Miguel Faria-Ribeiro
University of Minho
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Publication
Featured researches published by Miguel Faria-Ribeiro.
Contact Lens and Anterior Eye | 2014
Eef van der Worp; Dina Bornman; Daniela Lopes Ferreira; Miguel Faria-Ribeiro; Nery García-Porta; José Manuel González-Méijome
Scleral contact lenses (ScCL) have gained renewed interest during the last decade. Originally, they were primarily used for severely compromised eyes. Corneal ectasia and exposure conditions were the primary indications. However, the indication range of ScCL in contact lens practices seems to be expanding, and it now increasingly includes less severe and even non-compromised eyes, too. All lenses that partly or entirely rest on the sclera are included under the name ScCL in this paper; although the Scleral Lens Education Society recommends further classification. When a lens partly rests on the cornea (centrally or peripherally) and partly on the sclera, it is called a corneo-scleral lens. A lens that rests entirely on the sclera is classified as a scleral lens (up to 25 mm in diameter maximum). When there is full bearing on the sclera, further distinctions of the scleral lens group include mini-scleral and large-scleral lenses. This manuscript presents a review of the current applications of different ScCL (all types), their fitting methods, and their clinical outcomes including potential adverse events. Adverse events with these lenses are rare, but the clinician needs to be aware of them to avoid further damage in eyes that often are already compromised. The use of scleral lenses for non-pathological eyes is discussed in this paper.
Optometry and Vision Science | 2013
Miguel Faria-Ribeiro; A. Queirós; Daniela Lopes-Ferreira; Jorge Jorge; José Manuel González-Méijome
Purpose To compare the patterns of relative peripheral astigmatic refraction (tangential and sagittal power errors) and eccentric eye length between progressing and stable young-adult myopes. Methods Sixty-two right eyes of 62 white patients participated in the study, of which 30 were nonprogressing myopes (NP group) for the last 2 years and 32 were progressing myopes (P group). Groups were matched for mean spherical refraction, axial length, and age. Peripheral refraction and eye length were measured along the horizontal meridian up to 35 and 30 degrees of eccentricity, respectively. Results There were statistically significant differences between groups (p < 0.001) in the nasal retina for the astigmatic components of peripheral refraction. The P group presented a hyperopic relative sagittal focus at 35 degrees in the nasal retina of +1.00 ± 0.83 diopters, as per comparison with a myopic relative sagittal focus of −0.10 ± 0.98 diopters observed in the NP group (p < 0.001). Retinal contour in the P group had a steeper shape in the nasal region than that in the NP group (t test, p = 0.001). An inverse correlation was found (r = −0.775; p < 0.001) between retinal contour and peripheral refraction. Thus, steeper retinas presented a more hyperopic trend in the periphery. Conclusions Stable and progressing myopes of matched age, axial length, and central refraction showed significantly different characteristics in their peripheral retinal shape and astigmatic components of tangential and sagittal power errors. The present findings may help explain the mechanisms that regulate ocular growth in humans.
BioMed Research International | 2015
Jaime Pauné; Hari Morales; Jesús Armengol; Lluisa Quevedo; Miguel Faria-Ribeiro; José Manuel González-Méijome
Objective. To evaluate the degree of axial elongation with soft radial refractive gradient (SRRG) contact lenses, orthokeratology (OK), and single vision (SV) spectacle lenses (control) during a period of 1 year before treatment and 2 years after treatment. Methods. This was a prospective, longitudinal, nonrandomized study. The study groups consisted of 30, 29, and 41 children, respectively. The axial length (AL) was measured during 2 years after recruitment and lens fitting. Results. The baseline refractive sphere was correlated significantly (Spearmans Rho (ρ) correlation = 0.542; P < 0.0001) with the amount of myopia progression before baseline. After 2 years, the mean myopia progression values for the SRRG, OK, and SV groups were −0.56 ± 0.51, −0.32 ± 0.53, and −0.98 ± 0.58 diopter, respectively. The results represent reductions in myopic progression of 43% and 67% for the SRRG and OK groups, respectively, compared to the SV group. The AL increased 27% and 38% less in the SRRG and OK groups, respectively compared with the SV group at the 2-year visit (P < 0.05). Axial elongation was not significantly different between SRRG and OK (P = 0.430). Conclusion. The SRRG lens significantly decreased AL elongation compared to the SV control group. The SRRG lens was similarly effective to OK in preventing myopia progression in myopic children and adolescent.
BioMed Research International | 2013
Daniela Lopes-Ferreira; Helena Neves; A. Queirós; Miguel Faria-Ribeiro; Sofia C. Peixoto-de-Matos; José Manuel González-Méijome
Purpose. To show the distribution of ocular dominance as measured with sensory and eye sighting methods and its potential relationship with high and low contrast LogMAR visual acuity in presbyopic subjects. Method. Forty-four presbyopes (48.5 ± 3.5 years) participated in this study. Ocular dominance was determined by eye sighting (hole-in-card) and sensorial (+1.50 D lens induced blur) methods. According to the dominance detected with each method (RE: right eye or LE: left eye), patients were classified in dominance type 1 (RE/RE), type 2 (RE/LE), type 3 (LE/RE) and type 4 (LE/LE). Results. Baseline refractive error (MSE) was RE:−0.36 ± 1.67 D and LE:−0.35 ± 1.85 D (P = 0.930). RE was the dominant eye in 61.4% and 70.5% of times as obtained from sensorial and sighting methods, respectively. Most frequent dominance was of type 1 (52.3%), in this case the RE showed statistically significant better distance low contrast LogMAR VA (0.04 LogMAR units) compared to the LE (P < 0.05). Conclusions. The dominance was more frequent in RE in this sample. The eye sighting and sensorial methods to define ocular dominance agreed in more than half of cases. Amount of MSE was not significantly different between dominant and non-dominant eye. But in case of right dominance, the RE presented better distance low contrast VA compared to the LE.
Eye & Contact Lens-science and Clinical Practice | 2016
José Manuel González-Méijome; Sofia C. Peixoto-de-Matos; Miguel Faria-Ribeiro; Daniela Lopes-Ferreira; Jorge Jorge; Jerry Legerton; A. Queirós
Purpose: Higher myopic refractive errors are associated with serious ocular complications that can put visual function at risk. There is respective interest in slowing and if possible stopping myopia progression before it reaches a level associated with increased risk of secondary pathology. The purpose of this report was to review our understanding of the rationale(s) and success of contact lenses (CLs) used to reduce myopia progression. Methods: A review commenced by searching the PubMed database. The inclusion criteria stipulated publications of clinical trials evaluating the efficacy of CLs in regulating myopia progression based on the primary endpoint of changes in axial length measurements and published in peer-reviewed journals. Other publications from conference proceedings or patents were exceptionally considered when no peer-review articles were available. Results: The mechanisms that presently support myopia regulation with CLs are based on the change of relative peripheral defocus and changing the foveal image quality signal to potentially interfere with the accommodative system. Ten clinical trials addressing myopia regulation with CLs were reviewed, including corneal refractive therapy (orthokeratology), peripheral gradient lenses, and bifocal (dual-focus) and multifocal lenses. Conclusions: CLs were reported to be well accepted, consistent, and safe methods to address myopia regulation in children. Corneal refractive therapy (orthokeratology) is so far the method with the largest demonstrated efficacy in myopia regulation across different ethnic groups. However, factors such as patient convenience, the degree of initial myopia, and non-CL treatments may also be considered. The combination of different strategies (i.e., central defocus, peripheral defocus, spectral filters, pharmaceutical delivery, and active lens-borne illumination) in a single device will present further testable hypotheses exploring how different mechanisms can reinforce or compete with each other to improve or reduce myopia regulation with CLs.
Current Eye Research | 2016
José Manuel González-Méijome; Miguel Faria-Ribeiro; Daniela Lopes-Ferreira; Paulo Rodrigues Fernandes; Gonzalo Carracedo; A. Queirós
Abstract Purpose: The purpose of this study was to evaluate the effect of orthokeratology for different degrees of myopia correction in the relative location of tangential (FT) and sagittal (FS) power errors across the central 70° of the visual field in the horizontal meridian. Methods: Thirty-four right eyes of 34 patients with a mean age of 25.2 ± 6.4 years were fitted with Paragon CRT (Mesa, AZ) rigid gas permeable contact lenses to treat myopia (−2.15 ± 1.26D, range: −0.88 to −5.25D). Axial and peripheral refraction were measured along the central 70° of the horizontal visual field with the Grand Seiko WAM5500 open-field auto-refractor. Spherical equivalent (M), as well as tangential (FT) and sagittal power errors (FS) were obtained. Analysis was stratified in three groups according to baseline spherical equivalent: Group 1 [MBaseline = −0.88 to −1.50D; n = 11], Group 2 [MBaseline = −1.51 to −2.49D; n = 11], and Group 3 [MBaseline = −2.50 to −5.25D; n = 12]. Results: Spherical equivalent was significantly more myopic after treatment beyond the central 40° of the visual field (p < 0.001). FT became significantly more myopic for all groups in the nasal and temporal retina with 25° (p ≤ 0.017), 30° (p ≤ 0.007) and 35° (p ≤ 0.004) of eye rotation. Myopic change in FS was less consistent, achieving only statistical significance for all groups at 35° in the nasal and temporal retina (p ≤ 0.045). Conclusions: Orthokeratology changes significantly FT in the myopic direction beyond the central 40° of the visual field for all degrees of myopia. Changes induced by orthokeratology in relative peripheral M, FT and FS with 35° of eye rotation were significantly correlated with axial myopia at baseline.
Optometry and Vision Science | 2015
Jaume Pauné; A. Queirós; Daniela Lopes-Ferreira; Miguel Faria-Ribeiro; Lluisa Quevedo; José Manuel González-Méijome
Purpose The purpose of this work was to evaluate the potential of a novel custom-designed rigid gas permeable (RGP) contact lens to modify the relative peripheral refractive error in a sample of myopic patients. Methods Fifty-two right eyes of 52 myopic patients (mean [±SD] age, 21 [±2] years) with spherical refractive errors ranging from −0.75 to −8.00 diopters (D) and refractive astigmatism of 1.00 D or less were fitted with a novel experimental RGP (ExpRGP) lens designed to create myopic defocus in the peripheral retina. A standard RGP (StdRGP) lens was used as a control in the same eye. The relative peripheral refractive error was measured without the lens and with each of two lenses (StdRGP and ExpRGP) using an open-field autorefractometer from 30 degrees nasal to 30 degrees temporal, in 5-degree steps. The effectiveness of the lens design was evaluated as the amount of relative peripheral refractive error difference induced by the ExpRGP compared with no lens and with StdRGP conditions at 30 degrees in the nasal and temporal (averaged) peripheral visual fields. Results Experimental RGP lens induced a significant change in relative peripheral refractive error compared with the no-lens condition (baseline), beyond the 10 degrees of eccentricity to the nasal and temporal side of the visual field (p < 0.05). The maximum effect was achieved at 30 degrees. Wearing the ExpRGP lens, 60% of the eyes had peripheral myopia exceeding −1.00 D, whereas none of the eyes presented with this feature at baseline. There was no significant correlation (r = 0.04; p = 0.756) between the degree of myopia induced at 30 degrees of eccentricity of the visual field with the ExpRGP lens and the baseline refractive error. Conclusions Custom-designed RGP contact lenses can generate a significant degree of relative peripheral myopia in myopic patients regardless of their baseline spherical equivalent refractive error.
Contact Lens and Anterior Eye | 2015
Daniela Lopes-Ferreira; Helena Neves; Miguel Faria-Ribeiro; A. Queirós; Paulo Rodrigues Fernandes; José Manuel González-Méijome
PURPOSE To evaluate the impact of eye and head rotation in the measurement of peripheral refraction with an open-field autorefractometer in myopic eyes wearing two different center-distance designs of multifocal contact lenses (MFCLs). METHODS Nineteen right eyes from 19 myopic patients (average central M ± SD = -2.67 ± 1.66 D) aged 20-27 years (mean ± SD = 23.2 ± 3.3 years) were evaluated using a Grand-Seiko autorefractometer. Patients were fitted with one multifocal aspheric center-distance contact lens (Biofinity Multifocal D(®)) and with one multi-concentric MFCL (Acuvue Oasys for Presbyopia). Axial and peripheral refraction were evaluated by eye rotation and by head rotation under naked eye condition and with each MFCL fitted randomly and in independent sessions. RESULTS For the naked eye, refractive pattern (M, J0 and J45) across the central 60° of the horizontal visual field values did not show significant changes measured by rotating the eye or rotating the head (p > 0.05). Similar results were obtained wearing the Biofinity D, for both testing methods, no obtaining significant differences to M, J0 and J45 values (p > 0.05). For Acuvue Oasys for presbyopia, also no differences were found when comparing measurements obtained by eye and head rotation (p > 0.05). Multivariate analysis did not showed a significant interaction between testing method and lens type neither with measuring locations (MANOVA, p > 0.05). There were significant differences in M and J0 values between naked eyes and each MFCL. CONCLUSION Measurements of peripheral refraction by rotating the eye or rotating the head in myopic patients wearing dominant design or multi-concentric multifocal silicone hydrogel contact lens are comparable.
Journal of Modern Optics | 2013
João M. M. Linhares; Helena Neves; Daniela Lopes-Ferreira; Miguel Faria-Ribeiro; Sofia C. Peixoto-de-Matos; José Manuel González-Méijome
Light that enters the eye can be distorted due to several factors leading to a poor visual performance. The purpose of this paper is to describe and characterize the light-emitting diode (LED) display system to be used in a new device to assess visual quality under high glare conditions. The device has a central white LED and surrounding white LEDs distributed in a radial manner. Each LED is controlled independently using special designed software. The spectral power distribution and color of the LEDs were assessed at different voltage intensities to test the response in terms of output luminance and spectral distribution. It was found that the typical maximum luminance was about 2800 cd/m2 and 6 cd/m2 for the central and surrounding LEDs, respectively. Their color was found to be within the ΔE∗ab range of 2.6 and 0.23, respectively, if the minimum and maximum intensities are considered. The characterization of this device was proved successfully, which might indicate its usefulness in future visual assessments.
Optometry and Vision Science | 2014
Miguel Faria-Ribeiro; Norberto López-Gil; Rafael Navarro; Daniela Lopes-Ferreira; Jorge Jorge; José Manuel González-Méijome
Purpose To describe a new methodology that derives horizontal posterior retinal contours from partial coherence interferometry (PCI) and ray tracing using the corneal topography. Methods Corneal topography and PCI for seven horizontal visual field eccentricities correspondent to the central 60 degrees of the posterior pole were obtained in 55 myopic eyes. A semicustomized eye model based on the subject’s corneal topography and the Navarro eye model was generated using Zemax-EE software. The model was used to compute the optical path length in the seven directions where PCI measurements were obtained. Vitreous chamber depth was computed using the PCI values obtained at each of those directions. Matlab software was developed to fit the best conic curve to the set of points previously obtained. We tested the limit in the accuracy of the methodology when the actual cornea of the subject is not used and for two different lens geometries. Results A standard eye model can induce an error in the retina sagitta estimation of the order of hundreds of micrometers in comparison with the semicustomized eye model. However, the use of a different lens model leads to an error of the order of tens of micrometers. The apical radius and conic constant of the average fit were −11.91 mm and −0.15, respectively. In general, a nasal-temporal asymmetry in the retina contour was found, showing mean larger values of vitreous chamber depth in the nasal side of the eye. Conclusions The use of a semicustomized eye model, together with optical path length measured by PCI for different angles, can be used to predict the retinal contour within tenths of micrometers. This methodology can be useful in studies trying to understand the effect of peripheral retinal location on myopia progression as well as modeling the optics of the human eye for a wide field.