Canadian journal of ophthalmology. Journal canadien d'ophtalmologie最新文献

{"title":"Reperfusion of macular vasculature in lupus-mediated occlusive vasculopathy","authors":"Peter J. Weng, Dilraj S. Grewal","doi":"10.1016/j.jcjo.2024.07.016","DOIUrl":"10.1016/j.jcjo.2024.07.016","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Page e162"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916184","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}

{"title":"Ocular screening for chronic graft-versus-host disease in patients with allogeneic hematopoietic stem cell transplant","authors":"Bryan G. Pearson , Ray S. Cortez , Karima S. Khimani , Praveena K. Gupta","doi":"10.1016/j.jcjo.2024.04.005","DOIUrl":"10.1016/j.jcjo.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigates ocular manifestations of graft-versus-host disease in patients following allogeneic hematopoietic stem cell transplantation (HSCT) at the University of Texas Medical Branch (UTMB). Preferred practice pattern guidelines are proposed for ocular graft-versus-host disease (oGHVD) detection.</div></div><div><h3>Methods</h3><div><span>The Epic electronic medical record database at UTMB was screened using </span><em>International Classification of Diseases</em><span><span><span>, Tenth Revision (ICD-10), codes for bone marrow transplants, </span>stem cell transplants, and complications of bone marrow transplants and stem cell transplants. We identified 50 patients with the ICD-10 codes that were seen at UTMB between 2000 and 2021. Patients who received an </span>HSCT and follow-up care with UTMB were included in this study. Thirty-eight patients met the inclusion criteria, whereas 12 patients were excluded because they had no diagnosis of HSCT or did not follow-up with UTMB.</span></div></div><div><h3>Results</h3><div><span>Of the 38 patients in our cohort, 23.7% (n = 9) were noted to have oGVHD. As many as 89% of the patients with oGVHD presented with an ocular surface disease including </span>keratoconjunctivitis sicca<span>, meibomian gland dysfunction<span>, and dry eye syndrome. Systemic GVHD also was found in 44% of the patients with oGVHD. Only 29% (n = 11) of the study population had referrals to ophthalmology. Most referrals (55%) were made within 1 year of getting the HSCT. None of the patients in our cohort received an ocular screening before HSCT.</span></span></div></div><div><h3>Conclusions</h3><div>Many post-HSCT patients lack routine ophthalmic<span> care. Regularly assessing post-HSCT patients for early signs and symptoms of oGVHD may limit adverse outcomes. Management of oGVHD should involve a multidisciplinary team approach.</span></div></div><div><h3>Objectif</h3><div>La présente étude se penche sur les manifestations oculaires de la maladie du greffon contre l'hôte (MGCH) chez des patients qui ont reçu une allogreffe de cellules souches hématopoïétiques (ACSH) à la faculté de médecine de l'Université du Texas (UTMB, pour University of Texas Medical Branch). On y propose des lignes directrices en matière de pratiques courantes privilégiées (<em>Preferred Practice Pattern® Guidelines</em> de l'AAO) en vue du dépistage de la MGCH oculaire.</div></div><div><h3>Méthodes</h3><div>On a extrait les codes correspondant aux greffes de moelle osseuse et aux greffes de cellules souches de même qu’à leurs complications selon la classification internationale des maladies (CIM-10) dans la base de données des dossiers médicaux électroniques Epic de l'UTMB. On a ainsi recensé 50 patients auxquels on a attribué ces codes à l'UTMB entre 2000 et 2021. Seuls les patients qui ont reçu une ACSH à l'UTMB et qui y ont été suivis ont été inclus dans notre étude : 38 patients répondaient aux critères d'inclu","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Pages e11-e15"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141145696","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}

{"title":"Relation between change of effective lens position and toric IOL rotation after toric IOL implantation","authors":"Kyung-Sun Na , Dohyeon An , Hyun Seung Kim , Eun Chul Kim","doi":"10.1016/j.jcjo.2024.05.011","DOIUrl":"10.1016/j.jcjo.2024.05.011","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the relationship between change of effective lens position (ELP) and toric intraocular lens<span><span> (IOL) rotation in patients with increasing postoperative refractive astigmatism after successful toric </span>IOL implantation.</span></div></div><div><h3>Methods</h3><div><span>The subjects include 61 people (61 eyes) with increasing residual astigmatism >0.5 D 3 months after successful toric IOL implantation. Clinical measurements included preoperative, 1-week, and 1-, 2-, and 3-month postoperative visual acuity; refraction; </span>keratometer<span>; anterior and posterior corneal astigmatism; ELP by Scheimpflug camera imaging; and IOL axis by slit-lamp biomicroscopic photograph with pupil dilation.</span></div></div><div><h3>Results</h3><div>Residual astigmatism in postoperative month 3 (0.81 ± 0.50 D) is higher than that at postoperative week 1 (0.41 ± 0.38 D; <em>p</em> < 0.05). ELP decreased by 264.44 ± 163.25 μm, and the IOL rotated by 2.91 ± 1.44 degrees from week 1 to month 3 (<em>p</em> < 0.05). The ELP change had a positive correlation with IOL rotation (<em>R</em><sup>2</sup> = 0.383; <em>p</em> = 0.006), and the postoperative refractive astigmatic change had a positive correlation with ELP change (<em>R</em><sup>2</sup> = 0.272; <em>p</em> = 0.027) and IOL rotation (<em>R</em><sup>2</sup> = 0.272; <em>p</em> = 0.0001) from week 1 to month 3.</div></div><div><h3>Conclusion</h3><div>ELP change can influence toric IOL rotation and increase residual astigmatism after toric IOL implantation.</div></div><div><h3>Objectif</h3><div>Évaluer le lien entre une modification de la position effective de l'implant (PEI) et la rotation d'une lentille intraoculaire (LIO) torique chez des patients qui présentent un astigmatisme réfractif postopératoire progressif après l'implantation réussie d'une LIO torique.</div></div><div><h3>Méthodes</h3><div>L’étude regroupait 61 patients (61 yeux) qui présentaient un astigmatisme résiduel progressif de > 0,5 D 3 mois après l'implantation réussie d'une LIO torique. Les mesures cliniques comprenaient les suivantes: l'acuité visuelle préopératoire et postopératoire (après 1 semaine et après 1, 2 et 3 mois), la réfraction, la kératométrie, l'astigmatisme cornéen (antérieur et postérieur), la PEI mesurée par imagerie Scheimpflug et l'axe de la LIO mesuré par photographie au biomicroscope (lampe à fente) dans le cadre d'un examen dilaté.</div></div><div><h3>Résultats</h3><div>L'astigmatisme résiduel mesuré 3 mois après l'intervention (0,81 ± 0,50 D) était plus prononcé que celui qui avait été mesuré 1 semaine après l'intervention (0,41 ± 0,38 D; <em>p</em> < 0,05). La PEI a diminué de 264,44 ± 163,25 μm, et la LIO a subi une rotation de 2,91 ± 1,44 degrés entre la première semaine et le troisième mois après l'intervention (<em>p</em> < 0,05). On a observé une corrélation positive entre la variation de la PEI et la rotation de la LIO (<em>R</em><sup>2</sup> =","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Pages 8-14"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141396169","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}

{"title":"The state of eye care and health among Indigenous Peoples in Canada","authors":"Justin Kritzinger , Yuri V. Chaban , Myrna Lichter , Helen Dimaras","doi":"10.1016/j.jcjo.2024.07.002","DOIUrl":"10.1016/j.jcjo.2024.07.002","url":null,"abstract":"<div><div>Many Indigenous Peoples are at risk of poor eye health outcomes due to the various financial, social, geographic, and cultural barriers faced when accessing care. Available literature indicates Indigenous populations across Canada suffer greater rates of eye diseases, including diabetic retinopathy, uveitis, and untreated refractive error, as well as their associated complications. However, many gaps within the current state of knowledge exist. Here, we review the available literature regarding the prevalence of eye disease among Indigenous populations in Canada, as well as previously trialed models of eye care delivery. Various models have been attempted to increase access to eye care for Indigenous communities, although several are focused on screening for diabetic retinopathy in northern populations, with many Indigenous Peoples remaining at risk for poor eye health and permanent vision loss. Failing to address the eye care needs of Indigenous communities will hinder the development of adequate solutions, leading to profound inequities, poor eye health outcomes, and greater vision loss among this population. Future research should seek to understand the root causes of why Indigenous communities have high rates of diabetes and associated ocular complications, including the roles of discrimination, colonialism, and mistrust toward the health care system.</div></div><div><div>La santé oculaire de bon nombre d'Autochtones risque d’être médiocre en raison des différents obstacles – qu'ils soient économiques, sociaux, géographiques ou culturels – auxquels ils font face pour accéder à des soins. Selon les articles publiés à ce jour, les peuples autochtones de l'ensemble du Canada sont affligés d'un taux de maladies oculaires plus élevé, notamment la rétinopathie diabétique, l'uvéite et les erreurs de réfraction non corrigées, sans compter les complications qui s'y greffent. Cela dit, nos connaissances actuelles sur la question sont loin d’être complètes. Nous avons donc entrepris de passer en revue la littérature existante sur la prévalence des maladies oculaires au sein des populations autochtones au Canada et d'examiner les modèles de prestation des soins oculaires qui ont déjà été mis à l'essai. En effet, différents modèles d'amélioration de l'accès aux soins oculaires ont été testés auprès des communautés autochtones. Comme plusieurs modèles mettent surtout l'accent sur le dépistage de la rétinopathie diabétique dans les populations nordiques, un grand nombre d'Autochtones continuent d’être exposés à un risque de santé oculaire médiocre et de perte de vision permanente. En n'abordant pas les besoins des communautés autochtones en matière de prestation des soins oculaires, on nuit à la création de solutions adéquates, ce qui se traduit par l'apparition d'inégalités criantes, d'une santé oculaire médiocre et d'une perte de vision plus importante au sein de ces populations. Les études futures doivent se pencher sur les causes profondes à l","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Pages 1-7"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970678","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}

{"title":"Comparative grading of vitreous inflammation using two wide field fundus retinographs","authors":"Yoo-Ri Chung , Alessandro Falcione , Bayram Mhibik , Bahram Bodaghi , Sara Touhami","doi":"10.1016/j.jcjo.2024.07.022","DOIUrl":"10.1016/j.jcjo.2024.07.022","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Pages e152-e153"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975146","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}

{"title":"Etiology of hypopyon in patients presenting acutely to the emergency eye department and characteristics of hypopyon uveitis","authors":"François Pépin , Soobin Namkung , Lilian Koh , Joanne L. Sims , Rachael L. Niederer","doi":"10.1016/j.jcjo.2024.05.003","DOIUrl":"10.1016/j.jcjo.2024.05.003","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the etiology of undifferentiated hypopyon presenting acutely and to better characterize hypopyon uveitis.</div></div><div><h3>Methods</h3><div>Patients with hypopyon were retrospectively identified from presentations to the emergency eye department between January 2015 and 2022 and also from a uveitis database of 3,925 patients seen between January 2008 and January 2022. A total of 426 episodes of hypopyon occurred in 375 eyes in 359 patients, and medical records were reviewed for each patient.</div></div><div><h3>Results</h3><div>In all, 222 hypopyon episodes were due to uveitis, and 204 were due to nonuveitic causes. The most common cause of hypopyon was HLA-B27-associated uveitis in 146 patients (34.3%). The next most common causes were infectious keratitis in 125 patients (29.3%) and endophthalmitis in 63 patients (14.8%). Compared with those presenting with nonuveitic hypopyon, patients with uveitis tended to present younger (<em>p</em> < 0.001), were more likely to be male (<em>p</em> < 0.0001), had better initial and final visual acuities (<em>p</em> < 0.001), and had lower intraocular pressures (<em>p</em> = 0.030).</div></div><div><h3>Conclusion</h3><div>About half of the cases of hypopyon were secondary to uveitis, most of them being associated with HLA-B27 conditions with a good prognosis, and the other half were secondary to infectious keratitis and endophthalmitis with a poor prognosis.</div></div><div><h3>Objectif</h3><div>Examiner l’étiologie de l'hypopyon indifférencié dans sa présentation en aigu et mieux caractériser l'hypopyon secondaire à l'uvéite.</div></div><div><h3>Méthodes</h3><div>Des patients qui présentaient un hypopyon ont été recensés rétrospectivement après avoir été examinés au service des urgences ophtalmologiques entre janvier 2015 et 2022, de même qu'au sein d'une base de données sur l'uvéite comportant 3925 patients examinés de janvier 2008 à janvier 2022. Au total, 426 épisodes d'hypopyon sont survenus dans 375 yeux (359 patients). On a passé en revue les dossiers médicaux de chacun de ces patients.</div></div><div><h3>Résultats</h3><div>Globalement, 222 épisodes d'hypopyon avaient été causés par une uvéite, et 204, par une pathologie autre que l'uvéite. La cause la plus fréquente d'un hypopyon était l'uvéite associée à l'antigène HLA-B27 (146 patients; 34,3 %). Viennent ensuite la kératite infectieuse (125 patients; 29,3 %) et l'endophtalmie (63 patients; 14,8 %). Comparativement aux patients présentant un hypopyon sans lien avec une uvéite, les patients atteints d'une uvéite avaient tendance à être plus jeunes (<em>p</em> < 0,001), étaient plus susceptibles d’être de sexe masculin (<em>p</em> < 0,0001), avaient une meilleure acuité visuelle initiale et finale (<em>p</em> < 0,001) et avaient une pression intraoculaire moins élevée (<em>p</em> = 0,030).</div></div><div><h3>Conclusion</h3><div>Environ la moitié des cas d'hypopyon étaient secondaires à une ","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Pages 50-56"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141178837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient perspectives on ocular oncology care at hybrid telehealth satellite offices","authors":"Charlotte N. Shields, Chenab K. Khakh, G. Brandon Caudill, Carol L. Shields","doi":"10.1016/j.jcjo.2023.11.005","DOIUrl":"10.1016/j.jcjo.2023.11.005","url":null,"abstract":"<div><h3>Objective</h3><div><span>To assess patient satisfaction with the hybrid telehealth model in patients undergoing follow-up care in </span>ocular oncology.</div></div><div><h3>Design</h3><div>Retrospective survey study.</div></div><div><h3>Participants</h3><div>All patients who visited 1 of 2 satellite telehealth offices between July 2021 and October 2022 for their follow-up ocular oncology appointment.</div></div><div><h3>Methods</h3><div>A 13-question online survey was completed for outcome measures of patient demographics, patient satisfaction with the satellite offices, and overall patient experience with telehealth.</div></div><div><h3>Results</h3><div>The survey response rate was 32% (203 of 632)<em>.</em> The mean patient age was 65 years (median, 65 years), and 119 patients (58%) were female. A comparison (suburban satellite vs urban in-person office) revealed that the suburban satellite office had less difficulty in travel (3% vs 47%; <em>p</em> < 0.001) and less time commitment (<1 hour) for travel to the office (58% vs 23%; <em>p</em> < 0.001). On a scale (i.e., poor, fair, good, or excellent), the percentage of patients reported the following parameters as good or excellent: ease of finding satellite office (95%), check-in (94%), and time spent waiting for the doctor (72%). On a scale (i.e., extremely dissatisfied to extremely satisfied), the percentage of patients reported being extremely satisfied to the following parameters: the staff (81%) and the office overall (65%). Most patients (90%) would use this telehealth model for future visits (<em>p</em> < 0.0001), and 86% would recommend it to a friend (<em>p</em> < 0.0001).</div></div><div><h3>Conclusion</h3><div>In this study on a hybrid telehealth satellite office model for ocular oncology follow-up examinations, patient satisfaction was high, most patients would use this form of examination in the future.</div></div><div><h3>Objectif</h3><div>Mesurer la satisfaction des patients envers un modèle hybride de télémédecine pendant leur suivi en oncologie oculaire.</div></div><div><h3>Nature</h3><div>Étude rétrospective comportant un sondage.</div></div><div><h3>Participants</h3><div>Tous les patients qui se sont présenté à l'un des 2 bureaux satellites de télémédecine entre juillet 2021 et octobre 2022 dans le cadre de leur rendez-vous de suivi en oncologie oculaire.</div></div><div><h3>Méthodes</h3><div>Il s'agissait d'un sondage en ligne de 13 questions dont les paramètres de mesure portaient sur les caractéristiques démographiques des patients, leur satisfaction envers les bureaux satellites et leur expérience globale avec la télémédecine.</div></div><div><h3>Résultats</h3><div>Le taux de réponse au sondage était de 32 % (203 sur 632)<em>.</em> L’âge moyen des patients était de 65 ans (médiane : 65 ans), et 119 patients (58 %) étaient de sexe féminin. Une comparaison (bureau satellite en banlieue vs bureau en personne en milieu urbain) a permis de constater qu","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Pages e32-e37"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139028664","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}

{"title":"Corrigendum to “Bilateral sequential acute retinal necrosis following administration of an adjuvanted recombinant subunit vaccine for herpes zoster” Canadian Journal of Ophthalmology, volume 59 (2024), e187–e189","authors":"Ankur Ralhan , Adil Al-Mehiawi","doi":"10.1016/j.jcjo.2024.10.001","DOIUrl":"10.1016/j.jcjo.2024.10.001","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Page e184"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458749","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}

{"title":"Comparing the efficacy and safety between femtosecond laser-assisted cataract surgery and conventional phacoemulsification cataract surgery: systematic review and meta-analysis","authors":"Xinzhi Song ,&nbsp;Ling Li ,&nbsp;Xuemei Zhang ,&nbsp;Jianjun Ma","doi":"10.1016/j.jcjo.2024.05.030","DOIUrl":"10.1016/j.jcjo.2024.05.030","url":null,"abstract":"<div><h3>Objectif</h3><div>Comparer l'efficacité et l'innocuité de 2 types de chirurgie de la cataracte : la chirurgie de la cataracte au laser femtoseconde (CCLF) et la phacoémulsification conventionnelle (PC).</div></div><div><h3>Méthodes</h3><div>On a procédé à une recherche systématique des bases de données PubMed, Embase, Cochrane Library, ClinicalTrials.gov, CNKI et Wanfang afin d'en extraire les études comparatives randomisées (ECR). Les principaux paramètres de mesure reposaient sur l'acuité visuelle, les détails relatifs à la capsulotomie, la position effective de l'implant (PEI) et les complications. Les résultats réfractifs de même que les caractéristiques peropératoires et cornéennes comptaient au nombre des paramètres secondaires.</div></div><div><h3>Résultats</h3><div>Au total, 41 ECR réunissant 9310 yeux ont été retenues. On a noté une différence statistiquement significative en faveur de la CCLF – comparativement à la PC – pour ce qui est de l'acuité visuelle non corrigée de loin à 12 mois (différence moyenne [DM] : –0,03; intervalle de confiance [IC] à 95 % : –0,05 à –0,01), de l'acuité visuelle corrigée de loin à 1 semaine (DM : –0,05; IC à 95 % : –0,07 à –0,02) et à 12 mois (DM : –0,02; IC à 95 % : –0,04 à –0,00), de l'aire de la capsulotomie à 1 mois (DM : 4,04 mm²; IC à 95 % : 3,45–4,64) et à 6 mois (DM : 5,02 mm²; IC à 95 % : 3,28–6,77) et de la distance du centre de l'implant par rapport au centre pupillaire à 1 semaine (DM : –0,06 mm; IC à 95 % : –0,08 à –0,05), à 1 mois (DM : –0,07 mm; IC à 95 % : –0,09 à –0,06) et à 6 mois (DM : –0,06 mm; IC à 95 % : –0,07 à –0,04). Au chapitre des complications chirurgicales, la CCLF a eu une incidence moindre de décentrement de la lentille intraoculaire, comparativement à la PC (rapport de cotes: 0,06; IC à 95 % : 0,01–0,24). Enfin, la CCLF n'a pas augmenté l'incidence d'autres complications per- ou postopératoires, à l'exception de l'hémorragie sous-conjonctivale.</div></div><div><h3>Conclusions</h3><div>La CCLF et la PC sont toutes deux sûres et efficaces. La CCLF produit de meilleurs résultats visuels tôt après la chirurgie et pendant le suivi à long terme, sans compter qu'elle a donné lieu à une capsulotomie plus précise et à une meilleure PEI que la PC. Cela dit, aucune différence n'a pu être notée au chapitre des résultats visuels après un suivi de durée intermédiaire.</div></div>","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Pages e1-e10"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751194","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}

{"title":"Inferior vitreous pathology imaged with ultra-wide-field OCT following pneumatic retinopexy","authors":"Isabela Martins Melo ,&nbsp;David T. Wong ,&nbsp;Rajeev H. Muni","doi":"10.1016/j.jcjo.2024.07.010","DOIUrl":"10.1016/j.jcjo.2024.07.010","url":null,"abstract":"","PeriodicalId":9606,"journal":{"name":"Canadian journal of ophthalmology. Journal canadien d'ophtalmologie","volume":"60 1","pages":"Page e161"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141892975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}