The Eye & Corrective Lenses
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Binocular Vision Disorders Prescribing Guidelines
Prescribing for Preverbal Children Valerie M. Kattouf O.D. FAAO, FCOVD Illinois College of Optometry Associate Professor Prescribing for Preverbal Children Issues to consider: Age Visual Function Refractive Error Norms Amblyogenic Risk Factors Birth History Family History Developmental History Emmetropization A process presumed to be operative in producing a greater frequency of occurrence of emmetropia than would be expected in terms of chance distribution, as may be explained by postulating that a mechanism coordinates the formation and the development of the various components of the human eye which contribute to the total refractive power Emmetropization Passive process = nature and genetics 60% chance of myopia if 2 parents myopic (Ciuffrieda) Active process = mediated by blur and visual system compensates for blur Refractive Error Norms Highest rate of emmetropization – 1st 12-17 months Hyperopia Average refractive error in infants = +2 D > 1.50 diopters hyperopia at 5 years old – often remain hyperopic Refractive Error Norms Myopia 25% of infants are myopic Myopic Newborns (Scharf) @ 7 years 54% still myopic @ 7 years 46% emmetropic @ 7 years no hyperopia Refractive Error Norms Astigmatism Against the rule astigmatism more prevalent switches to with-the-rule with development At 3 1/2 years old astigmatism is at adult levels INFANT REFRACTION NORMS AGE SPHERE CYL 0-1mo -0.90+/-3.17 -2.02+/-1.43 2-3mo -0.47+/-2.28 -2.02+/-1.17 4-6mo -0.00+/-1.31 -2.20+/-1.15 6-9mo +0.50+/-0.99 -2.20+/-1.15 9-12mo +0.60+/-1.30 -1.64+/-0.62 -
A Virtual Try-On System for Prescription Eyeglasses
Feature Article A Virtual Try-On System for Prescription Eyeglasses Qian Zhang and Yu Guo ■ Nanyang Technological University Pierre-Yves Laffont, Tobias Martin, and Markus Gross ■ ETH Zurich ision-correcting eyeglasses have improved We present a system for virtually trying on pre- the lives of millions of people. Eyeglasses scription eyeglasses. Our system acts as a virtual significantly affect the wearer’s appear- mirror, allowing users to try on a variety of eye- Vance, and the selection of new pairs of eyeglasses is glasses with corrective lenses based on their pre- largely based on how the glasses look when wearers scription (see Figure 2). We use an image sequence try them on. However, an often overlooked fact is of the user without eyeglasses as input, along with that corrective lenses introduce distortion caused the user’s eyeglasses prescription and a 3D model by the refraction effect. As Figure 1 illustrates, the of the desired eyeglasses frame. Our system gen- eyes of a person wearing correc- erates a 3D representation of the corrective lenses tive lenses for nearsightedness mounted into the eyeglasses frame and modifies the Corrective lenses introduce appear smaller compared with video sequence to virtually insert the eyeglasses us- distortion caused by the wearing nonprescription lenses, ing image-based rendering. This approach simulates refraction effect, which whereas the eyes of a person the distortion introduced by the prescription lenses changes the wearer’s wearing lenses for farsightedness and gives users a better idea of how they would look appearance. To give users a appear larger. when wearing the new pair of eyeglasses. -
Intraocular Lenses and Spectacle Correction
MEDICAL POLICY POLICY TITLE INTRAOCULAR LENSES, SPECTACLE CORRECTION AND IRIS PROSTHESIS POLICY NUMBER MP-6.058 Original Issue Date (Created): 6/2/2020 Most Recent Review Date (Revised): 6/9/2020 Effective Date: 2/1/2021 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY I. POLICY Intraocular Lens Implant (IOL) Initial IOL Implant A standard monofocal intraocular lens (IOL) implant is medically necessary when the eye’s natural lens is absent including the following: Following cataract extraction Trauma to the eye which has damaged the lens Congenital cataract Congenital aphakia Lens subluxation/displacement A standard monofocal intraocular lens (IOL) implant is medically necessary for anisometropia of 3 diopters or greater, and uncorrectable vision with the use of glasses or contact lenses. Premium intraocular lens implants including but not limited to the following are not medically necessary for any indication, including aphakia, because each is intended to reduce the need for reading glasses. Presbyopia correcting IOL (e.g., Array® Model SA40, ReZoom™, AcrySof® ReStor®, TECNIS® Multifocal IOL, Tecnis Symfony and Tecnis SymfonyToric, TRULIGN, Toric IO, Crystalens Aspheric Optic™) Astigmatism correcting IOL (e.g., AcrySof IQ Toric IOL (Alcon) and Tecnis Toric Aspheric IOL) Phakic IOL (e.g., ARTISAN®, STAAR Visian ICL™) Replacement IOLs MEDICAL POLICY POLICY TITLE INTRAOCULAR LENSES, SPECTACLE CORRECTION AND IRIS PROSTHESIS POLICY NUMBER -
A Breakthrough in Myopia Control for Your Child
USER GUIDE FOR MiYOSMART MiYOSMART OPTOMETRIC PROTOCOL FOR MiYOSMART MiYOSMART MiYOSMART: A SMART APPROACH TO MYOPIA MiYOSMART The user guide identies what new MiyoSmart wearers should take note of during the adaptation period. To ensure maximized benets of MiyoSmart are experienced, it is recommended to follow the optometric protocol. If you had a way to halt or slow down the progression of myopia, surely you would want to know how. Adaption to new lenses MiyoSmart delivers on this promise and lls a rapidly growing market need. MiyoSmart is an innovative 1ST VISIT 1. It always takes time to get used to your new lenses. The time needed really depends on the individual but wearers can ophthalmic lens for myopia control developed by Hoya Vision Care in cooperation with its research expect about one to two weeks to adapt. collaborator, The Hong Kong Polytechnic University (PolyU). Engineered specically to correct myopic During the rst visit, all visual functions of the child should be assessed to get a clear overview of the current status. A few 2. During the adaptation time, the wearer should avoid: factors are examined to ascertain if the wearer is suitable for MiyoSmart. refractive error and slow down myopia progression, MiyoSmart comes to market at a time when the 1 It is also essential to know the child and his/her parents' ocular and optical history. incidence of myopia is on the rise. Preliminary investigation will also have to be done, where it is compulsory to conduct the following tests and examinations: An estimated 5 billion Research shows that Intensive sport Operating any Using the new lenses Using them on high people, or activities, e.g. -
Types of Contact Lenses and Their Characteristics1
3 ■ Types of Contact Lenses and Their Characteristics1 The basic categories of contact lenses currently acetate butyrate [CAB], PMMA-silicone, and in use are the original hard (polymethylmethacry- silicone). There are variations within each group, late [PMMA]) lenses, soft hydrogels (hydro- but their respective properties are similar enough xymethylmethacrylate [HEMA] and other mate- to consider them as essentially the same type of rials), and gas-permeable hard lenses (cellulose lenses. HARD PMMA LENSES As discussed in the previous chapter, hard rial and safe for use in the eye. It can be molded PMMA lenses were the first lenses introduced or lathed into lenses with a high degree of preci- onto the market, and corneal PMMA lenses simi- sion. Once made, PMMA lenses can be reworked lar to those currently in use have been available and modified to customize them to an individual’s since the early 1950s. Compared to later types of requirements. The result is a safe lens of excellent lenses, PMMA lenses can be difficult to adapt to, visual properties which very closely conforms to and perhaps as many as half of the people fitted patient requirements. PMMA lenses require min- do not become long-term wearers. Since PMMA imal use of cleaning, soaking, and wetting solu- is not water- or gas-permeable, wearers must rely tions. They may be tinted to reduce excessive light on the “tear pump” action of the eye to provide sensitivity, to make them easier to find when oxygen to the covered portion of the cornea. As dropped, or for appearance reasons. They are the wearer blinks, tear interchange occurs from durable, can be renewed by polishing away mi- outside the lens to beneath it, providing the nec- nor surface scratches, and often last 5 to 7 years essary oxygen. -
Lenses and Optics
PHYS 1400: Physical Science for General Education Laboratory Manual LENSES AND OPTICS INTRODUCTION If you (or your cat) wear glasses or contact lenses, you are already familiar with the science of optics. Whether you realize it or not, you understand the idea of a focal point. You are very aware when an image is out of focus (no glasses) or in focus (put your glasses back on). You even know the difference between a real and a virtual image, although you have probably never said to yourself, “I wish that the real image formed by the lens in my eye was better focused on my retina!” Or may be you have. OBJECTIVES ๏ Identify the differences between concave and convex lenses ๏ Use the lens equation to Steampunk Cat is equipped for any ocular emergency. determine the focal length of a convex lens Convex lenses are converging lenses. ๏ Construct ray diagrams to accurately show how an image is formed Concave lenses are diverging lenses. ๏ Demonstrate the difference between a near– and far–sighted eye, and show how each vision problem can be corrected ACTIVITY 1: CONVERGING AND DIVERGING LENSES ๏ Use the converging and diverging lenses to observe objects around the room. ๏ Try to use both as magnifying glasses to enlarge text. ๏ While observing a single object, move the lens toward and away from your eye. Do this for both types of lens. ๏ Try observing objects using various combinations of lenses: two converging, two diverging, one of each. QUESTIONS 1. Which type of lens can you use to magnify text? What happens to the magnified image as you draw the lens farther from the text? 2. -
Analysis of Tear Film Spatial Instability for Pediatric Myopia Under Treatment
www.nature.com/scientificreports OPEN Analysis of tear flm spatial instability for pediatric myopia under treatment Wan‑Hua Cho, Po‑Chiung Fang, Hun‑Ju Yu, Pei‑Wen Lin, Hsiu‑Mei Huang & Ming‑Tse Kuo * In Taiwan, the prevalence of myopia in children between 6 and 18 years old is over 80%, and high myopia accounts for over 20%, which turned out to be in the leading place worldwide. Orthokeratology and low-dose atropine are proven treatments to reduce myopia progression, though the potential corneal disturbances remain an issue in young populations. The alteration of the tear flm is widely discussed but there is no consensus to date, so we aim to investigate the tear flm spatial instability in children with myopia control using atropine or orthokeratology. Thirty-eight treatment-naïve participants and 126 myopic children under treatments were enrolled. The ocular surface homeostasis, spatial distribution of tear break-up, and high-order aberrations (HOAs) of the corneal surface were assessed. We found out that myopic children treated with either atropine or orthokeratology showed ocular surface homeostasis similar to that in treatment-naïve children. Nevertheless, children treated with orthokeratology presented higher HOAs (p < 0.00001) and a tendency of the frst tear break-up zone at the inner half of the cornea (p = 0.04). This unique spatial instability of the tear flm associated with myopia treatment might provide a more focused way of monitoring the pediatric tear flm instability. Many studies have revealed diferences in the prevalence of myopia across diferent regions and ethnicities, and the increased rate of myopia is most prominent in Asian/Pacifc children1,2. -
Refractive Errors a Closer Look
2011-2012 refractive errors a closer look WHAT ARE REFRACTIVE ERRORS? WHAT ARE THE DIFFERENT TYPES OF REFRACTIVE ERRORS? In order for our eyes to be able to see, light rays must be bent or refracted by the cornea and the lens MYOPIA (NEARSIGHTEDNESS) so they can focus on the retina, the layer of light- sensitive cells lining the back of the eye. A myopic eye is longer than normal or has a cornea that is too steep. As a result, light rays focus in front of The retina receives the picture formed by these light the retina instead of on it. Close objects look clear but rays and sends the image to the brain through the distant objects appear blurred. optic nerve. Myopia is inherited and is often discovered in children A refractive error means that due to its shape, your when they are between ages eight and 12 years old. eye doesn’t refract the light properly, so the image you During the teenage years, when the body grows see is blurred. Although refractive errors are called rapidly, myopia may become worse. Between the eye disorders, they are not diseases. ages of 20 and 40, there is usually little change. If the myopia is mild, it is called low myopia. Severe myopia is known as high myopia. Lens Retina Cornea Lens Retina Cornea Light rays Light is focused onto the retina Light rays Light is focused In a normal eye, the cornea and lens focus light rays on in front of the retina the retina. In myopia, the eye is too long or the cornea is too steep. -
Treatment of Pellucid Marginal Degeneration 1Abdelsattar N Farrag, 2Ahmed a Hussein, 3Shiji Ummar
IJKECD Treatment10.5005/jp-journals-10025-1148 of Pellucid Marginal Degeneration REVIEW ARTICLE Treatment of Pellucid Marginal Degeneration 1Abdelsattar N Farrag, 2Ahmed A Hussein, 3Shiji Ummar ABSTRACT Although PMD classically has been affecting the infe- Purpose: To summarize the recent trends in the treatment rior cornea, superior PMD has also been reported, and we of pellucid marginal degeneration (PMD) based on available should consider it in the differential diagnosis of superior published data. corneal ectasia.7 The ectasia in PMD causes progressive Method and literature search: A PubMed search was con- diminution of both uncorrected and corrected visual ducted with combinations not limited to the following search acuity as a result of high against-the-rule astigmatism.1,2 terms: Pellucid marginal degeneration, Corneal ectasia, The condition is most commonly affecting males Corneal collagen cross-linking (CXL), Intracorneal ring seg- ments (ICRS), Contact lens, Keratoplasty in corneal ectasia. and usually presents between the 2nd and 5th decades 3,8 A review of the search results was performed and relevant of life. articles to the topic were included. The PMD can be diagnosed classically by slit-lamp Summary: Ophthalmologists have got a wide array of thera- examination, which shows a clear band of inferior corneal peutic modalities for the management of PMD. However, the key thinning extending from 4 to 8 o’clock. There is typically to optimal treatment is careful clinical assessment of patients a 1 to 2 mm of uninvolved normal cornea. The maximum and their visual requirements and tailoring the treatment to point of protrusion in PMD occurs in the area superior individual patients. -
CHAMP Brochure
To learn more about this study, please contact: Myopia can keep your child from seeing the full picture. Who is eligible to participate in the CHAMP study? To pre-qualify for this study, your child must: • Be 3 to 17 years of age • Have been diagnosed with myopia Further screening questions will be asked prior to scheduling an appointment. Learn more about CHAMP – the study of an investigational eye drop being evaluated to slow the progression of nearsightedness (myopia) in children. 21Dec2017_V1_CP-NVK002-0001_Brochure_English What will happen during the CHAMP study? • Your child will receive one drop of study medication into each eye once daily at bedtime for 4 years. • Your child’s total study participation will last approximately 4 years. • During this time, you will attend clinic visits every 3 months to receive study medication. • Every 6 months the doctor will monitor your child’s myopia closely. Your child’s eyewear prescription, the length of his or her eyes, visual function, and eye What is myopia? health will be assessed. Why should my child participate in the CHAMP study? Myopia, commonly known as “nearsightedness,” is when the eye grows too long and light does not focus accurately Myopia is increasing at an alarming rate worldwide. on the retina. This causes distant objects to appear blurry. Identifying a way to control myopia progression is a key step Typically, myopia increases during school years. Higher towards preserving eye sight and preventing serious eye myopia results in the need for thicker glasses and increases disease. By participating in this study, you and your child the risk of certain eye diseases, such as glaucoma and retinal become an important part of this effort. -
Primal Contact Lenses Care Instructions and Waiver Page 1 PRIMAL CONTACTS
PRIMAL CONTACTS - Soft (Hydrophilic) Contact Lenses Eye Care Instructions IMPORTANT: Please read carefully and keep this information for future use. Primal Brand Contacts Lenses are available as corrective and non-corrective lens designs. The Lenses are composed of 62% Polymacon and 38% water a silicone-containing hydrogel. PRIMAL (NON-CORRECTIVE) CONTACT LENSES PARAMETERS Diameter : 14,0 mm to 14,8 mm Base Curve : 8,6 mm to 8,8 mm Power : Plano INDICATIONS (USES) AND WEARING RESTRICTIONS Primal ® Brand Fashion Lenses is indicated for non-corrective use in the colour enhancement of the iris and have no therapeutic effects for daily wear. CONTRAINDICATIONS (REASONS NOT TO USE PRIMAL BRAND CONTACT LENSES) Inflammation or infection in or around the eye or eyelids. Any eye disease, injury, or abnormality that affects the cornea, conjunctiva, or eyelids. Any previously diagnosed condition that makes contact lens wear uncomfortable. Any systemic disease that may affect the eye or be exaggerated by wearing contact lenses. Allergic reactions of ocular surfaces of the eye (adnexa) that may be induced or exaggerated by wearing contact lenses or use of contact lens solutions. Allergy to any ingredient, such as mercury or Thimerosal, in a solution which is to be used to care for your contact lenses. Severe dry eye. Any active corneal infection (bacterial, fungal, protozoal or viral). Not to be used if you are unable to follow the lens care regimen or unable to obtain assistance to do so. POTENTIAL ADVERSE SIDE EFFECTS FROM WEARING PRIMAL BRAND CONTACT LENSES Stinging, burning, itching (irritation), pain, tearing or other eye discomfort or sensation of foreign object in the eye. -
Practical Tips for Managing Myopia
MYOPIA MANAGEMENT Practical tips for managing myopia Michael Morton This article presents a summary of Online Education Coordinator: practical approaches to diagnosing Brien Holden Vision myopia, myopia management Institute, Sydney, Australia. (with particular attention to low resource settings), reviewing myopia progression, and collecting data for myopia management programmes. Ling Lee Research Officer/ Optometrist: Part 1 Diagnosing and prescribing Brien Holden Vision Institute, Sydney, for myopia Australia. While myopia might be initially detected by a patient EDGARDO CONTRERAS, COURTESY OF IAPB (e.g. reporting distance blur), or an adult observing Refraction is the first step. MEXICO behaviour changes in a child (e.g. squinting or • Monocular estimate method (MEM) retinoscopy. viewing things closer than expected), myopia is generally An objective method to determine a child’s diagnosed by an eye care professional. accommodative (near focussing) status at near. Priya Morjaria Equipment Retinoscopy should be conducted with a near target. Research Fellow: Accommodative facility. A subjective method to Department of The minimum required equipment to diagnose myopia • Clinical Research, and assess progression includes: assess accommodation function (ability of eye to London School focus at near). A high-contrast distance visual acuity (VA) chart (e.g., of Hygiene and • • Subjective phorias. A subjective method to Tropical Medicine, Snellen, logMAR, E, or LEA) determine whether the eyes prefer to converge in or International Centre • A room or space where the viewing distance for VA diverge out, at distance and near. for Eye Health, is at least 3m/10ft. The chart should be well lit and • Vergence reserves. A subjective method that London, UK. calibrated for the working distance measures the eyes’ ability to converge in and • Occluder (ideally with pinhole occluder) diverge out.