Timely reports on clinical research, legislative updates and product launches, from the editors of Review of Optometry and RCCL. Stories post each weekday morning.
The number of patients experiencing significant refractive worsening was reduced nearly fourfold. This was consistently seen over mean follow-up of 2.4 years, but long-term durability still needs to be established.
The right of ODs to prescribe controlled substances and manage glaucoma without MD oversight was removed from the legislation during amendments, in part due to inadequate telehealth guidelines. Now, just two scope bills remain this year in Ohio and NJ.
A deep learning model trained on retinal thickness maps and ONH scans could accurately predict functional performance in glaucoma patients, study finds.
However, a recent Swedish study of newly detected early or moderate untreated open-angle glaucoma still found no evidence that this approach should be used routinely in all patients.
Subjects demonstrated 0.24mm average reduction compared to controls. However, one quarter of kids still experienced high rates of progression and one third had only modest benefit.
The time-sensitive procedure produced significantly better VA outcomes than hospitalized observation, IOP-lowering meds, vasodilation, ophthalmic massage and oxygenation.
Meta-analysis revealed incidence was comparable when using 1% povidone iodine disinfection with selective antibiotic prophylaxis vs. routine antibiotic prophylaxis.
A single-site review found 62% of cases presented with open globe injuries. B-scan ultrasound was most useful when direct examination was not possible.
A new survey highlighted that, for the first time, SLT was selected by ophthalmologists relatively new in practice and those with a higher glaucoma patient base. ODs were not surveyed.
People aged 20 to 39 and those in Hispanic or Black ethnic/racial groups were most acutely affected, supporting the need for DR screening in young adults.
Development of confluent guttae and higher-order aberrations seemed to affect acuity the most, study finds. AS-OCT didn’t seem to help with assessment.
The discrepancy between subjective and objective measures is influenced by patient-level factors, with several groups prone to under/over-reporting their status, study says.
Higher fasting blood glucose levels were significantly associated with decreased perfusion and vascular density on OCT-A; to a lesser extent, so were older age, longer axial length and elevated heart rate.
Researchers acknowledged that lifestyle changes may have also contributed, but nevertheless speculated that the drug may reduce oxidative stress and subsequent VEGF overexpression.
Chronic stress brought on by vision problems may be a causative factor, researchers suggest, as the association was seen even adults younger than 65 and those with steady jobs.