Clinical and Experimental Ophthalmology最新文献_第2页

Outcomes of Stent Removal in Eyes With the Paul Glaucoma Implant With Intraluminal 6-0 Polypropylene. 腔内6-0聚丙烯保罗青光眼支架移除的疗效。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-05-09 DOI: 10.1111/ceo.14549

Nicole Shu-Wen Chan, Seah Wei Hing, Naoki Okada, Li Hengtong, Maria Cecilia Aquino, Victor Koh Teck Chang, Katherine Wanxian Lun, Dawn Ka Ann Lim, Paul Tec Kuan Chew, Marcus Chun Jin Tan

{"title":"Outcomes of Stent Removal in Eyes With the Paul Glaucoma Implant With Intraluminal 6-0 Polypropylene.","authors":"Nicole Shu-Wen Chan, Seah Wei Hing, Naoki Okada, Li Hengtong, Maria Cecilia Aquino, Victor Koh Teck Chang, Katherine Wanxian Lun, Dawn Ka Ann Lim, Paul Tec Kuan Chew, Marcus Chun Jin Tan","doi":"10.1111/ceo.14549","DOIUrl":"https://doi.org/10.1111/ceo.14549","url":null,"abstract":"Background: To evaluate the 12-month outcomes of stent removal in eyes with the Paul Glaucoma Implant (PGI) and intraluminal 6-0 polypropylene in an Asian population.Methods: Retrospective review of patients ≥ 18 years of age with glaucoma in a tertiary institution, who underwent the PGI stented with intraluminal 6-0 polypropylene (October 2018 to January 2023), with a minimum follow-up duration of 12 months. The main outcome measures were intraocular pressure (IOP) and number of glaucoma medications.Results: We included 103 eyes of 97 patients, who were mostly Chinese (73.8%). The stent was removed in 43 eyes (41.7%), at a median of 12.3 (interquartile range: 4.1-18.4) postoperative weeks. The mean IOP reduction immediately following stent removal was -6.4 ± 5.0 mmHg, and there was a strong linear correlation with the IOP before stent removal (Pearson correlation -0.554; p < 0.001). No eyes developed hypotony after stent removal.Conclusions: Less than half of the eyes with PGI stented with intraluminal 6-0 polypropylene required stent removal. The IOP reduction achieved after stent removal correlated with the IOP before stent removal, and there were no complications of hypotony.","PeriodicalId":55253,"journal":{"name":"Clinical and Experimental Ophthalmology","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028213","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

Multimodal Imaging Findings and Long-Term Surgical and Non-Surgical Treatment Outcomes of Retinal Vasoproliferative Tumours in Korean Patients. 韩国患者视网膜血管增殖性肿瘤的多模态影像学表现及长期手术和非手术治疗结果。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-05-07 DOI: 10.1111/ceo.14533

Seung Min Lee, Young Je Choi, Jee Myung Yang, Min Kim

引用次数: 0

Literature Review of Sex Hormones and Cataract Development, With Modern Implications. 性激素与白内障发展及其现代意义的文献综述。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-05-07 DOI: 10.1111/ceo.14550

Matthew Henderson, Sahib Y Tuteja, David Lockington

{"title":"Literature Review of Sex Hormones and Cataract Development, With Modern Implications.","authors":"Matthew Henderson, Sahib Y Tuteja, David Lockington","doi":"10.1111/ceo.14550","DOIUrl":"https://doi.org/10.1111/ceo.14550","url":null,"abstract":"Administration of exogenous testosterone and oestrogen has a number of clinical indications, with increasing use as gender-affirming hormone therapy (GAHT) in young individuals. GAHT has been associated with increasing ocular manifestations, but cataracts have not been previously reported. A literature review was conducted to assess for any associations between sex hormone administration and cataracts. Sparse data exist regarding the relationship between androgens and cataract. We also reviewed current knowledge derived from animal studies about oestrogen's effects on the lens, possible biomechanisms and correlations with observational data on cataract incidence with varying estrogen levels. Data surrounding parity, menarche, menopause and hormone replacement therapy in women generally supports a protective role of endogenous and exogenous estrogen on the crystalline lens. Such protection could be suppressed due to long-term GAHT in susceptible individuals, but no relevant studies exist regarding cataract risk in this scenario. Further research via population-based studies would be useful to identify any potential cataractogenic risk factors from GAHT.","PeriodicalId":55253,"journal":{"name":"Clinical and Experimental Ophthalmology","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035910","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

Longitudinal Visual Biomarkers in Dominant Optic Atrophy: A Systematic Review and Meta-Analysis. 显性视神经萎缩的纵向视觉生物标志物：系统回顾和荟萃分析。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-05-07 DOI: 10.1111/ceo.14543

Christopher A Ovens, John R Grigg, Clare L Fraser

引用次数: 0

Correction to "Predicting Ophthalmic Clinic Non-Attendance Using Machine Learning: Development and Validation of Models Using Nationwide Data". 更正“使用机器学习预测眼科诊所缺勤：使用全国数据的模型的开发和验证”。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-05-06 DOI: 10.1111/ceo.14542

引用次数: 0

Presbyopia Correction in Lens Replacement Surgery: A Review. 晶状体置换术中的老花眼矫正：综述。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-04-28 DOI: 10.1111/ceo.14535

Benjamin Stern, Damien Gatinel

{"title":"Presbyopia Correction in Lens Replacement Surgery: A Review.","authors":"Benjamin Stern, Damien Gatinel","doi":"10.1111/ceo.14535","DOIUrl":"https://doi.org/10.1111/ceo.14535","url":null,"abstract":"Presbyopia affects approximately 1.8 billion individuals globally, posing significant challenges as life expectancy and near-vision demands, particularly with mobile phone use, grow. Addressing presbyopia during lens replacement surgery has become a key focus for cataract surgeons, aiming to reduce dependence on corrective eyewear. This review provides an overview of current intraocular lens (IOL) technologies and surgical strategies for presbyopia correction. Personalised decision-making is essential, considering each patient's visual needs, expectations, and ocular anatomy. Partial correction approaches, such as monovision and extended depth-of-focus IOLs, can improve intermediate vision but involve specific trade-offs compared to monofocal lenses, depending on the technology utilised. For complete presbyopia correction, multifocal IOLs remain the most effective option. A mix-and-match strategy involving unilateral multifocal implantation shows promise, while sulcus-fixated supplementary IOLs offer the advantage of easier reversibility. Careful IOL selection is particularly important for patients with atypical ocular anatomy or coexisting conditions, which may be progressive.","PeriodicalId":55253,"journal":{"name":"Clinical and Experimental Ophthalmology","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028280","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

Long-Term Morphological Changes of Crosslinked Gelatin Stent. 交联明胶支架的长期形态学改变。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-04-28 DOI: 10.1111/ceo.14545

Yuen Keat Gan, Hong Kee Ng, William H Morgan, Dao-Yi Yu

{"title":"Long-Term Morphological Changes of Crosslinked Gelatin Stent.","authors":"Yuen Keat Gan, Hong Kee Ng, William H Morgan, Dao-Yi Yu","doi":"10.1111/ceo.14545","DOIUrl":"https://doi.org/10.1111/ceo.14545","url":null,"abstract":"Background: This study investigates the long-term morphological outcomes of crosslinked gelatin stents over a 10-year period.Methods: Participants from the FDA phase 1 and 2 trials for the XEN 140 stent were recalled for follow-up examinations between 9 and 12 years after their initial implantation. The stent area was evaluated using anterior segment optical coherence tomography (AS-OCT) in conjunction with clinical assessments. We focused on measuring specific alterations in stent dimensions, such as external surface pitting or 'nibbling', complete wall breaches and luminal obstruction.Results: We evaluated 11 eyes from 9 patients, with an average follow-up period of 11.2 years (SD ± 0.7). The mean preoperative intraocular pressure (IOP) was 22.5 mmHg (SD ± 4.9), which decreased to 14.7 mmHg (SD ± 1.2) a decade after surgery. Notably, four eyes no longer required antiglaucoma medication. Out of the 11 cases, only 8 yielded image quality suitable for analysis, all of which exhibited stent wall nibbling. The average nibbling depth was 70.17 μm (SD ± 36) in the intrascleral area, 79.5 μm (SD ± 18) in the proximal conjunctival region and 42.25 μm (SD ± 5) in the distal conjunctival region. Nibbling was most frequent in the proximal conjunctival area with 26 instances (p = 0.0006), followed by the intrascleral area, 21, and the distal conjunctival section, 9. Hyperreflective lumens were noted in five cases, with one complete stent wall discontinuity.Conclusion: In cases where imaging provided clear visibility, the stents exhibited signs of morphometric changes after 11 years. This degradation process seems to initiate externally, leading to luminal obstruction and eventual stent failure.","PeriodicalId":55253,"journal":{"name":"Clinical and Experimental Ophthalmology","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010375","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

Optimising the Evaluation of Optic Neuritis YouTube Videos: A Call for Multimedia-Specific Tools and Audience-Oriented Approaches. 视神经炎YouTube视频的优化评估：对多媒体专用工具和面向观众的方法的呼吁。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-04-24 DOI: 10.1111/ceo.14548

Yuwan Gao

引用次数: 0

A Clinically Applicable Bivariate Agreement Analysis of Astigmatism: Response. 一种临床上适用的散光双变量一致性分析：反应。

IF 4.9 2区医学

Clinical and Experimental Ophthalmology Pub Date : 2025-04-23 DOI: 10.1111/ceo.14524

Yue Feng, Tore Nitter, Geir Bertelsen, Aleksandar Stojanovic

引用次数: 0

Correlation of Structure With Function: Future Utilities for Optical Coherence Tomography Angiography in Neuro-Ophthalmology. 结构与功能的相关性：神经眼科光学相干断层血管造影的未来应用。