Anamnesis and the Ophthalmic Examination

2009 ◽  
pp. 12-41
Keyword(s):  
Ophthalmic Examination

Underestimated risks for bacterial keratitis in contact lens usage

2021 ◽  
Vol 26 (3) ◽  
pp. 2626-2630
Author(s):  
EVELINA MILCHEVA MARINOVA ◽  
◽  
DIMITAR STOIMENOV DABOV ◽  
YANI TODOROV ZDRAVKOV ◽  
EMILIA KRASIMIROVA NASEVA ◽  
...  
Keyword(s):  
Risk Factors ◽  
Contact Lens ◽  
Contact Lenses ◽  
Negative Impact ◽  
Bacterial Keratitis ◽  
Ophthalmic Examination ◽  
The Social ◽  
And Storage ◽  
Predisposing Conditions

Objective: The purpose of our research is to emphasize the role of underestimated predisposing conditions for microbial keratitis in contact lens users, to draw attention to the complications of wearing contact lenses without ophthalmic examination, and to offer a short questionnaire for fast and easy estimation of the risk factors for bacterial keratitis. Methods: A series of 23 cases of healthy young individuals, treated for bacterial keratitis, provoked а research on the predisposing factors for its development. Results: 55% of the patients had started to wear contact lenses without specific examination. 75% had made mistakes in the hygiene and storage of the lenses. We identified risk factors for development of bacterial keratitis in all cases. Conclusions: A thorough anamnesis and ophthalmic examination are crucial in decision making about contact lens wearing because they could reveal some of the predisposing conditions for the occurrence of ocular complications. The usage of contact lenses without a prescription poses health risks and could have a negative impact on the social and healthcare system.

Anterior Movement of the Crystalline Lens in the Process of Accommodation in Children

2007 ◽  
Vol 17 (4) ◽  
pp. 515-520 ◽  
Author(s):  
B.J. Kaluzny
Keyword(s):  
Refractive Error ◽  
Axial Length ◽  
Crystalline Lens ◽  
Posterior Pole ◽  
Anterior Pole ◽  
Forward Movement ◽  
Ophthalmic Examination ◽  
Lens Thickness ◽  
Lens Position ◽  
Refractive Status

Purpose To investigate changes of crystalline lens position during accommodation in children with emmetropia, myopia, and hyperopia. Methods A total of 188 children (372 eyes) from 4 to 19 years old (mean age 11.3±4.43) with cycloplegic refractive error within a range +9.00 D to −9.00 D were enrolled. After a general ophthalmic examination, ultrasound biometry was performed, with the eye at a maximal accommodative effort. Cycloplegia was induced by triple installation of 1% tropicamide drops and 30 minutes later the biometric examination was repeated. Results In emmetropic eyes in the process of accommodation, the anterior pole of the crystalline lens moved forward by 0.144±0.14 mm (p ≤ 0.001); the position of the posterior pole did not change. In myopic eyes, the anterior pole moved forward by 0.071±0.13 mm (p≤0.001) and the posterior pole moved backward by 0.039±0.10 mm (p=0.003). In hyperopic eyes, the whole lens translocated anteriorly: anterior pole moved forward by 0.242±0.16 mm (p≤ 0.001) and posterior pole moved forward by 0.036±0.09 mm (p≤0.001). Differences among emmetropia, myopia, and hyperopia were statistically significant. Forward movement of the posterior pole correlated with a low axial length of the eye, and also with plus refractive error and with a smaller accommodative increase of lens thickness. Conclusions In children, accommodative changes of the crystalline lens position depend on refractive status.

scholarly journals Computer Vision Syndrome Prevalence and Ocular Sequelae among Medical Students: A University-Wide Study on a Marginalized Visual Security Issue

2021 ◽  
Vol 15 (1) ◽  
pp. 156-170
Author(s):  
Mohammed Iqbal ◽  
Hosam Elzembely ◽  
Ahmed Elmassry ◽  
Mervat Elgharieb ◽  
Ahmed Assaf ◽  
...  
Keyword(s):  
Computer Vision ◽  
Medical Students ◽  
Anterior Segment ◽  
Multivariate Logistic Regression Analysis ◽  
Risk Groups ◽  
Security Issue ◽  
Cross Sectional ◽  
Ophthalmic Examination ◽  
Frequent Use ◽  
Computer Vision Syndrome

Introduction: This study aimed to discover and document the potential of visual and ocular sequelae of computer vision syndrome (CVS) among medical students. Methods: This cross-sectional case-control study was conducted on medical students (n=4030) of five universities in Egypt. All students completed a specially designed and validated CVS questionnaire survey (CVS-F3). Students with ≥5 CVS symptoms constituted a risk group (n=352), while students with 1-4 CVS symptoms constituted a low-symptoms group (n=3067). Students from the control and risk groups were examined using objective methods, such as visual acuity, subjective refraction, dry eye disease tests, and anterior segment and fundus examinations. Students who complained of visual blur underwent multifocal electroretinography mfERG examinations (mfERG group). Results: The CVS-F3 indicated that 84.8% of students had complaints that might be related to CVS, however, our ophthalmic examination group revealed only a 56% CVS prevalence rate. The most common single screen type used by 70.4% of students was the smartphone, and the most common complaint was headache (50.2%). Multivariate logistic regression analysis revealed that CVS was significantly associated with increased screen-hours, including >2 screen-hours daily (odds ratio [OR], 2.48; P<0.0001), >2 screen-hours at night (OR, 1.79; P=0.003), and ≥3 screen-years (OR, 1.69; P=0.006). In the mfERG group, 37% demonstrated reduced amplitudes of mfERG rings and quadrants, indicating reduced foveal responses. Conclusion: CVS-questionnaires overestimate the true CVS prevalence and sequelae, which could be accurately detected by objective ophthalmic examination. Smartphones primarily caused CVS among students, with CVS severity increasing in correlation with shorter eye-to-screen distance and frequent use. Contact lens wearing doubled the risk of CVS development and augmented its severity. CVS might affect macular integrity with screen-induced foveal dysfunction. Clinical Trials Registration: PACTR201811618954630.

scholarly journals HYPNOTISM DURING AN OPHTHALMIC EXAMINATION.

The Lancet ◽  
1892 ◽  
Vol 140 (3610) ◽  
pp. 1071
Author(s):  
C JEAFFRESON
Keyword(s):  
Ophthalmic Examination
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