Current Opinion in Ophthalmology




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سفارش

Editorial introductions

Editor(s): Lee, Jimmy K.; Mian, Shahzad I.

doi : 10.1097/ICU.0000000000000776

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p v

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Postrefractive infectious keratitis: prevention, diagnosis, management, and prognosis

Viriya, Elizabetha; Mah, Francisb

doi : 10.1097/ICU.0000000000000775

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 309-314

Improve outcomes from an elective procedure by preventing a rare but sight-threatening complication.

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Neurotrophic keratopathy and refractive surgery

Kristan, Joseph; Kang, Joann J.

doi : 10.1097/ICU.0000000000000769

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 315-318

Corneal nerve function is an important consideration for the refractive surgeon. In patients without a history of neuropathy, refractive surgery can lead to destruction of corneal nerves and may predispose to keratopathy. The purpose of this review is to provide an update on the effect of refractive surgery on corneal nerve function and the potential for an increased risk of neurotrophic keratopathy development.

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Pharmacological strategies for treating presbyopia

Orman, Betinaa; Benozzi, Giovannaa,b

doi : 10.1097/ICU.0000000000000770

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 319-323

Presbyopia is the normal progressive loss of accommodation, which leads to the inability to focus clearly on objects located at different distances. Some of the accepted methods for treating this condition are glasses, contact lenses, and surgery. Pharmacological treatments are a new and promising noninvasive option for dealing with presbyopia. The aim of this review is to provide an update on some recent advances in this field.

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What's trending: a review of social media in ophthalmology

Men, Maurandaa; Fung, Simon S.M.b; Tsui, Edmundb

doi : 10.1097/ICU.0000000000000772

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 324-330

With social media use continuing to increase in popularity, ophthalmologists use social media daily for interactions with patients, colleagues, and the academic community.

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Advances in corneal graft rejection

Yin, Jia

doi : 10.1097/ICU.0000000000000767

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 331-337

Immune rejection after corneal transplantation is a major risk for graft failure. We aim to summarize recent advances in the understanding and management of graft rejection.

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Updated safety precautions and guidance on eye banking procedures during the coronavirus disease 2019 pandemic

Armenti, Stephen T.; Ballouz, Dena; Mian, Shahzad I.

doi : 10.1097/ICU.0000000000000773

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 338-342

severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious coronavirus causing the COVID-19 pandemic. Although airborne spread through infectious respiratory droplets is the primary source of transmission, recent literature has suggested the ocular surface may be able to harbor viral particles. Here, we aim to discuss how SARS-CoV-2 affects the ocular surface and updated guidance on how SARS-CoV-2 transmission should be considered in the setting of eye banking and corneal transplantation procedures.

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Update on corneal collagen crosslinking for ectasia

Pasha, Hamza; Palazzolo, Laura; Prakash, Gaurav; Jhanji, Vishal

doi : 10.1097/ICU.0000000000000765

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 343-347

Corneal collagen crosslinking (CXL) is a minimally invasive treatment that can stabilize corneal ectatic disorders including keratoconus, pellucid marginal degeneration, or postrefractive surgery ectasia. The benefits of CXL have been well documented. New research is focused on modifying current treatment protocols with the goals of maximizing corneal stability while also shortening overall procedure time.

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Alternative therapies for dry eye disease

Mittal, Rhiyaa,b; Patel, Sneha,b; Galor, Anata,b,c

doi : 10.1097/ICU.0000000000000768

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 348-361

Dry eye disease (DED) is a multifactorial disease affecting approximately 5–50% of individuals in various populations. Contributors to DED include, but are not limited to, lacrimal gland hypofunction, meibomian gland dysfunction (MGD), ocular surface inflammation, and corneal nerve dysfunction. Current DED treatments target some facets of the disease, such as ocular surface inflammation, but not all individuals experience adequate symptom relief. As such, this review focuses on alternative and adjunct approaches that are being explored to target underlying contributors to DED.

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The management of neurotrophic keratitis

Jabbour, Samira; Ashton, Christophera; Balal, Shafia; Kaye, Abigaila; Ahmad, Sajjada,b

doi : 10.1097/ICU.0000000000000766

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 362-368

The management of neurotrophic keratitis (NK) has evolved in the last decade. The present article reviews updated management guidelines of this entity, as well as future innovations in the field.

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The role of imaging technologies for ocular surface tumors

Venkateswaran, Nandinia; Sripawadkul, Wathaneeb; Karp, Carol L.b

doi : 10.1097/ICU.0000000000000771

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 369-378

This review will discuss the utility of high-resolution anterior segment optical coherence tomography (HR-OCT), in-vivo confocal microscopy (IVCM) and ultrasound biomicroscopy (UBM) in characterizing and diagnosing various ocular surface tumors, namely ocular surface squamous neoplasia (OSSN), conjunctival lymphoma and conjunctival melanoma. The strengths and limitations of each imaging modality will be discussed along with the characteristics findings of each lesion on each imaging platform.

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The role of environment in the pathogenesis of keratoconus

de Azevedo Magalh?es, Ot?vioa; Gonçalves, Mauro Cabralb; Gatinel, Damienc

doi : 10.1097/ICU.0000000000000764

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 379-384

This study was conducted to demonstrate the importance of the environment in keratoconus (KC) genesis.

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Challenges in management of the Boston Keratoprosthesis Type 1

Koo, Ellen H.a; Hannush, Sadeer B.b

doi : 10.1097/ICU.0000000000000774

Current Opinion in Ophthalmology: July 2021 - Volume 32 - Issue 4 - p 385-388

The Boston Keratoprosthesis Type 1 was pioneered by Claes Dohlman several decades ago. Since its inception, the device has undergone multiple revisions to address challenges associated with retroprosthetic membrane formation, retention, extrusion, stromal melt and endophthalmitis. Although visual outcomes and retention rates have improved, challenges, especially glaucoma, remain.

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