Ophthalmic surgery, lasers & imaging retina最新文献_第10页

Intraoperative Electromyogram Analysis of Postural Musculature With Three-dimensional Screen Display Versus Operating Microscope in Ophthalmic Surgery: A Clinical Methods Study. 眼科手术中三维屏幕显示与手术显微镜的术中姿势肌肉肌电图分析：临床方法研究。

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-09-01 DOI: 10.3928/23258160-20240624-02

Arjan S Hura, Moshe A Mizrahi, Charu D Eluvathingal, John G Quinlan, Robert W Neel, Christopher D Riemann

{"title":"Intraoperative Electromyogram Analysis of Postural Musculature With Three-dimensional Screen Display Versus Operating Microscope in Ophthalmic Surgery: A Clinical Methods Study.","authors":"Arjan S Hura, Moshe A Mizrahi, Charu D Eluvathingal, John G Quinlan, Robert W Neel, Christopher D Riemann","doi":"10.3928/23258160-20240624-02","DOIUrl":"10.3928/23258160-20240624-02","url":null,"abstract":"Background and objective: To objectively analyze the effect of three-dimensional screen-based surgery (3D SBS) versus traditional operating microscope (TOM) on operating surgeon posterior chain postural musculature during ophthalmic surgery. We hypothesized an increase in median amplitude of electromyography (EMG) signals when using a TOM compared to 3D SBS. The goal was to assess surgical ergonomics that may contribute to cervical and lumbar spine pathology. EMG analysis was conducted at the University of Cincinnati Medical Center Epilepsy Monitoring Unit. Data were collected in the private practice setting at Cincinnati Eye Institute.Materials and methods: This was an institutional review board exempt, nonrandomized, prospective, single center, n = 1 clinical methods study. EMG surface electrodes were affixed to the bilateral splenius capitis, sternocleidomastoid, upper trapezius, anterior deltoid, and quadratus lumborum musculature. EMG data were collected across four sessions consisting of one day each using 3D SBS or a TOM, and two cross-over days. A survey regarding surgeon comfort was administered before, during, and after each surgery, and at the end of each day.Results: EMG cross-over data demonstrated an increase in muscle activation in all measured muscles except the anterior deltoids and right quadratus lumborum with use of a TOM. Survey data showed increased fatigue when using a TOM relative to 3D SBS.Conclusion: EMG demonstrated increased postural muscle activation when utilizing TOM relative to 3D SBS. Similar to previous studies, our survey data suggest inferior ergonomics of TOM relative to 3D SBS. [Ophthalmic Surg Lasers Imaging Retina 2024;55:628-636.].","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"628-636"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292841","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}

引用次数: 0

Comparison of Ergonomics in Vitreoretinal Surgery With Heads-up Visualization Versus the Standard Operating Microscope as Measured by a Wearable Device. 通过可穿戴设备测量平视显微镜与标准手术显微镜在玻璃体视网膜手术中的人体工学效果比较。

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-07-01 DOI: 10.3928/23258160-20240508-02

Jade Y Moon, Ian Seddon, Jared T Sokol, Rebecca Zeng, Cassie A Ludwig, Frances Wu, Ehsan Rahimy, Steven K Houston, John B Miller

{"title":"Comparison of Ergonomics in Vitreoretinal Surgery With Heads-up Visualization Versus the Standard Operating Microscope as Measured by a Wearable Device.","authors":"Jade Y Moon, Ian Seddon, Jared T Sokol, Rebecca Zeng, Cassie A Ludwig, Frances Wu, Ehsan Rahimy, Steven K Houston, John B Miller","doi":"10.3928/23258160-20240508-02","DOIUrl":"10.3928/23258160-20240508-02","url":null,"abstract":"Background and objective: Three-dimensional heads-up display (HUD) systems have emerged as an alternative to standard operating microscope (SOM) in the operating room. The goal of this study was to quantitatively measure vitreoretinal surgeon posture across visualization methods.Methods: Ergonomic data was collected from 64 cases at two tertiary eye care centers. Surgeons wore an Upright Go 2TM posture training device while operating either using the NGENUITY 3D heads-up display visualization system or the SOM.Results: Total percentage of time with upright posture as primary surgeon was significantly higher in surgeries performed using HUD (median 100%, interquartile range [IQR], 85.1% to 100.0%) as compared to surgeries performed using the SOM (median 60.0%, IQR 1.8% to 98.8%) (P = 0.001, Wilcoxon rank-sum test). Percent time with upright posture was significantly higher in surgeries performed using HUD for two of the three surgeons when assessed independently across systems. Results remained significant when accounting for length of surgery (P < 0.001, multiple linear regression).Conclusions: Ergonomic positioning was improved for surgeons operating using HUD. Given the high prevalence of back and neck pain among vitreoretinal surgeons, increased use of HUD systems may limit musculoskeletal pain and long-term disability from poor ergonomics. [Ophthalmic Surg Lasers Imaging Retina 2024;55:638-645.].","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"638-645"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734771","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}

引用次数: 0

Letter to the Editor: PCSK9 Inhibitors and Lipid Lowering: Viewpoint on Diabetic Retinopathy. 致编辑的信PCSK9 抑制剂与降脂：关于糖尿病视网膜病变的观点。

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 DOI: 10.3928/23258160-20241101-05

Maria S Varughese, Ananth U Nayak

引用次数: 0

What Is Private Equity and Why Should Its Increasing Presence in Ophthalmology Matter? 什么是私募股权投资？为什么私募股权投资对眼科领域的影响越来越大？

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI: 10.3928/23258160-20240705-02

Sean T Berkowitz, Esther Lee Kim, Avni P Finn

引用次数: 0

Retinal Detachment Following Cataract Surgery: A Systematic Review and Meta-analysis of Incidence, Preoperative Risk Factors, and Postoperative Complications. 白内障手术后视网膜脱离：白内障手术后视网膜脱离：发病率、术前风险因素和术后并发症的系统性回顾和 Meta 分析。

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI: 10.3928/23258160-20240625-02

Abdulmohsen Jameel Alshammari, Rakan Abu Alqam, Maram Abdulaziz Aldeej, Abdullah Mohammed Al-Omair, Lamar Abed Wazira, Jumana Abdullah Shafei, Abdulrahman Abdulaziz Kaki, Lina Hassan Raffa

{"title":"Retinal Detachment Following Cataract Surgery: A Systematic Review and Meta-analysis of Incidence, Preoperative Risk Factors, and Postoperative Complications.","authors":"Abdulmohsen Jameel Alshammari, Rakan Abu Alqam, Maram Abdulaziz Aldeej, Abdullah Mohammed Al-Omair, Lamar Abed Wazira, Jumana Abdullah Shafei, Abdulrahman Abdulaziz Kaki, Lina Hassan Raffa","doi":"10.3928/23258160-20240625-02","DOIUrl":"10.3928/23258160-20240625-02","url":null,"abstract":"Cataract surgery is the most common surgical operation in the developed world, for treating cataracts, currently the leading cause of blindness worldwide. Retinal detachment (RD) is a potentially sight-threatening adverse effect of cataract surgery. The overall RD case numbers are high due to the common practice of cataract surgery. The Medline, Scopus, and Directory of Open Access Journals databases were searched for relevant articles using the keywords (phacoemulsification OR cataract surgery) AND (retinal detachment, detached retina). The included studies involved 5,480,448 patients, where 36,886 had RD (pooled incidence: 0.66 events per 100 patients, 95% CI 0.43 to 1.00). Male patients had significantly higher odds of developing RD than female patients (odds ratio = 1.73, 95% CI 1.68 to 1.78, P < 0.001). The RD incidence rate across locations was not significantly different. RD is one of the most significant complications following cataract surgery. [Ophthalmic Surg Lasers Imaging Retina 2024;55:668-674.].","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"668-674"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018253","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}

引用次数: 0

Development and Resolution of Subfoveal Lucency and Hyperreflective Deposits Following Silicone Oil Insertion and Removal. 植入和取出硅酮油后眼底黄斑和超反射沉积物的发展与消退

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI: 10.3928/23258160-20240624-03

Param Bhatter, Katherine E Talcott, Alex Yuan, Danny A Mammo

引用次数: 0

Significant Improvement in Retinal Capillary Hemangioblastoma With Belzutifan. 贝珠替凡治疗视网膜毛细血管血管母细胞瘤效果显著

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI: 10.3928/23258160-20240607-01

S Saeed Mohammadi, Jared T Sokol, Darius M Moshfeghi

引用次数: 0

Nondiabetic Vitreous Hemorrhage: A Review of Management Strategy and Outcomes. 非糖尿病玻璃体出血：管理策略与结果回顾。

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI: 10.3928/23258160-20240620-01

Eric Strand, Ryan S Meshkin, Sandra Hoyek, John B Miller, Nimesh A Patel

{"title":"Nondiabetic Vitreous Hemorrhage: A Review of Management Strategy and Outcomes.","authors":"Eric Strand, Ryan S Meshkin, Sandra Hoyek, John B Miller, Nimesh A Patel","doi":"10.3928/23258160-20240620-01","DOIUrl":"10.3928/23258160-20240620-01","url":null,"abstract":"Vitreous hemorrhage involves blood leakage into or around the vitreous cavity, which presents complex management decisions. Treatment options for nondiabetic vitreous hemorrhage (NDVH) traditionally include observation or early vitrectomy. Traditional guidelines have long emphasized an initial period of cautious observation. This systematic review shows that a significant portion (∼62% to 75%) of NDVH patients present a retinal tear and/or detachment upon initial presentation. B-scan ultrasonography, the primary diagnostic tool, exhibits variable sensitivities and may miss approximately half (46.4%) of underlying tears or detachments. Only 25% of observed NDVH cases clear spontaneously, while the remaining will ultimately require vitrectomy due to nonclearance (45%) or sight-threatening complications (30%). Patients under observation experience visual deficits as hemorrhage clears slowly, challenging the efficacy of traditional guidelines favoring observation. While there is no clear guideline concerning the management of NDVH, our findings suggest that early vitrectomy for severe NDVH may be the safest and most appropriate approach, provided the patient accepts procedural risks like cataract development. [Ophthalmic Surg Lasers Imaging Retina 2024;55:660-667.].","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"660-667"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018252","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}

引用次数: 0

Fractal Changes of the Retinal Microvasculature in Birdshot Chorioretinopathy. 鸟枪状脉络膜视网膜病变中视网膜微血管的分形变化

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-11-01 Epub Date: 2024-07-01 DOI: 10.3928/23258160-20240528-02

Kaersti L Rickels, Marco Ji, Ahmed Shakarchi, Michalis Georgiou, Sami H Uwaydat, Ahmed B Sallam

{"title":"Fractal Changes of the Retinal Microvasculature in Birdshot Chorioretinopathy.","authors":"Kaersti L Rickels, Marco Ji, Ahmed Shakarchi, Michalis Georgiou, Sami H Uwaydat, Ahmed B Sallam","doi":"10.3928/23258160-20240528-02","DOIUrl":"10.3928/23258160-20240528-02","url":null,"abstract":"Background and objective: Retinal vascular disorders are associated with lower fractal dimension (FD). We analyzed FD in birdshot chorioretinopathy (BSCR).Patients and methods: This was a retrospective cohort study. We performed optical coherence tomography angiography (OCTA) and analyzed FD of the superficial capillary plexus (SCP), deep capillary plexus (DCP), and choriocapillaris (CC) using ImageJ. For each vascular layer, we analyzed the presence of BSCR, subjects' age, sex, and presence of diabetes mellitus to determine which may predict lower FD.Results: We compared 28 eyes (14 patients) with BSCR to 34 control eyes (17 patients). Mean FD of BSCR was lower in SCP (1.584 [± 0.126] vs 1.706 [± 0.118], P < 0.001), DCP (1.637 [± 0.134] vs 1.780 [± 0.096], P < 0.001), and CC (1.884 [± 0.063] vs 1.917 [± 0.047], P = 0.036). FD of SCP was lower per increasing year (0.005 [P = 0.014]). Male patients had lower FD-DCP (0.101 [P = 0.043]).Conclusion: In BSCR, fractal analysis showed significant involvement of the SCP, DCP, and to a lesser extent the CC. [Ophthalmic Surg Lasers Imaging Retina 2024;55:646-651.].","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"646-651"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734773","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}

引用次数: 0

Thrombotic Microangiopathy Following Hematopoietic Stem Cell Transplantation: A Case of Purtscher-like Retinopathy. 造血干细胞移植后的血栓性微血管病：一例紫癜样视网膜病变。

IF 0.9 4区医学

Ophthalmic surgery, lasers & imaging retina Pub Date : 2024-10-01 Epub Date: 2024-08-01 DOI: 10.3928/23258160-20240528-05

Okyanus Bulut, Gulcihan Ozek, Filiz Afrashi, Cumali Degirmenci

引用次数: 0