共查询到20条相似文献，搜索用时 20 毫秒
1.
Shicheng Jin Alex L.C. Tam Lina Chen Graham E. Trope Yvonne M. Buys Ya-Ping Jin 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(2):196-202
Objective
To assess the impact of presenting visual impairment (PVI) on the utilization of formal home care services in Canada. Formal home care services were defined as services provided by professionals. Presenting visual impairment was self-reported impaired vision.Design
Cross-sectional survey.Participants
Respondents to the Canadian Community Health Survey ? Healthy Aging 2008/2009 (n = 30 865).Methods
Self-reported utilization of formal home care services were compared by PVI status and sociodemographic groups.Results
Overall, 23.9% of Canadians aged 45+ years with PVI utilized home care services versus 4.8% of those without (p < 0.0001). Canadians aged 65+ years (11.5%) used home care services more frequently than those aged 45–64 years (2.3%; p < 0.001). Among Canadians aged 65+ years, Caucasians (11.8%) were more frequent users than non-Caucasians (2.9%; p = 0.0002). Among Caucasians aged 65+ years, higher levels of utilization were documented in seniors with PVI (32.3%) versus those without (11.0%; p < 0.0001), females (14.5%) versus males (8.5%; p < 0.0001), seniors without a partner (18.6%) versus those with a partner (7.9%; p < 0.001), and seniors with incomes under the 20th percentile (14.7%) versus their peers with incomes ≥20th percentile (9.8%; p < 0.0001). Seniors with PVI were 30% more likely than those without to utilize home care services after adjusting for confounding effects (prevalence ratio = 1.3, 95% CI 1.1–2.5). Among nonusers of home care services, unmet needs for home care services were reported by 10.0% of Caucasian seniors with PVI versus 3.1% of those without PVI (p < 0.0001).Conclusions
Canadians with visual impairment are more likely to utilize formal home care services compared to those without. 相似文献2.
Amy Basilious Alfred Basilious Alex Mao Cindy M.L. Hutnik 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(2):229-236
Objective
Little is known about how low vision services by ophthalmologists are being provided. Here, we analyze the patterns of provision and utilization of vision rehabilitation services in Ontario, Canada.Design
Retrospective population-based study between 2009 and 2015.Participants
Ophthalmologists (n = 92) who billed for vision rehabilitation services through the Ontario Health Insurance Plan in Ontario and the patients (n = 8949) who received these services.Methods
Billing data for low vision services (2009–2015) was received from Ontario Health Insurance Plan. Data were analyzed to describe patient demographics (age, sex, geographic distribution, number, and type of visits) and service provider information (geographic location, number of years providing services, and number of services per year).Results
It is estimated that ≤ 5% of patients with low vision in Ontario accessed these vision rehabilitation services by ophthalmologists. The majority of these patients were females (61%) and > 60 years old (79%). While patient and provider geographic distributions overlapped in the areas with largest patient populations, many regions lacked services. The majority of patients (71%) made only one vision rehabilitation visit. Nine providers practiced low vision for 7 years, while 43 provided services for only 1 year. In 2015, the most common diagnostic service provided to low vision patients was Optical Coherence Tomography of the retina and the most common therapeutic service was intravitreal for wet age-related macular degeneration.Conclusion
Although low vision services increased between 2009 and 2015, there were differences in ability to access care based on age, sex, and geographic location. 相似文献3.
Edsel Ing Christian Pagnoux Felix Tyndel Arun Sundaram Seymour Hershenfeld Paul Ranalli Shirley Chow Tran Le Carla Lutchman Susan Rutherford Kay Lam Harleen Bedi Nurhan Torun 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2018,53(3):215-221
Objectives
To determine the role of the ocular pulse amplitude (OPA) from Pascal dynamic contour tonometry in predicting the temporal artery biopsy (TABx) result in patients with suspected giant cell arteritis (GCA).Design
Prospective validation study.Participants
Adults aged 50 years or older who underwent TABx from March 2015 to April 2017.Methods
Subjects on high-dose glucocorticoids more than 14 days or without serology before glucocorticoid initiation were excluded. The OPA from both eyes was obtained and averaged just before TABx of the predominantly symptomatic side. The variables chosen for the a priori prediction model were age, average OPA, and C-reactive protein (CRP). Erythrocyte sedimentation rate (ESR), platelets, jaw claudication, and eye findings were also recorded. In this study, subjects with a negative biopsy were considered not to have GCA, and contralateral biopsy was performed if the clinical suspicion for GCA remained high. An external validation set (XVAL) was obtained.Results
Of 109 TABx, 19 were positive and 90 were negative. On univariate logistic regression, the average OPA had 0.60 odds for positive TABx (p = 0.03), with no statistically significant difference in age, sex, CRP, ESR, or jaw claudication. In suspected GCA, an OPA of 1 mm Hg had positive likelihood ratio 4.74 and negative likelihood ratio 0.87 for positive TABx. Multivariate regression of the prediction model using optimal mathematical transforms (inverse OPA, log CRP, age >65 years) had area under the receiver operating characteristic curve (AUROC) = 0.85 and AUROCXVAL = 0.81.Conclusions
OPA is lower in subjects with biopsy-proven GCA and is a statistically significant predictor of GCA. 相似文献4.
Kedija Abdella Kylen D. McReelis M. Hermina Strungaru 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):27-32
Objective
To evaluate the screening rates for diabetic pediatric patients in a regional center according to the Canadian Diabetes Association guidelines.Design
Retrospective study.Participants
The study consisted of 82 patients seen in the pediatric diabetes clinic at Peterborough Regional Health Center.Methods
Medical records for all pediatric patients with diabetes were reviewed between July 2016 and February 2017. Parents and children were surveyed on details of their ocular examination history. Logistic regression analysis was conducted to evaluate if any characteristics were associated with noncompliance to Canadian Diabetes Association guidelines.Results
The average age of the patients in our study was 12 years old with a mean duration of diabetes of 4 years. The majority of patients had type 1 diabetes (n = 79/82, 96.3%) and the mean HbA1c level was 9.1. Only 16 patients (19.5%) adhered to the Canadian Diabetes Association guidelines for diabetic retinopathy screening. Of the 66 patients who did not comply with the guidelines, 65 (98.5%) had received more exams than recommended under their respective screening guidelines. All dilated eye examinations were normal, and no diabetic retinopathy was found. Statistical analysis revealed that the duration of diabetes may be a predicting factor of noncompliance to the guidelines (–0.2488, 95% CI –0.505, –0.042).Conclusions
This study shows a low compliance rate with screening guidelines in our diabetic pediatric population. Of interest, the low compliance in this cohort was related to excessive eye exams. This study also found a low incidence rate of diabetic retinopathy despite poor management of diabetes, similar to previous studies of pediatric diabetic eye disease. 相似文献5.
Edsel Ing Wanhua Su Matthias Schonlau Nurhan Torun 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):116-118
Objective
Support vector machines (SVM) is a newer statistical method that has been reported to be advantageous to traditional logistic regression for clinical classification. We determine if SVM can better predict the results of temporal artery biopsy (TABx) for giant cell arteritis compared to logistic regression.Method
A database of 530 TABx patients with 10 covariates was used and randomly split into training and test sets. The area under the receiving operating curve (AUC), misclassification rate (MCR), and false negative rate (FN) were compared for SVM and logistic regression. AUC and MCR were used to tune the SVM.Results
The SVM model with optimal AUC had gamma?=?0.01267 and cost?=?26.466, with 133 support vectors. The AUC/MCR/FN for logistic regression and SVM respectively were 0.827/0.184/0.524 and 0.825/0.168/0.571.Conclusion
In our dataset of 530 TABx subjects, SVM did not offer any distinct advantage over the logistic regression prediction model. 相似文献6.
Alaa AlAli Sadik Taju Sherief Katelyn MacNeill Kim Quann Michael Wan David R. Smith 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(2):265-268
Objective
To assess the effect of the 45-minute diagnostic occlusion test (DOT) on the measured esodeviation in patients with acquired esotropia.Methods
After the routine ophthalmic examination, 67 patients with acquired esotropia were randomly assigned to either the patch group (37 subjects) or the control group (30 subjects). For both groups the mean distance and near deviations before and after 45 minutes were compared.Results
The mean pre- and post-DOT measurement at distant target for the patch group was an esodeviation of 6.7?±?7.5 prism diopters (PD) and 13.2?±?11.7 PD, respectively. The 45-minute DOT induced an average increase of the esotropia of 6.4?±?5.9 PD in the patch group (p?=?0.0001). For the control group, the first and second mean measurement were similar, 9.2?±?7.6 PD and 9.1?±?6.5 PD, respectively (p?=?0.103). The mean pre- and post-DOT esodeviation at near distance for the patch group were 10.1?±?10.1 PD and 18.7?±?13.7 PD (p?=?0.001). Following the DOT, >5 PD change was noted in 26 (70.1%) from a near distance target (p?=?0.001). For the control group, the mean near first and second measurements were 13.9 PD and 15.0 PD, respectively.Conclusion
Performing DOT in acquired esodeviations may help to reveal the full deviation and ultimately decrease the risk of surgical undercorrection by eliminating tonic fusional divergence. The DOT can be applied clinically for acquired esotopia to accurately measure the angle of deviation. 相似文献7.
Parampal S. Grewal Steven R.J. Lapere R. Rishi Gupta Mark Greve 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):60-64
Objective
To determine the effectiveness of a macular buckle procedure without vitrectomy for the treatment of symptomatic myopic macular schisis.Design
Retrospective case series.Participants and methods
All patients who underwent surgery with placement of an NPB macular buckle (AJL Ophthalmic, Miñano, Álava, Spain) without vitrectomy for symptomatic myopic macular schisis were included. Visual acuity and anatomical outcomes based on optical coherence tomography (OCT) were reviewed.Results
Eight consecutive eyes from 7 patients were included. Six of the 7 patients were female and the mean age was 59 ± 6 years (range, 49–66 years). The mean follow-up duration was 11 ± 7 months (range, 3–23 months). Mean preoperative axial length was 29.54 ± 1.28 mm (range, 27.88–31.96 mm). Mean preoperative best-corrected visual acuity (BCVA) was 0.71 ± 0.29 logMAR (Snellen equivalent 20/103); mean postoperative BCVA was 0.46 ± 0.44 (Snellen equivalent 20/58; p = 0.19) and 87.5% of patients maintained or improved vision. Pre- and postoperative OCT images are included and discussed within. Preoperative ellipsoid zone status and postoperative central macular buckle indentation appear to be important in visual outcomes. Two patients required a buckle repositioning for persistent schisis. One patient developed a macular hole postoperatively that resolved with subsequent vitrectomy. There were no other complications.Conclusions
The macular buckle is an effective and promising therapeutic option for myopic macular schisis. 相似文献8.
Tarek Ibrahim Phillip Goernert Guillermo Rocha 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):130-135
Objective
To report the intraoperative surgical outcomes and safety of femtosecond laser–assisted cataract surgery (FLACS) during surgeon learning curve and compare those outcomes with those of conventional phacoemulsification in a Canadian public hospital setting.Design
Retrospective chart review.Participants
FLACS and phacoemulsification patients at Brandon Regional Health Centre, Brandon, Manitoba, Canada.Methods
Intraoperative surgical outcomes and safety (rates of intraoperative complications and phacoemulsification parameters) were compared among 3 groups: the first consecutive 197 cases using femtosecond laser (FSL) pretreatment to ultrasound phacoemulsification in cataract surgery (group 1; early FLACS), the second consecutive 165 cases using FSL (group 2; later FLACS), and 80 consecutive conventional cataract surgery cases (group 3; conventional phaco).Results
There was a statistically significant difference for phacoemulsification parameters (actual phaco time [APT], effective phaco time [EPT], and ultrasound average) among the 3 groups (all p-values < 0.05). The mean phacoemulsification parameters (APT and EPT) for the early FLACS and the conventional phaco groups were significantly longer than those for the later FLACS group (p < 0.05). The mean FSL time for the early FLACS group was significantly longer than that for the later FLACS group. There was no statistical difference among the rates of intraoperative complications (suction breaks, capsular tags, FSL-induced miosis, posterior capsular tears, and anterior vitrectomy) for the 3 groups.Conclusions
During the learning curve, the intraoperative outcomes and safety of FLACS are comparable to the conventional phacoemulsification technique. After the learning curve, FLACS is significantly superior to conventional surgery in all measured phacoemulsification parameters. 相似文献9.
Larry Ha Alex Wright Dannen D. Wright Ashlie Bernhisel William R. Barlow Jeff H. Pettey Brian Zaugg Randall J. Olson 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):136-138
Objective
To compare relative efficiency and chatter of high aspiration and vacuum settings.Design
In vitro laboratory study.Methods
The John A. Moran Eye Center Laboratories, University of Utah, Salt Lake City, Utah, was the study setting. Porcine nuclei were fixed in formalin and cut into 2.0 mm cubes. Lens cubes were phacoemulsified with Balanced tips at 50 and 60 mL/min aspiration with 500, 600, and 700 mm Hg vacuum with monitored forced infusion. Experiments were conducted at constant torsional power, longitudinal power, and intraocular pressure.Results
No significant change was observed in average chatter across each tested setting. Increasing aspiration rate did not increase efficiency. Increasing vacuum up to 600 mm Hg from 500 mm Hg did not change efficiency. However, increasing vacuum to 700 mm Hg decreased efficiency (p = 0.008 for 500 mm Hg vs 700 mm Hg and p = 0.05 for 600 mm Hg vs 700 mm Hg). Increasing aspiration and increasing vacuum did not significantly improve chatter.Conclusions
Increasing aspiration above 50 mL/min did not improve phacoemulsification efficiency. Increasing vacuum settings to 700 mm Hg decreases efficiency. Chatter did not significantly change with increasing aspiration and vacuum settings. 相似文献10.
Suresh Sagili Jerome Ha 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):98-101
Objective
To describe a modification of trans-conjunctival, lower eyelid retractor advancement to correct tarsal ectropion.Design
A retrospective case review.Participants
Consecutive patients with lower eyelid tarsal ectropion.Methods
Cases of lower eyelid tarsal ectropion, surgically corrected by advancement of inferior retractor to the lower border of tarsus via a transconjunctival approach, were identified. Lateral tarsal strip was also performed simultaneously in all cases.Results
Twenty patients (25 eyelids) were included in this study. There were 19 primary lower eyelid tarsal ectropion and 6 recurrent tarsal ectropion. Complete resolution of tarsal ectropion was achieved in all patients postoperatively. Mean follow-up was 8.4 months (range 1–36 months). There were no cases of overcorrection, recurrent ectropion, suture abscess, wound dehiscence, or inferior fornix shortening after surgery.Conclusions
Visualization of the lower eyelid retractor (white-line) and advancement to the inferior border of tarsus through a transconjunctival approach is effective in correcting both primary and recurrent cases of tarsal ectropion. This can be performed through a small conjunctival incision in the middle third of the lower eyelid, without the need for any excision of tissue or suture loop tie on the skin surface. 相似文献11.
12.
Belal Azab Raghda Barham Dema Ali Zain Dardas Lana Rashdan Maysa Bijawi Ranad Maswadi Abdelhalim Awidi Hanan Jafar Mohammed Abu-Ameerh Muawyah Al-Bdour Sami Amr Abdalla Awidi 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):51-59
Objective
To identify the disease-causing variants in 2 families with autosomal recessive inherited retinal dystrophies (IRDs) and to characterize phenotypic variability across the affected family members.Design
Exome sequencing and ophthalmic clinical examination study.Participants
Six members from 2 consanguineous Jordanian families with IRD.Methods
Ophthalmic examinations and whole-exome sequencing (WES) were performed to identify IRD-causing variants in affected individuals from each family, followed by segregation analysis of candidate variants in affected and unaffected family members by Sanger sequencing.Results
We identified 2 different homozygous deletion variants in CERKL in each family: a novel pathogenic variant, c.450_451delAT, and a known variant, c.1187_1188delTG. Both variants co-segregated with the disease in all affected family members. The resulting phenotypes further supported that CERKL is associated with cone–rod dystrophy (CRD) rather than retinitis pigmentosa (RP), as originally established.Conclusion
Our study expands the genotypic spectra of CERKL variants, providing insights into the relevant pathogenesis of RP/CRD. We also confirm that the WES approach is a valuable tool for the molecular diagnosis of retinopathies. 相似文献13.
Ali Küçüködük Fatma Helvacioglu Nihan Haberal Attila Dagdeviren Didem Bacanli Gursel Yilmaz Imren Akkoyun 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):65-74
Objective
To evaluate the impact of intravitreal (IV) and intraperitoneal (IP) astaxanthin (AST) injections on neovascular development (ND), retinal morphology, and apoptotic activity in a C57BL/6J mouse model with hyperoxia-induced retinopathy (HIR).Design
C57BL/6J mouse model.Methods
Two negative control groups (n = 6 each; one of which received IV sterile dimethyl sulfoxide [DMSO]) of C57BL/6J-type mice were exposed to room air. The HIR groups included 36 C57BL/6J-type mice exposed to 75% ± 2% oxygen from postnatal day (PD) 7 to PD 12. On PD 12, these mice were randomized into 6 groups (n = 6 each): 2 HIR control groups (one of which received IV-DMSO), 2 IV-AST groups (10 and 100 µg/mL), and 2 IP-AST groups (0.5 and 5 mg/kg). We measured ND by counting neovascular tufts in cross sections and examined histological, ultrastructural changes via light and electron microscopy. Apoptosis was detected using terminal deoxynucleotidyl transferase–mediated nick end-labeling.Results
No ND was detected in the negative control groups. ND levels were not significantly different between high- and low-dose AST for either means of administration. However, ND levels were significantly lower in the AST groups, regardless of delivery, compared to the control groups. The means of delivery (IP versus IV) also yielded significant differences in ND. The incidence of mitochondrial dysmorphology and apoptosis were lower in groups receiving AST.Conclusions
AST seems to suppress ND and has anti-apoptotic activity in the HIR mouse model. 相似文献14.
Kiersten Schock Alex Ragan John T. Huang 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(2):171-175
Objective
Several Canadian health authorities have defunded preoperative cataract history and physical examinations performed by general practitioners. While these authorities suggest that such decisions are evidence-based, we are unaware of reviews addressing this topic, nor have health authorities been forthcoming with evidence used in their decision-making processes. The objective of this study is to perform a comprehensive review of the literature regarding the value of preoperative histories and physical examinations in cataract surgery.Design
Systematic review.Methods
The following databases were searched: PubMed, MEDLINE, Cochrane Library, Google Scholar, Web of Science, EMBASE, CINAHL, and BIOSIS Previews. Only higher-level forms of evidence were assessed, including randomized controlled trials, cohort, and case-control studies. Two reviewers independently assessed titles and abstracts for concordance with inclusion criteria. Disagreements between authors were resolved by discussion.Results
We identified 3 articles that met our inclusion criteria: two prospective and one retrospective cohort studies. These articles suggest traditional preoperative histories and physical examinations could be replaced by a health questionnaire (Jastrzebski et al. and Reeves et al.) or eliminated altogether (Alboim et al.).Discussion
Scientific literature presently contains 3 studies suggesting that preoperative histories and physical examinations could be modified or eliminated. However, methodological weaknesses and data analysis derived from these studies suggests defunding preoperative medical examination may be premature.Conclusions
While finding efficiencies in medical care is admirable, physicians should be cautious in accepting recommendations that reduce checks ensuring perioperative safety. Further studies of better methodological quality should be completed to clarify the present evidence. 相似文献15.
Natalie H. Au Rookaya Mather Alison To Monali S. Malvankar-Mehta 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(2):180-189
Objective
To summarize and quantitatively evaluate sleep outcomes of dry eye disease (DED) patients.Design
A systematic review and meta-analysis.Participants
DED patients were individuals with dry eye symptoms or primary Sjogren’s syndrome (pSS). Controls were healthy, non-pSS, or non-DED patients.Methods
A systematic search of MEDLINE, EMBASE, PsycINFO, and grey literature was conducted. Studies were screened using Covidence software. Outcomes included sleep quality, duration, daytime sleepiness, prevalence/incidence/severity of sleep disorders, and sleep disturbances. Meta-analysis was conducted using STATA 13.0. The weighted mean difference (WMD) was calculated as the effect size for continuous scale outcomes. Random-effects models were developed based on the presence of heterogeneity.Results
Seventeen full-text articles (16 370 subjects) and 2 conference abstracts (571 763 subjects) were included. Compared to controls, DED patients score higher on the Pittsburgh Sleep Quality Index (WMD = 1.69, 95% CI: 0.82, 2.56; I2 = 88.8%, p < 0.001) and Epworth Sleepiness Scale (WMD = 2.26, 95% CI: 0.96, 3.56; I2 = 82.4%, p < 0.001). Additionally, DED patients spend less time asleep (WMD = ?0.59 hours, 95% CI: ?0.94, ?0.24; I2 = 85.1%, p < 0.001), experience more sleep disturbances, and may have increased prevalence, incidence, severity of sleep disorders.Conclusion
DED patients may have poorer sleep quality, greater daytime sleepiness, less sleep, more sleep disturbances, increased prevalence, incidence, and severity of sleep disorders compared to non-DED patients. Further research is needed to identify potential causes of these outcomes given the paucity and heterogeneity of included studies. It may be worthwhile to consider sleep in the clinical management of DED. 相似文献16.
17.
Cyril Archambault Caroline Gabias Nicole Fallaha Caroline Bélanger Rosanne Superstein 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):83-86
Background
Ocular traumas represent the most common cause of noncongenital blindness in children. Sports are the second most common cause in children less than 14 years old in Canada. To our knowledge, there have not yet been any reports regarding the causes of pediatric ocular trauma in the Quebec population. The goal of our study was to gather data from the Quebec pediatric population to determine high-risk age groups, sports, or other activities.Methods
A retrospective study evaluating all patients younger than 18 years who presented with ocular trauma to the Ste-Justine Hospital emergency department between 2007 and 2010. Data obtained included age, sex, activity at the time of injury, mechanism of injury, and visual outcomes.Results
Trauma was more common in males (65%). The mean age was 7.2 years. Injuries occurred more often in the 5–9 year age group, at home, and during free play. Sports-related injuries occurred more often in the 10–18 year age group, with hockey being associated most often with injuries. Visual acuity at presentation was variable, but final acuity was 20/30 or better in 86.7% of cases. In 89% of cases, there was no mention of ocular protection and prevention of injuries in the chart by emergency physicians.Conclusion
Our study suggests that ocular injuries may be prevented by better supervision and parental education in the younger population and by mandating ocular protection for sports in high school–aged patients. 相似文献18.
Kelsey A. Roelofs Helya Aghazadeh Marvi Cheema Ezekiel Weis Jaime Badilla 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):106-110
Objective
To report indications for eye removal, histopathological diagnosis, and surgical trends in enucleation versus evisceration over a 23-year period.Design
Retrospective consecutive case series.Participants
All patients undergoing enucleation or evisceration at the Royal Alexandra Hospital in Edmonton, Canada, between January 1994 and December 2016.Methods
Demographic information was recorded and archived hospital charts were accessed and reviewed for clinical diagnosis, histopathological diagnosis, and the type of implant used. Univariate and multivariable logistic regression analysis was performed. The study cohort was divided into 2 time periods by separating the first 10 years of the study period (1994–2004 inclusive) from the rest of the study time period (2005–2016 inclusive).Results
A total of 786 patients with a mean age (±?SD) of 52 ±?23 years were included. The most common clinical diagnosis was blind painful eye (56%) followed by intraocular tumour (23%). Corresponding pathological examination of specimens revealed chronic inflammatory change (46%) and intraocular tumour (25%). Eyes with active infection were more likely to be eviscerated (odds ratio: 4.67; p?<?0.001) when compared to other diagnostic groups, and all eyes diagnosed with intraocular tumours were enucleated. While most eyes in the study were enucleated, the proportion of eyes eviscerated increased over the study period (p?=?0.010) from 8% between 1994–2004 to 14% between 2005–2016.Conclusions
While enucleation was performed more commonly overall, the incidence of evisceration increased throughout the study period. There were no instances of occult intraocular tumour in patients who were eviscerated. 相似文献19.
Matthew D. Benson Julianna Wozniak Ian M. MacDonald 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(1):94-97
Objective
To report the reoperation rate in a large group of pediatric and adult strabismus patients over a 21-year period in Northern Alberta, Canada.Methods
A retrospective review of 6177 strabismus surgeries from July 1995 to June 2015 on 5125 pediatric and adult patients was conducted to determine the reoperation rate at a single major referral centre. A set of guidelines was implemented in November 2014 recommending delaying reintervention for at least 12 weeks from the initial surgery, with specific exceptions.Results
The historical strabismus reoperation rate over a 21-year period was 15.7%. Of those surgeries requiring reoperation, 77.7% required only 1 reoperation, 17.1% required 2 reoperations, 3.1% required 3 reoperations, and 2.1% required 4 or more reoperations. The mean time between surgeries for patients undergoing reoperation was 2.3 years and the median time was 1.0 years.Conclusions
Our study provides insight into the strabismus reoperation rate and the number of subsequent surgeries performed for patients over a 21-year period. Although preoperative ocular alignment, comorbidities, and the status of the operative eye modify the probability of reoperation, our results from a large cohort of patients provide an impression of the rate of reoperation and may be of benefit in the preoperative counseling of patients. Furthermore, we highlight the scarcity of guidelines for the appropriate timing of reoperation. The implementation of specific guidelines may encourage future investigation into trends in reoperation over time and promote ways to avoid unnecessary surgeries, lower health care costs to stakeholders, and ultimately improve patient care. 相似文献20.
Serdar Aktaş Fatih Temiztürk 《Canadian journal of ophthalmology. Journal canadien d'ophtalmologie》2019,54(2):176-179