Reply
Since July 2016, Drs Relhan et al have either individually or collectively written 2 editorials and 3 letters in this journal opposing the practice of routine intracameral antibiotic prophylaxis (ICAP) for cataract surgery. We agree that ICAP remains controversial because of the paucity of level 1 evidence. Javitt's oft-cited editorial elegantly summarizes the multiple reasons that a prospective, randomized, placebo-controlled trial is so difficult, expensive, impractical, and potentially unethical to now perform. (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: David F. Chang, Aravind Haripriya, Ravilla D. Ravindran Tags: Correspondence Source Type: research
Reply
Thank you to Drs Blair and Shapiro for their letter. Their comment about equipoise in the evaluation of controversies in retinopathy of prematurity (ROP) management could not be more germane. By citing an US Food and Drug Administration warning, the authors note possible danger in the use of general anesthesia in young children, a point in favor of intravitreal bevacizumab (IVB). This warning should be elaborated for the interested reader.1 The US Food and Drug Administration recommends against prolonged anesthesia (>3 hours) in children (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: William V. Good Tags: Correspondence Source Type: research
Bullseye Retinopathy from Antiretroviral Therapy
A 58-year-old man with HIV presented with bilateral, progressively decreasing vision for 6 years. He was taking efavirenz, lamivudine, and zidovudine for 10 years. His CD4 cell-count was 403 cells/ μl and viral load was (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Maria Fernanda Abalem, Pedro Carlos Carricondo, Rajesh C. Rao Tags: Pictures & Perspectives Source Type: research
Re: Dattilo et al.: Correlation between stereopsis and reverse stereopsis (Ophthalmology. 2017;124:411-413)
Like Dattilo et al,1 I also find stereoacuity to be a useful test in the neuro-ophthalmology clinic. It is a sensitive test for lesions of the chiasm and can also help diagnose patients with functional vision loss. However, I do not completely understand the line of reasoning they used with regard to traditional stereopsis and reverse stereopsis (RS). (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Bradley J. Katz Tags: Correspondence Source Type: research
Re: Kwon et al.: Subclassification of primary angle closure using anterior segment optical coherence tomography and ultrasound biomicroscopic parameters (Ophthalmology. 2017;124:1039-1047)
We read with interest the article by Sung et al.1 In this observational study, the authors concluded that the most distinct difference between the 2 subgroups in the cluster analysis was trabecular–ciliary process angle (TCA) and that the position of the ciliary body is important in subclassifying primary angle closure. (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Fei Li, Xiulan Zhang Tags: Correspondence Source Type: research
Reply
We thank the author for the comments on our article1 and wish to clarify a few points, recognizing that Figure 1 (in the original article) may oversimplify the mechanisms leading to stereopsis. We appreciate the author's description of the Titmus test in comparison with polarized stereoscopic movie glasses to create the illusion of an image in 3-dimensional space. (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Jason H. Peragallo, Michael Dattilo, Beau B. Bruce Tags: Correspondence Source Type: research
Reply
We greatly appreciate the interest Dr Li has shown in our article.1 We agree with the first comment that examinations can be influenced by observers' subjectivity. However, examinations can also be influenced by interexaminer variability if multiple examiners perform the analysis. Lin et al2 reported that interexaminer measurements related to the ciliary process were variable and recommended that measurement should be performed by the same observer. Hence, both approaches have pros and cons. Our previous study showed excellent intraexaminer intraclass correlation coefficient value s between 0.933 and 0.951 using anterior...
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Junki Kwon, Kyung Rim Sung Tags: Correspondence Source Type: research
A Singular Focus on Insurance Coverage Will Not Lead to Eye Health Equity
Recently, a Republican congressman during a meeting with his constituents stated, “Nobody dies because they don't have access to healthcare.”1 Individuals in the audience vehemently refuted this comment, particularly given evidence to the contrary. Since the passage of the Affordable Care Act (ACA) in 2010, the number of uninsured Americans has decreased by 43% and the health of newly insured nonelderly adults has improved.2 Moreover, young adults with cancer have benefited from earlier diagnosis and initiation of the therapy to treat their disease, further supporting the assertion that increased access does indeed sav...
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Eve J. Higginbotham Tags: Editorial Source Type: research
Corneal Collagen Crosslinking for Ectasia after Refractive Surgery
The development of corneal ectasia has been recognized as a complication after LASIK since the first case report from Seiler and Quurke1 in the late 1990s. The clinical picture of iatrogenic corneal ectasia resembles that of progressive keratoconus with reduced corneal biomechanical strength, increasing central corneal steepness, irregular refractive errors, and decreasing visual acuity. Since the first reports, the phenomenon has gained substantial scientific interest, and more than 500 articles have been published on the subject. (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Anders Behndig Tags: Editorial Source Type: research
Editorial Board
(Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Source Type: research
Contents
(Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Source Type: research
Abstracts
Jonathan W. Kim, MD, Hassan A. Aziz, MD, Kathleen McGovern, MS, Emily Zolfaghari, MS, Rima F. Jubran, MD, A. Linn Murphree, MD, Jesse L. Berry, MD (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Tags: Ophthalmology retina abstracts Source Type: research
This Issue at a Glance
Shekhawat et al (p. 1496) conducted a cohort study to examine the effects of first eye versus second eye cataract surgery on visual function and quality of life. The researchers studied 328 patients undergoing separate first eye and second eye cataract surgeries at 5 Veterans Affairs centers in the United Stat es. They found that second eye surgery resulted in higher postoperative National Eye Institute Visual Function Questionnaire scores compared with first eye surgery. First eye surgery was associated with significantly greater improvement in visual function scores, but patient-reported visual function improved signif...
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Sandeep Ravindran Tags: This issue at a glance Source Type: research
A Simple Vista en Este N úmero
Shekhawat y otros (p. 1496) realizaron un estudio de cohorte para analizar los efectos de la cirug ía de cataratas del primer ojo y del segundo ojo en la función visual y la calidad de vida. Los investigadores estudiaron 328 pacientes sometidos a cirugías individuales para cada ojo en los cinco centros de Asuntos de Veteranos de los Estados Unidos. Encontraron que la cirugía del segundo ojo p roducía resultados postoperatorios más altos en el Cuestionario de Función Visual del National Eye Institute en comparación con la cirugía del primer ojo. (Source: Ophthalmology)
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Sandeep Ravindran Tags: This issue at a glance Source Type: research
期刊一览
Shekhawat (p. 1496) 等通过一项队列研究评估白内障第一只眼和第二只眼手术对视觉功能和生活质量的影响。研究者共纳入美国5所退伍军人医疗中心的328名患者,均前后经历第一只眼和第二只眼白内障手术。研究者发现就国家眼科中心视觉功能问卷而 言,第二只眼手术较第一只眼手术术后得分更高。第一只眼手术后视觉功能得分提高更明显;而第二只眼术后患者报告视觉功能改善明显;且第一只眼和第二只眼手术在社会情绪的生活质量评分提高程度相当。研究者总结第二只眼白 内障...
Source: Ophthalmology - September 19, 2017 Category: Opthalmology Authors: Sandeep Ravindran Tags: This issue at a glance Source Type: research
