus, Ph.D","doi":"10.1016/S0953-4431(99)00003-X","DOIUrl":"10.1016/S0953-4431(99)00003-X","url":null,"abstract":"<div><p><span>Allergic eye disease is a common clinical occurrence in patients, particularly those with atopy<span>. The conjunctiva and lids are most frequently involved and symptoms can run from minor irritation to serious debilitating conditions. Several classes of pharmacologic agents are available for appropriate treatment regimens based on the patients signs and symptoms. Specific drug therapy can include the topical and systemic </span></span>antihistamines<span>, mast cell stabilizers and corticosterodis. This review focuses on the first and second generation oral antihistamines; topical ocular antihistamine/decongestants and single entity antihistamines and the newer site-specific corticosteroids.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 1","pages":"Pages 3-12"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00003-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468944","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":"Vernal vs. atopic keratoconjunctivitis","authors":"Nancy N Wong O.D., M.S","doi":"10.1016/S0953-4431(99)00004-1","DOIUrl":"https://doi.org/10.1016/S0953-4431(99)00004-1","url":null,"abstract":"<div><p>Vernal and atopic keratoconjunctivitis are ocular conditions resulting from allergies. Type I and IV hypersensitivities have been demonstrated to play a role in the allergic response. Both disease processes manifest with classical symptoms of ocular allergy. However, the demographical and clinical eye findings differ between vernal and atopic keratoconjunctivitis. This clinical review examines the characteristics and features of both conditions. Moreover, the current treatment strategies will be discussed.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 1","pages":"Pages 13-16"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00004-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91614607","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":"Visual vertigo syndrome: clinical demonstration and diagnostic tool","authors":"Kenneth J Ciuffreda, O.D., Ph.D.","doi":"10.1016/S0953-4431(99)00010-7","DOIUrl":"10.1016/S0953-4431(99)00010-7","url":null,"abstract":"<div><p><span>Visual vertigo syndrome is a new clinical condition in which certain individuals are highly susceptible to large-field motion stimulation, thereby resulting in marked vertigo. Such a case is described in which the necessary conditions could be simulated, and the diagnosis made, using only a standard </span>optokinetic drum in the clinic environment.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"11 1","pages":"Pages 41-42"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(99)00010-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56469207","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":"Progressive cone–rod dystrophy","authors":"Elana M Scheiner, O.D","doi":"10.1016/S0953-4431(98)00020-4","DOIUrl":"10.1016/S0953-4431(98)00020-4","url":null,"abstract":"<div><p><span>Inherited macular dystrophies<span> present with varying clinical signs. They possess significant overlap with other inherited retinal dystrophies and with several acquired </span></span>retinal degenerations<span>. A classification system for diagnostic purposes is crucial. This paper includes a case report of an extremely unusual presentation of a cone–rod dystrophy. Its challenge lies in the difficulty to differentiate it from not only inherited dystrophies of the photoreceptors and retinal pigment epithelium, but also from acquired degenerations of the macula and retina. This paper reviews the differential diagnoses and management considerations of cone–rod dystrophy.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 4","pages":"Pages 173-179"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00020-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468320","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":"Pseudotumor cerebri during pregnancy","authors":"Rita Ellent, O.D","doi":"10.1016/S0953-4431(98)00022-8","DOIUrl":"10.1016/S0953-4431(98)00022-8","url":null,"abstract":"<div><p><span>Pseudotumor cerebri (PTC) is characterized by </span>increased intracranial pressure<span> and papilledema in the absence of other neurologic localizing signs. Headaches and other visual disturbances may also exist. PTC or benign intracranial hypertension has been estimated to have an incidence of approximately 1 in 1000 pregnancies [Katz VL, Peterson R, Cefalo RC. Am J Perinatol 1989;6:442–445]. The following case report presents a patient with PTC during pregnancy. The clinical features of the disease, management strategies and differential diagnoses will be discussed.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 4","pages":"Pages 189-194"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00022-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468636","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":"Bilateral corneal ring-opacity observed in long-term contact lens wearer","authors":"James E Winnick, O.D","doi":"10.1016/S0953-4431(98)00019-8","DOIUrl":"10.1016/S0953-4431(98)00019-8","url":null,"abstract":"<div><p>This case presentation describes the appearance of unexplained bilateral stromal ring-shaped opacities in a 73-year-old female. A world-wide literature search has revealed only seven other reported cases of similar stromal ring-opacities. At this time, the etiology and composition of the rings remains unclear. However, due to the location, symmetry, bilaterality and non-inflammatory nature of the rings, they may represent a rare form of corneal dystrophy.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 4","pages":"Pages 165-172"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00019-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468287","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}
Kenneth J Ciuffreda, Mark Rosenfield, Margaret A Gillard
{"title":"Near-vision lens effects on nearwork-induced transient myopia","authors":"Kenneth J Ciuffreda, Mark Rosenfield, Margaret A Gillard","doi":"10.1016/S0953-4431(98)00024-1","DOIUrl":"10.1016/S0953-4431(98)00024-1","url":null,"abstract":"<div><p>Nearwork-induced transient myopia (NITM), a lenticular-based pseudomyopia, is commonly found in myopic teenagers and young adults. It has been speculated that its presence may be a factor in nearwork-related symptoms and in the development of permanent myopia. Thus, the differential effect of various powered near-vision lenses on NITM was investigated. Nine young adults monocularly-viewed a near target (25 cm) for 20 min through either a +4, +2, or 0 diopter (D) near lens, or a 0.5-mm pinhole, over their habitual distance prescription. Monocular distance refraction was objectively assessed immediately before and after the near task. Decreasing the accommodative stimulus reduced the blur-driven adaptive aftereffect. Only with the 0 D accommodative stimulus condition was NITM not produced. These results suggest that the full blur-driven monocular stimulus to accommodation must be negated to prevent the occurrence of NITM. With the pinhole providing blur-free viewing conditions, a substantial proximal accommodative adaptive component was present.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 4","pages":"Pages 205-207"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00024-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468827","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":"Orbital tumors in children","authors":"Sasha Penn, O.D, Mark T Dunbar, O.D., F.A.A.O","doi":"10.1016/S0953-4431(98)00023-X","DOIUrl":"10.1016/S0953-4431(98)00023-X","url":null,"abstract":"<div><p>Unilateral proptosis in a young child can often be the presenting sign of an orbital mass. Appropriate management of these lesions requires a thorough knowledge of the types of orbital tumors which may present in the pediatric age group, as well as knowing the most appropriate work-up necessary to obtain an accurate diagnosis. This paper will describe a case of a 13-year-old African-American female who presented with uniocular proptosis, blackouts of her vision, dull aching pains in certain positions of gaze, resistance to retropulsion, and mild disc edema. An orbital mass was confirmed following a work-up which included an ultrasound of the orbit and a CT scan. The differential diagnoses included an orbital hemangioma or schwannoma. A diagnosis of a schwannoma involving the orbit was made following surgical removal of the lesion. A review of common orbital tumors seen in children will be presented in addition to the appropriate work-up and management of these lesions.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 4","pages":"Pages 195-204"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00023-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468681","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":"Vitreomacular traction syndrome: two case reports","authors":"Christine M True, O.D","doi":"10.1016/S0953-4431(98)00021-6","DOIUrl":"10.1016/S0953-4431(98)00021-6","url":null,"abstract":"<div><p><span>Vitreomacular traction syndrome is an idiopathic condition in which an incomplete posterior vitreous detachment with residual attachment and traction at the macula causes visual deficits. Routine examination of one patient and a follow-up examination of a glaucoma suspect revealed decreased </span>visual acuity associated with vitreomacular traction syndrome in both patients. The two cases are discussed and a literature review of vitreomacular traction syndrome is presented.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 4","pages":"Pages 181-187"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(98)00021-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56468624","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}