Evaluation of the Real World Outcomes of the Tecnis Eyhance Intraocular Lens Implant in Cataract Surgery
Ruth Ellard1, Emily Hughes2, Edward Loane3
1Royal College of Surgeons Ireland
2University Hospital Galway, Galway
3Royal Victoria Eye & Ear Hospital, Dublin
Purpose: To evaluate real world visual outcomes of patients in terms of distance and intermediate vision using the Tecnis Eyhance™ intraocular lens (IOL), an enhanced monofocal IOL.
Methods: An observational study of 50 consecutive patients who underwent cataract surgery using the J&J Tecnis Eyhance™ IOL implant were reviewed 1 month postoperatively. At this post- operative review a clinical examination was performed assessing intraocular pressure and presence/ absence of uveitis. Visual acuity in LogMAR was measured at distance unaided, with distance correction and with pinhole. Intermediate vision at 70cm was measured on LogMAR to a maximum of 0.3 and with a near visual acuity chart.
Results: There were no intraoperative or early post-operative complications. The average best corrected distance visual acuity was 0.084 LogMAR. 69% of eyes had corrected distance VA >/= 0.1 LogMAR (6/7.5), 89% >/=0.2LogMAR (6/9.5) and 100% > 0.4 LogMAR (6/15).
At 70 cm 78% of eyes had DCIVA of at least 0.3LogMAR and 95% of eyes had DCIVA of 0.4LogMAR or better.
Conclusion: The Tecnis Eyhance IOL was found to be as easy to use as the current alternative IOLs surgically. It provided excellent distance visual acuity and in addition to this approximately half had intermediate vision of N12 or better and all all patients had intermediate vision of N36 or better
This results of this IOL demonstrated that the Tecnis Eyhance™ IOL is a safe alternative to monofocal IOLs and has the potential to give patients reasonable spectacle independence for intermediate tasks.
DOI: 10.29245/2767-5122/2026/3.1172 View / Download PdfAssessment of Autism Spectrum Disorders in Children with Visual Impairment and Blindness
Moire Stevenson, Annie Chatillon & Mariah Lisi
CIUSSS West-Central Montreal
Children with visual impairment and blindness (VIB) are consistently reported to show higher rates of autism spectrum disorder (ASD) or ASD-like features than sighted peers, yet the nature of this association remains unclear. A major source of ambiguity lies in the use of assessment tools developed for sighted populations, as these tools rely heavily on visual behaviours such as gaze following, joint attention, and eye contact. In children with VIB, these markers may reflect sensory differences rather than underlying neurodevelopmental disorders, increasing the risk of misdiagnosis. This commentary critically reviews recent adaptations of standard instruments, alongside the emergence of specialized measures. While adaptations and innovations show promise, their limited validation and integration into clinical practice hinder their impact. The present commentary builds on the findings of the scoping review by Stevenson & Tedone, 2024, which examined studies published between 1995 and 2020. The present work reflects on that body of evidence and notes that additional work since continues to shape understanding in this area. Taken together, these issues highlight the need for assessment frameworks that move beyond sighted developmental norms, prioritizing tools and training designed for non-sighted children. Only with rigorously validated instruments, longitudinal research and formalized guidelines can clinicians distinguish between neurodevelopmental disorders and expected development in children with VIB.
DOI: 10.29245/2767-5122/2025/2.1169 View / Download PdfOPTIMAL Theory-Based Interactive Image Making to Improve Gait and Quality of Life in Parkinson Disease
Paria Darbandsari1, Clare Benson2, Jacqueline Coley1, Charlotte Gray2, Taylor O'Neill1, Nicole Spatafore1, Emily Zarrilli1, Cristina Colón-Semenza1
1Department of Kinesiology, Doctor of Physical Therapy Program, University of Connecticut, Storrs, CT.
2Department of Art and Art History, University of Connecticut, Storrs, CT.
Purpose: Parkinson disease (PD) is characterized by aberrant control of movement resulting in impaired gait. Physical therapy plays a critical role in symptom management; however, sustained improvements require continued practice of gait. This pilot feasibility study aimed to evaluate the feasibility, safety, acceptability, and initial efficacy of gait training with interactive image making based on OPTIMAL theory in people with PD.
Methods: 11 participants were randomized into the experimental or control group and underwent 16, 50-minute sessions with a licensed physical therapist during the 8-week training period. The experimental group (n=6) engaged in gait training with interactive image making informed by the OPTIMAL theory, while the control group (n=5) engaged in gait training plus observation of landscape images not constructed using the OPTIMAL theory. Feasibility, acceptability, and appropriateness were assessed by recruitment, attendance, retention rates, and safety and by participant-reported outcome measures (Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). Secondary outcomes assessed gait speed, gait endurance, physical activity, motivation, and quality of life (QoL).
Results: Primary outcomes all exceeded the criterion levels (FIM, AIM, and IAM (criterion 75%; 76%, 89%, and 88% of agreement, respectively), attendance (criterion 70%; 98.86%), retention (criterion 90%; 100%). Secondary outcomes demonstrated improvement at the individual and group level.
Conclusion: These findings suggest that gait training through interactive image making is a safe, feasible, and acceptable intervention that may improve gait, mobility, and QoL in people with PD. Future research is needed to explore this effect and its mechanisms further within larger randomized controlled trials.
DOI: 10.29245/2767-5122/2025/2.1168 View / Download PdfRehabilitation Using Dynamic Body Weight Support After Multiple Trauma
Jennifer K. Bodine1,4, Megan Haught1, Matthew Erby2, Erin Y. Harmon3
1Cardiopulmonary and Orthopedic Department, Sunnyview Rehabilitation Hospital, Schenectady, NY.
2Physical Medicine and Rehabilitation, Sunnyview Rehabilitation Hospital, Schenectady, NY.
3Research Institute, Sunnyview Rehabilitation Hospital, Schenectady, NY.
4Cardiopulmonary and Orthopedic Department, Sunnyview Rehabilitation Hospital, 1270 Belmont Avenue, Schenectady, NY, 12308. (518) 382-4525.
Traumatic injuries involving multiple body systems present unique challenges to traditional rehabilitative approaches. There is limited evidence informing effective rehabilitation strategies for patients with complex multi-system conditions. This case report describes how a dynamic body weight support (DBWS) system assisted in the rehabilitation of a 73-year-old woman with multiple trauma following a motor vehicle strike. Multiple injuries were sustained, including fractures of the upper and lower extremities, ribs and pelvis. The patient was unable to mobilize while maintaining weightbearing precautions without the assistance of 2-3 skilled therapists. Trials of DBWS allowed for safe practice of sit-to-stand, transfers, and ambulation, while maintaining all precautions. DBWS was well tolerated by the patient, and allowed for significant mobility gains during inpatient rehabilitation. This report details the first trials of DBWS in a patient with multiple trauma. Given the variability of medical considerations in patients with multiple injuries, interdisciplinary collaboration between rehabilitation therapists and orthopedic surgical teams can help inform rehabilitation strategies. In cases where patients have conflicting weightbearing precautions, the use of dynamic body weight support systems can facilitate safe mobilization while ensuring adherence to set precautions.
DOI: 10.29245/2767-5122/2025/1.1167 View / Download PdfThe Rehabilitation of Refugees Who are Victims of Torture in ASL Rome1 SAMIFO Centre
Silvia Capretti, Erica Sansone, Giancarlo Santone*
SAMIFO Centre, ASL Roma 1, Rome, Italy
Recent evidence indicates that barriers to accessing social, health, and rehabilitation services disproportionately affect disadvantaged populations, particularly forced migrants. Within this group, refugees who have endured severe trauma—such as torture and other forms of intentional violence—experience heightened vulnerabilities.
To address these complex needs, the SaMiFo Centre (Forced Migrants Health Service) of ASL Roma 1 was established in 2006. The centre provides specialized care with a specific focus on survivors of torture and intentional violence, operating through an integrated model that brings together public health institutions and private social organizations.
Since 2017, rehabilitation services developed in accordance with national guidelines for victims of torture have strengthened both prevention and treatment strategies. Rehabilitation is conceptualized as a coordinated response to multifaceted health and social needs, ensuring continuity of care. This model also incorporates vocational training and employment support as essential components of individualized rehabilitation plans.
In 2024, the Support Network for Survivors of Torture (REEST) was launched, co-founded by SaMiFo, with the aim of fostering collaboration between specialized services and the wider social, cultural, and economic sectors—thereby promoting both recovery and social inclusion.
DOI: 10.29245/2767-5122/2025/1.1162 View / Download PdfCombined Therapeutic Strategies for Chronic Spinal Cord Injury in Rodents: Scaffold Supported Regionally Specific Human Neural Stem/Progenitor Cells with and without Electrical Stimulation
Nandadevi Patil1, Angelique Bernik1, Anne Huntemer-Silveira1, Biswaranjan Mohanty3, Wen Chai1, Anna Sachdeva1 Anna Frie1, Hyunjun Kim2, Michael C. McAlpine2, Ann M Parr1*
1Department of Neurosurgery, Stem Cell Institute, University of Minnesota, Minneapolis, MN 55455, USA.
2Department of Mechanical Engineering, University of Minnesota, Minneapolis, MN 55455, USA.
3Department of Neurology, University of Minnesota, Minneapolis, MN 55455, USA.
Spinal cord injury (SCI) is a devastating event that frequently becomes a chronic condition. The consequences of neurological damage are multifaceted, with no effective clinical treatments. The majority of rodent studies have been conducted on acute and subacute SCI, while chronic SCI remains an unmet need. Strategies for treatment aim to achieve functional independence, optimize residual function, and minimize complications associated with chronic SCI. It is unlikely that there will be one single therapy for chronic SCI, which suggests that combinatorial strategies, such as scaffold-supported cellular transplantation with or without neuromodulation, may be required for effective functional improvement. In this review, we focus on one specific strategy, transplantation of scaffold-supported human stem/progenitor cells (NSPCs) in rodent models, with or without neuromodulation therapies, in particular electrical stimulation (ES), that will further elucidate the therapeutic potential in the treatment of chronic SCI.
DOI: 10.29245/2767-5122/2025/1.1156 View / Download Pdf