Person:
Carracedo Rodríguez, Juan Gonzalo

First Name

Juan Gonzalo

Last Name

Carracedo Rodríguez

URI

https://hdl.handle.net/20.500.14352/79959

Affiliation

Universidad Complutense de Madrid

Faculty / Institute

Óptica y Optometría

Department

Optometría y Visión

Area

Optica

Identifiers

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Search Results

Now showing 1 - 10 of 27

Optimization of a Rabbit Dry Eye Model Induced by Topical Instillation of Benzalkonium Chloride
(Journal of Ophthalmology, 2020) Carpena Torres, Carlos; Pintor Just, Jesús Jerónimo; Pérez de Lara, María Jesús; Huete Toral, Fernando; Crooke Álvarez, Almudena; Pastrana Robles, Cristina; Carracedo Rodríguez, Juan Gonzalo
Purpose. To optimize a rabbit dry eye model induced by topical instillation of benzalkonium chloride (BAC), reduce the days of instillation of the original model by increasing the concentration of BAC from 0.1% to 0.2%. Materials and Methods. An experimental, prospective, and randomized study was performed on 10 male New Zealand white rabbits, divided into two groups, considering both eyes: 5 rabbits as control (n = 10) and 5 rabbits with 0.2% BAC treatment (n = 10). Saline solution (control) and 0.2% BAC were instilled for 5 consecutive days, twice daily. Tear secretion with and without anesthesia, tear breakup time, tear osmolarity, corneal staining, conjunctival hyperemia, density of goblet cells, height of mucin cloud, and transcript levels of IL-6 were measured before and after the treatment. Results. After the instillation of 0.2% BAC for 5 consecutive days, there was a significant increase in tear secretion without anesthesia (P < 0.001), corneal staining (P < 0.001), conjunctival hyperemia (P < 0.001), and levels of IL-6 mRNA (P = 0.005) compared to the control group. Conversely, there was a decrease in tear secretion with anesthesia (P < 0.001), tear breakup time (P = 0.007), tear osmolarity (P < 0.001), density of goblet cells (P < 0.001), and height of mucin cloud (P < 0.001). Conclusions. )e topical instillation of 0.2% BAC for 5 consecutive days, twice daily, was a proper procedure to induce a rabbit dry eye model, reducing the number of days of instillation compared to the original model (14 days).
Contact Lenses as Drug Delivery System for Glaucoma: A Review
(Applied sciences, 2020) Peral Cerda, María Asunción; Martínez Águila, Alejandro; Pastrana Robles, Cristina; Huete Toral, Fernando; Carpena Torres, Carlos; Carracedo Rodríguez, Juan Gonzalo
Glaucoma is an optical neuropathy associated to a progressive degeneration of retinal ganglion cells with visual field loss and is the main cause of irreversible blindness in the world. The treatment has the aim to reduce intraocular pressure. The first therapy option is to instill drugs on the ocular surface. The main limitation of this is the reduced time of the drug staying on the cornea. This means that high doses are required to ensure its therapeutic effect. A drug-loaded contact lens can diffuse into the post lens tear film in a constant and prolonged flow, resulting in an increased retention of the drug on the surface of the cornea for up to 30 min and thus providing a higher drug bioavailability, increasing the therapeutic efficacy, reducing the amount of administered drug, and thereby provoking fewer adverse events. Several different systems of drug delivery have been studied in recent decades; ranging from more simple methods of impregnating the lenses, such as soaking, to more complex ones, such as molecular imprinting have been proposed. Moreover, different drugs, from those already commercially available to new substances such as melatonin have been studied to improve the glaucoma treatment efficacy. This review describes the role of contact lenses as an innovative drug delivery system to treat glaucoma.
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.
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: 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.
Repeatability of Aberrometry-Based Automated Subjective Refraction in Healthy and Keratoconus Subjects
(Journal of Ophthalmology, 2020) Carracedo Rodríguez, Juan Gonzalo; Carpena Torres, Carlos; Pastrana Robles, Cristina; Privado Aroco, Ana; Serramito Blanco, María; Batres Valderas, Laura
Purpose. To compare the intersession repeatability of the Eye Refract, a new instrument to perform aberrometry-based automated subjective refraction, on healthy and keratoconus subjects. Materials and Methods. A cross-sectional and randomized study was performed. A total of 64 participants were evaluated in the study, selecting one eye per participant randomly. The sample was divided into two different groups: 33 healthy subjects (38.85 ± 13.21 years) and 31 with keratoconus (37.29 ± 11.37 years). Three refractions per participant with the Eye Refract were performed on three different days, without cycloplegia. The repeatability analysis of refractive variables (M, J0, and J45), binocular corrected distance visual acuity (BCDVA), and spent time in refraction was performed in terms of repeatability (Sr), its 95% confidence interval (r), and intraclass correlation coefficient (ICC). Results. There were no statistically significant differences (P ≥ 0.05) between sessions in both groups for all refractive variables (M, J0, and J45) and BCDVA. Spent time in refraction was reduced as the sessions went by (P < 0.05). The Eye Refract was more repeatable for refractive errors assessment in healthy subjects (M: Sr = 0.27 D; J0: Sr = 0.09 D; J45: Sr = 0.06 D) compared to those with keratoconus (M: Sr = 0.65 D; J0: Sr = 0.29 D; J45: Sr = 0.24 D), while it was similar for BCDVA. Conclusions. The Eye Refract offered better repeatability to assess refractive errors in healthy subjects compared to those with keratoconus. Despite measurements being also consistent in keratoconus subjects, they should be treated with caution in clinical practice.
The effect of soft contact lens thickness in visual function after intracorneal ring segments surgery
(Contact Lens and Anterior Eye, 2017) Carracedo Rodríguez, Juan Gonzalo; Canales Calvo, Javier; González Balboa, Paula; Recchioni, Alberto; Carpena Torres, Carlos; Carballo Álvarez, Jesús
Objective: To study the influence of soft contact lens (SCL) central thickness and material in keratoconus on visual function after intracorneal ring segment (ICRS) surgery. Methods: A pilot, experimental, prospective, cross-sectional and double-blind study was performed. Fourteen keratoconus patients with age range of 34.75 ± 9.22 years (7 males and 7 females) with ICRS implanted were involved in the study. Two different SCL materials [Hioxifilcon A (G-5X/p-GMA/HEMA) and Lucifilcon A (silicone-hydrogel)] with four different central thicknesses (0.1, 0.2, 0.3 and 0.4 mm) were fitted in one eye per patient, selected randomly. High and low corrected distance visual acuity (CDVA) and contrast sensitivity (CS), corneal topography and corneal and total aberrometry were measured. Results: Corneal spherical like, coma like and root mean square (RMS) decreased significantly for 0.3 and 0.4 mm in both SCL materials (p < 0.05). Total RMS decreased significantly for 0.4 mm with both SCL materials (p < 0.05). High and low CDVA improved for 0.4 mm of thickness for both materials (p < 0.05). Statistically increasing were found in all thicknesses studied for CS in both materials (p < 0.05). Conclusion: A central thickness of the SCL equal or superior to 0.4 mm seems to decrease the ocular high order aberration (HOA) and to improve the visual function in keratoconus patients implanted with ICRS. However, the modulus of rigidity of the SCL would not influence the HOA correction.
Changes in visual quality with soft contact lenses after the instillation of hyaluronic acid eye drops
(Contact Lens & Anterior Eye, 2021) Carpena Torres, Carlos; Pastrana Robles, Cristina; Rodríguez Pomar, Candela; Serramito Blanco, María; Batres Valderas, Laura; Carracedo Rodríguez, Juan Gonzalo
Purpose: To evaluate the changes in visual function and anterior surface aberrations during soft contact lens (SCL) wear after the instillation of hyaluronic acid (HA) eye drops with different viscosity. Methods: A prospective, randomized, and participant-masked study was performed. Twenty healthy participants (25.4 ± 2.6 years) were evaluated. Hydrogel (Ocufilcon D) and silicone-hydrogel (Somofilcon A) SCL were randomly assigned to both eyes of the same participant. Visual function in terms of high- and low-contrast corrected distance visual acuity (CDVA) and anterior contact lens surface aberrations (RMS HOA) were measured before and after the instillation, at different times, of different eye drops: saline (control) and 0.1%, 0.2%, and 0.3% HA. Results: Compared with the saline solution, during hydrogel SCL wear, there was an improvement (P < 0.05) in high-contrast CDVA after 3 and 10 min with 0.1% HA, and after 5 and 20 min with 0.2% HA. During silicone�hydrogel SCL wear, there was a deterioration (P < 0.05) in high-contrast CDVA after 1 and 30 min with 0.3% HA. Additionally, during silicone-hydrogel SCL wear, there was also a deterioration (P < 0.05) in low-contrast CDVA after 5 and 20 min with 0.3% HA. In terms of RMS HOA, there were no clinically relevant changes with both SCL. Conclusions: The instillation of HA eye drops could have a different effect on visual quality depending on their concentration of HA, the contact lens material, its surface ionicity, or other physicochemical properties that should be studied in future studies.
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 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.