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

Socioeconomic status and vision care utilization in Canada: a systematic review. 加拿大社会经济地位与视力保健利用：一项系统综述。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-19 DOI: 10.1016/j.jcjo.2025.01.016

Angelica Hanna, Diana Lucia Martinez, Matthew B Schlenker, Iqbal I K Ahmed

{"title":"Socioeconomic status and vision care utilization in Canada: a systematic review.","authors":"Angelica Hanna, Diana Lucia Martinez, Matthew B Schlenker, Iqbal I K Ahmed","doi":"10.1016/j.jcjo.2025.01.016","DOIUrl":"10.1016/j.jcjo.2025.01.016","url":null,"abstract":"Objective: Despite a universal health care system, access to vision care in Canada is not necessarily equally accessible to all patients. The purpose of this review was to explore the association between socioeconomic status (SES) and vision care utilization in Canada.Methods: Medline, Embase, CINAHL, and Cochrane were searched from inception to January 2024 for relevant articles containing original data. Studies that explored the association between SES and vision care utilization in Canadian patients were included. Risk of bias was assessed using the Newcastle-Ottawa and AXIS assessment tools. Descriptive statistics were used to summarize findings. The review was registered in PROSPERO (registration number: CRD42024502482) and followed PRISMA guidelines.Results: The search yielded 2,670 records with 23 studies included in this review. The included studies covered all provinces and ranged in date between 1985 and 2022. The included studies explored the relationship between SES and utilization of ophthalmic care, optometric care, or both. Overall, 17 of the 23 studies found that patients of lower SES were significantly more likely to have decreased usage of vision care. Decreased vision care utilization was found for all optometry, ophthalmology care, and diabetic retinopathy screening, as well as for patients of all ages, and in all provinces.Discussion/conclusion: Low socioeconomic status was consistently associated with decreased vision care utilization for patients of all ages. Efforts are required to increase accessibility to vision care for low-income individuals and to improve health equity.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439922","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

Analysis of ocular emergencies: incidence and clinical patterns over 4 years at tertiary centers in Montreal, Quebec, Canada 眼急诊分析：加拿大魁北克省蒙特利尔三级医疗中心4年来的发病率和临床模式

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-19 DOI: 10.1016/j.jcjo.2025.01.006

Jonathan El-Khoury , Abdullah Al-Ani , Andrea Dahoud , Bryan Arthurs , Christian El-Hadad

引用次数: 0

Educational background, professional experience, and research productivity of Canada's academic ophthalmology leadership. 教育背景、专业经验、研究生产力在加拿大眼科学界处于领先地位。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-19 DOI: 10.1016/j.jcjo.2025.01.007

Waleed K Alsarhani, Ahmed Abdelaal, Cynthia L Larche, Amandeep S Rai, Peter J Kertes

{"title":"Educational background, professional experience, and research productivity of Canada's academic ophthalmology leadership.","authors":"Waleed K Alsarhani, Ahmed Abdelaal, Cynthia L Larche, Amandeep S Rai, Peter J Kertes","doi":"10.1016/j.jcjo.2025.01.007","DOIUrl":"10.1016/j.jcjo.2025.01.007","url":null,"abstract":"Objective: The aim of the study was to assess the educational background, professional experience, and research productivity of Canada's academic ophthalmology leadership.Methods: This cross-sectional study focused on leaders from ophthalmology departments at 15 Canadian universities, as well as the Canadian Journal of Ophthalmology (CJO) editorial board and the Canadian Ophthalmological Society (COS) board of directors.Results: Ninety-one academic leaders were identified, which included 15 chairs, 9 vice chairs, 17 hospital chiefs, and 15 program directors. Additionally, the 10 members of the COS board of directors and the 31 members of the editorial board of the CJO were included. The duration of professional experience was the longest for hospital chiefs (26.63 ± 7.08 years) followed by chairs (23.86 ± 6.11 years) (p < 0.001). Chairs had the largest mean number of publications (87.13 ± 73.17), followed by vice chairs (70.89 ± 78.29) (p = 0.012). The most common residency programs attended by position holders were offered by the University of Toronto, followed by McGill University. Forty-three academic ophthalmology leaders graduated from U.S. fellowship training programs (48.3%). CJO editors were most likely to have a professor appointment (p = 0.002), fellowship training (p = 0.042), U.S. fellowship training (p = 0.007), a larger number of publications (p = 0.006), and a greater h-index (p = 0.001).Conclusion: Chairs followed by vice chairs demonstrated the highest mean number of publications and h-index. More than half of the academic leaders had fellowship training either in the U.S. or Toronto. Prospective ophthalmologists interested in academic leadership may leverage these data to strategically guide their professional careers.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073707","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 静脉注射替奈普酶继发的左同质性偏盲。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-15 DOI: 10.1016/j.jcjo.2024.12.014

Elayna G. Bruce , Blake Archer , Saif Aldeen Alryalat , Osama Thiabat , Andrew G. Lee

引用次数: 0

Mixed vascular lesion presenting as isolated vertical diplopia 混合性血管病变表现为孤立性垂直性复视。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-11 DOI: 10.1016/j.jcjo.2025.01.011

Fanghan Anna Yang, Leanne Stunkel, Manu S. Goyal, Gregory P. Van Stavern

引用次数: 0

Successful resolution of early fibrin occlusion of PreserFlo MicroShunt with Nd:YAG laser treatment Nd:YAG激光治疗PreserFlo微分流器早期纤维蛋白闭塞1例。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-06 DOI: 10.1016/j.jcjo.2025.01.003

Rodolfo Bonatti , Kevin Hodgson , Marcelo Nicolela

引用次数: 0

Acute angle-closure glaucoma risk: a comparative study of escitalopram and antidepressants 急性闭角型青光眼风险：艾司西酞普兰与抗抑郁药的比较研究。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-05 DOI: 10.1016/j.jcjo.2025.01.004

Haaris M. Khan, Steven Schendel, Frederick S. Mikelberg, Mahyar Etminan

引用次数: 0

Insights into the effects of subretinal voretigene neparvovec-rzyl in RPE65-associated Leber congenital amaurosis. 视网膜下voretigene neparvovec-rzyl治疗rpe65相关Leber先天性黑蒙的疗效：一份18个月的报告

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-05 DOI: 10.1016/j.jcjo.2024.12.006

Alaa Tayyib, Deepika C Parameswarappa, Peter J Kertes, Rajeev Muni, Anupreet Tumber, Gregory Costain, Alex Schramm, Heather MacDonald, Regan Klatt, Ajoy Vincent, Elise Héon

{"title":"Insights into the effects of subretinal voretigene neparvovec-rzyl in RPE65-associated Leber congenital amaurosis.","authors":"Alaa Tayyib, Deepika C Parameswarappa, Peter J Kertes, Rajeev Muni, Anupreet Tumber, Gregory Costain, Alex Schramm, Heather MacDonald, Regan Klatt, Ajoy Vincent, Elise Héon","doi":"10.1016/j.jcjo.2024.12.006","DOIUrl":"10.1016/j.jcjo.2024.12.006","url":null,"abstract":"Objective: Assess safety and effectiveness of subretinal gene replacement therapy at 18 months post treatment.Design: Retrospective, longitudinal study conducted at the Hospital for Sick Children in Toronto, Canada.Participants: Patients with bi-allelic RPE65 variants, early onset retinal degeneration, and residual viable retina who underwent voretigene neparvovec r-zyl gene replacement therapy.Methods: Data collected included demographic information, molecular genetic results, and comprehensive ocular assessment results from preoperataive and postoperative visits up to 18 months. To assess the treatment's efficacy, postoperative best corrected visual acuity, full-field stimulus test (FST), visual field (VF) area, optical coherence tomography, and global satisfaction were compared to preoperative findings.Results: The procedures were safe with no complications. There was no significant improvement in visual acuity. Three eyes showed a slight reduction in VF area. All showed a reduction in ellipsoid zone thickness and area, but the outer nuclear layer thickness and area were stable. All had a significant improvement in retinal sensitivity, as per FST, allowing better navigation in a dim environment. All 3 patients reported being \"very satisfied\".Conclusion: Following a safe gene replacement therapy, the 3 first Canadian cases had an improvement in retinal sensitivity as per FST, and our patients described their experience as positively life changing.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000563","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 : 2025-02-04 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":"10.1016/j.jcjo.2025.01.001","url":null,"abstract":"Objective: 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.Design: Prospective qualitative study.Participants: Microsoft Copilot, GPT-4 (GPT-4o and GPT-4o mini), and Google Gemini (Gemini and Gemini Advanced).Methods: 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).Results: 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.Conclusions: 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.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-02-04","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

Complication rates in cataract surgery before and during the COVID-19 pandemic. COVID-19大流行之前和期间白内障手术的并发症发生率。

IF 3.3 4区医学

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie Pub Date : 2025-02-03 DOI: 10.1016/j.jcjo.2024.12.001

Lee-Wing Nathan, Stockl Frank, Wiens James

{"title":"Complication rates in cataract surgery before and during the COVID-19 pandemic.","authors":"Lee-Wing Nathan, Stockl Frank, Wiens James","doi":"10.1016/j.jcjo.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.jcjo.2024.12.001","url":null,"abstract":"Objective: To assess the cataract surgery (CS) complication rates before and during the COVID-19 pandemic.Design: Retrospective, cross sectional study.Methods: Medical records of patients undergoing CS at two surgery centers in Winnipeg from January 2018 to April 2022 were reviewed. The study periods were pre-COVID-19 (January 1, 2018 to March 31, 2020) and COVID-19 (April 1, 2020 to April 30, 2022). Complication rates for endophthalmitis, sulcus-positioned intraocular lens (IOL) implant, anterior chamber IOL (ACIOL) implant, capsular tension ring (CTR) insertion, cumulative dissipated phacoemulsification energy (CDE), posterior capsular rupture (PCR), unplanned anterior vitrectomy, and return to the OR within one month of surgery were compared.Results: 45,559 patients were included. Pre-COVID-19 rates were compared to COVID-19 rates and stated as per 100 cataract surgeries. Endophthalmitis rates increased from 0.008 to 0.028 (RR 0.27, p=0.09). Sulcus IOL implant rates increased from 0.61 to 1.00 (RR 0.61, p<0.0001). ACIOL implant rates increased from 0.53 to 0.68 (RR 0.78, p=0.05). CTR usage rates increased from 0.48 to 0.75 (RR 0.63, p=0.001). Average CDE increased from 4.6 to 6.7 (p=0.0030). PCR rates decreased from 0.49 to 0.38 (RR 1.3, p=0.14). Unplanned anterior vitrectomy rates decreased from 0.43 to 0.36 (RR 1.18, p=0.35). Return to OR rates remained unchanged at 0.59 and 0.58 (RR 1.01, p=0.93).Conclusions: Our study found significant increases in some CS complication rates when comparing the defined pre-COVID interval to the COVID interval.","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188399","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