Journal of Ophthalmic & Vision Research最新文献

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Challenges and Advances in the Production of Transplantable Retinal Tissue from Retinal Organoids. 视网膜类器官制备可移植视网膜组织的挑战与进展。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-06-18 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.17499
Samir Malhotra, Magdalene J Seiler, Andrew W Browne
{"title":"Challenges and Advances in the Production of Transplantable Retinal Tissue from Retinal Organoids.","authors":"Samir Malhotra, Magdalene J Seiler, Andrew W Browne","doi":"10.18502/jovr.v20.17499","DOIUrl":"10.18502/jovr.v20.17499","url":null,"abstract":"<p><p>Retinal degenerative diseases (RDD), which impair photoreceptors, the retinal pigment epithelium (RPE), and associated retinal cells, result in severe vision loss. For patients with advanced RDD, tissue replacement therapies, such as transplantation, offer potential pathways to visual rehabilitation. While fetal retinal transplantation has shown some promise in preclinical and clinical studies, human pluripotent stem cell (hPSC)-derived retinal organoids (ROs) present a promising alternative. ROs are three-dimensional tissues that replicate key aspects of retinal development, making them viable candidates for transplantation. However, the path toward clinical application faces two primary challenges: achieving Good Manufacturing Practice (GMP)-compliant production and overcoming technical difficulties associated with safe transplantation. Current RO production protocols are often limited by variability in tissue morphology, yield, and reproducibility, while transplantation efforts are hindered by rosette formation and mechanical damage to the subretinal space. Recent innovations, including automated bioreactor systems and optimized surgical techniques, offer potential solutions. Further advances in understanding and preventing rosette formation are essential to improve transplantation outcomes. Continued research and technological development are necessary to unlock the full potential of ROs for visual rehabilitation in patients with retinal degeneration.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unique Findings of Sickle Cell Retinopathy in a Patient with Hemoglobin SE Disease. 血红蛋白SE患者镰状细胞性视网膜病变的独特发现
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-06-18 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.14699
Corey Lacher, Aliya C Roginiel, Elmira Baghdasaryan, Alexander A Svoronos, Philip J Ferrone, Isha Cheela
{"title":"Unique Findings of Sickle Cell Retinopathy in a Patient with Hemoglobin SE Disease.","authors":"Corey Lacher, Aliya C Roginiel, Elmira Baghdasaryan, Alexander A Svoronos, Philip J Ferrone, Isha Cheela","doi":"10.18502/jovr.v20.14699","DOIUrl":"10.18502/jovr.v20.14699","url":null,"abstract":"<p><strong>Purpose: </strong>To report the second documented case of spontaneous sickle cell retinopathy due to hemoglobin SE disease, and the third in association with this condition overall.</p><p><strong>Case report: </strong>An asymptomatic 19-year-old African American woman with hemoglobin SE disease and no other significant past medical history presented for a routine eye exam. Fundoscopy revealed two sunburst lesions in the temporal periphery of her right eye and one such lesion in the temporal periphery of her left eye. No definitive signs of neovascularization were detected on fluorescein angiography, although multiple areas of abnormal vasculature and distal non-perfusion were observed.</p><p><strong>Conclusion: </strong>Spontaneous peripheral retinopathy can develop at an early age in hemoglobin SE disease. Given the risk for complications, pediatric screening with regular fundoscopic examination may benefit such patients.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Asymmetric and Eccentric Laser Pointer Maculopathy in a Teenager. 青少年的不对称和偏心激光笔黄斑病变。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.17828
Maria Krisch, Jordan Ueberroth, Mark P Breazzano
{"title":"Asymmetric and Eccentric Laser Pointer Maculopathy in a Teenager.","authors":"Maria Krisch, Jordan Ueberroth, Mark P Breazzano","doi":"10.18502/jovr.v20.17828","DOIUrl":"10.18502/jovr.v20.17828","url":null,"abstract":"","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refractive Profile and Angle of Deviation in Patients with Congenital Esotropia and Congenital Exotropia. 先天性内斜视和先天性外斜视患者的屈光轮廓和角度偏差。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.15066
Masoud Khorrami-Nejad, Mohammad Reza Akbari, Ali Hassan Khaleel, Razieh Bahreini, Foroozan Narooie-Noori, Babak Masoomian
{"title":"Refractive Profile and Angle of Deviation in Patients with Congenital Esotropia and Congenital Exotropia.","authors":"Masoud Khorrami-Nejad, Mohammad Reza Akbari, Ali Hassan Khaleel, Razieh Bahreini, Foroozan Narooie-Noori, Babak Masoomian","doi":"10.18502/jovr.v20.15066","DOIUrl":"10.18502/jovr.v20.15066","url":null,"abstract":"<p><strong>Purpose: </strong>To compare refractive error and angle of deviation in patients with congenital esotropia (CET) and congenital exotropia (CXT).</p><p><strong>Methods: </strong>This retrospective study reviewed the medical documents of 246 patients with CET (<i>n</i> = 206) and CXT (<i>n</i> = 40) admitted to Farabi Eye Hospital, Iran, from 2012 to 2022. All patients were between 6 and 12 months old at the time of admission. Refractive error components and angles of deviation in these patients were recorded and analyzed.</p><p><strong>Results: </strong>In patients with CET, the mean sphere, cylinder, and spherical equivalent (SE) were 2.59 ± 2.28 diopters (D), -0.42 ± 0.57 D, and 2.38 ± 2.28 D, respectively. Also, the mean horizontal deviation at near was 45.5 ± 12.3 prism diopters (Δ) (range, 20-98 Δ). The most common range was 44-55 Δ (40%), followed by 33-44 Δ (28%) and 55-65 Δ (12%). On the other hand, the mean sphere, cylinder, and SE in patients with CXT were 1.88 ± 1.84 D, -0.39 ± 0.69 D, and 1.69 ± 1.74 D, respectively. Also, the mean horizontal deviation at near was 45.0 ± 17.1 Δ (range, 20-105 Δ). For the CXT group, deviation ranges of 33-44 Δ (37%), 44-55 Δ (32%), and 22-33 Δ (15%) were most prevalent. The mean sphere and SE were significantly higher in the CET group than in the CXT group (P = 0.010).</p><p><strong>Conclusion: </strong>This study found a distinct refractive profile and distribution of the angle of deviation in patients with CET versus CXT. Patients with CET demonstrated significantly greater hyperopia than those with CXT.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intracellular Signaling Pathways and Their Potential Targeting for Treatment of Ocular Posterior Segment Fibrosis. 细胞内信号通路及其治疗眼后段纤维化的潜在靶点。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-05-21 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.16966
Tahmineh Motevasseli, Aryan Seraj, Narsis Daftarian, Mozhgan Rezaei Kanav, Hamid Ahmadieh, Nader Sheibani
{"title":"Intracellular Signaling Pathways and Their Potential Targeting for Treatment of Ocular Posterior Segment Fibrosis.","authors":"Tahmineh Motevasseli, Aryan Seraj, Narsis Daftarian, Mozhgan Rezaei Kanav, Hamid Ahmadieh, Nader Sheibani","doi":"10.18502/jovr.v20.16966","DOIUrl":"10.18502/jovr.v20.16966","url":null,"abstract":"<p><p>Treatment of posterior segment fibrosis is an unmet challenge in ophthalmology. Fibrotic responses complicate the pathology and treatment of age-related macular degeneration, diabetic retinopathy, retinal detachment, and other retinal diseases resulting in severe visual impairment. There is a lack of clear understanding of the exact mechanisms and different cell types taking part in retinal and preretinal fibrosis. This review discusses the current knowledge regarding various aspects of the intracellular signaling pathways impacting vitreoretinal fibrotic processes, focusing on the cellular and molecular mechanisms, summarizing the results of preclinical and clinical studies, and suggesting strategies for future investigations.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optical Coherence Tomography Angiography Changes in Diabetic Macular Ischemia after Systemic Normobaric Oxygen Therapy. 光学相干断层扫描血管造影在糖尿病黄斑缺血后的变化。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.15354
Diba Idani, Seyed Mohammadjavad Mashhadi, Hamze Babaei, Farideh Sharifipour, Ramin Nourinia, Bahareh Kheiri, Arezoo Miraftabi
{"title":"Optical Coherence Tomography Angiography Changes in Diabetic Macular Ischemia after Systemic Normobaric Oxygen Therapy.","authors":"Diba Idani, Seyed Mohammadjavad Mashhadi, Hamze Babaei, Farideh Sharifipour, Ramin Nourinia, Bahareh Kheiri, Arezoo Miraftabi","doi":"10.18502/jovr.v20.15354","DOIUrl":"10.18502/jovr.v20.15354","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate vascular changes on optical coherence tomography angiography (OCTA) in patients with diabetic macular ischemia (DMI) after systemic normobaric oxygen (NBO) therapy.</p><p><strong>Methods: </strong>This before-after interventional studyincluded 26 eyes of 26 patients with DMI.Macular OCTA was performed before and after 1 hour of 100% NBO therapy at a flow of 10 L/min delivered by face mask. As primary outcomes, changes in OCTA metrics were evaluated using the paired <i>t</i>-test. Subgroup analyses were performed based on gender. The secondary outcomes included identifying parameters correlated with best-corrected visual acuity (BCVA) and factors associated with improvement in OCTA parameters.</p><p><strong>Results: </strong>The patients included 15 males and 11 females aged 59.48 <math><mo>±</mo></math> 9.67 years. Overall, no significant change was observed in retinal thickness; however, there was a significant decrease in retinal thickness among females and a significant increase among males (<i>P</i> <math><mo><</mo></math> 0.001). The foveal avascular zone (FAZ) decreased significantly from 0.38 <math><mo>±</mo></math> 0.14 to 0.34 <math><mo>±</mo></math> 0.12 mm<sup>2</sup> (<i>P =</i> 0.035). Superficial capillary plexus vessel density (SCP-VD) and deep capillary plexus vessel density (DCP-VD) at fovea increased from 13.5 <math><mo>±</mo></math> 6.37 to 14.98 <math><mo>±</mo></math> 6.33% (<i>P =</i> 0.059) and from 24.61 <math><mo>±</mo></math> 6.75 to 26.59 <math><mo>±</mo></math> 6.16% (<i>P =</i> 0.022), respectively. In males, BCVA correlated significantly with baseline DCP parameters but corresponded with none of the SCP parameters. In females, BCVA significantly correlated with pre-O2 DCP-VD of the perifoveal inferior quadrant. Finally, regression analysis did not show any parameter that could predict a favorable response.</p><p><strong>Conclusion: </strong>Using OCTA, we observed a decrease in FAZ and an increase in DCP-VD at fovea after short-term NBO therapy for patients with DMI.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phacoemulsification and Visco-synechiolysis With or Without Trabeculectomy Following Initial Management of Acute Primary Angle Closure: A Comparative Study. 急性原发性角关闭的初始治疗后超声乳化术和黏液溶解术加或不加小梁切除术:比较研究。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.15048
Mahdi Sharifzadeh Kermani, Mina Haj-Mohammad Karimi, Ali Sharifi, Mahla Shadravan, Arash Daneshtalab, Amin Zand
{"title":"Phacoemulsification and Visco-synechiolysis With or Without Trabeculectomy Following Initial Management of Acute Primary Angle Closure: A Comparative Study.","authors":"Mahdi Sharifzadeh Kermani, Mina Haj-Mohammad Karimi, Ali Sharifi, Mahla Shadravan, Arash Daneshtalab, Amin Zand","doi":"10.18502/jovr.v20.15048","DOIUrl":"10.18502/jovr.v20.15048","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effects of phacoemulsification, visco-synechiolysis, and trabeculectomy on eyes with a recent history of acute primary angle closure (APAC).</p><p><strong>Methods: </strong>In this prospective nonrandomized study, we enrolled patients with cataracts, peripheral anterior synechiae (PAS), and a history of APAC attack managed with medications and laser peripheral iridotomy (LPI) within the past six weeks. Patients without signs of glaucomatous optic neuropathy (GON) underwent phacoemulsification and visco-synechiolysis (PV group). Trabeculectomy was added to this procedure for cases with signs of underlying chronic GON (PVT group). We evaluated best-corrected visual acuity (BCVA), intraocular pressure (IOP), angle opening, PAS extension, and adverse events at baseline and six months postoperatively.</p><p><strong>Results: </strong>The PV and PVT groups comprised 8 and 12 eyes, respectively. At month six, both groups showed significant improvement in BCVA, reduced IOP, and increased Shaffer grading scores compared to baseline (all <i>P</i>s <math><mo><</mo></math> 0.05). Extensive PAS ( <math><mo>≥</mo></math> 180º) significantly decreased at month six in both the PV (<i>P</i> = 0.008) and PVT (<i>P</i> = 0.002) groups compared to baseline. However, its prevalence did not significantly differ between the two groups at baseline (<i>P</i> = 0.288) or six months after surgery (<i>P</i> = 0.881). At month six, IOP was significantly lower in the PVT group than the PV group (10.83 <math><mo>±</mo></math> 1.40 vs 13.63 <math><mo>±</mo></math> 2.07 mmHg, <i>P</i> = 0.002). Nevertheless, BCVA and Shaffer grading scores were not different between the two groups at this time point (<i>P</i> = 0.120, and <i>P</i> = 0.891, respectively). No serious complications were observed in any groups during the follow-ups.</p><p><strong>Conclusion: </strong>Patients with cataracts and a recent history of APAC without underlying chronic glaucoma may not receive additional trabeculectomy alongside lens extraction and synechiolysis.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pilocarpine 1% for Improved Near Vision in Pseudophakic Patients. 1%匹洛卡品用于改善假性近视患者的近视力。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.15331
Alireza Peyman, Maryam Naderi-Lordejani, Matin Irajpour, Mohammad Javad Ghanbarnia, Nima Koosha, Mohsen Pourazizi
{"title":"Pilocarpine 1% for Improved Near Vision in Pseudophakic Patients.","authors":"Alireza Peyman, Maryam Naderi-Lordejani, Matin Irajpour, Mohammad Javad Ghanbarnia, Nima Koosha, Mohsen Pourazizi","doi":"10.18502/jovr.v20.15331","DOIUrl":"10.18502/jovr.v20.15331","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy and safety of 1% pilocarpine to enhance near vision in pseudophakic patients with monofocal intraocular lens (IOL).</p><p><strong>Methods: </strong>This prospective, nonrandomized, open-label, pre-post interventional study was conducted on patients who had a history of phacoemulsification and monofocal IOL implantation without any complications at least six months before the intervention. One drop of 1% pilocarpine solution was instilled in one of the patients' eyes, and near and distance visual acuity was assessed before and 20 minutes after monocular administration of the drop. Adverse effects were monitored for 8 hours.</p><p><strong>Results: </strong>We studied54 pseudophakic eyes of 54 patients with a mean age of 55.02 <math><mo>±</mo></math> 10.10 years, including 36 males (66.7%). Distance-corrected near visual acuity improved significantly after administering 1% pilocarpine (<i>P</i> <math><mo><</mo></math> 0.001). After treatment, no significant decrease in corrected distance visual acuity (CDVA) was observed (<i>P</i> = 0.60). Overall, 46 patients (85.2%) exhibited an improvement of more than one line in near vision after treatment; however, eight patients (14.8%) did not show any changes in near vision. Only two patients (3.7%) gained three lines in near vision. Headache, irritation, and nausea were observed in three patients, two patients, and one patient, respectively.</p><p><strong>Conclusion: </strong>The monocular 1% pilocarpine solution significantly improved near visual acuity among patients with pseudophakia and featured an acceptable safety profile. Although this improvement is considerable, it may not be sufficient for complete spectacle independence. <b>Trial registration:</b> ClinicalTrials.gov identifier: NCT05578001.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilizing ChatGPT-3.5 to Assist Ophthalmologists in Clinical Decision-making. 利用ChatGPT-3.5辅助眼科医生进行临床决策。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.14692
Samir Cayenne, Natalia Penaloza, Anne C Chan, M I Tahashilder, Rodney C Guiseppi, Touka Banaee
{"title":"Utilizing ChatGPT-3.5 to Assist Ophthalmologists in Clinical Decision-making.","authors":"Samir Cayenne, Natalia Penaloza, Anne C Chan, M I Tahashilder, Rodney C Guiseppi, Touka Banaee","doi":"10.18502/jovr.v20.14692","DOIUrl":"10.18502/jovr.v20.14692","url":null,"abstract":"<p><strong>Purpose: </strong>ChatGPT-3.5 has the potential to assist ophthalmologists by generating a differential diagnosis based on patient presentation.</p><p><strong>Methods: </strong>One hundred ocular pathologies were tested. Each pathology had two signs and two symptoms prompted into ChatGPT-3.5 through a clinical vignette template to generate a list of four preferentially ordered differential diagnoses, denoted as Method A. Thirty of the original 100 pathologies were further subcategorized into three groups of 10: cornea, retina, and neuro-ophthalmology. To assess whether additional clinical information affected the accuracy of results, these subcategories were again prompted into ChatGPT-3.5 with the same previous two signs and symptoms, along with additional risk factors of age, sex, and past medical history, denoted as Method B. A one-tailed Wilcoxon signed-rank test was performed to compare the accuracy between Methods A and B across each subcategory (significance indicated by <i>P</i> <math><mo><</mo></math> 0.05).</p><p><strong>Results: </strong>ChatGPT-3.5 correctly diagnosed 51 out of 100 cases (51.00%) as its first differential diagnosis and 18 out of 100 cases (18.00%) as a differential other than its first diagnosis. However, 31 out of 100 cases (31.00%) were not included in the differential diagnosis list. Only the subcategory of neuro-ophthalmology showed a significant increase in accuracy (<i>P</i> = 0.01) when prompted with the additional risk factors (Method B) compared to only two signs and two symptoms (Method A).</p><p><strong>Conclusion: </strong>These results demonstrate that ChatGPT-3.5 may help assist clinicians in suggesting possible diagnoses based on varying complex clinical information. However, its accuracy is limited, and it cannot be utilized as a replacement for clinical decision-making.</p>","PeriodicalId":16586,"journal":{"name":"Journal of Ophthalmic & Vision Research","volume":"20 ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT. 前段OCT测量假脱落眼球结膜厚度。
IF 1.6
Journal of Ophthalmic & Vision Research Pub Date : 2025-05-05 eCollection Date: 2025-01-01 DOI: 10.18502/jovr.v20.15341
Mahla Shadravan, Shahin Yazdani, Bahareh Kheiri, Farideh Sharifipour, Azadeh Doozandeh, Mohammad Mehdi Hatami, Neda Einollahi
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