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ChatGPT and Ophthalmology ChatGPT与眼科学
Pub Date : 2023-04-18 DOI: 10.46889/joar.2023.4106
Sunny Chi Lik Au
ChatGPT (Open AI, San Francisco, California, USA) is a very hot topic recently in the research and academic field. Its powerful ability astonished many researchers, professors and educators. Up to 26th March 2023, there are already >160 published papers related to ChatGPT on PubMed search. Some studies proved its ability to pass medical examinations [1,2]. However, its partial substitution to human authors gets many journals to react, including the Nature, Science, Lancet, BMJ, etc. [3-6].
ChatGPT (Open AI, San Francisco, California, USA)是近年来研究和学术领域的一个非常热门的话题。它的强大能力令许多研究人员、教授和教育工作者感到惊讶。截至2023年3月26日,PubMed检索已发表超过160篇与ChatGPT相关的论文。一些研究证明其能够通过医学检查[1,2]。然而,它对人类作者的部分替代引起了许多期刊的反应,包括Nature、Science、Lancet、BMJ等[3-6]。
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引用次数: 0
Pattern of increase in Spherical Aberration and Coma After Femtosecond Laser Assisted In-Situ Keratomileusis Using an Aspheric Ablation Profile 使用非球面烧蚀轮廓的飞秒激光辅助原位角膜磨砂术后球差和彗差的增加模式
Pub Date : 2023-04-05 DOI: 10.46889/joar.2023.4105
M. Hosny
Purpose: To determine the contribution of spherical aberration and coma to the total ocular high order aberration before and after femto laser-assisted in-situ keratomileusis using an aspheric ablation profile.Methods: This is a prospective interventional study that was conducted on 34 eyes of 17 patients in the interval between January 2021 and June 2021. Patients did a preoperative aberrometry and corneal tomography. They underwent FS-LASIK surgery using an aspheric ablation profile. The total ocular aberrometry and corneal tomography were repeated one month postoperatively.Results: The mean preoperative contribution of coma to total ocular HOA was 52.16 % with SD of ± 25.59% which declined to 49.48 % with SD of ± 22.53 % postoperatively. The mean preoperative contribution of SA to total ocular HOA was 38.91 % with SD of ± 15.35 % which increased significantly to 51.25 % with SD of ± 16.55 % postoperatively.Conclusion: Post-operative contribution of corneal spherical aberrations to total ocular HOA showed a statistically significant increase compared to pre-operative. However, there was no significant change in coma contribution.
目的:探讨非球面消融激光原位角膜磨除术前后球差和彗差对总高阶像差的影响。方法:这是一项前瞻性介入研究,在2021年1月至2021年6月期间对17名患者的34只眼睛进行了研究。患者术前做了像差测量和角膜断层扫描。他们接受了使用非球面消融轮廓的FS-LASIK手术。术后1个月复查全眼像差和角膜断层扫描。结果:术前昏迷对眼总HOA的平均贡献为52.16%,SD为±25.59%;术后昏迷对眼总HOA的平均贡献为49.48%,SD为±22.53%。术前SA对眼总HOA的平均贡献为38.91%,SD为±15.35%;术后SA对眼总HOA的平均贡献为51.25%,SD为±16.55%。结论:与术前相比,术后角膜球差对总HOA的贡献有统计学意义的增加。然而,昏迷的贡献没有显著变化。
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引用次数: 0
Body Mass Index and Interocular Asymmetry of Retinal and Choroidal Thickness in Emmetropic and Ametropic Subjects 准屈光和屈光受试者的身体质量指数与眼间视网膜和脉络膜厚度不对称性
Pub Date : 2023-04-04 DOI: 10.46889/joar.2023.4104
Zeyad Alzaben
Objective: To assess the normal range of interocular asymmetry in retinal and choroidal thickness in healthy emmetropic (as a control group) and ametropic subjects and to describe its relationship with anthropometric attributes.Methods: A Spectral-Domain Optical Coherence Tomography (SD-OCT) was performed on 586 patients to measure the thickness of the retina and choroid at the fovea as well as at 1, 2 and 3 mm nasally, temporally, superiorly, and inferiorly. In 95% confidence intervals, absolute interocular differences were calculated to determine the normal range of asymmetry and its relationship to Body Mass Index (BMI).Results: There was a statistically significant interocular difference in the choroidal thickness at 3 mm distance from the center inferiorly (Standardized Mean Difference (SMD): -17.33, 95% Confidence Interval (CI): -29.60 to -5.07 µm, P < 0.001) in the control group, and in the macular thickness at 2 mm distance from the center superiorly (SMD: -9.76, CI: -17.40 to 2.13 µm, P = 0.01) in the myopic group between underweight and overweight individuals.Conclusion: The expanded range of retinal and choroidal thickness asymmetry found in subjects with different BMI grades in the absence of disease is of relevance when exploring these patients for early signs of ocular pathology.
目的:评价健康屈光不正者(对照组)和屈光不正者视网膜和脉络膜厚度的眼间不对称的正常范围,并描述其与人体测量属性的关系。方法:对586例患者行光谱域光学相干断层扫描(SD-OCT)测量视网膜中央窝及鼻、颞、上、下1、2、3mm处的视网膜和脉络膜厚度。在95%的置信区间内,计算绝对眼间差异,以确定不对称的正常范围及其与体重指数(BMI)的关系。结果:体重过轻组与体重过重组距中心3 mm处黄斑膜厚度(标准化平均差(SMD): -17.33, 95%可信区间(CI): -29.60 ~ -5.07µm, P < 0.001)与距中心2 mm处黄斑膜厚度(SMD: -9.76, CI: -17.40 ~ 2.13µm, P = 0.01)的眼间差异有统计学意义。结论:在无疾病的情况下,不同BMI等级的受试者视网膜和脉络膜厚度不对称的扩大范围与探索这些患者眼部病理的早期体征有关。
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引用次数: 0
Correlation Between Contrast Variability and Refractive Error 对比变异性与屈光不正的相关性
Pub Date : 2023-03-25 DOI: 10.46889/joar.2023.4103
S. Thatte
Background: Contrast sensitivity, is defined as the ability to detect the lowest lumination difference between an object and the background. It is one of the main requisites for good quality vision as the eye works by perceiving an object by comparing the difference between the target and the background contrast difference.Aims and Objectives: To assess patterns of contrast sensitivity functions in patients in different types of refractive errors using Pelli Robson chart and also to measure the severity of refractive error within each group and compared the contrast sensitivity function with severity in different types of refractive errors.Material and Method: This cross-sectional study was conducted on 500 patients (Age range from 10 to 80 years) who presented with chief complaint of refractive errors mainly myopia and hypermetropia. Patients who had previous history of ocular surgery and other ocular co- morbidity were excluded from study. Selected patients were enrolled for the study after taking a written informed consent. The patterns of contrast sensitivity function in different types of refractive errors were recorded on a prescribed proforma with respect to: Visual acuity, type of refractive error, severity of refractive error, duration of refractive error, age of the patient, fundus examination and Contrast sensitivity. Statistical analysis was undertaken with P<0.05 significant.Results: A mild decrease in contrast sensitivity was recorded in majority of patients i.e 250 patients (50%). Maximum decrease in contrast sensitivity was seen in 31-60 years age group. A statistically significant direct correlation (P<0.05) was observed between duration and variation in contrast sensitivity. Both the refractive error showed definite decrease in contrast sensitivity and compound astigmatism showed severe decrease in contrast sensitivity.Conclusion: Despite having BCVA of 6/6, patients showed reduced contrast sensitivity, even without any retinal pathology, making it an essential part of a routine ophthalmic examination.
背景:对比敏感度,被定义为检测物体和背景之间最低亮度差异的能力。这是高质量视觉的主要条件之一,因为眼睛是通过比较目标和背景之间的对比度差异来感知物体的。目的:利用Pelli Robson图评估不同类型屈光不正患者对比敏感度函数的变化规律,测量各组患者屈光不正的严重程度,并比较不同类型屈光不正患者对比敏感度函数与严重程度。材料与方法:本横断面研究纳入500例以屈光不正为主的患者(年龄10 ~ 80岁),主要表现为近视和远视。既往有眼部手术史和其他眼部合并症的患者被排除在研究之外。选定的患者在获得书面知情同意后被纳入研究。记录不同类型屈光不正患者的对比敏感度函数模式,包括:视力、屈光不正类型、屈光不正严重程度、屈光不正持续时间、患者年龄、眼底检查和对比敏感度。差异有统计学意义,P<0.05。结果:大多数患者(250例(50%))的对比敏感度轻度下降。对比敏感度下降最大的年龄组为31-60岁。观察时间与对比敏感度变化之间有统计学意义的直接相关(P<0.05)。屈光不正明显降低对比敏感度,复合散光明显降低对比敏感度。结论:尽管BCVA为6/6,但患者的对比敏感度降低,即使没有任何视网膜病变,也成为常规眼科检查的重要组成部分。
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引用次数: 0
Ocular Damage in Craniofacial-Orbital Trauma: About 170 Cases 颅眶外伤致眼部损伤约170例
Pub Date : 2023-01-27 DOI: 10.46889/joar.2023.4102
A. Abounaceur
Background: Ocular trauma represents an important part of the pathology observed in ophthalmologic emergencies, since it represents about 20% of the reasons for consultation. Ocular damage in cranio-orbital trauma is frequent and constitutes a major but avoidable cause of acquired monocular blindness and poor vision in adults.Thus, the aim of this work is to study the epidemiologic, clinical, therapeutic and evolutionary aspects of this clinical entity.Patients and Methods: This is a cross-sectional study with descriptive and analytical aims; retrospective over 3 years (January 1, 2019 to June 1, 2022) on 170 files of patients admitted to the ophthalmological emergency department, hospital 20 August 1953 of Casablanca, Morocco, for craniofacial trauma with orbito-ocular damage.Results: The frequency of ocular involvement was 38.6%. The average age was 27.95 years, with a male predominance (72.3%). Lesions of the anterior segment were more frequent than those of the posterior segment (16.5% versus 4.8%). The prognosis was much better in patients with closed globe trauma (96% without sequelae). Despite this, patients may still have anatomical and functional sequelae.Conclusion: Cranio-facial-orbital trauma is a public health problem in our context and affects mainly young people. It is urgent to strengthen prevention actions at various levels.
背景:眼外伤是眼科急诊病理观察的重要组成部分,约占会诊原因的20%。颅眶外伤引起的眼部损伤是常见的,是成人获得性单眼失明和视力低下的主要但可避免的原因。因此,这项工作的目的是研究这种临床实体的流行病学,临床,治疗和进化方面。患者和方法:这是一项具有描述性和分析性目的的横断面研究;回顾性分析1953年8月20日在摩洛哥卡萨布兰卡医院眼科急诊科收治的颅面外伤合并眼窝损伤患者170例,历时3年(2019年1月1日至2022年6月1日)。结果:眼部受累率为38.6%。平均年龄27.95岁,男性居多(72.3%)。前段病变比后段更常见(16.5%比4.8%)。闭合性球外伤患者的预后要好得多(96%无后遗症)。尽管如此,患者仍可能有解剖学和功能性的后遗症。结论:颅面眶外伤是我国的一个公共卫生问题,主要影响人群为年轻人。迫切需要加强各级预防行动。
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引用次数: 0
Patients’ Awareness and Knowledge of Their Ophthalmic Condition at Lagos University Teaching Hospital (LUTH) 拉各斯大学教学医院患者对自身眼科状况的认知
Pub Date : 2023-01-14 DOI: 10.46889/joar.2022.4101
Olubanke Theodora Ilo
Purpose: To assess patient’s awareness of their ophthalmic conditions following their clinic visits with the aim of improving communication between patients and health practitioners and enhancing care.Methods: A hospital-based cross-sectional quantitative survey carried out in subjects over 18 years of age, attending the Guinness Eye Centre Clinic (Lagos University Teaching Hospital) over a four week period in 2019.Results: A total of 250 subjects were surveyed. Male:Female 1:1.7 Age range 41-80 years. 42.4% had at least tertiary education. Although the majority of subjects (>70%) had enough time to ask questions from their doctors/nurses, 76.8% did not know the diagnosis of their ophthalmic conditions, 43.8% didn’t know their treatment options, and 62% did not know the names of their eye drops. 95.2% of subjects, however agreed that a simple information leaflet explaining their ophthalmic condition and treatment will increase their understanding. Patients with tertiary education or higher are three times more likely to have knowledge of the condition and treatment compared with patients with lesser education. Odds ratio 3.07 CI:1.82 to 5.19 P < 0.0001.Conclusion: Clinics should have counsellors who can spend more time to discuss with patients about their ophthalmic conditions. Information leaflets (in different languages) on different common medical conditions which include; Cataract, Glaucoma, Pterygium, should be printed in the simplest of language for patients to not only hear but also read to assimilate and enhance awareness in patients.
目的:评估患者就诊后对自身眼科状况的认知,以改善患者与医护人员之间的沟通,提高护理水平。方法:对2019年在吉尼斯眼科中心诊所(拉各斯大学教学医院)就诊的18岁以上受试者进行了为期四周的医院横断面定量调查。结果:共调查250名受试者。男:女:1:7 .7年龄范围41-80岁。42.4%至少受过高等教育。尽管大多数受试者有足够的时间向他们的医生/护士询问问题,但76.8%的人不知道他们的眼科疾病的诊断,43.8%的人不知道他们的治疗方案,62%的人不知道他们的眼药水的名称。然而,95.2%的受试者同意,简单的信息单张解释他们的眼科状况和治疗将增加他们的了解。与受教育程度较低的患者相比,受过高等教育或更高教育的患者了解病情和治疗的可能性是其三倍。优势比3.07 CI:1.82 ~ 5.19 P < 0.0001。结论:诊所应该有咨询师,他们可以花更多的时间与患者讨论他们的眼科状况。关于不同常见疾病的资料单张(不同语言),其中包括:白内障,青光眼,翼状胬肉,应以最简单的语言印刷,使患者不仅能听到,而且能阅读,以吸收和提高患者的认识。
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引用次数: 0
Computer Vision Syndrome in Medical Students: Awareness, Prevalence and Risk Factors 医学生计算机视觉综合征:认知、流行及危险因素
Pub Date : 2022-12-27 DOI: 10.46889/joar.2022.3305
M. M. Alqahtani
Background: Computer Vision Syndrome (CVS) is a common problem among students, with very little conducted research about it on Saudi users. The aim of this study was to determine the awareness, prevalence and risk factors of CVS among medical students at the University of Bisha, Saudi Arabia.Methods: A cross-sectional study was conducted on the students registered in the faculty of medicine at the University of Bisha, Saudi Arabia. Two hundred thirty-four students were asked to fill out a predesigned online questionnaire covering sociodemographic characters, frequency of using computers, the associated symptoms and the relieving strategies.Results: The participation rate was 87.5% (n=196), of which males formed 78.1% (n=153) and females 21.9% (n=43). The age ranged from 18 to 27 years, with a mean ± SD of 21.3 ± 2.1. Participants spent variable hours using their computers with a mean ± SD of 5.1 ± 1.37. Most respondents experienced diverse symptoms (92.1%), including neck pain, headache, eye strain, redness of the eyes, dry eyes, backache and shoulder pain. Significant relationships were confirmed between the average time spent on computers daily, the onset of symptoms, the awareness of bad effects and the different symptoms encountered.Conclusion: Symptoms of computer vision syndrome are widely distributed among medical students at the University of Bisha, especially headaches which might be misinterpreted. Students’ awareness is acceptable but needs more persuasion to relieve eye stress by taking short, frequent breaks.
背景:计算机视觉综合症(CVS)在学生中是一个常见的问题,很少有关于沙特用户的研究。本研究旨在确定沙特阿拉伯比沙大学医学生对CVS的认知、患病率和危险因素。方法:对沙特阿拉伯比沙大学医学院在校生进行横断面研究。234名学生被要求填写一份预先设计的在线问卷,内容包括社会人口特征、使用电脑的频率、相关症状和缓解策略。结果:参与率为87.5% (n=196),其中男性占78.1% (n=153),女性占21.9% (n=43)。年龄18 ~ 27岁,平均±SD为21.3±2.1。参与者使用电脑的时间是可变的,平均±标准差为5.1±1.37。大多数受访者经历了不同的症状(92.1%),包括颈部疼痛、头痛、眼睛疲劳、眼睛发红、眼睛干涩、背痛和肩部疼痛。研究证实,每天花在电脑上的平均时间、症状的出现、对不良影响的认识以及遇到的不同症状之间存在显著关系。结论:比沙大学医学生计算机视觉综合征的症状普遍存在,其中以头痛为主,易被误读。学生的意识是可以接受的,但需要更多的说服来缓解眼睛的压力,通过短暂的,频繁的休息。
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引用次数: 0
Communication between the Eye Care Practitioner and Parents of the Myopic Child 眼科医生与近视儿童家长的沟通
Pub Date : 2022-11-18 DOI: 10.46889/joar.2022.3304
D. Berkow
This article is based on a poster presented at the International Myopia Conference which took place in Rotterdam, Holland in August 2022. The poster and the article were both self-funded. Due to lack of space on the poster not all possibilities were noted therefore only some were chosen. In a follow-up article I will investigate other options available on the market. I have no financial interest in any of the products mentioned in this article. My main objective is to give the eye care practitioner a set of tools to help him illustrate to the parents the reason why their child’s myopia should be treated, and not only corrected, and the importance of trying to slow its progression.
这篇文章是基于2022年8月在荷兰鹿特丹举行的国际近视会议上的一张海报。海报和文章都是自己出资的。由于海报上的空间不足,并非所有的可能性都被注意到,因此只选择了一些。在后续文章中,我将研究市场上可用的其他选项。我对本文中提到的任何产品都没有经济利益。我的主要目的是给眼科医生一套工具,帮助他向父母说明为什么他们的孩子近视应该治疗,而不仅仅是矫正,以及努力减缓其发展的重要性。
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引用次数: 0
Hybrid Ophthalmology Conferences: Paradigm Shift in 2022 混合眼科会议:2022年的范式转变
Pub Date : 2022-11-17 DOI: 10.46889/joar.2022.3303
Sunny Chi Lik Au
Introduction: It has been almost a year since our journal talked about ophthalmology conferences under the COVID-19 era [1]. With the COVID-19 pandemic continuing throughout 2022, scholars and academics are finding their ways out for scientific exchange of knowledge and research advances [2]. Virtual conferences were mostly turning into hybrid form to cater for delegates from around the world both physically and electronically [3].Going through the Asia-Pacific Academy of Ophthalmology (APAO) official website’s meeting calendar page, recent international conferences are 40th Congress of the European Society of Cataract and Refractive Surgeons (ESCRS) held on 16-20 September 2022; American Academy of Ophthalmology (AAO) 2022 held on 30 September to 3 October 2022, and 15th Asia-Pacific Vitreo-Retina Society (APVRS) Congress held on 18-20 November 2022. These are all conducted in hybrid formats. There are few similarities, but also differences, across these hybrid conferences.
导读:我们的期刊谈论新冠肺炎时代下的眼科会议已经快一年了[1]。随着2019冠状病毒病大流行在整个2022年持续,学者和学术界正在寻找科学知识交流和研究进展的出路[2]。虚拟会议大多转变为混合形式,以满足来自世界各地的代表的物理和电子[3]。通过亚太眼科学会(APAO)官方网站的会议日历页面,最近的国际会议是于2022年9月16日至20日举行的第40届欧洲白内障和屈光外科医师协会大会(ESCRS);美国眼科学会(AAO) 2022于2022年9月30日至10月3日举行,第15届亚太玻璃体视网膜学会(APVRS)大会于2022年11月18日至20日举行。这些都是以混合形式进行的。这些混合型会议几乎没有相似之处,但也有不同之处。
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引用次数: 0
Visual Outcomes of Secondary Lens Implants in Children with Different Etiologies 不同病因儿童二次晶状体植入术的视力结果
Pub Date : 2022-10-27 DOI: 10.46889/joar.2022.3302
Drashti Netralaya
Aim: This study investigated visual outcomes and factors that impact vision in children receiving secondary Intraocular Lens (IOL) implants.Methods: Children who had traumatic or congenital cataracts and underwent secondary lens implantation for aphakia at Drashti Netralaya between 2000 and 2019 were retrospectively examined. We included all the eyes with secondary implants for aphakia correction with placement either in the bag or sulcus or through scleral fixation. We obtained data from electronic medical records and analyzed using SPSS 22 through descriptive analysis, cross tabulation and t test.We evaluated visual outcomes among different patients.Results: Our cohort consisted of 84 eyes (mean age: 7.88 ± 6.07 years). Of the 84 eyes, 24 (28.6%) and 60 (71.4%) were female and male patients, respectively and 32 (38.1%) had traumatic cataract. We observed significant improvements in vision following lens implantation (p=0.000). Those with nontraumatic cataracts exhibited better outcomes that did the traumatic cataract group (p=0.004). Corneal opacity caused comorbidities in the traumatic group (14/52, 14.29%). Visual outcomes significantly improved in young patients and were not affected by other variables.Conclusion: Secondary lens implantation significantly improved vision in aphakic children. Young patients and those with nontraumatic cataracts demonstrated more favorable visual outcomes.
目的:探讨儿童二期人工晶状体植入术后的视力结果及影响视力的因素。方法:回顾性分析2000年至2019年在中央院行无晶状体二次晶状体植入术的外伤性或先天性白内障患儿。我们纳入了所有采用眼袋或眼沟或巩膜固定的二次植入矫正无晶状体的眼睛。我们从电子病历中获取数据,使用SPSS 22进行描述性分析、交叉表和t检验。我们评估了不同患者的视力结果。结果:我们的队列包括84只眼睛(平均年龄:7.88±6.07岁)。84只眼中,女性24只(28.6%),男性60只(71.4%),外伤性白内障32只(38.1%)。我们观察到晶状体植入术后视力有显著改善(p=0.000)。非外伤性白内障患者的预后优于外伤性白内障组(p=0.004)。创伤组角膜混浊引起合并症(14/52,14.29%)。年轻患者的视力结果显著改善,不受其他变量的影响。结论:继发性晶状体植入术对无晶状体儿童视力有明显改善。年轻患者和非创伤性白内障患者表现出更好的视力结果。
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引用次数: 0
期刊
Journal of Ophthalmology and Advance Research
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