Myopia Control: A Citation Network Study

Background: According to the World Health Organization, myopia is already one of the major causes of vision impairment and blindness. It is predicted to affect almost a half of the world's population within the next years. A lot of researches around the world have been performed on myopia, there is no clear overview of these researchers. In this manuscript, we analyzed the main connections between the most cited researchers, to build a citation network to evaluate the impact of different authors, journals, and subjects in the field of myopia control. Methods: A search using the keywords “myopia control†was made through Web of Science. Extracted data was analyzed using CitNetExplorer® software obtaining a visual evaluation of the most cited publications. A subnet analysis was made by adding the keywords “myopia control" AND ("orthokeratology" OR "corneal refractive therapyâ€), “myopia control" AND ("soft contact lens*" OR "multifocal contact lens*â€), and “myopia control" AND "atropineâ€. The most important publications of the network and subnetworks were analyzed using the "core" function. Results: This study showed 228 references that generated 1087 citations across the network. 2013 was the most important year for myopia control, with most publications and citations. Optometry and Vision Science journal has published the most cited papers. Regarding the authors, Walline ranked the first of the most cited articles on myopia control. Conclusion: This study analyzed the associations between the authors, journals and subjects in myopia control, highlighting the great importance of this area in the recent years. More than 50% of the papers in the network were published after 2013

Overnight orthokeratology: Technology, efficiency, safety, and myopia control

[Excerpt] Modern orthokeratology differs significantly from the original technique back in the 1960s. Over the last 3 decades, new materials, lens designs, manufacturing processes, fitting techniques, and instruments for the analysis of corneal changes have been developed and have contributed to its evolution. Nowadays, orthokeratology is carried out using the contact lenses during sleep hours (overnight orthoker atology (OOK)), and it is approved by FDA for the treatment of myopia, up to 6 dioptres. #ere are reports of some designs that allow treatment of myopia up to 10–12 dioptres and hyperopia up to 3 dioptres, and recent toric designs, either in the optical zone or in the periphery of the lens, allow correction of astigmatism above 1.75 dioptres up to 3.50 dioptres though those treatments are performed off label. Currently, even some cases of presbyopia may be solved with the help of OOK [1, 2]. However, the greatest impact of this technique in recent years is its application as a method for the control of myopia progression, either on its own or in combination with low-dose atropine [3, 4]. Recently, a published report written by the American Academy of Ophthalmology concludes that orthokeratology is effective for myopia control and potentially has a greater effect when it is applied in patients aged 6 to 8 years [5]. [...]- Universidad Complutense de Madrid(undefined

Short-term corneal response to corneal refractive therapy for different refractive targets

Purpose: The goal of the present study was to investigate the short-term variations in corneal topography within the first 3 hours of lens wear under open eye conditions, which call be considered an off-label condition in current orthokeratology treatment, and the recovery of the effect during an additional 3-hour period after lens removal.Methods: Fourteen Volunteers were fitted with Paragon CRT reverse geometry rigid gas permeable contact lenses Simulating 2 different refractive targets of -2.00 and -4.00 diopters of myopia correction in the right and left eyes in random order. After the lenses were placed in both eyes. Subsequent measurements of corneal topography were obtained at 30, 60, and 180 minutes: the same measurements were also taken at 30, 60, and 180 minutes after lens removal.Results: Significant flattening of the cornea was evident after 30 minutes of lens wear. Overall, the -4.00 group changes progressed more rapidly than in the -2.00 group, and they also took more time to recover after lens removal. However, for most of the parameters, differences between -2.00 and -4.00 treatments are evident only after 60 minutes of lens wear.Conclusions: Under open eye conditions, the first 30 minutes of corneal refractive therapy are determinant to establish the myopic orthokeratologic effect and changes are almost identical irrespective of the refractive target. After this point, changes are different depending on the refractive target. The recovery was almost as fast as the onset of the orthokeratologic effect, demonstrating that the cornea deforms quickly beneath these lenses and does recover safely and quickly once the lenses are removed.Supported in part by a grant from the Science and Technology Foundation, Ministry of Science and Superior Education, and European Social Fund under contract 8281/2002 granted to J.M.G.-M

Influence of Cytokines on Inflammatory Eye Diseases: A Citation Network Study.

Background: The main objective of this study was to use citation networks to analyze the relationship between different publications on the impact of cytokines at an ocular level and their authors. Furthermore, the different research areas will be identified, and the most cited publications determined. Methods: A search was performed in the Web of Science (WoS) database using the following keywords: “cytokine”, “inflammatory”, and “eye disease” for the period from 1990 to October 2021. The Citation Network Explorer and the CiteSpace software were then used to analyze the different publications. Results: 3127 publications with 8955 citations generated on the web were found. The largest number of publications on this topic emerged in 2018 and the authors with the largest number of publications addressing this area of research were Peizeng Yang (1.4%), Aize Kijlstra (1.3%), and Stephen C. Pflugfelder (1.2%). Conclusions: the citation network has provided a comprehensive and objective analysis of the main studies on the influence of cytokines in ocular inflammatory diseases.post-print4708 K

Influence of eye movements on academic performance: A bibliometric and citation network analysis

Background: For many years it has been studied how eye movements influence reading and learning ability. The objective of this study is to determine the relationships between the different publications and authors. As well as to identify the different areas of research ocular movement.; Methods: Web of Science was the database for the search of publications for the period 1900 to May 2021, using the terms: “Eye movement" AND “Academic achiev*”. The analysis of the publication was performed using the CitNetExplorer, VOSviewer and CiteSpace software.; Results: 4391 publications and 11033 citation networks were found. The year with the most publications is 2018, a total of 318 publications and 10 citation networks. The most cited publication was "Saccade target selection and object recognition: evidence for a common attentional mechanism." published by Deubel et al. in 1999, with a citation index of 214. Using the Clustering function, nine groups were found that cover the main research areas in this field: neurological, age, perceptual attention, visual disturbances, sports, driving, sleep, vision therapy and academic performance.; Conclusion: Even being a multidisciplinary field of study, the topic with the most publications to date is the visual search procedure at the neurological level

Refractive, biometric and corneal topographic parameter changes during 12 months of orthokeratology

Background The aim of this study was to monitor refractive, topographic and biometric changes in Singaporean myopic children fitted with orthokeratology over a period of 12 months. Methods Data from 62 myopic eyes from an Asian population corrected with orthokeratology were retrospectively collected from an optometric clinic in Singapore. Anterior segment parameters were analysed with a Pentacam. Axial length was measured using the IOLMaster and refraction was assessed by subjective examination before the treatment and after one night, one week, and one, three, six and 12 months. A logistic regression model was built to evaluate the probability of slower (= 0.10 mm/year). Results Subjects had a mean age of 12.2 +/- 3.9 years (range 5-19 years), and 71 per cent were female. Baseline myopia was -3.95 +/- 1.59 D (range -1.50 and -8.75 D). Statistically significant differences were found after 12 months of treatment for refractive error, parameters of the central anterior corneal surface (curvature and elevation) and central corneal thickness. Topographic and thickness changes stabilised after one week of treatment. During 12 months of orthokeratology treatment there was a significant increase of axial length (difference = 0.11 +/- 0.18 mm, p < 0.001) while refraction remained stable. Changes in axial length of subjects above 11 years were not statistically significantly independent of the baseline myopia, and in subjects with baseline myopia greater than 4.00 D. Logistic regression showed that each additional year of age and each additional dioptre of baseline myopia decreased the probability of faster axial elongation (odds ratio [OR] = 1.23, 2.19 95% CI; OR = 1.08, 3.47 95% CI, respectively). Conclusion Corneal parameters in orthokeratology treatment were stable after one week, particularly for myopes under 4.00 D. Axial length did not change significantly in children older than 11 years of age or in subjects with myopia above 4.00 D undergoing orthokeratology treatment.- (undefined

IMI : global trends in myopia management attitudes and strategies in clinical practice : 2022 update

PURPOSE. Surveys in 2015 and 2019 identified a high level of eye care practitioner concern/activity about myopia, but the majority still prescribed single vision interventions to young myopes. This research aimed to provide updated information. METHODS. A self-administered, internet-based questionnaire was distributed in 13 languages, through professional bodies to eye care practitioners globally. The questions examined awareness of increasing myopia prevalence, perceived efficacy and adoption of available strategies, and reasons for not adopting specific strategies. RESULTS. Of the 3195 respondents, practitioners’ concern about the increasing frequency of pediatric myopia in their practices differed between continents (P < 0.001), being significantly higher in Asia (9.0 ± 1.5 of 10) than other continents (range 7.7–8.2; P ≤ 0.001). Overall, combination therapy was perceived by practitioners to be the most effective method of myopia control, followed by orthokeratology and pharmaceutical approaches. The least effective perceived methods were single vision distance undercorrection, spectacles and contact lenses, as well as bifocal spectacles. Practitioners rated their activity in myopia control between (6.6 ± 2.9 in South America to 7.9 ± 1.2/2.2 in Australasia and Asia). Single-vision spectacles are still the most prescribed option for progressing young myopia (32.2%), but this has decreased since 2019, and myopia control spectacles (15.2%), myopia control contact lenses (8.7%) and combination therapy (4.0%) are growing in popularity. CONCLUSIONS. More practitioners across the globe are practicing myopia control, but there are still significant differences between and within continents. Practitioners reported that embracing myopia control enhanced patient loyalty, increasing practice revenue and improving job satisfaction

Differences in Practitioner Experience, Practice Type, and Profession in Attitudes Toward Growing Contact Lens Practice

OBJECTIVE: To investigate eye care practitioners' attitudes and perceptions toward potential interventions that can enhance contact lens (CL) practice across the world, and how this is influenced by their practice setting. METHODS: A self-administered, anonymized survey was constructed in English and then forward and backward translated into six more languages. The survey was distributed online via social media platforms and mailing lists involving reputed international professional bodies. RESULTS: In total, 2,222 responses from 27 countries with sufficient responses were analyzed (53% females, median age- 37 years). Most of the respondents were optometrists (81.9%) and 47.6% were from stand-alone/independent practices. Median working experience in CL prescribing was 11.0 years (IQR: 18.0, 4-22 years). Over two-third of them declared themselves to be very hopeful (22.9%) or hopeful (45.1%) about the future of their CL practice. Among the potential interventions proposed, continuous update of knowledge and skills and competently managing CL-related complications were rated the most important (median score: 9/10 for each). Practitioners working in national/regional retail chains expressed higher proactivity in recommending CLs (9/10) than those in local chains, hospitals, and universities (for all 8/10, P <0.05). National differences were also identified in eye care practitioner attitudes and perceptions ( P <0.05). CONCLUSIONS: The study provided important information to delineate a variety of elements characterizing CL practice across the world. These insights can serve as a basis to design strategies at national and international levels

Global trends in myopia management attitudes and strategies in clinical practice – 2019 Update

Purpose: A survey in 2015 identified a high level of eye care practitioner concern about myopia with a reported moderately high level of activity, but the vast majority still prescribed single vision interventions to young myopes. This research aimed to update these findings 4 years later. Methods: A self-administrated, internet-based questionnaire was distributed in eight languages, through professional bodies to eye care practitioners globally. The questions examined: awareness of increasing myopia prevalence, perceived efficacy of available strategies and adoption levels of such strategies, and reasons for not adopting specific strategies. Results: Of the 1336 respondents, concern was highest (9.0 ± 1.6; p < 0.001) in Asia and lowest (7.6 ± 2.2; p < 0.001) in Australasia. Practitioners from Asia also considered their clinical practice of myopia control to be the most active (7.7 ± 2.3; p < 0.001), the North American practitioners being the least active (6.3 ± 2.9; p < 0.001). Orthokeratology was perceived to be the most effective method of myopia control, followed by pharmaceutical approaches and approved myopia control soft contact lenses (p < 0.001). Although significant intra-regional differences existed, overall, most practitioners did not consider single-vision distance under-correction to be an effective strategy for attenuating myopia progression (79.6 %), but prescribed single vision spectacles or contact lenses as the primary mode of correction for myopic patients (63.6 ± 21.8 %). The main justifications for their reluctance to prescribe alternatives to single vision refractive corrections were increased cost (20.6 %) and inadequate information (17.6 %). Conclusions: While practitioner concern about myopia and the reported level of activity have increased over the last 4 years, the vast majority of eye care clinicians still prescribe single vision interventions to young myopes. With recent global consensus evidence-based guidelines having been published, it is hoped that this will inform the practice of myopia management in future

Ocular Complications of Myopia: Bibliometric Analysis and Citation Networks

Background: The objective of this study is to determine the relationship between publications and authors. In turn, the different areas of research on the ocular complications of myopia are also identified, and the most cited publication by citation networks is determined. Methods: The search for publications is carried out in the Web of Science database using the term “myopia OR nearsightedness AND retin* OR degenerat* OR detachment OR patholog* OR glaucoma OR cataract OR machulopathy OR “choroidal neovascularization” for the period between 1978 and December 2022. Publication analysis was performed using the Citation Network Explorer, VOSviewer and CiteSpace software. Results: A total of 9357 publications and 78,400 citation networks were found across the network, with 2021 being the year with the highest number of publications, 712. The most cited publication was “Myopia”, published in The Lancet journal in 2012 by Morgan et al. with a citation index of 1006. By using the clustering function, seven groups covering the different research areas in this field were found: axial growth of the eye; myopic maculopathy; ocular complications in patients with myopia after a surgery; glaucoma; retinal detachment; cataracts and retinopathy of prematurity. Conclusions: The citation network offers a quantitative and qualitative analysis of the main papers on ocular complications of myopia. The research on this field is multidisciplinary; however, the main topic studied is the axial growth of the eye