Deven Huang, Sara Channamsetty, Erol Verter, John Huang
{"title":"Racial and Socioeconomic Differences Correlate with Healthcare Disparities in Patients with Diabetic Retinopathy","authors":"Deven Huang, Sara Channamsetty, Erol Verter, John Huang","doi":"10.11648/j.ijovs.20240903.11","DOIUrl":"https://doi.org/10.11648/j.ijovs.20240903.11","url":null,"abstract":"Diabetic retinopathy (DR), an ocular complication of diabetes mellitus, is the leading cause of permanent blindness in the United States for young adults. Due to biological and environmental factors, diabetes mellitus is well known to disproportionally affect people of color and those of lower socioeconomic status; however, the racial and socioeconomic disparities of DR are less researched. The purpose of this research is to elucidate any differences in DR presentation that arise across racial and socioeconomic lines and to determine if diabetic control can be a predicting factor for DR severity. For this study, a retrospective patient chart analysis was performed on 511 consecutive newly referred patients with diabetes at New England Retina Associates, a vitreo-retinal ophthalmology practice with four locations throughout Connecticut. Our analysis shows that, when compared to their White and Asian counterparts, Black/African American and Hispanic patients present with DR at younger ages, had the higher HbA1c, were uninsured at higher rates, and presented with severe forms of DR in higher rates when compared to their counterparts. Many of these patterns are mirrored in patients that are uninsured or on Medicaid, indicators of lower socioeconomic status. Additionally, regardless of race or socioeconomic status, patients with higher HbA1c tended to present with more severe forms of DR. These findings indicate that DR disproportionately affects racial minority populations and those in socioeconomically disadvantageous positions, but effective glycemic control and routine eye exam screening can improve the outcomes of these patients. It is important for medical providers to recognize the disparities in these vulnerable populations in order to facilitate the timely referrals and the proper care for their long-term ocular health.\u0000","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"59 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141687048","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}
Joaquim Rutllan-Civit, F. Rodrı́guez-González, Bárbara Salas-Salas, Laura Ferrera, Lucía Juan, Raquel Cabrera, Marta Lloret, F. Medina-Rivero, Jesús María González-Martín, P. Pablos-Velasco
{"title":"Determinants of Favourable Outcome Among Adults with Active Thyroid Eye Disease: The Remarkable Role of Long-Duration Treatment Approaches","authors":"Joaquim Rutllan-Civit, F. Rodrı́guez-González, Bárbara Salas-Salas, Laura Ferrera, Lucía Juan, Raquel Cabrera, Marta Lloret, F. Medina-Rivero, Jesús María González-Martín, P. Pablos-Velasco","doi":"10.11648/j.ijovs.20240901.11","DOIUrl":"https://doi.org/10.11648/j.ijovs.20240901.11","url":null,"abstract":"","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"114 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139614239","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}
{"title":"Comparative Analysis of the Clinical Efficacy Characteristics of Full Femtosecond Smile Correction and FS-LASIK Refractive Correction - A Population-Based Study","authors":"Wang Tao, Liu Chao","doi":"10.11648/j.ijovs.20230803.12","DOIUrl":"https://doi.org/10.11648/j.ijovs.20230803.12","url":null,"abstract":"","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139282116","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}
{"title":"Clinical Characterization of Surgical Opportunities in Proliferative Diabetic Retinopathy - A Population-Based Study","authors":"Wang Tao, Liu Chao","doi":"10.11648/j.ijovs.20230804.11","DOIUrl":"https://doi.org/10.11648/j.ijovs.20230804.11","url":null,"abstract":"","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139282074","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}
{"title":"Effect of Ginger Tea Consumption on the Tear Film Parameters in Subjects with Healthy and Dry Eyes","authors":"Mana Alafri Alanazi","doi":"10.11648/j.ijovs.20230802.12","DOIUrl":"https://doi.org/10.11648/j.ijovs.20230802.12","url":null,"abstract":": Background : To assess the tear film in normal and dry eye subjects after the consumption of hot ginger tea. Methods : Forty subjects (25 males and 15 females) aged 18–36 years (mean ± standard deviation = 23.5 – 5.2 years) were enrolled in the current study. Written informed consent was obtained from each participant prior to the start of the research. Temperature and humidity were controlled during the measurement. Phenol red thread (PRT) test was performed first, followed by tear ferning (TF) and noninvasive tear breakup time (NITBUT) tests. A 10 min gap was allowed between tests. Measurements were obtained 30 min before the consumption of ginger tea and repeated 60 minutes after the drink. Results : TF grades increased for a majority of subjects ( N = 34; 85%), remained unchanged for two subjects (5%)","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134343892","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}
{"title":"Delayed Sympathetic Ophthalmia Involving Posterior Segment a Dilemma: A Case Report","authors":"D. Arora, Anuj Sharma, D. Sharma, D. Sharma","doi":"10.11648/j.ijovs.20230801.14","DOIUrl":"https://doi.org/10.11648/j.ijovs.20230801.14","url":null,"abstract":": We report a case of 11 year old young girl referred with complaint of right sided photophobia and pain following faucet induced trauma to left eye 3 months ago, followed by loss of sight in left eye. Patient presented to us with prepthisical left eye and anterior segment uveitis in right eye. Fundus picture revealed cream colour white nodules confirmed as Dalen Fuchs on fundus fluorescein angiography and presence of hypereflective lesions placed at level of retinal pigment epithelium with disruption of the inner and outer segment (IS/OS) junction on spectral domain optical coherence tomography. Ultrasonogram-B-scan confirmed closed funnel retinal detachment in traumatized left eye and increased choroidal thickness in sympathizing right eye. She underwent orbital computerized axial tomography scan to rule out intraocular foreign body. She was diagnosed as a case of delayed sympathetic ophthalmia. Subsequently she was put on intensive topical with oral steroids and immunesuppressive therapy constituted with oral azathioprine and methotrexate continued for one year and tapered on resolution of presenting signs. At final follow up sympathizing eye was quiescent and sympathetic eye was prepthisical. Sympathetic ophthalmia needs to be distinguished from other ocular auto-immune disorder such as Vogt Koyanagi Harada disease and Acute Multifocal Pigment Placoid Epitheliopathy to which it bears striking resemblance. As these disorders have variable response to treatment with widely differing outcome one must keep that in view while managing them. It is important to remember as the treatment is prolonged recurrences and patient drop outs are commonly noted.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"186 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132757981","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}
{"title":"A Profile of Ocular Trauma Cases Visiting the Ophthalmology Department in a Tertiary Care Eye Centre","authors":"Faiza Syed Jafar, Alhaj Farhath Tasneem, Irvathur Vittal Nayak, V. Reddy","doi":"10.11648/j.ijovs.20230801.13","DOIUrl":"https://doi.org/10.11648/j.ijovs.20230801.13","url":null,"abstract":": Ocular trauma is a significant preventable cause of permanent visual morbidity and has a substantial socioeconomic impact. Hence, it is essential to understand the various causes, presentations, treatment and surgical approaches with regards to the treatment of these cases as well as prevention with safety devices. This paper aims to assess pattern of presentation and risk factors of ocular injuries attending the department of ophthalmology a tertiary care center. This was a retrospective analysis of ocular trauma cases that visited our center between 2018 to 2021 and the various diagnostic techniques and appropriate surgical methods taken with respect to each case, highlighting the visual outcome. A follow-up was maintained in all cases for three years at regular 3-4 months interval. It was found that 50% of injuries were open-globe injuries, 16.7% closed globe injuries and 25% orbital wall fractures. Majority of subjects were in the age group 21-30 years (41.7%) of which 83.3% males. The most common cause of ocular injury was road traffic accidents (66.7%) of which 37.5% were associated with two-wheeler vehicles. 41.6% presented with visual acuity less than 6/60. 83.3% required surgical treatment. 58.2% of eyes regained visual acuity greater than or equal to 6/24 of which 25% regained visual acuity of 6/9. In conclusion, ocular trauma was more common in males following road-traffic accidents particularly with two-wheeler, the majority presenting immediately following the trauma and most required surgical correction.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128976905","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}
{"title":"Role of Low Carbohydrate Diet and Panchakarma Therapy in Reduction of Hba1c with Special Reference to Diabetic Retinopathy in Type 2 Diabetes Mellitus - Case Series","authors":"P. Pawar, D. Pawar, Sandeep Anjankar","doi":"10.11648/j.ijovs.20230801.12","DOIUrl":"https://doi.org/10.11648/j.ijovs.20230801.12","url":null,"abstract":": Diabetes Mellitus (DM, Type I and II included) are prevalent metabolic disorders that cause high blood sugar levels over an extended period of time due to unhealthy lifestyle modifications. Diabetic retinopathy (DR) is a complication that causes abnormalities in the retina to be seen as early as 10 years after the onset of DM or even earlier. The DR is main cause of visual impairment in patients with DM. Considering the limitations of standard treatments for DR there is a need for complementary medicine. Panchakarma has been documented to be effective in controlling DM. This article explores the role of diet and panchakarma in three different patients suffering with DR. The patients underwent eye assessment and evaluation of the various risk factors for DR followed by study therapy. The eye evaluations post study therapy show improvement in near vision and visual acuity in both eyes of the three patients described herein. In these patients, ophthalmoscopy confirmed that the exudates and haemorrhages were decreased post-treatment. We report no side effects or adverse events related to study therapy in the concerned patients. Hence, DR may be prevented by strict glycemic control and annual dilated eye examination by an ophthalmologist. Therefore, we conclude positive effect of study therapy for DM patients with DR. Studies with larger sample size and follow up are warranted to generalize this finding.","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122917247","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}
Juan Gonzalo Sanchez, M. Guerra, Maria Carolina Sardi, Maria Adelaida Piedrahita, Claudia Patricia Acosta
{"title":"Unilateral Acute Idiopathic Maculopathy Follow up by Optical Coherence Tomography Angiography a Case Report","authors":"Juan Gonzalo Sanchez, M. Guerra, Maria Carolina Sardi, Maria Adelaida Piedrahita, Claudia Patricia Acosta","doi":"10.11648/j.ijovs.20230801.11","DOIUrl":"https://doi.org/10.11648/j.ijovs.20230801.11","url":null,"abstract":"","PeriodicalId":384964,"journal":{"name":"International Journal of Ophthalmology & Visual Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128539565","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}