JOJ ophthalmology最新文献

英文中文

Central Serous Chorioretinopathy in Course of Polycystic Ovary Syndrome - Literature Review 多囊卵巢综合征病程中的中枢性浆液性脉络膜视网膜病变-文献综述

JOJ ophthalmology

Pub Date : 2022-12-19 DOI: 10.19080/jojo.2022.09.555763

Dominika Galczynska, Anna Ochwal-Brzezinka, G. Franik, M. Leśniewski, Mariusz Wójtowicz, P. Madej

Central serous chorioretinopathy (CSCR) is one of several retinal disorders that may cause visual loss. It is characterized by serous detachment of the neurosensory retina, often associated with focal detachments of an altered retinal pigment epithelium, mostly confined to the macular area. As CSCR is considered to be correlated with an increased level of testosterone, it was of the interest if it is also linked to the occurrence of polycystic ovary syndrome (PCOS).

中枢性浆液性脉络膜视网膜病变(CSCR)是几种可能导致视力丧失的视网膜疾病之一。其特征是神经感觉视网膜浆液性脱离，常伴有视网膜色素上皮改变的局灶性脱离，主要局限于黄斑区。由于CSCR被认为与睾酮水平升高有关，因此它是否也与多囊卵巢综合征(PCOS)的发生有关值得关注。

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Retinal Vein Occlusion Treated with QIAPI 1™: Report of a Case QIAPI 1™治疗视网膜静脉闭塞1例报告

JOJ ophthalmology

Pub Date : 2022-12-12 DOI: 10.19080/jojo.2022.09.555762

Arturo Solís Herrera, Maria del Carmen Arias, P. E. Solís Arias

Acute retinal vascular occlusions are frequent causes of visual impairment. Although both retinal artery occlusions and retinal vein occlusions are associated with increased age and cardiovascular risk factors, their pathophysiology, systemic implications, and management differ substantially. Retinal vascular events are perceived to be related to various cardiovascular complications. There is a positive association of retinal vascular events to mortality, stroke, and myocardial infarction. Retinal artery occlusion (RAO) and retinal vein occlusion (RVO) is associated with a higher risk of stroke. Given that RAO and RVO patients would generally present to ophthalmologists, their high cardiovascular risk should include a referral for cardiovascular assessment as part of their management protocol. This article reports the remarkable effects on tissues affected by retinal vascular events, when by pharmacological means, we restore the surprising ability to take energy directly from light, through the dissociation of water, as it happens in plants.

急性视网膜血管闭塞是视觉损伤的常见原因。尽管视网膜动脉闭塞和视网膜静脉闭塞都与年龄增加和心血管风险因素有关，但它们的病理生理学、系统意义和管理有很大不同。视网膜血管事件被认为与各种心血管并发症有关。视网膜血管事件与死亡率、中风和心肌梗死呈正相关。视网膜动脉闭塞（RAO）和视网膜静脉闭塞（RVO）与更高的中风风险相关。鉴于RAO和RVO患者通常会向眼科医生就诊，他们的高心血管风险应包括转诊进行心血管评估，作为其管理方案的一部分。这篇文章报道了对受视网膜血管事件影响的组织的显著影响，当通过药理学手段，我们恢复了通过水的分解直接从光中获取能量的惊人能力时，就像在植物中发生的那样。

引用次数: 0

RPE/Bruch’s Membrane Complex Micro-Rips in Central Serous Chorioretinopathy RPE/Bruch膜复合体微撕裂在中枢性浆液性脉络膜视网膜病变中的作用

JOJ ophthalmology

Pub Date : 2022-11-30 DOI: 10.19080/jojo.2022.09.555761

Fubin Wang

The novel OCT images were observed in patients with CSC. CSC diagnosis was based on findings from both clinical examination and multimodal images. Although the patients had been conducted many ophthalmologic examinations, such as fundus fluorescein angiography (FFA) and indocyanine green angiography (ICG), visual field, ultrasonography, pattern visual evoked potential (PVEP), we did not assess them and evaluate the results of SD-OCT and en-face OCT examination only.

在CSC患者中观察到新的OCT图像。CSC的诊断是基于临床检查和多模式图像的结果。尽管患者进行了许多眼科检查，如眼底荧光素血管造影（FFA）和吲哚菁绿血管造影（ICG）、视野、超声、模式视觉诱发电位（PVEP），但我们没有对其进行评估，仅评估SD-OCT和表面OCT检查的结果。

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Oral Ivermectin for the Treatment of Rosacea-Associated Blepharitis: Case Report 口服伊维菌素治疗酒渣鼻相关性睑缘炎1例报告

JOJ ophthalmology

Pub Date : 2022-07-15 DOI: 10.19080/jojo.2022.09.555759

Andrea Hui Austin, Aleksandra L Lindgren, Kathleen M Welsh

Blepharitis is an inflammatory condition of the eyelids managed by primary care providers, ophthalmologists, and dermatologists. It can be associated with allergies, infections, seborrheic dermatitis, rosacea, eczema, and psoriasis. In both cutaneous and ocular rosacea, overgrowth of Demodex has been implicated as a causative factor. We present a case of recalcitrant rosacea-associated blepharitis treated successfully with oral ivermectin. Oral ivermectin can be an advantageous option for rosacea-associated blepharitis resistant to other treatment options due to its targeted action, once-a-day dosing and minimal adverse effects.

睑炎是一种由初级保健提供者、眼科医生和皮肤科医生治疗的眼睑炎症。它可能与过敏、感染、脂溢性皮炎、酒渣鼻、湿疹和牛皮癣有关。在皮肤和眼部酒渣鼻中，蠕形螨的过度生长被认为是一个致病因素。我们提出一个顽固性酒渣鼻相关睑炎成功治疗与口服伊维菌素的情况。口服伊维菌素因其靶向作用、每日一次的剂量和最小的不良反应而成为对其他治疗方案有抵抗力的酒渣鼻相关性眼炎的有利选择。

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Risk Factors of Myopia Among Students: A Case Study in Selected Garrison Junior High Schools in The Greater Accra Region 学生近视的危险因素：以大阿克拉地区加里森初中为例

JOJ ophthalmology

Pub Date : 2022-04-27 DOI: 10.19080/jojo.2022.09.555758

Bernice K Amoah-Ayize, Stephen Manortey

Myopia (short-sightedness) is recognized as significant global health and socioeconomic problem that will affect billions of people in the subsequent decades. The increasing prevalence of myopia has huge social and educational consequences on society. Myopia exists expansively among students and affects not only their physical health and academic work, but also predisposes them to other ocular complications such as myopic retinopathy, glaucoma, and blindness. The main objective of this study was to determine risk factors associated with myopia among selected Garrison Junior High School students in the Greater Accra Region of Ghana.

近视被认为是一个重要的全球健康和社会经济问题，在未来几十年将影响数十亿人。近视的日益流行对社会产生了巨大的社会和教育影响。近视在学生中广泛存在，不仅影响他们的身体健康和学业，还使他们容易患上其他眼部并发症，如近视视网膜病变、青光眼和失明。本研究的主要目的是在加纳大阿克拉地区选定的加里森初中学生中确定与近视相关的风险因素。

引用次数: 0

Perioperative corneal injury: An unseen casualty of COVID-19. 围手术期角膜损伤:新冠肺炎隐性伤亡

JOJ ophthalmology

Pub Date : 2022-04-01 Epub Date: 2022-04-26 DOI: 10.19080/jojo.2022.09.555757

Cindy B Yeoh, Kenneth P Seier, Jasmine Francis, David H Abramson, Kay See Tan, Luis E Tollinche

Introduction: This study is the first to reveal an increased incidence in perioperative corneal injuries during the COVID era and should alert clinicians to this observation. This study could inform investigations into practice or patient factors that changed as a result of the COVID pandemic. We were aware of several adverse corneal injury reports during COVID and as a result did a formal IRB approved retrospective review to see if corneal injuries were more common during that period.

Methods: This is a retrospective cross-sectional observational study based on the hospital reporting of corneal injuries in the peri-operative time-period during the COVID pandemic. Comparison to known incidence of corneal injuries from the same institution in the pre COVID era were made. The objective was to examine if there were increased peri-operative corneal injuries during the COVID pandemic compared to other time points at our institution.

Results: All corneal injury event reports were aggregated for the time period including January 1, 2015 through April 30, 2021. Data include all patients who underwent anesthesia for any procedure at all sites within the hospital system. Corneal injury rates (in lieu of total number of events) were utilized to account for variation in perioperative volume. Using Poisson regression, corneal injury rates were significantly higher after March 2020 compared to the other time points. Alternatively, RISQ reporting rates were significantly lower after March 2020 compared to other time points.

Conclusions: This study reveals an increased incidence in perioperative corneal injuries during the COVID era and should alert clinicians to this observation. This study may inform investigations and may ultimately drive processes that could mitigate preventable causes of perioperative corneal injury.

本研究首次揭示了COVID时代围手术期角膜损伤发生率的增加，应引起临床医生的注意。这项研究可以为调查因COVID大流行而改变的实践或患者因素提供信息。我们知道在COVID期间有几起不良角膜损伤报告，因此进行了正式的IRB批准的回顾性审查，以确定角膜损伤在此期间是否更常见。方法:基于新冠肺炎大流行期间医院报告的围手术期角膜损伤病例进行回顾性横断面观察研究。并与新冠肺炎前同一医院已知角膜损伤发生率进行比较。目的是检查与我们机构的其他时间点相比，COVID大流行期间围手术期角膜损伤是否增加。结果:对2015年1月1日至2021年4月30日期间的所有角膜损伤事件报告进行汇总。数据包括在医院系统内所有部位接受麻醉的所有患者。使用角膜损伤率(代替事件总数)来解释围手术期体积的变化。使用泊松回归，2020年3月之后的角膜损伤率明显高于其他时间点。另外，与其他时间点相比，2020年3月之后的RISQ报告率显着降低。结论:本研究揭示了COVID时代围手术期角膜损伤的发生率增加，临床医生应注意这一观察结果。这项研究可能为调查提供信息，并可能最终推动可能减轻可预防的围手术期角膜损伤原因的过程。

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Irido-Chorio-Retinal Colobomas: About 3 Cases in Eye Center of Abass Ndao Hospital 阿巴斯恩道医院眼科中心虹膜脉络膜视网膜缺损3例报告

JOJ ophthalmology

Pub Date : 2022-02-16 DOI: 10.19080/jojo.2022.09.555755

Diagne Jean Pierre, G. Abou, Aw Aissatou, K. Mbara, Sy El Hadji Malick, Mbaye Soda, Ousmane Ndiaga sengho, M. D. De Meideros, Hawo Madina Diallo, Joseph Matar Mass Ndiaye, Ndiaye Papa Amadou

引用次数: 0

Preventing Cataracts with a Plant-Based Diet 以植物性饮食预防白内障

JOJ ophthalmology

Pub Date : 2022-02-09 DOI: 10.19080/jojo.2022.09.555754

A. Strombom, Stewart D Rose

The percentage of complications in cataract surgery, even if only 5%, the cost of surgery, whether borne by the patient or insurance, and the stress that any surgical procedure causes, makes prevention of primary importance. A plant-based diet reduces the risk of cataracts. In a British study risk reduction for cataract for low meat eaters was 15%, 21% for fish eaters, 30% for vegetarians and 40% for vegans. In a Taiwanese study, a vegetarian diet reduced the risk of cataract by 30%. This may be partly explained by the greatly reduced risk of type 2 diabetes in vegans. Diabetes is a risk factor for cataracts. Vegans also have a much lower risk of hypercholesterolemia, another risk factor for cataracts. Contributing to the reduced risk of cataracts in vegans is the increased intake of antioxidants including lutein and zeaxanthin, which some studies show reduces the risk of cataracts. On average, plant foods provide 11.57 mmol/100gm antioxidant content, while animal foods provide only on average 0.18mmol/100gm. Prophylaxis with a vegan diet has no adverse effects or contraindications and treats common comorbidities including type 2 diabetes and hypercholesterolemia.

白内障手术并发症的比例，即使只有5%，手术的费用，无论是由病人还是保险公司承担，以及任何手术过程所造成的压力，都使得预防变得至关重要。植物性饮食可以降低患白内障的风险。在英国的一项研究中，少吃肉的人患白内障的风险降低了15%，吃鱼的人降低了21%，素食者降低了30%，纯素食者降低了40%。在台湾的一项研究中，素食可以将患白内障的风险降低30%。这可以部分解释为素食者患2型糖尿病的风险大大降低。糖尿病是白内障的一个危险因素。纯素食者患高胆固醇血症的风险也要低得多，高胆固醇血症是白内障的另一个危险因素。素食者患白内障的风险降低的原因是增加了抗氧化剂的摄入，包括叶黄素和玉米黄质，一些研究表明它们可以降低患白内障的风险。植物性食品的抗氧化剂含量平均为11.57 mmol/100gm，而动物性食品的抗氧化剂含量平均为0.18mmol/100gm。预防纯素饮食没有不良反应或禁忌症，并治疗常见的合并症，包括2型糖尿病和高胆固醇血症。

引用次数: 0

Bardet Biedl Syndrome: About 3 Cases Bardet Biedl综合征:约3例

JOJ ophthalmology

Pub Date : 2022-01-04 DOI: 10.19080/jojo.2022.09.555753

Diagne Jean Pierre, G. Abou, Aw Aissatou, K. Mbara, Sy El Hadji Malick, Mbaye Soda, Ousmane Ndiaga sengho, M. D. De Meideros, Hawo Madina Diallo, Joseph Matar Mass Ndiaye, Ndiaye Papa Amadou

引用次数: 0

Dry Age-Related Macular Degeneration –Prevention with A Plant-Based Diet 与干燥年龄相关的黄斑变性——用植物性饮食预防

JOJ ophthalmology

Pub Date : 2021-12-02 DOI: 10.19080/jojo.2021.09.555752

Amanda J Strombom

Age-related macular degeneration (ARMD) is the leading cause of blindness in the developed world. No effective therapy exists for the dry form of ARMD, which makes up about 90% of cases. Major modifiable risk factors have been identified such as cigarette smoking, obesity, nutritional factors, and alcoholism. The risk of dry ARMD is increased by several modifiable etiologic factors in particular – lack of blue light filtration, oxidative stress, and inflammation. Two components of plant foods, lutein and zeaxanthin, screen out blue light, resulting in greater macular pigment optical density (MPOD), and act as antioxidants in the macular. A plant-based diet also reduces inflammation and lowers hsCRP. These factors combine to give vegetarians a lower risk of dry ARMD. Epidemiological studies have shown that consuming meat raises the risk of dry ARMD while consuming plant foods lowers the risk. Studies have shown significant correlations between high lutein concentration in ocular tissues or in serum and reduced risk of ARMD. Vegetarians have been found to have a greater MPOD. A broad range of antioxidants from plant foods, sulforaphane, can reduce oxidative damage, and may decrease the risk of dry ARMD. Elevated levels of hsCRP, a marker of inflammation, predict greater future risk of ARMD. On a vegan diet hsCRP was reduced 32%, even more than on the American Heart Association diet.

年龄相关性黄斑变性(ARMD)是发达国家致盲的主要原因。干型ARMD占病例的90%，目前尚无有效的治疗方法。主要可改变的危险因素已被确定，如吸烟、肥胖、营养因素和酗酒。干性ARMD的风险是由几个可变的病因因素增加的，特别是缺乏蓝光过滤、氧化应激和炎症。植物性食物中的叶黄素和玉米黄质这两种成分可以屏蔽蓝光，从而提高黄斑色素的光密度(MPOD)，并在黄斑中起到抗氧化剂的作用。植物性饮食也能减少炎症，降低hsCRP。这些因素结合在一起，使素食者患干性ARMD的风险较低。流行病学研究表明，食用肉类会增加患干性ARMD的风险，而食用植物性食物则会降低风险。研究表明，眼组织或血清中高叶黄素浓度与降低ARMD风险之间存在显著相关性。素食者被发现有更高的MPOD。从植物性食物中提取的多种抗氧化剂，萝卜硫素，可以减少氧化损伤，并可能降低干性ARMD的风险。hsCRP(一种炎症标志物)水平升高预示着未来更大的ARMD风险。纯素饮食的hsCRP降低了32%，甚至比美国心脏协会饮食的hsCRP还低。

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