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PURPOSE: An estimated 60% of Americans wear prescription eyeglasses. Despite the fact that eyeglasses pose a threat for injury, there is little research presenting national statistics of eyeglasses-related injuries. METHODS: The National Electronic Injury Surveillance System was used to analyze eyeglasses-related injuries treated in U.S. emergency departments (EDs) in 2002-2003. Eyeglasses-related injury cases were identified by the consumer product codes for eyeglasses and sunglasses and each case's narrative description was reviewed to identify the mechanism of injury. Cases (n = 642) were weighted to produce national estimates of eyeglasses-related injuries. Mechanism of injury, body region injured, injury diagnosis, and outcome of ED visit were analyzed by gender and age. RESULTS: An estimated 27,152 (95% confidence interval [CI]: 21,627-32,677) eyeglasses-related injuries were treated in U.S. EDs in 2002-2003. Overall, males and females were equally likely to sustain eyeglasses-related injuries (53.5% vs. 46.5%), but this distribution varied by age group. A significantly higher percentage of eyeglasses-related injuries due to falls occurred among persons aged 65 years or more (89.5%, 95% CI: 83.5-93.5), whereas sports-related injuries were more common among persons aged 0-17 years (36.6%, 95% CI: 26.1-48.6). Eyeball injuries were significantly more prominent among persons aged 18-64 years. Overall, 3.8% (95% CI: 2.3-6.3) of eyeglasses-related injuries resulted in hospital admission. CONCLUSIONS: Eyeglasses-related injuries in the U.S. demonstrate age- and gender-specific characteristics. Safer eyeglasses design and the use of protective eyewear during sports activities and other activities with a high risk of ocular trauma will help prevent future eyeglasses-related injuries.
In this paper, we present an intelligent image editing and face synthesis system that automatically removes eyeglasses from an input frontal face image. Although conventional image editing tools can be used to remove eyeglasses by pixel-level editing, filling in the deleted eyeglasses region with the right content is a difficult problem. Our approach works at the object level where the eyeglasses are automatically located, removed as one piece, and the void region filled. Our system consists of three parts: eyeglasses detection, eyeglasses localization, and eyeglasses removal. First, an eye region detector, trained offline, is used to approximately locate the region of eyes, thus the region of eyeglasses. A Markov-chain Monte Carlo method is then used to accurately locate key points on the eyeglasses frame by searching for the global optimum of the posterior. Subsequently, a novel sample-based approach is used to synthesize the face image without the eyeglasses. Specifically, we adopt a statistical analysis and synthesis approach to learn the mapping between pairs of face images with and without eyeglasses from a database. Extensive experiments demonstrate that our system effectively removes eyeglasses.
PURPOSE: To compare the societal costs and consequences of 3 strategies to correct mild to moderate myopia: laser in situ keratomileusis (LASIK), eyeglasses, and contact lenses (CLs). SETTING: Instituto Oftalmológico de Alicante, Alicante, Spain. METHODS: A Markov model was set up to compare the present value of LASIK, eyeglasses, and CLs. A structured questionnaire was administered to 40 consecutive patients with mild to moderate myopia to collect resource information including direct medical and nonmedical costs as well as indirect costs (transportation, time spent, hotel, eyeglasses, CLs, LASIK, cleaning products, visits to ophthalmologist/optometrist/optical center, and adverse events linked to LASIK and CLs). The time period ranged from 10 to 30 years with a 5% discount rate. The Spanish population was used as the basis for the economic data. Full sensitivity analyses were conducted. RESULTS: Based on the time period, LASIK saved from 18 to 278 km in distance to care centers compared with eyeglasses and from 405 to 1436 km compared with CLs. The time to care for visual acuity was similar between LASIK and CLs, but up to 1180 additional hours were spent by CL users. Laser in situ keratomileusis saved from 4.69 to 12.07 eyeglasses and from 28 to 84 eyeglass cleaning packs. With LASIK, there were 18 to 50 visits to the optical center compared with 41 to 117 visits with CLs. Laser in situ keratomileusis saved 4.7 to 12.2 visits to correct visual acuity compared with eyeglasses and CLs. It prevented 95 to 295 per 10 000 cases of CL-related keratitis. Contact lenses were always more costly than LASIK, which was always more costly than eyeglasses. The 2 sensitivity parameters were time period and discount rate. CONCLUSIONS: Laser in situ keratomileusis was less costly than CLs and more expensive than eyeglasses, although the potential nonmonetary benefit of LASIK over eyeglasses was not taken into account.
PURPOSE: The relationship between eyeglass size and protection of the eye surface from the effects of solar ultraviolet (UV) rays was investigated. METHODS: Solar UV rays irradiating the eye surface were measured on a mannequin which modeled the standard facial bone structure of a Japanese female. UV sensor chips (photo-sensitivity: 260-400 nm) were attached to the ocular surface of the lid fissure. UV measurement was done from 12:00 to 15:00 on a sunny day in March. UV intensity was measured under the following conditions: 1) with or without eyeglasses, 2) wearing sunglasses with side protectors, and 3) wearing a cap with a 7 cm brim. Eyeglasses of four frame sizes (width: 48-57 mm) were put on the mannequin. All lenses were made of plastic and coated so as to be impervious to rays shorter than 400 nm. The refractive power was 0 diopters. At the same time, UV irradiation intensity from all directions (excluding from the earth direction) was measured using a polyhedron type UV sensor with 25 sensor chips. RESULTS: Except for eyeglasses with the smallest frame size, eyeglasses effectively reduced UV exposure to sunlight from the upper front direction. However, protection against rays from the upper temporal direction was extremely poor. Sunlight from the upper back was reflected by the posterior surface of the eyeglasses and reached the eye surface. CONCLUSION: The efficacy of eyeglasses against UV depends on their size. The shape of the eyeglasses and reflection from the posterior lens surface are also of great importance. Small eyeglasses do not offer ideal UV protection for the Japanese face shape.
PURPOSE: To compare the visual function and the answers to a questionnaire of quality of life of patients wearing a progressive contact lens or eyeglasses. METHODS: The Focus Progressive contact lens had been fitted in 35 patients with far visual acuity with progressive-addition eyeglasses equal to zero (log MAR) and near J1 (Jaeger). The far and near visual acuities and the measurement of contrast sensitivity were compared when the patients were wearing the eyeglasses or the contact lens and the patients' results of the scores of the quality of life questionnaire (NEI VFQ-25) were analyzed statistically considering the type of ametropy and the age. RESULTS: The far and near visual acuities and the contrast sensitivity measurement were worse with the contact lens than with eyeglasses. The answers to the questionnaire did not differ when were comparing the same patients wearing eyeglasses or contact lens, no matter the type of ametropy. The myopic and the hyperopic subgroups had worse answers to the quality of life questionnaire when corrected with the contact lens than with eyeglasses, both with age equal to or less than their median. CONCLUSIONS: The visual function was worse with the contact lens. The type of ametropy did not influence the answers to the quality of life questionnaire considering the optical correction, but age did.
The incidence of Japanese cedar pollinosis is estimated to be about 13% of the Japanese population. In Japan it is generic to wear a facemask and eyeglasses to prevent pollen inhalation. We examined the usefulness of a facemask and eyeglasses in cooperation with volunteers. The number of pollen particles in the nasal cavity and on the conjunctiva was unchanged by wearing a facemask and eyeglasses. However, the pollen invasion rate was lower in subjects with a facemask and eyeglasses than in subjects without a facemask and eyeglasses. The decrease in pollen invasion rate in the nasal cavity due to wearing a facemask was statistically significant. This suggested that wearing a facemask has a protective effect on pollen invasion to the nose. The pollen invasion rate in the nasal cavity and on the conjunctiva was increased with increases in the wind speed. It may be difficult to avoid pollen even when wearing a facemask and eyeglasses when the wind speed is high. Further study is required to clarify the relationship between the amount of allergens and clinical symptoms.
Color-contrast optic filters are developed for improving the color discriminating capacity of eyes exposed to video display terminals. These filters are applied as a coating on correcting or common glasses. Effects of such eyeglasses on visual functions accommodation, frequency-contrast sensitivity, and critical frequency of flashes fusion (CFFF) were studied in 23 PC users with visual acuity of 1.0 with correction. Wearing of eyeglasses with filters promoted shifting of the most distant point of clear vision further and increased the accommodation volume, contrast sensitivity at the low and decreased it at the medium and high frequencies. CFFF was not changed. Wearing of eyeglasses with filters for 4 h of working at a display caused shifting of the nearest and most distant points of clear vision in comparison with the control group with the accommodation volume unchanged and preserved the high contrast sensitivity at the mean and low frequencies during the entire period of work. No changes in CFFF were noted. After 4 weeks of using eyeglasses with spectral filters, 86.9% of volunteers noted an improvement of visual working capacity and 13.1% considered there was no difference. Hence, eyeglasses with spectral filters are recommended as an ophthalmological measure preventing visual fatigue during long work with video displays.
BACKGROUND: Although air bags have been shown to reduce the number of fatalities and serious injuries caused by motor vehicle accidents, there have been many reports of air bag-related ocular injuries. We recently treated air bag-related corneal laceration in a patient wearing eyeglasses at the time of a motor accident. CASE: A 38-year-old Japanese man was driving a car at approximately 40 km per hour when he struck a stopped 2-ton truck. He was wearing a three-point lap-shoulder seat belt. At impact, the driver's-side air bag deployed and struck the man on the left side of his face. He was wearing eyeglasses with glass lenses, and the air bag broke the left lens of his eyeglasses, and glass fragments lacerated his cornea. OBSERVATIONS: External examination showed multiple superficial abrasions of the skin and ecchymosis of the left side of his face. Slit-lamp examination of his left eye showed corneal laceration and hyphema. The lens had opacities and was covered with fibrin membrane. Repair of the corneal laceration and phacoemulsification of the lens were performed. Six months later, his best corrected visual acuity was 20/20 in the left eye. CONCLUSIONS: As cars are increasingly equipped with air bags, reports of air bag-related eye injuries have increased. To our knowledge, this is the first reported case of corneal laceration caused by a shattered lens in an air bag-related injury. Ophthalmologists should caution patients about the danger of eye injuries in air bag-equipped cars, and thought should be given to improving the materials for eyeglasses.
Hospitalization involves anxiety and pain for many people. Unfamiliar hospital settings, various diagnostic and therapeutic procedures, and the sight and sounds of medical procedures exacerbate pain and anxiety. By blocking off the anxiety-inducing sights and sounds of the hospital surroundings and creating a pleasant environment, an eyeglass display might be able to change the sensation and perception of pain. In this randomized, controlled, crossover study, 72 healthy university student volunteers were asked to wear a light-weight eyeglass that projected a feeling of watching a 52-inch television screen at 6 1/2 feet in distance while pain was produced by a modified tourniquet technique. Subjects were randomly assigned to participate in a V-session or B-session first, with subsequent cross-over. In a V-session, subjects were instructed to wear the eyeglass and watch the soundless display of natural scenery during the inflation. In a B-session, the eyeglass that subjects wore would project a static blank screen. During V-sessions, there was a significant increase in pain threshold (p < 0.001) and pain tolerance (p < 0.001). The degree of immersion was positively correlated with improvement in pain threshold, whereas the anxiety level was negatively correlated with improvement in pain threshold. These findings have implications for using visual stimulation as a positive adjunct to other methods of pain relief and for different pain conditions. This study was considered to be the pioneer use of visual stimulation in the local Chinese community as an adjunct to pain relief.
Under the guise of forming impressions of a job applicant in a hiring interview, subjects rated a videotaped male or female stimulus person (SP) on several gender stereotypical and task relevant traits. In one condition, the SP's wore eyeglasses, and in the other condition they did not. Eyeglasses, especially when worn by the stimulus male, were associated with feminine stereotypes and positive task relevant attributes. The results were interpreted to suggest that men who wear eyeglasses may be the target of some negative social judgments but also redeeming task relevant attributes, whereas women who wear eyeglasses are more likely to be the target of only negative social judgments.
BACKGROUND: Although poor access to general medical care services has been documented widely, the unmet need for supplemental health care services--such as eyeglasses--has been largely ignored. This article documents the inability to obtain eyeglasses on the national level and for various subpopulations using the 1994 Robert Wood Johnson Foundation National Access to Care Survey. METHODS: The Survey, a followup to the 1993 National Health Interview Survey, collected data on respondents' inability to obtain health care services due to access barriers. The sample comprised 3,480 observations, weighted to represent the U.S. civilian non-institutionalized population. RESULTS: More than 5% of the U.S. population reported an unmet need for eyeglasses, and of these, more than 80% cited financial reasons as the primary barrier. Persons in poor health and blacks were most likely to face barriers to obtaining eyeglasses. CONCLUSION: Understanding this under-served population and their unmet needs can help policymakers formulate new initiatives. The focus on preventive care within managed care organizations may ease some barriers for the insured population. Policy should focus on uninsured and underinsured working individuals who cannot afford and do not receive public assistance for needed eye care.
Subjects indicated their affective reactions to a male and female photographed with eyeglasses, dark sunglasses, or a facial scar. The models' scars evoked considerable negative affect, and their sunglasses evoked a neutral reaction. The female's eyeglasses evoked almost as much negative affect as her scar, suggesting that they were associated with an unattractive disfigurement or defect. The male's eyeglasses evoked more positive affect than their sunglasses. Supplemental reanalyses of earlier data confirmed that eyeglasses detract from ratings of females' attractiveness, but they improve ratings of males' attractiveness.
Special eyeglasses, designed to be used with the operating microscope, are described. These eyeglasses, which fit inside the eyecups of the oculars of the microscope, give the wearer a better view through the microscope than do conventional glasses and at the same time enable him to shift his vision to the surgical field or the instrument table without a sacrifice in clarity. Because they permit the wearer to maintain the eyecups of the oculars in the "up" position, the eyeglasses also prevent interference from outside illumination.
PURPOSE: To determine prescribing practices of pediatric ophthalmologists for astigmatism and astigmatic anisometropia in infants and young children. METHODS: A survey was sent to the 700 North American AAPOS members listed in the 2004 web site directory. RESULTS: A total of 412/700 surveys (59%) were returned. The level of astigmatism at which pediatric ophthalmologists prescribe eyeglasses for astigmatism varies considerably across the age range from birth to 3 years. The level at which 50% would prescribe glasses was > or =4.00 D from 0 to <6 months and decreased to > or =2.00 D by 2 to <3 years. Furthermore, one-fifth indicated that they would not prescribe eyeglasses for astigmatism in infants <6 months of age. Prescribing practices for astigmatic anisometropia were slightly less variable across age, with 50% of respondents indicating that they would prescribe eyeglasses for astigmatic anisometropia > or =3.00 D from 0 to <6 months, decreasing to > or =1.50 D by 2 to <3 years. CONCLUSIONS: The American Academy of Ophthalmology Preferred Practice Patterns guidelines accurately reflect prescribing practices of pediatric ophthalmologists for 1- and 2-year-old children for bilateral astigmatism and astigmatic anisometropia. However, the AAO guidelines do not accurately reflect the prescribing practices for children in the 0 to <1-year age range. For children 0 to <6 months of age, pediatric ophthalmologists indicate that they typically require a higher amount of astigmatism or astigmatic anisometropia than that recommended by the AAO guidelines, or they do not prescribe glasses at all.
After surgery on the proximal nose, wearing eyeglasses can be difficult and uncomfortable. In addition, pressure on the skin underneath the eyeglass nose pads may modify wound healing. We describe simple techniques using readily available materials and optical devices that either reduce or remove pressure on the nose from eyeglasses.
The oldest representation of eyeglasses in the German-speaking area is found on the altar of Tyrol Castle in the Museum Ferdinandeum in Innsbruck, Tyrol, on an altarpiece depicting the death of the Virgin Mary (1370-1372). Other representations of eyeglasses are found in Klosterneuburg, Lower Austria, Albrechtsaltar, collegiate collection, death of the Virgin (1439); St. Lorenzen ob Murau, daughter church St. Lorenzen, Styria, Katharinenaltar, Disputation (1455-1460); Pettau (Ptuj), Pokrajinjski Muzej, Slovenia (then belonging to the archbishopric of Salzburg), Conrad Laib, St. Bernardine of Siena with a spectacle case (1460-1465); on two altars by Michael Pacher: Pharisee, Gries near Bolzano (1471-1475), apostle mourning over the death of the Virgin Mary, and St. Luke, St. Wolfgang in Salzkammergut (1481); St. Florian, Upper Austria, collegiate collection, altar of the provost Leonhard Riesenschmid of St. Florian, death of the Virgin (1487); museum of Wilten monastery, Innsbruck, Ludwig Konraiter, St. Ottilie with reading stones and death of the Virgin Mary with reading apostle (1485-1490); Austrian Gallery Belvedere, Vienna, Master of Grossgmain, St. Augustine (1498); Austrian Gallery Belvedere, Vienna, Master of Mondsee, St. Augustine (1490-1500); Diocesan museum Graz, Styria, altar of Hirschegg, death of the Virgin (1503); Krenstetten, Lower Austria, Stefan-Altar, Disputation (1500-1520); Museum Ferdinandeum, Innsbruck, Matheis Stöberl, Jesus and the scribes with a spectacle case (early 16th century).