Advances in Ophthalmology & Visual System最新文献_第3页

New approaches in the detection and management of diabetic retinopathy in the near future 近期糖尿病视网膜病变检测与治疗的新方法

Advances in Ophthalmology & Visual System Pub Date : 2023-01-20 DOI: 10.15406/aovs.2023.13.00430

L. Balyen

{"title":"New approaches in the detection and management of diabetic retinopathy in the near future","authors":"L. Balyen","doi":"10.15406/aovs.2023.13.00430","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00430","url":null,"abstract":"Diabetes mellitus (DM), a group of metabolic diseases characterized by hyperglycemia, is a major public health problem worldwide. In recent years, the incidence and prevalence of DM has been increasing as a global epidemic. Diabetic retinopathy (DR) is the most common complication of DM and remains the major cause of preventable blindness among working-age people in most developed countries and it has a significant socioeconomic impact and source of morbidity. DR, which has long been recognized as a microvascular disease, has been demonstrated by laboratory and clinical evidence that inflammation and retinal neurodegeneration may also contribute to diabetic retinal damage in the early stages of DR. New diagnostic and treatment modalities in DR management is promising. Further elucidation of the underlying molecular mechanisms may provide new medical approaches for the development of novel therapeutic modalities. Nowadays, novel diagnostic devices such as ultrawide field fundus fluorescein angiography, optic coherence tomography angiography and adaptive optics retinal imaging have improved the detection of DR earlier, faster and more accurately. Subthreshold micropulse laser and other laser photocoagulation applications may be an alternative to conventional retinal photocoagulation with lower complications for DR treatment. In recent years, artificial intelligence, machine learning, and deep learning based diagnosis and treatment applications are developing. In addition, in recent years, unmanned automated-based diagnostic and treatment methods and newly developed intravitreal drugs and implants can offer more diagnostic and treatment options with promising results. This review provides an overview of novel diagnostic and treatment approaches for preventing the progression of diabetic retinopathy.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"40 311 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116346872","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

Recurrent craniopharyngioma 复发颅咽管瘤

Advances in Ophthalmology & Visual System Pub Date : 2023-01-20 DOI: 10.15406/aovs.2023.13.00431

L. Martelli

引用次数: 0

Pregnancy induced ocular changes 妊娠引起的眼部变化

Advances in Ophthalmology & Visual System Pub Date : 2023-01-09 DOI: 10.15406/aovs.2023.13.00428

P. Garg, Apala Priyadarshi, Swarastra P Singh, Parul Sinha

引用次数: 0

Refraction and the dissatisfied patient 折射和不满意的病人

Advances in Ophthalmology & Visual System Pub Date : 2022-12-28 DOI: 10.15406/aovs.2022.12.00427

Perez Mauricio, Gabarro Jose, Schmidt Anita

引用次数: 0

Corneal integrity in ahmed valve implantation: pars plana vs ciliary sulcus vs anterior chamber ahmed瓣植入术中的角膜完整性:平面部、睫状沟、前房

Advances in Ophthalmology & Visual System Pub Date : 2022-12-09 DOI: 10.15406/aovs.2022.12.00426

Dubay Sareta K, Dwarika Dorian, Bhola Ronnie

引用次数: 0

Krukenberg spindle and its implications Krukenberg纺锤体及其含义

Advances in Ophthalmology & Visual System Pub Date : 2022-11-16 DOI: 10.15406/aovs.2022.12.00425

A. Silvina, Soledad Varas, Roque Valerio

引用次数: 0

The compatibility between optical coherence tomography and fundus fluorescein angiography in the detection of macular edema involving the fovea 光学相干断层扫描和眼底荧光素血管造影在检测累及中央窝的黄斑水肿中的相容性

Advances in Ophthalmology & Visual System Pub Date : 2022-10-03 DOI: 10.15406/aovs.2022.12.00422

B. Turgut, Selahattin Semih Aydogan

{"title":"The compatibility between optical coherence tomography and fundus fluorescein angiography in the detection of macular edema involving the fovea","authors":"B. Turgut, Selahattin Semih Aydogan","doi":"10.15406/aovs.2022.12.00422","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00422","url":null,"abstract":"Objective: To investigate the compatibility between optical coherence tomography (OCT) and fundus fluorescein angiography (FFA) in the detection of macular edema (ME) excluding subretinal fluid (SRF) involving the fovea. Materials and methods: In this retrospective study in the Ophthalmology Department at our university hospital, interpretation of OCT and FFA images was performed for 200 eyes that underwent simultaneous FFA and OCT to rule out ME. The cases having SRF were excluded from the study. Results: Of 200 eyes, 193 eyes (96.5%) had the finding of ME confirmed by both techniques. There were 2 eyes (1%) for which FFA revealed ME involving fovea with hyperfluorescence in the macula while OCT demonstrated no intraretinal edema or subretinal fluid in the macula. For 5 eyes in the study (2.5%), OCT revealed intraretinal edema in the fovea, while these were not detected by FFA. Conclusion: This study suggests that FFA and OCT are highly sensitive techniques for the detection of ME and they correlate with each other. The little discrepancy between OCT and FFA for determining ME may be due to intracellular or extracellular edema and fast or slower development of retinal edema.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127247251","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

An approach to music therapy and its impact on the management of schizophrenia 音乐治疗方法及其对精神分裂症治疗的影响

Advances in Ophthalmology & Visual System Pub Date : 2022-09-22 DOI: 10.15406/aovs.2022.12.00421

Lianne Dilú, Fidel Vázquez

引用次数: 0

Diagnosis and management of serpiginous choroiditis 蛇形脉络膜炎的诊断与治疗

Advances in Ophthalmology & Visual System Pub Date : 2022-09-21 DOI: 10.15406/aovs.2022.12.00420

Jeanie C Lucy

{"title":"Diagnosis and management of serpiginous choroiditis","authors":"Jeanie C Lucy","doi":"10.15406/aovs.2022.12.00420","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00420","url":null,"abstract":"Purpose: Serpiginous choroiditis (SC) is a rare, bilateral, idiopathic inflammatory disorder that causes geographic destruction of the retina and choroid often in healthy middle-aged patients. Symptoms include blurred vision, central and paracentral scotomas. SC is part of a group termed white dot syndromes which involves inflammation of the retina and choroid with the appearance of white dots in the fundus. SC requires a thorough workup prior to treatment to rule out other inflammatory autoimmune or infectious etiologies. Early stages are challenging to diagnose. Treatment includes corticosteroids and immunosuppressive therapy. The exact cause of Serpiginous Choroiditis is not known, yet HLA-B7 is typically positive indicating an autoimmune response in these patients. Choroidal neovascularization and cystoid macula edema are side effects, so close monitoring is important. This case presents a holistic clinical picture of SC to aid in better clinical diagnosis and understanding of this condition for the primary care eye clinician. Results: Presentation of a young otherwise healthy 37-year-old male patient to our clinical service revealed a serpentine shaped retina presentation absent of anterior chamber or vitreous inflammation. Fundus photos, fluorescein angiography, and ocular coherence tomography revealed serpiginous choroiditis. Primary care workup to rule out systemic conditions was unremarkable. Initial treatment with monitoring included intravitreal triamcinolone 2 mg/0.05 mL OU with oral chlorambucil therapy immediately afterwards. Active lesions resolved over the next 3 weeks, yet visual acuity showed no improvement as the foveal was already involved. The goal of chlorambucil therapy for 3 months was to induce sustained remission. Conclusion: Prognosis of SC is less favorable when the macula is involved (macular SC). Upon clinical presentation of serpiginous choroiditis, it is important to establish etiology of non-infectious autoimmune disorders or infectious disorders before classification of idiopathic SC and aggressive treatment to address underlying systemic conditions.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126514563","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

Integration of optometry at the national health system: the case of the first optometrists in Mozambique 国家卫生系统验光的整合:莫桑比克第一批验光师的案例

Advances in Ophthalmology & Visual System Pub Date : 2022-09-13 DOI: 10.15406/aovs.2022.12.00419

Joel Bambamba, Ramos Antonio, S. Latorre, Isaura Brito, Anselmo Vilanculos, Kajal Shah, D. González

{"title":"Integration of optometry at the national health system: the case of the first optometrists in Mozambique","authors":"Joel Bambamba, Ramos Antonio, S. Latorre, Isaura Brito, Anselmo Vilanculos, Kajal Shah, D. González","doi":"10.15406/aovs.2022.12.00419","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00419","url":null,"abstract":"Introduction: In the last two decades an increasing number of African countries have established Optometry training to tackle the largely unmet eye health needs of the population. However not sufficient evidence exist on how the profession is integrated and contributing to national health systems. In Mozambique, the optometry program started under the Faculty of Health Sciences in the public Lúrio University in 2009. From 2012 to 2016, 23 graduates were employed by the National Health System (NHS). Objective: The aim of this research is to document the integration of Optometrists at the National Health System in Mozambique. Methods: This is a descriptive, quantitative and cross-sectional study. Questionnaires and structured interviews were administered to all participants. Results: The response rate was 100% and the Optometrists were found practicing in 10 of the 11 provinces of the country distributed among primary, secondary and tertiary health facilities, providing refraction and managing common ocular pathologies along with the Ophthalmic Technicians, resolving the majority of patient needs and needing to refer 28% of cases to other professionals. The lack of equipment was the main expressed barrier to the provision of effective eye care services. According to them, the optometry curriculum responds well (91%) to the competencies required at the workplace. Areas for improvement training and provision of services were identified and presented in the study Conclusion: Optometrists are providing effective services needing to work closely and in coordination with other professionals. This research revealed the need for equipment provision and continuing education.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130932050","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

Advances in Ophthalmology &amp; Visual System最新文献

Advances in Ophthalmology & Visual System最新文献