Therapeutic Advances in Ophthalmology最新文献

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Disc–fovea distance and choroidal thickness: is there a relationship? 椎间盘-中央凹距离与脉络膜厚度有关系吗?
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221096062
Selim Cevher, M. Barış Üçer, T. Şahin
{"title":"Disc–fovea distance and choroidal thickness: is there a relationship?","authors":"Selim Cevher, M. Barış Üçer, T. Şahin","doi":"10.1177/25158414221096062","DOIUrl":"https://doi.org/10.1177/25158414221096062","url":null,"abstract":"Background: The distance between the optic disc center and the fovea is a biometric parameter; however, it is unclear whether DFD (disc–fovea distance) affects the choroidal thickness. Objective: The aim of this study is to investigate the association between DFD and choroidal thickness. Design: This is a prospective, and cross-sectional study. Methods: Two hundred fifty eyes of 250 healthy participants were examined in terms of DFD, age, axial length, spherical equivalent, and choroidal thickness. Inclusion criteria included aged between 20–40 years, no posterior segment disorders, and participants with best-corrected visual acuity (10/10 according to Snellen’s chart). Participants with high hypermetropia (>4 diopter) or myopia (>6 diopter) or any systemic disease likely to affect choroidal thickness were excluded. Choroidal thickness measurements were performed at subfoveal, 1.0 mm temporal, and 1.0 mm nasal using the enhanced-depth imaging optical coherence tomography. Results: The mean age of all the participants was 26.21 ± 5.73 years, mean DFD was 4634.29 ± 274.70 µm, mean axial length was 23.62 ± 0.83 mm, and mean spherical equivalent was −0.61 ± 1.06 diopter. The mean subfoveal, nasal, and temporal choroidal thicknesses were 388.73 ± 90.15 µm, 351.26 ± 88.09 µm, and 366.50 ± 79.56 µm, respectively. A negative correlation was found between subfoveal, nasal, and temporal choroidal thicknesses and axial length (r = −0.157, p = 0.013; r = −0.168, p = 0.008; r = −0.174, p = 0.006, respectively). Insignificant correlation was found between choroidal thicknesses and spherical equivalent (p > 0.05). There was not a statistically significant correlation between DFD and subfoveal, nasal, and temporal choroidal thicknesses (r = −0.028, p = 0.655; r = 0.030, p = 0.641; r = −0.025, p = 0.699, respectively). In addition, there was not a statistically significant correlation between age and choroidal thickness. Conclusion: This study shows that DFD and spherical equivalent do not affect choroidal thickness; axial length negatively affects choroidal thickness. In addition, age does not affect choroidal thickness between 20 and 40 years.","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49206335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of amblyopia on balance and gait. 弱视对平衡和步态的影响。
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221141380
Ali Nouraeinejad
{"title":"The effect of amblyopia on balance and gait.","authors":"Ali Nouraeinejad","doi":"10.1177/25158414221141380","DOIUrl":"https://doi.org/10.1177/25158414221141380","url":null,"abstract":"Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Ther Adv Ophthalmol","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":"14 ","pages":"25158414221141380"},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/39/10.1177_25158414221141380.PMC9749504.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10399981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Assessment of corneal endothelial cell morphology and anterior segment parameters in COVID-19. COVID-19患者角膜内皮细胞形态及前段参数的评估。
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221096057
Burak Oren, Dilara Ozkoyuncu Kocabas
{"title":"Assessment of corneal endothelial cell morphology and anterior segment parameters in COVID-19.","authors":"Burak Oren,&nbsp;Dilara Ozkoyuncu Kocabas","doi":"10.1177/25158414221096057","DOIUrl":"https://doi.org/10.1177/25158414221096057","url":null,"abstract":"<p><strong>Background: </strong>The ocular manifestations of the 2019 novel coronavirus disease (COVID-19) vary from acute follicular, pseudomembranous, and hemorrhagic conjunctivitis to keratoconjunctivitis with subepithelial infiltrates and dendritic lesions. Similar to other respiratory viruses, such as adenoviruses, it is thought that COVID-19 may impact the cornea. However, its impact on the cornea and anterior segment parameters are currently poorly understood.</p><p><strong>Objective: </strong>This study aims to assess the corneal endothelial cell morphology and anterior segment parameters in patients who have recovered from COVID-19.</p><p><strong>Methods: </strong>In this cross-sectional study, the COVID-19 group comprised 34 patients who had been diagnosed with and recovered from COVID-19, while the control group comprised age- and sex-matched individuals without any systemic or ocular diseases. The endothelial cell density (ECD), coefficient of variation (CV) of cell area, hexagonal cell percentage (HEX), anterior chamber depth (ACD), central corneal thickness (CCT), horizontal anterior chamber diameter (HACD), iridocorneal angle (ICA), horizontal visible iris diameter (HVID), pupillary diameter (PD), and keratometry values (K1 and K2) were analyzed for each participant. The differences in each of these between the groups were analyzed using either an independent samples <i>t</i> test or a Mann-Whitney <i>U</i> test based on the normality of the data.</p><p><strong>Results: </strong>Regarding corneal endothelial cell morphology, the ECDs for the COVID-19 and control groups were 2278.50 ± 186.78 cells/mm<sup>2</sup> and 2420.15 ± 222.25 cells/mm<sup>2</sup>, respectively (<i>p</i> = 0.002). A significant increase was noted in CV values in the COVID-19 group compared with the control group (<i>p</i> < 0.001). The HEX values for the COVID-19 and control groups were 56.26 ± 5.75 and 61.50 ± 3.63, respectively (<i>p</i> < 0.001). Regarding the anterior segment parameters, no significant differences were observed between the groups (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>It was hypothesized that individuals who had recovered from COVID-19 would demonstrate a reduction in their endothelial functional preserves. A decrease in ECD and HEX and an increase in CV were observed in the individuals during their early post-recovery period from COVID-19.</p>","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":"14 ","pages":"25158414221096057"},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/53/10.1177_25158414221096057.PMC9092573.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10707229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Comprehensive overview of IRVAN syndrome: a structured review of Case Reports and Case Series IRVAN综合征的全面综述:病例报告和病例系列的结构化综述
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414211070880
H. Khan, Q. A. Khan, M. Shahzad, M. Awan, N. Khan, Sm Jahangir, F. Shaheen, Kamran Wali, Julie A Rodman, Jozeph Pizzimenti, A. Saatçi
{"title":"Comprehensive overview of IRVAN syndrome: a structured review of Case Reports and Case Series","authors":"H. Khan, Q. A. Khan, M. Shahzad, M. Awan, N. Khan, Sm Jahangir, F. Shaheen, Kamran Wali, Julie A Rodman, Jozeph Pizzimenti, A. Saatçi","doi":"10.1177/25158414211070880","DOIUrl":"https://doi.org/10.1177/25158414211070880","url":null,"abstract":"Idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome is a rare spectrum of retinal vasculitis, aneurysms, and neuroretinitis affecting young individuals in their third decade. Most of our current knowledge is based on case reports, case series, and a handful of collaborative studies. There is much diversity in treatment approaches and outcomes in the reported literature. We have aggregated published case reports and case series into quantitative and narrative synthesis to draw evidence-based conclusions toward clinical features, atypical and rare findings, systemic associations, disease course, and treatment outcomes. The analysis suggested the disease mostly affects young individuals with a female predilection. Anterior chamber and vitreous inflammation are common than previously believed. The most prevalent pattern of retinal vasculitis in IRVAN eyes is mixed vasculitis, followed by arteritis and phlebitis. Most eyes at the time of presentation have capillary nonperfusion and require treatment. Most eyes retain good visual acuity; however, treatment is required to maintain visual function. Intravitreal antivascular endothelial growth factors administered as an adjunct to retinal laser photocoagulation are more likely to improve visual outcomes. Besides, we have discussed the different hypotheses on the etiopathogenesis of the disease and stronger evidence suggests an inflammatory origin of the disease.","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45565383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Optical coherence tomography patterns of diabetic macular edema and treatment response to bevacizumab: a short-term study 糖尿病黄斑水肿的光学相干断层扫描模式和贝伐单抗的治疗反应:一项短期研究
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221074519
Sadhana Sharma, P. Karki, S. N. Joshi, S. Parajuli
{"title":"Optical coherence tomography patterns of diabetic macular edema and treatment response to bevacizumab: a short-term study","authors":"Sadhana Sharma, P. Karki, S. N. Joshi, S. Parajuli","doi":"10.1177/25158414221074519","DOIUrl":"https://doi.org/10.1177/25158414221074519","url":null,"abstract":"Background: The purpose of this study was to evaluate the short-term response of intravitreal bevacizumab in diabetic macular edema (DME) and assess the variation in treatment outcomes in different morphology patterns using spectral domain–optical coherence tomography (SD-OCT). Objective: To study different morphological patterns of DME based on OCT and compare their treatment response to bevacizumab. Methods: Hundred and twelve eyes of 112 patients with DME were included and treated with intravitreal bevacizumab (1.25 mg/0.05 ml monthly for 3 months). The morphological patterns of DME were classified on the basis of OCT into three groups – diffuse retinal thickening (DRT), cystoid macular edema (CME), and serous retinal detachment (SRD) – and changes in central macular thickness (CMT) and best corrected visual acuity (BCVA) after treatment were compared. Results: A total of 112 eyes with DME were included and consisted of 40 DRT, 37 CME, and 35 SRD. Treatment with bevacizumab resulted in decrease in central macular thickness and improvement in BCVA in all three groups. The baseline visual acuity and CMT of DRT group was better than that of the other two groups. The treatment outcome was measured in terms of CMT and BCVA. Change in CMT was statistically significant among three groups and was found to be better in DRT group (p < 0.05, 95% confidence interval). However, there was statistically no significant variation between the three groups regarding the change in BCVA (p = 0.169, 95% confidence interval). Conclusion: Anatomic and visual improvement can be achieved by bevacizumab in all patterns of DME. However, individual pattern may respond differently. DRT, which appears to be the earliest form of DME, responds better than other types. Thus, the pattern of macular edema shown by OCT may provide an objective guideline in predicting the response of bevacizumab injection in DME.","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":"14 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42158658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Agreement in anterior segment measurements between swept-source and Scheimpflug-based optical biometries in keratoconic eyes: a pilot study 圆锥角膜的扫描源和基于Scheimpflug的光学生物测量在前段测量中的一致性:一项初步研究
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414211063283
E. Chalkiadaki, P. Gartaganis, Thomas Ntravalias, Ioannis Giannakis, E. Manousakis, Efthymios Karmiris
{"title":"Agreement in anterior segment measurements between swept-source and Scheimpflug-based optical biometries in keratoconic eyes: a pilot study","authors":"E. Chalkiadaki, P. Gartaganis, Thomas Ntravalias, Ioannis Giannakis, E. Manousakis, Efthymios Karmiris","doi":"10.1177/25158414211063283","DOIUrl":"https://doi.org/10.1177/25158414211063283","url":null,"abstract":"Background: Cataract surgery in keratoconic patients is challenging because of the corneal distortion, which can lead to inaccurate keratometry readings. This study is a comparison of the accuracy of keratometry readings by two types of devices in a tertiary hospital. Purpose: To evaluate the comparability of corneal power measurements, anterior chamber depth (ACD), and white-to-white (WTW) distance between Scheimpflug-based tomography (Pentacam AXL; OCULUS GmbH, Wetzlar, Germany) and swept-source optical biometry (IOLMaster 700; Carl Zeiss Meditec AG, Jena, Germany) in patients with keratoconus. Methods: This pilot, prospective, interinstrument reliability study included 30 keratoconic eyes of 15 individuals who had not undergone any kind of corneal surgery. Standard K and total refractive power (TK®) of the flattest and steepest axes of the IOLMaster 700 were compared with the standard keratometry (SimK), true net power (TNP), equivalent keratometer readings (EKR), and total corneal refractive power (TCRP) of the Pentacam. The Bland–Altman analysis was used to evaluate the agreement between the measurements of both devices. The paired-samples t-test and the Wilcoxon signed-rank test were performed to compare the mean values of the variables obtained with the devices. Results: The K1 value of the IOLMaster 700 was significantly higher from EKR K1 along the 3-mm (mean difference: 0.79 diopters, p = 0.01), 4-mm (mean difference: 1.01 D, p = 0.01), and 4.5-mm zones (mean difference: 1.20 D, p = 0.01) and TNP K1 along the 3-mm (mean difference: 0.88 D, p < 0.001) and 4-mm zones (mean difference: 0.97 D, p < 0.001). The TK1 value was significantly higher from EKR K1 along the 2-mm (mean difference: 0.42 D, p = 0.04), 3-mm (mean difference: 0.83 D, p = 0.003), 4-mm (mean difference: 1.05 D, p = 0.004), and 4.5-mm zones (mean difference: 1.24 D, p = 0.005) and TNP K1 along the 3-mm (mean difference: 0.92 D, p < 0.001) and 4-mm zones (mean difference: 1.01 D, p < 0.001). The K2 value of the IOLMaster 700 was significantly higher from TK2 (mean difference: 0.11 D, p = 0.04) and all the corresponding variables of the Pentacam device. The TK2 value was significantly higher from all the corresponding variables of the Pentacam device. The Pentacam also yielded significantly lower values for the WTW distance (mean difference: 0.31 mm, p < 0.001) and no significant difference in terms of ACD values (p = 0.9). Conclusion: The IOLMaster measured significantly greater keratometry readings in the steep axis for all the variables studied. The keratometry and WTW measurements of the investigated devices cannot be used interchangeably in keratoconus.","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43338053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Combined photorefractive keratectomy and corneal collagen cross-linking for treatment of keratoconus: a 2-year follow-up study 联合光屈光性角膜切除术和角膜胶原交联治疗圆锥角膜:一项2年随访研究
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221083362
G. De Rosa, S. Rossi, Carmine Santamaria, Rosa Boccia, L. de Rosa, Francesco Maria D’Alterio, F. Simonelli
{"title":"Combined photorefractive keratectomy and corneal collagen cross-linking for treatment of keratoconus: a 2-year follow-up study","authors":"G. De Rosa, S. Rossi, Carmine Santamaria, Rosa Boccia, L. de Rosa, Francesco Maria D’Alterio, F. Simonelli","doi":"10.1177/25158414221083362","DOIUrl":"https://doi.org/10.1177/25158414221083362","url":null,"abstract":"Background: Corneal collagen cross-linking (CXL) is considered an effective procedure for slowing down or eliminating the progression of keratoconus. New techniques, in combination with CXL, have been proposed to stop the evolution of keratoconus and improve the visual function. Objective: To evaluate the effectiveness of combined photorefractive keratectomy (PRK) with mitomycin-C (MMC) application and CXL in the management of grade 1–2 keratoconus over a 2-year follow-up. Methods: Fifteen eyes underwent topography-guided PRK with 0.02% MMC application immediately followed by standard CXL. Results: Best corrected visual acuity improved from 0.15 ± 0.11 logMAR to 0.08 ± 0.09 logMAR at 24 months (p < 0.0001) in treated eyes. Mean steepest meridian keratometry reduced from 48.79 ± 3.22 D at baseline to 46.16 ± 3.11 D at 24 months (p < 0.0001). Mean flattest meridian keratometry reduced from 45.18 ± 2.17 D preoperatively to 44.35 ± 2.19 D at 24 months (p < 0.0001). Conclusion: Simultaneous topography-guided PRK with MMC 0.02% application and standard CXL is a safe, promising and effective procedure in the treatment of mild and moderate keratoconus.","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42725573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A comprehensive review of intravitreal immunosuppressants and biologicals used in ophthalmology 眼科玻璃体内免疫抑制剂和生物制剂的综合综述
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221097418
Nasiq Hasan, R. Chawla, Nawazish Shaikh, Sindhuja Kandasamy, S. Azad, M. Sundar
{"title":"A comprehensive review of intravitreal immunosuppressants and biologicals used in ophthalmology","authors":"Nasiq Hasan, R. Chawla, Nawazish Shaikh, Sindhuja Kandasamy, S. Azad, M. Sundar","doi":"10.1177/25158414221097418","DOIUrl":"https://doi.org/10.1177/25158414221097418","url":null,"abstract":"Systemic immunosuppressants and biologicals have been a valuable tool in the treatment of inflammatory diseases and malignancies. The safety profile of these drugs has been debatable, especially in localized systems, such as the eye. This has led to the search for fairly local approaches, such as intravitreal, subconjunctival, and topical route of administration. Immunosuppressants have been used as a second-line drug in patients intolerable to corticosteroids or those who develop multiple recurrences on weaning corticosteroids. Similarly, biologicals have also been used as the next line of therapy, when adequate control of inflammation could not be attained or immunosuppressants were contraindicated to patients. Intravitreal immunosuppressants, such as methotrexate and sirolimus, have been extensively studied in noninfectious posterior uveitis, whereas limited studies have established the efficacy of intravitreal biologicals, such as infliximab and adalimumab. Most of these drugs have shown good safety profile and tolerability in animal studies alone and have not been studied further in human subjects. However, most of the studies in literature are single-case reports or case series which limits the level of evidence. In this comprehensive review, we discuss the mechanism of action, pharmacodynamics, pharmacokinetics, indications, efficacy, and side effects of different intravitreal immunosuppressants and biologicals that have been studied in literature.","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46085284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
The prevalence of anxiety symptoms and disorders among ophthalmic disease patients. 眼病患者焦虑症状和障碍的患病率。
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221090100
Zulvikar Syambani Ulhaq, Gita Vita Soraya, Nadia Artha Dewi, Lely Retno Wulandari
{"title":"The prevalence of anxiety symptoms and disorders among ophthalmic disease patients.","authors":"Zulvikar Syambani Ulhaq,&nbsp;Gita Vita Soraya,&nbsp;Nadia Artha Dewi,&nbsp;Lely Retno Wulandari","doi":"10.1177/25158414221090100","DOIUrl":"https://doi.org/10.1177/25158414221090100","url":null,"abstract":"<p><strong>Background: </strong>Progressive and irreversible vision loss has been shown to place a patient at risk of mental health problems such as anxiety. However, the reported prevalence of anxiety symptoms and disorders among eye disease patients vary across studies. Thus, this study aims to clarify the estimated prevalence of anxiety symptoms and disorders among ophthalmic disease patients.</p><p><strong>Methods: </strong>Relevant studies on the prevalence of anxiety symptoms and disorders among eye disease patients were collected through international databases, PubMed, Scopus, and Web of Science. A random-effects model was used to determine the pooled prevalence of anxiety symptoms and disorders among ophthalmic disease patients.</p><p><strong>Results: </strong>The 95 included studies yielded a pooled prevalence of 31.2% patients with anxiety symptoms and 19.0% with anxiety disorders among subjects with ophthalmic disease. Pediatric patients were more anxious (58.6%) than adults (29%). Anxiety symptoms were most prevalent in uveitis (53.5%), followed by dry eye disease (DED, 37.2%), retinitis pigmentosa (RP, 36.5%), diabetic retinopathy (DR, 31.3%), glaucoma (30.7%), myopia (24.7%), age-related macular degeneration (AMD, 21.6%), and cataract (21.2%) patients. Anxiety disorders were most prevalent in thyroid eye disease (TED, 28.9%), followed by glaucoma (22.2%) and DED (11.4%). When compared with healthy controls, there was a twofold increase on the prevalence of anxiety symptoms (OR = 1.912, 95% CI 1.463-2.5, <i>p</i> < 0.001) and anxiety disorders (OR = 2.281, 95% CI 1.168-4.454, <i>p</i> = 0.016).</p><p><strong>Conclusion: </strong>Anxiety symptoms and disorders are common problems associated with ophthalmic disease patients. Thus, comprehensive and appropriate treatments are necessary for treating anxiety symptoms and disorders among ophthalmic disease patients.</p>","PeriodicalId":23054,"journal":{"name":"Therapeutic Advances in Ophthalmology","volume":"14 ","pages":"25158414221090100"},"PeriodicalIF":2.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/81/10.1177_25158414221090100.PMC9021519.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Comment on 'Assessment of corneal endothelial cell morphology and anterior segment parameters in COVID-19'. 对“COVID-19角膜内皮细胞形态学和前段参数的评估”的评论。
IF 2.5
Therapeutic Advances in Ophthalmology Pub Date : 2022-01-01 DOI: 10.1177/25158414221138204
Nurettin Bayram
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