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Outcomes and variables that impact pneumatic retinopexies

International Journal of Ophthalmology(English edition) 2024年第3期17卷 564-569页

作者： Maria V.Castanos Daniel Vail oscar otero-marquez Yash Shah Avnish Deobhakta New York Eye and Ear Infirmary of Mount Sinai New York 10003New YorkUSA

●AIM:To evaluate the efficacy of pneumatic retinopexy(PR)in patients undergoing PR as primary treatment for rhegmatogenous retinal detachment(RRD)and analyze the factors associated with success and failure in the studied population.●METHODS:A retrospective chart review was done of patients with RRD treated with PR as primary management method treated at New York Eye and Ear Infirmary of Mount Sinai between January 2017 and December *** outcome measured success or failure of *** outcome measured best corrected visual acuity(BCVA)after PR.A separate risk analysis was done to identify and stratify risks associated with success and failure of PR.●RESULTS:A total of 179 eyes from 179 patients were included for final *** 83 patients(46.37%)achieved anatomical reattachment of the retina after primary PR with no need for additional *** 96 patients(53.63%)had a failed primary PR and required a PPV and 6 of them required pars plana vitrectomy(PPV)with scleral buckle(SB).In total,19 cases(10.61%)were done as temporizing pneumatics,18(94.74%)underwent PPV,and 1(5.26%)did not require further *** visual acuities at postoperative month 1(POM1)for patients who underwent primary PR successfully and for those that underwent PPV after,were 0.58(20/80)and 1.03(20/200)*** who met Pneumatic Retinopexy Versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial(PIVOT)criteria had a statistically significant decreased risk of primary PR failing(hazard ratio 0.29,P=0.00).Majority of missed or new breaks were found superotemporally.●CONCLUSION:PR is a good treatment option for treating RRDs in patients that meet PIVOT criteria and can be conducted as a temporizing *** criteria and fovea on status decrease the risk of PR failure.

关键词： retina pneumatic retinopexy rhegmatogenous retinal detachment

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Combined automated screening for age-related macular degeneration and diabetic retinopathy in primary care settings

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Annals of Eye Science 2021年第2期6卷 3-10页

作者： Alauddin Bhuiyan Arun Govindaiah Sharmina Alauddin oscar otero-marquez RTheodore Smith Research&Development Department iHealthScreen Inc.Richmond HillUSA Department of Ophthalmology Icahn School of Medicine at Mount SinaiNew YorkUSA

Background:Age-related macular degeneration(AMD)and diabetic retinopathy(DR)are among the leading causes of blindness in the United States and other developed *** detection is the key to prevention and effective *** have built an artificial intelligence-based screening system which utilizes a cloud-based platform for combined large scale screening through primary care settings for early diagnosis of these ***:iHealthScreen Inc.,an independent medical software company,has developed automated AMD and DR screening systems utilizing a telemedicine platform based on deep machine learning *** both diseases,we prospectively imaged both eyes of 340 unselected non-dilated subjects over 50 years of *** DR specifically,152 diabetic patients at New York Eye and Ear faculty retina practices,ophthalmic and primary care clinics in New York city with color fundus *** the initial review of the images,308 images with other confounding conditions like high myopia and vascular occlusion,and poor quality were excluded,leaving 676 eligible images for AMD and DR *** ophthalmologists evaluated each of the images,and after adjudication,the patients were determined referrable or non-referable for AMD *** AMD,172 were labeled referable(intermediate or late),and 504 were non-referable(no or early).Concurrently,regarding DR,33 were referable(moderate or worse),and 643 were non-referable(none or mild).All images were uploaded to iHealthScreen’s telemedicine platform and analyzed by the automated systems for both *** system performances are tested on per eye basis with sensitivity,specificity,accuracy,and kappa scores with respect to the professional ***:In identifying referable DR,the system achieved a sensitivity of 97.0%and a specificity of 96.3%,and a kappa score of 0.70 on this prospective *** AMD,the sensitivity was 86.6%,the specificity of 92.1%,and a kappa score of ***

关键词： Diabetic retinopathy age-related macular degeneration primary care

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