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Surgically induced astigmatismCorneal astigmatismMeanSummated vector meanCentroidVector analysisTemporal incisionSuperior incisionICL implantation

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Eye and Vision 2023年第6期9卷 1-7页

作者： Kazutaka Kamiya Wakako Ando Masahide Takahashi Nobuyuki Shoji Visual Physiology School of Allied Health SciencesKitasato University1-15-1 KitasatoMinamiSagamiharaKanagawa252-0373Japan department of ophthalmology School of MedicineKitasato UniversitySagamiharaJapan

BackgroundTo compare the arithmetic mean (M-SIA) and the summated vector mean of surgically induced astigmatism (SVM-SIA) according to the incision site after phakic intraocular lens (Visian implantable collamer lens (ICL), STAAR Surgical) *** study comprised 121 eyes of 121 consecutive patients undergoing ICL surgery through a 3.0-mm temporal or superior clear corneal incision. The magnitude and the axis of corneal astigmatism preoperatively and 3 months postoperatively were measured using an automated keratometer. The M-SIA and the SVM-SIA were determined according to the incision *** magnitude of corneal astigmatism significantly increased from 1.23 ± 0.59 D preoperatively to 1.46 ± 0.72 D postoperatively in the temporal incision group (Wilcoxon signed-rank test, P < 0.001), but it significantly decreased from 1.09 ± 0.36 D preoperatively to 0.86 ± 0.41 D postoperatively in the superior incision group (P < 0.001). The M-SIA was 0.48 ± 0.30 D, and the SVM-SIA was 0.23 ± 0.52 D at a meridian of 82° in the temporal incision group. The M-SIA was 0.57 ± 0.30 D, and the SVM-SIA was 0.47 ± 0.45 D at a meridian of 1° in the superior incision *** implantation induces the M-SIA by approximately 0.5 D, but the SVM-SIA decreased to 50% and 80% of the M-SIA in magnitude through temporal and superior incisions, respectively. The direction of the SVM-SIA showed a tendency toward corneal flattening to the incisional site. It should be noted that the M-SIA is somewhat different from the SVM-SIA according to the incision site.

关键词： Surgically induced astigmatism Corneal astigmatism Mean Summated vector mean Centroid Vector analysis Temporal incision Superior incision ICL implantation

Novel variant syndrome associated with congenital hepatic fibrosis

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World Journal of Clinical Cases 2015年第10期3卷 904-910页

作者： Yusuf Bayraktar Ozlem Yonem Kubilay Varl? Hande Taylan Ali Shorbagi Cenk Sokmensuer department of Gastroenterology Faculty of MedicineHacettepe University department of Gastroenterology Cumhuriyet University department of Neurology Hacettepe University department of ophthalmology Hacettepe University department of Pathology Hacettepe University

Congenital hepatic fibrosis is part of many different malformation syndromes, of which oculo-encephalohepato-renal syndrome is the most common. These syndromes largely overlap, and so accurate classification of individual patients may be difficult. We present herein three syndromic siblings who were products of a consanguineous marriage. We investigated in detail at least six organ systems in these patients, namely the liver, brain, eye, kidneys, skeleton, and gonads. The common features observed in these three cases were congenital hepatic fibrosis, retinitis pigmentosa, truncal obesity, rotatory nystagmus, mental retardation, advanced myopia, and high-arched palate. The clinical dysmorphology in these patients was distinct and lacked the major features of the known syndromes associated with congenital hepatic fibrosis. Although some features of these presented cases are similar to those found in Bardet-Biedl syndrome(BBS), the absence of some major criteria of BBS(polydactyly, renal abnormality, and hypogonadism) suggests that this may be a new syndrome. All three patients remain under follow-up in the departments of Gastroenterology, ophthalmology, and Neurology at Hacettepe University.

关键词： Congenital hepatic fibrosis Nystagmus Mental retardation Retinitis pigmentosa High-arched palate

Faculty development for teaching and assessing residents’professionalism

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Annals of Eye Science 2019年第1期4卷 131-136页

作者： Ana Gabriela Palis Moira Raquela Altszul department of ophthalmology Hospital Italiano de Buenos AiresBuenos AiresArgentina

The teaching of professionalism,a key aspect of medical competence that regulates physician’s behavior towards patients,colleagues,society,and self,should be included in the curriculum of every training *** suggest a variety of formats to teach and evaluate professionalism in residents,being role modeling,reflection,case discussions,and 360-degree assessments the most commonly ***,little is published about the need to train faculty for teaching and evaluating professionalism,or how to improve institutional culture,so that principles that are indicated to teach in theory are also fulfilled in practice.

关键词： Faculty development competencies residents education professionalism

Improving presentation effectiveness

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Annals of Eye Science 2019年第1期4卷 141-145页

作者： Eduardo Mayorga department of ophthalmology Hospital Italiano de Buenos AiresBuenos AiresArgentina

Presentations using PowerPoint or similar software are probably the most commonly used format that doctors use for teaching in medical school,during residency,at medical meetings and other continuous medical education(CME)***,their effectiveness has been questioned by *** article intends to provide,in a synthetized way,several recommendations that can help make presentation more effective.

关键词： Presentations adult learning multimedia principles performance

What Happens to Modifiable Cardiovascular Risk Factors over Time in Type 2 Diabetes? Experience from a Developing Country under Standard of Care Conditions

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Journal of Diabetes Mellitus 2016年第4期6卷 307-317页

作者： Raya S. Zreik Haytham I. Salti Ibrahim S. Salti Roula Boukhalil Tamer Haddad Mona P. Nasrallah department of Internal Medicine Faculty of Medicine American University of Beirut Medical Center Beirut Lebanon department of ophthalmology Faculty of Medicine American University of Beirut Medical Center Beirut Lebanon

Introduction: The complications of diabetes mellitus are the main reason for the morbidity associated with this condition, its cost, and its effect on quality of life. We have previously reported on the high prevalence of complications on a cohort of diabetic subjects. In the current study, we inquire what happens to the risk factors associated with these complications over time. Methods: The study is a prospective observational report over a two-year period where patients presented to the outpatient clinic for their usual care and had laboratory tests, retinal exams, and clinical assessment. They were treated as per American Diabetes Association guidelines in the outpatient department of the American University of Beirut. Results: Out of 220 subjects, 200 completed the two-year evaluation. There was no change in metabolic indices such as HbA1C, BMI, or smoking rates. However, there was mild, but significant improvement in LDL-C levels and blood pressure control. In parallel, there was an increase in the use of statins and ARB/ACEI category. However, their use remained much lower than in the reported literature. The population fared worse than the National Health Assessment and Nutrition Examination Survey (NHANES) population in most diabetes quality of care measures. The predicted 10-year vascular risk was 19%, similar to the calculated risk in a German population study. Conclusion: The lack of significant metabolic improvement points to a lack of effective lifestyle implementation measures, as well as to an under utilization of medical therapy. The approach to complications prevention needs to be more intense and multidisciplinary in nature in order to improve the patients’ outcome.

关键词： Cardiovascular Risk Factors Diabetes Outpatient Clinic Lebanon T2DM

Femtosecond laser-assisted cataract surgery(FLACS)in resident training

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Annals of Eye Science 2018年第1期3卷 393-402页

作者： Carmen Somavilla Bueno Jose de la Cruz department of ophthalmology and Visual Sciences University of Illinois at ChicagoChicagoILUSA

This article reviews the history of the femtosecond laser in ophthalmology and its subsequent introduction into the field of cataract *** discusses the innovations that this technology has brought to the *** article also describes the current system of teaching cataract surgery to ophthalmology residents in the United States and then examines how femtosecond laser-assisted cataract surgery(FLACS)can be a beneficial part of residency education.

关键词： Femtosecond laser cataract surgery capsulorhexis optical coherence tomography

Filter Connected with Three-way Cock in Remove of the Vehicle in Triamcinolone Acetonide

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眼科学报 2006年第3期22卷 156-159,165页

作者： Lei Du Yiqiao Xing Changzheng Chen department of ophthalmology Renmin Hospital Wuhan University Wuhan 430060 China.

Purpose: To evaluate the clinical effect of 5-μm pore filter connected with three-way cock by removing the vehicle in triamcinolone acetonide(TA) suspension. Methods: Through 5-μm pore filter connected with three-way cock, TA suspension was replaced by intraocular irrigating solution. The new suspension has been applied to 60 cases of diabetic branch retinal vein occlusion,diabetic macular edema and age-related macular degeneration patients through intravitreal injection. It was also been applied to 41 cases of diabetic retinopathy, epimacular membrane, proliferative vitreoretinopathy and idiopathic macular hole patients to assist pas plana vitrectomy (PPV). Whether TA particles can adhere to posterior hyaloid cortex, epiretinal membrane and internal limiting membrane during the surgery have been observed. During follow up, corrected visual acuity and intraocular pressure were recorded. Results: Five μm pore filter connected with three-way cock can remove the vehicle in TA suspension successfully and retain TA particles. When the new suspension was applied to assist PPV, it can adhere to posterior hyaloid cortex, epiretinal membrane, internal limiting membrane and visualized them clearly. In all the 41 cases that underwent PPV surgery, visual acuity of 30 cases increased or remained stable. Intraocular hypertension happened in 4 cases. Two cases of the 41 patients had cataract formation during follow up. In the 60 cases that underwent TA intravitreal injection, 45 cases increased their visual acuity at least 2 lines. Intraocular hypertension happened in 17 cases and 4 patients had cataract formation. None of the 101 patients caught endophthalmitis or other serious complications. Conclusion: Filter connected with three-way cock can remove the vehicle in TA suspension effectively and this procedure can be applied to intravitreal injection or PPV. This manipulation is so simple that it deserves to be popularized for clinical use.

关键词： Triamcinolone acetonide Safety Vitrectomy Intravitreal injection

A fundamental(often neglected)lecture skill:presenting with credibility

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Annals of Eye Science 2017年第1期2卷 181-185页

作者： Ana Gabriela Palis department of ophthalmology Hospital Italiano de Buenos AiresBuenos AiresArgentina

Being credible as medical speakers is a fundamental quality to achieve. Although there are many factors that determine the credibility of a medical presenter, the way presentations are delivered (the lecture’s structure, visual aids, and the lecturer’s communication skills and engagement with the audience) will influence the effect speakers have on their audience and how credible people consider the lecturer, which will ultimately affect students’ learning. This perspective provides recommendations to increase speakers’ credibility through applying common presentation and communication principles in four domains: expertise and competence (e.g., know your audience, organize your presentation, introduce yourself, hold your arguments with evidence, avoid information overload, be prepared to answer questions), authenticity (be an accessible and honest speaker), personal presence (rehearse your presentation, get organized early, enjoy the moment), and dynamism (engage your audience, do not read your slides, explain the data, use images rather than text, avoid distracting your audience, ask and encourage questions).

关键词： Lectures health communication teaching

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Pathologic myopia

Annals of Eye Science 2018年第1期3卷 58-68页

作者： Kyoko Ohno-Matsui department of ophthalmology and Visual Science Tokyo Medical and Dental UniversityTokyoJapan

Pathologic myopia is the major cause of the loss of the best-corrected visual acuity(BCVA)worldwide,especially in East Asian *** loss of BCVA is caused by the development of myopic macula patchy,myopic traction macula patchy,and myopic optic neuropathy(or glaucoma).The development of such vision-threatening complications is caused by eye deformity,characterized by a formation of posterior *** recent advance in ocular imaging has greatly facilitated the clarification of pathologies and pathogenesis of pathological myopia and myopia-related *** technologies include ultra-wide field fundus imaging,swept-source optical coherence tomography,and 3D *** addition,the new treatments such as anti-VEGF therapies for myopic choroid all neovascularization have improved the outcome of the ***-source OCT showed that some of the lesions of myopic maculopathy were not simply chorioretinal atrophy but were Bruch’s membrane *** of myopic traction maculopathy have been analyzed extensively by using *** understanding the pathophysiology of complications of pathologic myopia is considered useful for better management of this blinding eye disease.

关键词： Pathologic myopia(PM) posterior staphyloma myopic maculopathy myopic traction maculopathy(MTM)