Asia-Pacific Journal of Ophthalmology最新文献

{"title":"Psychometric evaluation of the Japanese version of the Impact of Vision Impairment (IVI) questionnaire using Rasch analysis","authors":"Saiko Matsumura, Eva K. Fenwick, Momoko Kawakami, Seiji Takagi, Ecosse L. Lamoureux, Yuichi Hori","doi":"10.1016/j.apjo.2025.100204","DOIUrl":"10.1016/j.apjo.2025.100204","url":null,"abstract":"","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100204"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal evaluation of Bruch's membrane opening-minimum rim width in Chinese children: The Hong Kong Children Eye Study","authors":"Yi Li ,&nbsp;Xiu Juan Zhang ,&nbsp;Yuzhou Zhang ,&nbsp;Ka Wai Kam ,&nbsp;Alvin L. Young ,&nbsp;Patrick Ip ,&nbsp;Wei Zhang ,&nbsp;Li Jia Chen ,&nbsp;Clement C. Tham ,&nbsp;Jost B. Jonas ,&nbsp;Kyoko Ohno-Matsui ,&nbsp;Chi Pui Pang ,&nbsp;Jason C. Yam","doi":"10.1016/j.apjo.2025.100219","DOIUrl":"10.1016/j.apjo.2025.100219","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate longitudinal changes in Bruch’s membrane opening-minimum rim width (BMO-MRW) and its associated factors in school children aged 6–8 years, over 3 years, based on the Hong Kong Children Eye Study.</div></div><div><h3>Methods</h3><div>In this longitudinal study, 740 children received comprehensive ophthalmologic examinations at baseline and at 3-year follow-up visits. Based on their refractive status, they were divided into groups of persistent non-myopia, newly-developed myopia, and persistent myopia. Global and sectoral BMO-MRW, retinal nerve fiber layer (RNFL) thickness, BMO area, and disc area were all measured using spectral-domain optical coherence tomography (SD-OCT).</div></div><div><h3>Results</h3><div>The mean age of the participants at baseline was 7.71 ± 1.01 years (range 6–8 years), and 352 (47.7 %) were males. The 3-year follow-up visit revealed a significant increase in all sectors of BMO-MRW, average global BMO-MRW changed from 339.3 ± 51.7 µm to 361.3 ± 57.8 µm. Children in the persistent myopia group and newly developed myopia group showed significantly faster rates of BMO-MRW growth in all sectors compared to children of the persistent non-myopia group (all <em>P</em> &lt; 0.001). In multivariable linear regression analysis, global BMO-MRW enlargement increased with larger axial length elongation (β = 0.20, <em>P</em> <em>&lt;</em> 0.001), larger BMO area enlargement (β = 0.21, <em>P</em> &lt; 0.001), and RNFL thickness thickening (β = 0.45, <em>P</em> &lt; 0.001). It decreased with larger baseline BMO-MRW (β = − 0.17, <em>P</em> &lt; 0.001) and larger disc area enlargement (β = − 0.29, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Global and sectoral BMO-MRW increased over 3 years among school children aged 6–8 years, affected by larger axial elongation, larger BMO area enlargement, more marked RNFL thickening, and decrease in optic disc area.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100219"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"APAO survey of cataract surgeons’ attitudes toward operating room waste","authors":"David F. Chang ,&nbsp;Wendy See","doi":"10.1016/j.apjo.2025.100243","DOIUrl":"10.1016/j.apjo.2025.100243","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine Asia Pacific cataract surgeons’ attitudes toward surgical waste and toward reusing supplies and pharmaceuticals.</div></div><div><h3>Design</h3><div>Multinational survey of APAO members</div></div><div><h3>Methods</h3><div>An online survey link was distributed to APAO members through their national ophthalmology societies. Responses were deidentified and compared with those from identical survey questionnaires previously distributed to North American and European cataract surgeons.</div></div><div><h3>Results</h3><div>Of 2095 total respondents, most were concerned about climate change (94 %), felt cataract surgical waste was excessive (96 %), and felt we should reduce unnecessary waste by safely reusing more surgical supplies and devices (80 %). Most identified manufacturers and regulatory agencies as the biggest drivers of single use products, rather than surgeons and patients. Most surgeons wanted more reusable instruments and supplies (92 %) and wanted greater discretion from manufacturers (92 %) andpolicymakers (90 %) to reuse many supplies, drugs, and devices; 89 % wanted their medical societies to advocate for reducing the waste and carbon footprint of cataract surgery.</div><div>Far more APAO respondents (59 %) were currently reusing single-use instruments compared to North Americans (7 %) and Europeans (14 %). Many APAO respondents were currently reusing phacoemulsification tubing/cassettes (41 %), irrigation solution bottles (50 %), and intraocular drug solutions (41–55 %); 42 % were currently not changing surgical gowns between cases. These percentages were all higher compared to North American and European respondents.</div></div><div><h3>Conclusions</h3><div>These universal and consensus opinions and preferences about willingness to reuse many cataract surgical products should inform and influence pharmaceutical and supply manufacturers, governmental policy makers, and health care institutions, such as hospitals and surgical facilities.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100243"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of residential air pollution with visual impairment in adults: The UK Biobank study","authors":"Ebenezer Zaabaar ,&nbsp;Yuzhou Zhang ,&nbsp;Ka Wai Kam ,&nbsp;Yingan Li ,&nbsp;Xiu Juan Zhang ,&nbsp;Mary Ho ,&nbsp;Dong Liu ,&nbsp;Mandy PH Ng ,&nbsp;Patrick Ip ,&nbsp;Alvin Young ,&nbsp;Chi Pui Pang ,&nbsp;Clement C. Tham ,&nbsp;Mei-Po Kwan ,&nbsp;Li Jia Chen ,&nbsp;Jason C. Yam","doi":"10.1016/j.apjo.2025.100209","DOIUrl":"10.1016/j.apjo.2025.100209","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the association of joint exposure to residential air pollutants with different severities of visual impairment (VI) in adults.</div></div><div><h3>Methods</h3><div>Exposure to particulate matter and oxides of nitrogen were evaluated in 95,246 adults aged 40–70 years. Joint exposure to the pollutants was calculated using principal component analysis to create an air pollution score. Subjects were categorized by distance visual acuity into bilateral normal vision, near normal vision, unilateral VI, socially significant VI, and blindness and low vision.</div></div><div><h3>Results</h3><div>A unit rise in air pollution score was associated with 9.2 %, 4.1 %, and 1.8 % increased risks of blindness and low vision, adjusted OR (AOR) = 1.092 (95 % CI, 1.057–1.129); socially significant VI, AOR = 1.041 (95 % CI, 1.016–1.066); and unilateral VI, AOR = 1.018 (95 % CI, 1.007–1.029), respectively. Compared to subjects in the lowest quartile of air pollution score, those in the highest quartile had 69.2 %, 30.5 %, and 9.9 % greater risks of blindness and low vision, AOR = 1.692 (95 % CI, 1.355–2.114), socially significant VI, AOR = 1.305 (95 % CI, 1.127–1.513), and unilateral VI, AOR = 1.099 (95 % CI, 1.035–1.167), respectively while those in the third quartile had 40.5 % and 25.6 % higher risks of blindness and low vision, AOR = 1.405 (95 % CI, 1.121–1.760) and socially significant VI, AOR = 1.256 (95 % CI, 1.086–1.453), respectively. There was a significant trend of increasing risk of blindness and low vision, as well as socially significant VI, as pollution levels rose.</div></div><div><h3>Conclusion</h3><div>Joint exposure to air pollutants increased the risks of poor vision and blindness, suggesting that reducing such exposure could alleviate the disease burden of VI.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100209"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced visualization and removal of epithelial ingrowth after SMILE and LASIK using a fiberoptic illuminator","authors":"Yi-Ting Hou ,&nbsp;Le-Yu Chen ,&nbsp;I-Hung Lin ,&nbsp;Wei-Li Chen","doi":"10.1016/j.apjo.2025.100172","DOIUrl":"10.1016/j.apjo.2025.100172","url":null,"abstract":"","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100172"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tumbling pseudo-Krukenberg spindle","authors":"Jonathan T.W. Au Eong ,&nbsp;Das Avranil ,&nbsp;Kah-Guan Au Eong","doi":"10.1016/j.apjo.2025.100170","DOIUrl":"10.1016/j.apjo.2025.100170","url":null,"abstract":"","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100170"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two-year outcomes of combined surgical peripheral iridectomy, goniosynechialysis, and goniotomy for advanced primary angle-closure glaucoma without cataract: A multicenter study","authors":"Fengbin Lin ,&nbsp;Liu Li ,&nbsp;Ping Lu ,&nbsp;Li Tang ,&nbsp;Yao Zhang ,&nbsp;Lin Xie ,&nbsp;Xiaomin Zhu ,&nbsp;Guangxian Tang ,&nbsp;Hengli Zhang ,&nbsp;Lan Lu ,&nbsp;Meichun Xiao ,&nbsp;Jiangang Xu ,&nbsp;Yunhe Song ,&nbsp;Yuying Peng ,&nbsp;Xiaoyan Li ,&nbsp;Weirong Chen ,&nbsp;Fengqi Zhou ,&nbsp;Ningli Wang ,&nbsp;Keith Barton ,&nbsp;Ki Ho Park ,&nbsp;Xiulan Zhang","doi":"10.1016/j.apjo.2025.100166","DOIUrl":"10.1016/j.apjo.2025.100166","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the two-year outcomes of combined surgical peripheral iridectomy (SPI), goniosynechialysis (GSL), and goniotomy (GT) for advanced primary angle-closure glaucoma (PACG) without cataract.</div></div><div><h3>Design</h3><div>Multicenter prospective study.</div></div><div><h3>Methods</h3><div>The study included patients who received a combined SPI + GSL + GT for advanced PACG without cataract, all completed a 24-month follow-up. Outcome measures included changes in intraocular pressure (IOP), best-corrected visual acuity (BCVA), use of anti-glaucoma medications, surgical success, and postoperative complications over the 24-month period.</div></div><div><h3>Results</h3><div>A total of 63 eyes from 51 patients with advanced PACG were included in the study. Among these, 37 eyes (58.7 %) achieved complete success, and 55 eyes (87.3 %) achieved qualified success. The mean IOPs at baseline and after 24 months were 28.8 ± 7.51 mm Hg and 15.8 ± 4.40 mm Hg, respectively (P &lt; 0.001). The average number of anti-glaucoma medications decreased from 1.9 ± 1.4–0.8 ± 1.2 over the 24-month period (P &lt; 0.001). The overall BCVA was stable during the follow-up period (P = 0.225). The primary complications observed included IOP spike (n = 9), hyphema (n = 7), and shallow anterior chamber (n = 3), all of which occurred within the first month postoperatively. Regression analysis showed that older age was positively associated with both complete success [odds ratio (OR) = 1.05; P = 0.030] and qualified success (OR = 1.08; P = 0.024).</div></div><div><h3>Conclusions</h3><div>SPI + GSL + GT demonstrated safety and effectiveness in treating advanced PACG without cataract over the 24-month study period. This combined surgical approach should be considered a viable alternative to trabeculectomy for these patients.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100166"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital twins in ophthalmology: Concepts, applications, and challenges","authors":"Kezheng Xu,&nbsp;Xiaolan Chen,&nbsp;Bowen Liu,&nbsp;Kai Jin,&nbsp;Mingguang He,&nbsp;Danli Shi","doi":"10.1016/j.apjo.2025.100205","DOIUrl":"10.1016/j.apjo.2025.100205","url":null,"abstract":"","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100205"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital health as a scalable strategy for equitable myopia management in East Asia","authors":"Junhan Chen ,&nbsp;Deokho Lee ,&nbsp;Kazuno Negishi ,&nbsp;Kazuo Tsubota ,&nbsp;Toshihide Kurihara","doi":"10.1016/j.apjo.2025.100241","DOIUrl":"10.1016/j.apjo.2025.100241","url":null,"abstract":"<div><div>East Asia is facing a growing burden of myopia, with pronounced disparities in access to eye care between urban and rural populations. Digital health technologies present a scalable and cost-effective alternative to traditional myopia interventions that enhance early detection, risk stratification, behavioral modification, and public education. Artificial intelligence-assisted screening tools, wearable monitors, and mHealth initiatives, such as the World Health Organization-International Telecommunication Union MyopiaEd program, have demonstrated effectiveness in improving myopia prevention and health education accessibility. However, achieving a sustained impact requires rigorous validation, robust data governance, infrastructure investment, and integration with established clinical strategies. East Asia could be well-positioned to pioneer a comprehensive digital model for equitable myopia control.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100241"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flourishing index measures among ophthalmologists in the Asia-Pacific region","authors":"Joanna Ng,&nbsp;Nazli Gul,&nbsp;Arjun Shrestha,&nbsp;Hong Kee Ng,&nbsp;Raymond N. Regalado,&nbsp;Rachel S. Chong","doi":"10.1016/j.apjo.2025.100193","DOIUrl":"10.1016/j.apjo.2025.100193","url":null,"abstract":"","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"14 6","pages":"Article 100193"},"PeriodicalIF":4.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}