OPTOMETRY AND VISION SCIENCE视光学与视觉科学
OPTOMETRY AND VISION SCIENCE(英文缩写 OPTOMETRY VISION SCI),ISSN 1040-5488,eISSN 1538-9235,中文译名:视光学与视觉科学 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.106 | Q3 |
| 2022 | 1.400 | Q4 |
| 2023 | 1.600 | Q3 |
| 2024 | 1.800 | Q3 |
| 2025 | 2.400 | Q2 |
OPTOMETRY AND VISION SCIENCE 最新收录文献
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1. Visual difficulty with internet-enabled devices among older adults with low vision.
PMID:日期:2026-09-29Vision rehabilitation practitioners provide support for visual difficulty with internet devices by prescribing optical aids and/or help with accessibility features (e.g., enlarged text or enhanced contrast), but it is unknown which patients continue to experience significant difficulty with various internet devices. Clinical trial participants who received training with magnification devices or visual assistive applications (apps) (n = 231; ages 55+ with mean distance visual acuity [VA] 0.64 logMAR; range 0-2 logMAR) self-reported which internet-enabled devices they had upon enrollment, their level of visual difficulty with them, and use of accessibility features. These factors were analyzed in relation to visual and demographic factors. At enrollment, the vast majority had a smartphone (90.5%), and 82% of them used smartphone accessibility features, but 68% self-reported moderate or extreme visual difficulty with smartphones. Odds of moderate or extreme visual difficulty with smartphones were significantly greater for those who did not use accessibility features (OR 3.0; p = 0.03) or had worse VA (OR 6.0; p < 0.001). Increased age was associated with significantly reduced odds of using smartphone accessibility features (OR 0.94; p = 0.008), whereas better cognitive status was associated with significantly greater odds of using smartphone accessibility features (OR 1.13; p = 0.003). Less than half (42%) had a desktop computer, and the majority of them (67%) reported visual difficulty with desktop computers. Odds of moderate or extreme visual difficulty with desktop computers were significantly greater for those who self-reported worse vision over the past year (OR 4.2; p = 0.004). For comparisons of subjects with two types of internet devices, significantly fewer people reported moderate or extreme visual difficulty with tablets (38%-45%) than with smartphones (66%), laptops (69%), or desktop computers (64%). Moderate to extreme visual difficulty with internet devices was commonly reported by older adults with magnification devices or visual assistive apps, especially for those with worse vision, which could be addressed with novel intervention development and/or vision rehabilitation to help with device accessibility features.
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2. Understanding higher-order aberrations in keratoconus.
PMID:日期:2026-09-24Keratoconus is characterized by progressive thinning and increasing irregularity of the cornea, leading to substantial degradation in optical quality through the induction of both lower- and higher-order aberrations (HOAs). In addition to inducing myopic and astigmatic refractive error, asymmetric corneal steepening generates complex optical distortions of the ocular wavefront, resulting in persistent reductions in image quality with conventional optical corrections including spectacles and soft contact lenses (CLs). In keratoconus, HOAs that comprise the ocular wavefront are significantly elevated, with marked variability in composition both across the population and between fellow eyes. Largely this is dominated by vertical coma, reflecting the asymmetric deformation of the cornea, with smaller contributions from trefoil and spherical aberrations. Rigid gas permeable CLs, including scleral lenses, can mask anterior corneal irregularity and partially reduce these aberrations, to improve vision quality. However, image quality in eyes with keratoconus remains reduced relative to nondiseased eyes due to residual HOAs, arising predominantly from the irregular posterior corneal surface and internal optics. This narrative review aims to translate the complex optics relating to the ocular wavefront in keratoconus into clinically relevant insights, examine current evidence on the origins of HOAs, describe related visual consequences, and outline implications for optical correction. An introduction to Zernike polynomials is presented, aiming to define the mathematical representation and facilitate a deeper understanding of wavefront data. These concepts provide a foundation for optimizing clinical care and guiding future approaches to customized optical correction in keratoconus.
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4. Quality of refractive error care in Malaysia: An unannounced standardized patient study.
PMID:日期:2026-09Quality of refractive error services is an outcome for effective refractive error coverage for people requiring vision correction. Optical legislation has regulated optometrists and opticians providing refractive care in Malaysia since 1991. This study aims to evaluate the quality of refractive error care (Q.REC) in Malaysia by estimating the proportion of dispensed spectacles meeting optimal spectacle quality standards and factors associated with spectacle quality. Using the Q.REC Protocol, 18 recruited unannounced standardized patients (USPs) from Klang Valley, Malaysia received a baseline refraction and completed training on refractive care standards. Dispensed spectacles were compared with the baseline refraction to determine the proportion meeting quality indicators, and associations between practice characteristics and spectacle quality were analyzed using logistic regression. USPs also reported visual symptoms. Eighty-six practices comprising 257 visits and 253 spectacles were assessed. The analysis indicated that the quality of dispensed spectacles were 30.8% (95% CI: 24.9%-37.4%) and 78.8% (95% CI: 73.7%-83.4%) for optimal and adequate indicators, respectively. The most frequent error observed was the cylindrical axes outside of the tolerance limits (56.6%). Focimetry was inversely associated with quality, with spectacles more likely to be suboptimal when performed (OR 0.48, 95% CI: 0.27-0.85, and p = 0.013). USPs who experienced symptoms with their dispensed spectacles were 41.1% of emmetropes, 21.4% of simple myopes, and 26.6% of astigmats/myopic astigmats. Despite established optical legislation, refractive error care quality in Malaysia appears suboptimal. This study underscores the importance of strengthening regulatory mechanisms to address the possibility of unqualified refractive care practitioners, adherence to standard operating procedure and continuous education for higher-quality refractive care in Malaysia.
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6. Artificial intelligence in a commercial clinical decision support tool: Insightful or dominated by heuristics?
PMID:日期:2026-09To systematically evaluate a commercially available myopia risk artificial intelligence (AI) supported clinical decision support screening tool in pediatric patients and to determine the additional insights provided by the AI component. Eighteen synthetic images of myopic-appearing and 18 non-myopic-appearing pediatric 'subjects' were generated using three commercially available AI software (ChatGPT, Google Gemini, and Reve), and uploaded to Magnifeye, which performs AI-guided image analysis and assessment of environmental risk factors to evaluate output myopia risk. The first analysis was image-based, where we assessed each image but modified the environmental risk to the lowest possible and the highest possible level. The second analysis was scenario-based, where we assessed two 'subjects', and systematically evaluated all combinations of environmental risk. There were significant differences in eye aspect ratio between myopic and non-myopic groups (squinting). Under low environmental risk conditions, both myopic and non-myopic groups were regarded as low overall risk of myopia. Conversely, high environmental risk led to a high overall risk of myopia. Systematically adjusting the environmental risk factors demonstrated a gradual uptitration of overall myopia risk. Family history of myopia and proximity behaviors represented the highest environmental risk. A non-myopic appearance moderated the overall myopia risk, decreasing it slightly in some situations. A simple clinical problem with a small number of outcomes in a low-stakes situation could be crudely reverse-engineered. This highlights the notion that some clinical issues may not necessarily require a complex AI system, which may be no more effective than conventional clinical heuristics.
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7. Near and distance vergence facility provides complementary clinical information in concussion-related convergence insufficiency.
PMID:日期:2026-09To compare near and distance vergence facility testing in adolescents and young adults with concussion-related convergence insufficiency and evaluate changes following office-based vergence/accommodative therapy (OBVAM). This secondary analysis of the CONCUSS randomized clinical trial evaluated vergence facility at near (40 cm) and distance (4 m) using a 12Δ base out/3Δ base in prism flipper. Participants aged 11-25 years with concussion-related convergence insufficiency were randomized to immediate or 6 weeks delayed OBVAM. Vergence facility was assessed at baseline, outcome time 1 assessment (after 12 therapy sessions for the immediate group and 6 weeks of watchful waiting for the delayed group), and outcome time 2 assessment (after both groups completed 16 therapy sessions). Agreement between near and distance vergence facility classifications was evaluated, and treatment-related changes were compared between groups. Of the 106 enrolled participants, 102 completed all study visits. At baseline, the near and distance vergence facility classifications demonstrated substantial discordance. Among 101 participants with both measures available, 49 demonstrated reduced distance vergence facility despite normal near vergence facility, whereas only two showed the opposite pattern (Cohen's κ = 0.12; p < 0.0001). Vergence facility improved following therapy in both treatment groups, with larger early improvements in the immediate-treatment group. Near and distance vergence facility testing provided complementary rather than interchangeable clinical information in adolescents and young adults with concussion-related convergence insufficiency. Both measures improved following vergence/accommodative therapy, supporting consideration of both testing distances in clinical assessment.
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8. Slowing of myopia progression by spectacles with highly aspherical lenslets-A narrative review.
PMID:日期:2026-09A new generation of myopia control spectacles has emerged, including spectacle lenses with highly aspherical lenslet technology (HAL lenses). To date, HAL lenses have only been thoroughly evaluated in a single site randomized clinical trial in China and a recently published, multicenter, North American clinical trial. The goal of this review is to explore and summarize additional studies of HAL lenses. A search of both PubMed and Scopus was conducted in December 2025 using the terms: (myopi*) AND (child* OR adolescen*) AND (aspherical lenslets OR Stellest OR high aspherical lenticule). All abstracts were reviewed and, when appropriate and available, full papers were evaluated. Data extracted included study duration, mean age, mean myopia progression, and mean axial elongation. Among the 78 papers identified that discuss HAL lenses, many reported vision or choroidal changes, or were review articles. Overall, 26 independent studies reported myopia progression, axial elongation, or both for children wearing HAL lenses for at least 6 months, of which 17 were conducted in China. Collectively, the 26 papers report data on 4079 children wearing HAL lenses and all but two report axial length data. There were four randomized clinical trials, six prospective studies, and 16 retrospective studies. Eleven studies included a single vision comparison group, eight compared HAL lens wearers to children wearing other myopia control spectacles, 10 compared HAL lenses to overnight orthokeratology, and five studies reported on HAL lenses used in combination with atropine. All mean axial elongations values for children wearing HAL lenses were below those for untreated children. Among studies with a single vision comparison group (mean age 10.2 years), median 1-year axial elongation for HAL wearers was 0.12 mm compared with 0.32 mm in the single vision group. Among studies comparing HAL lenses to overnight orthokeratology, six showed slower axial elongation for HAL lenses in at least one subgroup. Atropine increased the effectiveness of HAL lenses and vice versa. Regardless of study design and location, evidence suggests that axial elongation in children wearing HAL lenses is lower than those wearing single vision lenses.
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9. Visual function and symptom provocation in children and young adults with vestibular disorders: A prospective controlled study.
9. 前庭障碍儿童和年轻人的视觉功能和症状激发：一项前瞻性对照研究PMID:日期:2026-08-26To understand if visual function tests with moving stimuli were harder to process and caused more symptom provocation in persistent postural perceptual dizziness (PPPD) patients compared with those with other vestibular diagnoses or without any vestibular symptoms. 61 patients aged 8-23 years participated in a prospective study with three groups: PPPD (n = 21); at least one vestibular disorder without PPPD (n = 20); control-without vestibular or vision symptoms (n = 20). Subjects underwent visual function tests with moving stimuli: near point of convergence (NPC), amplitude of accommodation (AA), radial (r), and translational (t) motion coherence (MC). Somatic (headache, dizziness, nausea, fogginess) and eye symptom provocation (eyestrain, eye discomfort, pressure around the eyes) were assessed at baseline and after each visual function test using a Likert scale. Chi-squared tests compared rates of failure and Kruskal-Wallis tests compared measures between groups. Symptom provocation between groups and baseline versus postvisual function tests were compared using one-way ANCOVA and two-way repeated measures ANOVA, respectively. Patients with PPPD (median 10.0 Diopters (D) IQR [8.8-11.6]) had the lowest mean AA measures relative to those with other vestibular disorders (median 13.3D IQR [10.4-15.8], p = 0.01) and controls (median 13.5D IQR [12.2-17.0], p < 0.001). Between groups, somatic symptom provocation of PPPD patients was significantly higher than those with other vestibular disorders and control groups at baseline and following each visual function test (p < 0.05). Only patients with PPPD demonstrated consistently elevated eye symptom provocation following each visual function test (NPC mean difference [MD] = 4.1, 95% CI 2.4-5.8, p < 0.001; AA MD = 3.5, 95% CI 1.6-5.3, p < 0.001; rMC MD = 5.0, 95% CI 3.2-6.8, p < 0.001; tMC MD = 5.3, 95% CI 3.3-7.3, p < 0.001). Patients with PPPD had significantly lower AA and considerably elevated eye symptom provocation at baseline and after visual function tests compared to those with other vestibular disorders and controls. These findings may improve understanding of the pathophysiology of PPPD and its effective diagnosis and treatment.
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10. Progressive binocular visual alterations associated with increasing myopic anisometropia in spectacle-corrected children.
PMID:日期:2026-08To characterize the severity-dependent pattern of accommodative and binocular visual alterations in spectacle-corrected children with myopic anisometropia, normal best-corrected visual acuity (BCVA), and no clinically significant binocular vision-related symptoms. This hospital-based cross-sectional study included 153 myopic anisometropic and 104 myopic isometropic children. Cycloplegic refraction, axial length, ocular dominance, accommodative function, fusional vergence, heterophoria, Worth Four-Dot Test responses, and stereoacuity were assessed. All binocular vision examinations were performed under full spectacle correction. Anisometropia severity was quantified using vector dioptric distance (VDD). Multivariable regression models were used to evaluate associations between VDD and selected accommodative and binocular visual outcomes. With increasing anisometropia severity, amplitude of accommodation in the nondominant eye decreased from 10.73 ± 3.10 D in the mild group to 9.05 ± 3.12 D in the high group (p-trend = 0.007), and accommodative facility decreased from 8.3 ± 4.4 to 5.5 ± 4.4 cpm (p-trend = 0.005). Interocular accommodative imbalance increased progressively. The prevalence of clinically meaningful near esophoria increased from 5.9% to 33.3% (p-trend = 0.009) and reduced near base-in vergence increased from 10.2% to 42.9% (p-trend = 0.001). Near Worth Four-Dot diplopia increased from 13.7% to 28.0% (p-trend = 0.05). Near stereoacuity worsened progressively across severity strata (p-trend < 0.001). After adjustment for age, binocular mean spherical equivalent, and relevant binocular covariates, increasing VDD remained independently associated with greater interocular accommodative imbalance, reduced near base-in vergence, a higher likelihood of diplopia on the near Worth Four-Dot Test, a more esophoric near phoria value, and poorer near stereoacuity. Increasing myopic anisometropia was associated with a severity-dependent pattern of subclinical alterations in accommodative balance, ocular alignment, fusional vergence, sensory fusion, and stereoacuity in spectacle-corrected children with normal BCVA. These findings support a multifactorial interpretation involving accommodative, optical, vergence, and sensory factors; however, their relative contributions and causal sequence cannot be determined from this cross-sectional study. Longitudinal and interventional studies are needed to clarify the mechanisms and clinical significance of these alterations.