Yogita Kadam, Namrata Dagli, RaguKumar Venugopal, Sushrutha Raj, Sonu Goel
{"title":"Global Trends and Emerging Themes in Tele-Ophthalmology Research: A Bibliometric Analysis (1993 to 2024).","authors":"Yogita Kadam, Namrata Dagli, RaguKumar Venugopal, Sushrutha Raj, Sonu Goel","doi":"10.1080/08820538.2025.2559842","DOIUrl":"https://doi.org/10.1080/08820538.2025.2559842","url":null,"abstract":"<p><strong>Background: </strong>Tele-ophthalmology is transforming eye care delivery, particularly in remote and underserved areas, where specialist shortages and geographic barriers prevent millions from receiving timely diagnosis and treatment for preventable blindness. Tele-ophthalmology has emerged as a critical solution to bridge these care gaps, with applications ranging from remote screening, diagnosis, and monitoring of conditions like diabetic retinopathy and glaucoma. Despite rapid technological advances and growing implementation, the research landscape lacks literature providing an overview of global trends, collaborative patterns, and emerging innovations in this field, hindering strategic research planning and evidence-based policy development for expanding digital eye care services. This study aims to analyse global trends and emerging themes in tele-ophthalmology research to fill this knowledge void and provide strategic insights for researchers, clinicians, and policymakers.</p><p><strong>Methods: </strong>A comprehensive online literature search was conducted using the Scopus database, retrieving English-language publications related to tele-ophthalmology up to 31st December 2024. Data were extracted and analysed using Biblioshiny in R Studio and VOSviewer. The study assessed annual publication trends, top journals' contributions, authors' contributions, authors' collaboration, keyword co-occurrence, and thematic evolution.</p><p><strong>Results: </strong>A total of 5,498 publications were identified, with an annual growth rate of 9.55%, and nearly 800 articles published in 2023 alone. The United States led in publication output and international collaborations. Dr. Michael F. Chiang published the highest number of articles, with the highest total link strength (174), followed by Dr. R.V. Paul Chan and Dr. J. Peter Campbell (122). Telemedicine and E-Health was the leading journal, followed by the Journal of Telemedicine and Telecare and the Indian Journal of Ophthalmology. Common keywords included \"telemedicine,\" \"diabetic retinopathy,\" \"artificial intelligence,\" and \"COVID-19,\" reflecting major research themes. Thematic analysis showed a shift toward AI integration and digital health solutions in ophthalmology.</p><p><strong>Conclusion: </strong>The field of teleophthalmology has experienced significant and rapid growth in research activity. Recent trends indicate growing integration of artificial intelligence and digital health tools. This bibliometric study provides a comprehensive overview that can inform future research and policy efforts to enhance digital eye care delivery.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076184","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 55: Doyens of Dacryology Series - Georg Joseph Beer (1763-1821), and His Concepts of the Hernia and Hydrops of the Lacrimal Sac.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2560180","DOIUrl":"https://doi.org/10.1080/08820538.2025.2560180","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-6"},"PeriodicalIF":2.3,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055654","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}
Jayesh Vazirani, Anahita Kate, Shweta Agarwal, Sayan Basu, Swapnil Bhalekar, Simmy Chaudhary, Sharon D'Souza, Rajesh Fogla, Abha Gour, Sahil Goel, Nikhil S Gokhale, Neeti Gupta, Pallavi Joshi, Paras Mehta, Vikas Mittal, Somasheila I Murthy, Vinay S Pillai, Swapna S Shanbhag, Swati Singh, Bhaskar Srinivasan, Santosh Suman, Virender Singh Sangwan
{"title":"Preservative Related Ocular Surface Toxicity and the Need for Preservative Free Eye Drops in Ocular Surface Disorders - Recommendations of an Expert Group.","authors":"Jayesh Vazirani, Anahita Kate, Shweta Agarwal, Sayan Basu, Swapnil Bhalekar, Simmy Chaudhary, Sharon D'Souza, Rajesh Fogla, Abha Gour, Sahil Goel, Nikhil S Gokhale, Neeti Gupta, Pallavi Joshi, Paras Mehta, Vikas Mittal, Somasheila I Murthy, Vinay S Pillai, Swapna S Shanbhag, Swati Singh, Bhaskar Srinivasan, Santosh Suman, Virender Singh Sangwan","doi":"10.1080/08820538.2025.2555903","DOIUrl":"https://doi.org/10.1080/08820538.2025.2555903","url":null,"abstract":"<p><p>Preservatives are commonly used in eye drops to maintain sterility, to prolong shelf life and to enhance penetration into the eye. Cell culture and animal studies have demonstrated that commonly used preservatives have severe toxic effects on meibomian gland epithelial cells, conjunctival epithelial cells and corneal epithelial cells. Some preservatives penetrate into deeper tissues and cause inflammatory damage to the eye. Clinical studies show that symptoms and signs of ocular surface disease are much more common in patients using preserved eye drops. The beneficial effect of switching patients from preserved to preservative free eye drops has also been demonstrated in many studies. Preservative free eye drops are not universally available, especially in multi-dose vials, and may be more expensive than preserved eye drops. Awareness amongst physicians and patients about the potentially severe adverse effects of preserved eye drops is lacking. This article summarizes the laboratory and clinical evidence on this topic, and lists the recommendations of an expert group for various stakeholders.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-4"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041382","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":"Etiopathogenesis of Keratoconus: A Contemporary Overview.","authors":"Maja Ćwiek, Jan Bombuy Gimenez, Justyna Izdebska","doi":"10.1080/08820538.2025.2557985","DOIUrl":"https://doi.org/10.1080/08820538.2025.2557985","url":null,"abstract":"<p><strong>Introduction: </strong>Keratoconus (KC) is a progressive corneal disorder characterized by thinning and conical protrusion, leading to visual impairment. Whereas traditionally viewed as non-inflammatory, recent evidence highlights the role of chronic inflammation, oxidative stress, and genetic susceptibility in its pathogenesis.</p><p><strong>Methods: </strong>A literature review was conducted using PubMed, Embase, and Scopus databases focusing on keratoconus etiology and risk factors.</p><p><strong>Results: </strong>The most significant factors include eye rubbing, male sex, time spent using computers after work or school, and exposure to dust or particulates in the workplace. Additionally contributors include environmental factors (UV exposure, air pollution) and systemic conditions (connective tissue disorders, autoimmune diseases). Developing research also ensnares lifestyle factors such as poor nutrition, sleep disruption, and psychological stress in disease progression. Advances in genetic and epigenetic studies uncover dysregulation in corneal structure and repair mechanisms, while microbiome imbalances may further exacerbate inflammation.</p><p><strong>Discussion: </strong>This review synthesizes current knowledge on KC's multifactorial etiology, emphasizing the shift toward holistic management strategies that address both ocular and systemic factors. Environmental exposures, daily habits, and systemic health converge to influence keratoconus onset and progression for understanding this enigmatic disease. Future directions include personalized therapies focusing on fundamental molecular pathways and public health measures to moderate environmental risks.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041397","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 61: Doyens of Dacryology Series - Robert William Haxall (1802-1872), and His Prize Essay on Fistula Lachrymalis.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2560178","DOIUrl":"https://doi.org/10.1080/08820538.2025.2560178","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-5"},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034175","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 52: The Anel versus Signorotti Debate and the 1717 Verdict of Sebastiano Melli.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2558249","DOIUrl":"https://doi.org/10.1080/08820538.2025.2558249","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-5"},"PeriodicalIF":2.3,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024142","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 51: Doyens of Dacryology Series - The Protests of Francesco Signorotti Against Dominque Anel's New Methods.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2558251","DOIUrl":"https://doi.org/10.1080/08820538.2025.2558251","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-4"},"PeriodicalIF":2.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006603","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":"https://doi.org/10.1080/08820538.2025.2556633","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-4"},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","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":"Lacrimal History - Part 44: Doyens of Dacryology Series - Antonio Scarpa (1752-1832) and His Eyelid Theory of Lacrimal Disorders.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2556593","DOIUrl":"10.1080/08820538.2025.2556593","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-6"},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967651","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 49: Doyens of Dacryology Series - Benjamin Bell (1749-1806), His Conservative Techniques and Experience with Pellier's Gold and Lead Tubes.","authors":"Mohammad Javed Ali","doi":"10.1080/08820538.2025.2555123","DOIUrl":"https://doi.org/10.1080/08820538.2025.2555123","url":null,"abstract":"","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967672","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}