Anterior chamber depth measurement in teenagers. Comparison of two techniques
Purpose: The aim of this study is to determine the anterior chamber depth (ACD) in teenagers using two different devices: partial coherence interferometry IOLMaster (Carl Zeiss Meditec) and anterior segment optical coherence tomography (Visante TM OCT, Carl Zeiss Meditec) and to evaluate the degree of agreement between ACD measurements carried out by both instruments. Methods: In this prospective study 68 eyes of 34 emmetropic Caucasic patients (18 girls and 16 boys) were analysed. ACD was measured from the anterior corneal surface to anterior surface of the crystalline lens. For each age the ACD size was calculated and the difference between IOLMaster and Visante-OCT measurements was analy…
Corneal Biomechanics, Retinal Nerve Fiber Layer, and Optic Disc in Children
Purpose. To evaluate the possible associations between corneal biomechanical parameters, optic disc morphology, and retinal nerve fiber layer (RNFL) thickness in healthy white Spanish children. Methods. This cross-sectional study included 100 myopic children and 99 emmetropic children as a control group, ranging in age from 6 to 17 years. The Ocular Response Analyzer was used to measure corneal hysteresis (CH) and corneal resistance factor. The optic disc morphology and RNFL thickness were assessed using posterior segment optical coherence tomography (Cirrus HD-OCT). The axial length was measured using an IOLMaster, whereas the central corneal thickness was measured by anterior segment opti…
Analysis and applicability of protocols to diagnosis of refractive errors in children
Actualmente, una gran parte de la poblacion, especialmente de los paises en desarrollo, no tiene acceso a servicios de salud visual de calidad. La poblacion infantil es la mas afectada, dado que la maduracion del sistema visual ocurre en los primeros anos de vida, por lo cual es necesario realizar tamizaje o examen visual completo en esta poblacion para identificar anomalias ocu-lares como errores de refraccion y ambliopia. Los protocolos para el tamizaje visual o examen completo varian ampliamente en el tipo de pruebas y procedimientos, aunque la mayoria utiliza la agudeza visual (AV) y la refraccion como principales criterios diagnosticos. Estas pruebas clinicas deben tener buena calidad …
Anterior Segment Biometry and Their Correlation with Corneal Biomechanics in Caucasian Children.
Purpose: To assess the relationship between the corneal biomechanical parameters and the anterior segment parameters in Caucasian children. Methods: This study included 293 eyes from 293 healthy children aged between 6 and 17 years. Corneal hysteresis (CH) and corneal resistance factor (CRF) were evaluated with the Ocular Response Analyzer, axial length (AL) with IOLMaster and the anterior segment with Pentacam. Anterior segment parameters obtained were the following: central corneal thickness (CCT), corneal volume (CV), anterior chamber depth (ACD), anterior chamber volume (ACV) and mean anterior and posterior keratometry. Two multiple linear regression models were constructed to assess th…
Interocular differences in visual quality due to ocular aberrations and scattering in a patient with post-traumatic anisocoria: A case report
AbstractA 41-year-old patient with visual disturbances after an ocular trauma in right eye three years before was carefully analyzed and discussed. No corneal or intraocular sequelae were present. Only a significant anisocoria could be observed. Right eye (RE) achieved a best spectacle-corrected visual acuity (BSCVA) of 0.05 LogMAR with a refraction of +0.50 sphere and −1.25 cylinder. Left eye (LE) achieved a BSCVA of 0.0 LogMAR with a refraction of +0.75 sphere and −1.00 cylinder. In photopic conditions pupil diameter was 4.96mm for RE and 3.02mm for LE whereas in scotopic conditions, these values were 7.45mm and 6.71mm, respectively. More significant levels of higher-order corneal and ocu…
Do Age and Sex Play a Role in the Intraocular Pressure Changes after Acrobatic Gymnastics?
To evaluate the effects of an acrobatic gymnastics (AG) training session on intraocular pressure (IOP), a familiarization session was employed to confirm the participant’s suitability for the study. Forty-nine gymnasts (63.27% females, 18–40 years old) voluntarily agreed to participate. As age, sex, baseline IOP, and central corneal thickness (CCT) were considered as potential predictors of the IOP variations, in the second session measurements of the above parameters were taken before and after 90 min of AG. A mixed-factorial analysis of variance evaluated differences. Linear regression was conducted to potentially predict the IOP variation with the exercise. After the scheduled exercise, …
Competence assessment in practices of Optometry II of the Degree in optics and Optometry
En this article presentamos Una experiencia de Innovacion Educativa centrada en la EVALUACION Por Competencias En Una asignatura Practica del Grado en Optica y Optometria en la Universitat de Valencia. En Primer Lugar, centramos la asignatura en el Contexto de la titulacion y explicamos SUS Caracteristicas Particulares. A continuacion si Explica la Dinamica De Una Sesion de Practicas. Seguidamente planteamos la Metodologia docente Basada en las Competencias y la EVALUACION disenada a partir de Ellas. Abordamos algunos Resultados de Evaluacion y de Seguimiento de egresados ??del Observatori d'Insercio profesional i Assessorament Laboral de la Universitat de Valencia (OPAL). Para concluir val…
Síndrome de Horner como manifestación de disección carotídea
Caso Clínico: Un varón de 42 años se presenta con ptosis y miosis izquierda después de una historia de cefalea homolateral de 20 días de evolución, que empeora progresivamente durante los últimos días. Una angioresonancia revela disección de la arteria carótida interna. Discusión: El «síndrome de Horner doloroso» destaca como una urgencia médica por posible manifestación de una disección carotídea. Consideramos que el perfecto conocimiento de las urgencias neurooftalmológicas es de gran necesidad para el médico oftalmólogo y que estas requieren una atención multidisciplinaria para asegurar un seguimiento y tratamiento adecuado. Clinical Case: A 42-year-old man presented with ptosis and mios…
Síndrome de Horner como manifestación de disección carotídea
Resumen Caso Clinico Un varon de 42 anos se presenta con ptosis y miosis izquierda despues de una historia de cefalea homolateral de 20 dias de evolucion, que empeora progresivamente durante los ultimos dias. Una angioresonancia revela diseccion de la arteria carotida interna. Discusion El «sindrome de Horner doloroso» destaca como una urgencia medica por posible manifestacion de una diseccion carotidea. Consideramos que el perfecto conocimiento de las urgencias neurooftalmologicas es de gran necesidad para el medico oftalmologo y que estas requieren una atencion multidisciplinaria para asegurar un seguimiento y tratamiento adecuado.
Variations of OCT measurements corrected for the magnification effect according to axial length and refractive error in children
Purpose: The aim of this paper was to examine the distribution of macular, retinal nerve fiber layer (RNFL) thickness and optic disc parameters of myopic and hyperopic eyes in comparison with emmetropic control eyes and to investigate their variation according to axial length (AL) and spherical equivalent (SE) in healthy children. Methods: This study included 293 pairs of eyes of 293 children (145 boys and 148 girls), ranging in age from 6 to 17 years. Subjects were divided according to SE in control (emmetropia, 99 children), myopia (100 children) and hyperopia (94 children) groups and according to axial AL in 68 short ([Formula: see text]22.00[Formula: see text]mm, 68), medium (from [For…
Relationship among Corneal Biomechanics, Refractive Error, and Axial Length
Purpose To evaluate the relationship between different ocular and corneal biomechanical parameters in emmetropic and ametropic healthy white children. Methods This study included 293 eyes of 293 healthy Spanish children (135 boys and 158 girls), ranging in age from 6 to 17 years. Subjects were divided according to the refractive error: control (emmetropia, 99 children), myopia (100 children), and hyperopia (94 children) groups. In all cases, corneal hysteresis (CH) and corneal resistance factor (CRF) were evaluated with the Ocular Response Analyzer system. Axial length (AL) and mean corneal power were also measured by partial coherence interferometry (IOLMaster), and central corneal thickne…
Correlation between type 2 diabetes, dry eye and Meibomian glands dysfunction
espanolObjetivo Evaluar las glandulas de Meibomio, la superficie ocular y la funcion de la lagrima en pacientes con diabetes tipo 2, y estudiar la correlacion entre estas situaciones. Metodos Estudio prospectivo de 76 varones, 37 de ellos con diabetes tipo 2, con una media de duracion de entre 7±5 anos, y 36 mujeres como grupo control. Tras completar el cuestionario del indice de enfermedad de la superficie ocular (OSDI), se obtuvieron el tiempo de ruptura lagrimal no invasivo (NIBUT) y el patron de la capa lipidica de la lagrima utilizando interferometria y altura del menisco lagrimal/AML. Se estudio la superficie ocular con tincion verde de lisamina y la morfologia de las glandulas con ev…
Comparing oculomotor efficiency and visual attention between drivers and non-drivers through the Adult Developmental Eye Movement (ADEM) test: A visual-verbal test
Objective The objective of this study was to assess and compare drivers’ and non-drivers’ outcomes in the Adult Developmental Eye Movement test (ADEM), a visual-verbal test that measures the time needed to read series of numbers in both a vertical and horizontal reading pattern. A set of driving parameters (i.e., experience, risk exposure, and day and night perceived difficulty) and demographic variables (i.e., age, gender, and academic level) were considered as potential predictors of the test performance. Methods For this cross-sectional study, 302 healthy subjects (age range 20 to 86 years old) completed a self-reported questionnaire aimed at retrieving data on the independent variables…
Characterization of the effect of intracorneal ring segment in corneal ectasia after laser refractive surgery
Purpose: To evaluate the visual, refractive, topographic, pachymetric, and biomechanical outcomes after intracorneal ring segment implantation in corneas with post-LASIK ectasia. Methods: Retrospective longitudinal study enrolling 26 eyes of 22 patients with post-LASIK ectasia and undergoing intracorneal ring segment implantation (KeraRing®, Mediphacos) using a 60-kHz femtosecond laser (IntraLase®, IntraLase Corp.) for corneal tunnelization. Visual, refractive, anterior, and posterior corneal topographic (Pentacam HR, Oculus), pachymetric, and corneal biomechanical changes (Ocular response Analyzer, Reichert) were evaluated during a 12-month follow-up. Vector analysis of astigmatic changes …