There was a good agreement between Canon TX-10 and GAT in healthy subjects. From the results obtained here, CCT appears to not affect IOP measurements when CCT is thinner than 570 microm.
Purpose: Tranaglyphs and Vectograms are visual therapy material based on red/green or polarized targets respectively that used similar but slightly different images for each eye to train fusion and vergence skills. This study aimed to analyse the relationship of three accommodative parameters (the Negative Relative Accommodation [NRA], the Positive Relative Accommodation [PRA] and the Accommodative Amplitude [AA]) with the results of four different visual therapy vectograms/tranaglyphs. Material and methods: 45 subjects free of any accommodative or binocular problem were recruited among students attending the Optometry Clinic of the Optometry Faculty (USC). In a first session, the accommodative tests were performed according to their standard protocols. In a second session, following manufacturer's instructions, the subjects performed in a random order four different calibrated vectograms/tranaglyphs: two red/green Variable Demand Anaglyphs (one based on circles [VDA-C] and one on draws [VDA-D]), one red/green Fixed Demand Anaglyph [FDA], and one polarized with Variable Demand [VDP]. Subjects were asked to indicate the maximum value both base-out (BO) and base-in (BI), where the image fusion was lost. Results: NRA showed a negative correlation with the BO results of the VDP (p = 0.040, r = -0.270). PRA showed a negative correlation with the BO results of the VDA-C, the VDA-D and the VDP (all p ≤0.017, r ≥ -0.323). AA showed a positive correlation with the BI results of the VDA-D, the FDA, and the VDP (all p ≤0.013, r ≥0.341). Conclusion: Accommodation seems to have some influence on the visual therapy training with vectograms and tranaglyphs.
The present paper aims to assess the effect of lotrafilcon A contact lenses (CL) <em>in situ</em> on intraocular pressure (IOP) measurement performed with three portable tonometers (ICare, Tonopen and Perkins). This cross-sectional study included thirty young healthy subjects. Intraocular pressure measurements without CL were performed first, followed by IOP measurements with CL for twenty minutes. ICare IOP measurements obtained with lotrafilcon A CL overestimated IOP values without CL by 1 mmHg (P<0.001). However, both techniques displayed close level of agreement (95% LoA, -4.17 to +1.63 mmHg). Also, differences between both methods tended not to increase (P=0.9). No significant differences were observed between IOP measurements without and with CL for Perkins (paired-t test, P=0.23) and Tonopen XL (pairedt test, P=0.17). In conclusion, adequate IOP measurements through zero power lotrafilcon A silicone hydrogel CL can be obtained with all three tonometers in healthy eyes, although, in case of ICare, the practitioner must be aware of the 1 mmHg overestimation with CL.
Purpose: Vital staining is one of the most widely test used to evaluate the corneal damage. The aim of this study was to assess the relationship of the corneal damage with tear meniscus height (TMH) and dry eye symptomatology. Material and methods: 530 subjects were recruited among patients of the Optometry Clinic (USC). Previously, all of them completed an OSDI questionnaire. Two videos of the ocular surface were recorded from each patient by a digital camera attached to a slit-lamp. Firstly, a video of central tear meniscus under 40x with the Tearscope device illumination was recorded. From those videos, a masked observer extracted one image and TMH was measured by using the ImageJ software. Secondly, after fluorescein instillation, the corneal surface was recorded by another experienced masked observer, who assigned a category to the corneal damaged based on the Oxford Scheme. The evaluation was stratified by corneal zones based on the CCLRU grading scales (central, superior, inferior, nasal and temporal). Results: When the sample was grouped by the corneal staining Oxford Grade, there was found a statistical difference between groups in OSDI and TMH value (ANOVA: both p≤0.006). There was found a difference in OSDI value when corneal damage was in nasal or inferior areas (t-test; both p≤0.015), and a difference in TMH value arises when damage was in the central, nasal or inferior areas (t-test; all p≤0.013). Conclusions: There is a relationship between corneal damage grade and corneal zones with dry eye symptomatology and tear film volume.
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