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Epidemiology of myopia
Myopia is one of the most prevalent disorders of the eye. Higher myopia is associated with comorbidities that increase risks of severe and irreversible loss of vision, such as retinal detachment, subretinal neovascularization, dense cataract, and glaucoma. In recent years, reports from population-based prevalence studies carried out in various geographical areas now give a clear picture of the current distribution of refractive error. The scarcity of data from well-designed longitudinal cohort studies is still yet to be addressed. These studies have confirmed the previous data indicating that prevalence of refractive error varies according to ethnicity and geographic regions, and also point to an increase in myopia prevalence over the past half-century. The problem is particularly pronounced in affluent, industrialised areas of East Asia. Environmental risk factors for myopia related to socioeconomic status and lifestyle have been identified. The past decade has seen a greater understanding of the molecular biological mechanisms that determine refractive error, giving further support to the belief that myopia is the result of a complex interaction between genetic predisposition and environmental exposures. This review summarizes data on the prevalence, incidence, progression, associations, risk factors, and impact from recent epidemiological studies on myopia.
Journal Article
Carotid-cavernous fistula: current concepts in aetiology, investigation, and management
A carotid-cavernous fistula (CCF) is an abnormal communication between arteries and veins within the cavernous sinus and may be classified as either direct or dural. Direct CCFs are characterized by a direct connection between the internal carotid artery (ICA) and the cavernous sinus, whereas dural CCFs result from an indirect connection involving cavernous arterial branches and the cavernous sinus. Direct CCFs frequently are traumatic in origin and also may be caused by rupture of an ICA aneurysm within the cavernous sinus, Ehlers-Danlos syndrome type IV, or iatrogenic intervention. Causes of dural CCFs include hypertension, fibromuscular dysplasia, Ehlers-Danlos type IV, and dissection of the ICA. Evaluation of a suspected CCF often involves non-invasive imaging techniques, including standard tonometry, pneumotonometry, ultrasound, computed tomographic scanning and angiography, and/or magnetic resonance imaging and angiography, but the gold standard for classification and diagnosis remains digital subtraction angiography. When a direct CCF is confirmed, first-line treatment is endovascular intervention, which may be accomplished using detachable balloons, coils, liquid embolic agents, or a combination of these tools. As dural CCFs often resolve spontaneously, low-risk cases may be managed conservatively. When invasive treatment is warranted, endovascular intervention or stereotactic radiosurgery may be performed. Modern endovascular techniques offer the ability to successfully treat CCFs with a low morbidity and virtually no mortality.
Journal Article
Conflict in the academy : a study in the sociology of intellectuals
\"Examining an intramural conflict that erupted within the English Faculty at the University of Cambridge in the early 1980s, this book develops a theoretical analysis of disputes as they unfold within the academy. It shows how broad structural changes taking place within the English higher education system at the time reverberated through to local contexts, investigates the reception of theories originating in other countries and other disciplines upon English Studies in the United Kingdom, as well as demonstrating the significance of local institutional factors in structuring the form and content of the dispute. Capturing a key moment in the development of modern English Studies it reveals the social performance lying at the heart of public controversy and develops a new theory for analysing the workings and tribulations of intellectual life.\"--Publisher's website.
Book
The pathogenesis of keratoconus
Keratoconus (KC) is a common degenerative condition that frequently results in visual loss with an onset typically in early adulthood. It is the single most common reason for keratoplasty in the developed world. The cause and underlying pathological mechanism are unknown, but both environmental and genetic factors are thought to contribute to the development of the disease. Various strategies have been employed to address the gap in our understanding of this complex disease, with the expectation that over time more sophisticated therapies will be developed. In this review we summarise our current knowledge of the aetiology and risk factors associated with KC.
Journal Article
What is light? The visible spectrum and beyond
In this International Year of Light, it is particularly appropriate to review the historical concept of what is light and the controversies surrounding the extent of the visible spectrum. Today we recognize that light possesses both a wave and particle nature. It is also clear that the limits of visibility really extend from about 310 nm in the ultraviolet (in youth) to about 1100 nm in the near-infrared, but depend very much on the radiance, that is, ‘brightness’ of the light source. The spectral content of artificial lighting are undergoing very significant changes in our lifetime, and the full biological implications of the spectral content of newer lighting technologies remain to be fully explored.
Journal Article
Low-energy light bulbs, computers, tablets and the blue light hazard
The introduction of low energy lighting and the widespread use of computer and mobile technologies have changed the exposure of human eyes to light. Occasional claims that the light sources with emissions containing blue light may cause eye damage raise concerns in the media. The aim of the study was to determine if it was appropriate to issue advice on the public health concerns. A number of sources were assessed and the exposure conditions were compared with international exposure limits, and the exposure likely to be received from staring at a blue sky. None of the sources assessed approached the exposure limits, even for extended viewing times.
Journal Article