Ophthalmic epidemiology最新文献

{"title":"Risk Factors for Developing Neovascular Glaucoma in Central Retinal Vein Occlusion: Two-Year Real-World Study.","authors":"Yu-Bai Chou, Hsin-Ho Chang, Hsun-I Chiu, Yiing-Jenq Chou, Christy Pu","doi":"10.1080/09286586.2024.2370260","DOIUrl":"10.1080/09286586.2024.2370260","url":null,"abstract":"<p><strong>Purpose: </strong>To explore potential risk factors for the development of neovascular glaucoma (NVG) in central retinal vein occlusion (CRVO) over a two-year intensive follow-up period.</p><p><strong>Methods: </strong>This study reviewed 1545 patients with CRVO between 2005 and 2019 at Taipei Veterans General Hospital. Inclusion was restricted to (1) patients with acute CRVO within 3 months; (2) patients with ocular neovascularization at initial presentation (3) patients had not received any treatment at the time of CRVO; (4) at least bimonthly follow-up schedule over the course of 2 years. The included patients were screened for potential risk factors for developing NVG and assessed with Kaplan-Meier survival analysis and Cox regression model.</p><p><strong>Results: </strong>Among the included 123 patients, the cumulative probability of developing NVG was 26.8% (33/123 cases) in overall follow-up period. The mean interval between the onset of CRVO and NVG was 507 days. Neither macular edema nor central macular thickness at baseline was correlated with the development of NVG (<i>p</i> =.104 and .25, respectively). Patients with diabetes mellitus (DM), older age, and poor vision independently played significant risk factors for developing NVG after controlling other covariates. (<i>p</i> =.034, .001, and .013, respectively).</p><p><strong>Conclusions: </strong>Patients presenting with CRVO who have comorbidities such as DM, older age, and worse VA warrant closer attention and intensive follow-up for the development of NVG. Additionally, the statistical analysis indicated that the presence of macular edema, increased central macular thickness, CV events, history of glaucoma, and early PRP within 3 months had no significant impact on the likelihood of developing NVG.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"204-212"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860510","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":"Evaluating the Accuracy and Readability of ChatGPT-4o's Responses to Patient-Based Questions about Keratoconus.","authors":"Ali Safa Balci, Semih Çakmak","doi":"10.1080/09286586.2025.2484760","DOIUrl":"https://doi.org/10.1080/09286586.2025.2484760","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the accuracy and readability of responses generated by ChatGPT-4o, an advanced large language model, to frequently asked patient-centered questions about keratoconus.</p><p><strong>Methods: </strong>A cross-sectional, observational study was conducted using ChatGPT-4o to answer 30 potential questions that could be asked by patients with keratoconus. The accuracy of the responses was evaluated by two board-certified ophthalmologists and scored on a scale of 1 to 5. Readability was assessed using the Simple Measure of Gobbledygook (SMOG), Flesch-Kincaid Grade Level (FKGL), and Flesch Reading Ease (FRE) scores. Descriptive, treatment-related, and follow-up-related questions were analyzed, and statistical comparisons between these categories were performed.</p><p><strong>Results: </strong>The mean accuracy score for the responses was 4.48 ± 0.57 on a 5-point Likert scale. The interrater reliability, with an intraclass correlation coefficient of 0.769, indicated a strong level of agreement. Readability scores revealed a SMOG score of 15.49 ± 1.74, an FKGL score of 14.95 ± 1.95, and an FRE score of 27.41 ± 9.71, indicating that a high level of education is required to comprehend the responses. There was no significant difference in accuracy among the different question categories (<i>p</i> = 0.161), but readability varied significantly, with treatment-related questions being the easiest to understand.</p><p><strong>Conclusion: </strong>ChatGPT-4o provides highly accurate responses to patient-centered questions about keratoconus, though the complexity of its language may limit accessibility for the general population. Further development is needed to enhance the readability of AI-generated medical content.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743172","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":"Trends in Adult Visual Impairment Certification in Northern Ireland: A 10-Year Analysis.","authors":"Laura N Cushley, Roseleen McCann, Tanya Moutray, Giuliana Silvestri, Tunde Peto, A Jonathan Jackson","doi":"10.1080/09286586.2025.2483697","DOIUrl":"https://doi.org/10.1080/09286586.2025.2483697","url":null,"abstract":"<p><p><i><b>Purpose:</b></i> In the UK, people are certified as severely sight impaired (SSI) or sight impaired (SI) according to Government guidelines. Certification ensures people with visual impairments can access adequate support and benefits. Certification of visual impairment data has been collected and analysed in Northern Ireland by a team and full continuous data is available from 2014 to 2023.<b><i>Methods:</i></b> Data from certification forms was collected, entered into an Excel spreadsheet, and 10% was validated by the certification of visual impairment team. This data was collated, cleaned and analysed using IBM SPSS (version 27) for frequency, mean, median and interquartile ranges.<b><i>Results:</i></b> Results show that over a 10-year period (2014-2023) the number of certifications in Northern Ireland has increased to a point where they are aligned with figures from other regions of the United Kingdom (UK). Results show that more people are certified as SSI than SI in Northern Ireland (NI) which is in contrast to figures reported in England and Wales. More females are certified than males in NI. Similarly to England and Wales, the most common cause of certification of visual impairment in adults in NI is Age-Related Macular Degeneration, accounting for around 50% of certifications annually. The second most common cause is glaucoma followed by diabetic eye disease (DED). In working age adults, DED is the leading cause of certification.<b><i>Conclusion:</i></b> The results from 10 years of certification data in NI show common themes with other high-income countries, including increased certification, particularly among females, and the most common causes of certification remain AMD, glaucoma and DED.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731002","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":"Comparison Between Dichoptic and Monocular Training Protocols for Treating Monocular Amblyopia: A Meta-Analysis and Systematic Review.","authors":"Ang Cang Tang, Xi Wang, Wen Jie Yang, Jiu Lin Guo, Yu Lin Li, Tian Yu Yang, Zhen An, Alexandre Reynaud, Long Qian Liu","doi":"10.1080/09286586.2025.2483680","DOIUrl":"https://doi.org/10.1080/09286586.2025.2483680","url":null,"abstract":"<p><strong>Purpose: </strong>To review the efficacy of dichoptic and monocular strategies for treating monocular amblyopia, and to examine the factors that determine the degree of recovery from amblyopia.</p><p><strong>Methods: </strong>Mean and individual participant data (IPD) from studies that used either monocular or dichoptic training methods to treat monocular amblyopic patients were analyzed. A mixed-effects model was used to analyze influential factors. Studies were searched using PubMed, OVID, Cochrane library, and EBM reviews.</p><p><strong>Results: </strong>The mean improvements in visual acuity (VA) for dichoptic and monocular training were 0.153 logMAR and 0.162 logMAR, respectively. In the dichoptic training subgroup, the mean VA improvements were 0.201 logMAR, and 0.145 logMAR for strabismic and anisometropic amblyopia, respectively. In the monocular training subgroup, the mean VA improvements were 0.171 logMAR, and 0.143 logMAR for strabismic and anisometropic amblyopia, respectively. The mean improvements in stereopsis of dichoptic training and monocular training were 1.201 octaves and 1.661 octaves, respectively. Baseline visual acuity of the amblyopic eye and training duration were significant factors influencing visual gains. We found no significant impacts of age, astigmatism, and baseline stereopsis on visual acuity and stereopsis outcomes.</p><p><strong>Conclusions: </strong>This IPD meta-analysis provides evidence that both monocular and dichoptic training yield different visual acuity outcomes in treating unilateral amblyopia. Subgroup analysis suggests that strabismic amblyopia may respond differently to dichoptic training. Baseline visual acuity of the amblyopic eye and training duration are significant factors influencing visual gains. We believe that a more personalized training program could help restore binocularity in patients with monocular amblyopia.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731000","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":"Duration and Frequency of Lapses in Care Among Patients with Proliferative Diabetic Retinopathy.","authors":"Serina Applebaum, Julia Fu, Kristen Nwanyanwu","doi":"10.1080/09286586.2025.2463067","DOIUrl":"https://doi.org/10.1080/09286586.2025.2463067","url":null,"abstract":"","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710209","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":"Prevalence of Blindness and Visual Impairment in Sub-Saharan Africa in 2020: Magnitude and Temporal Trends. Systematic Review and Meta-Analysis.","authors":"Vision Loss Expert Group Of The Global Burden Of Disease Study, The Gbd Blindness And Vision Impairment Collaborators","doi":"10.1080/09286586.2025.2474654","DOIUrl":"https://doi.org/10.1080/09286586.2025.2474654","url":null,"abstract":"<p><strong>Purpose: </strong>To assess burden of blindness and visual impairment (VI) in Sub-Saharan Africa (SSA) as of 2020, the planned end point of the Vision 2020 program.</p><p><strong>Methods: </strong>A systematic review and meta-analysis assessed burden, in the better eye, of blindness (presenting distance visual acuity, VA < 3/60), moderate and severe vision impairment (MSVI; VA < 6/18 but ≥ 3/60) and mild vision impairment (VA < 6/12 and ≥ 6/18); and also functional presbyopia (<N6 or N8 in the presence of ≥ 6/12 best-corrected distance visual acuity) in SSA.</p><p><strong>Results: </strong>In 2020, an estimated 5,083,000 people (95%Uncertainty Interval, UI, 4,474,000-5,696,000) in SSA were bilaterally blind; 20442,000 more (95%UI 18,568,000-22,430,000) had MSVI. The age-standardized prevalence of blindness in SSA is the highest for any GBD super-region, nearly double the world average (0.99%, 95%UI, 0.85-1.12; vs 0.52%, 95% UI, 0.46-0.59 respectively). The Western (4.15%) and Eastern (3.79%) SSA sub-regions had the highest age-standardized prevalence of blindness for the 50+ age group amongst SSA sub-regions. Improvement in age-specific prevalence since 2000 was less than the Vision 2020 target (-25%) for all subcategories of VI; improvement in blindness was the only category close to the goal (about 80-100% of goal across SSA sub-regions).</p><p><strong>Conclusions: </strong>The SSA age-specific prevalence of VI has generally improved since 2000, especially for blindness. However, the number of VI cases has increased with population growth and aging, and Vision 2020 targets were not met. Because most causes of VI require individual-level clinical care, large increases in training and eye care delivery systems development/financing are critical areas of focus.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700614","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":"Outdoor Time Could Regulate the Effects of Green Environment on Myopia in Chinese Children and Adolescents.","authors":"Jingjing Wang, Ruilan Li, Jun Chen, Jinliuxing Yang, Linlin Du, Yuchen Du, Bo Zhang, Huijing Shi, Xiangui He, Ling Wang","doi":"10.1080/09286586.2025.2475207","DOIUrl":"https://doi.org/10.1080/09286586.2025.2475207","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the relationship between myopia and green space, and the mediation effects of outdoor time.</p><p><strong>Methods: </strong>We used large-scale, cross-sectional observational data from Shanghai, China. Participants were aged 3~20 years and underwent visual acuity and non-cycloplegic refraction in 2021. Using GIS-based data on environments surrounding participants' schools and kindergartens, we examined the association between green space (measured by NDVI) and myopia. We employed a logistic mixed-effects model to assess the impact of school-level green environments on individual myopia, reporting odds ratios (OR) and their 95% confidence intervals. Mediation analysis was conducted to explore whether outdoor activity time mediates the relationship between green environments and myopia. Additionally, we conducted age- and gender-stratified analyses and validated the robustness of the model through sensitivity analysis.</p><p><strong>Results: </strong>Complete case sample sizes were 1,727,709 from 3,399 schools and kindergartens [899,817 (52.082%) boys; mean age 10.065 years (SD: 3.633)]. NDVI within 1000 m of schools was independently associated with lower odds of myopia (OR: 0.299, 95% CI: 0.249 ~ 0.357, <i>p</i> < 0.001), with 2.7% of the total effects attributed to the mediation effects of outdoor time. The effect sizes for NDVI were comparatively more protective in boys and those aged 7~12 years (OR: 0.223, 95% CI:0.156 ~ 0.319, <i>p</i> < 0.001). Sensitivity analysis with a 500-meter NDVI radius and alternative outcome variable of wearing glasses confirmed consistency with the previous results.</p><p><strong>Conclusions: </strong>This study demonstrates a significant impact of green environments on myopia in children and adolescents aged 3~20 years, revealing the potential mediating effect of outdoor activities. Policymakers should consider implementing intervention measures to enhance green spaces in schools to promote eye-health-friendly environments.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657989","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":"Population-Based Assessment of Prevalence, Causes, and Risk Factors of Unilateral Vision Impairment in the Elderly Population in Telangana, India.","authors":"Srinivas Marmamula, Surbhi Aggarwal, Vinitha Mingi, Vijay Kumar Yelagondula","doi":"10.1080/09286586.2025.2474648","DOIUrl":"https://doi.org/10.1080/09286586.2025.2474648","url":null,"abstract":"<p><strong>Purpose: </strong>To report the prevalence, causes, and risk factors for unilateral visual impairment (UVI) among the elderly population (≥60 years) in Telangana, India.</p><p><strong>Methods: </strong>A population-based, cross-sectional study was conducted in four districts of Telangana. Trained teams conducted eye examinations. Distance visual acuity (VA) was assessed using a Snellen chart with a tumbling E optotypes at 6 m. Anterior eye examination and non-mydriatic fundus imaging were performed for all participants. UVI was defined as presenting VA worse than 6/18 in one eye and VA better than or equal to 6/18 in the other eye. Multivariable analysis was performed to assess the factors associated with UVI.</p><p><strong>Results: </strong>Of 2,447 participants aged ≥60 years were included in the analysis, 1,285 (52.5%) were women, and 1,786 (73%) had no formal education. In total, 525 (21.5%) participants were from Adilabad, 602 (24.6%) from Mahbubnagar, 610 (24.9%) from Khammam, and 710 (29%) from Warangal districts. The mean (standard deviation) age of the participants was 66.6 (±6.3) years. The prevalence of UVI was 34.9% (95% CI: 33.0-36.9; <i>n</i> = 856). Cataract (48.5%; <i>n</i> = 415) was the leading cause of UVI, followed by uncorrected refractive error (33.1%; <i>n</i> = 284). The multivariate analysis showed higher odds of UVI in the older age group and among those residing in the Khammam and Warangal districts.</p><p><strong>Conclusion: </strong>Over a third of the elderly population in Telangana had UVI. Eight out of 10 cases of UVI could be addressed by providing spectacles and cataract surgery at primary and secondary levels of eye care, respectively.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596926","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":"The Incidence of Treatment-Requiring Retinopathy of Prematurity in Greece: A Multicenter Prospective Cohort Study.","authors":"Asimina Mataftsi, Stella Moutzouri, Alexandros Charonis, Aikaterini K Seliniotaki, Anna-Bettina Haidich, Nikolaos Ziakas","doi":"10.1080/09286586.2025.2463069","DOIUrl":"https://doi.org/10.1080/09286586.2025.2463069","url":null,"abstract":"<p><strong>Purpose: </strong>To report the incidence of treatment-requiring retinopathy of prematurity (ROP) in Greece at a national level.</p><p><strong>Methods: </strong>Multicenter prospective cohort study of infants that required treatment for ROP at any unit in Greece between June 1^st, 2020, and May 31^st, 2021. Twelve out of the 13 invited centers contributed their data. Collected parameters included infants' demographics, ROP examination findings prior to treatment, and treatment characteristics.</p><p><strong>Results: </strong>The overall incidence of treatment-requiring ROP (TR-ROP) was 3.8%, given the fact that 1133 live births of infants with GA <32 weeks and/or BW < 1501 g were reported during the study period. Median (range) gestational age and birth weight of treated infants were 26.9 (23.4-33.0) weeks and 850 (500-2370) g, respectively, and 55.8% were male. The most prevalent ROP severity among treated infants was type 1 ROP (70 eyes), followed by type 2 ROP (8 eyes) and aggressive ROP (6 eyes). Laser photocoagulation (69.8%) was the predominant treatment modality used vs intravitreal anti-VEGF injections (30.2%). The median postnatal age at initial treatment was 9.6 weeks (range 5.6-21.7). Re-treatment rate was 30.2% and was higher among infants treated with anti-VEGF (69.2%) vs laser (13.3%). Treatment failure was reported in one case (progression to stage 4B in one eye and stage 5 in the other), whereas ROP regressed in all other patients.</p><p><strong>Conclusion: </strong>This is the first study to report TR-ROP incidence in Greece, treated infants' characteristics at a national level, preferred practice patterns, failure rate and recurrence rate at 6 months from initial treatment.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596936","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":"Shifting Paradigms in Glaucoma Management: A Retrospective Analysis from 2013 to 2023.","authors":"Ye Lin Kwan, Qilian Sheng, Yanan Sun, Yue Ying, Ruyi Zhai, Xiangmei Kong","doi":"10.1080/09286586.2025.2474652","DOIUrl":"https://doi.org/10.1080/09286586.2025.2474652","url":null,"abstract":"<p><strong>Purpose: </strong>This study analyzes trends in glaucoma surgical management at the Eye & ENT Hospital of Fudan University over a 10-year period (2013-2023), focusing on the evolution of surgical practices and the adoption of new techniques.</p><p><strong>Methods: </strong>A retrospective observational study was conducted using medical records of patients diagnosed with glaucoma who underwent surgery between January 1, 2013, and December 31, 2023. Data were analyzed using the Cochrane-Armitage trend test.</p><p><strong>Results: </strong>A total of 13,092 glaucoma surgeries were performed, increasing from 736 in 2013 to 2,451 in 2023. Primary angle-closure glaucoma (PACG) accounted for 71.00% (9247/13092) of cases. Patients were predominantly aged 40-64 (43.56%) and 65+ (41.12%), with 56.60% female and 43.40% male. Internal filtration surgeries dropped between 2013-2015 but rose from 2.95% (26/880) in 2015 to 7.87% (193/2451) in 2023. External filtration surgeries declined from 82.47% (607/736) to 26.56% (651/2451). Phacoemulsification combined with goniosynechialysis (Phaco+GSL) increased from 7.61% (56/736) to 65.36% (1602/2451), while cyclodestruction procedures remained stable (0.54% to 0.20%). In congenital glaucoma (CG), ab interno trabeculotomy rose to 52.74% (77/146) by 2023. External filtration for primary open-angle glaucoma (POAG) decreased from 98.54% (135/137) to 74.82% (312/417), while Phaco+GSL for PACG increased from 11.43% (56/490) to 84.36% (1591/1886). Among glaucoma drainage devices (GDDs), Ahmed Glaucoma Valve usage declined from 94.25% (246/261) to 61.66% (193/313), while the Ex-Press device was phased out, and XEN Gel Stent (MIGS) usage rose to 38.34% (120/313).</p><p><strong>Conclusion: </strong>Glaucoma surgical management at the Eye & ENT Hospital of Fudan University has evolved significantly over the past decade, with a notable shift towards minimally invasive procedures and personalized treatment strategies.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586539","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}