International Ophthalmology最新文献

{"title":"Impact of corneal curvature on 2-year postoperative visual outcomes after small incision lenticule extraction for high myopia.","authors":"Yuanyuan Geng, Pengcheng Wu, Dongyan Zhang, Wenjuan Luo","doi":"10.1007/s10792-025-03510-9","DOIUrl":"https://doi.org/10.1007/s10792-025-03510-9","url":null,"abstract":"<p><strong>Purpose: </strong>High myopia requires precise surgical interventions to ensure optimal visual outcomes. Small Incision Lenticule Extraction (SMILE) has proven effective for high myopia correction, but the long-term impact of corneal curvature on refractive outcomes remains exploring. This study aimed to investigate whether preoperative low mean corneal curvature (Km) might result in refractive overcorrection, and to evaluate its influence on the refractive status of highly myopic patients 2 years post-SMILE surgery.</p><p><strong>Methods: </strong>67 patients underwent SMILE surgery were categorized into Low Corneal Curvature (n = 31) and Normal Corneal Curvature groups (n = 36) based on preoperative corneal curvature (Km ≤ 42.0D or 42.0D < Km < 46.0D). Corneal curvature, uncorrected distance visual acuity, and surgical parameters were analyzed over a 2-year follow-up period. Changes in corneal morphology were evaluated on Scheimpfug imaging.</p><p><strong>Results: </strong>No significant differences were observed in uncorrected distance visual acuity (UDVA) or changes in UDVA (△UDVA) at various time points between the two groups. However, differences in spherical equivalent (SE) were identified at 1 week (0.06 ± 0.47 vs. - 0.23 ± 0.23, P = 0.019) and 1 month (0.04 ± 0.41 vs. - 0.22 ± 0.39, P = 0.007), indicating relative overcorrection in the Low Corneal Curvature group. Significant disparities in corneal curvature were consistently noted between the groups throughout the 2-year postoperative period, with the Low Corneal Curvature Group exhibiting a greater change in Km compared to the Normal Corneal Curvature Group from 1 to 2 years (0.20 ± 0.17 vs. 0.12 ± 0.17, P = 0.003).</p><p><strong>Conclusion: </strong>Corneal curvature significantly influences the refractive status of patients with high myopia at 2 years following SMILE surgery.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"138"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752637","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":"Association of Twitter author Altmetric patterns with research impact in ophthalmology.","authors":"Seth E Buscho, Noah Slater, Sathvik Srinivasan, Praveena K Gupta","doi":"10.1007/s10792-025-03514-5","DOIUrl":"https://doi.org/10.1007/s10792-025-03514-5","url":null,"abstract":"<p><strong>Purpose: </strong>Twitter has become increasingly popular within academia due to ease of use in disseminating accurate medical information, networking with colleagues, and promoting research. Given the rapidly increasing presence of ophthalmologists on social media platforms, we determined how Twitter patterns amongst authors, institutions, and journals affects the academic impact of ophthalmology research articles.</p><p><strong>Methods: </strong>Data from 1086 research articles in the top 7 ophthalmology journals as determined by SCimago Journal Rank (SJR) was recorded for 2021 issues. Article citations, article captures, and Twitter metrics were retrospectively recorded using the Scopus database and PlumX Metrics on Scopus.</p><p><strong>Results: </strong>The number of citations and captures original research articles received had a significant positive correlation with the total tweets and retweets in general as well as self-tweets by authors of the article (p < 0.0001). Furthermore, articles tweeted by at least one author had a 1.7 fold increase in citations (p = 0.0012). While there was no significant effect on citations when a senior author or middle author tweeted about the publication, we observed a significantly greater number of citations when a first author tweeted about the publication (p = 0.0329). Both the author's affiliated institution and the journal tweeting about a publication were associated with more citations for that article (p < 0.0001 and p = 0.0025, respectively) and captures for that article (p < 0.0001 and p = 0.0025, respectively).</p><p><strong>Discussions: </strong>Twitter mentions of ophthalmology articles may reflect their future academic impact. Authors of recent ophthalmology publications, ophthalmology journals, academic institutions may benefit from promoting research articles on Twitter to increase visibility and citations.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"136"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752527","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":"Comparative efficacy of conbercept 3+PRN versus 3+TAE regimens for the treatment of polypoidal choroidal vasculopathy.","authors":"Xinli Ma, Dan Han, Jiayue Gao, Ziwei Xu, Xin Qu, Yue Fu","doi":"10.1007/s10792-025-03481-x","DOIUrl":"https://doi.org/10.1007/s10792-025-03481-x","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the efficacy and safety of the 3+ pro re nata (PRN) and 3+ treat-and-extend (TAE) regimens of intravitreal conbercept for treating polypoidal choroidal vasculopathy (PCV).</p><p><strong>Methods: </strong>This retrospective, single-center study included 106 treatment-naïve PCV patients who received intravitreal conbercept injections between March 2019 and September 2023. Patients were divided into two groups based on post-loading regimens: 3+PRN (65 patients) or 3+TAE (41 patients). All patients received three initial monthly injections. The 3+PRN group received additional injections as needed, while the 3+TAE group had treatment intervals adjusted based on lesion activity and visual acuity stability. Outcomes were assessed over 12 months, including best-corrected visual acuity (BCVA), central retinal thickness (CRT), pigment epithelial detachment (PED) height, polyp regression, number of injections, and follow-up visits.</p><p><strong>Results: </strong>Both groups showed significant improvements in BCVA from baseline to month 12 (3+TAE: 53.9 ± 16.5-61.4 ± 10.9 letters; 3+PRN: 54.6 ± 15.8-60.7 ± 11.5 letters; both P < 0.05), with no significant differences between groups (P > 0.05). CRT and PED height decreased significantly in both groups (P < 0.001), with no intergroup differences. Polypoidal lesion regression rates were similar at month 12 (3+TAE: 43.9%, 3+PRN: 44.6%; P = 0.964). The 3+PRN group required fewer injections (7.4 ± 0.7 vs. 8.2±1.6; P = 0.003) but more follow-up visits (12.6 ± 1.4 vs. 10.7 ± 1.2; P < 0.001) compared to the 3+TAE group. No ocular or systemic complications were reported in either group.</p><p><strong>Conclusions: </strong>Both the 3+PRN and 3+TAE conbercept regimens are effective and safe for treating PCV, demonstrating similar improvements in visual and anatomical outcomes. The 3+TAE regimen requires more injections but fewer follow-up visits, which may enhance patient adherence by reducing clinic visits.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"139"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752714","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":"Effect of recombinant plasmid heat shock protein 47 small interfering ribonucleic acid on the scarring of the filtering channel after filtration surgery in rabbit eyes.","authors":"Chunfang Gan, Shasha Yao, Rugang Pan","doi":"10.1007/s10792-025-03511-8","DOIUrl":"https://doi.org/10.1007/s10792-025-03511-8","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the effects of recombinant plasmid heat shock protein 47 small interfering ribonucleic acid (HSP47-siRNA) on fibroblast proliferation and collagenous fibre synthesis in the filtering channel after trabeculectomy in rabbit.</p><p><strong>Methods: </strong>The recombinant plasmid HSP47-siRNA was constructed successfully to extract sufficient recombinant plasmids. Furthermore, an animal model of anti-glaucoma surgery in rabbit eyes was created to establish the HSP47-siRNA group, empty vector group, mitomycin C (MMC) group and normal saline group. This study further observed the postoperative eye condition, measured the intraocular pressure and carried out histological and immunohistochemical staining analysis.</p><p><strong>Results: </strong>At different time points after surgery, there were no significant differences in the comparison of filtering bleb morphology, conjunctival congestion, corneal oedema, inflammation and depth of anterior chamber or lens opacity among the HSP47-siRNA, empty vector, MMC and normal saline groups. Within 7 days after surgery, filtering blebs in all groups were bulged and diffused, with no statistically significant difference (p > 0.05). On day 15 and day 30 after surgery, the upper filtering bleb gradually decreased in the empty vector group and the normal saline group compared with the HSP47-siRNA group (p < 0.01). On day 30 after surgery, flat and pale scar tissues were observed in the surgical area of the empty vector and normal saline groups, whereas functional blebs were still observed in the HSP47-siRNA and MMC groups. Within 7 days after surgery, the intraocular pressure significantly decreased in each group, with a statistically significant difference compared with that before surgery (p < 0.01).</p><p><strong>Conclusion: </strong>HSP47-siRNA exhibits application potential concerning its effects on anti-scarring after glaucoma filtration surgery in rabbit.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"137"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752716","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":"Refractive outcomes and safety profile after sequential bilateral cataract surgery.","authors":"Miguel Omar Ibañez-Esparza, Fernando Mora-González, Beatriz Alvarado-Castillo, Gabriela Estefanía Ibarra-Elizalde, Miguel Ángel Castro-Monreal, Roberto González-Salinas, Miguel Ángel Ibañez-Hernández","doi":"10.1007/s10792-025-03472-y","DOIUrl":"https://doi.org/10.1007/s10792-025-03472-y","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the safety and effectiveness of simultaneous bilateral cataract surgery (SBCS) in a private ophthalmology clinic, focusing on postoperative refractive outcomes, visual acuity, and the incidence of complications.</p><p><strong>Methods: </strong>This observational, retrospective study included 200 eyes from 100 patients who underwent SBCS between January 2018 and April 2020. Preoperative evaluations comprised visual acuity, refraction, biometry, and anterior segment examinations. Surgeries were performed sequentially by a single surgeon using femtosecond laser-assisted or stop-and-chop techniques, with adherence to iSBCS guidelines. Postoperative care included topical antibiotics and steroids, with follow-up at one day and four weeks. Safety outcomes included the incidence of complications, particularly Toxic Anterior Segment Syndrome (TASS), while effectiveness was assessed by postoperative visual acuity and refraction.</p><p><strong>Results: </strong>Postoperative complications were observed in 2.5% of cases, including two cases of unilateral TASS, one case of corneal edema, one reactivation of diabetic macular edema, and one of ocular hypertension. All complications were resolved with medical management, and no cases of endophthalmitis were reported. Visual acuity improved significantly, with all eyes achieving 0.096 logMAR or better by week four. Refractive outcomes showed high accuracy, with no significant refractive surprises.</p><p><strong>Conclusions: </strong>SBCS is a safe and effective procedure, delivering excellent visual and refractive outcomes. The incidence of complications, including TASS, was low, and all cases were successfully managed. This approach can be a viable alternative for patients with bilateral cataracts, particularly in settings with strict adherence to sterilization and surgical protocols.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"129"},"PeriodicalIF":1.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752640","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":"Determining the cause of optic nerve atrophy in syndromic craniosynostosis using logistic regression.","authors":"Salem Ban Obaidellah, Nur Anisah Mohamed, Norli Anida Abdullah, Norlisah Mohd Ramli, Tan Li Kuo, Firdaus Hariri","doi":"10.1007/s10792-025-03442-4","DOIUrl":"https://doi.org/10.1007/s10792-025-03442-4","url":null,"abstract":"<p><p>The restricted intracranial volume in syndromic craniosynostosis is due to limited skull expansion caused by early fusion of multiple cranial sutures. This led to progressive increased in intracranial pressure which has long been established as the cause of optic nerve damage. Optic nerve damage secondary to the narrowing of optic canal in syndromic craniosynostosis has been reported but not comprehensively explored. The objective of this study is to predict using logistic regression the cause of optic nerve atrophy is caused by increased intracranial pressure or structural narrowing of optic canal. The study involved 11 measurements of features of the optic canals as predictor variables. A binary logistic regression and variable selection method were applied to the 11 measurements to choose the best combination of the predictors. The results show good models that could be considered a suitable representation of the data. The height at the optical cranial side is the most dominant feature in the top 20 models that specifies the syndromic patients, followed by the area and the perimeter for both optic canals, then the length of the medial wall and the diameter at the mid canal for right and left canal respectively. The paper's findings provide significant evidence for using this method as an alternative to determine if the cause of optic nerve atrophy is related to either increased intracranial pressure or narrowing optic canal structure among syndromic craniosynostosis patients, thus saving the patient from ineffective operations, additional risks, and waste of resources.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"127"},"PeriodicalIF":1.4,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752715","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":"Identification of organizational issues during initial medical care for patients with glaucoma.","authors":"Maiya Taushanova, Lyudmila Yermukhanova, Venera Baisugurova, Gulnara Kapanova, Gulnar Nazarbayeva","doi":"10.1007/s10792-025-03521-6","DOIUrl":"https://doi.org/10.1007/s10792-025-03521-6","url":null,"abstract":"<p><p>Glaucoma remains one of the most challenging issues in contemporary ophthalmology. The significant spread of the disease among the population, difficulties in early diagnosis, and unfavorable prognosis are the key factors in the increased attention to glaucoma by scientists and doctors. It is a well-known fact that the preservation of visual function in glaucoma depends on early disease detection in the preclinical stage and on the patient's adherence to therapy and competent follow-up. A study was conducted to investigate and identify the challenges faced by primary care ophthalmologists in the screening and follow-up of patients with a confirmed primary open angle glaucoma. As part of the research, an anonymous questionnaire was given to 66 ophthalmologists of initial health care in Aktobe. The questionnaire had three blocks: the first block-was the introductory part, which had a short explanation of the research topic; the second block included a block of questions aimed to get information about the respondent (territorial place of work, experience of work, type of medical institution); third block contained the main question about the disease. All data obtained through questionnaires were processed and analyzed using STATISTICA 12 software. The data of the analysis helped to identify and justify the options to improve the dynamic monitoring of patients with glaucoma. The data obtained in the research made it possible to identify several existing problems at different stages of ophthalmic medical care, which will allow the development of organizational measures aimed at improving the quality of screening programs for glaucoma.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"133"},"PeriodicalIF":1.4,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752636","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":"Relationship between choroidal structure and myocardial collateral flow regulation in acute and chronic coronary heart disease.","authors":"Gurcan Dogukan Arslan, Levent Dogan, Zeki Dogan, Hasan Kiziltoprak","doi":"10.1007/s10792-025-03515-4","DOIUrl":"https://doi.org/10.1007/s10792-025-03515-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the relationship between coronary collateral filling, collateral size, and choroidal parameters in patients with acute and chronic coronary heart disease (CHD).</p><p><strong>Methods: </strong>Thirty-eight patients with acute CHD and 38 with chronic CHD who underwent diagnostic angiography in a cardiology clinic were included in this observational cross-sectional study. The control group comprised 32 healthy participants, and we examined both eyes of all participants. Diagnostic coronary angiograms were used to score the coronary collaterals, and choroidal parameters were measured in patients with CHD.</p><p><strong>Results: </strong>Choroidal vascular index (CVI) and subfoveal choroidal thickness (SFCT) were significantly lower in the chronic CHD group than in the acute CHD and control groups (p < 0.05). In the multinominal logistic regression analysis, collateral size had a significant association with both CVI (OR, 0.751; 95% CI, 0.596-0.947), and SFCT (OR, 0.986; 95% CI, 0.976-0.996) in patients with chronic CHD (p < 0.05). However, in the acute CHD group, no significant relationship was observed among choroidal parameters, collateral size, and filling.</p><p><strong>Conclusion: </strong>Patients with chronic CHD had the lowest mean CVI and SFCT among the three groups, and this may be helpful in indicating chronic myocardial ischaemia. Moreover, an association was observed between larger collateral size and reduced CVI and SFCT in patients with chronic CHD, which may potentially be triggered by decreased angiogenic factors.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"132"},"PeriodicalIF":1.4,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752641","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":"Advances in machine learning for keratoconus diagnosis.","authors":"Zahra J Muhsin, Rami Qahwaji, Ibrahim Ghafir, Mo'ath AlShawabkeh, Muawyah Al Bdour, Saif AlRyalat, Majid Al-Taee","doi":"10.1007/s10792-025-03496-4","DOIUrl":"10.1007/s10792-025-03496-4","url":null,"abstract":"<p><strong>Purpose: </strong>To review studies reporting the role of Machine Learning (ML) techniques in the diagnosis of keratoconus (KC) over the past decade, shedding light on recent developments while also highlighting the existing gaps between academic research and practical implementation in clinical settings.</p><p><strong>Methods: </strong>The review process begins with a systematic search of primary digital libraries using relevant keywords. A rigorous set of inclusion and exclusion criteria is then applied, resulting in the identification of 62 articles for analysis. Key research questions are formulated to address advancements in ML for KC diagnosis, corneal imaging modalities, types of datasets utilised, and the spectrum of KC conditions investigated over the past decade. A significant gap between academic research and practical implementation in clinical settings is identified, forming the basis for actionable recommendations tailored for both ML developers and ophthalmologists. Additionally, a proposed roadmap model is presented to facilitate the integration of ML models into clinical practice, enhancing diagnostic accuracy and patient care.</p><p><strong>Results: </strong>The analysis revealed that the diagnosis of KC predominantly relies on supervised classifiers (97%), with Random Forest being the most used algorithm (27%), followed by Deep Learning including Convolution Neural Networks (16%), Feedforward and Feedback Neural Networks (12%), and Support Vector Machines (12%). Pentacam is identified as the leading corneal imaging modality (56%), and a substantial majority of studies (91%) utilize local datasets, primarily consisting of numerical corneal parameters (77%). The most studied KC conditions were non-KC (NKC) vs. clinical KC (CKC) (29%), NKC vs. Subclinical KC (SCKC) (24%), NKC vs. SCKC vs. CKC (20%), SCKC vs. CKC (7%). However, only 20% of studies focused on addressing KC severity stages, emphasizing the need for more research in this area. These findings highlight the current landscape of ML in KC diagnosis and uncover existing challenges, and suggest potential avenues for further research and development, with particular emphasis on the dominance of certain algorithms and imaging modalities.</p><p><strong>Conclusion: </strong>Key obstacles include the lack of consensus on an objective diagnostic standard for early KC detection and severity staging, limited multidisciplinary collaboration, and restricted access to public datasets. Further research is crucial to overcome these challenges and apply findings in clinical practice.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"128"},"PeriodicalIF":1.4,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752482","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":"Impact of postoperative self-care on early outcomes in endoscopic dacryocystorhinostomy: a retrospective observational study.","authors":"Xinyu Zheng, Yunming Liu, Xinyue Yu, Kerui Wang, Ziwei Meng, Jing Li, Can Yang, Chengzhen Gong, Xuanwei Liang, Rongxin Chen, Shuiling Li","doi":"10.1007/s10792-025-03489-3","DOIUrl":"https://doi.org/10.1007/s10792-025-03489-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the influence of standardized postoperative self-care protocols on short-term surgical outcomes in patients undergoing endoscopic dacryocystorhinostomy (En-DCR).</p><p><strong>Methods: </strong>This study evaluated the early prognosis (1 month) and personal care of 90 patients with 94 eyes who underwent endoscopic dacryocystorhinostomy (En-DCR) for Chronic dacryocystitis (CD). Surgical outcomes were divided into ostium grade and operative effect. Operative effect was judged by subjective symptom improvement, in addition to ostium assessment based on the results of nasal endoscopic review. We investigated the correlation between operative effect and ostium grade, and further analyzed the key factors influencing these outcomes during postoperative personal care.</p><p><strong>Results: </strong>The results of correlation analysis between operative effect and objective indicators showed that the outcomes of lacrimal duct irrigation (r = 0.444, P < 0.001), dye disappearance test (r = 0.217, P = 0.036), and ostium grade (r = 0.350, P < 0.001) were positively correlated with the operative effect of patients. The analysis of influencing factors during postoperative nursing showed that patients with nasal saline rinsing at least once a day after operation, nasal spray (Xylometazoline Hydrochloride and Budesonide) at least once a day after operation and without postoperative respiratory tract infection had better ostium grades and operative effect (P < 0.05).</p><p><strong>Conclusions: </strong>The early operative effect of endoscopic dacryocystorhinostomy (En-DCR) is closely related to the condition of the ostium. During postoperative personal care, patients who maintain nasal saline rinsing and nasal spray (Xylometazoline Hydrochloride and Budesonide) at least once a day and reasonably prevent respiratory tract infection tend to have better recovery of early postoperative ostium and better operative effect. Medical staff should strengthen the home nursing guidance for patients after En-DCR day surgery.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"131"},"PeriodicalIF":1.4,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752638","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}