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Ocular Blepharitis and Therapy 眼睑炎及其治疗
Pub Date : 2021-01-01 DOI: 10.35248/2155-9570.21.12.E123
S. Mahendra, eep Kundarapu
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引用次数: 0
Changes in the Postoperative Anterior Chamber Depth in Eyes Following Phacovitrectomy in Several Vitreoretinal Diseases 几种玻璃体视网膜疾病白内障切除术后眼前房深度的变化
Pub Date : 2021-01-01 DOI: 10.35248/2155-9570.21.12.866
Takashi Saito, M. Sakamoto, Izumi Yoshida, Ryuya Hashimoto, Takahiro Sodeno, Kenichiro Aso, H. Masahara, T. Maeno
Aim: To investigate the difference in postoperative Anterior Chamber Depth (ACD) following phacovitrectomy depending on the type of the vitreoretinal diseases, measured using optical biometry. Methods: We investigated 14 eyes of 14 patients (11 males, 3 females; mean age 59.4 ± 8.4 years) with Rhegmatogenous Retinal Detachment (RRD) without macular involvement who underwent phacovitrectomy (RRD group), 14 eyes of 14 patients (10 males, 4 females; mean age 68.4 ± 4.7 years) with a macular hole (MH) who underwent phacovitrectomy (MH group), 24 eyes of 24 patients (14 males, 10 females; mean age 66.5 ± 7.6 years) with Epi Retinal Membrane (ERM) who underwent phacovitrectomy (ERM group), and 42 eyes of 29 patients (15 males, 14 females; mean age 71.4 ± 11.8 years) without macular disease who underwent cataract surgery (cataract group). ACD was measured prior to surgery and one month after surgery using optical biometry and was compared between groups. Results: The mean difference in ACD (postoperative ACD minus preoperative ACD) was 0.68 ± 0.38 mm in the RRD group, 1.12 ± 0.32 mm in the MH group, 1.04 ± 0.56 mm in the ERM group, and 1.00 ± 0.47 mm in the cataract group. Postoperative ACD in the RRD group was shallower compared to the other groups. Conclusion: Postoperative ACD in patients with RRD is shallower compared to other groups, including patients with MH, making it one of the suspected causes of myopic shift in patients with RRD.
目的:利用光学生物测量技术,探讨玻璃体切除术后不同类型玻璃体视网膜病变的术后前房深度(ACD)的差异。方法:对14例患者的14只眼(男11例,女3例;平均年龄59.4±8.4岁,无黄斑受累的孔源性视网膜脱离(RRD)行晶状体切除术(RRD组),14例14眼(男10例,女4例;平均年龄(68.4±4.7)岁,伴有黄斑裂孔(MH)行晶状体切除术(MH组),24例24眼(男14例,女10例;平均年龄66.5±7.6岁),29例42眼(男15例,女14例;平均年龄(71.4±11.8岁),无黄斑病变,行白内障手术者(白内障组)。术前和术后1个月采用光学生物测量法测量ACD,并进行组间比较。结果:RRD组ACD(术后ACD减去术前ACD)的平均差值为0.68±0.38 mm, MH组为1.12±0.32 mm, ERM组为1.04±0.56 mm,白内障组为1.00±0.47 mm。RRD组术后ACD较其他组浅。结论:与包括MH患者在内的其他组相比,RRD患者术后ACD较浅,可能是RRD患者近视移位的原因之一。
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引用次数: 0
Retinal Findings on OCT in a COVID-19 Patient Cohort COVID-19患者队列OCT视网膜检查结果
Pub Date : 2021-01-01 DOI: 10.35248/2155-9570.21.S13.002
Ye-hong He, Shasha Liu, F. Corvi, Tiffany L. M. Yeung, E. Tso, S. Sadda, K. K. Li
The current worldwide COVID-19 pandemic caused by SARS-CoV2 has generated an urgency to understand the implications of this disease in the eye. Possible retinal involvement by SARS-CoV2 infection has been a topic of heated debate. Objective: To determine whether retinal abnormalities can be identified on Optical Computed Tomography (OCT) in convalescent patients following COVID-19 infection. Methodology: This is a prospective, case controlled study that recruited COVID-19 patients who were admitted to the United Christian Hospital Hong Kong, China. At 2 months post-recovery, patients’ visual acuity, refraction were measured. Spectraldomain OCT of the macula to retinal nerve fiber layer and enhanced depth imaging were performed. Age-matched and refraction-matched healthy individuals that were not infected with COVID-19 were enrolled as controls. Qualitative and quantitative assessments of retinal abnormalities on OCT and retinal and choroidal layer thickness were done. Results: 20 subjects (40 eyes) with COVID-19 and 25 (50 eyes) healthy controls were enrolled. Structural OCT abnormalities were observed in 24% of control eyes and in 25% of COVID-19 subjects. No differences were observed between the post- COVID-19 cohort and the healthy controls for any qualitative retinal abnormalities or in any quantitative features including retinal volume, choroidal thickness, retinal layer thicknesses in various macular regions, and peripapillary nerve fiber layer thickness. Conclusion: Following full recovery from symptomatic COVID-19 infection, no significant abnormalities were evident on structural OCT as compared to controls. Although long-term damage to the retina appears to be uncommon after COVID-19 infection, this study provides valuable insight into the recovery process after COVID-19 and provides potential differentiating retinal features that should be considered in future studies involving a larger population.
目前由SARS-CoV2引起的全球COVID-19大流行使人们迫切需要了解这种疾病对眼睛的影响。SARS-CoV2感染可能影响视网膜一直是一个激烈争论的话题。目的:探讨新型冠状病毒肺炎(COVID-19)感染恢复期患者视网膜异常的OCT检测。方法:这是一项前瞻性病例对照研究,招募了在中国香港基督教联合医院住院的COVID-19患者。康复后2个月测定患者视力、屈光。对黄斑到视网膜神经纤维层进行光谱域OCT和增强深度成像。未感染COVID-19的年龄匹配和屈光匹配的健康个体被纳入对照组。对视网膜OCT异常、视网膜及脉络膜层厚度进行定性和定量评价。结果:纳入20例COVID-19患者(40眼)和25例健康对照(50眼)。在24%的对照眼和25%的COVID-19受试者中观察到结构性OCT异常。COVID-19后队列与健康对照组在任何定性视网膜异常或任何定量特征(包括视网膜体积、脉络膜厚度、各黄斑区域视网膜层厚度、乳头周围神经纤维层厚度)方面均无差异。结论:症状性COVID-19感染完全康复后,与对照组相比,结构OCT未见明显异常。尽管COVID-19感染后视网膜的长期损伤似乎并不常见,但本研究为COVID-19感染后的恢复过程提供了有价值的见解,并提供了在未来涉及更大人群的研究中应考虑的潜在区分视网膜特征。
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引用次数: 0
Continuing Professional Development 持续专业发展
Pub Date : 2020-12-01 DOI: 10.1111/ceo.13885
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引用次数: 0
Continuing Professional Development 持续专业发展
Pub Date : 2020-11-01 DOI: 10.1111/ceo.13871
1. Q: In the article, what explanations are suggested for the possible link between highly myopic eyes and increased rates of PCO? a. Delayed and incomplete capsular bend types of the Capsular bag and optic edge b. Toxic effect by the IOL contact on the posterior capsule c. “Barrier effect” by the IOL contact on the posterior capsule d. A and C A: d. a recent studies have highlighted the importance of the speed and type of capsular bend created by sharp DOI: 10.1111/ceo.13871
1. 问:在这篇文章中,对于高度近视和后视眼发病率增加之间的可能联系,提出了什么解释?a.囊袋和视界的延迟性和不完全性囊弯曲类型b. IOL接触后囊的毒性作用c. IOL接触后囊的“屏障效应”d. a和c. a: d.最近的一项研究强调了sharp造成的囊弯曲的速度和类型的重要性DOI: 10.1111/ceo.13871
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引用次数: 0
The Efficacy of a New lubricating Eyedrop in a Lipid Vehicle for the Treatment of Dry Eye Disease 一种新型脂质载体润滑滴眼液治疗干眼症的疗效观察
Pub Date : 2020-10-23 DOI: 10.35248/2155-9570.20.11.860
Chiara Quisisana, L. Rossetti, A. Caretti, M. D. Cas, P. Fogagnolo
Aim: To evaluate the efficacy and safety of the new lipid tear substitute VisuEvo® in patients with dry eye disease (DED). Methods: 19 patients with evaporative or iatrogenic DED were enrolled and evaluated at baseline, week 2 and week 6. After baseline, they were instructed to self-administer VisuEvo three times daily for the whole study duration. Tear break-Up Time (TBUT), Schirmer I, Ferning, osmolarity, cytokine and lipid expression, ocular surface staining, patient satisfaction, and OSDI score were measured. Results: During the study, TBUT progressively increased from 3.0 ± 1.9 sec at baseline to 6.4 ± 1.7 sec at final visit (P<0.0001), and OSDI progressively decreased from 39 ± 12 at baseline to 20 ± 15 at final visit (P<0.0001). Osmolarity significantly reduced from 328 ± 14 mOsm/L at baseline to 306 ± 14 mOsm/L at final visit (P=0.03). A progressive reduction of cytokine and lipid expression was shown, being significant for IFN-? (P=0.01) and sphingosine (P=0.01). No changes were shown for Schirmer Test, conjunctival and corneal staining. Safety profile was excellent as no adverse events occurred; patients were highly satisfied by treatment. Conclusion: VisuEvo is an effective and safe option for DED management.
目的:评价新型脂质泪液代用品VisuEvo®治疗干眼病(DED)的疗效和安全性。方法:纳入19例蒸发性或医源性DED患者,并在基线、第2周和第6周进行评估。基线后,他们被指示在整个研究期间每天自我管理三次VisuEvo。测定泪液破裂时间(TBUT)、Schirmer I、Ferning、渗透压、细胞因子和脂质表达、眼表染色、患者满意度和OSDI评分。结果:在研究过程中,TBUT从基线时的3.0±1.9秒逐渐增加到末访时的6.4±1.7秒(P<0.0001), OSDI从基线时的39±12秒逐渐减少到末访时的20±15秒(P<0.0001)。渗透压浓度从基线时的328±14 mOsm/L显著降低到最后一次访问时的306±14 mOsm/L (P=0.03)。细胞因子和脂质表达逐渐减少,对IFN-?(P=0.01)和鞘氨醇(P=0.01)。Schirmer试验、结膜和角膜染色未见变化。无不良事件发生,安全性极好;患者对治疗非常满意。结论:VisuEvo是治疗DED有效、安全的选择。
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引用次数: 1
Pattern of ocular diseases among patients attending ophthalmic outpatient department: A cross-sectional study 眼科门诊患者眼部疾病的模式:一项横断面研究
Pub Date : 2020-09-29 DOI: 10.29328/JOURNAL.IJCEO.1001033
Ademe Sewunet, Edmealem Afework
Abbreviations: BMPH: Borumeda Primary Hospital; BRVO: Branch Retinal Vein Occlusion; CRVO: Central Retinal Vein Occlusion; D: Diopter; IAPB: International Agency for Prevention of Blindness; IOP: Intra Ocular Presses; MRN: Medical Registration Number; NLDO: Naso Lacrimal Duct Obstruction; OPD: Out Patient Department; SD: Standard Deviation; SPSS: Statistical Package of the Social Sciences; UCVA: Uncorrected Visual Acuity; VA: Visual Acuity
BMPH:博鲁美达初级医院;BRVO:视网膜分支静脉阻塞;CRVO:视网膜中央静脉阻塞;D:屈光度;国际防盲机构;IOP:眼内压;MRN:医疗注册号;NLDO:鼻泪道梗阻;OPD:门诊;SD:标准差;SPSS:社会科学统计软件包;UCVA:未矫正视力;VA:视力
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引用次数: 3
Continuing Professional Development 持续专业发展
Pub Date : 2020-09-01 DOI: 10.1111/ceo.13858
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引用次数: 0
Cataract surgery and dry eye syndrome. Visual outcomes. Patient's satisfaction 白内障手术和干眼综合征。可视化的结果。病人的满意度
Pub Date : 2020-08-16 DOI: 10.36648/2155-9570-C1-113
M. Haffar
Cataract surgery and dry eye syndrome. Visual outcomes. Patient's satisfaction.     Matias S. Haffar                                                                                                                                     Hospital Oftalmologico Santa Lucia, Argentina   Abstract   Visual Evoked Potential (VEP) measures the electrical activity in the entire vision system.  When light enters the eye it is converted to electrical energy at the retina and travels through the optic nerve to the visual cortex which processes vision.  The Diopsys VEP test measures the strength and speed of the retinal signal all the way to the visual cortex. VEP technology uniquely helps determine the communication between the eye and the brain.  Electroretinography (ERG) measures retinal function.  When light enters the eye it is converted into electrical energy by cones and rods, visual cells.  ERG tests record the activity of the visual cells and thereby reflecting cell health and integrity. These two modalities are useful in diagnosing  cellular pathology such as Age Related Maculopathy(AMD), glaucoma,Diabetic Macula Edema(DME) ,amblyopia,brain injury, stroke and other vision related issues.  VEP is especially useful in Enfant and Pediatric exams to diagnose pathology.    Biography:   Matias S. Haffar, is an ophthalmologist who was born in Buenos Aires. Since the year 2006 he has been performing his activity uninterruptedly at the Hospital Santa Lucia in Buenos Aires, Argentina. He works as an instructor of surgeons in the Hospital Ocular Surgery Service, performing cataract, refractive, glaucoma, ocular surface and emergency surgeries.He also works as head of the anterior segment surgery service in the Centro de Investigacion y Tratamiento Ocular (CITO). He had worked as a teacher at the University of El Salvador in the advanced course of Ophthalmology, andnow he teaches in theadvanced course at the Universidad de Buenos Aires office (UBA) in Hospital Santa Lucia. . 29th International Conference on Insights in Ophthalmology; Webinars- June 17-18, 2020 Abstract Citation: Matias S. Haffar, Cataract surgery and dry eye syndrome. Visual outcomes. Patient's satisfaction., 29th International Conference on Insights in Ophthalmology; Webinars- June 17-18, 2020 (https://ophthalmology.insightconferences.com/ocm/2020/matias-haffar-hospital-santa-luc-a-buenos-aires-france  )
白内障手术和干眼综合征。可视化的结果。病人的满意度。Matias s Haffar                                                                                                                                     医院Oftalmologico圣卢西亚,阿根廷抽象视觉诱发电位(VEP)测量电活动在整个视觉系统。当光线进入眼睛时,它在视网膜被转化为电能,并通过视神经到达处理视觉的视觉皮层。Diopsys VEP测试测量视网膜信号一直到视觉皮层的强度和速度。VEP技术独特地帮助确定眼睛和大脑之间的交流。视网膜电图(ERG)测量视网膜功能。当光线进入眼睛时,它被视锥细胞和视杆细胞转化为电能。ERG测试记录视觉细胞的活动,从而反映细胞的健康和完整性。这两种模式在诊断细胞病理,如年龄相关性黄斑病变(AMD)、青光眼、糖尿病性黄斑水肿(DME)、弱视、脑损伤、中风和其他视力相关问题时很有用。VEP在婴幼儿检查中诊断病理特别有用。简介:Matias S. Haffar是一名眼科医生,出生于布宜诺斯艾利斯。自2006年以来,他一直在阿根廷布宜诺斯艾利斯的圣卢西亚医院不间断地开展活动。他在医院眼科外科服务部门担任外科医生讲师,从事白内障、屈光、青光眼、眼表和急诊手术。他还担任眼科检查治疗中心(CITO)前节外科服务的负责人。他曾在萨尔瓦多大学担任高级眼科课程的教师,现在他在圣卢西亚医院的布宜诺斯艾利斯大学办公室(UBA)教授高级课程。第29届国际眼科会议;摘要来源:Matias S. Haffar,白内障手术和干眼综合征。可视化的结果。病人的满意度。,第29届国际眼科会议;网络研讨会- 2020年6月17日至18日(https://ophthalmology.insightconferences.com/ocm/2020/matias-haffar-hospital-santa-luc-a-buenos-aires-france)
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引用次数: 0
Periocular steroids for macular edema associated with retinal arterio-venous malformation 眼周类固醇治疗黄斑水肿伴视网膜动静脉畸形
Pub Date : 2020-08-16 DOI: 10.36648/2155-9570-C1-115
Romana Fazal
Periocular steroids for macular edema associated with retinal arterio-venous malformation   Romana Fazal                                                                                                                                    Aravind Eye Hospital and Post graduate Institute of Ophthalmology, India   Abstract Retinal racemose hemangiomas are vascular malformations comprising of direct arteriovenous communications in the retina which may sometimes present with defective vision. Exudation and neurosensory detachment are some of the complications which may be responsible for decreased visual acuity. We describe a case of a 38-year-old male presenting with unilateral group II retinal racemose hemangioma complicated with macular edema. Intravitreal bevacizumab was injected after which an increase in edema was noted at one month follow up. He was subsequently treated with posterior sub tenon injection of triamcinolone following which there was a prompt decrease in the intra retinal and subretinal fluid with simultaneous improvement in vision. The visual acuity was maintained and no recurrence was seen till six months after successful treatment.    Biography:   Romana Fazal has completed her MBBS from West Bengal university at the age of 24 years and DNB from Aravind Eye Hospital, Pondicherry. She is currently pursuing her fellowship in Vitreo retinal diseases at Aravind Eye Hospital, Pondicherry. She has 3 publications in reputed national and international  journals and number of presentations in national level conferences.   29th International Conference on Insights in Ophthalmology; Webinars- June 17-18, 2020   Abstract Citation: Romana Fazal, Periocular steroids for macular edema associated with retinal arterio-venous malformation, 29th International Conference on Insights in Ophthalmology; Webinars- June 17-18, 2020 (https://ophthalmology.insightconferences.com/abstract/2020/periocular-steroids-for-macular-edema-associated-with-retinal-arterio-venous-malformation  )
摘要视网膜外展状血管瘤是一种血管畸形,包括视网膜内直接的动静脉交通,有时可能表现为视力缺陷。渗出和神经感觉脱离是一些可能导致视力下降的并发症。我们描述了一个38岁的男性表现为单侧II组视网膜外展状血管瘤合并黄斑水肿。玻璃体内注射贝伐单抗后,在一个月的随访中发现水肿增加。随后,他接受了后腱下注射曲安奈德治疗,视网膜内和视网膜下液迅速减少,视力同时改善。治疗成功后6个月视力保持正常,无复发。简介:Romana Fazal在24岁时完成了西孟加拉邦大学的MBBS和本地治里Aravind眼科医院的DNB。她目前正在本地治里郡的Aravind眼科医院从事体外视网膜疾病研究。她在国内和国际知名期刊上发表了3篇论文,并在国家级会议上发表了多次演讲。第29届国际眼科会议;摘要来源:Romana Fazal,眼周类固醇治疗黄斑水肿伴视网膜动静脉畸形,第29届国际眼科会议;网络研讨会- 2020年6月17日至18日(https://ophthalmology.insightconferences.com/abstract/2020/periocular-steroids-for-macular-edema-associated-with-retinal-arterio-venous-malformation)
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引用次数: 0
期刊
Journal of Clinical & Experimental Ophthalmology
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