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Kerr Brogan, Charles J M Diaper, Alan P Rotchford
BACKGROUND/AIMS: To report refractive outcomes from an National Health Service (NHS) cataract surgery service and assess if results meet suggested benchmark standard. METHODS: Details of all patients undergoing cataract surgery in the Southern General and New Victoria hospitals in Glasgow, UK, between November 2006 and December 2016 were prospectively entered into an electronic database. Patients were reviewed 4 weeks postoperatively in the eye clinic and underwent refraction at their local optometrist prior to this appointment...
June 15, 2018: British Journal of Ophthalmology
Robert M Feibel, Jennifer Arch
PURPOSE: This article reviews the history of Cuban Epidemic Optic Neuropathy (1991-1993), which caused visual loss, peripheral neuralgias, and other neurological symptoms in over 50,000 persons, an incidence of almost 0.5% of the entire population. The clinical findings, etiology, and treatment are described. We then relate the Cuban epidemic to the fictional epidemic of contagious blindness depicted by Nobel Laureate José Saramago in his 1995 novel Blindness. This novel describes an unnamed modern city in which all inhabitants, except the ophthalmologist's wife, are affected with a white, not black, blindness...
June 12, 2018: American Journal of Ophthalmology
Susan P Mollan, Brendan Davies, Nick C Silver, Simon Shaw, Conor L Mallucci, Benjamin R Wakerley, Anita Krishnan, Swarupsinh V Chavda, Satheesh Ramalingam, Julie Edwards, Krystal Hemmings, Michelle Williamson, Michael A Burdon, Ghaniah Hassan-Smith, Kathleen Digre, Grant T Liu, Rigmor Højland Jensen, Alexandra J Sinclair
The aim was to capture interdisciplinary expertise from a large group of clinicians, reflecting practice from across the UK and further, to inform subsequent development of a national consensus guidance for optimal management of idiopathic intracranial hypertension (IIH). METHODS: Between September 2015 and October 2017, a specialist interest group including neurology, neurosurgery, neuroradiology, ophthalmology, nursing, primary care doctors and patient representatives met. An initial UK survey of attitudes and practice in IIH was sent to a wide group of physicians and surgeons who investigate and manage IIH regularly...
June 14, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
A M Wane, A M Ka, J P Diagne, G Mouen Bengue, A S Sow, P A Ndoye Roth, E A Ba, M E De Medeiros, H Kane, J M Ndiaye, H M Diallo, P A Ndiaye, M R Ndiaye
INTRODUCTION: In Senegal, 10% of the population are said to be carriers of hemoglobin S, the most widespread hemoglobinopathy in the world. It is responsible for potentially blinding ophthalmological manifestations. Few practitioners refer patients for ophthalmologic screening. The goal of our study was to assess the level of knowledge of practitioners of the blinding ocular lesions of sickle cell disease. MATERIALS AND METHODS: A cross-sectional prospective study was carried out over five months...
June 11, 2018: Journal Français D'ophtalmologie
Basel Turki Baarah, Raed Ali Shatnawi, Ahmed Essa Khatatbeh
PURPOSE: To report the causes of permanent severe visual impairment and blindness among Jordanian blind people. MATERIALS AND METHODS: This study was conducted on 1422 legally blind or worse vision people of all ages who attended the ophthalmic division of a medical committee for evaluation of disabled persons from July 2013 through November 2014. They were divided into two age groups: adult group (998 cases) and childhood group (<16 years, 424 cases). Patients presented reports from their ophthalmologists detailing their eye examination including best-corrected visual acuity, slit-lamp examinations, and if applicable, intraocular pressure, dilated ophthalmoscopy, and visual field and the primary cause of visual impairment...
January 2018: Middle East African Journal of Ophthalmology
Lisa C Bain, Alexandria I Kristensen-Cabrera, Henry C Lee
Objective  The objective of this study is to identify characteristics of neonatal intensive care unit (NICU) practice that influence successful retinopathy of prematurity (ROP) screening. Study Design  In this qualitative study, top, improved, and bottom performing NICUs in the California Perinatal Quality Care Collaborative were identified based on ROP screening rates and invited to participate. NICU personnel were interviewed using a semistructured questionnaire. Using thematic analysis, key factors that influence ROP screening were identified...
April 2018: American Journal of Perinatology Reports
Hande Taylan Sekeroglu, Mehmet Ali Sekeroglu
Major depression is one of the most common psychiatric disorders in the developed countries, and it is well known that depressive symptoms are more frequently encountered in patients with physical disorders, especially those who have chronic diseases. Although there are numerous study concerning the relationship between ocular inflammatory diseases and depression, the majority of them mainly focus on two diseases: uveitis and dry eye disease (DED). With this review, we aimed to analyze the relation between depression and ocular inflammation, specifically DED and uveitis, in the light of the current literature and to summarize the potential mechanisms regarding this interrelation...
June 12, 2018: Current Topics in Medicinal Chemistry
Hyun-Kyung Cho, Min Gyu Lee, Changwon Kee
PURPOSE: This study aimed to investigate the association of the frequency of optic disk hemorrhage (DH) and progression of normal tension glaucoma (NTG) between each group based on the location of the initial retinal nerve fiber layer (RNFL) defect. METHODS: In this retrospective, observational cohort study, 142 NTG patients who underwent more than 5 reliable visual field tests with initial superior hemifield (group 2, n = 51), inferior hemifield (group 1, n = 44), or both hemifield (group 3, n = 47) defects were included...
June 12, 2018: Ophthalmic Research
Sara J Grundy, Lhab Tshering, Stanley W Wanjala, Megan B Diamond, Martin S Audi, Sashank Prasad, Russell T Shinohara, Debora Rogo, Dechen Wangmo, Ugyen Wangdi, Abi Aarayang, Thukten Tshering, Thomas F Burke, Farrah J Mateen
The retina shares embryological derivation with the brain and may provide a new measurement of overall growth status, especially useful in resource-limited settings. Optical coherence tomography (OCT) provides detailed quantification of retinal structures. We enrolled community-dwelling children ages 3-11 years old in Siaya, Kenya and Thimphu, Bhutan in 2016. We measured head circumference (age < 5 years only), height, and weight, and standardized these by age and gender. Research staff performed OCT ( iScan ; Optovue, Inc...
June 11, 2018: American Journal of Tropical Medicine and Hygiene
Vasudha Kemmanu, Subramanya K Giliyar, Bhujanga K Shetty, Arvind Kumar Singh, Govindasamy Kumaramanickavel, Catherine A McCarty
AIM: To discuss the aims, methods, and results of a population-based cross-sectional prevalence survey of children ≤15 years, in South India and compare it with a study conducted earlier, in the same area. We also discuss the changing trends in the domain of childhood blindness in India. METHODS: A population-based cross-sectional prevalence survey of children ≤15 years, in Pavagada and Madhugiri taluks of Tumkur district in Karnataka state in south India, was conducted in 2 phases...
June 11, 2018: Eye
Mónika Ecsedy, Béla Csákány, Illés Kovács, Miklós Resch, Zoltán Nagy, Zsuzsa Récsán
We present cases of blinding spontaneous suprachoroidal haemorrhage in anticoagulant taking wet-AMD patients. A retrospective study has been performed to present the clinical course, management and final outcome of spontaneous suprachoroidal haemorrhage in 7 eyes of six age-related macular degeneration patients seen in our clinic from January 2016 to April 2017. All patients were on chronic oral anticoagulant therapy because of cardiovascular disorder. In one patient, haematological disorder was also present modifying significantly the haemostasis...
June 2018: Orvosi Hetilap
Jasem Almotiri, Khaled Elleithy, Abdelrahman Elleithy
Eye exam can be as efficacious as physical one in determining health concerns. Retina screening can be the very first clue for detecting a variety of hidden health issues including pre-diabetes and diabetes. Through the process of clinical diagnosis and prognosis; ophthalmologists rely heavily on the binary segmented version of retina fundus image; where the accuracy of segmented vessels, optic disc, and abnormal lesions extremely affects the diagnosis accuracy which in turn affect the subsequent clinical treatment steps...
2018: IEEE Journal of Translational Engineering in Health and Medicine
Imran H Yusuf, Barny Foot, James Galloway, Michael R Ardern-Jones, Sarah-Lucie Watson, Cathy Yelf, Michael A Burdon, Paul N Bishop, Andrew J Lotery
No abstract text is available yet for this article.
June 11, 2018: Eye
N Agrinier, J-B Conart, A Baudot, F Ameloot, K Angioi-Duprez
PURPOSE: To describe epidemiological characteristics of outpatients examined by university medical center ophthalmologists in emergency rooms (ER), and to determine factors associated with true emergencies. METHODS: A monocentric cross-sectional study including all patients examined by an ophthalmologist in the ER of in the university hospital of Nancy over a two-month period was conducted. Demographics and medical characteristics were assessed. The visits were categorized by ophthalmologists as true emergencies or not...
June 7, 2018: Journal Français D'ophtalmologie
David H W Steel, Javid Suleman, Declan C Murphy, Anna Song, Steve Dodds, Jon Rees
PURPOSE: To identify the incidence, presenting features, treatment, and clinical course of optic disc pit maculopathy (ODPM) in the United Kingdom (UK). DESIGN: A 2-year nationwide prospective population-based study. SUBJECTS: All new incident cases of ODPM presenting to UK ophthalmologists using the British Ophthalmic Surveillance Unit monthly reporting system. METHODS: All reporting ophthalmologists were sent an initial questionnaire requesting data on previous medical and ophthalmic history, presentation details, investigation findings, and management...
June 7, 2018: Ophthalmology
A Villarmé, C Savoldelli, E Jean-Baptiste, N Guevara
INTRODUCTION: Facial injuries by penetrating foreign body are unusual and require specific multidisciplinary surgical management. CASE REPORT: This case report concerns a 20-year-old man who experienced a penetrating injury by a piece of wood to the face and describes the surgical approach to remove the wood and repair the injury. The foreign body had penetrated the infratemporal fossa, with an entry wound situated below the right eye and an exit wound in the neck, in contact with the left internal carotid artery...
June 7, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
Joshua Blair, Robert Barry, Philip I Murray, David J Moore, Alastair K Denniston
BACKGROUND: Non-infectious uveitis represents a sub-type of intraocular inflammation often associated with disorders of immune dysregulation. If untreated, the intraocular inflammation may progress to severe visual impairment and blindness. Current treatment is heavily reliant on systemic corticosteroid, often at doses associated with severe side effects. There is a need for efficacious corticosteroid-sparing immunomodulatory therapy for these patients. Current immunomodulators include various immunosuppressants and biologics but mammalian target of rapamycin (mTOR) inhibitors (such as sirolimus and everolimus) may also be contenders for this role...
June 9, 2018: Systematic Reviews
Stanislav G Saksonov, Tetiana S Gruzeva, Oksana P Vitovska
OBJECTIVE: Introduction: The effectiveness and efficiency of the medical sector workforce directly depend on health of medical professionals. Scientific literature pays considerable attention to the health of surgeons, physicians, obstetricians, gynecologists, infectionists and dentists paying very little, if any, attention to health problems of ophthalmologists. This study is intended to bridge this gap. The aim at revealing the current situation and characteristics of health status of ophthalmologists using the results of sociological research and identifying health problems of the respondents in order to determine reliable preventive measures...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Alfonso Giovannini, Mariacristina Parravano, Federico Ricci, Francesco Bandello
OBJECTIVES: Despite being approved and effective, steroids, and especially dexamethasone intravitreal implants, still have a poorly-defined role in management of diabetic macular edema. In order to overcome some of the limitations in current recommendations, a group of experts met to define consensus on some of the most controversial issues on the use of dexamethasone intravitreal implants in daily management of diabetic macular edema. METHODS: A Delphi-based approach was utilized to develop clinically relevant statements applicable to routine treatment settings...
June 1, 2018: European Journal of Ophthalmology
M D Becker, R Max, A Dimitriou, T Saurenmann, H-M Lorenz, A Jansen, S Lortz, J Grulich-Henn, M Weber
Intraocular inflammation with the imprecise and broad umbrella term "uveitis" is a diagnostic and therapeutic challenge in ophthalmology. Uveitis is one of the most common causes of blindness worldwide and due to the associated costs is comparable to diabetic retinopathy. Patients can be affected by uveitis at any age. Any part of the eye may be affected. The symptoms range from complete absence of symptoms, through all types of vision deterioration up to a red and even very painful eye. Uveitis can be strictly unilateral (also alternating from the left to the right eye) or bilateral with a relapsing or chronic course...
June 7, 2018: Zeitschrift Für Rheumatologie
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