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A 12-month Prospective Study of Tear Osmolarity in Contact Lens Wearers Refitted with Daily Disposable Soft Contact Lenses / Izabela Katarzyna Garaszczuk in OVS : Optometry & Vision Science, vol. 97, 03 (mars 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 03 (mars 2020)
Titre : A 12-month Prospective Study of Tear Osmolarity in Contact Lens Wearers Refitted with Daily Disposable Soft Contact Lenses Type de document : article de périodique Auteurs : Izabela Katarzyna Garaszczuk ; Maryam Mousavi ; Dorota Szczesna-Iskander ; Alejandro Cerviño ; Robert Iskander Année de publication : 2020 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / diagnostic
[Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / thérapie
[Thésaurus Mesh]Concentration osmolaire
[Thésaurus Mesh]Études prospectives
[Thésaurus Mesh]Larmes
[Thésaurus Mesh]Lentilles de contact hydrophiles
[Thésaurus Mesh]Syndromes de l'oeil sec
[Thésaurus HELB]:Optique:port de lentilles de contactRésumé : SIGNIFICANCE: Tear osmolarity has been reported as one of the best diagnostic tests for dry eye disease and its management. Contact lens wear is thought to influence tear homeostasis. Understanding how regular wear of contact lenses and their type affect tear osmolarity is important. PURPOSE: The purpose of this study was to assess changes in tear osmolarity and ocular symptoms over a period of 12 months following refitting contact lens wearers with daily disposable contact lenses. METHODS: Fifty subjects aged (mean ± SD) 26 ± 4 years were refitted with either silicone-hydrogel (delefilcon A, SiHy, n = 34) or hydrogel (omafilcon A, Hy, n = 16) daily disposable soft contact lenses. Study included seven visits: baseline measurements without contact lenses; two visits for contact lens fit and selection; follow-up measurements after 3, 6, and 12 months of contact lens wear; and a post-study visit without contact lenses. Lens type selection was based on a set of objective measurements. Subjects were instructed to follow strict wearing rules. Impedance-based osmometer was used to collect samples from the lower tear meniscuses. The Ocular Surface Disease Index (OSDI) and the eight-item Contact Lens Dry Eye Questionnaire were used to assess subject-reported ocular symptoms and contact lens discomfort, respectively. RESULTS: Downward trend of tear osmolarity was noted over the time course of study. Statistically significant differences were noted in tear osmolarity (Friedman test, χ2 = 21.91 [P < .001], and χ2 = 13.89 [P = .003]) for the right and left eyes, respectively. A statistically significant decrease in tear osmolarity was apparent only for initially symptomatic subjects (for OSDI ≥13: χ2 = 26.25, P < .001; for OSDI En ligne : https://journals.lww.com/optvissci/Fulltext/2020/03000/A_12_month_Prospective_St [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Diagnostic Capability of a New Objective Method to Assess Meibomian Gland Visibility / José Vicente GarcÃa-Marqués in OVS : Optometry & Vision Science, vol. 98, 09 (Septembre 2021)
[article]
in OVS : Optometry & Vision Science > vol. 98, 09 (Septembre 2021)
Titre : Diagnostic Capability of a New Objective Method to Assess Meibomian Gland Visibility Type de document : article de périodique Auteurs : José Vicente GarcÃa-Marqués ; Santiago GarcÃa-Lázaro ; Cristian Talens-Estarelles ; Noelia MartÃnez-Albert ; Alejandro Cerviño Année de publication : 2021 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / diagnostic
[Thésaurus Mesh]Syndromes de l'oeil sec
[Thésaurus HELB]:Paramédical:Glandes de MeibomiusMots-clés : kératographe Résumé : SIGNIFICANCE
The diagnosis of dry eye disease and meibomian gland dysfunction (MGD) is challenging. Measuring meibomian gland visibility may provide an additional objective method to diagnose MGD.
PURPOSE
This study aimed to evaluate the ability of new metrics to better diagnose MGD, based on measuring meibomian gland visibility.
METHODS
One hundred twelve healthy volunteers (age, 48.3 ± 27.5 years) were enrolled in this study. Ocular surface parameters were measured using the Oculus Keratograph 5M (Oculus GmbH, Wetzlar). Subjects were classified according to the presence or absence of MGD. New metrics based on the visibility of the meibomian glands were calculated and later compared between groups. The diagnostic ability of ocular surface parameters and gland visibility metrics was studied through receiver operating characteristic curves. Logistic regression was used to obtain the combined receiver operating characteristic curve of the metrics with the best diagnostic ability.
RESULTS
Statistically significant differences were found between groups for all ocular surface parameters and new gland visibility metrics, except for the first noninvasive keratograph breakup time and gland expressibility. New gland visibility metrics showed higher sensitivity and specificity than did current single metrics when their diagnostic ability was assessed without any combination. The diagnostic capability increased when gland visibility metrics were incorporated into the logistic regression analysis together with gland dropout percentage, tear meniscus height, dry eye symptoms, and lid margin abnormality score (P < .001). The combination of median pixel intensity of meibography gray values and the aforementioned ocular surface metrics achieved the highest area under the curve (0.99), along with excellent sensitivity (1.00) and specificity (0.93).
CONCLUSIONS
New meibomian gland visibility metrics are more powerful to diagnose MGD than current single metrics and can serve as a complementary tool for supporting the diagnosis of MGD.Note de contenu : Pas de pdf disponible pour l'instant octobre 2021 Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Dry Eye Disease in University-based Clinics in Canada: A Retrospective Chart Review / Etty Bitton in OVS : Optometry & Vision Science, vol. 97, 11 (Novembre 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 11 (Novembre 2020)
Titre : Dry Eye Disease in University-based Clinics in Canada: A Retrospective Chart Review Type de document : article de périodique Auteurs : Etty Bitton ; Marian Elder ; Sruthi Srinivasan ; Doerte Luensmann ; Lyndon Jones Année de publication : 2020 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / diagnostic
[Thésaurus Mesh]Canada
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Syndromes de l'oeil secRésumé : SIGNIFICANCE: Dry eye disease (DED) imposes a substantial burden on patients, which can lead to significant economic consequences for society. We provide insights into the DED patient population and DED diagnostic/ management practices in Canada, which to date have been inadequately addressed in the literature. PURPOSE: The purpose of this study was to describe DED patient demographic/clinical characteristics alongside DED diagnosis/management in university-based optometry clinics in Canada. METHODS: This was a retrospective chart review of nonconcurrent non-Sjögren patients with DED at two university-based optometry clinics in Montreal and Waterloo. Waterloo charts with a diagnosis of DED and all charts from the Montreal dry eye clinic were considered for inclusion. RESULTS: Overall, 200 charts were reviewed. Most patients were female (Montreal, 76%; Waterloo, 72%), and the mean age was 57.2 ± 14.9 years at Montreal and 52.6 ± 20.1 years at Waterloo. Patients commonly reported multiple health conditions (e.g., allergies [Montreal, 44%; Waterloo, 36%]), and high use of systemic nonocular medications was observed (Montreal, 76%; Waterloo, 62%). Clinical signs and symptoms of DED were recorded more often in Montreal patients than in Waterloo patients (e.g., dryness symptoms, 100 vs. 72%; tear breakup time, 100 vs. 60%). Warm compresses (Montreal, 63%; Waterloo, 83%) and artificial tears (Montreal, 94%; Waterloo, 96%) were the most frequently recommended nonmedical treatment and ocular lubricant, respectively. Topical steroids were the most frequently prescribed medications (Montreal, 22%; Waterloo, 21%), with typically three to four different interventions recommended per patient at each clinic. No relationship was found between symptoms and clinical signs or recommended interventions. CONCLUSIONS: This retrospective chart review provided the demographics, clinical characteristics, diagnosis, and management options for DED patients in Canadian university-based optometry clinics. The more comprehensive assessments conducted at Montreal may be beneficial to better monitor the progression of DED and to determine treatment effects over time. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Dry Eye Disease Practice in Ghana : Diagnostic Perspectives, Treatment Modalities, and Challenges / Kwaku A. Osei in OVS : Optometry & Vision Science, vol. 97, 03 (mars 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 03 (mars 2020)
Titre : Dry Eye Disease Practice in Ghana : Diagnostic Perspectives, Treatment Modalities, and Challenges Type de document : article de périodique Auteurs : Kwaku A. Osei ; Stephanie M. Cox ; Kelly K. Nichols Année de publication : 2020 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / diagnostic
[Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / thérapie
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Ghana
[Thésaurus Mesh]Syndromes de l'oeil sec
[Thésaurus Mesh]Zone médicalement sous-équipéeRésumé : SIGNIFICANCE: There is a dearth of studies investigating the challenges encountered in dry eye practice. Profiling these barriers is crucial to improving dry eye diagnosis and patient care. PURPOSE: This study aimed to examine the diagnostic and treatment perspectives, and challenges in dry eye practice in Ghana. METHODS: An anonymous paper-based or web survey regarding dry eye practice pattern, practice challenges, and access to diagnostic tools was distributed to 280 potential participants. RESULTS: One hundred thirteen respondents completed the survey. Case history (92.5%), fluorescein tear breakup time (87.5%), and corneal fluorescein staining (72.5%) were the topmost procedures used for dry eye diagnosis. A preserved lubricant drop was the most commonly prescribed treatment of mild, moderate, and severe dry eye at the rates of 77.0, 83.2, and 77.0%, respectively. A few respondents prescribed cyclosporine (2.7%) or punctal plugs (5.3%) across all disease severities, and none used scleral lens, autologous serum tears, or thermal pulsation. Graduate professional training influenced the practice pattern of 82.3% of respondents, whereas continuing professional education influenced less than 1%. Approximately 70.1 and 92.8% of optometrists considered referring dry eye in children and cases that are unresponsive to treatment, respectively. Eighty-eight percent of practitioners indicated they experience a challenge in dry eye practice, with limited access to diagnostic tools (77.9%) and limited availability of effective dry eye medication on the Ghanaian market (50.4%) being the most frequent challenges. More than 85% of respondents had access to a fluorescein dye or slit-lamp biomicroscope; however, none had access to a phenol red thread, lissamine green dye, osmolarity technology, or meibography device. CONCLUSIONS: Practitioners' limited access to diagnostic tools/techniques and the limited effective dry eye treatments are major challenges encountered in dry eye practice in Ghana. Addressing these will improve dry eye practice and treatment outcomes in the country Note de contenu :
*En ligne : https://journals.lww.com/optvissci/Fulltext/2020/03000/Dry_Eye_Disease_Practice_ [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire How to implement the DEWS II outcomes into your eye care services / Sonia Travé Huarte in OPTOMETRY TODAY, vol. 58, 11 (Novembre 2018)
[article]
in OPTOMETRY TODAY > vol. 58, 11 (Novembre 2018) . - p. 78-84
Titre : How to implement the DEWS II outcomes into your eye care services Type de document : article de périodique Auteurs : Sonia Travé Huarte ; James Wolffsohn Année de publication : 2018 Article en page(s) : p. 78-84 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / diagnostic
[Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / épidémiologie
[Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / étiologie
[Thésaurus Mesh]:S:Syndromes de l'oeil sec:Syndromes de l'oeil sec / physiopathologie
[Thésaurus Mesh]Rapport de recherche
[Thésaurus Mesh]Syndromes de l'oeil secMots-clés : dry eye syndromes esearch report Résumé : This article outline the keys points from the TFOS DEWS II report, wich drew consensus from aver 150 experts in the field of dry eye disease, providing guidance on the definition, causes, diagnosis and management of the condition Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité O Périodique Erasme - périodiques Périodiques Disponible Low Vision and Dry Eye: Does One Diagnosis Overshadow the Other? / Etty Bitton in OVS : Optometry & Vision Science, vol. 98, 04 (Avril 2021)
PermalinkPractical tips for diagnosing dry eye / Megan Zabell in OPTOMETRY TODAY, vol. 62, 06 (Décembre-janvier 2022)
PermalinkSupporting dry eye diagnosis with a new method for noninvasive tear film quality assessment / Clara Llorens-Quintana in OVS : Optometry & Vision Science, vol. 96, 02 (Février 2019)
PermalinkTear breakup time: are all methods created equal? / Louise Terry in OPTOMETRY TODAY, vol. 61, 01 (Février-mars 2021)
PermalinkThe questionably dry eyes as a clinical and biochemical entity / David V. Seal
Permalinkthe role of inflammatory biomarkers in dry eye disease / Eilidh Martin in OPTOMETRY TODAY, vol. 56, 11 (Novembre 2016)
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