Many East Asians apply double eyelid tape to create the double eyelid effect temporarily as a means of increasing their beauty. This study evaluated the effects of four-week wear of double eyelid tape on anterior ocular health in young adult women with single eyelids. Twenty-nine participants who met the inclusion criteria were recruited. The participants’ anterior ocular health was examined including blinking characteristics (blink pattern and blink rate), ocular surface health (presence of corneal abrasion, corneal staining, conjunctival staining, corneal curvatures, meibomian gland dysfunction), tear break up time, intraocular pressure, and subjective comfort level. Participants were required to apply the double eyelid tape for at least eight hours a day and five days a week for four weeks. The parameters were re-measured at the end of each week. There was a significant increase in conjunctival staining, corneal staining, and meibomian gland dysfunction, with a significant reduction in tear break-up time and intraocular pressure. By week 3, all participants had incomplete blinks. There was no significant change in symptoms and subjective comfort level reported. Therefore, patients and eye care practitioners should be aware of the potential implications of double eyelid tape wear on ocular health, with no significant change in subjective comfort.
Axial length of the eye correlates with the magnitude of myopia. However, there are conflicting reports on the relationship between certain corneal parameters with myopia magnitude. The objective of this study was to compare ocular biometry and corneal parameters between emmetropic and myopic groups. Participants (n=127) were categorized as emmetropia (spherical equivalent, SE, ±0.50D), low myopia (-0.75D≤SE<-6.00D) and high myopia (SE≥-6.00D). The difference in axial length, anterior chamber depth, and vitreous chamber depth between emmetrope, low myope, and high myope were highly significant (one-way ANOVA, all p<0.001) with significant correlations between SE and all these parameters (simple regressions, all p<0.001). However, central corneal thickness, corneal radius of curvature, and corneal asphericity between these groups, and the correlations between the ocular parameters with SE were not significantly different (all p>0.05). Corneal curvature correlated significantly with axial length (p=0.001) but not with myopia magnitude (p=0.91). Rather than myopia magnitude, axial length appears to be more sensitive to detect changes in corneal curvature in myopes. In conclusion, myopic patients’ axial length should be carefully considered for interventions that involve the cornea, such as orthokeratology and refractive surgery.
Kepatuhan temujanji pesakit merujuk kepada kebersediaan dan kebolehan pesakit untuk menghadiri temujanji yang telah ditetapkan. Kegagalan pesakit untuk berbuat demikian memberi pelbagai kesan terutamanya di klinik pengajaran seperti Klinik Optometri Universiti Kebangsaan Malaysia (UKM). Peratus kepatuhan temujanji oleh pesakit di Klinik Optometri UKM dianalisa dari September sehingga Disember 2015 dan dibahagikan mengikut jenis dan sesi klinik serta jantina dan etnik pesakit. Peratus kepatuhan temujanji adalah sekitar 60% untuk Klinik Optometri Primer. Kepatuhan meningkat ke sekitar 70% bagi klinik khas untuk pesakit bermasalah penglihatan seperti Klinik Penglihatan Terhad dan Klinik Penglihatan Pediatrik. Hari dan masa klinik tidak mempengaruhi kehadiran pesakit secara signifikan (p > 0.05). Jantina dan etnik pesakit tidak mempengaruhi kepatuhan temujanji secara signifikan tetapi pesakit berbangsa India secara konsisten menunjukkan peratus kehadiran temujanji terendah. Suatu protokol perlu dibangunkan untuk meningkatan kadar kepatuhan temujanji pesakit. Ini seterusnya dapat menambah produktiviti di kalangan kakitangan dan pelajar dan mengoptimumkan penggunaan sumber. Penerangan juga boleh diberikan kepada pesakit mengenai kos yang ditanggung oleh pihak pengurusan untuk setiap temujanji walaupun tiada sebarang caj dikenakan kepada pesakit.
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