Canadian journal of ophthalmology. Journal canadien d'ophtalmologie最新文献_第10页

Validation of a new cell phone application for quick screening of relative afferent pupillary defect. 一种快速筛选相对传入瞳孔缺损（RAPD）的手机应用程序的验证。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-15 DOI: 10.1016/j.jcjo.2025.03.007

Guillaume Lavertu, Maxime Tremblay, Reinemary Michael, Eunice You, Guillaume Chabot

{"title":"Validation of a new cell phone application for quick screening of relative afferent pupillary defect.","authors":"Guillaume Lavertu, Maxime Tremblay, Reinemary Michael, Eunice You, Guillaume Chabot","doi":"10.1016/j.jcjo.2025.03.007","DOIUrl":"10.1016/j.jcjo.2025.03.007","url":null,"abstract":"Objective: The swinging-flashlight test for relative afferent pupillary defect (RAPD) detection is an important clinical tool in ophthalmology that may be incorrectly performed by general healthcare providers. We designed an affordable, accessible, and easy-to-use cell phone application to screen patients for RAPD.Methods: We created machine-learning software that locates, segments, tracks, and quantifies the kinetic response of the pupils with the goal of identifying RAPD. We tested our application on recordings of 547 participants and compared the software performance against evaluations made by a neuro-ophthalmologist, enabling us to determine the specificity and sensitivity of our software.Results: We identified a RAPD prevalence of 5.84% in our specific population. When comparing videos that were classified as having a RAPD (RAPD+) and having no RAPD (RAPD-), we found a clear difference in kinetic response of the pupil (RAPD+: mean 0.40 ± 0.17; RAPD-: mean 0.76 ± 0.17; p < 0.001). Our method has a sensitivity of 93% and a specificity of 85%. Given a RAPD prevalence of 5.84% in our group, the software yields a positive predictive value of 28% and a negative predictive value of 99.5%.Conclusions: We created an efficient screening tool to assist clinicians and medical staff, who may not be accustomed to performing swinging-flashlight tests, in detecting RAPD by using a readily available cell phone application.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802564","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

Relative exophthalmos in facial nerve palsy. 面神经麻痹的相对突出眼。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-14 DOI: 10.1016/j.jcjo.2025.02.017

Nishita T Sheth, Irene T Lee, Sandra S Stinnett, Julie Woodward, Richard C Allen, Christopher R Dermarkarian

{"title":"Relative exophthalmos in facial nerve palsy.","authors":"Nishita T Sheth, Irene T Lee, Sandra S Stinnett, Julie Woodward, Richard C Allen, Christopher R Dermarkarian","doi":"10.1016/j.jcjo.2025.02.017","DOIUrl":"10.1016/j.jcjo.2025.02.017","url":null,"abstract":"Objective: While ocular manifestations of facial nerve palsy, such as lagophthalmos are well known, there is limited knowledge on whether CN 7 palsy impacts globe positioning and its implications on symptoms and management. We hypothesize that CN 7 palsy is associated with ipsilateral exophthalmos.Methods: A retrospective analysis of 500 patients diagnosed with facial nerve disorders, identified by ICD codes G51.0-G51.9, was conducted at a tertiary health care facility from January to November 2023. Patients were included if they had a diagnosis of unilateral facial nerve (CN 7) palsy and available computed tomography (CT) imaging after diagnosis. Patients under 18 years, those with bilateral CN 7 palsy, or with CT images of poor resolution were excluded. Axial position of the globe was measured on CT scans using 2 methods, both previously shown to correlate with Hertel exophthalmometry.Results: Of the 500 charts reviewed, 55 patients met inclusion criteria. 55% (n = 30) of patients were male, and 58% (n = 32) had right-sided CN 7 palsy. The predominant etiology was acute Bell's palsy 76% (n = 42). CT measurements revealed a statistically significant relative exophthalmos on the side affected by CN 7 palsy, measuring an average of 0.89 mm (Method 1) and 0.92 mm (Method 2) (both methods p < .001).Conclusions: Our study is the first to highlight changes in ocular globe position in CN 7 palsies. The observed exophthalmos highlights the importance of assessing globe position in ophthalmologic management of the disorder.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699624","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

The use of non-person-first language in neuro-ophthalmology referrals. 非以人为本的语言在神经眼科转诊中的应用。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-14 DOI: 10.1016/j.jcjo.2025.03.009

Rachel Leong, Amir R Vosoughi, Guhan Sivakumar, Jonathan A Micieli

{"title":"The use of non-person-first language in neuro-ophthalmology referrals.","authors":"Rachel Leong, Amir R Vosoughi, Guhan Sivakumar, Jonathan A Micieli","doi":"10.1016/j.jcjo.2025.03.009","DOIUrl":"10.1016/j.jcjo.2025.03.009","url":null,"abstract":"Objective: To investigate the prevalence of non-person-first language (PFL) in neuro-ophthalmology referrals to a single tertiary ophthalmology clinic.Design: Retrospective cross-sectional study.Methods: Participants included neuro-ophthalmology patients seen for their initial visit from July 2018 to December 2022. Ten randomly selected referrals from each day were screened. Non-PFL was further categorized as per American Medical Association and American Psychological Association guidelines. Associations between non-PFL and patient age and gender, referring provider gender and specialty, and year and length of referral, were evaluated using the χ2 test.Results: A total of 2105 referrals were included in the study and 81 (3.8%) used non-PFL, such as referring to a person with glaucoma as a \"glaucoma patient\". Error types included general (38.3%), stigma (25.9%), diabetes (19.8%), disability (13.6%), and obesity (2.5%). Non-PFL was significantly more likely in long referrals compared with medium and short referrals (9.9% vs 3.1% vs 1.3%; p < 0.001). Referral year was predictive of non-PFL (p = 0.0006), with a significant increase from 2018 (1.7%) to 2021 (6.1%) and decrease in 2022 (2.6%). Patient age was also predictive of non-PFL (p = 0.0359), with the highest prevalence among patients 40-69 years old (5.4%). Patient gender (p = 0.3350), referring provider gender (p = 0.3571), and referring provider specialty (p = 0.1280) were not predictive of non-PFL.Conclusions: The highest proportions of non-PFL errors made were general and stigma errors. Non-PFL use was most prevalent in 2021, most commonly in referrals for patients aged 40-69 years. There exists a need for ongoing education and awareness around PFL use in physician-physician communication to enhance inclusive, nonstigmatizing care for neuro-ophthalmology patients.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794681","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

Orbital myositis: a rare initial manifestation of pediatric Crohn's disease 眼眶肌炎：一种罕见的儿童克罗恩病的初始表现。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-14 DOI: 10.1016/j.jcjo.2025.03.011

Stuti Misty Tanya , Merve Kulbay , Marcele Fonseca Falcao

引用次数: 0

Lipemia Retinalis Lipemia Retinalis。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-12 DOI: 10.1016/j.jcjo.2025.03.010

Vishal B. Swaminathan, Haley S. D'Souza, Matthew R. Starr

引用次数: 0

Social media for international surgical skills transfer: using pneumatic retinopexy as a model. 国际外科技术转移的社会媒体：以气动视网膜固定术为模型。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-11 DOI: 10.1016/j.jcjo.2025.02.020

Jim Shenchu Xie, Angus Fung, Aaron Hao Tan, Aurora Pecaku, Kunihiko Akiyama, Brendan Ka-Lok Tao, Mitul C Mehta, Hemang K Pandya, Francesco Pellegrini, Juan Carlos Gutierrez-Hernandez, Mahmoud Alrabiah, Atul Dhawan, Roxane J Hillier, Rajeev H Muni

{"title":"Social media for international surgical skills transfer: using pneumatic retinopexy as a model.","authors":"Jim Shenchu Xie, Angus Fung, Aaron Hao Tan, Aurora Pecaku, Kunihiko Akiyama, Brendan Ka-Lok Tao, Mitul C Mehta, Hemang K Pandya, Francesco Pellegrini, Juan Carlos Gutierrez-Hernandez, Mahmoud Alrabiah, Atul Dhawan, Roxane J Hillier, Rajeev H Muni","doi":"10.1016/j.jcjo.2025.02.020","DOIUrl":"10.1016/j.jcjo.2025.02.020","url":null,"abstract":"Objective: To assess social media as a potential method of bridging the gap between randomized controlled trial evidence and the implementation of pneumatic retinopexy (PnR).Design: Cross-sectional study.Participants: Vitreoretinal surgeons from a Telegram chat group that was initiated in May 2020 for educating ophthalmologists about PnR.Methods: Between July 25, 2023, and September 25, 2023, longitudinal chat usage was recorded using an automated chatbot, and a subgroup of surgeons was surveyed about the effect of the Telegram group on their PnR practice.Results: Telegram group membership increased from 43 members in May 2020 to 885 members in June 2024, with representation from 64 different countries. A subset of 653 members sent a mean (SD) of 2.6 (28.2) messages and were active 56.4 (195.0) times between July and September 2023. Eighty-one surgeons from 35 different countries completed the survey. Between the year before and year after joining the Telegram group, the proportions of surgeons that treated >25% of RRD cases with PnR (8.6% vs 44.4%; p < .001) and self-reported >80% primary anatomical reattachment rate (27.2% vs 48.1%; p < .001) increased.Conclusions: Social media may be leveraged to support the refinement of surgical techniques such as PnR for physician trainees and practicing surgeons, as well as increase surgical adoption into routine practice, a process that can otherwise take several decades. A randomized implementation trial that compares social media to other dissemination and implementation strategies while incorporating effectiveness and safety outcomes is warranted.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699628","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

Disproportionality analysis of BRAF and MEK inhibitors demonstrate risk of retinal detachment: an analysis of the FDA Adverse Event Reporting System BRAF和MEK抑制剂的歧化分析显示视网膜脱离的风险：FDA不良事件报告系统的分析

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-10 DOI: 10.1016/j.jcjo.2025.03.003

Connor Frey , Mahyar Etminan

引用次数: 0

Orbital melanoma in the medial rectus 眼眶内直肌黑色素瘤。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-10 DOI: 10.1016/j.jcjo.2025.03.006

Hongyu Si, Lijuan Tang, Wei Xiao

引用次数: 0

Periocular humidity with different forms of face masking 眼周湿度与不同形式的面罩。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-10 DOI: 10.1016/j.jcjo.2025.01.017

Michele Zaman , Davin Johnson

引用次数: 0

Ozanimod-associated macular edema ozanimod相关性黄斑水肿。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-10 DOI: 10.1016/j.jcjo.2025.02.022

Thomas M.W. Buckley , Mayuresh Naik , Samantha R. De Silva

引用次数: 0