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Canadian journal of ophthalmology. Journal canadien d'ophtalmologie最新文献

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Anaplastic lymphoma kinase-positive histiocytosis with periorbital involvement: a novel presentation. 眶周受累的无细胞淋巴瘤激酶阳性组织细胞增生症：一种新的表现形式。
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-01 Epub Date: 2024-07-20 DOI: 10.1016/j.jcjo.2024.06.013
Meng-Ju Lin, Kuan-Ting Kuo, Shu-Lang Liao, Yi-Hsuan Wei
{"title":"Anaplastic lymphoma kinase-positive histiocytosis with periorbital involvement: a novel presentation.","authors":"Meng-Ju Lin, Kuan-Ting Kuo, Shu-Lang Liao, Yi-Hsuan Wei","doi":"10.1016/j.jcjo.2024.06.013","DOIUrl":"10.1016/j.jcjo.2024.06.013","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":"e165-e167"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751190","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 decompression following treatment with teprotumumab for thyroid eye disease. 使用替普鲁单抗治疗甲状腺眼病后的眼眶减压。
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-01 Epub Date: 2024-07-24 DOI: 10.1016/j.jcjo.2024.06.003
Nicole J Topilow, Rafaella Cleto Penteado, Michelle Ting, Eman Al-Sharif, George A Villatoro, Jin Sook Yoon, Catherine Y Liu, Bobby S Korn, Don O Kikkawa
{"title":"Orbital decompression following treatment with teprotumumab for thyroid eye disease.","authors":"Nicole J Topilow, Rafaella Cleto Penteado, Michelle Ting, Eman Al-Sharif, George A Villatoro, Jin Sook Yoon, Catherine Y Liu, Bobby S Korn, Don O Kikkawa","doi":"10.1016/j.jcjo.2024.06.003","DOIUrl":"10.1016/j.jcjo.2024.06.003","url":null,"abstract":"<p><strong>Objective: </strong>To quantify the observed decrease in orbital decompressions being performed at one tertiary care institution and to determine the rate and predictive factors of orbital decompression surgery following treatment with teprotumumab for thyroid eye disease.</p><p><strong>Methods: </strong>Epic's SlicerDicer program was used to analyze recent trends in the overall number of thyroid eye disease (TED) patients evaluated in the oculoplastic surgery department, as well as usage trends of CPT codes 67445 (lateral orbitotomy with bone removal for decompression) and 67414 (orbitotomy with removal of bone for decompression). A retrospective chart review of active moderate-to-severe TED patients treated with teprotumumab was performed at a single tertiary care center. The main outcome measure was whether or not patients underwent bony orbital decompression surgery following treatment with teprotumumab. The SlicerDicer search demonstrated stable usage of CPT codes 67445 and 67414 from 2016 to 2019, followed by a significant decrease from 2020 to 2023, over a background of increasing numbers of TED patients evaluated in clinic. Following teprotumumab therapy, 25% of patients and 18% of orbits underwent bony decompression. Surgically decompressed patients had higher pre- and post-teprotumumab exophthalmometry measurements compared with patients who did not undergo bony decompression. Average time to decompression following conclusion or cessation of teprotumumab therapy was 12.6 months.</p><p><strong>Conclusion: </strong>While the number of TED patients treated at one tertiary care center has risen over recent years, the number of orbital decompression surgeries has declined. Orbital decompression, however, is still needed in select patients after treatment with teprotumumab.</p>","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":"e59-e64"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765542","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 slit lamp program on medical student competence, confidence, and career interests. 裂隙灯项目对医学生能力、信心和职业兴趣的影响。
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-01 Epub Date: 2024-09-19 DOI: 10.1016/j.jcjo.2024.08.015
Natalie Mezey, Wilma Hopman, Rachel Curtis
{"title":"Impact of a slit lamp program on medical student competence, confidence, and career interests.","authors":"Natalie Mezey, Wilma Hopman, Rachel Curtis","doi":"10.1016/j.jcjo.2024.08.015","DOIUrl":"10.1016/j.jcjo.2024.08.015","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":"e149-e151"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280673","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
Anatomic and visual outcomes of pars plana vitrectomy in patients with incomplete closure of Zone 3 scleral lacerations.
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-01-24 DOI: 10.1016/j.jcjo.2025.01.010
Sami H Uwaydat, Muhammad Z Chauhan, Pedro S Tetelbom
{"title":"Anatomic and visual outcomes of pars plana vitrectomy in patients with incomplete closure of Zone 3 scleral lacerations.","authors":"Sami H Uwaydat, Muhammad Z Chauhan, Pedro S Tetelbom","doi":"10.1016/j.jcjo.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.jcjo.2025.01.010","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051671","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
Acute angle-closure glaucoma risk: a comparative study of escitalopram and antidepressants.
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-01-24 DOI: 10.1016/j.jcjo.2025.01.004
Haaris M Khan, Steven Schendel, Frederick S Mikelberg, Mahyar Etminan
{"title":"Acute angle-closure glaucoma risk: a comparative study of escitalopram and antidepressants.","authors":"Haaris M Khan, Steven Schendel, Frederick S Mikelberg, Mahyar Etminan","doi":"10.1016/j.jcjo.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.jcjo.2025.01.004","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051667","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
Successful resolution of early fibrin occlusion of PreserFlo MicroShunt with Nd:YAG laser treatment: a case report.
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-01-24 DOI: 10.1016/j.jcjo.2025.01.003
Rodolfo Bonatti, Kevin Hodgson, Marcelo Nicolela
{"title":"Successful resolution of early fibrin occlusion of PreserFlo MicroShunt with Nd:YAG laser treatment: a case report.","authors":"Rodolfo Bonatti, Kevin Hodgson, Marcelo Nicolela","doi":"10.1016/j.jcjo.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.jcjo.2025.01.003","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051681","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
Pterygium-like conjunctival nevus: a clinicopathological study.
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-01-24 DOI: 10.1016/j.jcjo.2025.01.009
Satoru Kase, Kiriko Hirooka, Emi Takakuwa, Susumu Ishida
{"title":"Pterygium-like conjunctival nevus: a clinicopathological study.","authors":"Satoru Kase, Kiriko Hirooka, Emi Takakuwa, Susumu Ishida","doi":"10.1016/j.jcjo.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.jcjo.2025.01.009","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051679","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
Mixed vascular lesion presenting as isolated vertical diplopia.
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-01-24 DOI: 10.1016/j.jcjo.2025.01.011
Fanghan Anna Yang, Leanne Stunkel, Manu S Goyal, Gregory P Van Stavern
{"title":"Mixed vascular lesion presenting as isolated vertical diplopia.","authors":"Fanghan Anna Yang, Leanne Stunkel, Manu S Goyal, Gregory P Van Stavern","doi":"10.1016/j.jcjo.2025.01.011","DOIUrl":"https://doi.org/10.1016/j.jcjo.2025.01.011","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051676","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
Assessing the performance of Microsoft Copilot, GPT-4 and Google Gemini in ophthalmology. 评估 Microsoft Copilot、GPT-4 和 Google Gemini 在眼科方面的性能。
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-01-22 DOI: 10.1016/j.jcjo.2025.01.001
Meziane Silhadi, Wissam B Nassrallah, David Mikhail, Daniel Milad, Mona Harissi-Dagher
{"title":"Assessing the performance of Microsoft Copilot, GPT-4 and Google Gemini in ophthalmology.","authors":"Meziane Silhadi, Wissam B Nassrallah, David Mikhail, Daniel Milad, Mona Harissi-Dagher","doi":"10.1016/j.jcjo.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.jcjo.2025.01.001","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the performance of large language models (LLMs), specifically Microsoft Copilot, GPT-4 (GPT-4o and GPT-4o mini), and Google Gemini (Gemini and Gemini Advanced), in answering ophthalmological questions and assessing the impact of prompting techniques on their accuracy.</p><p><strong>Design: </strong>Prospective qualitative study.</p><p><strong>Participants: </strong>Microsoft Copilot, GPT-4 (GPT-4o and GPT-4o mini), and Google Gemini (Gemini and Gemini Advanced).</p><p><strong>Methods: </strong>A total of 300 ophthalmological questions from StatPearls were tested, covering a range of subspecialties and image-based tasks. Each question was evaluated using 2 prompting techniques: zero-shot forced prompting (prompt 1) and combined role-based and zero-shot plan-and-solve+ prompting (prompt 2).</p><p><strong>Results: </strong>With zero-shot forced prompting, GPT-4o demonstrated significantly superior overall performance, correctly answering 72.3% of questions and outperforming all other models, including Copilot (53.7%), GPT-4o mini (62.0%), Gemini (54.3%), and Gemini Advanced (62.0%) (p < 0.0001). Both Copilot and GPT-4o showed notable improvements with Prompt 2 over Prompt 1, elevating Copilot's accuracy from the lowest (53.7%) to the second highest (72.3%) among the evaluated LLMs.</p><p><strong>Conclusions: </strong>While newer iterations of LLMs, such as GPT-4o and Gemini Advanced, outperformed their less advanced counterparts (GPT-4o mini and Gemini), this study emphasizes the need for caution in clinical applications of these models. The choice of prompting techniques significantly influences performance, highlighting the necessity for further research to refine LLMs capabilities, particularly in visual data interpretation, to ensure their safe integration into medical practice.</p>","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143037245","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
Left homonymous hemianopsia secondary to intravenous tenecteplase.
IF 3.3 4区 医学
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-01-21 DOI: 10.1016/j.jcjo.2024.12.014
Elayna G Bruce, Blake Archer, Saif Aldeen Alryalat, Osama Thiabat, Andrew G Lee
{"title":"Left homonymous hemianopsia secondary to intravenous tenecteplase.","authors":"Elayna G Bruce, Blake Archer, Saif Aldeen Alryalat, Osama Thiabat, Andrew G Lee","doi":"10.1016/j.jcjo.2024.12.014","DOIUrl":"https://doi.org/10.1016/j.jcjo.2024.12.014","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143037174","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
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