Journal of Ophthalmology最新文献

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Evaluation of Optical Coherence Tomography Angiography in Degenerative and Tractional Lamellar Macular Hole. 评估光学相干断层扫描血管造影术在退化性和牵张性片状黄斑孔中的应用。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-19 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4146294
Burcu Polat Gültekin, Defne Kalaycı
{"title":"Evaluation of Optical Coherence Tomography Angiography in Degenerative and Tractional Lamellar Macular Hole.","authors":"Burcu Polat Gültekin, Defne Kalaycı","doi":"10.1155/2024/4146294","DOIUrl":"10.1155/2024/4146294","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate the optical coherence tomography angiography (OCTA) findings in cases with degenerative and tractional lamellar macular holes (LMH).</p><p><strong>Methods: </strong>Two subtypes of LMH cases were included. Seventeen patients had the degenerative subtype, whereas 18 patients had the tractional subtype of LMH. Twenty healthy individuals were enrolled as the control group. The foveal avascular zone (FAZ) and retinal vascular densities in the superficial, deep capillary, and choriocapillary plexuses were analyzed and compared with fellow eyes and healthy controls using OCTA.</p><p><strong>Results: </strong>The mean FAZ area was wider in the degenerative subtype (0.33 ± 0.14 mm<sup>2</sup>) compared to the tractional subtype (0.24 ± 0.10 mm<sup>2</sup>) (<i>p</i>=0.04) and control eyes (0.26 ± 0.10 mm<sup>2</sup>) (<i>p</i>=0.03). Foveal vessel densities in the superficial and deep capillary plexuses were lower in the degenerative group than in the tractional group, (21.7 ± 9.8% vs. 26.8 ± 6.9%, <i>p</i>=0.01 and 28.5 ± 5.1% vs. 36.9 ± 6.2%, <i>p</i>=0.01). Choriocapillary vascular density in the parafoveal area was also lower in degenerative lamellar macular holes compared to the tractional group (60.4 ± 4.7% vs. 63.7 ± 3.9%, <i>p</i>=0.03). Compared to control eyes, eyes with degenerative and tractional LMH showed lower vessel densities in the parafoveal and perifoveal areas of the SCP, DCP, and all layers of CC (<i>p</i> < 0.05). In the foveal area, the LMH groups showed higher foveal vascular density (FVD) in the SCP than control eyes, while in the DCP, FVD was lower in the degenerative LMH eyes relative to the other groups.</p><p><strong>Conclusion: </strong>The finding of microvascular changes between degenerative and tractional LMH subtypes highlights their distinct pathologies and supports recent changes in the classification and terminology of this macular condition.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"4146294"},"PeriodicalIF":1.8,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11281851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Delayed Sequential Bilateral Cataract Surgery on Diabetic Macular Edema: A Real-World Study in Northwestern China. 延迟顺序双侧白内障手术对糖尿病黄斑水肿的影响:中国西北地区的一项真实世界研究。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-19 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2367292
Yuecong Ren, Hong Yan
{"title":"Impact of Delayed Sequential Bilateral Cataract Surgery on Diabetic Macular Edema: A Real-World Study in Northwestern China.","authors":"Yuecong Ren, Hong Yan","doi":"10.1155/2024/2367292","DOIUrl":"10.1155/2024/2367292","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the incidence and characteristics of treatment-requiring diabetic macular edema (TR-DME) in eyes after delayed sequential bilateral cataract surgery in patients with diabetes mellitus.</p><p><strong>Methods: </strong>This was a retrospective study involving patients with diabetes who underwent cataract surgery at Shaanxi Eye Hospital between January 2019 and December 2021. The incidence and characteristics of a first episode of TR-DME after delayed sequential bilateral cataract surgery were observed.</p><p><strong>Results: </strong>A total of 1553 individuals (3106 eyes) were included in the study. All patients underwent bilateral cataract surgery with the prescribed interval of surgery within one month. The incidence of TR-DME was 0.52% in the year before surgery versus 1.87% in the year after surgery (<i>p</i> < 0.05). The highest risk period was between 2 and 4 months after surgery. A first episode of TR-DME was observed in 58 eyes of 35 patients after delayed sequential bilateral cataract surgery. The patients were divided into four groups according to the interval between bilateral cataract surgeries. A higher incidence of TR-DME was observed when the interval between the surgeries was less than two weeks.</p><p><strong>Conclusions: </strong>This is the first real-world study of the effects of cataract surgery on the development of TR-DME. The study was performed at the largest ophthalmic center in Northwestern China. The findings demonstrate that the incidence of TR-DME increased significantly after cataract surgery, with the highest incidence between two and four months after surgery. Patients with shorter intervals between bilateral cataract surgeries were at a high risk.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"2367292"},"PeriodicalIF":1.8,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11281852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ABCA1 Deletion Does Not Affect Aqueous Humor Outflow Function in Mice. ABCA1 缺失不会影响小鼠的眼液外流功能
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-17 eCollection Date: 2024-01-01 DOI: 10.1155/2024/7195550
Bo Qin, Chunchun Hu, Youjia Zhang, Yuhong Chen, Yuan Lei
{"title":"ABCA1 Deletion Does Not Affect Aqueous Humor Outflow Function in Mice.","authors":"Bo Qin, Chunchun Hu, Youjia Zhang, Yuhong Chen, Yuan Lei","doi":"10.1155/2024/7195550","DOIUrl":"https://doi.org/10.1155/2024/7195550","url":null,"abstract":"<p><strong>Background: </strong>ATP binding cassette transporter A1 (ABCA1) is a candidate gene within a POAG susceptibility locus by GWAS analysis, and it is involved in IOP modulation via the Cav1/eNOS/NO signaling pathway. We aim to examine the phenotype of ABCA1 deletion in the ABCA1 gene knockout (Abca1<sup>-/-</sup>) mice.</p><p><strong>Methods: </strong>The anterior segments of Abca1<sup>-/-</sup> eyes were imaged by slit-lamp microscopy and anterior segment OCT. IOPs were measured by rebound tonometry. By perfusing enucleated eyes at various pressures, the aqueous humor outflow facility was determined. The mRNA expressions of ABCA1, Cav1, and eNOS were measured by RT-qPCR. The protein expressions were analyzed by western blot and immunofluorescence staining.</p><p><strong>Results: </strong>There was no significant difference in the anterior segment morphology of Abca1<sup>-/-</sup> mice. IOP and aqueous humor outflow facility did not change in Abca1<sup>-/-</sup> mice compared with wild-type mice. mRNA and protein expressions of ABCA1 were significantly lower in the outflow tissue of Abca1<sup>-/-</sup> eyes. The expressions of Cav1 and eNOS were both significantly upregulated in the outflow tissue of Abca1<sup>-/-</sup> eyes.</p><p><strong>Conclusion: </strong>ABCA1 deletion does not affect IOP and aqueous humor outflow function but the Cav1/eNOS/NO pathway is changed in Abca1<sup>-/-</sup> mice. The function of ABCA1 in aqueous humor outflow still requires further research.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"7195550"},"PeriodicalIF":1.8,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meta-Analysis: Characteristics of Retinal Vasculature in Obstructive Sleep Apnea Syndrome Humans. 元分析:阻塞性睡眠呼吸暂停综合征患者视网膜血管的特征。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-16 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4600428
Kaibao Ji, Yang Yang, Qinglin Zhang, Yiqiao Xing, Wei Wan
{"title":"Meta-Analysis: Characteristics of Retinal Vasculature in Obstructive Sleep Apnea Syndrome Humans.","authors":"Kaibao Ji, Yang Yang, Qinglin Zhang, Yiqiao Xing, Wei Wan","doi":"10.1155/2024/4600428","DOIUrl":"10.1155/2024/4600428","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study is to determine optic nerve head vascular changes in patients with obstructive sleep apnea-hypopnea syndrome (OSAS) by utilizing an optical coherence tomography angiography (OCTA) device.</p><p><strong>Methods: </strong>A detailed studies search was screened in the PubMed, Embase, the Cochrane Library, and Web of Science databases from inception to August 2023. We reviewed and examined optic nerve head vascular density in eyes with OSAS and controls. The mean difference and 95% confidence interval were calculated to evaluate continuous outcomes. Review Manager version 5.4.1 was applied for analysing pooled data.</p><p><strong>Results: </strong>Six eligible studies were included in our meta-analysis. The radial peripapillary capillary (RPC) whole enface vessel density (VD) measured by OCTA in the mild-to-moderate and severe OSAS groups was significantly lower compared to the controls (MD = -0.96, <i>P</i> = 0.03; MD = -1.42, <i>P</i> = 0.001, respectively). For RPC peripapillary VD, eyes in mild-to-moderate OSAS showed a trending decrease compared to the controls (MD = -1.71, <i>P</i> = 0.05), and there was a remarkable difference between eyes with severe OSAS and the controls (MD = -3.08, <i>P</i> = 0.004). In addition, the RPC inside disc VD was decreased in severe OSAS eyes than in the controls (MD = -0.07, <i>P</i> = 0.94).</p><p><strong>Conclusions: </strong>Our results revealed that peripapillary vascular density was attenuated in patients with OSAS. Moreover, on the basis of these findings, we suggest that optic nerve head vascular density measured by OCTA may be used as a potential tool to diagnose and monitor the severity of patients with OSAS.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"4600428"},"PeriodicalIF":1.8,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Generating Synthetic Light-Adapted Electroretinogram Waveforms Using Artificial Intelligence to Improve Classification of Retinal Conditions in Under-Represented Populations. 利用人工智能生成合成光适应视网膜电图波形,改进对代表性不足人群视网膜状况的分类。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-16 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1990419
Mikhail Kulyabin, Aleksei Zhdanov, Andreas Maier, Lynne Loh, Jose J Estevez, Paul A Constable
{"title":"Generating Synthetic Light-Adapted Electroretinogram Waveforms Using Artificial Intelligence to Improve Classification of Retinal Conditions in Under-Represented Populations.","authors":"Mikhail Kulyabin, Aleksei Zhdanov, Andreas Maier, Lynne Loh, Jose J Estevez, Paul A Constable","doi":"10.1155/2024/1990419","DOIUrl":"10.1155/2024/1990419","url":null,"abstract":"<p><p>Visual electrophysiology is often used clinically to determine the functional changes associated with retinal or neurological conditions. The full-field flash electroretinogram (ERG) assesses the global contribution of the outer and inner retinal layers initiated by the rods and cone pathways depending on the state of retinal adaptation. Within clinical centers, reference normative data are used to compare clinical cases that may be rare or underpowered within a specific demographic. To bolster either the reference dataset or the case dataset, the application of synthetic ERG waveforms may offer benefits to disease classification and case-control studies. In this study and as a proof of concept, artificial intelligence (AI) to generate synthetic signals using generative adversarial networks is deployed to upscale male participants within an ISCEV reference dataset containing 68 participants, with waveforms from the right and left eye. Random forest classifiers further improved classification for sex within the group from a balanced accuracy of 0.72-0.83 with the added synthetic male waveforms. This is the first study to demonstrate the generation of synthetic ERG waveforms to improve machine learning classification modelling with electroretinogram waveforms.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"1990419"},"PeriodicalIF":1.8,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intravitreal Dexamethasone Implant (Ozurdex) for Ocular Toxocariasis. 玻璃体内地塞米松植入剂(Ozurdex)治疗眼部弓形虫病。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-15 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6685092
Yongwei Zhou, Fangyuan Zhen, Jiahui Wu, Shasha Wang, Xiaoyan Lu, Ge Yang, Zhirou Hu, Fei Chen, Qiuming Li, Shuqian Dong
{"title":"Intravitreal Dexamethasone Implant (Ozurdex) for Ocular Toxocariasis.","authors":"Yongwei Zhou, Fangyuan Zhen, Jiahui Wu, Shasha Wang, Xiaoyan Lu, Ge Yang, Zhirou Hu, Fei Chen, Qiuming Li, Shuqian Dong","doi":"10.1155/2024/6685092","DOIUrl":"10.1155/2024/6685092","url":null,"abstract":"<p><p>This study aimed to evaluate the efficacy and safety of intravitreal dexamethasone implants in the treatment of ocular toxocariasis (OT). A retrospective analysis was performed on 6 cases in which laboratory tests diagnosed OT. All patients were administered with intravitreal dexamethasone implants with or without vitrectomy. The average follow-up time was 19.7 months. All operated eyes achieved anatomic success, and all patients' visual acuity was improved. Five of these six had a visual acuity of 20/100, and three had final acuity of 20/40 or even better. Intravitreal dexamethasone implants can be used to treat different types of OT, which not only effectively control inflammation and improve the patient's vision but also reduce the use of systemic glucocorticoids.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"6685092"},"PeriodicalIF":1.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study. 爱西华眼科医院超声乳化手术的长期疗效:前瞻性临床队列研究。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-15 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2562064
Mayor Orezime Atima, Ugbede Idakwo, Oyeronke Komolafe, Eisuke Shimizu, Nakayama Shintaro, Emmanuel Oluwadare Balogun, Emeka John Dingwoke, Ayodele Jacob Orugun, Olalekan Adebayo Ogundare, Pam Douglas Jah
{"title":"Long-Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study.","authors":"Mayor Orezime Atima, Ugbede Idakwo, Oyeronke Komolafe, Eisuke Shimizu, Nakayama Shintaro, Emmanuel Oluwadare Balogun, Emeka John Dingwoke, Ayodele Jacob Orugun, Olalekan Adebayo Ogundare, Pam Douglas Jah","doi":"10.1155/2024/2562064","DOIUrl":"10.1155/2024/2562064","url":null,"abstract":"<p><strong>Background: </strong>Phacoemulsification has proven to be a breakthrough technique in cataract surgery. Its popularity has grown dramatically as procedures and equipment have advanced, improving both safety and efficiency. This study presents long-term outcomes from phacoemulsification surgeries performed at the Evangelical Church Winning All (ECWA) Eye Hospital, a tertiary eye care center.</p><p><strong>Method: </strong>This prospective clinical cohort study followed standard practices for operations performed under local anesthesia. Ophthalmologists evaluated long-term outcomes and predictors of improved visual acuity after phacoemulsification cataract surgery. The visual recovery of the patients over time was evaluated, and the factors that influence the gains in vision were identified.</p><p><strong>Results: </strong>A total of 177 patients were subjected to treatment at our facilities during the study period. There were 116 male and 61 female patients, which resulted to a male-to-female ratio of 1 : 0.53. The average age of the patients was 59.18 years with a standard deviation of 11.38 years. Of the 259 eyes treated, 249 eyes (96.1%) achieved a high success rate with visual acuity of 6/6 - 6/18. Ten (10) eyes (3.9%) had moderate acuity between <6/18 and 6/60. Follow-up examinations over five years after phacoemulsification showed poor vision outcomes among old patients. The primary factor that affected improvement in visual acuity among patients was amblyopia, present in 30% of cases. Posterior capsular opacification and macular edema collectively accounted for 20% of poor vision cases, while optic atrophy, glaucoma, and retinal hemorrhage each represented approximately 10% of poor vision cases.</p><p><strong>Conclusions: </strong>The phacoemulsification approach demonstrated a highly effective restoration of vision for the vast majority, while long-term data analysis indicated the potential for age-related variability in postoperative visual gains.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"2562064"},"PeriodicalIF":1.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic Vitrectomy Combined with 3D Heads-Up Viewing System in Treating Traumatic Ocular Injury. 内窥镜玻璃体切割术与 3D 平视系统结合治疗眼外伤。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9294165
Yuan-Shao Cheng, Chung-Hao Hsiao, Wei-Ping Hsia, Hung-Ju Chen, Chia-Jen Chang
{"title":"Endoscopic Vitrectomy Combined with 3D Heads-Up Viewing System in Treating Traumatic Ocular Injury.","authors":"Yuan-Shao Cheng, Chung-Hao Hsiao, Wei-Ping Hsia, Hung-Ju Chen, Chia-Jen Chang","doi":"10.1155/2024/9294165","DOIUrl":"10.1155/2024/9294165","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate effects and complications of endoscopic vitrectomy combined with 3D heads-up viewing system in treating traumatic ocular injury. <i>Patients and Methods</i>. This is a retrospective interventional case series in a tertiary referral center in Taiwan, and we included patients of traumatic ocular injury, and they underwent endoscopic vitrectomy combined with a 3D heads-up viewing system.</p><p><strong>Results: </strong>Fourteen eyes of traumatic globe injury from 14 patients were studied over a 30-month period. Preoperative VA ranged from no light perception (NLP) to 6/6. Postoperative visual acuity improved in 11 of the 14 eyes (79%). Until 6 months after surgery, all eyes had attached retina. The median logMAR BCVA was 2.4 at the first visit and 1.19 at the last visit (<i>p</i> = 0.0028). No subject suffered from retinal detachment, endophthalmitis, or other severe complications.</p><p><strong>Conclusions: </strong>Vitrectomy using endoscopy combined with 3D heads-up viewing system allowed early evaluation and intervention in traumatic ocular injuries. Most of our cases showed both anatomical and visual acuity improvements.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"9294165"},"PeriodicalIF":1.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of Patients Who Drop Out of Anti-Vascular Endothelial Growth Factor Therapy for Macular Edema Associated with Branch Retinal Vein Occlusion. 因视网膜分支静脉闭塞导致黄斑水肿而放弃抗血管内皮生长因子疗法的患者特征。
IF 1.8 4区 医学
Journal of Ophthalmology Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8336516
Setsuko Kawakami, Yoshihiro Wakabayashi, Yoko Watanabe, Kazuhiko Umazume, Kaori Yamamoto, Hiroshi Goto
{"title":"Characteristics of Patients Who Drop Out of Anti-Vascular Endothelial Growth Factor Therapy for Macular Edema Associated with Branch Retinal Vein Occlusion.","authors":"Setsuko Kawakami, Yoshihiro Wakabayashi, Yoko Watanabe, Kazuhiko Umazume, Kaori Yamamoto, Hiroshi Goto","doi":"10.1155/2024/8336516","DOIUrl":"10.1155/2024/8336516","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the dropout rate of anti-vascular endothelial growth factor (VEGF) treatment for macular edema (ME) secondary to branch retinal vein occlusion (BRVO) and identify the characteristics of dropout cases.</p><p><strong>Methods: </strong>We studied 235 eyes of 235 treatment-naïve BRVO-ME patients receiving intravitreal injection of ranibizumab. Additional intravitreal anti-VEGF drug was given when ME relapsed or persisted, and photocoagulation was performed as needed. Adherence until treatment completion was defined as disappearance of ME within 2 years after the first injection without recurrence for more than 6 months or mild ME remaining but no visual deterioration for more than 6 months without additional anti-VEGF drug. In patients with ME recurrence, those who were followed for more than 2 years were considered adherence, and those followed for less than 2 years were considered dropout. The clinical course and background of the two groups were compared.</p><p><strong>Results: </strong>179 patients (76.2%) adhered to treatment and 56 patients (23.8%) dropped out. Mean follow-up periods in adherence and dropout groups were 23.4 and 7.1 months, respectively. There were no significant differences between the two groups in demographic and baseline factors of age, gender ratio, distance from home to hospital, visual acuity, and foveal thickness (FT). At the last follow-up, visual acuity was significantly poorer in the dropout group than in the adherence group (0.23 vs. 0.11 logMAR, <i>p</i>=0.003), and FT was significantly greater in the dropout group than in the adherence group (316 vs. 273 <i>µ</i>m, <i>p</i>=0.002). Reasons for dropout included patient declining further treatment in 12.5%, progression of dementia in 8.9%, others, and unknown in 64.3%.</p><p><strong>Conclusion: </strong>The clinical outcome of patients who dropped out of anti-VEGF therapy for BRVO-ME was worse compared to patients who adhered to therapy, and the reasons for discontinuation varied.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2024 ","pages":"8336516"},"PeriodicalIF":1.8,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11245335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Vitreous Reflux after Intravitreal Aflibercept Injection for Macular Edema with Branch Retinal Vein Occlusion: A Real-World Study. 玻璃体内注射 Aflibercept 治疗视网膜静脉分支闭塞性黄斑水肿后玻璃体回流的影响:真实世界研究。
IF 1.9 4区 医学
Journal of Ophthalmology Pub Date : 2024-06-25 DOI: 10.1155/2024/7645490
Tetsuya Muto,Masaaki Sakamoto,Shigeki Machida,Shinichiro Imaizumi,Tetsuju Sekiryu
{"title":"Effect of Vitreous Reflux after Intravitreal Aflibercept Injection for Macular Edema with Branch Retinal Vein Occlusion: A Real-World Study.","authors":"Tetsuya Muto,Masaaki Sakamoto,Shigeki Machida,Shinichiro Imaizumi,Tetsuju Sekiryu","doi":"10.1155/2024/7645490","DOIUrl":"https://doi.org/10.1155/2024/7645490","url":null,"abstract":"PurposeThis study aimed to evaluate the therapeutic effect of vitreous reflux (VR) after intravitreal aflibercept injection (IVAI) for macular edema (ME) following naïve branch retinal vein occlusion (BRVO).MethodsEighty patients with ME following BRVO were divided into three groups according to the conjunctival bleb diameter after IVAI as follows: group A (no VR), group; B (<3 mm VR), and group C (>3 mm VR). Each patient received single IVAI. The treatment response was evaluated with the best-corrected visual acuity (BCVA) and optical coherence tomography measurements of the retinal foveal thickness (RFT) before treatment and 1 month after the first injection. RFT >375 μm was defined as recurrence and received additional IVAI. The recurrence rate of ME and total numbers of IVAI were investigated at 12 months.ResultsThe BCVA values at 1 month were 0.17 ± 0.29 in group A (n = 41), 0.18 ± 0.17 in group B (n = 18), and 0.19 ± 0.26 in group C (n = 21). The RFT at 1 month were 270 ± 45 μm in group A, 279 ± 24 μm in group B, and 290 ± 43 μm in group C, respectively. ME recurred in 29 out of 41 patients in group A, 15 out of 18 in group B, and 14 out of 21 in group C. The total numbers of IVAI were 2.50 ± 1.24 in group A, 2.59 ± 1.06 in group B, and 2.29 ± 1.27 in group C, respectively. In the above mentioned comparisons, no significant differences were found following an IVAI (P > 0.05).ConclusionsVR after IVAI did not affect the therapeutic effect in patients with ME following BRVO. Thus, we do not need to pay excess attention to VR in the case of IVAI.","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"7 1","pages":"7645490"},"PeriodicalIF":1.9,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142207356","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}
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