European Journal of Ophthalmology最新文献

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MALT lymphoma mimicking IgG4-related disease. MALT淋巴瘤模拟igg4相关疾病。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-16 DOI: 10.1177/11206721261489031
Chun-Hsiang Chang, Chun-Chieh Lai
{"title":"MALT lymphoma mimicking IgG4-related disease.","authors":"Chun-Hsiang Chang, Chun-Chieh Lai","doi":"10.1177/11206721261489031","DOIUrl":"https://doi.org/10.1177/11206721261489031","url":null,"abstract":"<p><p>A 75-year-old man presented with left eye fullness, proptosis, and bilateral lacrimal gland enlargement with elevated serum IgG4 levels, initially suggesting IgG4-related disease. However, lacrimal gland biopsy revealed MALT lymphoma. This case highlights the overlapping clinical features of IgG4-related disease and lymphoma and emphasizes the importance of histopathological confirmation before initiating treatment.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261489031"},"PeriodicalIF":1.3,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976240","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 of developing toxic anterior segment syndrome post cataract surgery in the fellow eye, after previous TASS in the first eye surgery. 在第一次眼手术后发生TASS后的同眼白内障手术后发生毒性前段综合征的风险。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-15 DOI: 10.1177/11206721261488450
Eshchar Raviv-Sasportas, Alexander Rubowitz
{"title":"Risk of developing toxic anterior segment syndrome post cataract surgery in the fellow eye, after previous TASS in the first eye surgery.","authors":"Eshchar Raviv-Sasportas, Alexander Rubowitz","doi":"10.1177/11206721261488450","DOIUrl":"https://doi.org/10.1177/11206721261488450","url":null,"abstract":"<p><p>BackgroundWe collected data from 140 patients who developed Toxic Anterior Segment Syndrome (TASS) after cataract surgeries between 2011-2019. Complete records documenting surgery in both eyes were available in 94 patients, with 83 of them developing TASS in one eye, and 11 in both eyes. We compared them by age, gender, post-operative visual acuity (VA), and medical disorders.PurposeTo evaluate the incidence and potential risk factors of TASS in the fellow eye following a previous episode of TASS in the first eye, and to propose clinical considerations for fellow eye surgery.ResultsThe proportion (risk) of developing TASS in the second (fellow) eye after TASS in the first eye was 14.5% (<i>n</i> = 11 of 76). The risk of developing TASS in both eyes among those who developed TASS in either eye was 11.7% (<i>n</i> = 11 of 94). Relative risk for bilateral TASS was 4.3 times greater for simultaneous than separate surgeries. TASS often appeared in clusters, and age was not a significant risk factor. Also, there was no significant difference regarding systemic medical problems or VA. Significant correlation was found between TASS and implanted lens type.ConclusionIntrinsic patient-specific factors may affect TASS development in addition to environmental factors, suggesting caution performing surgery on the fellow eye.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488450"},"PeriodicalIF":1.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148967413","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
Referral patterns after nationwide implementation of OCT-enabled teleophthalmology in optometrist stores in Denmark. 丹麦验光店在全国范围内实施oct远程眼科后的转诊模式。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-15 DOI: 10.1177/11206721261488973
Danson V Muttuvelu, Lasse J Cehofski, Carsten Faber, Mads K Falk, Giuseppe Giannaccare, Jakob Grauslund, Michael S Hansen, Josef Huemer, Pearse A Keane, Ligor P Kiruparajan, Morten B Larsen, Tunde Peto, Vincent Qin, Chris B Søndergaard, Andrea Taloni, Tobias E Torp-Pedersen, Yousif Subhi, Marie L R Rasmussen
{"title":"Referral patterns after nationwide implementation of OCT-enabled teleophthalmology in optometrist stores in Denmark.","authors":"Danson V Muttuvelu, Lasse J Cehofski, Carsten Faber, Mads K Falk, Giuseppe Giannaccare, Jakob Grauslund, Michael S Hansen, Josef Huemer, Pearse A Keane, Ligor P Kiruparajan, Morten B Larsen, Tunde Peto, Vincent Qin, Chris B Søndergaard, Andrea Taloni, Tobias E Torp-Pedersen, Yousif Subhi, Marie L R Rasmussen","doi":"10.1177/11206721261488973","DOIUrl":"https://doi.org/10.1177/11206721261488973","url":null,"abstract":"<p><p>PurposeTo evaluate changes in opportunistic eye examination and referral patterns after nationwide implementation of Optical coherence tomography (OCT) within an optometrist-based teleophthalmology pathway.MethodsThis nationwide multi-period observational study included 1,220,082 individuals examined across 79 Danish optometrist stores between March 2022 and May 2025. Data were analyzed across three periods: before OCT, during implementation, and after full implementation. Outcomes included referral rates to teleophthalmology, diagnostic patterns, and referrals to public healthcare.ResultsMonthly referrals to teleophthalmology increased from 703 before OCT to 2,359 after implementation. Detection of macular diseases increased markedly, including central serous chorioretinopathy, epiretinal membrane, macular hole, and neovascular age-related macular degeneration. Referrals to public healthcare rose from 0.55% to 1.74%, with stable acute referrals but substantial increases in subacute (+178%) and routine (+292%) referrals.ConclusionsNationwide implementation of OCT within an optometrist-based teleophthalmology pathway was associated with increased teleophthalmology submissions, increased detection of selected retinal and optic-nerve conditions, and redistribution of public healthcare referrals towards subacute and routine priorities. These findings should be interpreted as changes within an integrated care model combining OCT imaging, standardized optometrist acquisition, consultant ophthalmologist review, and structured teleophthalmology triage, rather than as the isolated effect of OCT.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488973"},"PeriodicalIF":1.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976313","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
Gestational age as the primary predictor of retinopathy of prematurity and treatment requirement. 胎龄作为早产儿视网膜病变的主要预测因子及治疗需求。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-15 DOI: 10.1177/11206721261488818
Cengiz Gül, Serkan Güler, Havvanur Bayraktar, Tülin Öğreden, Merih Çetinkaya
{"title":"Gestational age as the primary predictor of retinopathy of prematurity and treatment requirement.","authors":"Cengiz Gül, Serkan Güler, Havvanur Bayraktar, Tülin Öğreden, Merih Çetinkaya","doi":"10.1177/11206721261488818","DOIUrl":"https://doi.org/10.1177/11206721261488818","url":null,"abstract":"<p><p>PurposeTo evaluate the predictive role of gestational age (GA) in retinopathy of prematurity (ROP) and to examine perinatal factors associated with ROP development and treatment requirement.MethodsThis retrospective cohort study included 445 preterm infants born before 34 weeks of gestation and followed at a tertiary ROP clinic between February 2024 and January 2025. Demographic and clinical data were retrospectively reviewed. Infants were stratified into weekly GA groups. Univariate and multivariate logistic regression analyses were conducted to identify independent risk factors for ROP development and treatment-requiring ROP. ROC curve analysis was used to evaluate the discriminative performance of GA.ResultsROP developed in 140 infants (31.5%), and 34 infants (7.6%) required treatment. In multivariate logistic regression analysis for ROP development, both lower GA and lower birth weight (BW) remained significant independent predictors (p < 0.05). In contrast, in the multivariate analysis for treatment-requiring ROP, BW lost its statistical significance, while lower GA and lower 1- and 5-min Apgar scores remained independently associated with the need for treatment (p < 0.05). ROC analysis demonstrated good discriminative ability of GA for both any-stage ROP and treatment-requiring ROP, with optimal cut-off values of ≤30 weeks and ≤28 weeks, respectively.ConclusionGestational age is the primary predictor of ROP severity, retaining its predictive value for treatment-requiring disease when birth weight does not. The additional contribution of Apgar scores highlights the role of early postnatal instability in severe ROP. GA-based thresholds may support more precise and efficient ROP screening strategies.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488818"},"PeriodicalIF":1.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148967317","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
Gender gaps in first and last authorship in ophthalmology randomized controlled trials: A two-decade analysis. 眼科学随机对照试验中第一作者和最后作者的性别差异:二十年分析。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-11 DOI: 10.1177/11206721261488449
Siddharth Gandhi, Michael Balas, Rachel Curtis, Tina Felfeli, Parnian Arjmand, Yvonne Buys, Arturo Ortín-Martínez, Radha Kohly
{"title":"Gender gaps in first and last authorship in ophthalmology randomized controlled trials: A two-decade analysis.","authors":"Siddharth Gandhi, Michael Balas, Rachel Curtis, Tina Felfeli, Parnian Arjmand, Yvonne Buys, Arturo Ortín-Martínez, Radha Kohly","doi":"10.1177/11206721261488449","DOIUrl":"https://doi.org/10.1177/11206721261488449","url":null,"abstract":"<p><p>PurposeTo characterize 21-year trends in first- and last-author representation inferred as female in ophthalmology randomized controlled trial reports and examine associations with journal impact factor and first-last author pairing.MethodsThis repeated cross-sectional bibliometric study identified PubMed-indexed ophthalmology randomized controlled trial reports published from 2004 through 2024. Gender-API assignments were retained at 90% or greater accuracy. Annual proportions and Theil-Sen slopes were calculated, and a publication-year-by-authorship-position interaction tested whether temporal trends differed. Secondary analyses examined journal impact factor, first-last author pairing, geographic composition, and sensitivity to alternative inference thresholds.ResultsAmong 10,887 records, 953 were excluded because neither the first nor last author had a usable given name, leaving 9,934 articles. Qualifying assignments were available for 7,913 first-author and 7,878 last-author positions. Inferred female first authorship increased from 26.2% in 2004 to 38.3% in 2024 (slope, + 0.51 percentage points per year; 95% CI, 0.39 to 0.68; <i>p</i>  <  0.001), and last authorship increased from 27.8% to 31.0% (+0.36; 95% CI, 0.10 to 0.57; <i>p</i>  =  0.006). The year-by-position interaction was not statistically significant (+0.178 percentage points per year; 95% CI, -0.063 to 0.419; <i>p</i>  =  0.148). Journal impact factor was not significantly associated with either authorship position. The adjusted odds of an inferred female last author were higher when the first author was inferred as female (OR, 1.28; 95% CI, 1.10 to 1.49; <i>p</i> = 0.001).ConclusionRepresentation inferred as female increased in both authorship positions, with no statistically significant difference between temporal trends.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488449"},"PeriodicalIF":1.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944264","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
Oculomics and cardiovascular disease: From enthusiasm to clinical reality. 眼科与心血管疾病:从热情到临床现实。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-11 DOI: 10.1177/11206721261488437
Louis Arnould
{"title":"Oculomics and cardiovascular disease: From enthusiasm to clinical reality.","authors":"Louis Arnould","doi":"10.1177/11206721261488437","DOIUrl":"https://doi.org/10.1177/11206721261488437","url":null,"abstract":"","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488437"},"PeriodicalIF":1.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944493","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 follow-up of a 300° arc-length intrastromal corneal ring segment implantation in central keratoconus. 中央圆锥角膜角膜内300°弧长环形段植入术的长期随访。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-10 DOI: 10.1177/11206721261488442
Aranzazu Poo-López, Luis Fernández-Vega-Cueto, Belén Alfonso-Bartolozzi, Carlos Lisa, Irene Martínez-Alberquilla, David Madrid-Costa, José F Alfonso
{"title":"Long-Term follow-up of a 300° arc-length intrastromal corneal ring segment implantation in central keratoconus.","authors":"Aranzazu Poo-López, Luis Fernández-Vega-Cueto, Belén Alfonso-Bartolozzi, Carlos Lisa, Irene Martínez-Alberquilla, David Madrid-Costa, José F Alfonso","doi":"10.1177/11206721261488442","DOIUrl":"https://doi.org/10.1177/11206721261488442","url":null,"abstract":"<p><p>PurposeTo evaluate the outcomes of 300° arc-length intrastromal corneal ring segment (ICRS) implantation in central keratoconus throughout a 3-year follow-up period.MethodsThis study included patients with central keratoconus who exhibited a significant increase in corneal steepness and/or prolateness and underwent 300° arc-length ICRS implantation. Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, manifest refraction, keratometry, corneal asphericity at 8.0 mm and the root mean square (RMS) for coma-like aberrations for a pupil size of 4.5 mm were recorded preoperatively and at 3, 12, and 36 months postoperatively.Results131 eyes were included. All eyes were examined at 3 and 12 months postoperatively, and 94 eyes at 36 months. At three months postoperatively, UDVA (logMAR) changed from 0.85 ± 0.34 preoperatively to 0.48 ± 0.27 postoperatively (<i>p</i> < 0.0001). CDVA rose from 0.23 ± 0.14 to 0.15 ± 0.09 (<i>p</i> < 0.0001). The mean K-steep from 52.50 ± 3.42 D to 46.82 ± 2.74 D (<0.0001). The RMS for coma-like aberrations decreased from 1.45 ± 0.75 μm to 0.94 ± 0.52 μm postoperatively (<i>p</i> < 0.0001), and corneal asphericity from -1.31 ± 0.43 to -0.39 ± 0.53 (<i>p</i> < 0.0001). At 36 months, 6.4% of the eyes lost lines of CDVA compared to preoperatively, while 78.7% of the eyes gained lines of CDVA. The mean flattening in K-steep was 5.16 ± 2.17 D. 83.7% of the eyes had a postoperative K-mean ≤48.0D. The RMS for coma-like aberrations and corneal asphericity remained unchanged over the postoperative period.ConclusionA 300° arc-length ICRS implantation improved the visual acuity and induced a substantial corneal flattening over 3 years in keratoconus with a significantly high corneal steepness and/or prolateness.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261488442"},"PeriodicalIF":1.3,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148917996","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
White dot syndromes in the era of multimodal imaging. 多模态成像时代的白点综合征。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-10 DOI: 10.1177/11206721261487566
Giovanni Forte, Massimiliano Cocuzza, Lorenzo Bianco, Alessio Antropoli, Sebastiano Del Fabbro, Francesco Bandello, Elisabetta Miserocchi, Maria Vittoria Cicinelli
{"title":"White dot syndromes in the era of multimodal imaging.","authors":"Giovanni Forte, Massimiliano Cocuzza, Lorenzo Bianco, Alessio Antropoli, Sebastiano Del Fabbro, Francesco Bandello, Elisabetta Miserocchi, Maria Vittoria Cicinelli","doi":"10.1177/11206721261487566","DOIUrl":"https://doi.org/10.1177/11206721261487566","url":null,"abstract":"<p><p>White dot syndromes comprise a heterogeneous group of inflammatory chorioretinal disorders historically hampered by overlapping clinical presentations and inconsistent nomenclature. Recent advances in multimodal imaging have fundamentally reshaped our understanding of these entities, enabling precise localization of tissue injury and revealing distinct pathogenic signatures across the disease spectrum. In this review, we discuss the different non-infectious posterior uveitides, formerly called \"white dot syndromes\", organized according to the primary anatomical locus of inflammatory injury: photoreceptoritis, retinal pigment epitheliopathy, choriocapillaritis, and inner choroiditis. We also examine secondary entities, an increasingly recognized group of reactive inflammatory syndromes arising after disruption of outer retinal immune privilege in association with pre-existing retinal or choroidal disease. For each category, we review the multimodal imaging features that define disease localization, activity, and progression, and highlight their direct therapeutic and prognostic implications, guiding management from watchful observation to aggressive immunosuppression or targeted anti-angiogenic therapy.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261487566"},"PeriodicalIF":1.3,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918131","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 gonioscopy-assisted transluminal trabeculotomy in open-angle glaucoma: A minimum 3-year follow-up. 镜下辅助腔内小梁切开术治疗开角型青光眼的长期疗效:至少3年随访。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-08 DOI: 10.1177/11206721261485802
Hatice Tekcan, Serhat Imamoglu, Mehmet Serhat Mangan
{"title":"Long-Term outcomes of gonioscopy-assisted transluminal trabeculotomy in open-angle glaucoma: A minimum 3-year follow-up.","authors":"Hatice Tekcan, Serhat Imamoglu, Mehmet Serhat Mangan","doi":"10.1177/11206721261485802","DOIUrl":"https://doi.org/10.1177/11206721261485802","url":null,"abstract":"<p><p>PurposeTo report five-years follow-up on the efficacy of gonioscopy-assisted transluminal trabeculotomy (GATT) combined with or without cataract surgery (CS).MethodsChart review of patients with primary open-angle glaucoma (POAG) and pseudoexfoliation glaucoma (PXG), who underwent GATT at a single centre. Intraocular pressure (IOP), number of medications and failure rates (reoperation or criterion A; IOP ≤18 mmHg and IOP reduction ≤20%, criterion B; IOP≤15 mmHg and reduction≤30%), were compared between combined (GATT + CS group) and standalone procedure (GATT-alone group). Risk factors for failure were investigated by logistic regression analysis.ResultsIn the 157 eyes of 157 patients, at a mean follow-up of 55.62 ± 9.57 (range:36-72) months, IOP reduced from 24.49 ± 4.13 to 14.49 ± 6.20 mmHg, and the number of medications reduced from 2.94 ± 0.65 to 1.22 ± 1.48. By the final follow-up, the number of medications were significantly higher in the GATT-alone group than in the GATT + CS group (1.66 ± 1.68, 0.84 ± 1.17; respectively) (<i>p</i> = 0.003). The GATT-alone group had significantly higher failure rates at final follow-up in the GATT group compared to GATT + CS group based on criterion A (16.7% vs 1.2%) and B (26.4% vs 11.8%) (<i>p</i> < 0.001, <i>p</i> = 0.01; respectively). Risk factors for failure were, GATT alone procedure (OR:0.24, <i>p</i> = 0.01) and eyes with POAG (OR:4.74, <i>p</i> = 0.004) in 157 eyes, and a postoperative IOP spike (OR:7.0, <i>p</i> = 0.01) in the GATT-alone group.ConclusionLong-term success was achievable after GATT. The more favorable results were obtained in the GATT + CS group compared to the GATT-alone group and in the PXG eyes compared to the POAG eyes.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261485802"},"PeriodicalIF":1.3,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911220","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
Postoperative endophthalmitis: A ten-year series. 术后眼内炎:十年研究。
IF 1.3 4区 医学
European Journal of Ophthalmology Pub Date : 2026-09-07 DOI: 10.1177/11206721261481555
Matthew M O'Riordan, Ruth Ellard, Elaine Houlihan, Denis Nevrov, Simon Neary, Susan Knowles, Noel Horgan
{"title":"Postoperative endophthalmitis: A ten-year series.","authors":"Matthew M O'Riordan, Ruth Ellard, Elaine Houlihan, Denis Nevrov, Simon Neary, Susan Knowles, Noel Horgan","doi":"10.1177/11206721261481555","DOIUrl":"https://doi.org/10.1177/11206721261481555","url":null,"abstract":"<p><p>PurposeTo assess the incidence and outcomes of postoperative endophthalmitis (POE) at the Royal Victoria Eye and Ear Hospital (RVEEH), Dublin, Ireland over a ten year period.MethodsPatients who underwent vitreous and/or aqueous sampling and received antibiotics and/or antifungals for suspected POE at RVEEH between July 2012 and July 2022 were included. Cases were classified as microbiologically-confirmed infection, presumed infection, or likely inflammatory. Demographic, clinical, microbiological, and visual outcome data were analysed. Incidence rates were calculated for post-intravitreal injection (IVI) procedures and post-phacoemulsification surgeries.ResultsA total of 149 episodes of suspected POE occurred in 147 patients: 70 (47%) confirmed, 66 (44.3%) presumed, and 13 (8.7%) likely inflammatory. The commonest inciting procedures included IVI (n = 60) and phacoemulsification cataract surgery (n = 59). Final visual acuity (VA) ≥ 6/12 was achieved in 49% of post-phacoemulsification cases and 20% of post-IVI cases. Independent predictors of poor visual outcome included confirmed infectious POE (OR 5.5, 95% CI 1.7-17.6) and worse presenting VA (OR 1.4 per 0.2 logMAR, 95% CI 1.1-1.8). The incidence of POE was 0.04% post-IVI and 0.1% post-phacoemulsification surgery.ConclusionsThis is the largest analysis of POE in Ireland and may serve as a useful national benchmark. Despite the sustained rise in IVI use, phacoemulsification and IVIs contributed a comparable number of POE cases, with post-phacoemulsification cases achieving better visual outcomes.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721261481555"},"PeriodicalIF":1.3,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905475","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
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