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https://www.readbyqxmd.com/read/28445208/toxic-keratoconjunctivitis
#1
Grace L Paley, Anthony J Lubniewski, James J Reidy, Asim V Farooq
Toxic keratoconjunctivitis (TK) is an underrecognized complication of ophthalmic drug use and various environmental or occupational exposures. A detailed history and clinical examination are important to identify the offending agent(s). Common drug-related causes of TK include preservatives in ophthalmic medications, topical antimicrobials, and topical anesthetics. Alternatives to benzalkonium chloride as well as preservative-free formulations should be considered in patients requiring long-term topical medication...
April 25, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28410281/evaluated-conjunctival-blood-flow-velocity-in-daily-contact-lens-wearers
#2
Yingying Shi, Liang Hu, Wan Chen, Dongyi Qu, Hong Jiang, Jianhua Wang
OBJECTIVE: This study examined conjunctival microvasculature development in long-term habitual contact lens (HCL) wearers after a night of sleep. METHODS: Twenty HCL wearers (15 women and 5 men, aged 28.6±6.9 years, mean age±standard deviation) who had worn contact lenses on a daily basis for at least 3 years and 40 noncontact lens (NCL) wearers (23 women and 17 men, aged 36.5±6.6 years, mean age±standard deviation) participated in the study. A functional slitlamp biomicroscopy imaging system was used to image the temporal bulbar conjunctiva...
April 13, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28410280/long-term-impacts-of-orthokeratology-treatment-on-sub-basal-nerve-plexus-and-corneal-sensitivity-responses-and-their-reversibility
#3
María Nombela-Palomo, Gema Felipe-Marquez, Miguel Angel Teus, Jose Luis Hernandez-Verdejo, Amelia Nieto-Bona
PURPOSE: To examine the effects of one year of overnight orthokeratology (OK) treatment on the sub-basal nerve plexus (SBNP) and corneal sensitivity and to assess the reversibility of these effects one month after treatment interruption. METHODS: Thirty-two subjects with low-moderate myopia underwent OK treatment for one year. Fifteen non-contact lens wearers served as controls. At the time points baseline, one year of treatment, and one month after removing the OK lenses, two tests were conducted: corneal sensitivity (Cochet-Bonnet esthesiometer) and SBNP imaging by in vivo confocal microscopy...
April 13, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28410283/postoperative-evaluation-of-bilateral-reading-performance-with-two-intraocular-lenses-twelve-month-results
#4
Semra Akkaya Turhan, Ebru Toker
PURPOSE: The aim of this study was to compare the bilateral reading performances within the first 12 months after the implantation of two intraocular lens (IOL) models. METHODS: The patients involved in this research had bilateral phacoemulsification and implantation of the Acriva Reviol MFM 613 IOL (group 1) or AcrySof ReSTOR SN6AD1 apodized multifocal IOL (group 2). The bilateral reading performance was evaluated preoperatively and postoperatively using the MNREAD acuity charts...
April 12, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28410282/new-insights-into-the-lipid-layer-of-the-tear-film-and-meibomian-glands
#5
Reiko Arita, Shima Fukuoka, Naoyuki Morishige
Meibomian glands secrete lipids (meibum) that form the surface lipid layer of the tear film and thereby prevent excessive evaporation of tear fluid. Meibomian gland dysfunction is a major cause of evaporative dry eye, which is more prevalent than aqueous-deficient dry eye. Noninvasive meibography with infrared light and an infrared charge-coupled device camera can detect morphological changes of meibomian glands in both upper and lower eyelids, whereas tear interferometry allows qualitative and quantitative evaluations of the lipid layer of the tear film...
April 12, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28394876/scleral-lens-prescription-and-management-practices-the-scope-study
#6
Jennifer Harthan, Cherie B Nau, Joseph Barr, Amy Nau, Ellen Shorter, Nicolette T Chimato, David O Hodge, Muriel M Schornack
OBJECTIVES: To assess current scleral lens prescription and management practices by conducting an international online survey of eye care providers. METHODS: The SCOPE (Scleral Lenses in Current Ophthalmic Practice: an Evaluation) study group designed and administered an online survey regarding current scleral lens prescription and management practices. The survey was open from January 15 to March 31, 2015, and generated 723 responses from individuals who had fit at least 5 patients with scleral lenses...
April 6, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28350622/keratitis-due-to-achromobacter-xylosoxidans-in-a-contact-lens-user
#7
Cristina Almenara Michelena, María Ángeles Del Buey, Francisco Javier Ascaso, Jose Ángel Cristóbal
OBJECTIVES: Ocular infections due to Achromobacter xylosoxidans are extremely uncommon; their diagnosis is a challenge and the optimal treatment remains controversial. We present a case of A. xylosoxidans in a contact lens user and a review of the literature to facilitate diagnostic suspicion and empirical therapeutic management. METHODS: Review of the literature in PubMed and MEDLINE. We also document a case diagnosed in our department in January 2016. SETTING: Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain...
March 27, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28346280/conjunctivochalasis-and-related-factors-in-an-adult-population-of-iran
#8
Hassan Hashemi, Hadith Rastad, Mohammad Hassan Emamian, Akbar Fotouhi
OBJECTIVES: To determine the prevalence of conjunctivochalasis and its determinants in a middle-aged Iranian population. METHODS: This population-based study was conducted in the context of the second phase of Shahroud Eye Cohort Study in 2014. Of 4,737 participants aged 45 to 69 years who participated in the second phase, the data of 4,702 participants were available for this report. A diagnosis of conjunctivochalasis was made based on the physician's judgment on ophthalmic examinations...
March 24, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28346279/sub-basal-corneal-nerve-plexus-analysis-using-a-new-software-technology
#9
Hatim Batawi, Nabeel Shalabi, Madhura Joag, Tulay Koru-Sengul, Jorge Rodriguez, Parke T Green, Mauro Campigotto, Carol L Karp, Anat Galor
PURPOSE: To study sub-basal corneal nerve plexus (SCNP) parameters by in vivo corneal confocal microscopy using a new software technology and examine the effect of demographics and diabetes mellitus (DM) on corneal nerves morphology. METHODS: A Confoscan 4 (Nidek Technologies) was used in this cross-sectional study to image the SCNP in 84 right eyes at the Miami Veterans Affairs eye clinic. Images were analyzed using a new semiautomated nerve analysis software program (The Corneal Nerve Analysis tool) which evaluated 9 parameters including nerve fibers length (NFL) and nerve fibers length density (NFLD)...
March 24, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28346278/effects-of-myopic-orthokeratology-on-visual-performance-and-optical-quality
#10
Guihua Liu, Zhi Chen, Feng Xue, Jing Li, Mi Tian, Xingtao Zhou, Ruihua Wei
OBJECTIVES: To analyze the changes in visual performance and optical quality after orthokeratology (ortho-k) treatment and its correlation with the magnitude of lens decentration and the diameter of treatment zone (TxZ). METHODS: A prospective study was conducted in 27 eyes of 27 patients wearing ortho-k contact lens. Area under log contrast sensitivity function (AULCSF), modulation transfer function cutoff values (MTFcutoff), Strehl ratio (SR), and objective scattering index (OSI) were measured and compared before and 1 month after ortho-k lens treatment...
March 24, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28346277/myopic-laser-corneal-refractive-surgery-reduces-interdevice-agreement-in-the-measurement-of-anterior-corneal-curvature
#11
Haiying Jin, Zhongmin Ou, Haike Guo, Peiquan Zhao
OBJECTIVES: To investigate interdevice differences and agreement in the measurement of anterior corneal curvature obtained by different technologies after laser corneal refractive surgery. METHODS: The prospective study comprised 109 eyes of 109 consecutive patients who had undergone laser-assisted in situ keratomileusis (LASIK). Preoperative and postoperative corneal parameters were measured by Scheimpflug imaging (Pentacam), Placido-slit-scanning (Orbscan) and auto-keratometry (IOLMaster)...
March 24, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28346276/comparison-of-noncontact-specular-and-confocal-microscopy-for-evaluation-of-corneal-endothelium
#12
Jianyan Huang, Jyotsna Maram, Tudor C Tepelus, Srinivas R Sadda, Vikas Chopra, Olivia L Lee
PURPOSE: To compare endothelial cell analysis obtained by noncontact specular and confocal microscopy, using the Konan NSP-9900 and Nidek ConfoScan4 systems, respectively. METHODS: Three groups including 70 healthy eyes, 49 eyes with Fuchs endothelial corneal dystrophy (FECD), and 78 eyes with glaucoma were examined with both the Konan NSP-9900 specular microscope and the Nidek ConfocScan4 confocal microscope. Certified graders at the Doheny Image Reading Center compared corneal endothelial images from both instruments side by side to assess image quality...
March 24, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28328727/strategies-for-deep-anterior-lamellar-keratoplasty-after-hydrops-in-keratoconus
#13
Matthias Fuest, Jodhbir S Mehta
Corneal hydrops affects approximately 2.5% of keratoconus (KC) cases, predominantly young males approximately 25 years of age with steep cones. Often, patients are left with a vision-reducing corneal scar frequently necessitating surgical treatment. Penetrating keratoplasty (PK) has worse survival outcomes in hydrops than in general KC cases. Deep anterior lamellar keratoplasty (DALK) is a nonpenetrating technique believed to achieve equal or better outcomes in visual acuity, graft survival, endothelial rejection rates, and endothelial cell survival in comparison with PK, while maintaining globe integrity and the patients' Descemet membrane (DM) and endothelium...
March 21, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28328726/clinical-outcomes-and-contact-lens-case-contamination-using-a-povidone-iodine-disinfection-system
#14
Jacqueline Tan, Ananya Datta, Katherine Wong, Mark D P Willcox, Ajay K Vijay
OBJECTIVE: To assess the incidence of adverse events during the use of a povidone-iodine disinfecting solution (cleadew) and the microbial contamination in contact lens cases. METHODS: A prospective, single-center, open-label, controlled study evaluating the use of cleadew cleaning and disinfecting system in existing daily wear soft contact lens wearers over a 3-month period was conducted. Ocular signs and symptoms during lens wear were assessed at baseline and after 1 and 3 months of using cleadew...
March 21, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28328725/region-specific-changes-in-postlens-fluid-reservoir-depth-beneath-small-diameter-scleral-lenses-over-2-hours
#15
Cherie B Nau, Muriel M Schornack
OBJECTIVES: Scleral lenses settle on the eye with time, and the depth of the postlens fluid reservoir decreases. We measured changes in central, superior, inferior, temporal, and nasal clearance beneath a small-diameter scleral lens after 2 hr of lens wear in healthy eyes. METHODS: Thirty-one participants (age, mean±SD, 29±7 years) with no history of eye disease or scleral lens wear were fitted with a 15-mm scleral lens in 1 eye. Scheimpflug images were acquired by a camera system within 5 min of lens placement and again after 2 hr of continuous lens wear...
March 21, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28328724/effects-of-corneal-scars-and-their-treatment-with-rigid-contact-lenses-on-quality-of-vision
#16
Bram de Jong, Ivanka J E van der Meulen, Johannes M J van Vliet, Ruth Lapid-Gortzak, Carla P Nieuwendaal, Thomas J T P van den Berg
OBJECTIVES: To study the effects of corneal scars and the treatment of these scars with rigid gas-permeable (RGP) contact lenses on quality of vision including straylight. Visual effects were related to scar characteristics such as size and grade. METHODS: Straylight and best-corrected visual acuity were measured in 23 patients with corneal scars during and after RGP contact lens wear. Contralateral eyes were used as controls, and age-normal values in case of bilateral scars...
March 21, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28244934/repeatability-of-central-corneal-thickness-measurement-using-rotating-scheimpflug-camera-in-dry-and-normal-eyes
#17
Jong-Hyuck Lee, Jae Hyuck Kim, Sun Woong Kim
PURPOSE: To compare the repeatability of central corneal thickness (CCT) measurement using the Pentacam between dry eyes and healthy eyes, as well as to investigate the effect of artificial tears on CCT measurement. METHODS: The corneal thicknesses of 34 patients with dry eye and 28 healthy subjects were measured using the Pentacam. One eye from each subject was assigned randomly to a repeatability test, wherein a single operator performed three successive CCT measurements time points-before and 5 min after instillation of one artificial teardrop...
February 27, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28244933/prospective-cohort-comparison-of-visual-acuity-and-contrast-sensitivity-between-femto-laser-in-situ-keratomileusis-and-orthokeratology-for-low-to-moderate-myopia
#18
Mingxia Tian, Ping Ma, Guoying Mu
PURPOSE: To compare the visual acuity and contrast sensitivity (CS) after femto laser in situ keratomileusis (fLASIK) and orthokeratology (OK) in patients with low-to-moderate myopia. METHODS: A total of 68 patients were enrolled in this prospective cohort study. Of these, 40 eyes from 40 patients with low-to-moderate myopia underwent fLASIK and 28 eyes from 28 patients underwent OK. In addition to uncorrected distance visual acuity and corrected distance visual acuity, photopic and mesopic CS (with CSV-1000E) were tested before treatment and at 1, 3, and 6 months after treatment...
February 27, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28244932/photopic-mesopic-and-scotopic-visual-acuity-after-18-mw-cm2-accelerated-corneal-cross-linking
#19
Soheila Asgari, Hassan Hashemi, Mohammad Miraftab, Saied Shahhoseini, Ebrahim Jafarzadhpur, Shiva Mehravaran, Akbar Fotouhi
OBJECTIVES: One-year changes in uncorrected (UDVA) and corrected (CDVA) distance visual acuity under different lighting conditions after accelerated cross-linking (CXL) in patients with progressive keratoconus in comparison with nontreated cases. METHODS: In this nonrandomized clinical trial, the sample included 50 eyes in the CXL group and 40 eyes in the control group. Visual acuity was tested under photopic (100 lux), mesopic (20 lux), and scotopic (0.5 lux) lighting conditions at 6 months and 1 year...
February 27, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28244931/estrogen-and-progesterone-induced-variation-in-corneal-parameters-according-to-hormonal-status
#20
Ayse Ebru Bahadir Kilavuzoglu, Cemile Banu Cosar, Ibrahim Bildirici, Omer Cetin, Esra Ozbasli
OBJECTIVES: To determine the effects of estrogen and progesterone on corneal thickness, curvature, and biomechanics in healthy corneas according to hormonal status. METHODS: The study included four groups of females: group A (menstruating, not pregnant, not lactating, and not menopausal; n=100), group B (pregnant; n=50), group C (lactating; n=50), and group D (menopausal; n=50). Group A was subdivided according to age, as subgroup A15-25 (age 15-25 years) and subgroup A>25 (age >25 years)...
February 27, 2017: Eye & Contact Lens
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