Saturday, May 31, 2008

Links about Stereo Sue

Links about Stereo Sue. The professor who regained binocularity...

Do children with developmental dyslexia show a selective visual attention deficit?

...These results suggest that children with developmental dyslexia present selective deficits in visual attention....

Pictures of Patients doing from the Vision Therapy Academy

Optometry & Occupational Therapy

...According to the occupational therapy practice framework, visual skills are within our scope of practice, and yet it is an area in which we may feel that we lack training or evidence. Many studies describe the visual-perceptual/visual motor skills of subsets of children, but there are far fewer which deal with outcomes for particular interventions. One such intervention, vision training, is well supported by evidence, but should only be performed under supervision of an optometrist (OD). In some settings, occupational therapists (OT) work with behavioral optometrists in implementing vision therapy programs or addressing the child’s related needs such as fine motor development or sensory integration. Collaboration between the two professions is supported by case studies and clinical judgment. However, due to the limited nature of this collaboration and the scarcity of outcome studies, it continues to be controversial. Outcomes of other treatments for visual-perceptual/visual-motor dysfunction such as sensory integration training are not included here....




Leonard J. Press, O.D.

The scientific basis for, and efficacy of, optometric vision therapy (VT) has previously been well established. 1. Despite this, professionals outside of optometry have been slow to acknowledge the benefits of VT.

Comments: Read this excellent essay by my colleague Dr. Len Press. (BTW Dr. Press was the very first Dr. & Mrs. Dominick M.Maino Visiting Professor at the Illinois College of Optometry/Illinois Eye Institute. DM

Dyslexia & Genetics

...The learning disability, dyslexia, has a genetic component, according to German researchers. And finding the causative gene could opens up ways for treatment....

More Than 30 Percent of Common Children's Vision Disorders Missed

...As nearly one-third of America's preschoolers fall through the cracks of vision screenings, the American Optometric Association (AOA) says that change is essential. Calling for a policy of "zero tolerance," the AOA recently responded to alarming results from Phase 2 of the National Institutes of Health (NIH) Vision in Preschoolers study, meant to identify whether vision screenings can accurately identify preschool-aged children who would benefit from a comprehensive vision exam.

According to the NIH research, neither trained nurses nor trained lay people in the study using the best screening tests possible were able to identify nearly one-third of even the most prevalent vision disorders in children. Disorders such as amblyopia (lazy eye), strabismus (eye misalignment), and refractive errors (poor vision that can be corrected with glasses or contact lenses) were missed during the study's screening process....

Prescription Errors: Legal Consequences and Patient Safeguards

PowerPak CE on writing medical scripts by

David B. Brushwood, RPh, JD
Professor of Pharmacy Healthcare Administration University of Florida
College of Pharmacy Gainesville, Florida

Although meant for pharmacists, ODs should probably review this as well.

At the conclusion of this program, participants will be able to:
1. List the threats to quality that exist in pharmacy practice
2. Describe effective strategies to reduce error in prescription dispensing
3. Discuss steps that can be taken to assure patients receive adequate warnings of drug use risks
4. Describe the legal requirements for generic substitution

Advances in the Treatment and Prevention of Herpes Zoster and Postherpetic Neuralgia

A PowerPak CE course by

Lawrence D. Gelb, MD Associate Professor of Medicine Division of Infectious Diseases
Washington University School of Medicine St. Louis, MO

Michael D. Hogue, PharmD Assistant Professor, Pharmacy Practice McWhorter School of Pharmacy
Samford University Birmingham, AL

Myron J. Levin, MD Professor of Pediatrics and Medicine
University of Colorado Health Sciences Center Denver, CO

The purpose of this monograph is to provide an overview of herpes zoster, one of the most common and debilitating illnesses of aging, and postherpetic neuralgia, a painful and debilitating complication of herpes zoster.

Omega 3

A PowerPak CE course on an evidenced based medicine approach to the appropriate selection of supplementation with Omega 3 fatty acids...

We often recommend supplements for our patients....this course gives you scientific evidence to how to do this for Omega 3 fatty acids... DM

Contemporary Perspectives on Treating ADHD

This is another PowerPak CE course by

Frank A. Lopez, MD
Neuro-Developmental Pediatrician
Director Children's Developmental Center
Maitland, FL

Judith A. Vessey, PhD, MBA, FAAN
Lelia Holden Carroll Professor in Nursing William F. Connell School of Nursing Boston College
Boston, MA

Changing Awareness and Management of Dry Eye Syndrome

PowerPak CE offers many continuing education course on a wide variety of topics. This course is by

Bruce I. Gaynes, OD, PharmD,
Assistant Professor
Department of Ophthalmology and Pharmacology
Rush University College of Medicine Chicago, IL

Ron Melton, OD, FAAO , Educators in Primary Eye Care, LLC Concord, NC

Randall Thomas, OD, MPH, FAAO Educators in Primary Eye Care, LLC Concord, NC

They only seem to have once course for optometrists....but there are others appropriate for us as well. I will be posting some of these soon. DM

Friday, May 30, 2008

Learning, memory and executive functions in children with hydrocephalus.

...Despite an IQ of >or=70, children with hydrocephalus had significantly impaired learning, memory and executive functions. When major brain lesions resulting in learning disability had been excluded, the hydrocephalus, rather than the underlying aetiology, was most important for the development of cognitive functions....

Comments: These children typically exhibit many oculo-visual problems as well....both organic and functional in nature...DM

Medications prescribed to brain injury patients: A retrospective analysis.

...Anti-anxiety drugs, antidepressants, and anticonvulsants were the overlapping medication categories between the TBI and CVA groups. Medication intake did not affect the frequency of the reported vision symptoms and diagnoses in most cases, suggesting the symptoms and diagnoses were primarily related to either the TBI or CVA itself....

Comments: ...or as Dr. Robert Donati and I suspect for a population of patients who had both developmental disabilities and mental illness...perhaps these patients do not know how to express their discomfort, pain or medication induced vision sympotms....

ARVO Presentation:

Abstract Title: Reported Symptomology of Those With Mental Illness and Dual Diagnosis
Author Block: R.J. Donati, D.M. Maino, H. Bartell, M. Kieffer. Basic & Health Sciences, Illinois College of Optometry, Chicago, IL.

Anterior segment changes during accommodation in eyes with a monofocal intraocular lens: High-frequency ultrasound study

...Anterior segment structures demonstrated accommodative movement on UBM after implantation of standard monofocal IOLs....

Lead Exposure Ups Criminal Behavior

...Children who are exposed to lead while they’re still in the womb and during early childhood are more likely to end up on the wrong side of the law....

Coxsackievirus Infections Spiked in 2007: CDC

...There was an unusually large number of severe coxsackievirus infections in infants in the United States in 2007, leading to the deaths of at least five babies, federal officials reported Thursday....

Comments: Wash your hands. Wash your hands. Wash your hands! DM

Myopia in Adults with Retinopathy of Prematurity

...These results suggest that the refractive element most responsible for myopia in adults with ROP is higher corneal curvature (decreased CR), whereas the predominant factor in adult myopic individuals who were born full-term is increased AL (Axial length ). We believe that increased LT (lens thickness ) and shallow ACD (anterior chamber depth ) make a lesser contribution to myopia in adults with ROP....

Kids May Need 10 Times More Vitamin D

..."Our research reveals that vitamin D, at doses equivalent to 2,000 IU a day, is not only safe for adolescents, but it is actually necessary for achieving desirable vitamin D levels," study leader Ghada El-Hajj Fuleihan, MD, of the American University of Beirut Medical Center in Lebanon, says in a news release....

Adult ADHD 'linked to lost work'

...Adults with attention deficit hyperactivity disorder do 22 fewer days of work per year than people who do not have the condition, a study says. ..The research, which looked at 7,000 workers in 10 countries, found an average of 3.5% had ADHD. ...

Study Shows Cultural Attitudes on Sex Equality Affect Math Skills of Boys and Girls

...The math gender gap is huge in some countries and virtually nonexistent in others, suggesting that social and cultural influences trump biology when it comes to how boys and girls learn arithmetic. ...When 15-year-olds from different countries took the same math test, little or no difference was seen in scores between girls and boys living in cultures with few sex-based restrictions on girls....

Pathogens Linked to Sudden Unexplained Infant Deaths

...Pathogens such as Staphylococcus aureus and Escherichia coli appear to be associated with unexplained sudden deaths in infancy, researchers here said. ...

Minnesota Optometric Association warns gamers about risk of computer vision syndrome.

From AOA's FirstLook:

In continuing coverage from previous editions of First Look, Escapist Magazine (5/29) reported that the "Minnesota Optometric Association has issued a statement warning gamers about the risk of computer vision syndrome (CVS), and reminding them to blink." Because "heavy gaming can result in constant eye movement and refocusing," it can strain eye muscles. G. John Lach, O.D., president of the Minnesota Optometric Association, pointed out that "CVS can often be the result, with symptoms including eye irritation, dry eyes, headaches, pain in the eyes or surrounding muscles, squinting, excessive blinking, increased sensitivity to light, and difficulty focusing." Dr. Lach suggested that gamers should "[t]ry to follow the 'ten-ten rule': For every ten minutes of gaming, take a break of ten seconds." But, even "[h]eavy computer use for non-gaming purposes can also result in CVS, according to the American Optometric Association (AOA)," whose "recent study found 82 [that] percent of Americans frequently work at a computer, half of whom reported previous incidents of eyestrain." The AOA recommended use of "[c]omputer glasses and anti-glare screens," as well as "avoiding glare, blinking, and taking regular breaks from video screens."

Increased survival of immature infants seemed to correlate with an increased risk for severe ROP and need for retinal ablation therapy, even if the in

...Increased survival of immature infants seemed to correlate with an increased risk for severe ROP and need for retinal ablation therapy, even if the incidence did not reach statistical significance. ...

Comments: Have your premature infant evaluated often. Take advantage of the AOAs InfantSee program. Do it! DM

Wednesday, May 28, 2008

Protective effects of NSAIDs on the development of Alzheimer disease

...Long-term nonsteroidal anti-inflammatory drug (NSAID) use was protective against
Alzheimer disease. Findings were clearest for ibuprofen....

Tuesday, May 27, 2008

Analysis Of Millions Of US Births Shows Association Between Birth Defects And Preterm Birth

...Babies born preterm were more than twice as likely to have major birth defects as full-term infants, according to a new analysis of nearly 7 million U.S. live births published online this week in the Springer journal Maternal and Child Health Journal....

Autism Detected At 9 Months Of Age Using Research Tool

...The Early Autism Study, led by Mel Rutherford, associate professor of psychology in the Faculty of Science, has been using eye tracker technology that measures eye direction while the babies look at faces, eyes, and bouncing balls on a computer screen. Rutherford presented her peer-reviewed research at the 7th Annual International Meeting for Autism Research in London. (

UV Rays

From AOA first Look..

In continuing coverage from previous editions of First Look, HealthDay (5/25, Preidt) reported that "[o]verexposure to the sun's" ultraviolet (UV) "rays has been linked to a number of eye problems, such as age-related cataracts, pterygium, photokeratitis, and corneal degenerative changes, according to the American Optometric Association (AOA)." These eye "conditions can cause blurred vision, irritation, redness, tearing, temporary vision loss, and, in some cases, blindness." Gregory Good, O.D., Ph.D., a member of the AOA's commission on ophthalmic standards, pointed out, "Just as skin is 'burned' by UV radiation, the eye can also suffer damage." Dr. Good explained that "eyes need protection," such as "wearing a brimmed hat, and using eyewear that properly absorbs UV radiation." In particular, "[c]hildren and teens are...susceptible to sun-related eye damage, because they typically spend more time outdoors than adults, and the lenses of their eyes are more transparent than those of adults, which means that more harmful light can reach the retina." Therefore, the AOA recommends that everyone "[w]ear protective eyewear any time" the "eyes are exposed to UV radiation, even on cloudy days and during the winter."

No link between antidepressants and birth defects

...Expectant mothers can safely use prescribed antidepressants during their first trimester, according to a new study from the Université de Montréal and Ste. Justine Hospital published in the May edition of the British Journal of Psychiatry.
Dr. Anick Bérard and her team found that antidepressants have no effect on foetal development. “This is the first study to investigate the impact of antidepressant use during the first trimester of pregnancy in mothers with psychiatric disorders,” she said. “In terms of birth malformations in this population, we found no difference between women who used antidepressants and those who did not use antidepressants during their first trimester.”
The research team used data from the Quebec Pregnancy Registry, established by their group, to analyze the records of 2,329 new mothers diagnosed with a psychiatric disorder and treated with antidepressants for at least 30 days before pregnancy. Also included in the registry were women who delivered liveborn and stillborn children, while birth defects were considered anything from facial malformations to heart anomalies.
“The duration of antidepressant use in the first trimester of pregnancy was not associated with an increased risk of birth malformations,” explained Dr. Bérard. “We hope these findings help clinicians and women decide whether to continue antidepressant therapy during pregnancy.”...

Sunday, May 25, 2008

Dyslexia Glasses

One of Maino's Memos commenter's has more than once left a message about "dyslexia glasses" that he sells on his website. DO NOT get taken in by this. These glasses cost as much as $330! There was not a single article in Pub Med to support this fellows' claims about his glasses. He does mentioned a study he did with up to 200 dyslexics....but never gives you the reference so you can see where it was published. The gentleman, a Mr. John A. Hayes, sounds very scientific...but gives no references for his product. I also noted that he markets his product by leaving comments on different blogs. It may be time to notify the American Optometric Association and organizations that deal with protecting the public. Could he be practicing optometry without a license?

BTW this blog does not endorse any particular products, services, etc. that any commenter may mention in their comments.