{"title":"At a glance","authors":"Frank Larkin","doi":"10.1136/bjo-2024-326873","DOIUrl":null,"url":null,"abstract":"A national corneal transplant registry analysis of 11,516 endothelial keratoplasty procedures found clear evidence that increasing surgeon experience in that procedure was associated with longer two-year transplant survival. This strongly supports best feasible arrangements for surgeon training and mentoring at the introduction of new procedures. This trial examined the usefulness of short-term 1% topical ciclosporin in cases of acute Stevens-Johnson syndrome (SJS). Additional therapy with 1% ciclosporin was not efficacious over standard therapy in stabilising the ocular surface in cases of acute SJS. Twenty years following an equivalent study, contact lens wear remained the leading risk factor for bacterial keratitis. A majority of Gram-negative bacteria were found, with a marked increase in Moraxella keratitis and a low rate of antibacterial drug resistance. Based on their proposed keratitis grading system, the authors' study provides a reportedly safe, evidence-based management protocol for patients with contact lens associated keratitis (CLAK). This should improve resource allocation and at a time of increasing demand for eye care services by reducing unnecessary patient visits. In a real-world registry, most non-infectious non-anterior uveitis cases were found to require immunosuppression with biologic and/or …","PeriodicalId":9313,"journal":{"name":"British Journal of Ophthalmology","volume":"114 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bjo-2024-326873","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
A national corneal transplant registry analysis of 11,516 endothelial keratoplasty procedures found clear evidence that increasing surgeon experience in that procedure was associated with longer two-year transplant survival. This strongly supports best feasible arrangements for surgeon training and mentoring at the introduction of new procedures. This trial examined the usefulness of short-term 1% topical ciclosporin in cases of acute Stevens-Johnson syndrome (SJS). Additional therapy with 1% ciclosporin was not efficacious over standard therapy in stabilising the ocular surface in cases of acute SJS. Twenty years following an equivalent study, contact lens wear remained the leading risk factor for bacterial keratitis. A majority of Gram-negative bacteria were found, with a marked increase in Moraxella keratitis and a low rate of antibacterial drug resistance. Based on their proposed keratitis grading system, the authors' study provides a reportedly safe, evidence-based management protocol for patients with contact lens associated keratitis (CLAK). This should improve resource allocation and at a time of increasing demand for eye care services by reducing unnecessary patient visits. In a real-world registry, most non-infectious non-anterior uveitis cases were found to require immunosuppression with biologic and/or …
期刊介绍:
The British Journal of Ophthalmology (BJO) is an international peer-reviewed journal for ophthalmologists and visual science specialists. BJO publishes clinical investigations, clinical observations, and clinically relevant laboratory investigations related to ophthalmology. It also provides major reviews and also publishes manuscripts covering regional issues in a global context.