Refractive Accuracy and Visual Outcome by Self-Refraction Using Adjustable-Focus Spectacles in Young Children
This cross-sectional noninferiority study investigates if self-refraction by children aged 5 to 11 years with adjustable-focus spectacles provides accurate refractive power and good vision compared with cycloplegic refraction. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - September 1, 2023 Category: Opthalmology Source Type: research

Using Adjustable-Focus Spectacles in Young Children to Meet Increasing Eyecare Needs
Zhao et al assess self-refraction using adjustable-focus spectacles in children aged 5 to 11 years. This concern touches on a number of public health issues, including changing myopia prevalence, clinician shortages, access to adequate vision care, and health equity. Providing an efficient, compact, and mobile means to address vision screening and refractive correction, especially in resource-limited areas, has particular importance for pediatric patients who need simple refractive correction in order to thrive educationally and ultimately in society. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - September 1, 2023 Category: Opthalmology Source Type: research

JAMA Ophthalmology
Mission Statement: To be the indispensable source of ophthalmic knowledge by promptly publishing innovative, clinically relevant research through consistent and authoritative peer review and, thereby, to be the first choice of authors for their important manuscripts. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - September 1, 2023 Category: Opthalmology Source Type: research

Hypotony Maculopathy Associated With Extruded Fluocinolone Acetonide Intravitreal Implant
This case report discusses a diagnosis of hypotony maculopathy associated with extrusion of a fluocinolone intravitreal implant in a patient who presented with painless, decreased vision in the right eye. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 17, 2023 Category: Opthalmology Source Type: research

Narrow Angle Associated With an Iris Cavernous Hemangioma
This case report discusses a diagnosis of iris cavernous hemangioma in a woman aged 63 years who presented with recurrent pain, redness, and hazy vision in her left eye. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 17, 2023 Category: Opthalmology Source Type: research

Live Larva in Ocular Toxocariasis
This case report describes a finding of a live larva in a patient with a previous diagnosis of ocular toxocariasis. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 17, 2023 Category: Opthalmology Source Type: research

Presumed Autoimmune Pigmented Paravenous Retinochoroidal Atrophy in a Female Patient Aged 69 Years
This case report describes a diagnosis of presumed autoimmune pigmented paravenous retinochoroidal atrophy in a 69-year-old patient who presented with slowly progressive vision loss and nyctalopia. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 17, 2023 Category: Opthalmology Source Type: research

Social Risk Factor Associations With Presenting Visual Acuity in Patients With Microbial Keratitis
This cross-sectional study investigates the association of neighborhood-level social risk factors with worse-presenting best-corrected visual acuity in patients with microbial keratitis infections. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research

Prevalence of Diabetic Retinopathy in the US in 2021
This study attempts to update estimates of diabetic retinopathy and vision-threatening diabetic retinopathy prevalence by demographic factors and US county and state. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research

Taking Steps to Advance Health Equity in Ophthalmology
Health care disparities have led to substantial differences in health outcomes for socially vulnerable populations. Ophthalmology is no exception. However, we are only beginning to identify and understand disparities in vision outcomes, risk for vision impairment, burden of severe disease, and eye care utilization. At the core of health disparities, more broadly, are structural inequities that have led to the maldistribution of social determinants of health (SDOHs) —the social, economic, and physical conditions in which people live, work, and play that affect health outcomes. To date, much of the existing literature on h...
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research

Diabetic Retinopathy in the US —Where We Are Now and What Is Next
The diabetes pandemic is a well-recognized public health issue. Efforts for prevention at all levels, primary, secondary, and tertiary, are needed to curb the increasing pandemic. Current knowledge of the magnitude of disease prevalence is a first step to develop cost-effective prevention strategies in any country. The article in this issue of JAMA Ophthalmology by Lundeen et al fills such an epidemiological knowledge gap by focusing on the current burden of diabetes-related ocular comorbidity in the US and by providing updated national estimates of prevalence rates of diabetic retinopathy (DR) and vision-threatening DR (V...
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research

Complications Following Intraocular Lens Implantation in Children
This cohort study describes complication incidence after pediatric lensectomy and intraocular lens implantation and their association with age at surgery and lens location. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research

Extrascleral Extension of Uveal Melanoma Associated With Periodic Anti-VEGF Therapy
This case report describes a 94-year-old man who was seen for evaluation of a left choroidal mass after receiving periodic anti –vascular endothelial growth factor (anti-VEGF) therapy for neovascular age-related macular degeneration. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research

Some Lessons Regarding Intraocular Lens Implantation Following Pediatric Cataract Surgery
The question of how to optimize cataract surgery in children is important, especially when considering primary intraocular lens (IOL) implantation commonly used in adults. Studies on this topic, including longer-term data regarding postoperative complications, have been limited in a setting in which there is a lack of US Food and Drug Administration approval for IOL use in children. Nevertheless, parents or guardians of children contemplating this surgery, and children who could give assent as well, often 7 years and older, want to know this information. Fortunately, the Pediatric Eye Disease Investigator Group (PEDIG) cre...
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research

Risk Variants in the CFH Gene and Levels of Coagulation and Complement Factors in Idiopathic Multifocal Choroiditis
This case-control study investigates the genes and pathways associated with the pathophysiology of idiopathic multifocal choroiditis. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research