Person:
Carpena Torres, Carlos

First Name

Carlos

Last Name

Carpena Torres

URI

https://hdl.handle.net/20.500.14352/85395

Affiliation

Universidad Complutense de Madrid

Faculty / Institute

Óptica y Optometría

Department

Optometría y Visión

Identifiers

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Now showing 1 - 10 of 28

Comparison of Two Wavefront Autorefractors: Binocular Open-Field versus Monocular Closed-Field
(Journal of Ophthalmology, 2020) Carracedo Rodríguez, Juan Gonzalo; Carpena Torres, Carlos; Batres Valderas, Laura; Serramito Blanco, María; González Bergaz, Anahí
Purpose. To evaluate the agreement and repeatability between a new commercially available binocular open-field wavefront autorefractor, as part of the Eye Refract system, and a monocular closed-field wavefront autorefractor (VX110). Methods. A cross-sectional, randomized, and single-masked study was performed. Ninety-nine eyes of 99 healthy participants (37.22 ± 18.04 years, range 8 to 69 years) were randomly analyzed. Three measurements with the Eye Refract and the VX110 were taken on three different days, under noncycloplegic conditions. Mean spherical equivalent (MSE), cylindrical vectors (J0 and J45), and binocular corrected distance visual acuity (BCDVA) were compared between both autorefractors. An intersession repeatability analysis was done considering the values of repeatability (Sr) and its 95% limit (r). Results. The VX110 showed more negative values (P<0.001) in terms of MSE in comparison with the Eye Refract (0.20 D). Regarding cylindrical vectors, J45 showed statistically significant differences (P=0.001) between both wavefront autorefractors, but they were not clinically relevant (<0.05 D). In BCDVA, there were no statistically significant differences (P=0.667) between both wavefront autorefractors. Additionally, the Eye Refract was more repeatable than the VX110 in terms of both MSE (SrEYE REFRACT = 0.21 D, SrVX110 = 0.53 D) and J0 (SrEYE REFRACT = 0.12 D, SrVX110 = 0.35 D). Conclusions. The Eye Refract provided enough accuracy and reliability to estimate refractive errors in different age groups, achieving better results than the VX110. Therefore, the Eye Refract proved to be a useful autorefractor to be incorporated into clinical practice.
Melatonin-Eluting Contact Lenses Effect on Tear Volume: In Vitro and In Vivo Experiments
(Pharmaceutics, 2022) Serramito Blanco, María; Pereira da Mota, Ana Filipa; Carpena Torres, Carlos; Huete Toral, Fernando; Álvarez Lorenzo, Carmen Isabel; Carracedo Rodríguez, Juan Gonzalo
Background: The purpose of this study was to synthesize melatonin-eluting contact lenses (CLs) and evaluate both the ocular kinetics of the released melatonin and its effect on tear volume and intraocular pressure. Methods: In vitro, melatonin-eluting CLs were synthesized by using non-functionalized (HEMA) and functionalized (HEMA/APMA) monomers. In vivo, a short-term prospective and randomized study was performed on 15 rabbits divided into two groups: 12 rabbits wearing functionalized CLs and 3 rabbits without CLs as a control. The melatonin levels in tears, aqueous humor, vitreous body and retina, tear volume, and intraocular pressure were measured for 8 h. Results: In vitro, both monomers did not show differences in terms of melatonin loading and release (p ≥ 0.05). In vivo, the melatonin concentration was elevated in tears and aqueous humor after 2 and 4 h of wearing CLs, respectively (p < 0.05). Additionally, the CLs increased tear volume for 2 h (p < 0.05). Conclusions: The melatonin-eluting CLs released their content over the ocular surface for at least 2 h, which was associated with a secretagogue effect on tear volume. However, the increased amount of melatonin found in the aqueous humor had no effect on intraocular pressure.
Posterior cornea and thickness changes after scleral lens wear in keratoconus patients
(Contact Lens and Anterior Eye, 2018) Serramito Blanco, María; Carpena Torres, Carlos; Carballo Álvarez, Jesús; Piñero, David Pablo; Lipson, Michael; Carracedo Rodríguez, Juan Gonzalo
Purpose: To evaluate the changes in the corneal thickness, anterior chamber depth and posterior corneal curvature and aberrations after scleral lens wear in keratoconus patients with and without intrastromal corneal ring segments (ICRS). Methods:Twenty-six keratoconus subjects (36.95 ± 8.95 years) were evaluated after 8 h of scleral lens wear. The subjects were divided into two groups: those with ICRS (ICRS group) and without ICRS (KC group). The study variables evaluated before and immediately after scleral lens wear included corneal thickness evaluated in different quadrants, posterior corneal curvature at 2, 4, 6 and 8 mm of corneal diameter, posterior corneal aberrations for 4, 6 and 8 mm of pupil size and anterior chamber depth. Results: There was a statistically significant corneal thinning (p < 0.05) in the inferior region of the KC group and in the superior region of the ICRS group. No change (p > 0.05) in the anterior chamber depth was found. The KC group showed a steepening (p < 0.05) in the temporal quadrant and a flattening that mainly affected to the superior-nasal quadrant. The ICRS group showed a steepening (p < 0.05) that mainly affected to the superior-nasal quadrant. Regarding posterior corneal aberrations, only changes (p < 0.05) in Z4 for 8 mm and Z8 for 4 mm were found in the KC group. Conclusions: Short-term scleral lens wear showed a thinning of the cornea and changes in the posterior corneal curvature affects different regions in keratoconus patients with and without ICRS.
Comparison Between Aberrometry-Based Binocular Refraction and Subjective Refraction
(Translational Vision Science and Technology, 2018) Carracedo Rodríguez, Juan Gonzalo; Carpena Torres, Carlos; Serramito Blanco, María; Batres Valderas, Laura
Purpose: We evaluate the efficacy of a new system of binocular refraction, mainly based on ocular aberrometry (EYER) and compare it with the traditional subjective refraction as gold standard. Methods: A prospective, double blind, and transversal study was performed on 99 subjects (35 men, 64 women; mean age 37.22 ± 18.04 years; range, 7–70 years). Refractive surgery or irregular cornea were considered exclusion criteria. Subjective refraction was performed by three different optometrists and EYER by other optometrists on three different days randomly. The binocular best corrected visual acuity (BBCVA), subjective vision evaluated with visual analogue scale (VAS), refraction spent time, and mean spherical equivalent (MSE), and vertical and oblique cylindrical components (J0 and J45) were analyzed. Results: A positive strong correlation between EYER and subjective refraction was found for MSE (Pearson, 0.984; P < 0.001) and J0 and J45 (Pearson, 0.837; P < 0.001 and Pearson, 0.852; P < 0.001, respectively) in the total group. There were no statistically significant differences for BBCVA (P < 0.05). The VAS scores were 84.29 ± 12.29 with the EYER and 86.89 ± 12.38 with subjective refraction (P = 0.031). The spent time to perform the refraction was statistically lower (P < 0.05) with the EYER compared to conventional subjective refraction for all groups. Conclusions: The EYER system showed similar results in terms of spherical and cylindrical components, visual acuity being the spent time in the refraction lower than conventional subjective refraction. Translational Relevance: This new objective refraction system provides less chair spent time with similar results than subjective refraction
Accuracy and precision of automated subjective refraction in young hyperopes under cycloplegia
(Journal of Optometry, 2023) Carracedo Rodríguez, Juan Gonzalo; Carpena Torres, Carlos; Pastrana Robles, Cristina; Rodríguez -Lafora Lorente, María; Serramito Blanco, María; Privado Aroco, Ana; Espinosa Vidal, Teresa M.
Purpose: To assess the agreement between the Eye Refract, an instrument to perform subjective automated refraction, and the traditional subjective refraction, as the gold standard, in young hyperopes under noncycloplegic and cycloplegic conditions. Methods: A cross-section and randomized study was carried out, involving 42 participants (18.2 ± 7.7 years, range 6 to 31 years). Only one eye was chosen for the analysis, randomly. An optometrist conducted the refraction with the Eye Refract, while another different optometrist conducted the traditional subjective refraction. Spherical equivalent (M), cylindrical components (J0 and J45), and corrected distance visual acuity (CDVA) were compared between both refraction methods under noncycloplegic and cycloplegic conditions. A Bland-Altman analysis was performed to assess the agreement (accuracy and precision) between both refraction methods. Results: Without cycloplegia, the Eye Refract showed significantly lower values of hyperopia than the traditional subjective refraction (p < 0.009), the mean difference (accuracy) and its 95% limits of agreement (precision) being -0.31 (+0.85, -1.47) D. Conversely, there were no statistical differences between both refraction methods under cycloplegic conditions (p ≥ 0.05). Regarding J0 and J45, both refraction methods manifested no significant differences between them under noncycloplegic and cycloplegic conditions (p ≥ 0.05). Finally, the Eye Refract significantly improved CDVA (0.04 ± 0.01 logMAR) compared with the traditional subjective refraction without cycloplegia (p = 0.01). Conclusions: The Eye Refract is presented as a useful instrument to determine the refractive error in young hyperopes, the use of cycloplegia being necessary to obtain accurate and precise spherical refraction.
Increased ocular dopamine levels in rabbits after blue light stimulation of the optic nerve head
(Experimental Eye Research, 2023) Carpena Torres, Carlos; Schilling, Tim; Huete Toral, Fernando; Bahmani, Hamed; Carracedo Rodríguez, Juan Gonzalo
The purpose was to quantify ocular dopamine in rabbits after stimulation of the optic nerve head with short-wavelength (blue) light to activate melanopsin expressed in the axons of intrinsically photosensitive retinal ganglion cells (ipRGCs). Dopamine levels in tears, aqueous humor, vitreous body, and retina (including choroid) were quantified after blue light stimulation of the optic nerve head of 15 rabbits with an optical fiber for 1 min, 10 min, or no stimulation (n = 5, each group). The left eye of all rabbits was operated on to introduce the optical fiber and stimulate the optic nerve, while the contralateral eye served as internal control. One minute of blue light stimulation significantly increased dopamine concentration in the vitreous body of the treated eyes compared to the contralateral ones (P = 0.015). Stimulation for 10 min significantly increased dopamine concentration in the vitreous body, as well as the aqueous humor (P < 0.05). Therefore, using an optical fiber approach to stimulate the optic nerve head with blue light significantly increased dopamine concentration in the aqueous humor and the vitreous body. This likely reflects an upregulation of retinal dopamine synthesis that could be attributed to ipRGC activation. However, the data provided in this study fell short of establishing a definitive link between dopamine release and ipRGC activation, mainly due to the absence of evidence supporting the expression of the melanopsin photopigment in the optic nerve.
Project number: 273
Programa de formación complementaria para doctorandos: Aplicación de las nuevas tecnologías y redes sociales (FOCODO)
() Carracedo Rodríguez, Juan Gonzalo; Álvarez Rojas, David; Batres Valderas, Laura; Camargo Mínguez, Ana María; Carpena Torres, Carlos; Gómez Villafuertes, María Rosa; Huete Toral, Fernando; Martín Gil, Alba; Navarro Gil, Francisco Javier; Ortega De La O, Felipe; Pitarch Velasco, Aída; Serramito Blanco, María
Este proyecto de innovación docente va dirigido específicamente a los alumnos de doctorado de las Facultades de Óptica y optometría y de Veterinaria de la Universidad Complutense. Pero también es Desarrollar un programa de formación complementaria para los doctorandos en ciencias de la salud que les permita adquirir conocimiento y habilidades en áreas paralelas al ámbito en el que están realizando sus tesis doctorales. El programa de formación tendrá 4 areas temáticas diferenciadas: - Habilidades de comunicación (como escribir un artículo científico, como hacer presentaciones orales y en poster, como escribir un Proyecto científico, como trabajar en equipo, …) - Conocimiento complementario a la tesis doctoral (estadística, metodología científica, lectura crítica de bibliografía, Buenas prácticas de laboratorio, buenas prácticas clínicas, …) - Salidas profesionales durante y después de la tesis doctoral (Becas pre y postdoctorales, búsqueda de proyectos de investigación, como colaborar con otros grupos de investigación,…) - Formación especifica en su área temática (técnicas de laboratorio, técnicas clínicas, revisiones bibliográficas,…) Se generará material de tres tipos: - Seminarios.- Son presentaciones de una hora de duración sobre temas específicos a los que se puede asistir en directo o poder ver grabado a través de YouTube. Estos seminarios serán impartidos por profesores e investigadores de los grupos de investigacion que hacen la propuesta además de contar con especialistas nacionales e internacionales - Pildoras.- Videos cortos de no mas de 3 minutos que resuman los aspectos mas importantes de cada seminario que serán colgados en las pagina de los grupos de investigacion que se creen en las redes sociales. Estas píldoras serán grabadas utilizando herramientas de grabación habituales para videos en redes sociales (croma, focos, …) - Summer/Winter School.- Curos de verano y/o invierno donde en dos-tres días intensivos se imparta formacion especifica en investigacion. En estos cursos participaran profesores y expertos internacionales y estará abierto para la matriculación de estudiantes no complutenses, tanto nacionales como internacionales. Para llevar a cabo este programa se utilizarán varias herramientas: - Plataformas digitales (YouTube) donde se colgarán los seminarios que se realicen. - Redes sociales (Instagram, Twitter,…) donde se colgarán las píldoras que se realicen y además se harán reuniones en directo para debatir temas de alguna de las áreas propuestas anteriormente. - App para móvil desde donde los alumnos puedan encontrar todo el material que se genere durante el programa. Este app puede ser gratuita para los alumnos complutenses y de pago para el resto.
A Comparison between Automated Subjective Refraction and Traditional Subjective Refraction in Keratoconus Patients
(Optometry and Vision Science, 2021) Carracedo Rodríguez, Juan Gonzalo; Carpena Torres, Carlos; Pastrana Robles, Cristina; Privado Aroco, Ana; Serramito Blanco, María; Espinosa Vidal, Teresa M.; Rodríguez-Lafora Lorente, María
SIGNIFICANCE: The performance of the Eye Refract (Luneau Technology, Chartres, France), a new instrument to perform aberrometry-based automated subjective refraction, has been previously evaluated in healthy subjects. However, its clinical implications in other ocular conditions are still unknown. PURPOSE: The purpose of this study was to evaluate the agreement between the Eye Refract and the traditional subjective refraction, as the criterion standard, in keratoconus patients with and without intracorneal ring segments (ICRSs). METHODS: A total of 50 eyes of 50 keratoconus patients were evaluated, dividing the sample into 2 groups: 27 eyes without ICRS (37.78 ± 9.35 years) and 23 eyes with ICRS (39.26 ± 13.62 years). An optometrist conducted the refraction with the Eye Refract, and another different optometrist conducted the traditional subjective refraction on the same day. Spherical equivalent (M), cylindrical vectors (J0 and J45), and corrected distance visual acuity were compared between both methods of refraction. In addition, Bland-Altman analysis was performed to assess the agreement between both methods of refraction. RESULTS: There were no statistically significant differences (P ≥ .05) between the Eye Refract and the traditional subjective refraction for all the variables under study in either group. Without ICRS, the mean difference and 95% limits of agreement (upper, lower) were −0.20 (+1.50, −1.89) D for M, −0.14 (+1.40, −1.68) D for J0, and +0.05 (+1.23, −1.14) D for J45. With ICRS, these values worsened to −0.62 (+3.89, −5.12) D for M, +0.06 (+2.46, −2.34) D for J0, and −0.02 (+2.23, −2.28) D for J45. CONCLUSIONS: The Eye Refract seems to offer similar results compared with the traditional subjective refraction in keratoconus patients not implanted with ICRS. However, some patients could show abnormal measurements, especially those with ICRS, who should be treated with caution in clinical practice.
Project number: 238
Herramientas audiovisuales online y protocolos en la formación, adaptación y gestión de lentes de contacto. Un modelo innovador en la Clínica Universitaria de Optometría de la UCM
(2018) Carballo Álvarez, Jesús; Batres Valderas, Laura; Padrino Natividad, Esther; Rodríguez-Lafora Lorente, María; Serramito Blanco, María; Martín Prieto, Marina; Niño Rueda, Aranzazu; Niño Rueda, Cristina; Álvarez Rojas, David; Bartolomé Bartolomé, Gema; Peral Cerda, María Asunción; Carpena Torres, Carlos; Bella Gala, Rafael; Carracedo Rodríguez, Juan Gonzalo; González Blanco, Félix; García Alonso, Zoe Alexandra; Sánchez Pérez, María Isabel
Con fines docentes y asistenciales, incluye Videos sobre manejo y limpieza de distintos tipos de lentes de contacto. Para la correcta formación de los estudiantes incluye varios manuales sobre el estudio ocular previo a la adaptación. Con fines asistenciales incorpora Material para acompañar la adaptación y entrega de las lentes de contacto. Para mejorar la gestión, incluye un Video-tutorial y los protocolos creados para los pedidos y gestión de las lentes de contacto.
Anterior Corneal Curvature and Aberration Changes After Scleral Lens Wear in Keratoconus Patients With and Without Ring Segments
(Eye & Contact Lens: Science & Clinical Practice, 2019) Serramito Blanco, María; Carpena Torres, Carlos; Carballo Álvarez, Jesús; Piñero, David; Lipson, Michael; Carracedo Rodríguez, Juan Gonzalo
Objective: To evaluate changes in the anterior corneal curvature and aberrometry after scleral contact lens wear in keratoconus (KC) subjects with and without intracorneal ring segments (ICRS). Methods: Twenty-six subjects diagnosed with keratoconus were selected to participate in the study. Subjects were divided into 2 groups, those with ICRS (KC-ICRS group) and those without ICRS (KC group). Subjects were instructed to wear 16.5-mm scleral lenses for 8 hours. Topographic and aberrometric parameters were evaluated before lens wear and immediately after lens removal. Anterior corneal curvature was evaluated at corneal diameters of 2, 4, 6, and 8 mm, and corneal aberrations were measured at 4-, 6-, and 8-mm pupil diameters. Results: The mean age of subjects was 36.95±8.95 years. In KC group, there was a statistically significant flattening of the central corneal curvature, from 6.98 to 7.09 mm (P<0.05). No changes were found in the central corneal curvature in the KC-ICRS group. The KC group showed anterior corneal curvature flattening, mainly in the nasal quadrant. The KC-ICRS group showed flattening primarily in the inferior hemisphere. In the KC group, spherical aberration for 6-mm pupil increased significantly. In the KC-ICRS group, changes in aberrations were significant for high-order root mean square at 4- and 6-mm pupil diameters (P<0.05), for oblique astigmatism for 4 mm and 6 mm, and for vertical coma for 4-mm pupil (P<0.05). Conclusion: Short-term scleral lens wear showed flattening of the anterior corneal surface in all subjects. In the KC group, the flattening was more pronounced in the nasal quadrant while changes were more pronounced inferiorly in KC-ICRS group.