Canadian journal of ophthalmology. Journal canadien d'ophtalmologie最新文献_第9页

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

Idiopathic granulomatous orbital inflammation: case series and literature review. 特发性眼眶肉芽肿性炎症：一个病例系列和文献复习。

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.2025.02.023

Sonia Huang, Valerie Juniat, Jessica Y Tong, Craig James, Nigel Morlet, Saul Rajak, Roy Tan Da Duan, Peerooz Saeed, Ilse Mombaerts, Dinesh Selva

{"title":"Idiopathic granulomatous orbital inflammation: case series and literature review.","authors":"Sonia Huang, Valerie Juniat, Jessica Y Tong, Craig James, Nigel Morlet, Saul Rajak, Roy Tan Da Duan, Peerooz Saeed, Ilse Mombaerts, Dinesh Selva","doi":"10.1016/j.jcjo.2025.02.023","DOIUrl":"10.1016/j.jcjo.2025.02.023","url":null,"abstract":"Objective: Idiopathic granulomatous orbital inflammation is an uncommon histological finding that remains poorly defined due to its overlap with specific causes of granulomatous orbital inflammation, such as orbital sarcoidosis. We aim to identify clinico-radiological features that may differentiate it from other aetiologies of granulomatous inflammation.Methods: Retrospective case series involving 12 patients and review of the literature.Results: Eight patients (66.7%) were female. The mean age at presentation was 57.8 ± 9.1 years of age. Eleven cases were unilateral (91.7%). The most common presenting symptoms and signs were palpable mass (n = 10; 83.3%), lid swelling (n = 9; 75%) decreased extraocular movements (n = 4; 33.3%), and proptosis (n = 4; 33.3%). One patient (8.3%) had signs consistent with optic neuropathy on presentation. The lacrimal glands were involved in 6 (50%) cases. For initial management, 2 patients (16.7%) underwent observation only, 8 patients (66.7%) were managed with immunosuppressive drugs, and 2 patients (16.7%) were managed with surgical excision or debulking. Four patients (33.3%) required additional management with either methotrexate or intralesional triamcinolone. Patients were followed up for a mean of 68.4 months. At last follow-up, 7 patients (63.6%) had complete resolution, and 5 (41.7%) had stable disease without further progression.Conclusion: We present a case series of idiopathic granulomatous orbital inflammation. We found that those with idiopathic disease often had unilateral presentations and appeared to present at a later age than those with orbital sarcoidosis in the literature. Although the differentiation between orbital sarcoidosis and idiopathic disease remains difficult, the features described in this series contribute to a greater understanding of the latter condition.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742548","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

Five-year reoperation rates after Schlemm's canal-based glaucoma surgery versus trabeculectomy. 施莱姆氏青光眼手术与小梁切除术后5年的再手术率。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-09 DOI: 10.1016/j.jcjo.2025.02.016

Keyu Hu, Jin Wang, Qing Sang, Dapeng Mou, Ye Zhang, Ningli Wang

{"title":"Five-year reoperation rates after Schlemm's canal-based glaucoma surgery versus trabeculectomy.","authors":"Keyu Hu, Jin Wang, Qing Sang, Dapeng Mou, Ye Zhang, Ningli Wang","doi":"10.1016/j.jcjo.2025.02.016","DOIUrl":"10.1016/j.jcjo.2025.02.016","url":null,"abstract":"Objective: To compare 5-year reoperation rates between Schlemm's canal (SC)-based glaucoma surgery and trabeculectomy (Trab), and to identify risk factors for reoperations.Design: Retrospective case series.Methods: This retrospective study included patients who underwent glaucoma surgery between January 2017 and December 2021. Propensity score matching was used to identify comparable participants among groups. SC-based glaucoma surgery included gonioscopy-assisted transluminal trabeculotomy, microcatheter-assisted trabeculotomy, ab-interno canaloplasty, canaloplasty, and trabectome. The primary outcome was unanticipated reoperations after the original procedure. Kaplan-Meier survival analysis compared reoperation rates between groups. Univariate and multivariate Cox regression analyses identified risk factors for reoperation.Results: The final analysis included 112 eyes (106 patients) in the SC-based glaucoma surgery group and 147 eyes (137 patients) in the Trab group. The 5-year cumulative reoperation rate was significantly higher in the Trab group compared to the SC-based glaucoma surgery group (15.4% [93/604] vs 11.9% [72/604], respectively, and p = 0.045). Uncontrolled intraocular pressure (IOP) was the primary indication for reoperations in both groups. Trab surgery, higher preoperative IOP, greater number of preoperative medications, and previous glaucoma surgery history were independent risk factors for reoperation.Conclusions: SC-based glaucoma surgery showed a significantly lower 5-year reoperation rate than Trab, indicating a more favourable long-term safety profile. Trab surgery, higher preoperative IOP, more preoperative medications, and previous glaucoma surgery history were identified as independent risk factors for reoperation, which may help identify patients at higher risk for reoperation and potentially improve postoperative management.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763161","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

Prevalence of systemic disease in patients undergoing cataract surgery at a hospital versus outpatient clinic. 在医院与门诊进行白内障手术的患者中全身性疾病的患病率。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-08 DOI: 10.1016/j.jcjo.2025.03.002

Angel Gao, Davin Johnson

{"title":"Prevalence of systemic disease in patients undergoing cataract surgery at a hospital versus outpatient clinic.","authors":"Angel Gao, Davin Johnson","doi":"10.1016/j.jcjo.2025.03.002","DOIUrl":"10.1016/j.jcjo.2025.03.002","url":null,"abstract":"Objective: To compare demographic and clinical characteristics of patients undergoing cataract surgery at a hospital versus a private outpatient clinic (POC) within a shared funding model in Ontario, Canada. Our tertiary academic hospital operates a unique funding arrangement, in which some hospital funds support cataract surgeries at a POC, enabling oversight of provincially funded surgeries at both sites.Design: Retrospective cohort study.Participants: All patients who underwent cataract surgery in 2023 at both the hospital (Kingston Health Sciences Centre) and the affiliated POC were included.Methods: We compared demographic and clinical data, including age, gender, blood pressure, comorbidities (e.g., diabetes, hypertension), American Society of Anesthesiologists scores, and medication usage.Results: Patients included in this study numbered 3441 (1982 hospital patients and 1459 POC patients). Mean age was similar, although significantly more females underwent surgery at the POC (p = 0.004). Hospital patients had higher systolic blood pressure (p < 0.0001), higher rates of diabetes (1.5 odds ratio, 95% confidence interval [CI] 1.3-1.8; p < 0.0001), higher American Society of Anesthesiologist scores (0.3 mean difference, 95% CI 0.27-0.35; p < 0.0001), and higher smoking rates (p < 0.0001). The use of anticoagulation, antidiabetes, and prostate medications were significantly higher among hospital patients (p < 0.001), with greater use of antihypertensive medications (p = 0.018).Conclusions: Our data support concerns that healthier patients are more likely to undergo surgery at outpatient clinics. Factors, such as mandated restrictions on patient selection at POCs, surgeon preference, and referral patterns may contribute. As outpatient surgical care grows, documenting these differences is essential to ensure fair distribution of resources and equitable access to care.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763163","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

Peaked pupils associated with iris posterior pigment epithelium detachment. 瞳孔尖顶与虹膜后色素上皮脱离有关。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-05 DOI: 10.1016/j.jcjo.2025.03.004

Jozef Van Eyken, Elke O Kreps

引用次数: 0

Vitamin A deficiency masquerading as cancer-associated retinopathy. 维生素A缺乏伪装成癌症相关的视网膜病变。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-04-05 DOI: 10.1016/j.jcjo.2025.03.005

Naveen Karthik, Sumit Sharma

引用次数: 0