Seminars in Ophthalmology最新文献

{"title":"Lacrimal History - Part 73: Doyens of Dacryology Series - Lawrence Webster Fox (1853-1931) and His Lacrimal Skiagraphs.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2582793","DOIUrl":"10.1080/08820538.2025.2582793","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"504-507"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145422631","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":"Lacrimal History - Part 58: Doyens of Dacryology Series - Solomon Sawrey (1765-1825), and His Retrograde Approach for Nasolacrimal Duct Recanalization.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2556633","DOIUrl":"10.1080/08820538.2025.2556633","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"494-497"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967737","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":"Reply: Large Language Models Use in Dry Eye Disease: Bots and Brains.","authors":"Sowmya V Kothandan, Sayan Basu, Swati Singh","doi":"10.1080/08820538.2026.2638803","DOIUrl":"10.1080/08820538.2026.2638803","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"551"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348987","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":"Lacrimal Passage Obstruction and Cataract Surgery: A Scoping Review and Recommendations for General Ophthalmology Practice.","authors":"Mohammed Almanassra, Rath Suryasnata","doi":"10.1080/08820538.2025.2551857","DOIUrl":"10.1080/08820538.2025.2551857","url":null,"abstract":"<p><strong>Background: </strong>Lacrimal passage obstruction is common in patients with significant cataract awaiting surgery and may increase the risk of post-perative endophthalmitis.</p><p><strong>Method: </strong>A PubMed-based search was conducted for a scoping review of the published evidence. In total, 17 articles were included.</p><p><strong>Results: </strong>Overall, there is a dearth of scientific evidence on this subject, and the available studies are of poor quality. Nevertheless, some recommendations can be made. Evidence supports the recommendation that a routine lacrimal screening protocol should be performed before cataract surgery to decrease postoperative risk. Both lacrimal irrigation and regurgitation on pressure over the lacrimal sac (ROPLAS), or the micro-reflux test combined with a history of epiphora, have good sensitivity and excellent specificity for diagnosing nasolacrimal duct obstruction. An interval of about four weeks between dacryocystorhinostomy (DCR) and cataract surgery appears adequate for normalization of bacterial flora.</p><p><strong>Conclusion: </strong>Although evidence is limited and of low quality, routine lacrimal screening and appropriate timing after DCR seem advisable in patients planned for cataract surgery.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"515-519"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967744","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":"Radiographic Changes of the Nasolacrimal Duct in Silent Sinus Syndrome.","authors":"Lisa Y Lin, Nandini Bothra, Michael K Yoon","doi":"10.1080/08820538.2025.2551064","DOIUrl":"10.1080/08820538.2025.2551064","url":null,"abstract":"<p><strong>Purpose: </strong>Silent sinus syndrome (SSS), known as chronic maxillary atelectasis, is characterized by inward collapse of the maxillary sinus walls with resultant bowing of the maxillary sinus bones due to negative antral pressures. Functional endoscopic sinus surgery (ESS) is an important first step to normalize pressures. The impact of SSS on nasolacrimal duct (NLD) anatomy remains unclear. The study hypothesized that SSS may distort NLD anatomy, since the duct sits within the maxillary bone, and aimed to compare the radiographic changes on the affected and unaffected sides, as well as pre- and post-ESS.</p><p><strong>Methods: </strong>A retrospective review was conducted on patients with computed tomography (CT) face/orbit with radiographic findings of SSS. A subset who underwent ESS with a post-operative CT was included for secondary analysis. The NLD, sinus, and orbit were measured in a standardized fashion. Primary outcome assessed differences between the affected and unaffected sides, while secondary outcomes evaluated pre- and post-ESS changes. Analysis was performed with a paired-t test.</p><p><strong>Results: </strong>Twenty patients met inclusion criteria, with 12 included in post-ESS analysis. The affected side showed significantly smaller maxillary sinus width and height, and orbit height (<i>p</i> < .001). The distal NLD (lateral) was 0.44 mm larger on the affected side (<i>p</i> = .01), but all other NLD measurements were not significant. No significant changes were observed in NLD, sinus, or orbit measurements after ESS.</p><p><strong>Conclusions: </strong>SSS did not significantly distort NLD anatomy, nor were there anatomical changes post-ESS, aside from a larger distal NLD on the affected side, possibly due to bowing of the inferior turbinate. Future directions could consider 3-D volumetric analysis of the NLD.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"537-541"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967706","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":"Editorial Transition: Embracing Innovation and Global Collaboration.","authors":"Mohsen B Kashkouli","doi":"10.1080/08820538.2026.2644034","DOIUrl":"10.1080/08820538.2026.2644034","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"485"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435320","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":"Orbital Apex Syndrome Secondary to Herpes Zoster Ophthalmicus: A Literature Review and In-Depth Understanding.","authors":"Robin Dupré, Jean-Philippe Grosse, Stéphanie Baillif, Charles Philippe, Alexandra Rabot, Lydiane Mondot, Nathalie Tieulié, Arnaud Martel","doi":"10.1080/08820538.2025.2559843","DOIUrl":"10.1080/08820538.2025.2559843","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to report our experience and to provide a comprehensive understanding of the onset and course of orbital apex syndrome secondary to herpes zoster ophthalmicus (HZO-OAS).</p><p><strong>Methods: </strong>A retrospective study was conducted in Nice University Hospital and Antibes Hospital (France) between January 2020 and December 2023. All patients diagnosed with HZO-OAS with at least a 1-month follow-up were included.</p><p><strong>Results: </strong>Eight patients with a mean age of 81 (73-90) years were included. Half of the patients had underlying immunosuppression. The mean time between the onset of the vesicular rash and the development of HZO-OAS was 10 (2-19) days. HZO-OAS occurred while all patients were already treated with oral valacyclovir. The mean initial best-corrected visual acuity (BCVA) was 20/1093. All patients had concomitant ocular involvement, i.e. keratitis, anterior uveitis or both. Seven (87.5%) patients had optic neuritis. All patients were treated with intravenous acyclovir at neuro-meningeal doses. Oral steroids were prescribed in 62.5% of patients with gradual tapering. The mean BCVA was 20/87 at 3 months. Almost all patients experienced a complete resolution of ophthalmoplegia and ptosis at 3 months. Residual mydriasis was observed in 37.5% of patients. We proposed a schematic diagram describing the course of HZO-OAS.</p><p><strong>Conclusion: </strong>HZO-OAS is a rare but devastating complication occurring mainly in older and immunosuppressed patients despite treatment with oral antivirals. Early identification and treatment with intravenous acyclovir combined with steroids appear to be essential.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"520-531"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150770","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":"Influence of Capsular Tension Ring Implantation on Rotational Stability of Intraocular Lenses: A Systematic Review and Meta-Analysis.","authors":"Dehai Liu, Lanxin Hu, Rui Qin, Yiyun Liu, Tong Sun, Qianqian Lan, Hong Qi","doi":"10.1080/08820538.2026.2664401","DOIUrl":"https://doi.org/10.1080/08820538.2026.2664401","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the influence of capsular tension ring (CTR) implantation on the rotational stability of intraocular lenses (IOLs) by separately analyzing IOL rotation and IOL misalignment.</p><p><strong>Methods: </strong>PubMed, EMBASE, Web of Science, CENTRAL, and Google Scholar were searched through October 2025. IOL rotation was defined as the absolute axis change from the immediate postoperative position to final follow-up. IOL misalignment was defined as the absolute deviation between the intended surgical axis and the measured postoperative axis. Outcomes included mean rotation or misalignment (degrees) and the proportion of eyes exceeding 5-, 10-, and 15-degree thresholds. Random-effects models were used to calculate pooled mean differences (MDs) and risk ratios (RRs) with 95% confidence intervals (CIs). Subgroup analyses were stratified by IOL haptic design and high myopia status. Evidence certainty was assessed using the GRADE framework.</p><p><strong>Results: </strong>Twelve studies (1251 eyes; 639 CTR, 612 non-CTR) were included. CTR implantation did not significantly reduce mean IOL rotation (MD - 0.40 degrees; 95% CI, -1.20 to 0.39; <i>p</i> = .322). No significant differences were observed for the proportion of eyes with rotation exceeding 5 degrees (<i>p</i> = .150), 10 degrees (<i>p</i> = .065), or 15 degrees (<i>p</i> = .176). For IOL misalignment, the overall pooled effect was not significant (MD - 1.46 degrees; 95% CI, -3.08 to 0.17; <i>p</i> = .079). However, subgroup analysis demonstrated a significant interaction by haptic design (<i>p</i> = .005). CTR implantation significantly reduced misalignment for loop-haptic IOLs (MD - 1.25 degrees; 95% CI, 1.73 to -0.77; <i>p</i> < .001) and for plate-haptic IOLs (MD - 3.18 degrees; 95% CI, -6.29 to -0.08; <i>p</i> = .045). The proportion of IOL misalignment exceeding 5 degrees was significantly lower in the CTR group (RR 0.53; 95% CI, 0.31 to 0.89; <i>p</i> = .018).</p><p><strong>Conclusions: </strong>CTR implantation did not significantly reduce mean IOL rotation or the proportion of outlier rotation at final follow-up (moderate-certainty evidence). Exploratory analysis based on very low-certainty observational evidence suggests that CTR may reduce IOL misalignment, particularly for loop-haptic IOLs, but these findings require confirmation in adequately powered RCTs.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779774","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":"Lacrimal History - Part 57: Doyens of Dacryology Series - Anel's Fight Back Through Correspondence and His Apologetic Discourse.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2562767","DOIUrl":"10.1080/08820538.2025.2562767","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"371-378"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076048","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":"Lacrimal History - Part 90: History of Retrograde Approaches Through the Nasolacrimal Duct: Works of 'de La Forest', 'Gensoul', 'Béraud', 'Sawrey', and Others.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2611508","DOIUrl":"10.1080/08820538.2025.2611508","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"401-410"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906621","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}