International Ophthalmology最新文献

{"title":"Retinal vasculature changes in patients with internal carotid artery stenosis.","authors":"Veysel Cankurtaran, Kustarbek Ergshev, Hasan Basri Arifoglu, Serdar Ozates","doi":"10.1007/s10792-024-03343-y","DOIUrl":"https://doi.org/10.1007/s10792-024-03343-y","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the retinal vasculature in patient with internal carotid artery (ICA) stenosis and to highlight association between ICA stenosis severity and retinal vasculature changes.</p><p><strong>Methods: </strong>Seventy-five subjects were included in this prospective study. Twenty-five healthy subjects were included in the Group 1, 25 subjects with 1-49% ICA stenosis were included in the Group 2, and 25 subjects with 50-69% ICA stenosis were included in the Group 3. Visual acuity, intraocular pressure (IOP), and anterior and posterior segment examinations were performed. Macular superficial and deep capillary density, optic nerve head capillary density, and choroidal thickness data were measured using optic coherence tomography angiography.</p><p><strong>Results: </strong>There was a statistically significant difference between the three groups regarding superficial vascular density, deep vascular density, vascular density of radial peripapillary capillary and choroid thickness (p < 0.05 for all). Mean parafoveal and perifoveal area vascular density of the superficial capillary plexus was significantly lower in the Group 3 than Group 1 (p < 0.05 for all). Mean whole area vascular density of the deep capillary plexus was significantly lower in Group 3 than both groups (p < 0.05 for all). Mean parafoveal area vascular density of the deep capillary plexus was significantly lower in the Group 3 than Group 1 (p < 0.05). Mean subfoveal choroid thickness in group 3 was significantly lower in the Group 3 than both groups (p < 0.05 for all).</p><p><strong>Conclusion: </strong>Compared to healthy controls, patients with moderate ICA stenosis revealed decreased density of superficial, deep and radial peripapillary capillary vasculature and subfoveal choroidal thickness.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604393","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}

{"title":"Performance of Chatgpt in ophthalmology exam; human versus AI.","authors":"Ali Safa Balci, Zeliha Yazar, Banu Turgut Ozturk, Cigdem Altan","doi":"10.1007/s10792-024-03353-w","DOIUrl":"https://doi.org/10.1007/s10792-024-03353-w","url":null,"abstract":"<p><strong>Purpose: </strong>This cross-sectional study focuses on evaluating the success rate of ChatGPT in answering questions from the 'Resident Training Development Exam' and comparing these results with the performance of the ophthalmology residents.</p><p><strong>Methods: </strong>The 75 exam questions, across nine sections and three difficulty levels, were presented to ChatGPT. The responses and explanations were recorded. The readability and complexity of the explanations were analyzed and The Flesch Reading Ease (FRE) score (0-100) was recorded using the program named Readable. Residents were categorized into four groups based on their seniority. The overall and seniority-specific success rates of the residents were compared separately with ChatGPT.</p><p><strong>Results: </strong>Out of 69 questions, ChatGPT answered 37 correctly (53.62%). The highest success was in Lens and Cataract (77.77%), and the lowest in Pediatric Ophthalmology and Strabismus (0.00%). Of 789 residents, overall accuracy was 50.37%. Seniority-specific accuracy rates were 43.49%, 51.30%, 54.91%, and 60.05% for 1st to 4th-year residents. ChatGPT ranked 292nd among residents. Difficulty-wise, 11 questions were easy, 44 moderate, and 14 difficult. ChatGPT's accuracy for each level was 63.63%, 54.54%, and 42.85%, respectively. The average FRE score of responses generated by ChatGPT was found to be 27.56 ± 12.40.</p><p><strong>Conclusion: </strong>ChatGPT correctly answered 53.6% of questions in an exam for residents. ChatGPT has a lower success rate on average than a 3rd year resident. The readability of responses provided by ChatGPT is low, and they are difficult to understand. As difficulty increases, ChatGPT's success decreases. Predictably, these results will change with more information loaded into ChatGPT.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582043","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}

{"title":"Unveiling macular displacement: endotamponade variations in retinal detachment repair outcomes.","authors":"Ece Özal, Hakan Baybora, Murat Karapapak, Serhat Ermiş, Muzaffer Said Güler, Yusuf Cem Yılmaz, Şerife Çiloğlu Hayat, Sadık Altan Özal","doi":"10.1007/s10792-024-03351-y","DOIUrl":"https://doi.org/10.1007/s10792-024-03351-y","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the rates of macular displacement (MD) in patients with primary macula-off rhegmatogenous retinal detachments (RRD) who underwent pars plana vitrectomy (PPV) with either silicone-oil (SO) or perfluoropropane (C3F8) gas tamponade, and to investigate whether there is a correlation between MD and metamorphopsia.</p><p><strong>Methods: </strong>This retrospective comparative study included fifty-three patients with macula-off RRD who underwent a single 25-gauge PPV surgery. The patients were divided into two groups based on the endotamponade used during surgery: 14% C3F8 gas (n=28) or SO (n=25). Demographic information, preoperative, intraoperative, and postoperative characteristics were collected from medical records. Ophthalmological examinations were conducted, and data on various parameters, including perfluorocarbon liquid (PFCL) use, drainage retinotomy, MD rates, and presence of metamorphopsia, were assessed.</p><p><strong>Results: </strong>PFCL was used in all cases, and no patient underwent drainage retinotomy. MD was detected in 18 eyes (64.2%) in the gas tamponade group and 9 eyes (36.0%) in the SO group, and the difference between the two groups was statistically significant (p=0.039). In both groups, 28 patients with suffered from metamorphopsia, but no significant correlation was found between MD and metamorphopsia in the gas group (p= 0.887).</p><p><strong>Conclusion: </strong>The study suggests that MD rates differ significantly between patients who underwent PPV with SO or C3F8 gas tamponade. Furthermore, while MD was observed in both groups, it may not always result in metamorphopsia in most patients after detachment surgery.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582044","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}

{"title":"A small disc size, a big challenge: effect of optic disc size on the correlation between peripapillary choroidal thickness, peripapillary retinal nerve fiber layer, and ganglion cell layer.","authors":"Yasemin Un, Oksan Alpogan, Ruveyde Bolac","doi":"10.1007/s10792-024-03330-3","DOIUrl":"https://doi.org/10.1007/s10792-024-03330-3","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to analyze the effect of optic disc size on the correlation between the peripapillary choroid (PPC), peripapillary retinal nerve fiber layer (RNFL), and macular ganglion cell inner plexiform layer (MGCIPL) thicknesses in subjects with ocular hypertension (OHT) and primary open angle glaucoma (POAG).</p><p><strong>Methods: </strong>This study included 61 eyes with a disc area (DA) of ≤ 1.63 mm², 92 eyes with a DA of 1.63-2.42 mm², and 59 eyes with a DA of ≥ 2.42 mm² in small disc, regular disc, and large disc groups, respectively. The swept-source optical coherence tomography scans of the PPC, RNFL, and MGCIPL were analyzed according to disc size.</p><p><strong>Results: </strong>The three groups did not significantly differ in RNFL or MGCIPL measurements, but the PPC measurement was statistically significantly higher in the small disc group and statistically significantly thinner in the large disc group. Most of the correlations observed between the RNFL and MGCIPL measurements and eye characteristics in the regular disc group were not detected in the small and large disc groups. While the RNFL and MGCIPL were well correlated in all disc size groups, the PPC did not correlate with the RNFL or MGCIPL in any of the groups.</p><p><strong>Conclusions: </strong>Overall, the RNFL and MGCIPL measurements were consistent across all three disc sizes. While the PPC was thicker in small discs than in larger discs, it was not correlated with the RNFL or MGCIPL.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591017","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}

{"title":"Efficacy of XEN gel stent implantation combined with mitomycin C injection in the treatment of open-angle glaucoma: a meta-analysis.","authors":"Hong Feng, Zhonghong Zhang","doi":"10.1007/s10792-024-03306-3","DOIUrl":"10.1007/s10792-024-03306-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To assess the efficacy of XEN gel stent implantation combined with mitomycin C (MMC) injection in controlling intraocular pressure (IOP) and the dosage of postoperative medication for open-angle glaucoma (OAG) patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The PubMed, Embase, Cochrane Library, and Science Direct databases were searched from inception to August 2022 without any language restriction. All studies that compared IOP and the dose of medication before and after XEN gel stent implantation and MMC injection for OAG patients were included. Data extraction and methodological quality evaluation were performed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 26 studies (2329 eyes) were involved in meta-analysis. It was revealed that IOP at 1 month after XEN implantation was significantly lower than preoperative IOP [group 1, IOP between 19.2 and 21.2 mmHg: mean difference (MD) = 7.60, 95% confidence interval (CI) [6.55, 8.66], I&lt;sup&gt;2&lt;/sup&gt; = 0%, P &lt; 0.01; group 2, IOP between 21.6 and 22.8 mmHg: MD = 5.83, 95% CI [4.94, 6.71], I&lt;sup&gt;2&lt;/sup&gt; = 0%; group 3, IOP between 23.5 and 24.3 mmHg: MD = 9.22, 95% CI [8.33, 10.10], I&lt;sup&gt;2&lt;/sup&gt; = 0%; group 4, IOP between 24.4 and 26.2 mmHg: MD = 11.64, 95% CI [10.49, 12.80], I&lt;sup&gt;2&lt;/sup&gt; = 0%)]. Moreover, IOP at 3 months after XEN implantation was also significantly lower than preoperative IOP (MD = 8.31, 95% CI [2.54, 8.46], Z = 13.92, P &lt; 0.00001). IOP at 6 months after XEN implantation was significantly lower than preoperative IOP, and no heterogeneity was found between two groups (group 1, IOP between 17.8 and 21.8 mmHg: MD = 5.71, 95% CI: [5.05, 6.36], I&lt;sup&gt;2&lt;/sup&gt; = 0%, P &lt; 0.01); group 2, IOP between 22.1 and 23.9 mmHg: MD = 7.92, 95% CI [7.15, 8.70], I&lt;sup&gt;2&lt;/sup&gt; = 0%, P &lt; 0.01). Low heterogeneity was noted in one group (group 3, IOP between 24.3 and 26.2 mmHg: MD = 9.32, 95% CI [8.66, 9.97], I&lt;sup&gt;2&lt;/sup&gt; = 30%). It was found that IOP at 12 months after XEN implantation was significantly lower than preoperative IOP (MD = 8.11, 95% CI [7.09, 9.12], Z = 15.68, P &lt; 0.00001). There was high heterogeneity among the different baseline IOP groups at 24-month post-surgery (CHi&lt;sup&gt;2&lt;/sup&gt; = 41.74, df = 1, I&lt;sup&gt;2&lt;/sup&gt; = 97.6%, P &lt; 0.01), while no heterogeneity was identified in two groups (group 1, IOP between 19.2 and 22.1 mmHg: MD = 6.30, 95% CI [5.76, 6.85], I&lt;sup&gt;2&lt;/sup&gt; = 0%, P &lt; 0.01); group 2, IOP between 22.8 and 23.8 mmHg: MD = 9.11, 95% CI [8.45, 9.77], I&lt;sup&gt;2&lt;/sup&gt; = 0%). Subgroup analysis indicated that the dosage of medication was significantly reduced at 6 months after XEN implantation (group 1, the amount of medication was 2.3-2.96: MD = 1.90, 95% CI [1.78, 2.02], I&lt;sup&gt;2&lt;/sup&gt; = 0%, P &lt; 0.01); group 2, the amount of medication was 3.2-3.3: MD = 2.59, 95% CI [2.43, 2.75], I&lt;sup&gt;2&lt;/sup&gt; = 0%). Furthermore, the dosage of medication at 12 months (MD = 1.96, 95% CI [1.72, 2.21], Z = 15.80, P &lt; 0.01) and 24 months (group 1, the amount of medication was 1.89-2.7: MD =","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582004","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}

{"title":"Clinical profile and etiological spectrum of patients presenting with corneal hydrops over a 12-year period.","authors":"Akhil Bevara, Anthony Vipin Das, Sunita Chaurasia","doi":"10.1007/s10792-024-03336-x","DOIUrl":"https://doi.org/10.1007/s10792-024-03336-x","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the demographics, clinical characteristics, and management of corneal hydrops in patients presenting to a multi-tier ophthalmology hospital network in India.</p><p><strong>Design: </strong>Cross-sectional hospital-based study.</p><p><strong>Methods: </strong>Of the total of 3,140,941 new patients presenting between October 2010 and March 2022, patients with a clinical diagnosis of corneal hydrops in at least one eye were included in the study. All the data was collected using an electronic medical record system.</p><p><strong>Results: </strong>1291 eyes of 1110 patients were diagnosed with corneal hydrops and included in the study and 961 patients (83.69%) had a unilateral affliction. Corneal hydrops was noted to be significantly more common in males (62.43%) and adults (62.7%). The most common age group at presentation was during the second decade of life with 472 (42.52%) patients. They were more commonly from the higher socio-economic status (77.3%) and from the urban geography (44.23%). In the 1291 eyes, 567 (43.92%) eyes had a visual impairment of blindness (> 20/400-20/1200) followed by moderate visual impairment (> 20/70-20/200) in 166 (12.86%) eyes. Overall, the most common etiology was keratoconus in 1,082 (83.81%) eyes followed by primary congenital glaucoma (PCG) in 91 (7.05%) eyes. Surgical intervention to hasten the recovery of hydrops was performed in 7.82% of eyes with ectasia and as a definite management in 7.05% eyes with PCG. Visual rehabilitation was with contact lenses in 29.1% eyes and keratoplasty in 13.94% eyes.</p><p><strong>Conclusion: </strong>Corneal hydrops is predominantly unilateral and is more common in males. Keratoconus was the commonest etiological condition; however, the risk of hydrops was highest in keratoglobus, followed by PMD. Most affected age was the second decade of life and visual impairment was severe in majority (60%). A surgical intervention was performed in a third of the cases.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581881","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}

{"title":"Efficacy of gabapentin and pregabalin for treatment of post refractive surgery pain: a systematic review and meta-analysis.","authors":"Kai-Yang Chen, Hoi-Chun Chan, Li-Yun Wei, Chi-Ming Chan","doi":"10.1007/s10792-024-03300-9","DOIUrl":"10.1007/s10792-024-03300-9","url":null,"abstract":"<p><strong>Introduction: </strong>For ophthalmic patients, eye discomfort is a major problem that requires efficient pain treatment techniques. Pregabalin and gabapentin have surfaced as viable treatments for post-refractive surgery pain. To manage pain after refractive surgery, gabapentin and pregabalin were evaluated in this systematic review and meta-analysis.</p><p><strong>Methodology: </strong>A thorough search of databases including PubMed, Embase, Cochrane Library, and CINAHL was performed until March 2024. Inclusion criteria were randomized controlled trials assessing pregabalin and/or gabapentin's effectiveness in treating pain post-PRK, LASIK, and LASEK surgeries.</p><p><strong>Results: </strong>Six studies met inclusion criteria, comprising a total of 391 patients undergoing various corneal surgeries. The meta-analysis revealed that pregabalin was significantly more effective than placebo in reducing pain on the first and second postoperative days (SMD day 1: -0.32, 95% CI -0.54, -0.09; SMD day 2: -0.55, 95% CI -0.85, -0.25), while gabapentin showed significant pain reduction on the second day only (SMD day 2: -0.42, 95% CI -0.71, -0.13). Combined analysis for both medications showed significant pain reduction on the first- and second-days post-surgery. No significant increase in adverse events was associated with either medication. Publication bias was minimal except for a slight asymmetry noted on day 1 effectiveness.</p><p><strong>Conclusion: </strong>Pregabalin and gabapentin are effective in reducing postoperative pain following refractive surgeries, with pregabalin showing a greater effect. Both medications are safe, with no significant increase in adverse events. Further research with standardized methodologies and long-term follow-up is recommended to optimize postoperative pain management in ocular surgeries.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500555","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}

{"title":"Unilateral versus bilateral lateral rectus recession for correction of small to moderate angle exotropia.","authors":"Rehab Rashad Kassem, Rokaya Emad Radwan, Randa Mohamed Abdel-Moneim El-Mofty, Hala Mostafa Elhilali","doi":"10.1007/s10792-024-03324-1","DOIUrl":"https://doi.org/10.1007/s10792-024-03324-1","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the effect of unilateral versus bilateral lateral rectus (LR) recession for correction of small to moderate exotropia.</p><p><strong>Methods: </strong>Records of all patients with exotropia 14-35 prism diopters (∆), operated upon by the authors, were included in a retrospective study to compare the effect of unilateral (Group 1) versus bilateral (Group 2) LR recession. The study end-point was the last follow-up visit scheduled at least 3 months postoperatively. A successful outcome was defined as 0-10∆ of horizontal tropia.</p><p><strong>Results: </strong>The study included 154 patients (47 in Group 1 and 107 in Group 2). Patients were followed up for 3-120 months (26.7 ± 24.88). A successful outcome was achieved in 83% in Group 1 and 82.2% in Group 2 (p = .976), with higher success in group 1 for surgical target angles up to 25∆. All failures in Group 1 were due to undercorrections., while the 17.8% failure rate in Group 2 comprised 15% undercorrections and 2.8% overcorrections (p = .419). Persistent lateral incomitance was seen in 29.5% in Group 1 versus 2.3% in Groups 2 (p < .001). Lateral incomitance was encountered in 71% of those undergoing 10 mm unilateral recessions, versus 20% of those who had smaller recession doses. Limited ductions were mild, and exceeded -1 in only 4 cases: 3 had had 10 mm and 1 had had 9 mm unilateral LR recession.</p><p><strong>Conclusions: </strong>Unilateral and bilateral LR recessions offer essentially equal success rates. Unilateral recessions are advised for angles up to 25∆, without exceeding 10 mm.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465521","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}

{"title":"An international survey on retinopathy of prematurity practice patterns during the COVID-19 pandemic and lessons for future management.","authors":"Rachel Shemesh, Michael Chiang, R V Paul Chan, Faruk Orge, Jason C Yam, Sonal Farzavandi, Derek Sprunger, Eedy Mezer, Tamara Wygnanski-Jafee","doi":"10.1007/s10792-024-03290-8","DOIUrl":"10.1007/s10792-024-03290-8","url":null,"abstract":"<p><strong>Purpose: </strong>To assess retinopathy of prematurity (ROP) practice patterns during the coronavirus (COVID-19) pandemic.</p><p><strong>Methods: </strong>A survey on ROP practice patterns during the COVID-19 pandemic was sent to the American Academy of Ophthalmic Executives, the International Pediatric Ophthalmology and Strabismus Council members, and to various national societies on May 19, 2020. The survey closed on the 31st of June 2020.</p><p><strong>Results: </strong>Two hundred ninety-two ophthalmologists from 41 countries responded to the survey. Most replies originated in Asia (48%) and North America (38%). During the COVID-19 pandemic compared to the pre-COVID-19 period, respondents reported a reduction of 15% in the number of NICU inpatients and 19.8% of the ROP outpatients' follow-up visits. The number of ROP outpatients' follow-up visits and inpatients' exams was significantly greater in North America than in Asia (72.0% versus 37.2% and 87.8% versus 49.6%, respectively, P < 0.001). Only 14% of the ophthalmologists adopted new screening guidelines, and 7.2% reported changing their preferred treatment. In 50% of responders, laser photocoagulation was the preferred treatment. A significantly higher percentage of ophthalmologists reported using telemedicine during the pandemic, 29.8% (n = 85/285), and 15.6% (44/282) prior to the pandemic (χ2 = 15.51, p < 0.001).</p><p><strong>Conclusions: </strong>During the COVID-19 pandemic, fewer ROP screening and follow-up visits were conducted on premature infants; these findings were especially prominent among physicians in Asia. Telemedicine usage increased during the pandemic. This study highlights the need to maintain screening protocols for ROP during pandemics. The utility of technological measures could enable this, along with adequate prevention of physical contact.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465519","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}

{"title":"Evaluating the 1-year success and safety of ab interno canaloplasty in combination with cataract surgery in glaucoma patients.","authors":"Lina Nassri, Julia Prinz, Hannah Schellhase, Matthias Fuest, Antonis Koutsonas, Niklas Plange, David Kuerten","doi":"10.1007/s10792-024-03325-0","DOIUrl":"https://doi.org/10.1007/s10792-024-03325-0","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the treatment success and safety of ab interno canaloplasty (AbiC) combined with cataract surgery in glaucoma patients.</p><p><strong>Methods: </strong>The prospective case study included 43 eyes that received an AbiC combined with cataract surgery (age 73.3 ± 8.2 years). The 360° microcatheterization and viscodilatation of the Schlemm's canal was conducted using VISCO 360 (Sight Sciences, CA, USA). The observation period was 12 months with visits at 2 and 6 as well as 12 months, 7 eyes were lost to follow up.</p><p><strong>Results: </strong>The preoperative IOP was 19.8 ± 4.9 mmHg and was reduced to 14.5 ± 2.8 mmHg 12 months after AbiC (p < 0.0001). The relative IOP reduction was 23.6 ± 23.1% after 12 months. Topical glaucoma medication was also reduced from 2.4 ± 1.1 drugs to 1.1 ± 1.4 (p < 0.001) after 12 months. The complete surgical success rate (defined as IOP < 18 mmHg without topical therapy) was 31.6% whereas the qualified surgical success was 89.5% (IOP < 18 mmHg, with local therapy) There were no relevant intra- or postoperative complications.</p><p><strong>Conclusion: </strong>AbiC in combination with cataract surgery is a safe and effective procedure to achieve a significant reduction of IOP and local glaucoma medication 12 months after surgery.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465520","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}