Biomedical subjects

R Montés-Micó

Publications and source records attributed to R Montés-Micó.

11 recordsLinked to original sources

PubMed2006

Age differences in central and peripheral intraocular pressure using a rebound tonometer.

AIM: To evaluate the influence of age on the measurements and relationships among central and peripheral intraocular pressure (IOP) readings taken with a rebound tonometer. METHODS: The IOPs were measured using the ICare rebound tonometer on the right eyes of 217 patients (88 men and 129 women) aged 18-85 years (mean 45.9 (SD 19.8) years), at the centre and at 2 mm from the nasal and temporal limbus along the horizontal meridian. Three age groups were established: young (< or =30 years old; n = 75), middle aged (31-60 years old; n = 77) and old patients (>60 years old; n = 65). RESULTS: A high correlation was found between the central and peripheral IOP readings, with the central readings being higher than the peripheral ones. Higher IOP values for the central location were found in the younger patients. Older patients had significantly lower temporal IOP readings than those for the remaining two groups (p<0.001), whereas no significant differences were found among groups when IOP was measured at the central and nasal locations. A significant decrease was observed in the nasal and temporal IOP readings as the age increased (p = 0.011 and 0.006, respectively). CONCLUSION: Older patients had lower IOP values than the middle-aged and younger patients in the temporal peripheral location. A negative correlation was found between age and IOP by rebound tonometry in the corneal periphery but not in its centre.

Adolescent↗

PubMed2001

Latent ocular deviations in patients with advanced AIDS.

The purpose of this study is to determine horizontal latent ocular deviations in patients with advanced AIDS (CD4+ count <0.050 x 10(9)/l) and to compare with normal values by means of the von Graefe technique. Twenty patients aged between 17 and 44 years with AIDS and aged-matched control groups were submitted to study. The AC/A ratio was also measured in both groups using the Gradient test. The AIDS patients showed a horizontal latent deviation value of 0.28+/-1.07delta exo at near (40 cm.) and 2.12+/-1.37delta eso at distance (6 m). The AC/A ratio obtained was 2.03+/-0.65. Statistically significant differences were obtained in relation to aged-matched control group at near and at distance (p<0.01). The horizontal latent ocular deviation at near and at distance in advanced AIDS patients showed lower values than the expected. The AC/A relationship also was lower. The results obtained in this study indicate that AIDS patients suffer a divergence insufficiency, which could add to other visual complaints such as blurred vision, photophobia, nyctalopia and reading difficulty.

Acquired Immunodeficiency Syndrome↗

PubMed2001

Contrast sensitivity function in children: normalized notation for the assessment and diagnosis of diseases.

The purpose of this article is to describe a normalized notation for the assessment of the contrast sensitivity in children. This notation is obtained dividing the log contrast sensitivity value found in a patient by the corresponding normative contrast sensitivity data. The ratio obtained describes the contrast sensitivity of a patient facilitating its understanding, assessment and consequently effective communications. This article shows the normalized notation developed for children aged from 3 to 7 years old. An evaluation of the contrast sensitivity in healthy and amblyopic patients has been shown in order to explain the procedure to follow. The use of normalized notation in clinical procedures will provide to the clinician a better understanding of the results and the changes over time as well by comparison in the assessment of an ocular disease.

Amblyopia↗

PubMed2001

Intraocular pressure after excimer laser myopic refractive surgery.

The aim of this study was to determine whether intraocular pressure (IOP), as measured by Goldmann applanation or non-contact tonometry, shows systematic changes in patients who have undergone photorefractive keratectomy (PRK) or laser in situ keratomileusis (LASIK). IOP was measured by central Goldmann and non-contact tonometry in 54 patients pre and post-PRK, and in 43 patients pre- and post-LASIK. An interval of 12 months was allowed after surgery. Patients were selected to have one of four specific initial values of refractive error (-2.5, -5.0, -7.5 and -10.0 D). Fellow unoperated eyes were used as controls. A paired Student's t-test and a one-way ANOVA test were used for statistical analysis. After PRK and LASIK, a statistically significant decrease (p < 0.01) was observed in the IOP of the treated eyes (but not for control eyes; p > 0.01). Although the magnitude of the change increased with the attempted refractive correction, this trend was not statistically significant (p > 0.01). No statistically significant differences were found between the results obtained following the two types of surgery, although the recorded fall in IOP was smaller following LASIK (p > 0.01). The IOP measured after PRK and LASIK for myopia may be reduced because of reduced corneal thickness and curvature and, possibly, tissue softening after natural healing. The presence or absence of Bowman's membrane does not appear to be important in this context. The reduction in measured IOP following refractive surgery, by about 0.5 mmHg/D of myopic correction, needs to be remembered when possible abnormality of IOP in such patients is being considered.

Adult↗

PubMed2001

Influence of the luminance level on visual performance with a disposable soft cosmetic tinted contact lens.

The purpose of the present work was to study the effect on visual performance of wearing disposable soft tinted contact lenses for cosmetic purposes. Parameters such as contrast sensitivity (Vistech 6000), colour vision (Farnsworth-Munsell 100-Hue colour test), visual fields (static Goldmann perimetry) and subjective vision (what the wearer feels while wearing the lenses) were studied under different illumination levels in order to check for possible vision losses while wearing these contact lenses at low illumination levels. Sixteen emmetropic subjects were fitted consecutively with seven pairs of different colour lenses (Optima Colors lenses by Bausch & Lomb), and the experimental parameters were measured under four different illumination levels (60, 6, 1, and 0.1 cd/m2; but 15 and 0.3 cd/m2 for the static perimetry) The results obtained showed no statistically significant differences in visual performance between wearing the lenses and not wearing them (p > 0.01), except for the static perimetry, in which statistically significant differences (p < 0.01) occur at eccentricities greater than 30 degrees.

Adolescent↗

PubMed2000

Eye-hand and eye-foot visual reaction times of young soccer players.

PURPOSE: The aim of this study was to investigate the eye-hand and eye-foot visual reaction time among young soccer players and to compare those with non-soccer players in order to evaluate possible differences. METHODS: A vision screening of 53 young male soccer players belonging to the Valencia Soccer Club was done. Soccer players were divided in three categories, with mean ages of 8.2 +/- 0.5 years (range, 8- to 9-year olds), 10.6 +/- 0.2 years (range, 10- to 11-year-olds), and 12.7 +/- 0.3 years (range, 12- to 13-year-olds). An age-matched sample of 60 young male non-soccer players served as a control population. Mean ages in this population were 8.3 +/- 0.6 years, 10.5 +/- 0.4 years, and 12.6 +/- 0.2 years for each category, respectively. Eye-hand and eye-foot visual reaction times were determined in players and non-players by means of a computer-controlled stimuli device. RESULTS: We obtained a mean and standard deviation value (in seconds) of eye-hand reaction time in soccer players of 0.301 +/- 0.037, 0.256 +/- 0.040, and 0.207 +/- 0.031, respectively, for each category, and for non-soccer players of 0.382 +/- 0.061, 0.320 +/- 0.063, and 0.282 +/- 0.043, respectively. The values for eye-foot reaction time in players were: 0.412 +/- 0.062, 0.406 +/- 0.046, and 0.387 +/- 0.034, respectively, for each category, and for nonplayers of 0.496 +/- 0.081, 0.460 +/- 0.026, and 0.446 +/- 0.054, respectively. There are statistically significant differences between eye-hand and eye-foot reaction times between players and nonplayers (p < 0.05). There was no correlation between visual reaction times and age (p > 0.05). CONCLUSIONS: Eye-hand and eye-foot visual reaction times were found to be different between the two populations evaluated. The results show differences between soccer and non-soccer players, with the soccer players demonstrating faster reaction times.

Adolescent↗

PubMed1999

Antibacterial and antifungal effects of soft contact lens disinfection solutions.

AIMS: To study the antibacterial and antifungal effects of soft contact lens disinfection solutions. METHODS: Eight contact lens disinfection solutions containing hydrogen peroxide or biguanides or polyquad compounds were evaluated with respect to their ability to disinfect a saline solution experimentally contaminated with different bacteria and with a fungus. We used cultures in blood Agar, MuellerHinton agar and Saboureaud's agar to identify the bacterial and fungal growth following 14 h of exposure to the disinfection solutions. RESULTS: Hydrogen peroxide, DYMED and polyhexamide solutions prevented the growth of the four bacteria studied. The solution containing biguanide prevented the growth of Escherichia coli and Staphylococcus epidermidis. The solution with polyquad solution only prevented the growth of Staphylococcus epidermidis and none of the disinfection solutions prevented the growth of Candida albicans. The control solution, which was saline, did not prevent the growth of either bacteria or fungi. CONCLUSIONS: Disinfection solutions containing hydrogen peroxide, or DYMED or polyhexamide can disinfect these four bacteria but none of them prevented the growth of Candida albicans.

Journal Article↗

PubMed1999

Ocular physiology and artificial tears.

BACKGROUND: In this study, we evaluated the pH value of nine artificial tears solutions in order to investigate whether their pH changed over time. These solutions are designed to have a pH value within the ocular comfort range and to come close to the physiological tears' pH. METHODS: Fifteen bottles of each solution were randomly chosen from different production lots. Increments of 0.05 ml were taken daily from each bottle and measured daily, using a micropH 2002 Crison pH-meter over a period of 60 days. RESULTS: The values obtained fall within the ocular comfort range. Also, we obtained nonstatistically significant variations over time for each solution (p > 0.01). The results revealed differences between solutions, some solutions coming close to the tear's pH and others being slightly more acidic or alkaline. CONCLUSIONS: We may assume that all the solutions evaluated will not affect either the ocular physiology or the contact lens wear. The practitioners should know the properties of the solutions, thus selecting the adequate solution for each type of patient.

Follow-Up Studies↗

PubMed1998

A simple technique for measurement of corneal thickness.

Measurement of corneal thickness has potential benefit both in the fitting of contact lenses and in monitoring any pathology that could affect corneal thickness. Corneal thickness measurement is undertaken using an accessory to the biomicroscope, the optical pachometer, or by means of expensive apparatus such as the ultrasonic pachometer. There are other complex methods, such as laser Doppler interferometry, or ultrasonic rasters of the cornea. In this study, an easier and low cost method, based on the measurement of the optical section formed of the cornea by the biomicroscope illumination system, is proposed. The advantages of this new method are the simplicity of its experimental set-up which consists of a calibrated graticule in an eyepiece of the biomicroscope, the speed of the measurement which increases with practice and the low cost, due to the fact that the biomicroscope is standard equipment in the ophthalmic consulting room.

Journal Article↗

PubMedDate not supplied

Astigmatism in infancy and childhood.

PURPOSE: To evaluate the prevalence of astigmatism in infancy and childhood in a Spanish population. METHODS: A total of 478 children with astigmatism from Valencia Province, Spain were examined. The patients, ranging in age from 2-12 years, were classified into groups according to age. Astigmatism error and axis orientation were determined using noncyclopegic retinoscopy over each eye. RESULTS: The overall prevalence of astigmatism (> or = 1.00 diopter of cylinder) decreased in relation to increasing age from 44.3% to 5.2%. The prevalence of against-the-rule astigmatism decreased from 61.5% (at 2 years) to 33.4% (at 12 years), with-the-rule astigmatism increased in prevalence from 23.1% (at 2 years) to 66.6% (at 12 years), and oblique astigmatism decreased with age from 15.4% (at 2 years) and 0% (at 12 years). CONCLUSION: These results do not vary from those observed in other populations. Factors such as race, nutrition, and environmental condition did not vary from the literature regarding the prevalence of astigmatism in infants and children.

Age Distribution↗

PubMedDate not supplied

Choice of spatial frequency for contrast sensitivity evaluation after corneal refractive surgery.

PURPOSE: To study the utility of measurements of contrast sensitivity at different spatial frequencies as an index of visual recovery following refractive surgery. METHODS: Contrast sensitivity at 1.5, 3, 6, 12, and 18 c/deg was measured with the Stereo Optical FACT chart in 20 patients after photorefractive keratectomy (PRK) using the Nidek EC-5000 excimer laser system, and in 18 patients following laser in situ keratomileusis (LASIK). Contrast sensitivity was measured preoperatively and 1, 3, 6, and 12 months after surgery. RESULTS: Results showed a statistically significant reduction (P<.01) in contrast sensitivity at all spatial frequencies in PRK patients during the first and third month, but contrast sensitivity recovered to preoperative values by 6 months after surgery (P>.1). In LASIK patients, decreased contrast sensitivity values 1 month after surgery were also obtained at all spatial frequencies. After 3 months, contrast sensitivity at 1.5 and 3 c/deg had recovered and did not differ significantly from preoperative values (P>.1), although contrast sensitivity at other frequencies remained reduced (P<.01). At 6 and 12 months, contrast sensitivity at all spatial frequencies did not differ from that obtained preoperatively (P>.1). CONCLUSIONS: Contrast sensitivity measurements at 6 and 12 c/deg appear to be most useful in the assessment of patients who have undergone laser refractive surgery because defocus and optical aberrations primarily affect the higher spatial frequencies.

Adult↗