European Journal of Ophthalmology最新文献_第2页

Comparative analysis of outcomes of surface ablation for myopic astigmatism in patients after PKP and DALK. PKP与DALK术后表面消融治疗近视散光效果的比较分析。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-10-07 DOI: 10.1177/11206721261488439

Sadra Ashrafi, Kiana Hassanpour, Farid Karimian

{"title":"Comparative analysis of outcomes of surface ablation for myopic astigmatism in patients after PKP and DALK.","authors":"Sadra Ashrafi, Kiana Hassanpour, Farid Karimian","doi":"10.1177/11206721261488439","DOIUrl":"https://doi.org/10.1177/11206721261488439","url":null,"abstract":"PurposeTo compare the outcomes of surface ablation (SA) in patients who have previously undergone Deep Anterior Lamellar Keratoplasty (DALK) and Penetrating keratoplasty (PKP).MethodsThis retrospective study evaluated the outcomes of SA in Keratoconus (KCN) patients who had previously undergone DALK or PKP and at least 6 months has passed after complete suture removal. Participants required a follow-up of at least four years. A total of 36 eyes (20 post-DALK, 16 post-PKP) were included. Collected data comprised demographics (age, gender, affected eye) and clinical characteristics (refractive error, corrected and uncorrected distance visual acuity [CDVA, UDVA], central corneal thickness, keratometry, surgical details, ablation depth, mitomycin duration, and complications). Primary outcomes included final refractive error, CDVA, and UDVA.ResultsDemographic and clinical characteristics were similar between groups. Comparing SA outcomes, no significant differences were found in safety index (1.14 vs. 1.12, P = 0.69), efficacy index (0.94 vs. 0.84, P = 0.27), logMAR CDVA (0.23 vs. 0.18, P = 0.34), logMAR UDVA (0.34 vs. 0.30, P = 0.52), or postoperative spherical equivalent (SEQ) (-2.18 vs. -1.36, P = 0.19). Complications and corneal haziness were minimal in both groups. However, SEQ showed notably greater stability over 48 months in the DALK group.ConclusionSA surgery after corneal transplantation effectively manages refractive errors with minimal complications. While outcomes were generally comparable, DALK patients exhibited greater long-term SEQ stability.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488439"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors of anterior capsular contraction syndrome in Marfan syndrome after intraocular lens and modified capsular tension ring implantation. 人工晶状体和改良晶状体张力环植入术后马凡氏综合征前囊收缩综合征的危险因素。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-10-07 DOI: 10.1177/11206721261495743

Yalei Wang, Zexu Chen, Wannan Jia, Xin Shen, Xinyao Chen, Tianhui Chen, Qiuyi Huo, Yan Liu, Linghao Song, Xinyue Wang, Yongxiang Jiang

{"title":"Risk factors of anterior capsular contraction syndrome in Marfan syndrome after intraocular lens and modified capsular tension ring implantation.","authors":"Yalei Wang, Zexu Chen, Wannan Jia, Xin Shen, Xinyao Chen, Tianhui Chen, Qiuyi Huo, Yan Liu, Linghao Song, Xinyue Wang, Yongxiang Jiang","doi":"10.1177/11206721261495743","DOIUrl":"https://doi.org/10.1177/11206721261495743","url":null,"abstract":"PurposeTo identify risk factors for anterior capsular contraction syndrome (ACCS) after in-the-bag intraocular lens (IOL) implantation in patients with Marfan syndrome (MFS) and ectopia lentis (EL).MethodsThis study included patients diagnosed with MFS and EL, who underwent in-the-bag IOL with modified capsular tension ring (MCTR) implantation. The incidence of ACCS demanding Nd:YAG capsulotomy during 2 years of follow-up was the primary outcome. Univariate analysis and generalized estimating equations (GEE) analyses were performed to identify influencing factors.ResultsA total of 177 eyes from 108 patients were included. The median age at surgery was 6.00 (IQR: 5.00-11.00) years old. The incidence of ACCS was 6.21% (11/177), during a median onset time of 3.00 (IQR: 1.00, 5.00) months postoperatively. Multivariate GEE analysis identified more severe EL (OR = 4.411, 95% CI: 1.115-17.447, P = 0.034), the implantation of AcrySof IQ IOL (OR = 25.594, 95% CI: 1.693-387.030, P = 0.019), compared to TECNIS and Rayner IOLs, and greater central corneal thickness (CCT) (OR = 1.024, 95% CI: 1.001-1.048, P = 0.043), were associated with higher ACCS incidence. All patients with ACCS underwent Nd:YAG laser anterior capsulotomy, with no cases of IOL dislocation or ACCS recurrence during follow-up.ConclusionsIn patients with MFS and EL who underwent IOL-MCTR implantation, severe EL, use of AcrySof IQ IOL and greater CCT were associated with ACCS postoperatively. Meticulous preoperative assessment and tailored IOL selection are required in these patients to improve surgical outcomes and reduce the incidence of ACCS, ultimately enhancing long-term visual prognosis.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261495743"},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cystoid macular edema after endothelial keratoplasty in eyes With prior vitrectomy versus eyes without prior vitrectomy. 曾做过玻璃体切除术的眼与未做过玻璃体切除术的眼在角膜内皮移植术后的黄斑囊样水肿。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-30 DOI: 10.1177/11206721261484643

Ibrahim Qozat, Pranav Vasu, Isabella V Wagner, P Connor Lentz, Yazan Abubaker, Emily Dorairaj, Abhimanyu Ahuja, Darby D Miller, Michael W Stewart, Syril Dorairaj

{"title":"Cystoid macular edema after endothelial keratoplasty in eyes With prior vitrectomy versus eyes without prior vitrectomy.","authors":"Ibrahim Qozat, Pranav Vasu, Isabella V Wagner, P Connor Lentz, Yazan Abubaker, Emily Dorairaj, Abhimanyu Ahuja, Darby D Miller, Michael W Stewart, Syril Dorairaj","doi":"10.1177/11206721261484643","DOIUrl":"https://doi.org/10.1177/11206721261484643","url":null,"abstract":"PurposeTo determine the incidence of cystoid macular edema (CME) within the first 6 months after endothelial keratoplasty (EK) in eyes that had previously undergone vitrectomy versus those without prior vitrectomy.DesignRetrospective cohort study.MethodsA retrospective cohort analysis of the TriNetX database was performed by querying all patients who underwent EK (Descemet stripping automated endothelial keratoplasty or Descemet membrane endothelial keratoplasty) with ≥ 6 months of follow-up between January 1, 2004, and August 30, 2024. Patients with a previous history of diabetic macular edema, uveitis, or retinal vascular occlusion were excluded. Cohorts were stratified based on a history of prior vitrectomy. Propensity score matching (PSM) between cohorts was conducted for age at index, sex, race, ethnicity, and diagnosis of Fuchs endothelial dystrophy. The outcome assessed was the incidence of postoperative CME within 6 months after EK in both groups. Odds ratios were calculated between cohorts.ResultsThe final analysis included 1044 patients, divided into those with (n = 522) and without (n = 522) prior vitrectomy before EK. Patients who had undergone vitrectomy prior to EK were found to develop postoperative CME within 6 months at a significantly higher rate (32 of 522) compared to those who had not undergone vitrectomy (17 of 522) (P = 0.0282; OR 1.94, 95% CI 1.063-3.539).ConclusionPrior vitrectomy appears to be associated with a greater incidence of postoperative CME after EK.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261484643"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dynamic ICGA demonstrates optociliary shunt vessel drainage into a vortex vein in chronic central retinal vein occlusion. 动态ICGA显示慢性视网膜中央静脉阻塞的光睫状体分流血管引流到漩涡静脉。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-30 DOI: 10.1177/11206721261492918

Prathiba Hande, Vighnesh Shetty, Akshata Kalshetty, Chandan Bhat, Vishma Prabhu, Ramesh Venkatesh

引用次数: 0

Topographic correlation between ICGA and UWF-OCTA of choroidal granulomas in acute Vogt-Koyanagi-Harada disease. 急性Vogt-Koyanagi-Harada病脉络膜肉芽肿ICGA与UWF-OCTA的地形学相关性

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-29 DOI: 10.1177/11206721261492922

Marta Gilardi, Giulia Piccotti, Marco Rispoli

引用次数: 0

Enhanced visualisation of choroidal osteoma architecture in emboss imaging. 在浮雕成像中增强脉络膜骨瘤结构的可视化。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-29 DOI: 10.1177/11206721261492940

Udayasree Orugonda, Vaishnavi Patil, Sindhu Nandini Sahoo, Sourabh Prasad Behera, Somy Purohit, Chitaranjan Mishra

引用次数: 0

The amalric sign: A clue to giant cell arteritis. 菱形征象：巨细胞动脉炎的线索。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-29 DOI: 10.1177/11206721261492951

Federica Lo Cascio, Michele Reibaldi, Enrico Borrelli

引用次数: 0

Flanged intrascleral fixation for traumatic aphakia and aniridia: A versatile technique for IOL and iris prosthesis implantation. 外伤性无虹膜和无晶状体的巩膜内法兰固定：人工晶状体和假虹膜植入术的一种通用技术。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-28 DOI: 10.1177/11206721261488451

Mª Victoria de Rojas Silva, Alejandro López Gaona, Marta Delgado Rodríguez-Vispo, Adrián Tobío Ruibal

{"title":"Flanged intrascleral fixation for traumatic aphakia and aniridia: A versatile technique for IOL and iris prosthesis implantation.","authors":"Mª Victoria de Rojas Silva, Alejandro López Gaona, Marta Delgado Rodríguez-Vispo, Adrián Tobío Ruibal","doi":"10.1177/11206721261488451","DOIUrl":"https://doi.org/10.1177/11206721261488451","url":null,"abstract":"PurposeTo present a versatile surgical technique using flanged polypropylene sutures for intrascleral fixation of both intraocular lenses (IOLs) and iris prostheses (IP) in cases of traumatic aphakia and aniridia, conditions frequently observed following penetrating ocular trauma.MethodsThree cases of post-traumatic aphakia and aniridia were managed using flanged polypropylene suture intrascleral fixation of both the IOL and IP. The technique was adapted to the individual anatomical and clinical complexities of each case.ResultsThis technique provided stable and effective positioning of both the IOL and the IP in all three cases. The adaptability of the method facilitated successful visual and cosmetic rehabilitation, despite the presence of additional ocular structural challenges.ConclusionThe flanged intrascleral fixation technique offers a flexible and effective solution for managing complex cases of aphakia and aniridia following penetrating ocular trauma. Further studies with larger cohorts and longer follow-up are warranted to validate the long-term safety, stability, and visual outcomes of these iris prosthesis implantation techniques.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488451"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lipoprotein and apolipoprotein levels in age-related macular degeneration: A meta-analysis. 年龄相关性黄斑变性的脂蛋白和载脂蛋白水平：一项荟萃分析。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-28 DOI: 10.1177/11206721261492347

Vasiliki Arsoudi, Thomas Chontos, Spyridon Voutsas, Petros Petrou, Konstantinos Tyrlis, Ioannis Karavidas, Stylianos A Kandarakis, Stefania Chondrou, Smaragda Diamanti, Constantine D Angelidis, Ilias Georgalas

{"title":"Lipoprotein and apolipoprotein levels in age-related macular degeneration: A meta-analysis.","authors":"Vasiliki Arsoudi, Thomas Chontos, Spyridon Voutsas, Petros Petrou, Konstantinos Tyrlis, Ioannis Karavidas, Stylianos A Kandarakis, Stefania Chondrou, Smaragda Diamanti, Constantine D Angelidis, Ilias Georgalas","doi":"10.1177/11206721261492347","DOIUrl":"10.1177/11206721261492347","url":null,"abstract":"PurposeDrusen, the hallmark of AMD, are lipoprotein-rich particles. However, the role of systemic lipid metabolism in their formation remains controversial. This meta-analysis explored the association between ApoA1, ApoA2, ApoB and Lp(a) serum levels and AMD.MethodsWe systematically searched MEDLINE, Cochrane Library, EMBASE and Scopus for relevant studies. WMD meta-analyses were performed for ApoA1 and ApoB, whereas SMD meta-analyses were conducted for ApoA2 and Lp(a) serum levels in AMD patients vs healthy controls.ResultsA total of 11 studies with 5,084 subjects for ApoA1, 4,179 for ApoB, 3,177 for ApoA2 and 3,228 for Lp(a) were included. No significant differences were observed between AMD patients (all subtypes) and controls for serum ApoA1 (WMD = 0.29 mg/dL, -3.75 to 4.32, p = 0.89), ApoB (WMD = -2.16 mg/dL, -5.67 to 1.34, p = 0.23), or Lp(a) (g: -0.14, -0.54 to 0.27, p = 0.50). ApoA2 was significantly different (g = 0.2, 0.07 to 0.34, p = 0.003). In severe AMD (geographic atrophy, neovascular AMD), meta-analysis revealed no significant difference for ApoA1 (WMD = -2.68 mg/dL, -8.87 to 3.52, p = 0.4) or ApoB (WMD = -0.42 mg/dL, -6.20 to 5.32, p = 0.89).ConclusionThis meta-analysis discovered no meaningful association between systemic levels of ApoA1, ApoB, or Lp(a) and the presence or severity of AMD. Despite a significant change in ApoA2, utilizing a Reference Change Value based interpretation, we conclude that observed differences in analyzed markers represent physiological and analytical noise rather than true biological change. Our findings suggest that systemic ApoA1, ApoB, and Lp(a) levels are not elevated in individuals with AMD, though the potential role of ApoA2 warrants further investigation.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261492347"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preferred practice patterns survey of secondary intraocular lens implantation in Spain. 西班牙继发性人工晶状体植入术首选实践模式调查。

IF 1.3 4区医学

European Journal of Ophthalmology Pub Date : 2026-09-25 DOI: 10.1177/11206721261489706

María Victoria De Rojas Silva, Javier Mendicute, Alfredo García-Layana, Juan Manuel Cubero Parra, Sergio Recalde

{"title":"Preferred practice patterns survey of secondary intraocular lens implantation in Spain.","authors":"María Victoria De Rojas Silva, Javier Mendicute, Alfredo García-Layana, Juan Manuel Cubero Parra, Sergio Recalde","doi":"10.1177/11206721261489706","DOIUrl":"https://doi.org/10.1177/11206721261489706","url":null,"abstract":"PurposeTo determine preferred practice patterns for secondary intraocular lens (IOL) implantation in the absence of capsular support among Spanish ophthalmologists.MethodsCross-sectional study based on an anonymous online survey conducted in Spain. A 31-item questionnaire was distributed to members of the Spanish Society of Cataract and Refractive Surgery (SECOIR) and the Spanish Retina and Vitreous Society (SERV). It collected data on demographics, preferred surgical techniques, techniques abandoned and reasons for discontinuation, and management of predefined clinical scenarios.ResultsA total of 210 ophthalmologists completed the survey. 29.2% of ophthalmologists younger than 40 years reported no training on this topic during residency. For the management of aphakia without capsular support, 69% preferred delaying secondary IOL placement, mainly to obtain specific instruments or IOLs (83.3%). Complete pars plana vitrectomy was the preferred vitreous management technique (61%). The preferred first-line techniques were retropupillary iris-claw IOL implantation (33.3%), T-shaped harpoon scleral-fixated IOL implantation (28.6%), prepupillary iris-claw IOL implantation (15.2%), and the Canabrava technique (8.6%). Angle-supported anterior chamber IOLs and the Yamane technique were each selected by 3.3% of respondents.ConclusionsRetropupillary iris-claw IOL implantation was the preferred first-line option among Spanish ophthalmologists. Despite improved training among younger surgeons, nearly one third of ophthalmologists under 40 years still reported no formal training, suggesting persistent gaps in residency training.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261489706"},"PeriodicalIF":1.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149058804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0