Chin-An Chang

Chaoyang University of Technology, 臺中市, Taiwan, Taiwan

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Publications (2)4.27 Total impact

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    ABSTRACT: Purpose: Underestimation of IOP in a myopic patient may lead to misjudgment of the risk of glaucoma. This study investigated the influence of orthokeratology-induced change in CCT on IOP measured by the non-contact pneumotonometer (NCT), Goldmann applanation tonometer (GAT), and Pascal dynamic contour tonometer (PDCT). Methods: This study was conducted to examine the eyes of 34 patients who received orthokeratology for myopia. CCT and IOP were measured, and IOP was obtained with the NCT, GAT, and PDCT. The associations between changes in measured IOP and change in CCT at different orthokeratology follow-up time points were evaluated by linear regression analysis. Results: Change in IOP measured by the three tonometries correlated significantly with change in CCT after one-week application of orthokeratology. The correlation was strongest for NCT followed by GAT and PDCT. The changes in measured IOP corresponding to a 10 μm decrease in CCT were 0.7-0.9, 0.4-0.6, and 0.2-0.3 mm Hg for NCT, GAT, and PDCT, respectively. Conclusions: The IOP measured by the three methods--NCT, GAT, and PDCT--decreased as a result of the change in CCT induced by orthokeratology. The influence on NCT and GAT was greater than that on PDCT.
    No preview · Article · Apr 2013 · Seminars in ophthalmology
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    ABSTRACT: Past studies present evidence of associations between air pollution and human ocular symptoms; however, to the knowledge of the authors, research investigating the hazardous effects of air pollution on nonspecific conjunctivitis is nonexistent. This study investigates the relationship between air pollution and outpatient visits for nonspecific conjunctivitis in Taiwan. A multiarea analysis was conducted to examine and assess the risks of short-term effects of particulate matter (PM), nitrogen dioxide (NO₂), sulfur dioxide (SO₂), ozone (O₃), and carbon monoxide on nonspecific conjunctivitis. Data were collected from outpatient visits for nonspecific conjunctivitis from seven air-quality-monitoring areas. To find immediate and lag effects of air pollution, an area-specific, case-crossover analysis was performed and a meta-analysis with random effects was used to combine the area-specific Results. The effects on outpatient visits for nonspecific conjunctivitis are strongest for O₃ and NO₂, with a 2.5% increase (95% confidence interval [CI], 0.9-4.1) for a 16.4 ppb (parts per billion) concentration rise in O₃ and a 2.3% increase (95% CI, 0.7-3.9) for an 11.47 ppb concentration rise in NO₂. Effects are also found for particulate matter with an aerodynamic diameter ≤ 10 μm (PM₁₀) and SO₂. Effects are more prominent in winter because the analysis was stratified according to season. The air pollutants NO₂, SO₂, O₃, and PM₁₀ increase the chances of outpatient visits for nonspecific conjunctivitis and have no evident lag effects.
    No preview · Article · Dec 2011 · Investigative ophthalmology & visual science