European Journal of Ophthalmology最新文献_第2页

Management strategies for chalazia in pediatric patients: A scoping review. 小儿恰拉兹病的治疗策略：一项范围综述。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2025-03-29 DOI: 10.1177/11206721251330146

Tom Kornhauser, Abdelrahman M Elhusseiny, John D Pemberton

{"title":"Management strategies for chalazia in pediatric patients: A scoping review.","authors":"Tom Kornhauser, Abdelrahman M Elhusseiny, John D Pemberton","doi":"10.1177/11206721251330146","DOIUrl":"10.1177/11206721251330146","url":null,"abstract":"BackgroundChalazia are common eyelid lesions in children, resulting from chronic inflammation of sebaceous glands. Management strategies vary, but evidence specific to pediatric populations is limited.ObjectivesTo review current evidence on treatment modalities for chalazia in children and propose a management algorithm.MethodsA comprehensive literature review was conducted, synthesizing data on conservative, medical, and surgical approaches to pediatric chalazia management.ResultsConservative treatments (warm compresses, lid hygiene) remain first-line, though pediatric-specific efficacy data is sparse. Topical antibiotics and steroids show mixed results, with potential adverse effects in children. Emerging therapies (probiotics, omega-3 supplementation, intense pulsed light) show promise but require further investigation. Intralesional steroid injections demonstrate high success rates but carry risks of rare complications. Surgical excision remains effective for persistent lesions. Tailored approaches considering underlying conditions (vitamin A deficiency, Demodex infestation, rosacea) are recommended.ConclusionsManagement of pediatric chalazia lacks standardized protocols. A tailored approach balancing efficacy and safety is crucial. Large-scale, pediatric-focused studies are needed to establish evidence-based guidelines.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"1481-1494"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742698","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

The novel triangular suture technique for intraocular Lens fixation in patients with pseudoexfoliation syndrome suffering from dislocation: Case series. 新型三角缝线技术用于脱位性假脱落综合征患者的人工晶状体固定：病例系列。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2025-03-13 DOI: 10.1177/11206721241310468

Nir Erdinest, Yossi Eshel, Ori Saban, Edward Averbukh, Samer Khateb, Itay Lavy

{"title":"The novel triangular suture technique for intraocular Lens fixation in patients with pseudoexfoliation syndrome suffering from dislocation: Case series.","authors":"Nir Erdinest, Yossi Eshel, Ori Saban, Edward Averbukh, Samer Khateb, Itay Lavy","doi":"10.1177/11206721241310468","DOIUrl":"10.1177/11206721241310468","url":null,"abstract":"IntroductionThe current case series presents the triangular suture technique (TST) for managing intraocular lens (IOL) subluxation in pseudoexfoliation (PXF) syndrome patients, a condition increasing the risk of IOL dislocation post-cataract surgery. The series includes three PXF patients treated with TST for dislocated IOLs.Case descriptionThe first case is an 88-years old woman with recurrent IOL dislocation post-Hoffman pocket fixation. TST resulted in successful IOL centration and significant visual acuity improvement, with uncorrected visual acuity (UCVA) improving from 6/60 to 6/15 and best-corrected visual acuity (BCVA) reaching 6/7.5 at three months. The surgery took 21 min with no major complications. The second case involves a 90-year-old man with posterior IOL dislocation and poor vision (UCVA of counting fingers at 1 meter). TST achieved good IOL repositioning and improved BCVA to 6/20 at three weeks. The last case presents an 82 years old woman with PXF and glaucoma, experiencing IOL subluxation post-traumatic cataract surgery. TST successfully centralized the IOL, improving non-corrected visual acuity from 6/30 to 6/10 at six weeks, and BCVA to 6/6.67 at four years. Intraocular pressure remained well-controlled.ConclusionsThis series highlights TST as an effective and safe solution for IOL subluxations in PXF patients, with successful outcomes in all cases. TST offers ease of learning and faster execution, suitable for anterior segment surgeons without extensive vitreoretinal experience. Further studies are needed to confirm the long-term efficacy and safety of TST, ideally involving larger cohorts and longer follow-ups.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"NP1-NP6"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Linear relationship between triglyceride-glucose-body mass index and myopia in United States adolescents. 甘油三酯-葡萄糖-体重指数与美国青少年近视的线性关系

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2024-12-05 DOI: 10.1177/11206721241306155

Zhaofeng Jin, Yalan Liu, Ying Luo

{"title":"Linear relationship between triglyceride-glucose-body mass index and myopia in United States adolescents.","authors":"Zhaofeng Jin, Yalan Liu, Ying Luo","doi":"10.1177/11206721241306155","DOIUrl":"10.1177/11206721241306155","url":null,"abstract":"PurposeTo determine the relationship between the triglyceride-glucose-body mass index (TyG-BMI) and the incidence of myopia in United States (US) adolescents.MethodsIn this cross-sectional study, we utilized data from the National Health and Nutrition Examination Survey, with a focus on adolescents aged 12-19 years. Multivariate logistic regression models were used to determine the relationship between TyG-BMI and myopia. Furthermore, a restricted cubic spline function logistic regression model was used to explore the linear relationship between changes in TyG-BMI and myopia. Lastly, stratified analyses and interaction term tests were performed.ResultsThe incidence of myopia was noted to be 42.17% among US adolescents. TyG-BMI was significantly and linearly associated with myopia in adolescents (p < 0.05). Compared with adolescents in the low TyG-BMI group, those in the high TyG-BMI group exhibited a 20% higher risk of developing myopia (OR = 1.20, 95% CI: 1.0-1.5, p for trend < 0.05).ConclusionsTyG-BMI is significantly and positively associated with myopia incidence in US adolescents. The higher incidence of myopia in the high TyG-BMI group suggests the importance of metabolic health for myopia development. Controlling metabolic health factors is essential for preventing myopia in adolescents.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"1255-1263"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784584","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

Treatment of Acanthamoeba keratitis with high dose PHMB (0.08%) monotherapy in clinical practice: A case series. 在临床实践中使用大剂量 PHMB（0.08%）单药治疗阿卡阿米巴角膜炎：病例系列。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2024-11-14 DOI: 10.1177/11206721241299470

Antonella Franch, Karl Anders Knutsson, Emilio Pedrotti, Adriano Fasolo, Federico Bertuzzi, Federica Birattari, Erika Bonacci, Pia Leon, Vincenzo Papa

{"title":"Treatment of Acanthamoeba keratitis with high dose PHMB (0.08%) monotherapy in clinical practice: A case series.","authors":"Antonella Franch, Karl Anders Knutsson, Emilio Pedrotti, Adriano Fasolo, Federico Bertuzzi, Federica Birattari, Erika Bonacci, Pia Leon, Vincenzo Papa","doi":"10.1177/11206721241299470","DOIUrl":"10.1177/11206721241299470","url":null,"abstract":"ObjectivesAcanthamoeba keratitis (AK) is a rare sight-threatening infectious disease with no approved pharmacological treatments. Topical polihexanide 0.8 mg/ml (PHMB 0.08%) completed a pivotal clinical trial showing a medical cure rate of 84.9%. The purpose of this study is to evaluate the efficacy and safety of PHMB 0.08%, given as monotherapy, in clinical practice.Methodsconsecutive cases of AK were included. Diagnosis was confirmed by in vivo confocal microscopy or PCR. Patients were treated with PHMB 0.08% as part of a name-based compassionate use program. Treatment delivery frequency and termination were as advised in the pivotal clinical trial. Medical cure was defined as clinical evidence of healed epithelium and absence of corneal inflammation lasting 3 months after discontinuing all treatments.Resultstwelve eyes of 11 contact lens wearers with AK of variable severity were evaluated. Eleven of 12 (91.7%) eyes achieved a medical cure with no surgery. One eye had a corneal perforation and required emergency therapeutic keratoplasty. The median time of treatment with PHMB 0.08% was 100 days (range 35-222). Seven eyes (58.3%) reached a final visual acuity of 20/50 Snellen or better. Two subject reported worsening of conjunctival hyperaemia during the intensive phase of the treatment. No other adverse drug reactions were observed.Conclusiontopical treatment with PHMB 0.08% monotherapy successfully cured AK in 11 of 12 eyes when used in real-world clinical practice, thereby confirming that results observed in the clinical trial could be obtained in this setting.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"1235-1241"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct selective laser trabeculoplasty: A retrospective study. 直接选择性激光小梁成形术：回顾性研究

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2024-11-25 DOI: 10.1177/11206721241301935

Giovanni Fossati, Marco Trevisi, Usman Sarodia, Huzaifa Malick, Hamza Abdou, Modupe Sodeinde, Mario R Romano, Lina Osman

{"title":"Direct selective laser trabeculoplasty: A retrospective study.","authors":"Giovanni Fossati, Marco Trevisi, Usman Sarodia, Huzaifa Malick, Hamza Abdou, Modupe Sodeinde, Mario R Romano, Lina Osman","doi":"10.1177/11206721241301935","DOIUrl":"10.1177/11206721241301935","url":null,"abstract":"PurposeTo investigate the effectiveness and safety profiles of Direct Selective Laser Trabeculoplasty (DSLT).Materials and MethodsRetrospective study of 15 eyes of 10 patients diagnosed with open angle glaucoma (OAG) or ocular hypertension (OHT) who underwent DSLT in June 2023 at University Hospitals of Leicester, UK. We defined success as IOP reduced ≥20% from baseline with no additional medications needed or as a decrease in the number of anti-glaucoma medications while maintaining target IOP. We also considered secondary outcomes such as final BCVA and final number of anti-glaucoma medications.ResultsAt the fourth month visit, success was reached in 11 eyes (73.3%). We registered 4 failures (26.7%). Mean IOP at baseline was 22.7 ± 4.4 mmHg and was reduced to 18.7 ± 4.2 mmHg (p = 0.008). The absolute mean reduction of IOP in the group of eyes that maintained unchanged the number of medications was 5.4 ± 2.7 mmHg, as baseline IOP was 21.4 ± 4.3 mmHg, and final IOP was 15.9 ± 2.3 mmHg, with a 25.7% reduction (p = 0.003). Mean BCVA remained unchanged (0.1 ± 0.1 logMAR, p = 1.00). No significant adverse events requiring surgical or clinical intervention were observed.ConclusionDSLT showed profiles of effectiveness and safety comparable with those of SLT in the literature and consistent with the results obtained in previous studies on DSLT itself. DSLT may represent a valid alternative to traditional SLT.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"1329-1335"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715354","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

Long-term outcomes of scleral fixated black diaphragm intraocular lens in eyes with combined aphakia and aniridia. 巩膜固定黑隔膜人工晶状体治疗合并无虹膜无晶状体的远期疗效。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2025-01-02 DOI: 10.1177/11206721241310356

Raj Shri Hirawat, Nagesha C Krishnappa, Sathishkumar Sundarmoorthy, Munispriyan Raviselvan, Dhanashree Ratra

{"title":"Long-term outcomes of scleral fixated black diaphragm intraocular lens in eyes with combined aphakia and aniridia.","authors":"Raj Shri Hirawat, Nagesha C Krishnappa, Sathishkumar Sundarmoorthy, Munispriyan Raviselvan, Dhanashree Ratra","doi":"10.1177/11206721241310356","DOIUrl":"10.1177/11206721241310356","url":null,"abstract":"PurposeTo evaluate long-term anatomical and functional outcomes in eyes undergoing scleral fixation of aniridic black diaphragm intraocular lens (BDIOL).MethodsTotal 38 eyes that underwent scleral fixation of BDIOL for secondary aniridia following ocular trauma with aphakia with absent posterior capsule or primary congenital aniridia with subluxated lens were retrospectively analyzed. Final visual acuity, early and late complications were examined. Correlation analysis was done.ResultsThe mean follow-up was 28 months (range 6 to 66 months). The mean preoperative visual acuity of 1.82 ± 0.90 logMAR improved to 0.69 ± 0.61 (p = 0.00). The mean spherical equivalent refractive error of 7.88 ± 4.85 diopters improved to -0.69 ± 1.52(p = 0.00). Complications were seen in 9 eyes (23.6%). Early complications were raised intraocular pressure (IOP) in 2 eyes and one eye with suture site infection which were managed conservatively. Late complications were corneal decompensation 3eyes (7.8%), retinal detachment, hypotonic maculopathy and refractive surprise in 1 eye each (2.6%). None reported IOL tilt or dislocation. The patients noticed a significant reduction in glare disability and photophobia. No significant association was found between pre-operative factors such as prior surgical procedures, history of trauma and length of follow-up with surgical outcomes.ConclusionsScleral fixation of BDIOL is an effective option in eyes with aniridia and aphakia without capsular support that have undergone multiple previous surgeries. Despite severe damage, the BDIOL helps reconstruct the anterior segment and give a good quality of vision with minimal complications rate.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"1221-1227"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921130","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

Advancing oculoplastic care through telemedicine: AI, opportunities, and challenges. 通过远程医疗推进眼部整形护理：人工智能、机遇和挑战。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2025-03-18 DOI: 10.1177/11206721251328094

Akshay Gopinathan Nair, Mohammad Javed Ali

引用次数: 0

Unexpected impact: Orbital fracture from pickleball trauma - a case report and literature review. 意外影响：匹克球外伤致眼眶骨折1例报告及文献复习。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1177/11206721251332977

Akshay Gopinathan Nair, Anika Narayanan

{"title":"Unexpected impact: Orbital fracture from pickleball trauma - a case report and literature review.","authors":"Akshay Gopinathan Nair, Anika Narayanan","doi":"10.1177/11206721251332977","DOIUrl":"10.1177/11206721251332977","url":null,"abstract":"PurposeTo present a case of orbital fracture arising from a pickleball related injury.MethodsRetrospective case reportResultsPickleball is a fast-growing sport combining elements of tennis, badminton, and table tennis and injuries to the eye and adnexa from blunt trauma associated with pickleball are increasing. To date, no cases of orbital fractures arising from pickleball-associated trauma have been documented. We report the case of a 54-year-old male who sustained orbital trauma when his teammate's paddle struck his face. Examination revealed lid hematoma, a lower eyelid laceration, subconjunctival haemorrhage and periorbital edema. Imaging demonstrated a minimally displaced medial orbital wall fracture without muscle entrapment or bony impingement. The laceration was repaired, and the fracture was managed conservatively given the absence of diplopia or enophthalmos.Conclusions and importanceWhile on its own, an orbital fracture is a commonly encountered entity, the mode of injury and the nature of the trauma that led to the injury are extremely rare. This case highlights the potential for serious orbital injuries in pickleball, emphasizing the need for protective measures and increased awareness among players and healthcare providers. In this communication, we describe our case in detail and review the reported cases of pickleball related ophthalmic trauma.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"NP29-NP32"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763446","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

Clinical outcomes of 3-dimensional printed custom porous polyethylene orbital implant for reconstruction. 三维打印定制多孔聚乙烯眶内植入物重建的临床效果。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2025-04-15 DOI: 10.1177/11206721251333824

Almila Sarigul Sezenoz, Zhenyang Zhao, Sarinee Juntipwong, Denise Kim, Vinay Aakalu, Christine Nelson, Hakan Demirci

{"title":"Clinical outcomes of 3-dimensional printed custom porous polyethylene orbital implant for reconstruction.","authors":"Almila Sarigul Sezenoz, Zhenyang Zhao, Sarinee Juntipwong, Denise Kim, Vinay Aakalu, Christine Nelson, Hakan Demirci","doi":"10.1177/11206721251333824","DOIUrl":"10.1177/11206721251333824","url":null,"abstract":"PurposeTo report the clinical outcomes with three-dimensional (3D)-printed custom orbital implants, designed using contralateral orbit mirroring techniques.MethodsCase series of 3D-printed custom orbital implants used for complex orbital reconstructions at University of Michigan Kellogg Eye Center is presented in this study. Data from 2020 to 2023 was collected.ResultsIn this case series of 8 patients, the surgical indications include diplopia, enophthalmos, hypoglobus either post-trauma or tumor removal. One patient had bilateral defects; others had unilateral defects. The mean follow-up time was 27.88 ± 9.66 months (Range: 7-38 months). Postoperative improvement was seen for enophthalmos in 7 of 8 cases, hypoglobus in 3 of 5 cases, and diplopia in 3 of 4 cases, and the average exophthalmometry asymmetry improved from 3.1 mm to 0.5 mm.Conclusions3D-printed orbital implants demonstrated effectiveness and safety in this diverse series of orbital reconstruction cases, yielding significant clinical improvements. Our findings support the use of these implants in a variety of complex orbital reconstructions.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"NP33-NP38"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978916","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

Targeted shortwave diathermy combined with perceptual training for patients with severe traumatic optic neuropathy. 针对性短波热疗联合知觉训练治疗严重外伤性视神经病变。

IF 1.4 4区医学

European Journal of Ophthalmology Pub Date : 2025-07-01 Epub Date: 2025-02-24 DOI: 10.1177/11206721251319574

Qingping Tang, Hua Zhang, Huayang Deng, Quan Zhou, Wei Zhang, Mingqin Tian, Zilong Huang, Hui Jiang, Weihong Jiang, Zhihai Xie

{"title":"Targeted shortwave diathermy combined with perceptual training for patients with severe traumatic optic neuropathy.","authors":"Qingping Tang, Hua Zhang, Huayang Deng, Quan Zhou, Wei Zhang, Mingqin Tian, Zilong Huang, Hui Jiang, Weihong Jiang, Zhihai Xie","doi":"10.1177/11206721251319574","DOIUrl":"10.1177/11206721251319574","url":null,"abstract":"BackgroundPatients with severe traumatic optic neuropathy (TON) often show limited improvement in visual function despite therapy.ObjectiveThis study aims to investigate whether targeted shortwave diathermy (SWD) combined with perceptual training enhances visual function in patients with severe TON following endoscopic optic nerve decompression (EOND) surgery.MethodsForty patients with severe TON after EOND surgery were randomly assigned to either the rehabilitation (Reh) group (n = 24) or the non-rehabilitation (Nreh) group (n = 16). Subjects in the Reh group received targeted SWD therapy and perceptual training. Visual function, visual evoked potentials, and diffusion tensor imaging were evaluated.ResultsAfter 16 weeks of rehabilitation, the best-corrected visual acuity (p = 0.006) and color vision scores (p = 0.026) in the Reh group improved significantly more than those in the Nreh group. Two children who had completely lost their visual acuity 62 and 73 days after experiencing TON regained visual acuity scores of 1.0 logMAR or lower after rehabilitation. After 10 weeks of rehabilitation, the mean P100 amplitude (p = 0.012) and fractional anisotropy (anterior segment, p = 0.032; middle segment, p = 0.014) of the affected nerves in the Reh group were significantly higher than those in the Nreh group.ConclusionsTargeted SWD combined with perceptual training demonstrated beneficial effects in patients with severe TON after EOND surgery. Notably, this study provides the first evidence of visual function recovery occurring 73 days after complete vision loss in child with TON when combined rehabilitation was implemented.","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"1242-1254"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482513","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