ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Purpose.This study investigated short-term corneal changes induced by reverse-geometry lenses worn for orthokeratology.Methods.Nine young adult subjects wore reverse-geometry rigid gas-permeable lenses (BE; UltraVision Contact Lenses, Brisbane, Australia) in one eye only for 10, 30, and 60 min in the open eye and 8 h in the closed eye. The fellow eye acted as a non-lens-wearing control. Corneal topographic changes were monitored using the Medmont E-300 corneal topographer and keratometry. Changes in uncorrected logarithm of the minimum angle of resolution (log MAR) visual acuity were also recorded. Data were analyzed by analysis of variance andpost hoct-tests.Results.Significant central corneal flattening (−0.61 ± 0.35 D; p = 0.014) and the formation of a defined “treatment zone” (diameter, 3.86 ± 0.88 mm) were found after 10 min of open-eye lens wear, which progressed with increasing periods of lens wear. Significant improvement in unaided logMAR (−0.16 ± 0.18; p = 0.005) was also apparent after 10 min and showed further improvement with longer periods of lens wear. Corneal asphericity showed a trend toward corneal sphericalization, which reached statistical significance after 8 h of lens wear. There was no significant change in corneal toricity.Conclusions.The cornea responds rapidly to the application of reverse-geometry lenses for orthokeratology, with significant central corneal flattening and improvement in visual acuity after just 10 min of lens wear. This suggests that the corneal epithelium is able to be molded or redistributed very rapidly in response to the tear film forces generated behind reverse-geometry lenses.

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Purpose.To characterize the driving habits of persons with age-related maculopathy who present to a low-vision rehabilitation clinic and to examine how driving status relates to vision-specific health-related quality of life.Methods.The Driving Habits Questionnaire, the National Eye Institute Vision Function Questionnaire-25, and the Life Space Questionnaire were administered via telephone interview to 126 patients with age-related maculopathy who presented to a low-vision clinic during the previous year and were either past or current drivers.Results.Twenty-four percent of the sample reported being a current driver. Compared with those who stopped driving, current drivers were more likely to be male, younger, have better visual acuity and higher National Eye Institute Vision Function Questionnaire-25 scores. Drivers reported driving an average of 4 days and 10 miles per week. Over 50% of drivers reported that because of their vision, they had difficulty with or did not drive at all in rain, at night, on freeways or interstate highways, in heavy traffic areas, or during rush hour. Drivers and nondrivers did not differ in their life space, the spatial extent of their excursions into their environment.Conclusion.Some individuals who present to a low-vision clinic with age-related maculopathy do drive, although their driving exposure is low and they report avoiding challenging on-road situations. Driving status in age-related maculopathy appears to be related to better eye visual acuity and vision-specific health-related quality of life.

ISSN:1040-5488    

出版商:OVID    

年代:2003

数据来源: OVID