{"title":"APAO survey of cataract surgeons' attitudes toward operating room waste.","authors":"David F Chang, Wendy See","doi":"10.1016/j.apjo.2025.100243","DOIUrl":"https://doi.org/10.1016/j.apjo.2025.100243","url":null,"abstract":"<p><strong>Purpose: </strong>To determine Asia Pacific cataract surgeons' attitudes toward surgical waste and toward reusing supplies and pharmaceuticals.</p><p><strong>Design: </strong>Multinational survey of APAO members METHODS: An online survey link was distributed to APAO members through their national ophthalmology societies. Responses were deidentified and compared with those from identical survey questionnaires previously distributed to North American and European cataract surgeons.</p><p><strong>Results: </strong>Of 2095 total respondents, most were concerned about climate change (94%), felt cataract surgical waste was excessive (96%), and felt we should reduce unnecessary waste by safely reusing more surgical supplies and devices (80%). Most identified manufacturers and regulatory agencies as the biggest drivers of single use products,rather than surgeons and patients. Most surgeons wanted more reusable instruments and supplies (92%) and wanted greater discretion from manufacturers (92%) andpolicymakers (90%) to reuse many supplies, drugs, and devices; 89% wanted their medical societies to advocate for reducing the waste and carbon footprint of cataract surgery Far more APAO respondents (59%) were currently reusing single-use instruments compared to North Americans (7%) and Europeans (14%). Many APAO respondents were currently reusing phacoemulsification tubing/cassettes (41%), irrigation solution bottles (50%), and intraocular drug solutions (41-55%); 42% were currently not changing surgical gowns between cases. These percentages were all higher compared to North American and European respondents.</p><p><strong>Conclusions: </strong>These universal and consensus opinions and preferences about willingness to reuse many cataract surgical products should inform and influence pharmaceutical and supply manufacturers, governmental policy makers, and health care institutions, such as hospitals and surgical facilities.</p>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":" ","pages":"100243"},"PeriodicalIF":4.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Timothy Y Y Lai, Keiko Kataoka, Yi-Ting Hsieh, Rajendra S Apte, Muna Bhende, Andrew Chang, Voraporn Chiakitmongkol, Youxin Chen, Li Jia Chen, Gemmy C M Cheung, Jay Chhablani, Kenneth C S Fong, Robyn H Guymer, Fumi Gomi, Suber S Huang, Judy E Kim, Gregg T Kokame, Adrian Koh, Xiaoxin Li, Danny S C Ng, Annabelle A Okada, Nishant V Radke, Srinivas R Sadda, Mariko Sasaki, Sobha Sivaprasad, Mahesh P Shanmugam, Lalit Verma, Tien-Yin Wong, Xinyuan Zhang, Dennis S C Lam
{"title":"Controversies, Consensuses and Guidelines on Etiology, Diagnosis, Treatment, and Future Developments of Neovascular Age-Related Macular Degeneration (nAMD) by the Asia-Pacific Vitreo-retina Society (APVRS), the Asia-Pacific Ocular Imaging Society (APOIS) and the Academy of the Asia-Pacific Professors of Ophthalmology (AAPPO).","authors":"Timothy Y Y Lai, Keiko Kataoka, Yi-Ting Hsieh, Rajendra S Apte, Muna Bhende, Andrew Chang, Voraporn Chiakitmongkol, Youxin Chen, Li Jia Chen, Gemmy C M Cheung, Jay Chhablani, Kenneth C S Fong, Robyn H Guymer, Fumi Gomi, Suber S Huang, Judy E Kim, Gregg T Kokame, Adrian Koh, Xiaoxin Li, Danny S C Ng, Annabelle A Okada, Nishant V Radke, Srinivas R Sadda, Mariko Sasaki, Sobha Sivaprasad, Mahesh P Shanmugam, Lalit Verma, Tien-Yin Wong, Xinyuan Zhang, Dennis S C Lam","doi":"10.1016/j.apjo.2025.100242","DOIUrl":"https://doi.org/10.1016/j.apjo.2025.100242","url":null,"abstract":"<p><p>Neovascular age-related degeneration (nAMD) is one of the leading causes of visual impairment in older populations in the developed world. With the aging population, the incidence of nAMD is growing globally. Despite advancements in diagnostic investigations and treatment modalities over the past three decades, there remains considerable controversies in the pathogenesis, classification and optimal management strategies. An international panel of 35 experts from 13 countries/regions prepared and voted on consensus statements in five key areas: 1) etiology controversies; 2) diagnosis controversies; 3) treatment controversies; 4) future development controversies; and 5) healthcare deliveries controversies. Among the 31 consensus statements, 28 (90.3%) have achieved over 75% agreement. These statements can provide a practical guide for ophthalmologists to provide the optimal care of patients with nAMD and for planning future research priorities in order to address the unmet needs in nAMD.</p>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":" ","pages":"100242"},"PeriodicalIF":4.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of prolonged use of topical glaucoma medications on gonioscopy-assisted transluminal trabeculotomy outcomes in juvenile open-angle glaucoma.","authors":"Zhixuan Wang, Zefeng Yang, Sujv Liu, Jinkun Liu, Chengjie Huang, Xiaoming Zhu, Guangfu Dang, Xiao Yang, Xiaojing Pan, Longfang Zhou, Guangxian Tang, Hengli Zhang, Sujie Fan, Liming Tao, Haijun Li, Aiguo Lv, Heting Liu, Jing Ren, Xiaowei Yan, Xiaoyan Li, Yuting Gao, Yunhe Song, Fengbin Lin, Dilimulati Xiaokaiti, Xiaoyi Liu, Zige Fang, Ling Jin, Yu Chen, Lin Xie, Li Tang, Yuhong Wang, Liuzhi Zeng, Xiulan Zhang","doi":"10.1016/j.apjo.2025.100240","DOIUrl":"https://doi.org/10.1016/j.apjo.2025.100240","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of prolonged use of topical glaucoma medications on the surgical outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) in juvenile open-angle glaucoma (JOAG).</p><p><strong>Patients and methods: </strong>This multicenter retrospective study included 100 eyes of 77 JOAG patients who underwent GATT with at least 12 months of follow-up. Patients were categorized into the short-duration (≤ 1.5 years) and long-duration (> 1.5 years) groups. Intraocular pressure (IOP), glaucoma medications, and complications were recorded at baseline and the final visit. Success was defined as a postoperative IOP ≤ 21 mmHg (criterion A), ≤ 18 mmHg (criterion B), or ≤ 15 mmHg (criterion C). Complete and qualified successes were defined as meeting these criteria without and with medications, respectively.</p><p><strong>Results: </strong>The mean age of the participants was 23.2 ± 8.6 years with a mean follow-up of 14.2 ± 4.1 months. Qualified and complete success rates for the short-duration and long-duration groups were 98.0 % and 92.0 % (P = 0.369), 80.0 % and 66.0 % (P = 0.322) for criterion A; 92.0 %, and 68.0 % (P = 0.006), 78.0 % and 50.0 % (P = 0.021) for criterion B; 66.0 % and 40.0 % (P = 0.013), 58.0 % and 30.0 % (P = 0.015) for criterion C. The short-duration group had a significantly lower final IOP than the long-duration group (P = 0.011). No significant differences were observed in final medication and complications.</p><p><strong>Conclusions: </strong>Prolonged use of topical glaucoma medications may reduce the efficacy of GATT in achieving lower IOP in JOAG. Early surgical intervention may contribute to better postoperative outcomes.</p>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":" ","pages":"100240"},"PeriodicalIF":4.5,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone Pirodda , Antonio Martinez-Abad , Jorge L. Alio del Barrio , Ana Belen Plaza-Puche , Pilar Yebana , Giuseppe Giannaccare , Jorge L. Alio
{"title":"A new accommodative sulcus-based intraocular lens, two years follow-up clinical observations and complications","authors":"Simone Pirodda , Antonio Martinez-Abad , Jorge L. Alio del Barrio , Ana Belen Plaza-Puche , Pilar Yebana , Giuseppe Giannaccare , Jorge L. Alio","doi":"10.1016/j.apjo.2025.100230","DOIUrl":"10.1016/j.apjo.2025.100230","url":null,"abstract":"<div><h3>Purpose</h3><div>To report the clinical outcome, observations and complications related to the sulcus implantations of a new accommodative intraocular lens, the Lumina (AkkoLens Clinical b.v., Breda, The Netherlands) along the twenty-four-month period.</div></div><div><h3>Methods</h3><div>This prospective, observational multicenter study included 103 eyes from 66 patients who underwent implantation of the Lumina accommodative intraocular lens (IOL) at two specialized centers, each employing a distinct sulcus-based implantation model. At Resbiomed-Vissum Eye Clinic (Sofia, Bulgaria), 54 eyes were treated using the Initial Model, in which the main corneal incision was aligned with the patient’s positive corneal meridian. In contrast, at Vissum Instituto Oftalmológico (Alicante, Spain), 49 eyes were treated with the Optimized Model, characterized by a standardized horizontal access tunnel (0–180°), regardless of corneal topography. Patients were evaluated at predefined postoperative intervals (1 day; 1, 3, 6, 12, and 24 months). Visual and refractive parameters—including UDVA, CDVA, UNVA, BCNVA, and CDNVA—along with postoperative observations and complications, were systematically documented. Due to statistically significant differences observed in several baseline and postoperative parameters, the two cohorts were analyzed separately.</div></div><div><h3>Results</h3><div>On postoperative day one, non-severe clinical biomicroscopic findings were observed in 21,35 % of eyes, including mild corneal edema (8.74 %), transient ocular hypertension (5.83 %), pigment dispersion (1.94 %), and moderate IOL tilting (1.94 %).</div><div>At the first postoperative month, the rate of clinical observations related to the surgery was 8.73 %, with additional findings including moderate IOL decentration and one case of macular edema. From month three onward, abnormal findings such as remained below 1 % due to one case of ocular hypertension. From 12–24 months, the abnormal findings were observed at 2.91 %, such as pigment deposits (1.94 %), IOL decentration (0.97 %), and delayed ocular hypertension (0.97 %). Despite these events, both cohorts with two sulcus-based models achieved excellent final outcomes. Among patients who experienced complications from the first postoperative month onward, visual acuity at 24 months remained highly favorable. In the Sofia group (Center 1): UDVA 0.08 ± 0.05, CDVA − 0.02 ± 0.02, UNVA 0.4 ± 0.15, BCNVA 0.10 ± 0.04, and CDNVA 0.20 ± 0.03 logMAR. In the Alicante group (Center 2): UDVA was 0.04 ± 0.11 logMAR, CDVA − 0.05 ± 0.04, UNVA 0.38 ± 0.18, BCNVA 0.03 ± 0.05, and CDNVA 0.34 ± 0.11.</div></div><div><h3>Conclusion</h3><div>The Lumina IOL exhibited a favorable long-term safety profile, with no major sight-threatening adverse events. Early postoperative observations were transient and clinically insignificant, while late complications—though likely lens-related—did not compromise visual quality. These findings support the anato","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 4","pages":"Article 100230"},"PeriodicalIF":4.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A collaboration between East and West","authors":"Jost B. Jonas, Hiu Ying Enne Leung","doi":"10.1016/j.apjo.2025.100231","DOIUrl":"10.1016/j.apjo.2025.100231","url":null,"abstract":"","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 4","pages":"Article 100231"},"PeriodicalIF":4.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kenny H.W. Lai , Xiao Ying Wang , Kelvin H. Wan , Allon Barsam , Scott D. Barnes , Alison L.S. Chiu , Arthur B. Cummings , Alaa M. Eldanasoury , Guofu Huang , Kazutaka Kamiya , Barbara Leyssens , Shi-Ming Li , Mark Packer , Julian Stevens , Tae Keun Yoo , Lynn Yeo , Xingkai Zhan , Dennis S.C. Lam , Xingtao Zhou
{"title":"Controversies, consensuses and guidelines on posterior chamber phakic intraocular lens for the correction of myopia and myopic astigmatism in healthy phakic eyes by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) and the Asia-Pacific Myopia Society (APMS)","authors":"Kenny H.W. Lai , Xiao Ying Wang , Kelvin H. Wan , Allon Barsam , Scott D. Barnes , Alison L.S. Chiu , Arthur B. Cummings , Alaa M. Eldanasoury , Guofu Huang , Kazutaka Kamiya , Barbara Leyssens , Shi-Ming Li , Mark Packer , Julian Stevens , Tae Keun Yoo , Lynn Yeo , Xingkai Zhan , Dennis S.C. Lam , Xingtao Zhou","doi":"10.1016/j.apjo.2025.100222","DOIUrl":"10.1016/j.apjo.2025.100222","url":null,"abstract":"<div><div>Phakic Intraocular Lens (pIOL) has been studied for correction of high myopia and myopic astigmatism long before the advent of laser refractive surgery. It offers excellent visual and refractive outcomes, but the inherited risk of intraocular surgery cannot be overlooked. The posterior chamber pIOL (PC-pIOL), designed to be placed in the ciliary sulcus, may offer additional advantages compared to its anterior chamber counterparts. Given the complexity of sulcus anatomy and individual variations, controversies exist regarding perioperative management, implant selection, and operative techniques, necessitating standardisation. Given the emergence of novel approaches and long-term clinical data, a panel comprising 19 international experts from 9 countries/territories was formed by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) and the Asia-Pacific Myopia Society (APMS). The panel critically reviewed the subject and synthesised 58 consensus statements that aim to provide evidence-based, real-world practice recommendations for optimal outcomes in PC-pIOL surgery.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 4","pages":"Article 100222"},"PeriodicalIF":4.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Burkhard Dick , Ronald D. Gerste , Suphi Taneri
{"title":"Femtosecond laser-assisted cataract surgery","authors":"H. Burkhard Dick , Ronald D. Gerste , Suphi Taneri","doi":"10.1016/j.apjo.2025.100228","DOIUrl":"10.1016/j.apjo.2025.100228","url":null,"abstract":"<div><div>Femtosecond laser-assisted cataract surgery (FLACS) is a well-established procedure that consistently delivers excellent visual and refractive outcomes. It is associated with a low complication rate and has relatively few contraindications. Among its many advantages, the exceptionally precise capsulotomy is particularly beneficial for the implantation of centration-sensitive intraocular lenses (IOLs). FLACS has demonstrated clinical value even in patients with ocular comorbidities. Numerous studies have compared FLACS with conventional phacoemulsification cataract surgery (CPCS), a widely accepted and highly effective procedure that remains the current golden standard. While FLACS offers distinct technological advantages, it continues to evolve and has not yet reached its full potential, largely due to economic challenges.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 4","pages":"Article 100228"},"PeriodicalIF":4.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yi Li, Xiu Juan Zhang, Yuzhou Zhang, Ka Wai Kam, Alvin L Young, Patrick Ip, Wei Zhang, Li Jia Chen, Clement C Tham, Jost B Jonas, Kyoko Ohno-Matsui, Chi Pui Pang, Jason C Yam
{"title":"Longitudinal evaluation of Bruch's membrane opening-minimum rim width in Chinese children: The Hong Kong Children Eye Study.","authors":"Yi Li, Xiu Juan Zhang, Yuzhou Zhang, Ka Wai Kam, Alvin L Young, Patrick Ip, Wei Zhang, Li Jia Chen, Clement C Tham, Jost B Jonas, Kyoko Ohno-Matsui, Chi Pui Pang, Jason C Yam","doi":"10.1016/j.apjo.2025.100219","DOIUrl":"10.1016/j.apjo.2025.100219","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate longitudinal changes in Bruch's membrane opening-minimum rim width (BMO-MRW) and its associated factors in school children aged 6-8 years, over 3 years, based on the Hong Kong Children Eye Study.</p><p><strong>Methods: </strong>In this longitudinal study, 740 children received comprehensive ophthalmologic examinations at baseline and at 3-year follow-up visits. Based on their refractive status, they were divided into groups of persistent non-myopia, newly-developed myopia, and persistent myopia. Global and sectoral BMO-MRW, retinal nerve fiber layer (RNFL) thickness, BMO area, and disc area were all measured using spectral-domain optical coherence tomography (SD-OCT).</p><p><strong>Results: </strong>The mean age of the participants at baseline was 7.71 ± 1.01 years (range 6-8 years), and 352 (47.7 %) were males. The 3-year follow-up visit revealed a significant increase in all sectors of BMO-MRW, average global BMO-MRW changed from 339.3 ± 51.7 µm to 361.3 ± 57.8 µm. Children in the persistent myopia group and newly developed myopia group showed significantly faster rates of BMO-MRW growth in all sectors compared to children of the persistent non-myopia group (all P < 0.001). In multivariable linear regression analysis, global BMO-MRW enlargement increased with larger axial length elongation (β = 0.20, P < 0.001), larger BMO area enlargement (β = 0.21, P < 0.001), and RNFL thickness thickening (β = 0.45, P < 0.001). It decreased with larger baseline BMO-MRW (β = - 0.17, P < 0.001) and larger disc area enlargement (β = - 0.29, P < 0.001).</p><p><strong>Conclusions: </strong>Global and sectoral BMO-MRW increased over 3 years among school children aged 6-8 years, affected by larger axial elongation, larger BMO area enlargement, more marked RNFL thickening, and decrease in optic disc area.</p>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":" ","pages":"100219"},"PeriodicalIF":3.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ebenezer Zaabaar, Yuzhou Zhang, Ka Wai Kam, Yingan Li, Xiu Juan Zhang, Mary Ho, Dong Liu, Mandy Ph Ng, Patrick Ip, Alvin Young, Chi Pui Pang, Clement C Tham, Mei-Po Kwan, Li Jia Chen, Jason C Yam
{"title":"Association of residential air pollution with visual impairment in adults: The UK Biobank study.","authors":"Ebenezer Zaabaar, Yuzhou Zhang, Ka Wai Kam, Yingan Li, Xiu Juan Zhang, Mary Ho, Dong Liu, Mandy Ph Ng, Patrick Ip, Alvin Young, Chi Pui Pang, Clement C Tham, Mei-Po Kwan, Li Jia Chen, Jason C Yam","doi":"10.1016/j.apjo.2025.100209","DOIUrl":"10.1016/j.apjo.2025.100209","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association of joint exposure to residential air pollutants with different severities of visual impairment (VI) in adults.</p><p><strong>Methods: </strong>Exposure to particulate matter and oxides of nitrogen were evaluated in 95,246 adults aged 40-70 years. Joint exposure to the pollutants was calculated using principal component analysis to create an air pollution score. Subjects were categorized by distance visual acuity into bilateral normal vision, near normal vision, unilateral VI, socially significant VI, and blindness and low vision.</p><p><strong>Results: </strong>A unit rise in air pollution score was associated with 9.2 %, 4.1 %, and 1.8 % increased risks of blindness and low vision, adjusted OR (AOR) = 1.092 (95 % CI, 1.057-1.129); socially significant VI, AOR = 1.041 (95 % CI, 1.016-1.066); and unilateral VI, AOR = 1.018 (95 % CI, 1.007-1.029), respectively. Compared to subjects in the lowest quartile of air pollution score, those in the highest quartile had 69.2 %, 30.5 %, and 9.9 % greater risks of blindness and low vision, AOR = 1.692 (95 % CI, 1.355-2.114), socially significant VI, AOR = 1.305 (95 % CI, 1.127-1.513), and unilateral VI, AOR = 1.099 (95 % CI, 1.035-1.167), respectively while those in the third quartile had 40.5 % and 25.6 % higher risks of blindness and low vision, AOR = 1.405 (95 % CI, 1.121-1.760) and socially significant VI, AOR = 1.256 (95 % CI, 1.086-1.453), respectively. There was a significant trend of increasing risk of blindness and low vision, as well as socially significant VI, as pollution levels rose.</p><p><strong>Conclusion: </strong>Joint exposure to air pollutants increased the risks of poor vision and blindness, suggesting that reducing such exposure could alleviate the disease burden of VI.</p>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":" ","pages":"100209"},"PeriodicalIF":3.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saiko Matsumura, Eva K Fenwick, Momoko Kawakami, Seiji Takagi, Ecosse L Lamoureux, Yuichi Hori
{"title":"Psychometric evaluation of the Japanese version of the Impact of Vision Impairment (IVI) questionnaire using Rasch analysis.","authors":"Saiko Matsumura, Eva K Fenwick, Momoko Kawakami, Seiji Takagi, Ecosse L Lamoureux, Yuichi Hori","doi":"10.1016/j.apjo.2025.100204","DOIUrl":"10.1016/j.apjo.2025.100204","url":null,"abstract":"","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":" ","pages":"100204"},"PeriodicalIF":3.7,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}