AJO International最新文献

{"title":"Pilot study evaluating the usability of MonŒil, a ChatGPT-based education tool in ophthalmology","authors":"Claudio XOMPERO,&nbsp;Walid BENETTAYEB,&nbsp;Eric H. SOUIED,&nbsp;Carl-Joe MEHANNA","doi":"10.1016/j.ajoint.2024.100032","DOIUrl":"https://doi.org/10.1016/j.ajoint.2024.100032","url":null,"abstract":"<div><h3>Importance</h3><p>There is an increasing use of artificial intelligence (AI) in ophthalmology to respond to the needs of patients to access reliable, easy-to-understand medical information.</p></div><div><h3>Objective</h3><p>To assess patient satisfaction with the usability of MonŒil, an AI-based platform designed for patient education in ophthalmology.</p></div><div><h3>Design</h3><p>This was a pilot cross-sectional study of the usability of MonŒil by patients followed for advanced age-related macular degeneration (AMD). MonŒil is based on ChatGPT-4 technology with specific ophthalmology-focused customizations and accessibility enhancements, and is freely available at <em>monoeil.help</em>. Patients were given 20 min of unsupervised interaction with no prior training or guidance, after which their feedback was collected.</p></div><div><h3>Setting</h3><p>The study was performed in the ophthalmology department at the Creteil University Hospital.</p></div><div><h3>Participants</h3><p>Participants included 54 patients diagnosed with advanced AMD defined presenting for follow-up. Patients had to be older than 50 years of age, capable of giving informed consent, and able to understand and interact with MonŒil. Exclusion criteria were severe visual and cognitive impairment that prevented interaction with MonŒil.</p></div><div><h3>Main Outcome(s) and Measure(s)</h3><p>The primary outcome was the usability of MonŒil as measured by the System Usability Scale (SUS) questionnaire.</p></div><div><h3>Results</h3><p>Of the 54 participants, 34 were female (62.96 %). The mean age of the cohort was 77.76±8.14 years (range 58 to 97 years). The mean SUS score was 90.23±12.04 with a median of 92.50 (range 42.50 to 100.00), indicating excellent usability. There was a positive relationship between visual acuity and SUS score (regression coefficient 0.30 (95 % CI 0.08 to 0.51), r2=0.19, <em>p</em> = 0.0077).</p></div><div><h3>Conclusions and Relevance</h3><p>MonŒil demonstrated excellent usability and satisfaction in a sample population of elderly patients with advanced AMD. These results suggest that AI-based tools like MonŒil can enhance patient education with minimal oversight in a complex field like ophthalmology, supporting its use as an adjunct to the physician-patient discussion. Further studies may be necessary to establish the applicability of MonŒil to a broader user base, and to assess its usefulness and clinical impact on patient outcomes such as patient knowledge and vision-related quality of life.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100032"},"PeriodicalIF":0.0,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000327/pdfft?md5=0d565968f77c687abb04b1d701e28a80&pid=1-s2.0-S2950253524000327-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141097449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orbital radiotherapy with combined intravenous methylprednisolone and mycophenolate mofetil in moderate-to-severe thyroid eye disease","authors":"Kenneth Ka Hei Lai ,&nbsp;Ryan Hong Yu Fong ,&nbsp;Fatema Mohamed Ali Abdulla Aljufairi ,&nbsp;Jake Uy Sebastian ,&nbsp;Karen Kar Wun Chan ,&nbsp;Joyce Ka Yee Chin ,&nbsp;Kenneth Chun Wai Wong ,&nbsp;Hanson Yiu Man Wong ,&nbsp;George Pak Man Cheng ,&nbsp;Wilson Wai Kuen Yip ,&nbsp;Alvin Lerrmann Young ,&nbsp;Clement Chee Yung Tham ,&nbsp;Chi Pui Pang ,&nbsp;Kelvin Kam Lung Chong","doi":"10.1016/j.ajoint.2024.100031","DOIUrl":"10.1016/j.ajoint.2024.100031","url":null,"abstract":"<div><h3>Purpose</h3><p>To report the clinical outcomes of orbital radiotherapy (ORT) with combined intravenous methylprednisolone (IVMP) and mycophenolate mofetil (MMF) in thyroid eye disease (TED) patients with restrictive myopathy.</p></div><div><h3>Design</h3><p>Prospective comparative case series of patients managed at The Chinese University of Hong Kong from 2015 to 2021.</p></div><div><h3>Methods</h3><p>The primary outcome was the change in Gorman diplopia score at 52 weeks. Secondary outcomes were the changes in extraocular muscle motility (EOMy), area of extraocular muscle (EOM) on MRI, exophthalmos, and marginal reflex distance (MRD) 1 and MRD2 at 52 weeks.</p></div><div><h3>Results</h3><p>A total of 40 (29 females) TED patients, medium age 56 years, were treated with the double regimen: combined IVMP and MMF (17) or triple regimen: IVMP, MMF, and ORT (23). The triple group has a higher age (<em>P</em> = 0.028). Sex, smoking history, thyroid, and pre-treatment orbital status were comparable between the 2 groups. EOMy improved more after the triple regimen(<em>P</em> = 0.026). Nine patients from the triple group showed a significant reduction in the size of the inferior rectus (both eyes: <em>P</em> &lt; 0.05), while five from the double group showed no significant reduction of any EOM on MRI. The improvement of CAS, diplopia score, exophthalmos, MRD1, and MRD2 were similar. No patient reported any severe or organ-threatening side effects from IVMP, MMF, or ORT requiring discontinuation of treatment.</p></div><div><h3>Conclusion</h3><p>The triple regimen demonstrates better structural and functional outcomes in TED-related restrictive myopathy. Future randomized clinical trials are warranted to clarify the adjuvant role of ORT in this specific indication of TED management.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100031"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000315/pdfft?md5=c1725650fbe4fac92929d9eb84629858&pid=1-s2.0-S2950253524000315-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparison of deep sclerectomy outcomes in eyes with pseudoexfoliation versus primary open angle glaucoma","authors":"Constance Weber,&nbsp;Anna Sophia Jauch,&nbsp;Natalie Rieder,&nbsp;Frank G. Holz,&nbsp;Karl Mercieca","doi":"10.1016/j.ajoint.2024.100030","DOIUrl":"10.1016/j.ajoint.2024.100030","url":null,"abstract":"<div><h3>Purpose</h3><p>To compare outcomes of augmented deep sclerectomy surgery (DS) with mitomycin C.(MMC) between pseudoexfoliative glaucoma (PEXG) and primary open angle.glaucoma (POAG) patients..</p></div><div><h3>Design</h3><p>Retrospective cohort study</p></div><div><h3>Methods</h3><p>Retrospective review of patients undergoing DS surgery at the University Eye Hospital Bonn, Germany, from 04/2021 to 09/2022. We performed a matched-pair analysis.between eyes with PEXG (group 1, <em>n</em> = 45) and eyes with POAG (group 2, <em>n</em> = 45).</p></div><div><h3>Results</h3><p>90 eyes of 85 patients were included. Complete and qualified success rates for Groups.1 and 2 at one year were 55.6 % and 86.7 % (<em>p</em> = 0.002) and 91.1 % and 93.3 % (<em>p</em> = 0.78).for ≤21 mmHg, and 55.6 % and 86.7 % (<em>p</em> = 0.002) and 88.9 % and 93.3 % (<em>p</em> = 0.53) for.≤18 mmHg respectively..Mean preoperative IOP decreased from 21.11 mmHg in group 1 and 19.64 mmHg in.group 2 (<em>p</em> = 0.31) to 13.64 mmHg and 11.42 mmHg after surgery, respectively, whilst it.was significantly lower in eyes with POAG (<em>p</em> = 0.01). The number of pressure-lowering.drops was also significantly lower in eyes with POAG after 12 months (PEXG: 0.58;.POAG: 0.18; <em>p</em> = 0.01). Eyes with PEXG had a significantly higher rate of Nd:YAG laser.goniopuncture (PEXG: 64.4 %, POAG: 40 %, <em>p</em> = 0.02)..Postoperative complications occurred in 6 eyes (6.7 %) with no vision-threatening.sequelae in either group.There were no significant differences between complication.rates in the two groups (<em>p</em> = 0.18)</p></div><div><h3>Conclusions</h3><p>DS is a safe and effective procedure for lowering IOP in eyes with both POAG and PEXG, with lower overall IOP levels being achieved in eyes with POAG. Significantly more postoperative laser goniopunctures were needed in eyes with PEXG.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100030"},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000303/pdfft?md5=129a37fd4e7367e3c1ea1fd9d5c041c6&pid=1-s2.0-S2950253524000303-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genotype-phenotype severity correlation in a multicentric portuguese cohort of ABCA4-associated retinopathy","authors":"Catarina Cunha Ferreira ,&nbsp;Sara Geada ,&nbsp;Ana Marta ,&nbsp;Pedro Carreira ,&nbsp;Diogo Cabral ,&nbsp;Ana Luísa Carvalho ,&nbsp;Rufino Silva ,&nbsp;Joaquim Murta ,&nbsp;João Pedro Marques","doi":"10.1016/j.ajoint.2024.100029","DOIUrl":"https://doi.org/10.1016/j.ajoint.2024.100029","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate genotype-phenotype correlations in <em>ABCA4</em>-associated retinopathy and further validate a recently proposed genotype-phenotype correlation model.</p></div><div><h3>Design</h3><p>Multicentric, cross-sectional cohort study.</p></div><div><h3>Methods</h3><p>Consecutive patients with genetically confirmed <em>ABCA4</em>-associated retinopathy from three Portuguese centres were included. Patients were categorized into distinct phenotype groups according to the degree of hypoautofluorescence and retinal background appearance in ultra-widefield fundus autofluorescence (UW-FAF) imaging. Genotype classification was performed using two criteria: one according to the presence of the p.Gly1961Glu variant, a hypomorphic variant, at least one moderate variant, or two biallelic severe/PVS1 variants (genotype classification A, which corresponds to the newly described criteria); and another one based on the number of null variants identified (genotype classification B). Associations between clinical data and phenotype and genotype groups were analysed.</p></div><div><h3>Results</h3><p>A total of 50 patients were included. Significant correlations between age of onset, best-corrected visual acuity (BCVA), and both phenotype and genotype groups were found, with patients in more severe phenotype and genotype categories exhibiting earlier disease onset and poorer visual function (<em>p</em> &lt; 0.001; <em>p</em> &lt; 0.001; <em>p</em> &lt; 0.001; <em>p</em> &lt; 0.001, <em>p</em> &lt; 0.001; and <em>p</em> = 0.004, respectively). Genotype classification A better predicted phenotype severity on UW-AF imaging, demonstrating milder genotypes in patients with less severe phenotypes and more severe genotypes in those with advanced disease (<em>p</em> &lt; 0.001). A genotype-phenotype correlation matrix was constructed based on the classification of the two disease-causing variants and their corresponding phenotypic staging.</p></div><div><h3>Conclusion</h3><p>Our findings support the utility of the newly described genotype classification in evaluating <em>ABCA4</em>-associated retinopathy phenotype severity, with possible implications in future understanding of the disease genetics and assessment of individual prognosis for patients.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100029"},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000297/pdfft?md5=70912f3862fe7d12b5f878bc56fe03cb&pid=1-s2.0-S2950253524000297-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Raised intraocular pressure after immediate sequential bilateral cataract surgery with EyeCee one intraocular lens","authors":"Emily N. Stedman,&nbsp;Stephanie J. Chiu,&nbsp;Haoyu Wang,&nbsp;Jennifer H.Y. Tan","doi":"10.1016/j.ajoint.2024.100027","DOIUrl":"https://doi.org/10.1016/j.ajoint.2024.100027","url":null,"abstract":"<div><h3>Purpose</h3><p>The Medicine and Healthcare products Regulatory Agency (MHRA) reported cases of high intraocular pressure (IOP) after implantation of affected batch numbers of EyeCee One intraocular lens (EC1IOL). In our institution we offered Immediate Sequential Bilateral Cataract Surgery (ISBCS) with EC1IOL and here we examine the rate of raised IOP, management of cases and outcomes of this group.</p></div><div><h3>Design</h3><p>Retrospective case series review.</p></div><div><h3>Methods</h3><p>A search of our electronic patient record system identified 27 patients who had ISBCS with EC1IOL. Patients with IOP ≥30 mmHg at a post op visit were identified as the “spike” group and a case series review performed.</p></div><div><h3>Results</h3><p>43 eyes (27 patients) had an affected batch number of EC1IOL implanted during ISBCS, 16 patients had an affected lens in both eyes and 11 in one eye. 7% (3 eyes of 3 patients) had a post op IOP spike (average 51.9 mmHg) at a post-op visit felt to be EC1IOL related. Patients required immediate treatment, an average of 3.33 regular topical IOP lowering agents and 5 outpatient appointments. Using the fellow eye as a control comparison, 2 out of the 3 eyes in the spike group had less visual improvement. 1 eye in the spike group lost 0.2 LogMAR lines.</p></div><div><h3>Conclusions</h3><p>We found a greater rate EC1IOL related IOP spikes than the MRHA reports. There was a trend towards less visual gain post operatively in patients who had a spike, but due to small numbers meaningful statistical analysis cannot be performed. Surgical intervention was not required in this cohort.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100027"},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000273/pdfft?md5=d434d7149b9404a0fc3e67935fde8376&pid=1-s2.0-S2950253524000273-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do question phrasing and long wavelength cone sensitivity influence red cap test responses in healthy patients?","authors":"Mark A. Kahrhoff ,&nbsp;John Crane ,&nbsp;Derek Wiles ,&nbsp;Carl J. Bassi","doi":"10.1016/j.ajoint.2024.100028","DOIUrl":"https://doi.org/10.1016/j.ajoint.2024.100028","url":null,"abstract":"<div><p>This study investigates the influence of question phrasing and long wavelength cone sensitivity on red cap test responses in healthy patients. A chart review of 230 adult patients assessed responses to two different phrasings of the red cap test. Phrasing 1 asked the patient to describe the left eye relative to the right while Phrasing 2 asked the patient to name the brighter eye and provided an option for the patient to report no difference. Long wavelength cone thresholds were measured using the Konan CCT. Across both phrasings, 33 % of patients reported red saturation asymmetry, with a significant difference in positive responses between the two phrasings (43.6 % for Phrasing 1 vs. 11.3 % for Phrasing 2, (χ² = 121.694, <em>p &lt;</em> <em>.</em>001). No significant interocular differences in long wavelength cone sensitivity were found in those patients with a positive red cap response. Phrasing contributes to the high false positive rate of the red cap test reported in healthy patients.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100028"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000285/pdfft?md5=a5f5f7e73bb0cd8da8188f130866010b&pid=1-s2.0-S2950253524000285-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heads-up 3-dimensional-visualization system and integrated intraoperative optical coherence tomography in infantile vitreoretinal surgeries","authors":"Akash Belenje ,&nbsp;Brijesh Takkar ,&nbsp;Vishnu Murthy Gollapally ,&nbsp;Subhadra Jalali","doi":"10.1016/j.ajoint.2024.100023","DOIUrl":"https://doi.org/10.1016/j.ajoint.2024.100023","url":null,"abstract":"<div><h3>Objective</h3><p>To demonstrate initial experience of Heads-up 3-dimensional-visualization system and integrated intra operative optical coherence tomography (iOCT) in a spectrum of complex infantile vitreoretinal surgeries.</p></div><div><h3>Methods</h3><p>Two different 3-D-visualization systems were used during the surgery on case-to-case basis and iOCT was used as needed. The vitrectomy system used was the same for all the surgeries. The disease spectrum included retinal disorders due to retinopathy of prematurity, familial exudative vitreoretinopathy, and retinitis.</p></div><div><h3>Design</h3><p>Descriptive case series of surgeries operated under 3-D visualization and conventional microscope.</p></div><div><h3>Results</h3><p>A total of 10 eyes of 7 patients were included; out of which 5 eyes of 4 unique cases were operated under 3-D-visualization system and remaining 5 eyes of other 3 cases under the conventional microscope. The cases present our initial experience of the 3-D visualization and iOCT system over the conventional microscope with appropriate imaging and surgical videos.</p></div><div><h3>Conclusion</h3><p>Infantile vitreoretinal surgeries are difficult to teach, require an ergonomic friendly surgical environment and unpredictable surgical adjustments, which are the chief advantages of the discussed technologies. Heads-up 3-D-visualization system and iOCT appeared to be powerful new tools that can be explored further for use in complex infantile vitreoretinal surgeries.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100023"},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000236/pdfft?md5=d1e8d0f6f1431494dc7e62b003b5e6e8&pid=1-s2.0-S2950253524000236-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of IOL power formulas in eyes with a flat cornea <42 D","authors":"Silvia Ferrara ,&nbsp;Alfonso Savastano ,&nbsp;Emanuele Crincoli ,&nbsp;Raphael Kilian ,&nbsp;Maria Cristina Savastano ,&nbsp;Stanislao Rizzo","doi":"10.1016/j.ajoint.2024.100026","DOIUrl":"https://doi.org/10.1016/j.ajoint.2024.100026","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess and compare accuracy of intraocular lens (IOL) power calculation performed with old generation, new generation and artificial intelligence (AI)-based formulas in eyes with flat corneas.</p></div><div><h3>Design</h3><p>Patients with a tomography-derived mean keratometry &lt;42 D were retrospectively recruited among those who underwent uncomplicated phacoemulsification with intracapsular IOL implantation in two different tertiary care centers. Mean prediction error (ME), mean absolute prediction error (MAE) and incidence of MAE&gt;0.25D were calculated for Barrett Universal II (BUII),EVO 2.0, Hoffer QST, Kane, Olsen-C, Pearl-DGS and SRK/T formulas. Linear correlation between MAE and axial length was also calculated for each formula.</p></div><div><h3>Results</h3><p>Eighty (80) eyes with a mean keratometry of 41.4 ± 0.6 D (range 40.6–41.9 D) were recruited. The SRK/T significantly differed from both the Olsen-C (<em>p</em> = 0.022) and the BUII (<em>p</em> = 0.048) in ME. The EVO 2.0, the Hoffer QST, the Kane and the PEARL-DGS showed a significantly lower MAE compared to all other formulas (<em>p</em> &lt; 0.001) and a significant lower incidence of MAE&gt;0.25D (<em>p</em> &lt; 0.001), MAE&gt;0.50 D (<em>p</em> &lt; 0.001) and MAE&gt;1.0 D (0.002).</p></div><div><h3>Conclusion</h3><p>Formulas based on AI and on the theory of vergence show superior accuracy in IOL power calculation in corneas with low mean keratometry; their MAE is not correlated to axial length.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100026"},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000261/pdfft?md5=643788b2ada4ac26407a70d122216b5a&pid=1-s2.0-S2950253524000261-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140905519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From injury back to ice: Examining return to sport after retinal injuries in the national hockey league","authors":"Justin D. Pennington ,&nbsp;Viren K. Rana ,&nbsp;Brian T. Savoie ,&nbsp;Gary L. Legault ,&nbsp;David J. Ramsey","doi":"10.1016/j.ajoint.2024.100025","DOIUrl":"10.1016/j.ajoint.2024.100025","url":null,"abstract":"<div><h3>Purpose</h3><p>To forecast the recovery time and likelihood of return to active play for National Hockey League (NHL) players who sustained retinal tears or detachments.</p></div><div><h3>Methods</h3><p>This retrospective study identified players who experienced a retinal injury while on an NHL roster between January 1, 2000 and January 1, 2022. The type of injury was identified from publicly available press releases and injury reports. Return to sport was defined as the number of days between injury and participation in a subsequent NHL game.</p></div><div><h3>Results</h3><p>Over the 22-year study period, 95 eye injuries were reported in the NHL. Of these injuries, 16 players experienced 17 retinal injuries (18 %). Fifteen of those players were able to return to sport (94 %). Experiencing a retinal detachment was associated with more days out of play (median 151 days [interquartile range [IQR], 85 to 231.5 days]) compared with a retinal tear or similar injury (median 28 days [IQR, 13 to 31 days]; <em>P</em> = 0.003). Finally, an examination of the impact of a retinal injury on player performance in the season after the injury found that the average time on ice (ATOI) per game decreased for players who suffered an injury compared with a matched cohort (<em>P</em> = 0.010).</p></div><div><h3>Conclusions</h3><p>Retinal injuries often occur in high-impact sports. Our study reveals that retinal detachments resulted in longer disability compared with retinal tears or lesser injuries and were more likely to prevent a return-to-sport. This information aids ophthalmologists in counseling patients on surgical recovery timelines and the likelihood of resuming athletic activities.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100025"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295025352400025X/pdfft?md5=4158f5efefa01272c4afddda1902006e&pid=1-s2.0-S295025352400025X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of common decontamination techniques used in eye care facilities in Ghana","authors":"Samuel Kyei ,&nbsp;George Panyin Annan ,&nbsp;Kwame Kumi Asare ,&nbsp;Emmanuel Birikorang ,&nbsp;Akwasi Anyanful ,&nbsp;Randy Asiamah","doi":"10.1016/j.ajoint.2024.100024","DOIUrl":"https://doi.org/10.1016/j.ajoint.2024.100024","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate the efficacy of common methods used in the decontamination of non-critical and semi-critical ophthalmic equipment in Ghana.</p></div><div><h3>Design</h3><p>This study was conducted in two phases. First, a descriptive cross-sectional study was carried out, followed by a microbiological study</p></div><div><h3>Methods</h3><p>Questionnaires were distributed online to eye care practitioners. The common decontamination procedures identified from the online questionnaires were used in decontaminating the surfaces of the ophthalmic instruments. Swabs were taken from the instruments both before and immediately after decontamination (within the first 30s), as well as at 10-minute intervals up to 40 minutes after decontamination. The swabs were cultured on nutrient agar for 24 hours at 37 °C, and the contamination levels were estimated.</p></div><div><h3>Results</h3><p>The most commonly used disinfection technique in the selected eye clinics in Ghana was the use of Methylated spirit (34 %), and the least, Iso-alcohol swabs (1 %). All the decontamination methods were efficacious in the reduction of contamination levels on the surfaces of ophthalmic instruments. Hand sanitiser, Parazone (sodium hypochlorite), Autoclave, and UV showed highly effective decontamination activity compared to Methylated spirit, Hydrogen peroxide, and Isopropyl alcohol. There was a significant reduction in contamination for each of the time points (p &lt; 0.001), except for 40 minutes after decontamination (p = 0.063ns), when compared to the contamination level before decontamination.</p></div><div><h3>Conclusion</h3><p>In Ghana, commonly used decontamination methods are effective in reducing levels of contamination of ophthalmic instruments, with their recontamination rates comparable to the use of autoclaves and UV germicidal irradiation.</p></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"1 2","pages":"Article 100024"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950253524000248/pdfft?md5=c7b05601dd8d01e938f40b3425829918&pid=1-s2.0-S2950253524000248-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}