Journal of Aapos最新文献_第2页

Surgical drape waste in pediatric ophthalmology: examining the sustainability of strabismus surgery. 儿童眼科手术纱布废弃物：斜视手术的可持续性检验。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-06 DOI: 10.1016/j.jaapos.2026.105313

Syona K Hariharan, Muhammad T Hassan, Margaret A Tharp, Sahita Manda, Ishani Majmudar, David J Palmer, David A Ramirez

{"title":"Surgical drape waste in pediatric ophthalmology: examining the sustainability of strabismus surgery.","authors":"Syona K Hariharan, Muhammad T Hassan, Margaret A Tharp, Sahita Manda, Ishani Majmudar, David J Palmer, David A Ramirez","doi":"10.1016/j.jaapos.2026.105313","DOIUrl":"https://doi.org/10.1016/j.jaapos.2026.105313","url":null,"abstract":"Background: In pediatric ophthalmology, routine use of adult-sized drapes creates preventable waste. The goal of this study was to quantify the environmental impact of draping in pediatric strabismus surgery.Methods: This was an observational study of draping practices in pediatric strabismus surgeries conducted between October 1, 2024, and July 15, 2025, at Ann & Robert H. Lurie Children's Hospital of Chicago, a tertiary pediatric hospital. All strabismus surgeries conducted by 8 ophthalmologists during the study period were included. Drape usage and wastage were quantified. Patient height and weight were also recorded. Primary outcome was emissions in kilograms of carbon dioxide (kg CO2eq) from drapes. Secondary outcomes included proportion of drapes unused, difference in emissions between standard and alternative draping practices, and draping surface area relative to patient body surface area (BSA).Results: Across 174 cases, 56% of drapes were unused, causing mean wastage of 1.67 drapes and 2.73 kg CO2eq per case. Alternative draping was used in 72% of cases. Two such practices produced greater emissions than standard draping and two produced fewer; overall, alternative draping produced 0.19 fewer kg CO2eq in mean emissions per case. Total draping surface area was 5.5 times greater than patient BSA on average, producing 6.95 kg CO2eq per case from excess draping.Conclusions: Draping practices in pediatric strabismus surgery result in significant waste from unused and oversized drapes. Aligning surgical pack contents with surgeon preferences, adoption of size-appropriate drapes, and exploration of reusable alternatives may reduce the environmental impact of pediatric strabismus surgery.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105313"},"PeriodicalIF":1.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117783","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}

引用次数: 0

Association between congenital nasolacrimal duct obstruction and upper airway pathology: insights from a large multicenter cohort. 先天性鼻泪管阻塞与上气道病理的关系：来自一个大型多中心队列的见解。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-06 DOI: 10.1016/j.jaapos.2026.105317

Yossi Eshel, Aseel Gebara, Natan Lishinsky-Fischer, Nir Erdinest, Ayelet Priel, Zvi Gur

{"title":"Association between congenital nasolacrimal duct obstruction and upper airway pathology: insights from a large multicenter cohort.","authors":"Yossi Eshel, Aseel Gebara, Natan Lishinsky-Fischer, Nir Erdinest, Ayelet Priel, Zvi Gur","doi":"10.1016/j.jaapos.2026.105317","DOIUrl":"10.1016/j.jaapos.2026.105317","url":null,"abstract":"Purpose: To evaluate the association between CNLDO and adenoid hypertrophy, adenoidectomy, obstructive sleep apnea (OSA), and tonsillar hypertrophy, using data from a large multicenter electronic health record network.Methods: This retrospective, multicenter cohort study used data from TriNetX, a large global electronic health record network. A total of 16,007 children with CNLDO were included and compared with an equal number of propensity score-matched controls without CNLDO. Strict exclusion criteria were applied to omit patients with congenital malformations, deformations, chromosomal abnormalities, complications of labor, maternal or perinatal complications, or ocular trauma. The primary outcomes were the 5-year incidence rates of adenoid hypertrophy, adenoidectomy, OSA, and tonsillar hypertrophy.Results: Children with CNLDO had significantly higher rates of adenoid hypertrophy (1.45% vs 1.15%; HR = 1.28; 95% CI, 1.05-1.55; P = 0.013), adenoidectomy (0.96% vs 0.62%; HR = 1.57; 95% CI, 1.22-2.02; P = 0.0004), and OSA (1.40% vs 1.11%; HR = 1.27; 95% CI, 1.04-1.55; P = 0.017) compared with matched controls. Tonsillar hypertrophy showed a positive trend (2.78% vs 2.46%; HR = 1.14; 95% CI, 1.00-1.31; P = 0.051).Conclusions: A significant association was found between CNLDO and adenoid hypertrophy, adenoidectomy, and obstructive sleep apnea. This association may imply that upper airway pathology contributes directly to the development of CNLDO, or that both conditions share common predispositions and arise independently.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105317"},"PeriodicalIF":1.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118048","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}

引用次数: 0

Hypotony after glaucoma drainage device surgery for refractory pediatric uveitic glaucoma. 青光眼引流装置手术后低眼压治疗难治性儿童青光眼。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-05 DOI: 10.1016/j.jaapos.2026.105308

José J López Fontanet, Sebastián Ruiz Matos, Ángel Torres Rosa, Marino Blasini Torres, Sharon F Freedman, Ricardo Rodríguez Rosa

{"title":"Hypotony after glaucoma drainage device surgery for refractory pediatric uveitic glaucoma.","authors":"José J López Fontanet, Sebastián Ruiz Matos, Ángel Torres Rosa, Marino Blasini Torres, Sharon F Freedman, Ricardo Rodríguez Rosa","doi":"10.1016/j.jaapos.2026.105308","DOIUrl":"10.1016/j.jaapos.2026.105308","url":null,"abstract":"Purpose: To evaluate incidence, management, and outcomes of hypotony following glaucoma drainage device (GDD) implantation in children with refractory pediatric uveitic glaucoma (PUG).Methods: The medical records of consecutive PUG cases undergoing GDD implantation at a tertiary center from 2005 to 2024 were reviewed retrospectively. Hypotony was defined as intraocular pressure (IOP) of ≤5 mm Hg. Early hypotony was defined within the first 2 postoperative weeks and delayed hypotony between 4 and 6 weeks. Descriptive outcomes were reported per eye (n = 13), and statistical analyses were restricted to one eye per patient (n = 10) to maintain independence.Results: Thirteen eyes of 10 children (mean age, 12.4 ± 3.4 years) underwent GDD implantation (8 valved, 5 nonvalved), with a mean follow-up of 27.2 ± 13.8 months. Hypotony occurred in 11 of 13 eyes (84.6%), including early hypotony in 8 of 13 eyes (mean duration, 32.1 ± 54.5 days; 6 required anterior chamber reformation) and delayed hypotony in 3 of 13 eyes (mean duration, 510.3 ± 488.9 days). Two of 13 eyes did not develop hypotony; both had preoperative IOP >40 mm Hg and were treated with valved devices. Two of 13 eyes developed late recurrence after initial resolution. Most episodes resolved without vision loss; however, 2 of 13 eyes developed vision-threatening complications.Conclusions: Hypotony after GDD implantation in PUG was frequent but often transient and compatible with stable visual outcomes. No significant associations were found between hypotony and type of GDD. Given the limited sample size and descriptive nature, further studies are needed. Careful monitoring remains essential, because hypotony may occur at different time points.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105308"},"PeriodicalIF":1.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117767","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}

引用次数: 0

Isolated absence of the optic chiasm presenting as infantile nystagmus syndrome-a report of two cases. 孤立性视交叉缺失表现为婴儿眼球震颤综合征——附两例报告。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-05 DOI: 10.1016/j.jaapos.2026.105311

Victoria Barnett, Dina Tadros, Anne Georgiou, Anthony G Robson, Maria Theodorou

引用次数: 0

The effect of inferior oblique weakening on vertical deviation in contralateral gaze. 下斜减弱对对侧凝视垂直偏差的影响。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-05 DOI: 10.1016/j.jaapos.2026.105312

Basil Suresh, Anish Kalyana, Surinder Dosanjh, Saurabh Jain

{"title":"The effect of inferior oblique weakening on vertical deviation in contralateral gaze.","authors":"Basil Suresh, Anish Kalyana, Surinder Dosanjh, Saurabh Jain","doi":"10.1016/j.jaapos.2026.105312","DOIUrl":"https://doi.org/10.1016/j.jaapos.2026.105312","url":null,"abstract":"Purpose: To quantify the effect of isolated, unilateral inferior oblique (IO) weakening procedures on reducing the preoperative contralateral vertical deviation.Methods: We performed a retrospective cohort study of 59 patients who underwent unilateral IO weakening. Postoperative vertical deviation was modeled with analysis of covariance, with surgical technique as a fixed factor and baseline vertical deviation, age, and weeks since surgery as covariates. Primary outcomes were adjusted postoperative contralateral deviations in elevation, horizontal gaze, and depression; secondary outcomes, ipsilateral deviations.Results: Mean patient age was 42.2 ± 21.1 years. Superior oblique palsy was the most common indication for surgery (48%). Mean baseline contralateral vertical deviations were approximately 17Δ-18Δ across contralateral elevation, horizontal gaze, and depression. Mean follow-up was 2.7 months, with estimated marginal means corresponding to approximately 11-14 weeks. Adjusted postoperative contralateral deviations were 6.48Δ (95% CI, 4.49-8.48) in elevation, 7.20Δ (95% CI, 5.16-9.23) in horizontal gaze, and 5.96Δ (95% CI, 3.73-8.19) in depression, representing descriptive reductions of approximately 10Δ-12Δ. Ipsilateral adjusted residual deviations were 5.86Δ, 5.80Δ, and 5.50Δ for elevation, horizontal gaze and depression, respectively. Baseline deviation was the dominant predictor of outcome (partial η2 up to 0.77), whereas follow-up time and age were not associated with postoperative deviation.Conclusions: In our small study cohort, isolated unilateral IO weakening resulted in moderate early reductions in contralateral vertical deviation across elevation, horizontal gaze, and depression, with smaller ipsilateral changes.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105312"},"PeriodicalIF":1.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117808","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}

引用次数: 0

Impact of a novel healthcare team-collaborative care communication system on ophthalmologic follow-up for children referred following photoscreening. 一种新型医疗团队协作式护理沟通系统对光筛后转诊儿童眼科随访的影响。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-05 DOI: 10.1016/j.jaapos.2026.105309

Andrew J Schuman, Catherine A Johnson, Charles T Cappetta, Mitchell Frumkin, Sofia Renna, Surya Arunkumar, Charvi Chandrasekaran, Vinh H Nguyen

{"title":"Impact of a novel healthcare team-collaborative care communication system on ophthalmologic follow-up for children referred following photoscreening.","authors":"Andrew J Schuman, Catherine A Johnson, Charles T Cappetta, Mitchell Frumkin, Sofia Renna, Surya Arunkumar, Charvi Chandrasekaran, Vinh H Nguyen","doi":"10.1016/j.jaapos.2026.105309","DOIUrl":"10.1016/j.jaapos.2026.105309","url":null,"abstract":"Background: Fewer than half of children who fail photoscreening obtain the recommended follow-up comprehensive ophthalmologic evaluation (COE). We evaluated whether implementation of a healthcare team-collaborative care communication system, including direct pediatrician-to-vision specialist communication, a comprehensive parent educational handout, Electronic Health Record (EHR) referrals, and active follow-up of missed appointments, could increase completion rates of COE among children referred after photoscreening.Methods: A prospective quality-improvement intervention was conducted at Dartmouth-Hitchcock Pediatric Clinic in Nashua, New Hampshire, over a 13-month period. Outcomes were compared with a preintervention period in which standard referral practices were used. The primary outcome was COE completion rate among scheduled visits.Results: During the preintervention period, 1,255 children 2-6 years of age were screened with the Plusoptix 12C photoscreener at well child examinations. During the postintervention period, 1,315 children were screened. COE completion increased from 54.3% (95% CI, 40%-69%) preintervention to 82.8% (95% Cl, 72%-93%) postintervention (P = 0.003).Conclusions: In our study cohort, high follow-up rates after photoscreening referrals were achieved in primary care, offering a practical strategy to improve early amblyopia detection and treatment on a community level.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105309"},"PeriodicalIF":1.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117743","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}

引用次数: 0

Comparison between bilateral lateral rectus recession and bilateral primary medial rectus resection in basic type intermittent exotropia. 双侧侧直肌后退与双侧初级内直肌切除治疗原发性间歇性外斜视的比较。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-05 DOI: 10.1016/j.jaapos.2026.105310

Nehal Marei, Amr Assar Khafagy, Ahmed Awadein, Heba M Fouad

{"title":"Comparison between bilateral lateral rectus recession and bilateral primary medial rectus resection in basic type intermittent exotropia.","authors":"Nehal Marei, Amr Assar Khafagy, Ahmed Awadein, Heba M Fouad","doi":"10.1016/j.jaapos.2026.105310","DOIUrl":"https://doi.org/10.1016/j.jaapos.2026.105310","url":null,"abstract":"Purpose: To compare the outcomes of bilateral lateral rectus recession (BLRc) and bilateral primary medial rectus resection (BMRs) for the management of basic type intermittent exotropia (IXT).Methods: This prospective, randomized, controlled study, included 38 children with basic type IXT with an angle of deviation of 20Δ-40Δ treated at a single institution from June 2023 through January 2025. Patients were divided into two groups: the BLRc group and the BMRs group. Angles of deviation, ductions, versions, sensory functions, and vertical palpebral fissure height (PFH) were evaluated 6 months after surgery. Success was defined as orthophoria or deviation between exotropia/phoria ≤10Δ and esotropia/phoria ≤5Δ RESULTS: Mean patient age at time of surgery was 6.8 ± 2.3 years in the BMRs group and 7.0 ± 2.5 years in the BLRc group. At the 6-month follow-up, success was higher in the BLRc than in the BMRs group (70% vs 55.5% [P = 0.564]), and the mean postoperative angle of deviation was higher in the BMRs group than in the BLRc group (10Δ vs 1Δ [P < 0.01]). Undercorrection was more common in BMRs group (44% vs 20%), whereas overcorrection was more common in BLRc group (10% vs 0%). There was an improvement of 0.336 log arcsec in near stereoacuity; however, only 20% of cases showed an improvement of >2 octaves. Moreover, the difference in improvement between both groups was statistically insignificant. There was no significant change in the PFH in either group.Conclusions: Both surgeries can effectively manage basic type IXT, but BMRs may be more prone to undercorrection by 6 months postoperatively.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105310"},"PeriodicalIF":1.3,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117499","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}

引用次数: 0

Zone II stage 2 retinopathy of prematurity without plus disease: long-term follow-up and predictors of persistent avascular retina. II区2期早产儿视网膜病变无附加疾病：长期随访和持续无血管视网膜的预测因素。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-10-01 DOI: 10.1016/j.jaapos.2026.105306

Puren Isik Eker, Ebru Esen, Hacer Yapıcıoglu Yıldiztas, Nihal Demircan, Hulya Binokay

{"title":"Zone II stage 2 retinopathy of prematurity without plus disease: long-term follow-up and predictors of persistent avascular retina.","authors":"Puren Isik Eker, Ebru Esen, Hacer Yapıcıoglu Yıldiztas, Nihal Demircan, Hulya Binokay","doi":"10.1016/j.jaapos.2026.105306","DOIUrl":"10.1016/j.jaapos.2026.105306","url":null,"abstract":"Purpose: To evaluate peripheral vascular and retinal findings in school-aged children with spontaneously regressed zone II, stage 2 retinopathy of prematurity (ROP) without plus disease, and to investigate risk factors for persistent avascular retina (PAR).Methods: The medical records of patients born at Cukurova University Hospital from 2015 to 2018 were reviewed retrospectively to identify those with spontaneous regression of zone II, stage 2 ROP, who had been followed until zone III vascularization in the neonatal period. Patients were subsequently contacted for detailed clinical examination at school age. Fluorescein angiography (FA) was performed those whose last ROP examination had shown PAR and those whose last ROP examination had shown complete vascularization (CV) but with subsequent (school age) suspicion for vascular abnormalities. All patients were classified as having PAR or CV. Maternal, prenatal, and neonatal risk factors for PAR were assessed.Results: Of 50 patients, 32 were classified as CV and 18 as PAR. The PAR group had a significantly longer duration of systemic antibiotic therapy (P = 0.032), but there was no significant association between antibiotic duration and PAR on univariate logistic regression analysis. Multivariable logistic regression analysis showed that the risk of PAR was higher in patients in whom zone II stage 2 ROP was diagnosed at ≥37 weeks' PMA (OR = 17.458, P = 0.008) and in those with later discharge (OR = 1.427, P = 0.035). FA showed abnormal vascular branching without leakage, and the peripheral retina had no holes, tears, or detachment.Conclusions: Zone III PAR and abnormal peripheral vascular findings may be observed after spontaneous regression of zone II, stage 2 ROP; however, no vascular leakage, retinal holes, tears, or detachments were identified in our cohort.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105306"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117906","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}

引用次数: 0

Exploring a potential healthy survivor bias in retinopathy of prematurity. 探讨早产儿视网膜病变的潜在健康幸存者偏倚。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-09-30 DOI: 10.1016/j.jaapos.2026.105307

Nikita Mokhashi, Rebecca E Tanenbaum, Alejandra G de Alba Campomanes, Alexis K Warren, Michael P Blair, Simmer Beniwal, Sarah H Rodriguez

{"title":"Exploring a potential healthy survivor bias in retinopathy of prematurity.","authors":"Nikita Mokhashi, Rebecca E Tanenbaum, Alejandra G de Alba Campomanes, Alexis K Warren, Michael P Blair, Simmer Beniwal, Sarah H Rodriguez","doi":"10.1016/j.jaapos.2026.105307","DOIUrl":"10.1016/j.jaapos.2026.105307","url":null,"abstract":"Purpose: To assess whether a healthy survivor bias contributes to the association between Black race and less severe retinopathy of prematurity (ROP).Methods: This was a single-center, retrospective cohort study evaluating all infants eligible for ROP screening between January 1, 2012 and May 1, 2023. Race/ethnicity was considered as a combined variable: non-Hispanic Black, Hispanic or Latino, and non-Hispanic White. The outcome measures were type 1 ROP, death before 50 weeks' postmenstrual age (PMA), or the composite outcome of death or type 1 ROP. Multivariable logistic regression models were used to evaluate the association between race/ethnicity and each outcome measure, adjusting for birth weight, gestational age, sex, and area deprivation index.Results: Of 1,087 infants, 785 (72.2%) were non-Hispanic Black, and 48 (4.42%) received ROP treatment. Comparing non-Hispanic Black infants with non-Hispanic White infants, there were no significant differences in ROP treatment (OR = 1.54; 95% CI, 0.49-4.82), death before 50 weeks' postmenstrual age (OR = 1.60; 95% CI, 0.82-3.11), or composite outcome (OR = 1.63; 95% CI, 0.87-3.06). Comparing non-Hispanic Black infants with Hispanic/Latino infants, there were also no significant differences in ROP treatment (OR = 2.09; 95% CI, 0.92-4.81), death before 50 weeks' postmenstrual age (OR = 0.94; 95% CI, 0.52-1.72), or composite outcome (OR = 1.24; 95% CI, 0.72-2.14).Conclusions: Data from a single-center, majority Black population indicate that a healthy survivor effect among Black infants was not detected. Further studies across diverse settings are needed, however, given the consequences of missing this potential bias in studies assessing race/ethnicity and ROP.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105307"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117698","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}

引用次数: 0

Advances in diagnostic training for retinopathy of prematurity with the introduction of the Eyesi Indirect Ophthalmoscope ROP Simulator: an exploratory study to assess its construct and face validity. 引入Eyesi间接检眼镜ROP模拟器的早产儿视网膜病变诊断培训进展：一项评估其结构和面部有效性的探索性研究。

IF 1.3 4区医学

Journal of Aapos Pub Date : 2026-09-26 DOI: 10.1016/j.jaapos.2026.105304

Svenja Deuchler, Frank Koch, Claudia Buedel, Annika Petermann, Elias Flockerzi, Albéric Sneyers, Yaser Abu-Dail, Hanns Ackermann, Berthold Seitz

{"title":"Advances in diagnostic training for retinopathy of prematurity with the introduction of the Eyesi Indirect Ophthalmoscope ROP Simulator: an exploratory study to assess its construct and face validity.","authors":"Svenja Deuchler, Frank Koch, Claudia Buedel, Annika Petermann, Elias Flockerzi, Albéric Sneyers, Yaser Abu-Dail, Hanns Ackermann, Berthold Seitz","doi":"10.1016/j.jaapos.2026.105304","DOIUrl":"10.1016/j.jaapos.2026.105304","url":null,"abstract":"Background: Retinopathy of prematurity (ROP) is one of the leading causes for severe visual impairment in premature infants. A correct classification of ROP stages is essential for appropriate disease management. Haag-Streit Simulation launched the Eyesi Indirect Ophthalmoscope ROP Simulator for diagnostic training. The purpose of this study was to assess its construct and face validity.Methods: The performance of 15 medical students was compared with that of 7 optometrists, 9 residents in ophthalmology, and 7 ROP specialists. Each subject performed one abstract task, followed by clinical tasks presented in random order. After the session, a satisfaction questionnaire was completed. The Kruskal-Wallis test, Conover-Iman test, and Bonferroni-Holm adjustment were conducted to assess the impact of experience on the simulator results.Results: Significant differences in total scores were observed between the four educational levels for both the abstract and clinical tasks. In the subscores, significant differences were demonstrated for examination time, light exposure, eye touching, odometer measurements, correct selection of findings, and ROP follow-up questions. In the face validity questionnaire (scale, 1-7), all participants reported increased knowledge (6.39 ± 0.92), improved understanding of ROP stage classification (5.45 ± 1.52), and recommended the course to others (6.90 ± 0.37).Conclusions: The Eyesi Indirect ROP demonstrated significant construct and face validity in this study cohort, suggesting that it may be a valuable adjunct to traditional training methods for ROP screening for a range of healthcare professionals.","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"105304"},"PeriodicalIF":1.3,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065745","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}

引用次数: 0