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Retinal Vein Anastomoses in a Patient with Persistent High Intraocular Pressure. 一名持续高眼压患者的视网膜静脉吻合术
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.ophtha.2024.10.012
Nan Luo, Yuzhou Xiang, Jingjing Huang
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引用次数: 0
Multifocal Soft Contact Lenses for the Treatment of Myopia Progression in Children: A Report by the American Academy of Ophthalmology. 用于治疗儿童近视发展的多焦点软性隐形眼镜:美国眼科学会报告。
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-06 DOI: 10.1016/j.ophtha.2024.09.031
Kara M Cavuoto, Rupal H Trivedi, S Grace Prakalapakorn, Julius T Oatts, Sudha Nallasamy, David G Morrison, Stacy L Pineles, Melinda Y Chang

Purpose: To review the published literature assessing the efficacy of multifocal soft contact lenses for the treatment of myopia progression in children 18 years of age and younger.

Methods: A literature search of the PubMed database was conducted last in March 2024 and was limited to articles published in English without date restrictions. The search yielded 76 articles, which were reviewed by the primary author in abstract form, and 28 articles were selected for full-text review. Twelve articles were deemed to have met the inclusion criteria and were assigned a level of evidence rating by the panel methodologist. Eleven studies were rated level I and 1 study was rated level II.

Results: All studies showed less myopic progression, with changes in spherical equivalent (SE) ranging from 0.22 to 0.81 diopters (D) for multifocal soft contact lenses compared with 0.50 to 1.45 D in control groups who used single-vision spectacles or single-vision contact lenses over the course of at least 1 year. Additionally, axial elongation was less in the multifocal soft contact lens group compared with control groups, with a change in axial length (AL) of 0.05 to 0.39 mm in treatment groups compared with 0.17 to 0.67 mm in control groups with at least 1 year of follow-up. The difference in change between the groups was clinically modest and statistically significant in 11 studies for SE and in all 12 studies for AL. No serious adverse events were reported in any of the studies.

Conclusions: Level 1 evidence supports slower myopia progression and AL elongation in children who used multifocal soft contact lenses compared with spectacles or single-vision contact lenses over at least 1 year of follow-up. However, few data are available on optimal treatment duration, the progression over longer periods, or progression after discontinuation of the multifocal contact lenses.

Financial disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

目的:回顾已发表的文献,评估多焦点软性隐形眼镜治疗 18 岁及以下儿童近视进展的疗效:在 PubMed 数据库中进行文献检索,检索时间截止到 2024 年 3 月,仅限于以英文发表的文章,无日期限制。检索结果显示有 76 篇文章,主要作者对这些文章的摘要进行了审阅,并选择了 28 篇文章进行全文审阅。有 12 篇文章被认为符合纳入标准,并由小组方法论专家进行了证据等级评定。其中 11 项研究被评为 I 级,1 项研究被评为 II 级:所有研究都显示近视度数加深较少,多焦点软性隐形眼镜的球面等效度数(SE)变化范围为 0.22 至 0.81 迪,而使用单焦点眼镜或单焦点隐形眼镜至少一年的对照组的球面等效度数变化范围为 0.50 至 1.45 迪。此外,与对照组相比,多焦点软性隐形眼镜组的轴向伸长较小,治疗组的轴向长度(AL)变化为 0.05 至 0.39 毫米,而至少随访 1 年的对照组的轴向长度变化为 0.17 至 0.67 毫米。在 11 项 SE 研究和所有 12 项 AL 研究中,治疗组与对照组之间的变化差异不大,但在统计学上有显著意义。所有研究均未报告严重不良事件:1级证据支持,在至少1年的随访中,使用多焦点软性隐形眼镜的儿童的近视度数加深和AL延长速度慢于配戴眼镜或单眼隐形眼镜的儿童。然而,关于最佳治疗时间、较长时间的进展或停用多焦点隐形眼镜后的进展,目前可用的数据很少:专有权或商业信息披露见本文末尾的 "脚注和披露"。
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引用次数: 0
Bilateral Colobomas Affecting the Iris, Optic Nerve, Choroid, and Retina. 影响虹膜、视神经、脉络膜和视网膜的双侧疣。
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.10.001
Livia Faes, K Bailey Freund
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引用次数: 0
Cytomegalovirus Retinitis Response in a Child Treated with Systemic Maribavir. 一名接受全身性马利巴韦治疗的儿童的巨细胞病毒视网膜炎反应
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.09.033
Ryan T Yanagihara, Debarshi Mustafi, Laura C Huang
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引用次数: 0
A Rare Case of Cutaneous Blastomycosis of the Eyelid. 一个罕见的眼睑皮肤瘟疫病例
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.09.015
Nicholas Levergood, Quinn Miller, Stephen R Klapper
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引用次数: 0
A 5-year-old Down Syndrome Patient with a Pseudo-Soemmering Ring. 一名患有假性血肿环的 5 岁唐氏综合征患者。
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.09.034
Jiaxing Wang, Jordan Petersen, Ta Chen Peter Chang
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引用次数: 0
Bending the Rules: A Unique Case of Ocular Ischemic Syndrome. 曲意逢迎:眼缺血综合征的独特病例。
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.09.030
Alessandra Joseph, Evan Meyer, Anne S Abel
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引用次数: 0
Recurrent Corneal Metallic Foreign Bodies after Indoor Swinging. 室内荡秋千后复发性角膜金属异物。
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.10.011
Julia Biermann, Simone Lücking-Lenkitsch
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引用次数: 0
Re: Gedde et al: Special Commentary: Reporting clinical endpoints in studies of minimally invasive glaucoma surgery (Ophthalmology. 2024 Aug 8:S0161-6420(24)00456-1. doi: 10.1016/j.ophtha.2024.07.030. Online ahead of print.). Re:Gedde 等人:特别评论:微创青光眼手术研究中的临床终点报告(Ophthalmology.doi: 10.1016/j.ophtha.2024.07.030.在线提前打印)。
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.10.002
Alessandro Rabiolo, Giovanni Montesano, Gus Gazzard, Joseph Caprioli, Stefano De Cillà
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引用次数: 0
Reply. 答复
IF 13.1 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2024-11-04 DOI: 10.1016/j.ophtha.2024.10.003
Steven J Gedde, Kateki Vinod, Eileen C Bowden, Natasha N Kolomeyer, Vikas Chopra, Pratap Challa, Donald L Budenz, Michael X Repka, Flora Lum
{"title":"Reply.","authors":"Steven J Gedde, Kateki Vinod, Eileen C Bowden, Natasha N Kolomeyer, Vikas Chopra, Pratap Challa, Donald L Budenz, Michael X Repka, Flora Lum","doi":"10.1016/j.ophtha.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.ophtha.2024.10.003","url":null,"abstract":"","PeriodicalId":19533,"journal":{"name":"Ophthalmology","volume":null,"pages":null},"PeriodicalIF":13.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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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Ophthalmology
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