Journal of VitreoRetinal Diseases最新文献_第10页

Bimanual Technique With Perfluoro-N-Octane for Human Amniotic Membrane Transplantation in Refractory Optic Disc Pit Maculopathy 使用全氟-N-正辛烷的双人羊膜移植技术治疗难治性视盘凹陷性黄斑病变

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Journal of VitreoRetinal Diseases Pub Date : 2023-12-21 DOI: 10.1177/24741264231213433

M. Busquets

引用次数: 0

Implementation of a Teleophthalmology Screening Program for Diabetic Retinopathy in New York City 在纽约市实施糖尿病视网膜病变远程眼科筛查计划

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Journal of VitreoRetinal Diseases Pub Date : 2023-12-18 DOI: 10.1177/24741264231208253

Pamela Capellan, Alexander B. Dillon, Geoff Rodriguez, Jason Chua, M. Mahrous, Kyle Kovacs, Sarah Van Tassel, Donald J. D’Amico, Szilárd Kiss, A. Orlin

{"title":"Implementation of a Teleophthalmology Screening Program for Diabetic Retinopathy in New York City","authors":"Pamela Capellan, Alexander B. Dillon, Geoff Rodriguez, Jason Chua, M. Mahrous, Kyle Kovacs, Sarah Van Tassel, Donald J. D’Amico, Szilárd Kiss, A. Orlin","doi":"10.1177/24741264231208253","DOIUrl":"https://doi.org/10.1177/24741264231208253","url":null,"abstract":"Purpose: To examine the implementation of a teleophthalmology program for diabetic retinopathy (DR) screening at a metropolitan hospital system and identify the challenges that the clinical teams encountered using the program. Methods: The study was conducted in 2 parts. The first was a pilot retrospective chart review of 300 consecutive patients screened for DR by the teleophthalmology screening program. The baseline variables, DR capture rate and staging, and continuity of care for those diagnosed with DR were analyzed. The second was a web-based survey identifying the barriers encountered by 36 physicians and clinical staff as they participated in the teleophthalmology screening program. Results: Part 1: Of the patients evaluated, 57 (19.0%) were diagnosed with DR; 42 (73.7%) had mild nonproliferative DR (NPDR), 7 (12.3%) had moderate NPDR, none had severe NPDR, and 8 (14.0%) had PDR. Thirty-one patients (54.4%) with retinopathy diagnoses were referred for an in-person follow-up at the clinic while the rest continued monitoring via the program. Of this subset, 22 (71.0%) completed the follow-up visit. Part 2: The survey respondents comprised 28 physicians (77.8%), 6 licensed nurse practitioners (16.7%), and 2 medical assistants (5.6%). Twenty-two providers (71.0%) preferred initiating referrals for in-person annual examinations over teleophthalmology screening referrals. The most common barriers described were related to workflow interruption, time constraints, and staff shortages. Conclusions: The teleophthalmology DR screening program allowed identification of early or absent DR at clinics in an urban setting (New York City). The findings suggest areas for targeted improvement in the screening program to better complement internal referral practices’ workflows.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139174721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disease Awareness Among Patients With Age-Related Macular Degeneration: Patterns and Predictors 老年性黄斑变性患者对疾病的认识：模式与预测因素

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Journal of VitreoRetinal Diseases Pub Date : 2023-12-14 DOI: 10.1177/24741264231210078

Brian T. Cheng, Anne B. Kim, Alice T. Lyon, R. Mirza

{"title":"Disease Awareness Among Patients With Age-Related Macular Degeneration: Patterns and Predictors","authors":"Brian T. Cheng, Anne B. Kim, Alice T. Lyon, R. Mirza","doi":"10.1177/24741264231210078","DOIUrl":"https://doi.org/10.1177/24741264231210078","url":null,"abstract":"Purpose: To examine the prevalence and predictors of patient awareness of their disease in adults with age-related macular degeneration (AMD). Methods: This study analyzed 5553 adults 40 years or older in the 2005–2008 National Health and Nutrition Examination Survey who underwent retinal imaging. AMD was determined based on retinal images. Patient awareness of their AMD was assessed by a self-reported AMD diagnosis. Multivariable logistic regression models were constructed to examine the association of patient awareness of their AMD with sociodemographic characteristics and specific AMD lesion types on retinal imaging. Results: AMD was identified in 425 of the adults surveyed (6.5%) (95% confidence interval [CI], 5.5%-7.5%), including 87.7% (95% CI, 82.9%-92.5%) with early AMD and 12.3% (95% CI, 7.5%-17.1%) with late AMD. Among adults with either type of AMD on retinal imaging, 17.5% (95% CI, 13.1%-22.0%) were aware of their disease, which included 11.6% (95% CI, 8.4%-14.9%) with early AMD and 59.2% (95% CI, 43.1%-75.3%) with late AMD ( P < .0001). In the same group, those aged 60 years or older (odds ratio [OR], 33.46; 95% CI, 7.67-146.03) and with a best-corrected visual acuity of 20/40 or worse (OR, 4.63; 95% CI, 2.95-7.26) had higher awareness of their AMD diagnosis, whereas Hispanic (OR, 0.28; 95% CI, 0.09-0.88) vs White adults and those who did not speak English at home (OR, 0.05; 95% CI, 0.01-0.41) had lower awareness of their diagnosis. Conclusions: Fewer than 1 in 5 adults with AMD were aware of their personal diagnosis, including fewer than 3 in 5 adults with late AMD. Older adults and those with worse vision were more likely to know they have AMD, whereas Hispanic adults and those who did not speak English at home were less likely. Efforts to increase patients’ awareness of their AMD may improve rates of follow-up and prevent vision loss.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138971538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gene Expression Profile Class Change in a Case of Aggressive, Recurrent Melanoma 一例侵袭性复发性黑色素瘤的基因表达谱等级变化

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Journal of VitreoRetinal Diseases Pub Date : 2023-12-01 DOI: 10.1177/24741264231215536

Jennifer Aye, Aaron Gold, Belinda Rodriguez, Timothy Murray

引用次数: 0

Ponesimod-Associated Macular Edema: Onset and Resolution Ponesimod 相关性黄斑水肿：发病和消退

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Journal of VitreoRetinal Diseases Pub Date : 2023-12-01 DOI: 10.1177/24741264231215537

Hartej Singh, Kush Patel, Alexander Port

引用次数: 0

Incidence of Total Blindness After Central Retinal Artery Occlusion With Ocular Neovascularization 视网膜中央动脉闭塞伴眼底血管新生后完全失明的发生率

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Journal of VitreoRetinal Diseases Pub Date : 2023-11-28 DOI: 10.1177/24741264231213169

Harshvardhan Chawla, Hayley J. Redrick, Joshua T. Pannell, Nathaniel Goldblatt, D. A. Mazzulla, Joseph D. Benevento, Sidharth Puri

{"title":"Incidence of Total Blindness After Central Retinal Artery Occlusion With Ocular Neovascularization","authors":"Harshvardhan Chawla, Hayley J. Redrick, Joshua T. Pannell, Nathaniel Goldblatt, D. A. Mazzulla, Joseph D. Benevento, Sidharth Puri","doi":"10.1177/24741264231213169","DOIUrl":"https://doi.org/10.1177/24741264231213169","url":null,"abstract":"Purpose: To determine the time-based incidence of total blindness after central retinal artery occlusion (CRAO) with secondary ocular neovascularization (ONV). Methods: In this retrospective cohort study, electronic records were queried using ICD-9 and ICD-10 codes to identify patients with secondary ONV post-CRAO. Patients with possible alternative ONV etiologies, previous panretinal photocoagulation (PRP), and/or previous antivascular endothelial growth factor (VEGF) therapy were excluded. Clinical data included demographics, medical comorbidities, ONV manifestations, medical/surgical management, and best-corrected visual acuity (BCVA). Kaplan-Meier analysis was performed with total blindness (defined as a BCVA of no light perception) as the outcome of interest. Results: Of 345 eyes with CRAO, 34 met the inclusion criteria with a mean (±SD) follow-up of 22.0 ± 26.2 months. ONV management included PRP (70.6%), glaucoma drainage implant surgery or transscleral cyclophotocoagulation (32.4%), and intravitreal anti-VEGF therapy (mean 2.8 ± 5.6 injections per patient). The cumulative incidence of total blindness was 49.4% (95% confidence interval, 27.2%-71.6%) at 24 months, with 53.3% of cases occurring within 4 months of ONV onset. Conclusions: Post-CRAO ONV is associated with a high risk for progression from severe vision loss to total blindness. Neovascular glaucoma can present up to 4 months after CRAO, challenging the paradigm of “30-day-glaucoma.” Routine gonioscopy should extend through this period, while glaucoma surgery can delay further vision loss. These findings can be used to counsel patients on the importance of follow-up adherence.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139224770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Management of Full-Thickness Macular Holes Spontaneously Arising From Lamellar Macular Holes 鳞状黄斑孔自发形成的全厚黄斑孔的手术治疗

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Journal of VitreoRetinal Diseases Pub Date : 2023-11-23 DOI: 10.1177/24741264231208493

Anubhav Garg, Charbel Wahab, Peng Yan

引用次数: 0

Emerging Disease of the Desert: Rise of West Nile Virus Chorioretinitis in Arizona. 沙漠中新出现的疾病：西尼罗河病毒脉络膜视网膜炎在亚利桑那州的兴起。

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Journal of VitreoRetinal Diseases Pub Date : 2023-11-23 eCollection Date: 2024-01-01 DOI: 10.1177/24741264231211973

Jamie L Odden, Dillan Patel, J Shepard Bryan, Benjamin Bakall, Rima Patel, Stephen De Souza

引用次数: 0

Chronic Effects of e-Cigarette Aerosol Inhalation on Macular Perfusion Assessed Using OCT Angiography 使用 OCT 血管造影术评估吸入电子烟气溶胶对黄斑灌注的慢性影响

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Journal of VitreoRetinal Diseases Pub Date : 2023-11-22 DOI: 10.1177/24741264231205071

Arathi Ponugoti, Hoan Ngo, Sandra Stinnett, Lejla Vajzovic

{"title":"Chronic Effects of e-Cigarette Aerosol Inhalation on Macular Perfusion Assessed Using OCT Angiography","authors":"Arathi Ponugoti, Hoan Ngo, Sandra Stinnett, Lejla Vajzovic","doi":"10.1177/24741264231205071","DOIUrl":"https://doi.org/10.1177/24741264231205071","url":null,"abstract":"Purpose: To determine whether there are significant differences in the microvasculature and central retinal thickness (CRT) between e-cigarette users (user group) and age-matched nonusers (control group) using optical coherence tomography angiography (OCTA). Methods: In this prospective cross-sectional observational study, OCTA images were acquired of 52 eyes of 26 users and 25 eyes of 25 age-matched nonusers. Daily e-cigarette users with no ocular history were identified from provider information in the electronic medical record. A custom algorithm was used to calculate the foveal avascular zone (FAZ), vessel area density (VAD), and vessel length density (VLD). OCT software was used to calculate the foveal, superior, inferior, nasal, and temporal CRT. Generalized estimating equations using the Z-statistic were used to determine how the FAZ, VAD, VLD, and CRT parameters varied between groups and to assess the differential contribution of descriptive data in the user group. Results: No statistically significant difference was found between the user group and control group in the FAZ, superficial vascular complex (SVC) VAD, SVC VLD, or deep vascular complex (DVC) VAD. A statistically significant difference was found for DVC VLD ( P = .002), with the user group having a slightly higher VLD on average. Superior, temporal, and inferior inner macular thicknesses were significantly thinner in the user group ( P = .038, P = .012, and P = .035, respectively). Conclusions: Significant negative differences were found in CRT measures but in not retinal microvasculature parameters between e-cigarette users and nonusers. Decreased inferior, temporal, and superior inner macular thickness in e-cigarette users may show an early chronic structural effect that warrants further assessment of retinal effects as this population ages and continues to use e-cigarettes.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Small-Gauge Vitrectomy for Macular Surgery Using a Systematic Approach to Wound Closure: 27-Gauge vs 25-Gauge 采用系统性伤口闭合法进行黄斑手术的小口径玻璃体切除术：27 号与 25 号比较

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Journal of VitreoRetinal Diseases Pub Date : 2023-11-18 DOI: 10.1177/24741264231209587

Cory A. Christensen, Ian A. Thompson, Jared S. Nielsen

{"title":"Small-Gauge Vitrectomy for Macular Surgery Using a Systematic Approach to Wound Closure: 27-Gauge vs 25-Gauge","authors":"Cory A. Christensen, Ian A. Thompson, Jared S. Nielsen","doi":"10.1177/24741264231209587","DOIUrl":"https://doi.org/10.1177/24741264231209587","url":null,"abstract":"Purpose: To evaluate the effectiveness of and to compare vitrectomy performed with 25-gauge or 27-gauge instrumentation for macular surgery. The surgical duration, wound closure, and complication rate using a systematic approach to wound closure were assessed. Methods: In this retrospective chart review, 125 25-gauge and 125 27-gauge consecutive small-gauge vitrectomy surgeries for epiretinal membrane, macular hole, vitreomacular adhesion, or a combination were analyzed during and immediately after surgery. Wound closure was performed using a systematic protocol. Results: Baseline characteristics were not statistically different between the 2 groups. The surgical duration was similar with 25-gauge vitrectomy and 27-gauge vitrectomy ( P = .07). Although spontaneous wound closure was common in both groups, it was more common in the 27-gauge group ( P = .22). Intraoperative and postoperative complications were uncommon in both groups. Conclusions: Findings show that 27-gauge vitrectomy is a safe, effective alternative to the more commonly used 25-gauge vitrectomy for macular surgery. Less manipulation was required to achieve wound closure with 27-gauge vitrectomy using a standardized wound-closure protocol. Smaller 27-gauge vitrectomy did not increase surgical time or complications over 25-gauge vitrectomy for macular surgery.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139260952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0