Clinical ophthalmology最新文献

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The Feasibility of an Educational Cartoon Video for Improving Adherence with Amblyopia Treatment in Children. 教育卡通视频提高儿童弱视治疗依从性的可行性。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S415892
Saeed Aljohani, Jingyun Wang, Mitchell Scheiman, Qing-Qing Tan, Hongxin Xu, Nawaf Almutairi, Saleh Alshammeri
{"title":"The Feasibility of an Educational Cartoon Video for Improving Adherence with Amblyopia Treatment in Children.","authors":"Saeed Aljohani,&nbsp;Jingyun Wang,&nbsp;Mitchell Scheiman,&nbsp;Qing-Qing Tan,&nbsp;Hongxin Xu,&nbsp;Nawaf Almutairi,&nbsp;Saleh Alshammeri","doi":"10.2147/OPTH.S415892","DOIUrl":"https://doi.org/10.2147/OPTH.S415892","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown that it is necessary to evaluate adherence during the treatment process, using educational intervention methods which have been shown to improve adherence with patching treatment. A previous study reported that an educational cartoon had significantly improved adherence with patching. However, this black-white cartoon is not commercially available.</p><p><strong>Objective: </strong>This study investigates the feasibility of a 4-minute educational cartoon video in improving adherence with patching therapy for amblyopic children.</p><p><strong>Methods: </strong>Children (3 to 10 years old) with unilateral amblyopia who were prescribed 2 hours or 6 hours of patching per day were enrolled. Objective adherence to the treatment was tracked using a microsensor. Children returned after 4 weeks ± 2 days to measure adherence. Participants with adherence ≤50% were eligible to watch the educational cartoon video. They continued with the previously prescribed treatment (2 hours or 6 hours patching) for an additional week to evaluate the follow-up adherence.</p><p><strong>Results: </strong>A total of 27 participants were enrolled. The mean age (SD) was 6.6 (1.5) years. Twenty-two participants (12 in the 2 hours patching group and 10 in the 6 hours patching group) had adherence ≤50% and watched our cartoon video. The cartoon video improved mean adherence (SD) from 29.6% (11.9%) to 56.8% (12.1%) in all 22 participants from both regimens (paired 2-tailed <i>t</i>-test, <i>t</i>= -11, <i>P</i> < 0.000).</p><p><strong>Conclusion: </strong>The Educational cartoon video is feasible for use in a clinical setting. These data showed a trend of improvement in adherence with both patching regimens in children after watching the educational cartoon video.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"1639-1646"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/31/opth-17-1639.PMC10257930.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9618074","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}
引用次数: 0
Characteristics of Cellular Infiltration into Posterior Vitreous in Eyes with Uveitis on the Classification Basis Assessed Using Optical Coherence Tomography. 光学相干断层扫描评价葡萄膜炎后玻璃体细胞浸润的分类特征。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S394441
Wataru Matsumiya, Sentaro Kusuhara, Noriyuki Sotani, Kyung Woo Kim, Ryuto Nishisho, Rei Sotani, Hisanori Imai, Akihito Uji, Makoto Nakamura
{"title":"Characteristics of Cellular Infiltration into Posterior Vitreous in Eyes with Uveitis on the Classification Basis Assessed Using Optical Coherence Tomography.","authors":"Wataru Matsumiya,&nbsp;Sentaro Kusuhara,&nbsp;Noriyuki Sotani,&nbsp;Kyung Woo Kim,&nbsp;Ryuto Nishisho,&nbsp;Rei Sotani,&nbsp;Hisanori Imai,&nbsp;Akihito Uji,&nbsp;Makoto Nakamura","doi":"10.2147/OPTH.S394441","DOIUrl":"https://doi.org/10.2147/OPTH.S394441","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the characteristics of posterior vitreous cells in patients with uveitis on the classification basis using spectral domain optical coherence tomography (SD-OCT).</p><p><strong>Methods: </strong>In this retrospective chart review, all eyes were classified into three groups: infectious uveitis (IFU, n=7), noninfectious granulomatous uveitis (NIGU, n=13), and noninfectious nongranulomatous uveitis (NINGU, n=13). We measured the size, number, and density of vitreous hyperreflective particles in the posterior vitreous area that was defined as the space between the vitreous top and the internal limiting membrane on OCT. The correlations between vitreous haze and vitreous particles were also evaluated.</p><p><strong>Results: </strong>Thirty-three eyes from 23 patients with active posterior uveitis were included. IFU had significantly more particles than NIGU and NINGU (<i>P</i>=0.03 and <i>P</i><0.001, respectively). The vitreous particle density was higher in IFU than in NIGU and NINGU (<i>P</i>=0.03 and <i>P</i>=0.003, respectively). The mean largest particle size was greater in IFU and NIGU than in NINGU (<i>P</i>=0.01 and <i>P</i>=0.03, respectively). The median vitreous haze of 2+ in IFU, 1+ in NIGU and NINGU showed no significant difference among three groups (<i>P</i>=0.21). Conversely, the correlation of the largest particle size with vitreous haze was significant at <i>ρ</i>= 0.44 (<i>P</i>=0.01).</p><p><strong>Conclusion: </strong>SD-OCT may be useful for assessing ocular inflammation based on morphological characteristics of vitreous particles on the uveitis classification basis.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"165-174"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/c4/opth-17-165.PMC9843505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103301","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}
引用次数: 2
Comparison of Phacoemulsification Grooving Efficiency in Longitudinal vs Transversal Handpieces. 纵向与横向手机超声乳化开槽效率的比较。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S391928
Samuel W Wilkinson, Emilie L Ungricht, William B West, Jacob T Harris, Brian Zaugg, Randall J Olson, Jeff H Pettey
{"title":"Comparison of Phacoemulsification Grooving Efficiency in Longitudinal vs Transversal Handpieces.","authors":"Samuel W Wilkinson,&nbsp;Emilie L Ungricht,&nbsp;William B West,&nbsp;Jacob T Harris,&nbsp;Brian Zaugg,&nbsp;Randall J Olson,&nbsp;Jeff H Pettey","doi":"10.2147/OPTH.S391928","DOIUrl":"https://doi.org/10.2147/OPTH.S391928","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the difference, if any, in grooving efficiency at various settings on the Whitestar Signature Pro phacoemulsification (phaco) system.</p><p><strong>Methods: </strong>Cataractous lenses were simulated by exposing porcine lenses to formalin for 2 hours. A total of 120 lenses were analyzed at various power settings on both longitudinal and transversal handpieces. Twenty trials each were performed with power set to 25%, 50%, and 75% on both handpieces. A Whitestar Phaco Handpiece System was used to provide longitudinal power, and a Whitestar Signature Ellipsis Handpiece provided transversal power. Lenses were placed within a plastic chamber and grooved by an investigator blinded to settings. A second investigator recorded times and adjusted settings. The Whitestar Signature Pro phaco system was used for grooving.</p><p><strong>Results: </strong>There was no significant difference in grooving times between the longitudinal and transverse handpieces at any power setting (P > 0.05). There was a significant decrease in grooving times when comparing the 25% power setting with the 75% power setting for the transversal handpiece (<i>P</i>=0.021).</p><p><strong>Conclusion: </strong>Both longitudinal and transversal handpieces on the Whitestar Signature Pro phaco system produce similar results to one another at each power setting. There is a general trend toward shorter grooving times, reflecting greater efficiency, at higher power settings. Grooving efficiency on the transversal handpiece may be more affected by changes in the power settings as compared with the longitudinal settings.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"191-195"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/ea/opth-17-191.PMC9844818.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103305","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}
引用次数: 0
Emerging Treatment Options for Geographic Atrophy (GA) Secondary to Age-Related Macular Degeneration. 年龄相关性黄斑变性继发的地理萎缩(GA)的新治疗方案。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S367089
Hannah Khan, Aamir A Aziz, Humza Sulahria, Huma Khan, Abrahim Ahmed, Netan Choudhry, Raja Narayanan, Carl Danzig, Arshad M Khanani
{"title":"Emerging Treatment Options for Geographic Atrophy (GA) Secondary to Age-Related Macular Degeneration.","authors":"Hannah Khan,&nbsp;Aamir A Aziz,&nbsp;Humza Sulahria,&nbsp;Huma Khan,&nbsp;Abrahim Ahmed,&nbsp;Netan Choudhry,&nbsp;Raja Narayanan,&nbsp;Carl Danzig,&nbsp;Arshad M Khanani","doi":"10.2147/OPTH.S367089","DOIUrl":"https://doi.org/10.2147/OPTH.S367089","url":null,"abstract":"<p><p>Age-related macular degeneration (AMD) is characterized as a chronic, multifactorial disease and is the leading cause of irreversible blindness. Advanced AMD is classified as neovascular (wet) AMD and non-neovascular (dry) AMD. Dry AMD can progress to a more advanced form that manifests as geographic atrophy (GA), which significantly threatens vision, leading to progressive and irreversible loss of visual function. There are currently no approved therapeutics commercially available for GA patients. However, data from various clinical trials have demonstrated favorable results with significant reduction in GA lesion growth. This review furthers the understanding of the pathophysiology of GA, as well as current clinical trial data on investigational therapeutics.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"321-327"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/dc/opth-17-321.PMC9892637.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10661455","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}
引用次数: 4
Association of Triglyceride Glucose Index with Prevalence and Incidence of Diabetic Retinopathy in a Singaporean Population. 新加坡人群中甘油三酯葡萄糖指数与糖尿病视网膜病变患病率和发病率的关系
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S382336
Kumari Neelam, Khin Chaw Yu Aung, Keven Ang, Subramaniam Tavintharan, Chee Fang Sum, Su Chi Lim
{"title":"Association of Triglyceride Glucose Index with Prevalence and Incidence of Diabetic Retinopathy in a Singaporean Population.","authors":"Kumari Neelam,&nbsp;Khin Chaw Yu Aung,&nbsp;Keven Ang,&nbsp;Subramaniam Tavintharan,&nbsp;Chee Fang Sum,&nbsp;Su Chi Lim","doi":"10.2147/OPTH.S382336","DOIUrl":"https://doi.org/10.2147/OPTH.S382336","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association of triglyceride glucose (TyG) index (product of fasting triglyceride and glucose) with prevalence and incidence of diabetic retinopathy (DR) in type 2 diabetes.</p><p><strong>Methods: </strong>1339 patients from an ongoing Singapore Study of Macro-angiopathy and Micro-Vascular Reactivity in Type 2 Diabetes (SMART2D) were included in this study. Fasting triglyceride and glucose levels were quantified and color fundus photographs were assessed for DR presence and severity. Logistic regression models were used to evaluate associations of TyG index with DR prevalence and incidence (median follow-up period = 3.2 years).</p><p><strong>Results: </strong>Mean TyG index was higher in patients with DR than no DR (9.24±0.7 versus 9.04± 0.6, p<0.001). TyG index was significantly associated with DR prevalence (OR=1.4, CI 1.1-1.7, p=0.002) and incidence (OR=1.8, CI 1.04-2.9, p=0.03), after adjusting for confounders. In a stratified analysis, the association between TyG index and DR prevalence reached significance only in the subgroup with HbA1c levels < 7.0% (OR=2, CI 1.1-3.8, p=0.03). TyG index significantly predicted DR prevalence and incidence with area under receiver operating curve as 0.77 (CI 0.74-0.80, p <0.001) and 0.66 (CI 0.57-0.76, p value <0.01), respectively.</p><p><strong>Conclusion: </strong>TyG index is a good predictor for DR prevalence and incidence. It can also be a secondary treatment target for patients with optimally controlled levels of HbA1c.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"445-454"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/2c/opth-17-445.PMC9901446.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10681618","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}
引用次数: 2
Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia. 青壮年近视和进行性近视的黄斑血管和神经节细胞复合体参数。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S389963
Artur Małyszczak, Magdalena Żyto, Joanna Przeździecka-Dołyk, Marta Misiuk-Hojło
{"title":"Macular Vascularity and Ganglion Cell Complex Parameters in the Young Adults with Myopia and Progressive Myopia.","authors":"Artur Małyszczak,&nbsp;Magdalena Żyto,&nbsp;Joanna Przeździecka-Dołyk,&nbsp;Marta Misiuk-Hojło","doi":"10.2147/OPTH.S389963","DOIUrl":"https://doi.org/10.2147/OPTH.S389963","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to determine the relationships between foveal avascular zone (FAZ), foveal vascular density (FD) and GCC (ganglion cell complex) parameters in a healthy myopic population using optical coherence tomography angiography (angio-OCT).</p><p><strong>Patients and methods: </strong>Three hundred and eighty-one eyes of 381 healthy participants were included into this study and assigned to three groups according to their spherical equivalent (SE) values and an additional progressive myopia group. One randomly chosen eye from each patient was analyzed. GCC mean thickness, focal loss of volume (FLV), global loss of volume (GLV), FAZ area, FAZ perimeter, and FD parameters were obtained with the RTVue AngioOCT device.</p><p><strong>Results: </strong>FAZ area and its perimeter were strongly correlated with the belonging spherical equivalent group (p = 0.0001, p = 0.0008 accordingly), being the largest in progressive myopia subgroup (mean size 0.42mm<sup>2</sup>). Other factors that were significantly higher in myopic eyes were FLV (p = 0.0023), GLV (p = 0.0020). There were no differences in FD between groups. In the myopic and progressive myopia groups, there was a significant relationship between FAZ area and FLV, GLV, and GCC thickness. We found that in myopic eyes with AXL exceeding 26.6 mm, FAZ becomes negatively correlated to mean GCC thickness.</p><p><strong>Conclusion: </strong>In myopia, compared to non-myopic groups, there is a greater loss of neural tissue represented by a thinner GCC layer, greater FLV and GLV parameters, and worse blood supply represented by a larger FAZ area. Eye axial length of 26.6 mm is a breaking point, where the negative FAZ area to GCC thickness relationship curve is getting significantly steeper.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"561-570"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/28/opth-17-561.PMC9930574.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10762922","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}
引用次数: 0
Preventing Retinal Detachment: The Encircling Laser Retinopexy Technique. 预防视网膜脱离:激光视网膜环切术。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S406337
Robert E Morris, Ferenc Kuhn, Cole Richardson
{"title":"Preventing Retinal Detachment: The Encircling Laser Retinopexy Technique.","authors":"Robert E Morris,&nbsp;Ferenc Kuhn,&nbsp;Cole Richardson","doi":"10.2147/OPTH.S406337","DOIUrl":"https://doi.org/10.2147/OPTH.S406337","url":null,"abstract":"<p><p>Encircling (360 degree) retinal detachment prophylaxis using indirect ophthalmoscope laser delivery recently achieved strong proof of safety and effectiveness by preventing the development of peripheral retinal tears and detachments in the eyes of patients with Stickler syndrome (syndromic eyes). Untreated, Stickler syndrome patients have a 65% lifetime risk of retinal detachment (half by age 20, 80% bilateral). This report describes an optimal technique of encircling laser retinopexy to also prevent the more common retinal detachments seen in aging (non-syndromic) eyes that share with Stickler syndrome the common pathogenesis of peripheral retinal tears caused by vitreous traction.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"1505-1513"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/28/0a/opth-17-1505.PMC10239236.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9576448","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}
引用次数: 1
Carotid-Cavernous Fistulas: The Utility of Ocular Echography in Their Differentiation [Letter]. 颈动脉-海绵状瘘管:眼超声鉴别的应用[字母]。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S420582
Mario Graziano, Danilo Biondino, Isabella Fioretto
{"title":"Carotid-Cavernous Fistulas: The Utility of Ocular Echography in Their Differentiation [Letter].","authors":"Mario Graziano,&nbsp;Danilo Biondino,&nbsp;Isabella Fioretto","doi":"10.2147/OPTH.S420582","DOIUrl":"https://doi.org/10.2147/OPTH.S420582","url":null,"abstract":"","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"1421-1422"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/86/opth-17-1421.PMC10216863.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583850","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}
引用次数: 0
Short-Term Total Tamponade with Perfluorocarbon Liquid and Silicone Oil in Complex Rhegmatogenous Retinal Detachment with Severe Proliferative Vitreoretinopathy. 全氟碳液联合硅油短期全填塞治疗复杂孔源性视网膜脱离伴严重增殖性玻璃体视网膜病变。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S400156
Omar Trabelsi, Mejda Bouladi, Amel Ouertani, Ahmed Trabelsi
{"title":"Short-Term Total Tamponade with Perfluorocarbon Liquid and Silicone Oil in Complex Rhegmatogenous Retinal Detachment with Severe Proliferative Vitreoretinopathy.","authors":"Omar Trabelsi,&nbsp;Mejda Bouladi,&nbsp;Amel Ouertani,&nbsp;Ahmed Trabelsi","doi":"10.2147/OPTH.S400156","DOIUrl":"https://doi.org/10.2147/OPTH.S400156","url":null,"abstract":"<p><strong>Background: </strong>To evaluate retinal reattachment, visual functional results, and complications rates after total tamponade (TT) with perfluorocarbon liquid (PFCL) and silicone oil (SO) for 2 days followed by PFCL-SO exchange in complex retinal detachment (RD).</p><p><strong>Methods: </strong>Retrospective study including 52 consecutive eyes with complex RD and advanced proliferative vitreoretinopathy, who underwent vitrectomy with TT. Patients underwent first surgery by 25-Gauge vitrectomy and partial PFCL-SO exchange (approximately 60% PFCL 40% SO fill) followed by second surgery with extraction of the PFCL and complete SO fill.</p><p><strong>Results: </strong>After a mean follow-up period of 25.15 ± 6.6 months, the retina remained reattached in 48/52 eyes (92.3%) including 28 eyes (58.3%) without SO and 20 eyes (41.7%) with prolonged SO tamponade. Visual acuity improved in 45 eyes (86.6%) (<i>P</i><0.001), remained stable in 4 eyes (7.7%) and decreased in 3 eyes (5.7%). Complications consisted in mild anterior chamber inflammation in 10 eyes, ocular hypertension in 12 eyes, and cataract in 10 eyes.</p><p><strong>Conclusion: </strong>Two-day TT with PFCL and SO may be considered in complex RD with advanced proliferative vitreoretinopathy especially in monocular patients. Further studies with longer follow-up period and retinal electrophysiologic assessment may be needed.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"515-525"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/39/opth-17-515.PMC9922565.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10794019","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}
引用次数: 0
Long Term Clinical Outcomes of Hydrophilic and Hydrophobic Versions of a Trifocal IOL with the Same Optical Design. 具有相同光学设计的亲水型和疏水型三焦人工晶体的长期临床结果。
IF 2.2
Clinical ophthalmology Pub Date : 2023-01-01 DOI: 10.2147/OPTH.S403351
Robert Edward T Ang
{"title":"Long Term Clinical Outcomes of Hydrophilic and Hydrophobic Versions of a Trifocal IOL with the Same Optical Design.","authors":"Robert Edward T Ang","doi":"10.2147/OPTH.S403351","DOIUrl":"https://doi.org/10.2147/OPTH.S403351","url":null,"abstract":"<p><strong>Purpose: </strong>To show the visual and refractive outcomes in Asian eyes with cataract when bilaterally implanted with either a hydrophobic FineVision POD F GF or a hydrophilic FineVision POD F intraocular lens (IOL).</p><p><strong>Methods: </strong>Forty-six patients were randomized to receive POD F GF or POD F IOLs. Visual and refractive outcomes were assessed up to 24 months post-surgery. Measurements included uncorrected-distance visual acuity, corrected-distance visual acuity (CDVA), distance-corrected intermediate visual acuity (DCIVA), distance-corrected near visual acuity (DCNVA), refraction, defocus curve, photopic and mesopic contrast sensitivity, and patient-reported outcomes.</p><p><strong>Results: </strong>Mean spherical equivalent was close to emmetropia for both groups and stable across postoperative visits. Overall, 97.73% and 100% of eyes in the POD F GF IOL group and 95.65% and 100%, of eyes in the POD F IOL group were within ±1.00D of the target refraction at 12 and 24 months, respectively. All patients showed a CDVA of ≥20/25 at 12- and 24-months post-surgery. In both groups, 24 months post-surgery 91% of patients presented a DCIVA of ≥20/25 and 83.3% of patients had a DCNVA of ≥20/25. Defocus curve showed continuous visual acuity, being 20/32 or better in both groups over a 4.00D range between 1.00D and -3.00/-3.50D. Both groups showed good contrast sensitivity values for photopic and mesopic conditions. Overall, 86.4%, 86.4%, and 72.7% of patients implanted with the POD F GF IOL reported not wearing glasses at all for distance, intermediate, and near vision, respectively. These values were 81.8%, 86.4%, and 90.9% for patients implanted with the POD F IOL. Both groups of patients reported similar satisfaction percentages (100% very satisfied/satisfied) and would recommend the procedure (100% definitively yes/probably yes).</p><p><strong>Conclusion: </strong>This study demonstrates good visual and refractive outcomes for both the FineVision POD F GF and the FineVision POD F IOLs when implanted in Asian eyes.</p>","PeriodicalId":10442,"journal":{"name":"Clinical ophthalmology","volume":"17 ","pages":"623-632"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/31/opth-17-623.PMC9962533.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10813954","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}
引用次数: 1
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