Miopía
by Sandra Carmona, Verónica Hernández y Yazmín Olivares.
|
|
Scooped by
AEOPTOMETRISTAS
onto GEA-Grupo de Estudios AEOPTOMETRISTAS October 23, 2012 3:32 PM
|
Miopía
by Sandra Carmona, Verónica Hernández y Yazmín Olivares.
Your new post is loading...
Your new post is loading...
Los objetivos generales del Grupo son:
Presented, in part, at the Association for Research in Vision and Ophthalmology annual meeting, May 4, 2015, Denver, Colorado.
Joshua R. Ehrlich, Rebecca Anthopolos, Joshua Tootoo, Chris A. Andrews, Marie Lynn Miranda, Paul P. Lee, David C. Musch, Joshua D. Stein, Purpose To determine how strabismus diagnosis varies within a given community and across communities among children with Medicaid health insurance. DesignRetrospective cohort analysis. ParticipantsChildren aged ≤10 years enrolled in Medicaid in Michigan or North Carolina during 2009.
AEOPTOMETRISTAS's insight:
..la probabilidad de ser diagnosticado con el #estrabismo de un #niño se asocia con características de la comunidad residencial donde él o ella reside
Concillado, M., Lund-Andersen, H., Mathiesen, E. R., & Larsen, M. (2016). Dexamethasone Intravitreal Implant for Diabetic Macular Edema During Pregnancy. American journal of ophthalmology, 165, 7-15. Purpose: To describe the management of diabetic macular edema during pregnancy with the use of a dexamethasone slow-release intravitreal implant. Design: Retrospective, observational, consecutive case series.
AEOPTOMETRISTAS's insight:
El edema macular diabético #EMD que afecta al centro de la #fóvea, que presentó durante el #embarazo, respondió rápidamente a la terapia con #dexametasona intravítrea mediante la reducción del espesor de la fóvea y la mejoría de la #AV
Ciuffreda, K. J., & Rosenfield, M. (2015). Evaluation of the SVOne: a handheld, smartphone-based autorefractor. Optometry and Vision Science, 92(12), 1133. Purpose: The SVOne is a portable Hartmann-Shack wavefront aberrometer that can be attached to a smartphone to determine the refractive error of the eye objectively. The aim of the present study was to compare the findings of the SVOne with retinoscopy, subjective refraction, and two commercially available autorefractors (Topcon KR-1W and Righton Retinomax-3). Conclusions: The results indicate that the SVOne handheld aberrometer provides measurements of refractive error in normal, young individuals that are not significantly different from other subjective and objective procedures. This instrument is valuable for vision screenings, as well as examinations taking place outside the clinical office. It may also serve as an adjunct in the standard optometric examination.
AEOPTOMETRISTAS's insight:
#SVOne es un sensor portátil de frente de onda que se puede conectar a un teléfono inteligente para determinar el error de refracción del #ojo de forma objetiva. Los resultados indican que proporciona mediciones de refracción que no son significativamente diferentes de otros procedimientos subjetivos y objetivos. #autorefractómetro
Dick, A. D., Tundia, N., Sorg, R., Zhao, C., Chao, J., Joshi, A., & Skup, M. (2015). Risk of Ocular Complications in Patients with Noninfectious Intermediate Uveitis, Posterior Uveitis, or Panuveitis. Ophthalmology. Purpose Noninfectious uveitis results in vision loss and ocular complications without adequate treatment. We compared the risk of developing ocular complications between patients with noninfectious intermediate uveitis, posterior uveitis, or panuveitis (NIIPPU) and matched controls.
AEOPTOMETRISTAS's insight:
Las #uveítis no infecciosa intermedia, posterior, o panuveítis se asocian con un riesgo importante de complicaciones oculares. Iniciativas de tratamiento óptimos siguen siendo imprescindibles para reducir la carga relacionada complicación ocular de uveítis.
Gil-Cazorla, R., Shah, S., & Naroo, S. A. (2015). A review of the surgical options for the correction of presbyopia. British Journal of Ophthalmology, bjophthalmol-2015. Abstract Presbyopia is an age-related eye condition where one of the signs is the reduction in the amplitude of accommodation, resulting in the loss of ability to change the eye's focus from far to near. It is the most common age-related ailments affecting everyone around their mid-40s. Methods for the correction of presbyopia include contact lens and spectacle options but the surgical correction of presbyopia still remains a significant challenge for refractive surgeons. Surgical strategies for dealing with presbyopia may be extraocular (corneal or scleral) or intraocular (removal and replacement of the crystalline lens or some type of treatment on the crystalline lens itself). There are however a number of limitations and considerations that have limited the widespread acceptance of surgical correction of presbyopia. Each surgical strategy presents its own unique set of advantages and disadvantages. For example, lens removal and replacement with an intraocular lens may not be preferable in a young patient with presbyopia without a refractive error. Similarly treatment on the crystalline lens may not be a suitable choice for a patient with early signs of cataract. This article is a review of the options available and those that are in development stages and are likely to be available in the near future for the surgical correction of presbyopia.
AEOPTOMETRISTAS's insight:
Este artículo es una revisión de las opciones disponibles y las que se encuentran en etapas de desarrollo y es probable que estén disponibles en un futuro próximo para la corrección quirúrgica de la #presbicia.
Breukink, M. B., Mohr, J. K., Ossewaarde‐van Norel, A., Hollander, A. I., Keunen, J. E., Hoyng, C. B., & Boon, C. J. (2015). Half‐dose photodynamic therapy followed by diode micropulse laser therapy as treatment for chronic central serous chorioretinopathy: evaluation of a prospective treatment protocol. Acta ophthalmologica. Abstract Purpose To evaluate the outcome of a prospective protocol for the treatment of chronic central serous chorioretinopathy (CSC). Methods Interventional prospective case series in 59 eyes (59 patients) with active chronic CSC. All patients were first treated with indocyanine green angiography (ICGA)-guided half-dose photodynamic therapy (PDT). In case of persistent serous subretinal fluid (SRF) after a follow-up period of at least 6 weeks, ICGA-guided PDT was repeated. If the SRF persisted after two PDT treatments, additional ICGA-guided high-density subthreshold diode micropulse laser (HSML) therapy was performed. Clinical evaluation included best-corrected visual acuity (BCVA), fundoscopy, OCT, fundus autofluorescence, fluorescein angiography and ICGA.
AEOPTOMETRISTAS's insight:
El tratamiento propuesto de dosis media TFD (terpai fotodinámica)y HSML( láser de micropulsaciones) en una #Corioretinopatia serosa central crónica activa, tuvo una tasa de éxito del 80%. #AgudezaVisual.. #protocolo #laser
Submacular hemorrhage in neovascular age-related macular degeneration: A synthesis of the literatureStanescu-Segall, D., Balta, F., & Jackson, T. L. (2016). Submacular hemorrhage in neovascular age-related macular degeneration: A synthesis of the literature. Survey of ophthalmology, 61(1), 18-32. AbstractLarge submacular hemorrhage, an uncommon manifestation of neovascular age-related macular degeneration, may also occur with idiopathic polypoidal choroidal vasculopathy. Submacular hemorrhage damages photoreceptors owing to iron toxicity, fibrin meshwork contraction, and reduced nutrient flux, with subsequent macular scarring. Clinical and experimental studies support prompt treatment, as tissue damage can occur within 24 hours. Without treatment the natural history is poor, with a mean final visual acuity (VA) of 20/1600. Reported treatments include retinal pigment epithelial patch, macular translocation, pneumatic displacement, intravitreal or subretinal tissue plasminogen activator, intravitreal anti-vascular endothelial growth factor (VEGF) drugs, and combinations thereof. In the absence of comparative studies, we combined eligible studies to assess the VA change before and after each treatment option.
AEOPTOMETRISTAS's insight:
Ambos tratamientos tuvieron un perfil de seguridad aceptable, pero la mayoría de los estudios fueron pequeños, y se necesitan grandes ensayos controlados aleatorios para determinar la seguridad y eficacia.
Thurman, S. M., & Lu, H. (2016). A comparison of form processing involved in the perception of biological and nonbiological movements. Journal of Vision,16(1), 1-1. Abstract Although there is evidence for specialization in the human brain for processing biological motion per se, few studies have directly examined the specialization of form processing in biological motion perception. The current study was designed to systematically compare form processing in perception of biological (human walkers) to nonbiological (rotating squares) stimuli. Dynamic form-based stimuli were constructed with conflicting form cues (position and orientation), such that the objects were perceived to be moving ambiguously in two directions at once. In Experiment 1, we used the classification image technique to examine how local form cues are integrated across space and time in a bottom-up manner. By comparing with a Bayesian observer model that embodies generic principles of form analysis (e.g., template matching) and integrates form information according to cue reliability,
AEOPTOMETRISTAS's insight:
Una comparación del procesamiento implicado en la percepción de formas con movimientos biológicos y no biológicos se estudian en el artículo.
BMC Ophthalmology is part of the BMC series which publishes subject-specific journals focused on the needs of individual research communities across all areas of biology and medicine. We offer an efficient, fair and friendly peer review service, and are committed to publishing all sound science, provided that there is some advance in knowledge presented by the work.
AEOPTOMETRISTAS's insight:
Los resultados de seguimiento de 12 meses sugieren que tres dosis de carga consecutivos de ranibizumab intravítreo es un tratamiento eficaz en la etapa temprana (etapa I) de RAP. Los pacientes en estadio I mostraron una tasa de recurrencia significativamente menor que los pacientes en etapas posteriores.
Guillard M, Dupas B, El Sanharawi M, Erginay A, Tadayoni R, Massin P. (2015). Symmetry in early response to intravitreal ranibizumab in bilateral diabetic macular oedema. Acta Ophthalmologica. Purpose To study the symmetry in response to bilateral diabetic macular oedema (DME) treated with bilateral intravitreal injections of ranibizumab (IVR). Methods The charts of 36 eyes of 18 patients treated with a loading dose of three monthly IVR in both eyes were retrospectively reviewed. Favourable anatomical response was defined as a decrease by more than 10% in baseline central macular thickness (CMT), and favourable functional response was defined as an increase in visual acuity (VA) ≥5 letters. A symmetric response was defined as a similar anatomical and/or functional response in the first (FE) and ..
AEOPTOMETRISTAS's insight:
Se observaron respuestas anatómicas y funcionales simétricas en el 72% de los pacientes con #edema #macular #diabetico bilateral tratados con #inyecciones #intravitreas de #ranibizumab bilaterales
Kiorpes L, Mangal P. (2015). “Global” visual training and extent of transfer in amblyopic macaque monkeys. Journal of vision, 15(10), 14-14. Abstract Perceptual learning is gaining acceptance as a potential treatment for amblyopia in adults and children beyond the critical period. Many perceptual learning paradigms result in very specific improvement that does not generalize beyond the training stimulus, closely related stimuli, or visual field location. To be of use in amblyopia, a less specific effect is needed. To address this problem, we designed a more general training paradigm intended to effect improvement in visual sensitivity across tasks and domains. We used a “global” visual stimulus, random dot motion direction discrimination with 6 training conditions, and tested for posttraining improvement on a motion detection task and 3 spatial domain tasks (contrast sensitivity, Vernier acuity, Glass pattern detection). Four amblyopic macaques practiced the motion discrimination with their amblyopic eye for at least 20,000 trials.
AEOPTOMETRISTAS's insight:
Este estudio, en primates ambliópicos, demostró que los #monos ambliopes pueden beneficiarse de una amplia formación visual. #ambliopia
Tofigh, S., Shortridge, E., Elkeeb, A., & Godley, B. F. (2015). Effectiveness of a smartphone application for testing near visual acuity. Eye, 29(11), 1464-1468. Purpose
AEOPTOMETRISTAS's insight:
Debido al gran utilización de #pantallas de portátiles de alta definición en las mediciones del VA , los proveedores de atención oftálmica tienen que ser conscientes de la diferencia de respuestas. |
Efron, N. (2016). A Proposed New Measure of Corneal Sensitivity.Investigative ophthalmology & visual science, 57(6), 2420-2420.
Corneal nerves can be adversely impacted by a variety of ophthalmic and systemic conditions,1 and there is a commensurate requirement for tests of corneal structure and function that have good diagnostic capability. A number of important advancements in the clinical assessment of corneal nerves have emerged over the past two decades. Corneal confocal microscopes, which became available in the early 1990s, allowed corneal nerve structure to be assessed through viewing of the subbasal nerve plexus, at around ×500 magnification.1 Techniques for assessing nerve function,
AEOPTOMETRISTAS's insight:
este enfoque puede tener utilidad clínica en la evaluación de la #sensibilidad #corneal en pacientes #investigación
Martin Gliem, Philipp L. Müller, Robert P. Finger, ; Myra B. McGuinness, MBiostat; Frank G. Holz, ; Peter Charbel Issa, Quantitative Fundus Autofluorescence in Early and Intermediate Age-Related Macular Degeneration JAMA Ophthalmol. Published online June 02, 2016.
Objective To quantitatively investigate lipofuscin-associated fundus autofluorescence (AF) in patients with early and intermediate AMD.
Design, Setting, and Participants A prospective, single-center, case-control study was conducted from August 1, 2014, to October 31, 2015, at a university referral center. Participants included 40 patients aged 65 years or younger and 108 individuals without eye disease serving as controls. All participants underwent quantitative fundus AF (qAF) imaging with a modified scanning laser ophthalmoscope equipped with an internal fluorescent reference.
Breukink, M. B., Mohr, J. K., Ossewaarde‐van Norel, A., Hollander, A. I., Keunen, J. E., Hoyng, C. B., & Boon, C. J. (2015). Half‐dose photodynamic therapy followed by diode micropulse laser therapy as treatment for chronic central serous chorioretinopathy: evaluation of a prospective treatment protocol. Acta ophthalmologica. Purpose To evaluate the outcome of a prospective protocol for the treatment of chronic central serous chorioretinopathy (CSC). Methods
Interventional prospective case series in 59 eyes (59 patients) with active chronic CSC. All patients were first treated with indocyanine green angiography (ICGA)-guided half-dose photodynamic therapy (PDT). In case of persistent serous subretinal fluid (SRF) after a follow-up period of at least 6 weeks, ICGA-guided PDT was repeated. If the SRF persisted after two PDT treatments, additional ICGA-guided high-density subthreshold diode micropulse laser (HSML) therapy was performed. Clinical evaluation included best-corrected visual acuity (BCVA), fundoscopy, OCT, fundus autofluorescence, fluorescein angiography and ICGA.
AEOPTOMETRISTAS's insight:
La primera mitad de la dosis del tratamiento con terapia fotodinámica tiene mayor probabilidad de respuesta al tratamiento favorable en OCT y agudeza visual mejor corregida. #TerapiaFotodinamica #laser #retina
Research from JAMA Ophthalmology — Global Survey of Corneal Transplantation and Eye Banking Importance Corneal transplantation restores visual function when visual impairment caused by a corneal disease becomes too severe. It is considered the world’s most frequent type of transplantation, but, to our knowledge, there are no exhaustive data allowing measurement of supply and demand, although such data are essential in defining local, national, and global strategies to fight corneal blindness.
AEOPTOMETRISTAS's insight:
Los resultados de esta encuesta a nivel mundial alerta de la escasez de tejido para realizar #trasplantes de córnea, con sólo 1 córnea disponible para 70 casos. Los esfuerzos para fomentar la #donación de córneas deben seguir en todos los países. No obstante, este artículo científico también resalta la importancia del desarrollo alternativo y otras soluciones complementarias, como la bioingeniería de la #córnea.
Shim, S. H., Kim, J. M., Woo, H. Y., Shin, K. U., Koh, J. W., & Park, K. H. (2015). Association Between Platelet Function and Disc Hemorrhage in Patients With Normal-Tension Glaucoma: A Prospective Cross-Sectional Study. American journal of ophthalmology, 160(6), 1191-1199.Purpose To evaluate the association between platelet function and disc hemorrhage in patients with normal-tension glaucoma. Design Prospective, cross-sectional study. Methods Study involved a total of 315 subjects, including patients with normal-tension glaucoma and disc hemorrhage (n = 120), patients with normal-tension glaucoma without disc hemorrhage (n = 75), and healthy individuals (control group, n = 120). A detailed eye examination including visual field testing, color disc photography, optical coherence tomography scanning, and measurement of collagen/epinephrine closure time using a platelet function analyzer were performed for all subjects.
AEOPTOMETRISTAS's insight:
Los resultados del estudio sugieren que la función plaquetaria se asocia significativamente con hemorragia en el disco en pacientes con #glaucoma de tensión normal.
Yu, M., Chen, M., Wang, B., Zou, L., Zhu, X., & Dai, J. (2015). Comparison of Visual Quality After SMILE and LASEK for Mild to Moderate Myopia. Journal of Refractive Surgery, 31(12), 795-800. Journal of Refractive Surgery | PURPOSE:
AEOPTOMETRISTAS's insight:
Ambos Relex y# LASEK son procedimientos quirúrgicos seguros y eficaces en la corrección de la #miopia. #SMILE tiene una tasa de inducción inferior de HOA y un mayor grado de satisfacción de los pacientes que LASEK a los 3 meses después de la operación.
Ciuffreda, K. J., & Rosenfield, M. (2015). Evaluation of the SVOne: a handheld, smartphone-based autorefractor. Optometry and Vision Science, 92(12), 1133. Purpose: The SVOne is a portable Hartmann-Shack wavefront aberrometer that can be attached to a smar
AEOPTOMETRISTAS's insight:
Miháltz, K., Kovács, I., Weingessel, B., & Vecsei-Marlovits, P. V. (2016). OCULAR WAVEFRONT ABERRATIONS AND OPTICAL QUALITY IN DIABETIC MACULAR EDEMA. RETINA, 36(1), 28-36. Purpose: To evaluate optical quality and internal aberrations in patients with diabetic macular edem
AEOPTOMETRISTAS's insight:
Los resultados de este estudio sugieren que el edema intrarretiniano aumentó de las aberraciones de alto orden en los pacientes.
Tarun Arora,a Shveta Jindal Bali,b Vishal Arora,a Meenakshi Wadhwani,a Anita Panda,a and Tanuj Dadaa,⁎ Resumen Objetivo Evaluar la función de la medición de la presión intraocular (PIO) fuera del horario de consulta en el glaucoma de reciente aparición en edad adulta. MétodosEste estudio retrospectivo incluyó 100 casos de glaucoma primario en adultos. Se compararon las mediciones de la PIO obtenidas mediante tonometría de aplanación de Goldmann entre las 7:00 y las 22:00, con los valores en horario de consulta. ResultadosSe incluyó a cien pacientes (edad media: 58,64±10,98 años). Globalmente, la PIO media diurna fue significativamente superior que la PIO media en horario de consulta (p<0,05). Dos tercios de los pacientes reflejaron unos valores elevados de la PIO fuera del horario de consulta. La fluctuación de la PIO media diurna (7,03±2,69mm Hg) fue considerablemente superior que la fluctuación de la PIO media en horario de consulta (4,31±2,6mm Hg) (p<0,003). Se produjo una correlación significativa entre la PIO basal y la fluctuación de PIO (r= 0,61, p <0,001).
AEOPTOMETRISTAS's insight:
Las fluctuaciones de la #PIO media diurna y la PIO fueron superiores a los valores medidos en horario de consulta en pacientes con #glaucoma primario de aparición en la edad adulta. La supervisión diurna puede resultar particularmente útil en pacientes con una elevada PIO basal.
Hammond, B. R. (2015). Foveal Morphology and the Macular Carotenoids.Investigative Ophthalmology & Visual Science, 56(13), 7866-7866. Primate foveas have several features that are relatively unique. One is the paucity of anterior vasculature in an area in which photoreceptor density, and hence metabolic activity, is strongly peaking (declining in number exponentially as one moves from the foveola). This area is called the foveal avascular zone (FAZ). Another is the dramatic accumulation of dietary carotenoids, specifically lutein and zeaxanthin, also strongly peaking in the very center of the fovea (called macular pigment [MP]). This accumulation can be as high as 1000 times the amount in serum for some individuals (the highest accumulation of carotenoids in the body) or nearly indetectable for others.
AEOPTOMETRISTAS's insight:
Los datos por Balaratnasingam son un buen recordatorio de que la arquitectura de la #fovea no se basa en un conjunto de variables independientes, sino más bien en un complejo conjunto de características que interactúan. #retina
Miao H, Tian M, Xu, Y, Chen Y, Zhou X. (2015). Visual Outcomes and Optical Quality After Femtosecond Laser Small Incision Lenticule Extraction: An 18-Month Prospective Study. Journal of Refractive Surgery, 31(11), 726-731. PURPOSE:
AEOPTOMETRISTAS's insight:
#SMILE mostró una buena seguridad, eficacia y estabilidad en la corrección de la #miopia de moderada a alta, y los pacientes estaban muy satisfechos
Kosker, M., Arslan, N., Alp, M. Y., Ozisler, C., Acar, M., Dogan, A. S., ... & Gurdal, C. (2016). Association Between Keratoconus and Familial Mediterranean Fever in Turkey. Cornea, 35(1), 77-80. Purpose: To evaluate the association between familial Mediterranean fever (FMF) and keratoconus (KC)
AEOPTOMETRISTAS's insight:
...la mutación de #genes con la fiebre mediteránea, en particular en mutaciones homocigóticas del gen MEFV , pueden ser un factor predisponente en el desarrollo de #queratocono.
Nagai H, Hirano Y, Yasukawa T, Morita H, Nozaki M, et al. (2015). Prevention of increased abnormal fundus autofluorescence with blue light–filtering intraocular lenses. Journal of Cataract & Refractive Surgery. To observe changes in fundus autofluorescence 2 years after implantation of blue light–filtering (yellow-tinted) and ultraviolet light–filtering (colorless) intraocular lenses (IOLs). SettingDepartment of Ophthalmology and Visual Science, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan, and the Department of Ophthalmology, University of Bern, Bern, Switzerland. DesignProspective comparative observational study.
AEOPTOMETRISTAS's insight:
Dos años después de la cirugía de #cataratas, se observaron diferencias significativas en la progresión de la autofluorescencia de fondo de ojo anormal entre los 2 grupos. #DMAE #Luz #LIO |
Your new post is loading...