Is there any evidence for the validity of diagnostic criteria used for accommodative and nonstrabismic binocular dysfunctions?

Purpose: To analyze the diagnostic criteria used in the scientific literature published in the past 25 years for accommodative and nonstrabismic binocular dysfunctions and to explore if the epidemiological analysis of diagnostic validity has been used to propose which clinical criteria should be used for diagnostic purposes. Methods: We carried out a systematic review of papers on accommodative and non-strabic binocular disorders published from 1986 to 2012 analysing the MEDLINE, CINAHL, PsycINFO and FRANCIS databases. We admitted original articles about diagnosis of these anomalies in any population. We identified 839 articles and 12 studies were included. The quality of included articles was assessed using the QUADAS-2 tool. Results: The review shows a wide range of clinical signs and cut-off points between authors. Only 3 studies (regarding accommodative anomalies) assessed diagnostic accuracy of clinical signs. Their results suggest using the accommodative amplitude and monocular accommodative facility for diagnosing accommodative insufficiency and a high positive relative accommodation for accommodative excess. The remaining 9 articles did not analyze diagnostic accuracy, assessing a diagnosis with the criteria the authors considered. We also found differences between studies in the way of considering patients’ symptomatology. 3 studies of 12 analyzed, performed a validation of a symptom survey used for convergence insufficiency. Conclusions: Scientific literature reveals differences between authors according to diagnostic criteria for accommodative and nonstrabismic binocular dysfunctions. Diagnostic accuracy studies show that there is only certain evidence for accommodative conditions. For binocular anomalies there is only evidence about a validated questionnaire for convergence insufficiency with no data of diagnostic accuracy.

Advanced techniques for the human eye study: ocular aberrometry

Lectures about the course module "Advanced techniques for the human eye study: ocular aberrometry".

Comparison of the predictability of refractive cylinder correction by laser in situ keratomileusis in eyes with low or high ocular residual astigmatism

Purpose: To compare the manifest refractive cylinder (MRC) predictability of myopic astigmatism laser in situ keratomileusis (LASIK) between eyes with low and high ocular residual astigmatism (ORA). Setting: London Vision Clinic, London, United Kingdom. Design: Retrospective case study. Methods: The ORA was considered the vector difference between the MRC and the corneal astigmatism. The index of success (IoS), difference vector ÷ MRC, was analyzed for different groups as follows: stage 1, low ORA (ORA ÷ MRC <1), high ORA (ORA ÷ MRC ≥1); stage 2, low ORA group reduced to match the high ORA group for MRC; stage 3, grouped by ORA magnitude with low ORA (<0.50 diopters [D]), mid ORA (0.50 to 1.24 D), and high ORA (≥1.25 D); stage 4, high ORA group subdivided into low (<0.75 D) and high (≥0.75 D) corneal astigmatism. Results: For stage 1, the mean preoperative MRC and mean IoS were −1.32 D ± 0.65 (SD) (range −0.55 to −3.77 D) and 0.27, respectively, for low ORA and −0.79 ± 0.20 D (range −0.56 to −2.05 D) and 0.37, respectively, for high ORA. For stage 2, the mean IoS increased to 0.32 for low ORA. For stage 3, the mean IoS was 0.28, 0.29, and 0.31 for low ORA, mid ORA, and high ORA, respectively. For stage 4, the mean IoS was 0.20 for high ORA/low corneal astigmatism and 0.35 for high ORA/high corneal astigmatism. Conclusions: The MRC predictability was slightly worse in eyes with high ORA when grouped by the ORA ÷ MRC. Matching for the MRC and grouping by ORA magnitude resulted in similar predictability; however, eyes with high ORA and high corneal astigmatism were less predictable.

Clinical utility of ocular residual astigmatism and topographic disparity vector indexes in subclinical and clinical keratoconus

Purpose. We aimed to characterize the distribution of the vector parameters ocular residual astigmatism (ORA) and topography disparity (TD) in a sample of clinical and subclinical keratoconus eyes, and to evaluate their diagnostic value to discriminate between these conditions and healthy corneas. Methods. This study comprised a total of 43 keratoconic eyes (27 patients, 17–73 years) (keratoconus group), 11 subclinical keratoconus eyes (eight patients, 11–54 years) (subclinical keratoconus group) and 101 healthy eyes (101 patients, 15–64 years) (control group). In all cases, a complete corneal analysis was performed using a Scheimpflug photography-based topography system. Anterior corneal topographic data was imported from it to the iASSORT software (ASSORT Pty. Ltd), which allowed the calculation of ORA and TD. Results. Mean magnitude of the ORA was 3.23 ± 2.38, 1.16 ± 0.50 and 0.79 ± 0.43 D in the keratoconus, subclinical keratoconus and control groups, respectively (p < 0.001). Mean magnitude of the TD was 9.04 ± 8.08, 2.69 ± 2.42 and 0.89 ± 0.50 D in the keratoconus, subclinical keratoconus and control groups, respectively (p < 0.001). Good diagnostic performance of ORA (cutoff point: 1.21 D, sensitivity 83.7 %, specificity 87.1 %) and TD (cutoff point: 1.64 D, sensitivity 93.3 %, specificity 92.1 %) was found for the detection of keratoconus. The diagnostic ability of these parameters for the detection of subclinical keratoconus was more limited (ORA: cutoff 1.17 D, sensitivity 60.0 %, specificity 84.2 %; TD: cutoff 1.29 D, sensitivity 80.0 %, specificity 80.2 %). Conclusion. The vector parameters ORA and TD are able to discriminate with good levels of precision between keratoconus and healthy corneas. For the detection of subclinical keratoconus, only TD seems to be valid.

Cistinose : a propósito de uma doença renal de longa evolução com repercussões sobre o globo ocular

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Seafloor magnetic anomalies and ages observed from shipboard and airborne measurements from New Zealand to the Amundsen Sea (south of 64°S)

Geophysical data acquired using R/V Polarstern constrain the structure and age of the rifted oceanic margin of West Antarctica. West of the Antipodes Fracture Zone, the 145 km wide continent-ocean transition zone (COTZ) of the Marie Byrd Land sector resembles a typical magma-poor margin. New gravity and seismic reflection data indicates initial continental crust of thickness 24 km, that was stretched 90 km. Farther east, the Bellingshausen sector is broad and complex with abundant evidence for volcanism, the COTZ is ~670 km wide, and the nature of crust within the COTZ is uncertain. Margin extension is estimated to be 106-304 km in this sector. Seafloor magnetic anomalies adjacent to Marie Byrd Land near the Pahemo Fracture Zone indicate full-spreading rate during c33-c31 (80-68 Myr) of 60 mm/yr, increasing to 74 mm/yr at c27 (62 Myr), and then dropping to 22 mm/yr by c22 (50 Myr). Spreading rates were lower to the west. Extrapolation towards the continental margin indicates initial oceanic crust formation at around c34y (84 Myr). Subsequent motion of the Bellingshausen plate relative to Antarctica (84-62 Myr) took place east of the Antipodes Fracture Zone at rates <40 mm/yr, typically 5-20 mm/yr. The high extension rate of 30-60 mm/yr during initial margin formation is consistent with steep and symmetrical margin morphology, but subsequent motion of the Bellingshausen plate was slow and complex, and modified rift morphology through migrating deformation and volcanic centers to create a broad and complex COTZ.

Iterative global flow techniques for detecting program anomalies /

Thesis--Illinois.

Some results on the working set anomalies in numerical programs /

"UILU-ENG 80 1744"--Cover.

Astronomy, or, The true system of the planets demonstrated : wherein are shewn by instrument, their anomalies, heliocentrick and geocentrick places both in longitude and latitude ... to which is prefix'd, an alphabetical catalogue of ... terms in astronomy ... /

English Short Title Catalog,

Mémoire sur les anomalies de l'oeuf : lu à la Societé de Biologie dans la séance du 1 décembre 1860 /

Mode of access: Internet.

Elementos de cirurgia ocular .../

Mode of access: Internet.

Des anomalies artérielles considérées dans leurs rapports avec la pathologie et les opérations chirurgicales : ouvrage accompagné d'un atlas in-4 ?de 17 planches colorées /

Mode of access: Internet.

Text-book of ophthalmology,

Vol. 1: 2nd impression with correction and additions, Apr., 1938.

The recognition of ocular disease : a treatise for opticians /

Includes bibliography.