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Are elderly patients optimally corrected with spectacles in the longer term after cataract surgery? / Marianne Råen in OVS : Optometry & Vision Science, vol. 96, 05 (Mai 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 05 (Mai 2019)
Titre : Are elderly patients optimally corrected with spectacles in the longer term after cataract surgery? Type de document : article de périodique Auteurs : Marianne Råen ; Olav Kristianslund ; Atle Einar Østern ; Gunhild Falleth MPhil Sandvik ; Liv Drolsum Année de publication : 2019 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Cataracte:Cataracte / thérapie
[Thésaurus Mesh]Cataracte
[Thésaurus Mesh]Extraction de cataracte
[Thésaurus Mesh]Optométrie
[Thésaurus Mesh]Réfraction oculaire
[Thésaurus Mesh]Sujet âgé
[Thésaurus HELB]:Optique:correction de la vision
[Thésaurus HELB]:Optique:lunette correctriceRésumé : SIGNIFICANCE Our study suggests that patients would benefit from adjusting their distance spectacles several years after cataract surgery. This may lead to a better quality of life for these patients.
PURPOSE The purpose of this study was to determine whether patients' distance vision is optimally corrected with spectacles 6 to 7 years after cataract surgery and whether patients with glaucoma who regularly visit an ophthalmologist have more correct power in their spectacles.
METHODS A total of 153 patients (153 eyes) who underwent cataract surgery with phacoemulsification at Oslo University Hospital were examined 6 to 7 years after surgery. Patients with better or equal best-corrected distance visual acuity in the study eye compared with the other eye were included (n = 90; 59%). Vision-related outcomes were measured and analyzed, including a modified version of the visual function questionnaire, Visual Function-14 (VF-14).
RESULTS A significant difference was found in the logMAR score between the patients' habitual correction (if any) and those with best-corrected distance visual acuity measured at the postoperative study examination (0.20 ± 0.40 and 0.10 ± 0.39, respectively; P < .0001). Patients with glaucoma (n = 17) did not have more correct power of their spectacles than did patients without glaucoma (n = 73; P = .38). The overall mean VF-14 score was 89%, with a statistically significant correlation between a high VF-14 score and a good habitual distance correction (r = −0.82; P < .0001).
CONCLUSIONS This study indicates that, although the patients are quite satisfied with their visual function 6 to 7 years after cataract surgery, many patients are not making the most of their visual potential. Thus, there seems to be a need for better monitoring of patients' distance refraction and spectacle use for an extended period after cataract surgery.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire A Pilot Randomized Clinical Trial of Base-in Relieving Prism Spectacle Treatment of Intermittent Exotropia / Allison I. Summers in OVS : Optometry & Vision Science, Vol.100, 07 (Juillet 2023)
[article]
in OVS : Optometry & Vision Science > Vol.100, 07 (Juillet 2023)
Titre : A Pilot Randomized Clinical Trial of Base-in Relieving Prism Spectacle Treatment of Intermittent Exotropia Type de document : article de périodique Auteurs : Allison I. Summers ; David G. Morrison ; Danielle L. Chandler ; Robert J. Henderson ; Angela M. Chen ; David A. Leske ; Kimberly Walker ; Zhuokai Li ; B. Michele Melia ; Derek P. Bitner ; Sudhi P Kurup ; Megan Allen ; Paul H. Phillips ; [et al.] Année de publication : 2023 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Adaptation biologique
[Thésaurus Mesh]Enfant
[Thésaurus Mesh]Essai contrôlé randomisé
[Thésaurus Mesh]Exotropie
[Thésaurus HELB]:Optique:lunette correctrice
[Thésaurus HELB]:Optique:PrismeMots-clés : exotropie intermittente Résumé : SIGNIFICANCE
This pilot randomized trial, the first to evaluate a specific base-in relieving prism treatment strategy for childhood intermittent exotropia, did not support proceeding to a full-scale clinical trial. Defining and measuring prism adaptation in children with intermittent exotropia are challenging and need further study.
PURPOSE
This study aimed to determine whether to proceed to a full-scale trial of relieving base-in prism spectacles versus refractive correction alone for children with intermittent exotropia.
METHODS
Children 3 years old to those younger than 13 years with distance intermittent exotropia control score of ≥2 points on the Intermittent Exotropia Office Control Scale (Strabismus 2006;14:147–150; 0 [phoria] to 5 [constant]), ≥1 episode of spontaneous exotropia, and 16 to 35∆ by prism-and-alternate-cover test, who did not fully prism adapt on a 30-minute in-office prism-adaptation test were randomized to base-in relieving prism (40% of the larger of distance and near exodeviations) or nonprism spectacles for 8 weeks. A priori criteria to conduct a full-scale trial were defined for the adjusted treatment group difference in mean distance control: “proceed” (≥0.75 points favoring prism), “uncertain” (>0 to <0.75 points favoring prism), or “do not proceed” (≥0 points favoring nonprism).
RESULTS
Fifty-seven children (mean age, 6.6 ± 2.2 years; mean baseline distance control, 3.5 points) received prism (n = 28) or nonprism (n = 29) spectacles. At 8 weeks, mean control values were 3.6 and 3.3 points in prism (n = 25) and nonprism (n = 25) groups, respectively, with an adjusted difference of 0.3 points (95% confidence interval, −0.5 to 1.1 points) favoring nonprism (meeting our a priori “do not proceed” criterion).
CONCLUSIONS
Base-in prism spectacles, equal to 40% of the larger of the exodeviations at distance or near, worn for 8 weeks by 3- to 12-year-old children with intermittent exotropia did not yield better distance control than refractive correction alone, with the confidence interval indicating that a favorable effect of 0.75 points or larger is unlikely. There was insufficient evidence to warrant a full-scale randomized trial.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire