Survey of ophthalmology最新文献_第6页

Risk of stroke development following retinal vein occlusion: A systematic review and meta-analysis 视网膜静脉闭塞后发生中风的风险：系统回顾和荟萃分析。

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-07-03 DOI: 10.1016/j.survophthal.2024.06.007

{"title":"Risk of stroke development following retinal vein occlusion: A systematic review and meta-analysis","authors":"","doi":"10.1016/j.survophthal.2024.06.007","DOIUrl":"10.1016/j.survophthal.2024.06.007","url":null,"abstract":"<div><p>Retinal vein occlusion (RVO) and cerebrovascular disease share common risk factors and may be independently associated; however, the strength and nature of this association remain unclear. We conducted a systematic review and meta-analysis, informed by studies from PubMed, Scopus, EMBASE, Web of Science, and Google Scholar until January 6, 2024, aimed to clarify this relationship. Eligible studies included cohorts observing stroke incidence in RVO patients for over a year. Pooled effect estimates were calculated using random-effects models, with subgroup analyses evaluating associations between RVO types (central and branch) and stroke subtypes (ischemic and hemorrhagic). Ten cohort studies with a total of 428,650 participants (86,299 RVO patients) were included. Compared to controls, RVO patients exhibited a significantly increased risk of stroke (pooled risk ratio [RR]=1.38, 95 % confidence interval (95 %CI)=1.34–1.41). Subgroup analyses indicated elevated risk for both ischemic (RR=1.37, 95 %CI=1.32–1.42) and hemorrhagic (RR=1.55, 95 %CI=1.08–2.22) strokes in RVO patients. Additionally, both central (RR=1.50, 95 %CI=1.27–1.78) and branch (RR=1.41, 95 %CI=1.32–1.50) RVO were associated with stroke risk. Sensitivity analyses confirmed consistent results across various criteria, and funnel plots indicated no publication bias. RVO significantly increases the risk of both ischemic and hemorrhagic stroke, regardless of RVO type, suggesting a strong independent association between these conditions.</p></div>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Diabetic retinopathy: New concepts of screening, monitoring, and interventions 糖尿病视网膜病变：筛查、监测和干预的新概念。

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-07-02 DOI: 10.1016/j.survophthal.2024.07.001

{"title":"Diabetic retinopathy: New concepts of screening, monitoring, and interventions","authors":"","doi":"10.1016/j.survophthal.2024.07.001","DOIUrl":"10.1016/j.survophthal.2024.07.001","url":null,"abstract":"<div><p>The science of diabetes care has progressed to provide a better understanding of the oxidative and inflammatory lesions and pathophysiology of the neurovascular unit within the retina (and brain) that occur early in diabetes, even prediabetes. Screening for retinal structural abnormalities, has traditionally been performed by fundus examination or color fundus photography; however, these imaging techniques detect the disease only when there are sufficient lesions, predominantly hemorrhagic, that are recognized to occur late in the disease process after significant neuronal apoptosis and atrophy, as well as microvascular occlusion with alterations in vision. Thus, interventions have been primarily oriented toward the later-detected stages, and clinical trials, while demonstrating a slowing of the disease progression, demonstrate minimal visual improvement and modest reduction in the continued loss over prolonged periods. Similarly, vision measurement utilizing charts detects only problems of visual function late, as the process begins most often parafoveally with increasing number and progressive expansion, including into the fovea. While visual acuity has long been used to define endpoints of visual function for such trials, current methods reviewed herein are found to be imprecise. We review improved methods of testing visual function and newer imaging techniques with the recommendation that these must be utilized to discover and evaluate the injury earlier in the disease process, even in the prediabetic state. This would allow earlier therapy with ocular as well as systemic pharmacologic treatments that lower the and neuro-inflammatory processes within eye and brain. This also may include newer, micropulsed laser therapy that, if applied during the earlier cascade, should result in improved and often normalized retinal function without the adverse treatment effects of standard photocoagulation therapy.</p></div>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0039625724000778/pdfft?md5=cb71f9cabc3b0405457407b2dc74cfed&pid=1-s2.0-S0039625724000778-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applications of artificial intelligence in diagnosis of uncommon cystoid macular edema using optical coherence tomography imaging: A systematic review 人工智能在利用光学相干断层成像诊断不常见囊样黄斑水肿中的应用：系统综述。

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-06-27 DOI: 10.1016/j.survophthal.2024.06.005

{"title":"Applications of artificial intelligence in diagnosis of uncommon cystoid macular edema using optical coherence tomography imaging: A systematic review","authors":"","doi":"10.1016/j.survophthal.2024.06.005","DOIUrl":"10.1016/j.survophthal.2024.06.005","url":null,"abstract":"<div><p>Cystoid macular edema (CME) is a sight-threatening condition often associated with inflammatory and diabetic diseases. Early detection is crucial to prevent irreversible vision loss. Artificial intelligence (AI) has shown promise in automating CME diagnosis through optical coherence tomography (OCT) imaging, but its utility needs critical evaluation. This systematic review assesses the application of AI to diagnosis CME, specifically focusing on disorders like postoperative CME (Irvine Gass syndrome) and retinitis pigmentosa without obvious vasculopathy, using OCT imaging. A comprehensive search was conducted across 6 databases (PubMed, Scopus, Web of Science, Wiley, ScienceDirect, and IEEE) from 2018 to November, 2023. Twenty-three articles met the inclusion criteria and were selected for in-depth analysis. We evaluate AI's role in CME diagnosis and its performance in “detection”, “classification”, and “segmentation” of OCT retinal images. We found that convolutional neural network (CNN)-based methods consistently outperformed other machine learning techniques, achieving an average accuracy of over 96 % in detecting and identifying CME from OCT images. Despite certain limitations such as dataset size and ethical concerns, the synergy between AI and OCT, particularly through CNNs, holds promise for significantly advancing CME diagnostics.</p></div>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0039625724000730/pdfft?md5=6ea55528589d75249db0494f68fee5e8&pid=1-s2.0-S0039625724000730-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multimodal imaging in diabetic retinopathy and macular edema: An update about biomarkers 糖尿病视网膜病变和黄斑水肿的多模态成像：生物标志物的最新进展。

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-06-26 DOI: 10.1016/j.survophthal.2024.06.006

{"title":"Multimodal imaging in diabetic retinopathy and macular edema: An update about biomarkers","authors":"","doi":"10.1016/j.survophthal.2024.06.006","DOIUrl":"10.1016/j.survophthal.2024.06.006","url":null,"abstract":"<div><p><span>Diabetic macular edema (DME), defined as retinal thickening near, or involving the fovea caused by fluid accumulation in the retina, can lead to </span>vision impairment<span><span><span><span> and blindness<span> in patients with diabetes. Current knowledge of retina anatomy and function and DME </span></span>pathophysiology<span> has taken great advantage of the availability of several techniques for visualizing the retina. Combining these techniques in a multimodal imaging approach to DME is recommended to improve diagnosis and to guide treatment decisions. We review the recent literature about the following </span></span>retinal imaging<span><span> technologies: optical coherence tomography (OCT), OCT </span>angiography (OCTA), wide-field and ultrawide-field techniques applied to </span></span>fundus photography<span>, fluorescein angiography<span><span>, and OCTA. The emphasis will be on characteristic DME features identified by these imaging technologies and their potential or established role as diagnostic, prognostic, or predictive biomarkers. The role of artificial intelligence in the assessment and interpretation of </span>retina images is also discussed.</span></span></span></p></div>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

A journey through the world of vitreous 玻璃体世界之旅

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-06-15 DOI: 10.1016/j.survophthal.2024.06.004

{"title":"A journey through the world of vitreous","authors":"","doi":"10.1016/j.survophthal.2024.06.004","DOIUrl":"10.1016/j.survophthal.2024.06.004","url":null,"abstract":"<div><p>Vitreous, one of the largest components of the human eye, mostly contains water. Despite decades of studying the vitreous structure, numerous unanswered questions still remain, fueling ongoing active research. We attempt to provide a comprehensive overview of the current understanding of the development, morphology, biochemical composition, and function of the vitreous. We emphasize the impact of the vitreous structure and composition on the distribution of drugs. Fast-developing imaging technologies, such as modern optical coherence tomography, unlocked multiple new approaches, offering the potential for <em>in vivo</em> study of the vitreous structure. They allowed to analyze <em>in vivo</em> a range of vitreous structures, such as posterior precortical vitreous pockets, Cloquet canal, channels that interconnect them, perivascular vitreous fissures, and cisterns. We provide an overview of such imaging techniques and their principles and of some challenges in visualizing vitreous structures. Finally, we explores the potential of combining the latest technologies and machine learning to enhance our understanding of vitreous structures.</p></div>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0039625724000705/pdfft?md5=0b104d701bf1b0d59cdb60e9360bcfa8&pid=1-s2.0-S0039625724000705-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to “Fibrosis in neovascular age-related macular degeneration: a review of definitions based on clinical imaging” [Surv Ophthalmol 68 (2023) 835–848/5] 新生血管性老年黄斑变性中的纤维化：基于临床成像的定义回顾》[Surv Ophthalmol 68 (2023) 835-848/5]的更正。

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-05-28 DOI: 10.1016/j.survophthal.2023.10.007

引用次数: 0

Not everything is ischemic optic neuropathy 并非所有病症都是缺血性视神经病变

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-05-23 DOI: 10.1016/j.survophthal.2024.05.005

引用次数: 0

Generative artificial intelligence in ophthalmology. 眼科生成人工智能。

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-05-16 DOI: 10.1016/j.survophthal.2024.04.009

Ethan Waisberg, Joshua Ong, Sharif Amit Kamran, Mouayad Masalkhi, Phani Paladugu, Nasif Zaman, Andrew G Lee, Alireza Tavakkoli

{"title":"Generative artificial intelligence in ophthalmology.","authors":"Ethan Waisberg, Joshua Ong, Sharif Amit Kamran, Mouayad Masalkhi, Phani Paladugu, Nasif Zaman, Andrew G Lee, Alireza Tavakkoli","doi":"10.1016/j.survophthal.2024.04.009","DOIUrl":"10.1016/j.survophthal.2024.04.009","url":null,"abstract":"<p><p>Generative artificial intelligence (AI) has revolutionized medicine over the past several years. A generative adversarial network (GAN) is a deep learning framework that has become a powerful technique in medicine, particularly in ophthalmology for image analysis. In this paper we review the current ophthalmic literature involving GANs, and highlight key contributions in the field. We briefly touch on ChatGPT, another application of generative AI, and its potential in ophthalmology. We also explore the potential uses for GANs in ocular imaging, with a specific emphasis on 3 primary domains: image enhancement, disease identification, and generating of synthetic data. PubMed, Ovid MEDLINE, Google Scholar were searched from inception to October 30, 2022, to identify applications of GAN in ophthalmology. A total of 40 papers were included in this review. We cover various applications of GANs in ophthalmic-related imaging including optical coherence tomography, orbital magnetic resonance imaging, fundus photography, and ultrasound; however, we also highlight several challenges that resulted in the generation of inaccurate and atypical results during certain iterations. Finally, we examine future directions and considerations for generative AI in ophthalmology.</p>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Denial. 丹尼尔

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-05-13 DOI: 10.1016/j.survophthal.2024.05.003

M. Tariq Bhatti, Jennifer R Long, Andrew R Carey

引用次数: 0

Risk factors for complications in resident-performed cataract surgery: A systematic review 住院医师实施白内障手术并发症的风险因素：系统综述。

IF 5.1 2区医学

Survey of ophthalmology Pub Date : 2024-04-20 DOI: 10.1016/j.survophthal.2024.04.002

Chaerim Kang , Matthew J. Lee BA , Amy Chomsky MD , Thomas A. Oetting MS, MD , Paul B. Greenberg MD, MPH

{"title":"Risk factors for complications in resident-performed cataract surgery: A systematic review","authors":"Chaerim Kang , Matthew J. Lee BA , Amy Chomsky MD , Thomas A. Oetting MS, MD , Paul B. Greenberg MD, MPH","doi":"10.1016/j.survophthal.2024.04.002","DOIUrl":"10.1016/j.survophthal.2024.04.002","url":null,"abstract":"<div><p>We assessed risk factors for complications associated with resident-performed cataract surgery. Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, we searched 4databases in September, 2023. We included peer-reviewed, full-text, English-language articles assessing risk factors for complications in resident performed cataract surgery. We excluded studies describing cataract surgeries performed by fellows, combined surgeries, and studies with insufficient information. Our initial search yielded 6244 articles; 15 articles were included after title/abstract and full-text review. Patient-related risk factors included older age, hypertension, prior vitrectomy, zonular pathology, pseudoexfoliation, poor preoperative visual acuity, small pupils, and selected types of cataracts. Surgeon-related risk factors included resident postgraduate year and surgeon right-handedness. Other risk factors included absence of supervision, long phacoemulsification time, and phacoemulsification with high power and torsion. The quality of the studies was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation; most studies graded as moderate, primarily due to risk of bias. When assigning cases to residents, graduate medical educators should consider general and resident-specific risk factors to facilitate teaching and preserve patient safety.</p></div>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":null,"pages":null},"PeriodicalIF":5.1,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140793251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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