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AEOPTOMETRISTAS
December 12, 2015 2:00 AM
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Wykoff CC, Schwartz SG, Adelman RA, Brucker AJ, Flynn HW. (2015). Primary rhegmatogenous retinal detachment repair: evidence supports an individualised approach. British Journal of Ophthalmology, bjophthalmol-2015.
Rhegmatogenous retinal detachment (RRD) is a common clinical challenge that affects up to one of every 170 people.1 RRD treatment is one of the most common indications for vitreoretinal surgery, and such repair is one of the most cost-effective practices in the treatment of all vitreoretinal disorders.2–4 Retinal reattachment surgery is unusual among ophthalmic surgeries because excellent outcomes may be obtained using three distinct approaches: scleral buckling (SB) first described in the 1950s,5–7 pars plana vitrectomy (PPV) first reported in 19718 ...
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December 9, 2015 12:19 PM
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Kim, M., Lee, C., Payne, R., Yue, B. Y., Chang, J. H., & Ying, H. (2015). Angiogenesis in Glaucoma Filtration Surgery and Neovascular Glaucoma-A Review. Survey of ophthalmology.
Abstract Angiogenesis may pose a clinical challenge in glaucoma, for example, during the wound healing phase after glaucoma filtration surgery and in the severe secondary glaucoma called neovascular glaucoma (NVG). Upregulation of vascular endothelial growth factor (VEGF), a key mediator of angiogenesis, occurs in eyes that have undergone glaucoma filtration surgery, as well as those with NVG. This has led investigation of the ability of anti–vascular endothelial growth factor therapy to improve outcomes, and we examine the findings with respect to the safety and efficacy of anti–vascular endothelial growth factor agents, mainly bevacizumab and ranibizumab, in eyes that have undergone glaucoma filtration surgery or have NVG. Combining conventional therapies—such as antimetabolites after filtration surgery and panretinal photocoagulation in NVG—and anti–vascular endothelial growth factor drugs may produce a synergetic effect, although further studies are required to evaluate the long-term efficacy of combination treatments.
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AEOPTOMETRISTAS
December 4, 2015 12:56 AM
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Hernandez VM, Cabot F, Ruggeri M, de Freitas C., Ho A.,et al. (2015). Calculation of crystalline lens power using a modification of the Bennett method. Biomedical Optics Express, 6(11), 4501-4515.
Abstract
We present a method for measuring lens power from extended depth OCT biometry, corneal topography, and refraction using an improvement on the Bennett method. A reduced eye model was used to derive a formula for lens power in terms of ocular distances, corneal power, and objective spherical equivalent refraction. An error analysis shows that the formula predicts relaxed lens power with a theoretical accuracy of ± 0.5 D for... Articulo: https://www.osapublishing.org/view_article.cfm?gotourl=https%3A%2F%2Fwww%2Eosapublishing%2Eorg%2FDirectPDFAccess%2F338CE2F3-E14E-5898-3624B6803C14BEA2_331458%2Fboe-6-11-4501%2Epdf%3Fda%3D1%26id%3D331458%26seq%3D0%26mobile%3Dno&org=
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AEOPTOMETRISTAS
December 4, 2015 12:48 AM
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AEOPTOMETRISTAS
December 1, 2015 4:36 AM
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de Jong, M. C., Kors, W. A., de Graaf, P., Castelijns, J. A., Moll, A. C., & Kivelä, T. (2015). The incidence of trilateral retinoblastoma: a systematic review and meta-analysis. American journal of ophthalmology, 160(6), 1116-1126.Purpose To estimate the incidence of trilateral retinoblastoma in patients with retinoblastoma. Design Systematic review and meta-analysis. Methods We searched Medline and Embase for scientific literature published between January 1966 and July 2015 that assessed trilateral retinoblastoma incidence. We used a random-effects model for the statistical analyses. Results We included 23 retinoblastoma cohorts from 26 studies. For patients with bilateral retinoblastoma the unadjusted chance of developing trilateral retinoblastoma across all cohorts was 5.3% (95% confidence interval [CI]: 3.3%–7.7%); the chance of pineal trilateral retinoblastoma was 4.2% (95% CI: 2.6%–6.2%) and the chance of nonpineal trilateral retinoblastoma was 0.8% (95% CI: 0.4%–1.3%). In patients with hereditary retinoblastoma (all bilateral cases, and the unilateral cases with a family history or germline RB1 mutation) we found a trilateral retinoblastoma incidence of 4.1% (95% CI: 1.9%–7.1%) and a pineal trilateral retinoblastoma incidence of 3.7% (95% CI: 1.8%–6.2%). To reduce the risk of overestimation bias we restricted analysis to retinoblastoma cohorts with a minimum size of 100 patients, resulting in adjusted incidences of 3.8% (95% CI: 2.4%–5.4%), 2.9% (95% CI: 1.9%–4.2%), and 0.7% (95% CI: 0.3%–1.2%) for any, pineal, and nonpineal trilateral retinoblastoma, respectively, among patients with bilateral retinoblastoma. Among hereditary retinoblastoma we found an adjusted trilateral retinoblastoma incidence of 3.5% (95% CI: 1.2%–6.7%) and a pineal trilateral retinoblastoma incidence of 3.2% (95% CI: 1.4
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AEOPTOMETRISTAS
November 26, 2015 5:15 AM
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de Mora, M. R. C., Groeneveld-van Beek, E. A., Frank, L. E., van der Wees, J., Oellerich, S., Bruinsma, M., & Melles, G. R. (2015). Association Between Graft Storage Time and Donor Age With Endothelial Cell Density and Graft Adherence After Descemet Membrane Endothelial Keratoplasty. JAMA ophthalmology, 1-5.
This case series reports an association between graft storage time and endothelial cell density decline after DMEK and possibly between donor age and graft detachment.
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AEOPTOMETRISTAS
November 26, 2015 5:08 AM
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Hofmann, L., & Palczewski, K. (2015). Advances in understanding the molecular basis of the first steps in color vision. Progress in retinal and eye research, 49, 46-66.Abstract Serving as one of our primary environmental inputs, vision is the most sophisticated sensory system in humans. Here, we present recent findings derived from energetics, genetics and physiology that provide a more advanced understanding of color perception in mammals. Energetics of cis–trans isomerization of 11-cis-retinal accounts for color perception in the narrow region of the electromagnetic spectrum and how human eyes can absorb light in the near infrared (IR) range. Structural homology models of visual pigments reveal complex interactions of the protein moieties with the light sensitive chromophore 11-cis-retinal and that certain color blinding mutations impair secondary structural elements of these G protein-coupled receptors (GPCRs). Finally, we identify unsolved critical aspects of color tuning that require future investigation.
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AEOPTOMETRISTAS
November 25, 2015 12:44 AM
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Murai H, Suzuki Y, Kiyosawa M, Tokumaru AM, Ishiwata K, Ishii K. (2015). Cerebral glucose metabolism in the striate cortex positively correlates with fractional anisotropy values of the optic radiation in patients with glaucoma. Clinical & experimental ophthalmology.
Background It has recently become clear that glaucoma is not only an ocular disease, but involves central visual pathways as well. The purpose of this study was to examine functional and structural alterations in the brains of glaucoma patients. Design: Case–control study in a hospital. Participants: A total of 32 glaucoma patients and 19 healthy controls. Methods: All participants underwent positron emission tomography with 18F-fluorodeoxyglucose, diffusion-tensor magnetic resonance imaging, and the 30-2 program of the Humphrey Visual Field Analyzer.
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AEOPTOMETRISTAS
November 20, 2015 12:51 AM
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Park YM, Park YK, Lee JE, Lee JS. (2015). Effect of orthokeratology in patients with myopic regression after refractive surgery.Contact Lens and Anterior Eye. Purpose To evaluate the clinical effect of orthokeratology (ortho-K) lenses and to introduce the fitting steps of ortho-K lens for myopic regression after keratorefractive surgery. Methods Twenty-one eyes from 12 patients with myopic regression after keratorefractive surgery were fitted with ortho-K lenses and followed up for 12.11 ± 3.68 months. The mean K value of the peripheral cornea was used to speculate preoperative central corneal K value, estimated K.
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AEOPTOMETRISTAS
November 20, 2015 12:42 AM
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Gros-Otero J, Castejón M, Paz-Moreno J, Mikropoulos D, Teus M. (2014). Perimetric progression using the Visual Field Index and the Advanced Glaucoma Intervention Study score and its clinical correlations. Journal of optometry. Abstract PurposeTo evaluate the association between clinical parameters and the diagnosis of progression using VFI (Visual Field Index) and AGIS (Advanced Glaucoma Intervention Study) score in primary open angle glaucoma. MethodsRetrospective study of 517 visual fields of 78 eyes with primary open angle glaucoma analyzed with VFI and AGIS score. Clinical data registered included: age, sphere, pachimetry, basal intraocular pressure (IOP), and IOP during the follow up.
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AEOPTOMETRISTAS
November 12, 2015 7:07 AM
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Millodot, M. (2015). The effect of refractive error on the accommodative response gradient: a summary and update. Ophthalmic and Physiological Optics, 35(6), 607-612. Abstract Purpose To give a summary of the original paper ‘The effect of refractive error on the accommodative response gradient’ published in 1986 and to present a brief overview of the most salient, subsequent findings which have appeared since then. Recent findings Intensive and prolonged near work as a precursor to myopia has been substantiated since the original paper and is thought to contribute to the remarkable increase in the prevalence of myopia in the world which has occurred in the last 30 years, consistent with the emergence of compulsory education, computers and urbanisation. Increased accommodation has not been found to be essential in the development of myopia, but inaccurate accommodation during near work in the form of accommodative lag with its consequent hyperopic defocus has been confirmed as an association with myopia, although it is not clear whether that association is causal or merely a consequence of myopia.
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AEOPTOMETRISTAS
November 11, 2015 12:39 AM
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Por engenérico 27 MAYO, 2014 Si te dedicas al sector de la salud, o si el bienestar es uno de tus intereses, seguro que ya has escuchado repetidas veces el concepto de paciente empoderado, un término que pretende definir los cambios que han experimentado los usuarios de la sanidad en los últimos años, en buen aparte gracias a los avances en las tecnologías de la información y de la comunicación, y a una preocupación creciente por el cuidado de la salud de millones de personas en todo el mundo. Pero, ¿qué características esenciales definen al paciente empoderado?
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AEOPTOMETRISTAS
November 10, 2015 4:54 AM
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Jonker, S. M., Bauer, N. J., Makhotkina, N. Y., Berendschot, T. T., van den Biggelaar, F. J., & Nuijts, R. M. (2015). Comparison of a trifocal intraocular lens with a+ 3.0 D bifocal IOL: Results of a prospective randomized clinical trial. Journal of Cataract & Refractive Surgery, 41(8), 1631-1640. Purpose To compare visual outcomes in patients with cataract surgery and bilateral implantation of a trifocal or bifocal intraocular lens (IOL). Setting University Eye Clinic Maastricht, the Netherlands. Design Prospective randomized clinical trial. Methods Eyes with cataract and less than 1.0 diopter (D) of corneal astigmatism were randomized to receive bilateral implantation of Finevision Micro F trifocal IOLs or Acrysof IQ Restor +3.0 bifocal IOLs. Outcome measures were monocular and binocular uncorrected distance (UDVA), uncorrected intermediate (UIVA), and uncorrected near (UNVA) visual acuities; refractive outcomes; binocular defocus curve; contrast sensitivity; reading speed; patient satisfaction; and spectacle independence.
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AEOPTOMETRISTAS
December 9, 2015 11:33 PM
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Olk RJ, Peralta E, Gierhart DL, Brown GC, Brown MM. (2015). Triple combination therapy and zeaxanthin for the treatment of neovascular age-related macular degeneration: an interventional comparative study and cost-effectiveness analysis. International Journal of Retina and Vitreous, 1(1), 1.
Background Reports of triple combination therapy for neovascular age-related macular degeneration (AMD) suggest a benefit, as do reports for zeaxanthin. An interventional comparative study was thus undertaken to evaluate the efficacy of triple combination therapy with and without zeaxanthin, as well as the economic viability of the therapies. Methods The cases of 543 consecutive eyes of 424 patients with subfoveal choroidal neovascularization (CNV) secondary to AMD were reviewed. All eyes were treated with triple combination therapy (triple therapy) consisting of: (1) reduced-fluence photodynamic therapy with verteporfin, (2) intravitreal bevacizumab and (3) intravitreal dexamethasone.
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AEOPTOMETRISTAS
December 9, 2015 12:15 PM
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Olk, R. J., Peralta, E., Gierhart, D. L., Brown, G. C., & Brown, M. M. (2015). Triple combination therapy and zeaxanthin for the treatment of neovascular age-related macular degeneration: an interventional comparative study and cost-effectiveness analysis. International Journal of Retina and Vitreous, 1(1), 1.Abstract Background Reports of triple combination therapy for neovascular age-related macular degeneration (AMD) suggest a benefit, as do reports for zeaxanthin. An interventional comparative study was thus undertaken to evaluate the efficacy of triple combination therapy with and without zeaxanthin, as well as the economic viability of the therapies. Methods The cases of 543 consecutive eyes of 424 patients with subfoveal choroidal neovascularization (CNV) secondary to AMD were reviewed. All eyes were treated with triple combination therapy (triple therapy) consisting of: (1) reduced-fluence photodynamic therapy with verteporfin, (2) intravitreal bevacizumab and (3) intravitreal dexamethasone. Therapy was repeated as necessary. One cohort of patients was also given supplementation with 20 mg of oral zeaxanthin (Zx) daily.
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AEOPTOMETRISTAS
December 4, 2015 12:52 AM
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Norrman A, Setälä T, Friberg AT. (2015). Generation and electromagnetic coherence of unpolarized three-component light fields. Optics Letters, 40(22), 5216-5219.
Abstract
Conditions for controlled generation of completely unpolarized, genuine three-component random light fields, both radiating and evanescent, in multi-beam illumination at a planar dielectric interface are explored. The associated electromagnetic degrees of coherence are also analyzed. Our results reveal the possibility to tailor fields with polarization properties identical to those of universal blackbody radiation, yet with tunable spatial coherence characteristics
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AEOPTOMETRISTAS
December 1, 2015 4:45 AM
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Chen, T. C., Tsai, T. Y., & Chang, S. W. (2015). Molecular Mechanism of Fluoroquinolones Modulation on Corneal Fibroblast Motility. Experimental eye research.Abstract Topical fluoroquinolones are widely used to prevent ocular infections after ophthalmic surgery. However, they have been shown to affect the corneal cell motility, whose mechanism remains indefinite. The purpose of this study was to investigate how fluoroquinolones affect corneal stromal cell motility. Human corneal fibroblasts (HCFs) were incubated in ciprofloxacin (CIP), levofloxacin (LEV), or moxifloxacin (MOX) at 0, 10, 50, and 100 μg/ml for up to 3 days. Effect of CIP, LEV, or MOX on HCF migration was monitored using migration assay. HCF viability was determined by WST-1 assay. Expression of focal adhesion kinase (FAK), paxillin (PXN), and their phosphorylated forms were analyzed by immunoblotting. Binding affinity between FAK and PXN was determined by co-immunoprecipitation. Our results revealed that CIP and MOX, but not LEV, noticeably retarded HCF migration. HCF proliferation was significantly reduced by CIP (38.2%), LEV (29.5%), and MOX (21.3%), respectively (p = 0.002). CIP and MOX suppressed the phosphorylation of PXN at tyrosines (10.2 ± 4.3%, p < 0.001; 11.7 ± 2.4%, p < 0.001, respectively), including tyrosine 118 (33.3 ± 5.2%, p < 0.001; 34.0 ± 4.4%, p < 0.001, respectively). CIP and MOX diminished the binding affinity between FAK and PXN (8.2 ± 1.8%, p < 0.001; 9.0 ± 4.5%, p < 0.001, respectively). Nevertheless, tyrosine dephosphorylation and FAK dissociation of PXN were not found in LEV-treated HCFs. None of these fluoroquinolones affect phosphorylation of FAK-Y397. We conclude that CIP and MOX, but not LEV, might delay corneal fibroblast migration via interfering with recruitment of PXN to focal adhesions and dephosphorylation of PXN at the tyrosines.
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AEOPTOMETRISTAS
December 1, 2015 4:29 AM
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Jongenelen, S., Rozema, J. J., & Tassignon, M. J. (2015). Distribution of the Crystalline Lens Power In Vivo as a Function of AgeCrystalline Lens Power as a Function of Age. Investigative ophthalmology & visual science, 56(12), 7029-7035. Abstract Purpose: To observe the age-related changes in crystalline lens power in vivo in a noncataractous European population. Methods: Data were obtained though Project Gullstrand, a multicenter population study with data from healthy phakic subjects between 20 and 85 years old. One randomly selected eye per subject was used. Lens power was calculated using the modified Bennett-Rabbetts method, using biometry data from an autorefractometer, Oculus Pentacam, and Haag-Streit Lenstar.
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AEOPTOMETRISTAS
November 26, 2015 5:11 AM
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Chia, A., Lu, Q. S., & Tan, D. (2015). Five-Year Clinical Trial on Atropine for the Treatment of Myopia 2: Myopia Control with Atropine 0.01% Eyedrops.Ophthalmology.
Purpose To compare the safety and efficacy of different concentrations of atropine eyedrops in controlling myopia progression over 5 years. Design Randomized, double-masked clinical trial. Participants A total of 400 children originally randomized to receive atropine 0.5%, 0.1%, or 0.01% once daily in both eyes in a 2:2:1 ratio. Methods Children received atropine for 24 months (phase 1), after which medication was stopped for 12 months (phase 2). Children who had myopia progression (≥−0.50 diopters [D] in at least 1 eye) during phase 2 were restarted on atropine 0.01% for a further 24 months (phase 3).
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AEOPTOMETRISTAS
November 25, 2015 12:47 AM
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Blanche, K, Finger RP. (2015). A Need for More Equity in Prevention of Blindness. Ophthalmic epidemiology, 22(5), 293-294.
Equality is commonly defined as fairness, and a lack of equality or inequality as unfairness or an uneven distribution of rights or opportunities within society. In a somewhat crude transfer of this concept to eye health it is obvious that both the burden of blindness and visual impairment as well as access to eye health services are distributed unequally in the world. This applies both to low- and high-income countries, with the latter having often less of a discrepancy and only the least affluent experiencing inequality of burden and access to services. 1 In low-income countries, however, large parts of the population experience inequality of both burden and access to services in eye health. This impacts affected individuals, families and society in terms of cost, loss of quality of life, societal participation and opportunities to alleviate poverty, among other aspects. 2–6One of the World Health Organization (WHO) key concepts is health inequity defined as...
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AEOPTOMETRISTAS
November 25, 2015 12:37 AM
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Evanger K, Pierscionek BK, Vaagbø G, Thorsen E, Haugen OH. (2015). Myopic Shift during Hyperbaric Oxygenation Attributed to Lens Index Changes. Optometry & Vision Science, 92(11), 1076-1084.
Purpose: To examine ocular lens parameters and structural changes to elucidate mechanisms underlying the myopic shift and cataract-related changes that occur in some patients during hyperbaric oxygen (HBO) therapy. Methods: Scheimpflug images (Nidek EAS-1000) of the crystalline lens, measurement...
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AEOPTOMETRISTAS
November 20, 2015 12:49 AM
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Tourtas T, Weller JM, Bachmann BO, Kruse FE. (2015). Larger Descemetorhexis to Improve Graft Adhesion in Descemet Membrane Endothelial Keratoplasty Does Not Cause Postoperative Peripheral Corneal Edema. Eye & Contact Lens.
Purpose: To evaluate the incidence of peripheral corneal edema after Descemet membrane endothelial keratoplasty (DMEK) with respect to the size of the descemetorhexis. Methods: A single-center retrospective review of data of 200 consecutive DMEK surgeries for Fuchs endothelial dystrophy was performed. Forty-eight eyes of 47 patients were enrolled in this study based on the presence of a peripheral zone of free denuded stroma between the margin of the graft and the host's Descemet membrane (DM) ....
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AEOPTOMETRISTAS
November 12, 2015 7:11 AM
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Solebo, A. L., Russell-Eggitt, I., Cumberland, P. M., & Rahi, J. S. (2015). Risks and outcomes associated with primary intraocular lens implantation in children under 2 years of age: the IoLunder2 cohort study. British Journal of Ophthalmology, bjophthalmol-2014.
Br J Ophthalmol. 2015 Nov;99(11):1471-6. doi: 10.1136/bjophthalmol-2014-306394. Epub 2015 May 6.
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AEOPTOMETRISTAS
November 12, 2015 7:04 AM
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Lovie‐Kitchin, J. E. (2015). Is it time to confine Snellen charts to the annals of history?. Ophthalmic and Physiological Optics, 35(6), 631-636. Abstract Purpose A paper published by the author in 1988 in this journal provided some important findings about the lack of precision of visual acuity (VA) measures made with commonly used Snellen charts and the advantages of using letter charts designed using the principles proposed by Bailey and Lovie in 1976. That 1988 paper has been cited a number of times since, mostly supporting the findings. The purpose of this review is to examine the changes that have occurred in VA measurement in research and clinical practice since that earlier study. Recent findings While precise measures of VA using Bailey–Lovie or ETDRS charts are now commonly used in major, multi-centre research studies, it is disappointing to see that many research papers still report VA measured with Snellen charts and even use Snellen fractions, invalidly converted to logMAR notation, in parametric analyses of VA. Many studies have examined the test–retest variability (TRV) of VA measures in groups and individuals, but it is difficult to determine if clinicians or researchers determine patients’ individual TRVs to more accurately detect real changes in VA for each individual.
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AEOPTOMETRISTAS
November 10, 2015 5:01 AM
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Randleman, J. B., Khandelwal, S. S., & Hafezi, F. (2015). Corneal Cross-Linking. Survey of ophthalmology.Abstract Since its inception in the late 1990s, corneal cross-linking has grown from an interesting concept to a primary treatment for corneal ectatic disease worldwide. Using a combination of ultraviolet-A light and a chromophore (vitamin B2, riboflavin), the cornea can be stiffened, usually with a single application, and progressive thinning diseases such as keratoconus arrested. Despite being in clinical use for many years, some of the underlying processes, such as the role of oxygen and the optimal treatment times, are still being worked out. More than a treatment technique, corneal cross-links represent a physiological principle of connective tissue, which may explain the enormous versatility of the method. We highlight the history of corneal cross-linking, the scientific underpinnings of current techniques, evolving clinical treatment parameters, and the use of cross-linking in combination with refractive surgery and for the treatment of infectious keratitis.
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10-40% de los ojos requieren un procedimiento más quirúrgico, y hasta el 5% de los ojos pueden sufrir fracaso funcional #desprendimiento #retina