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1.
Ital J Pediatr ; 47(1): 217, 2021 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-34736495

RESUMO

BACKGROUND: We investigated the volume and the characteristics of pediatric eye emergency department (PEED) consultations performed at our tertiary eye center during the early months of the COVID-19 pandemic and we compared them to those carried out in the same time interval of the previous three years. METHODS: Ophthalmic emergency examinations of patients aged ≤18 years old and done during the national COVID-19 lockdown (March 9th, 2020 - May 3rd, 2020) and in the corresponding date range of the previous three years (2017, 2018, and 2019) have been considered and reviewed. The following features were retrieved and analyzed: age, gender, duration and type of accused symptoms, traumatic etiology, and the discharge diagnosis. RESULTS: 136, 133, and 154 PEED visits have been performed respectively in 2017, 2018, and 2019, while 29 patients presented in 2020. Therefore, the volume of PEED activity decreased by 79.4% (p < 0.0001). Demographical and clinical characteristics were comparable to those of the pre-COVID period. Despite the absolute reduction in the number of traumas, urgent conditions increased significantly from 30.7 to 50.7% (p = 0.024). CONCLUSIONS: PEED activity decreased consistently after the onset of the pandemic and it was mainly attended by those children whose conditions required prompt assistance, reducing the number of patients diagnosed with milder pathologies. At the end of the emergency, better use of PEED could avoid overcrowding and minimize waste, allowing resource optimization for the management of urgent cases.


Assuntos
COVID-19/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Oftalmopatias/epidemiologia , Fatores Etários , COVID-19/prevenção & controle , COVID-19/transmissão , Criança , Pré-Escolar , Controle de Doenças Transmissíveis , Emergências , Oftalmopatias/diagnóstico , Oftalmopatias/terapia , Utilização de Instalações e Serviços , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos
2.
Lakartidningen ; 1182021 10 22.
Artigo em Sueco | MEDLINE | ID: mdl-34676526

RESUMO

A retrospective study was performed at three primary care centers, between 1 July 2019 and 31 January 2020. During that period, 200 patients were assessed for eye/vision problems. Demographic data as well as how they were examined, diagnosed and the treatment that was given to them were registered. The most common complaint was eyelid-related conditions (n=60). External inspection of the anterior segment of the eye was the most common investigation (186 patients), whereas visual acuity was meaured in only 19 instances. Infectious conjunctivitis was the most common diagnosis (n=54) and 87 % of those patients were given topical antibiotics. The majority of the patients (60%) were diagnosed and treated at the primary care unit. 72 (36%) were referred to specialized eye care.  We hope that the results of this study will contribute to developing standardized routines and specified equipment demands in primary health care for patients seeking help with ophthalmological problems.


Assuntos
Conjuntivite , Oftalmopatias , Oftalmopatias/diagnóstico , Oftalmopatias/epidemiologia , Oftalmopatias/terapia , Humanos , Atenção Primária à Saúde , Estudos Retrospectivos , Acuidade Visual
3.
Asia Pac J Ophthalmol (Phila) ; 10(3): 299-306, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34383721

RESUMO

ABSTRACT: Artificial Intelligence (AI), in particular deep learning, has made waves in the health care industry, with several prominent examples shown in ophthalmology. Despite the burgeoning reports on the development of new AI algorithms for detection and management of various eye diseases, few have reached the stage of regulatory approval for real-world implementation. To better enable real-world translation of AI systems, it is important to understand the demands, needs, and concerns of both health care professionals and patients, as providers and recipients of clinical care are impacted by these solutions. This review outlines the advantages and concerns of incorporating AI in ophthalmology care delivery, from both the providers' and patients' perspectives, and the key enablers for seamless transition to real-world implementation.


Assuntos
Oftalmopatias , Oftalmologia , Inteligência Artificial , Atenção à Saúde , Oftalmopatias/diagnóstico , Oftalmopatias/terapia , Humanos
4.
Biomolecules ; 11(8)2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34439800

RESUMO

The eye is at the forefront of developing therapies for genetic diseases. With the FDA approval of the first gene-therapy drug for a form of congenital blindness, numerous studies have been initiated to develop gene therapies for other forms of eye diseases. These examinations have revealed new information about the benefits as well as restrictions to using drug-delivery routes to the different parts of the eye. In this article, we will discuss a brief history of gene therapy and its importance to the eye and ocular delivery landscape that is currently being investigated, and provide insights into their advantages and disadvantages. Efficient delivery routes and vehicle are crucial for an effective, safe, and longer-lasting therapy.


Assuntos
Oftalmopatias/terapia , Técnicas de Transferência de Genes , Terapia Genética/métodos , Vetores Genéticos/metabolismo , Animais , Efusões Coroides , DNA/genética , DNA/metabolismo , DNA/uso terapêutico , Olho/metabolismo , Olho/patologia , Oftalmopatias/genética , Oftalmopatias/metabolismo , Oftalmopatias/patologia , Vetores Genéticos/administração & dosagem , Vetores Genéticos/química , Humanos , Injeções Intravítreas , Lipossomos/química , Lipossomos/metabolismo , Lipossomos/uso terapêutico , Nanopartículas/administração & dosagem , Nanopartículas/química , Nanopartículas/metabolismo , Peptídeos/química , Peptídeos/metabolismo , Peptídeos/uso terapêutico , Líquido Sub-Retiniano , Vírus/genética , Vírus/metabolismo , Corpo Vítreo
5.
Cells ; 10(6)2021 06 10.
Artigo em Inglês | MEDLINE | ID: mdl-34200613

RESUMO

Aptamers are single-stranded DNA or RNA oligonucleotides that are currently used in clinical trials due to their selectivity and specificity to bind small molecules such as proteins, peptides, viral particles, vitamins, metal ions and even whole cells. Aptamers are highly specific to their targets, they are smaller than antibodies and fragment antibodies, they can be easily conjugated to multiple surfaces and ions and controllable post-production modifications can be performed. Aptamers have been therapeutically used for age-related macular degeneration, cancer, thrombosis and inflammatory diseases. The aim of this review is to highlight the therapeutic, diagnostic and prognostic possibilities associated with aptamers, focusing on eye pathological angiogenesis.


Assuntos
Aptâmeros de Nucleotídeos/farmacologia , Oftalmopatias/terapia , Terapia de Alvo Molecular/métodos , Neovascularização Patológica/terapia , Humanos
7.
Asia Pac J Ophthalmol (Phila) ; 10(3): 307-316, 2021 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-34261102

RESUMO

ABSTRACT: Artificial intelligence (AI) is expected to cause significant medical quality enhancements and cost-saving improvements in ophthalmology. Although there has been a rapid growth of studies on AI in the recent years, real-world adoption of AI is still rare. One reason may be because the data derived from economic evaluations of AI in health care, which policy makers used for adopting new technology, have been fragmented and scarce. Most data on economics of AI in ophthalmology are from diabetic retinopathy (DR) screening. Few studies classified costs of AI software, which has been considered as a medical device, into direct medical costs. These costs of AI are composed of initial and maintenance costs. The initial costs may include investment in research and development, and costs for validation of different datasets. Meanwhile, the maintenance costs include costs for algorithms upgrade and hardware maintenance in the long run. The cost of AI should be balanced between manufacturing price and reimbursements since it may pose significant challenges and barriers to providers. Evidence from cost-effectiveness analyses showed that AI, either standalone or used with humans, was more cost-effective than manual DR screening. Notably, economic evaluation of AI for DR screening can be used as a model for AI to other ophthalmic diseases.


Assuntos
Inteligência Artificial , Oftalmopatias , Oftalmologia , Algoritmos , Análise Custo-Benefício , Oftalmopatias/diagnóstico , Oftalmopatias/terapia , Humanos
8.
BMC Ophthalmol ; 21(1): 275, 2021 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-34256729

RESUMO

BACKGROUND: Superficial eye disorders are one of the most common complications of improper eye care in intensive care units that can lead to corneal ulcers and permanent eye damage. The aim of this study was to determine the effect of the implementation of eye care protocol on the incidence of infection and superficial eye disorders in patients admitted to intensive care units. METHODS: This study was a cross-over clinical trial that was performed on 32 patients admitted to the intensive care unit with reduced or no blink reflex following loss of consciousness or receiving sedatives. The eye of the test group received eye care according to the protocol and the eye of the control group received the routine care of the ward. The data collection form included demographic and clinical information and the clinical score scale of superficial eye disorders, which were completed in 7 days for both eyes. Data analysis was performed by McNemar and Cochran tests with a 95 % confidence interval. RESULTS: In the study of superficial eye disorders, the frequency of dacryorrhea and hyperemia was not significantly different in the second to seventh days in the control and test eyes (P < 0.05). The frequency of xerophthalmia was not significantly different between the control and the test eyes on the second to third days (P < 0.05), but there was a significant difference on the fourth, fifth, sixth, and seventh days (P = 0.0001). Also, the frequency of corneal opacity was not significantly different in the second and third days (P < 0.05), but in the fourth (P < 0.05), fifth, sixth, and seventh days, this difference was significant (P = 0.0001). CONCLUSIONS: Based on the results, although the implementation of eye care protocol has been able to have a significant effect on reducing ocular complications and problems, routine eye care in the intensive care unit also has clinical effectiveness. Therefore, in order to prevent and completely eliminate eye disorders in the intensive care unit, more evidence and research are needed. TRIAL REGISTRATION: The trial was retrospectively registered on https://en.irct.ir/trial/43493 on 13 November 2019 (13.11.2019) with registration number [IRCT20140307016870N5].


Assuntos
Úlcera da Córnea , Oftalmopatias , Oftalmopatias/epidemiologia , Oftalmopatias/terapia , Humanos , Incidência , Unidades de Terapia Intensiva , Resultado do Tratamento
9.
Workplace Health Saf ; 69(8): 352-358, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34279149

RESUMO

BACKGROUND: Eye health has garnered increased attention since the COVID-19 pandemic. This Round Table explored the impact mask wearing, delays in eye examinations, and increased screen time have on vision and ultimately the worker. METHODS: Leading experts in the areas of occupational health, risk management, eye health, and communication were identified and invited to participate in a Round Table discussion. Questions posed to experts were based on literature that addressed eye health, such as mask wearing, communication and managing expectations when accessing professional eye health appointments, and increased screen time. FINDINGS: Experts agreed that eye health considerations must be in place. These considerations should address not only clinical care of the patient but ways to protect workers from occupational injury associated with the eye. CONCLUSION/APPLICATION TO PRACTICE: The occupational health professional is a key resource for assessment and training that pertains to eye health.


Assuntos
COVID-19/prevenção & controle , Oftalmopatias/terapia , Pessoal de Saúde/psicologia , Decoração de Interiores e Mobiliário/normas , Saúde do Trabalhador/normas , Traumatismos Ocupacionais/prevenção & controle , Guias de Prática Clínica como Assunto , Adulto , Feminino , Humanos , Masculino , Máscaras , Pessoa de Meia-Idade , Pandemias , Distanciamento Físico , SARS-CoV-2 , Estados Unidos/epidemiologia
10.
J Fr Ophtalmol ; 44(8): 1121-1128, 2021 Oct.
Artigo em Francês | MEDLINE | ID: mdl-34274163

RESUMO

INTRODUCTION: A fire at the Lubrizol chemical factory in Rouen on September 26, 2019 generated a huge column of smoke directed northeast toward the city. As the eye might be particularly affected by the smoke and other toxic emissions from the fire, we assessed the impact of this industrial and ecological disaster on irritative eye surface disease in the week following the accident. MATERIALS AND METHODS: We retrospectively collected the medical data of the patients who presented to the Ophthalmology Emergency Department (OED) of Rouen University Hospital (the only OED open during the days following the accident) during the week following the fire (W1). We compared these data with those of patients who presented during the week before the fire (W-1). We also collected data on patients presenting to the ED in general during W-1 and W1, including the number of visits directly related to the fire. RESULTS: 361 patients presented to the OED during W1 following the fire, compared with 384 in W-1. Of these patients, 83 (23%) had ocular surface disease in W1, versus 76 (20%) in W-1. Conjunctivitis was found in 54 patients in W1 (39 viral, 9 allergic, 6 undetermined) versus 44 in W-1 (27 viral, 12 allergic, 5 undetermined). A dry irritative syndrome was present in 29 patients in W1 versus 32 in W-1. Only 4 patients directly attributed their symptoms to the fire: 2 viral conjunctivitis, 1 allergic conjunctivitis and 1 worried patient (at D2, D5, D7 and D7 following the fire respectively). DISCUSSION: The number of emergency eye consultations did not change in the week following the Lubrizol factory fire (except for a decrease the day of the accident, related to the lock-down). There was a higher number of consultations in W1 for conjunctivitis, mostly viral in appearance and probably not directly related to the fire. The number of consultations for dry irritative syndrome was comparable between the two periods. Despite major media coverage of the event at the national level and a very high level of concern among the population, the fire does not seem to have had an effect on OED activity at Rouen University Hospital, nor on general ED visits. The stay-at-home order on the first day may have had a protective effect, avoiding direct exposure to smoke. The long-term consequences of the soot deposits on the ground as the smoke cloud passed over remain undetermined and are under surveillance. A review of the literature on the ocular consequences of industrial accidents is presented. CONCLUSION: The Ophthalmology Emergency Department did not record increased activity in the week following the Lubrizol Rouen fire, and ocular surface disease did not give rise to more consultations than the week before the fire. This suggests that there was no or minimal immediate ocular toxicity of the smoke from the fire.


Assuntos
Oftalmopatias , Incêndios , Emergências , Serviço Hospitalar de Emergência , Oftalmopatias/epidemiologia , Oftalmopatias/terapia , Humanos , Estudos Retrospectivos
11.
Curr Opin Allergy Clin Immunol ; 21(5): 500-506, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34269742

RESUMO

PURPOSE OF REVIEW: To analyze if recommendations given before and during the COVID-19 pandemic are still a valid option for patients suffering of ocular allergy (OA). RECENT FINDINGS: During the last year many doctors and patients requested suggestions for the treatment of OA patients in COVID-19 time. Most of them were given by phone calls and emails following the recommendations given by Scientific Societies. SUMMARY: Considering the current multiple problems related to the COVID-19 pandemic, OA has not been considered a priority, even though patients need treatments. Topical antiallergic drugs are still the first option to treat all kind of OA, with the addition of topical corticosteroids in the severe forms of vernal and atopic keratoconjunctivitis (VKC and AKC) even in patients at risk of COVID-19. Topical immunomodulation is still recommended in severe forms of VKC and AKC unless the patient is infected. The number of patients treated with these drugs in our Center was similar than previous years. The risk to have a VKC patient affected by COVID-19 is similar to the general pediatric population but with a lower OR. In 2021, still in COVID-time, the management of OA should follow the previous recommendations with an update due to the risk of infection.


Assuntos
COVID-19/epidemiologia , Controle de Doenças Transmissíveis , Conjuntivite Alérgica/terapia , Pandemias , Conjuntivite Alérgica/tratamento farmacológico , Oftalmopatias/terapia , Humanos , Hipersensibilidade/terapia , Guias de Prática Clínica como Assunto
12.
Asia Pac J Ophthalmol (Phila) ; 10(3): 234-243, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34224468

RESUMO

ABSTRACT: Teleophthalmology, a subfield of telemedicine, has recently been widely applied in ophthalmic disease management, accelerated by ubiquitous connectivity via mobile computing and communication applications. Teleophthalmology has strengths in overcoming geographic barriers and broadening access to medical resources, as a supplement to face-to-face clinical settings. Eyes, especially the anterior segment, are one of the most researched superficial parts of the human body. Therefore, ophthalmic images, easily captured by portable devices, have been widely applied in teleophthalmology, boosted by advancements in software and hardware in recent years. This review aims to revise current teleophthalmology applications in the anterior segment and other diseases from a temporal and spatial perspective, and summarize common scenarios in teleophthalmology, including screening, diagnosis, treatment, monitoring, postoperative follow-up, and tele-education of patients and clinical practitioners. Further, challenges in the current application of teleophthalmology and the future development of teleophthalmology are discussed.


Assuntos
Oftalmopatias , Oftalmologia , Telemedicina , Olho , Oftalmopatias/diagnóstico , Oftalmopatias/terapia , Humanos , Programas de Rastreamento
13.
Exp Eye Res ; 209: 108626, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34087205

RESUMO

Exosomes have diverse functions and rich content and are involved in intercellular communication, immune regulation, viral infection, tissue regeneration, and the occurrence, development and metastasis of tumours. Notably, various stem cell-derived exosomes are expected to become new therapeutic approaches for inflammatory diseases and tumours and have good clinical application prospects. However, few studies have examined exosomes in ophthalmic diseases. Therefore, based on the functions of exosomes, this paper summarizes progress in the possible use of exosomes as treatment for specific ophthalmic diseases, aiming to determine the pathogenesis of exosomes to achieve more effective clinical diagnosis and treatment of these diseases.


Assuntos
Gerenciamento Clínico , Exossomos/fisiologia , Oftalmopatias/genética , Células-Tronco Mesenquimais/citologia , Comunicação Celular , Oftalmopatias/patologia , Oftalmopatias/terapia , Humanos , Células-Tronco Mesenquimais/metabolismo
14.
Vet Clin North Am Equine Pract ; 37(2): 441-460, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34119404

RESUMO

Ophthalmic problems account for up to 20% of emergencies in equine practice. Presenting problems may involve the periocular region, adnexa, or globe. Practitioners must have the experience to restrain horses with painful ocular conditions and the knowledge of how to perform a thorough eye examination. A range of clinical skills is required for the necessary diagnostic tests such as corneal cytology, ultrasound and tonometry, and common standing surgical procedures such as eyelid repair or instillation of a subpalpebral lavage system. Therapy, which may involve frequent administration of multiple medications, must be targeted to the specific diagnosis.


Assuntos
Úlcera da Córnea/veterinária , Oftalmopatias/veterinária , Doenças dos Cavalos/diagnóstico , Uveíte/veterinária , Animais , Úlcera da Córnea/diagnóstico , Úlcera da Córnea/terapia , Emergências/veterinária , Oftalmopatias/diagnóstico , Oftalmopatias/terapia , Doenças dos Cavalos/terapia , Cavalos , Uveíte/diagnóstico , Uveíte/terapia
15.
Lancet Digit Health ; 3(7): e414-e424, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34167763

RESUMO

BACKGROUND: There is limited access to eye health services in many low-income and middle-income populations. We aimed to assess the effectiveness in increasing service utilisation of the Peek Community Eye Health (Peek CEH) system, a smartphone-based referral system comprising decision support algorithms (Peek Community Screening app), SMS reminders, and real-time reporting. METHODS: In this cluster-randomised controlled trial of eye health in Kenya, community unit clusters were defined as one health centre and its catchment population. Clusters were randomly allocated (1:1) to receive Peek CEH and referral (intervention group) or standard care via periodic health centre-based outreach clinics and onward referral (control group). Individuals in the intervention group were assessed at home by screeners and those referred were asked to present for triage assessment in a central location. They received regular SMS reminders. In both groups, community sensitisation was done followed by a triage clinic at the cluster health centre 4 weeks after sensitisation. During triage, individuals in both groups were assessed and treated and, if necessary, referred to a specific hospital. Individuals in the intervention group received further SMS reminders. The primary outcome was the mean attendance rate (the number of people per 10 000 population) at triage of those with confirmed eye conditions, as assessed at 4 weeks after sensitisation in the intention-to-treat population. We estimated the intervention effect using a Student's t-test on cluster-level rates. This trial is registered with Pan African Clinical Trial Registry, number 201807329096632. FINDINGS: Between Nov 26, 2018, and June 7, 2019, of the 85 community units in Trans Nzoia County, Kenya, 49 were excluded. We randomly allocated 18 community units each to the intervention group (68 348 individuals) and the control group (60 243 individuals). 9387 individuals from the intervention group and 3070 from the control group attended triage assessment. The mean attendance rate at triage by individuals with eye problems was 1429 (92% CI 1228-1629) in the intervention group and 522 (418-625) in the control group (rate difference 906 per 10 000 [95% CI 689-1124; p<0·0001]). INTERPRETATION: The Peek CEH system increased primary care attendance by people with eye problems compared with standard approaches, indicating the potential of this mobile health package to increase service uptake and guide appropriate task sharing. FUNDING: The Queen Elizabeth Diamond Jubilee Trust and Wellcome Trust.


Assuntos
Oftalmopatias/terapia , Utilização de Instalações e Serviços/estatística & dados numéricos , Acesso aos Serviços de Saúde , Smartphone , Telemedicina , Adolescente , Adulto , Idoso , Análise por Conglomerados , Feminino , Humanos , Quênia , Masculino , Pessoa de Meia-Idade , Encaminhamento e Consulta , Método Simples-Cego , Adulto Jovem
16.
BMJ Open ; 11(6): e046319, 2021 06 25.
Artigo em Inglês | MEDLINE | ID: mdl-34172546

RESUMO

INTRODUCTION: Cochrane Eyes and Vision (CEV) is an international network of individuals working to prepare, maintain and promote access to systematic reviews of interventions to treat, prevent or diagnose eye diseases or vision impairment. CEV plans to undertake a priority setting exercise to identify systematically research questions relevant to our scope, and to formally incorporate input from a wide range of stakeholders to set priorities for new and updated reviews. METHODS AND ANALYSIS: The scope of CEV is broad and our reviews include conditions that are common and have a high global disease burden, for example, cataract and dry eye disease, and conditions that are rare but have a high impact on quality of life and high individual cost such as eye cancer. We plan to focus on conditions prioritised by WHO during the development of the Package of Eye Care Interventions. These conditions were selected based on a combination of data on disease magnitude, healthcare use and expert opinion. We will identify priority review questions systematically by summarising relevant data on research in Eyes and Vision from a range of sources, and compiling a list of 10-15 potential review questions (new and/or updates) for each condition group. We will seek the views of external and internal stakeholders on this list by conducting an online survey. Equity will be a specific consideration. ETHICS AND DISSEMINATION: The study has been approved by the ethics committee of the London School of Hygiene & Tropical Medicine. We will disseminate the findings through Cochrane channels and prepare a summary of the work for publication in a peer-reviewed journal.


Assuntos
Catarata , Oftalmopatias , Oftalmopatias/diagnóstico , Oftalmopatias/terapia , Humanos , Londres , Qualidade de Vida , Inquéritos e Questionários
17.
Arch. argent. pediatr ; 119(3): e193-e201, Junio 2021. tab, ilus
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1223310

RESUMO

Se describen como desafíos actuales en mucopolisacaridosis I la necesidad de una clasificación adecuada, vinculándola a las indicaciones terapéuticas; el diagnóstico temprano desde la pesquisa neonatal, sus ventajas y dificultades hasta la sospecha clínica de las formas grave y atenuada; el cuidado de la patología espinal y oftalmológica, desde el diagnóstico, el seguimiento y el tratamiento; las reacciones alérgicas por terapia de reemplazo enzimático, su diagnóstico y tratamiento. Por último, la transición hacia el cuidado adulto


Here we describe the current challenges of mucopolysaccharidosis type I: the need for an adequate classification, establishing its relationship to therapeutic indications; an early diagnosis, from neonatal screening, its advantages and barriers, to clinical suspicion of severe and attenuated forms; spinal and eye disease care, from diagnosis to follow-up and treatment; allergic reactions caused by enzyme replacement therapy, their diagnosis and treatment. And lastly, transition to adult care


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Mucopolissacaridose I/diagnóstico , Mucopolissacaridose I/terapia , Triagem Neonatal , Mucopolissacaridose I/classificação , Oftalmopatias/diagnóstico , Oftalmopatias/terapia , Transição para Assistência do Adulto , Hipersensibilidade/diagnóstico , Hipersensibilidade/terapia
19.
Curr Opin Ophthalmol ; 32(4): 324-330, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-33973906

RESUMO

PURPOSE OF REVIEW: With social media use continuing to increase in popularity, ophthalmologists use social media daily for interactions with patients, colleagues, and the academic community. RECENT FINDINGS: The potential reach of social media is overwhelmingly encouraging, but academic organizations have much work to do in order to compete for viewership on social media platforms, and users need to remain vigilant of easily spread misinformation. Individual ophthalmology practices can tailor their social media presence to attract and educate patients. Using hashtags to supplement the experience of academic conferences has boosted engagement both of attendees and other interested parties. As an effective indicator of the popularity of different subjects in medicine, new studies are leveraging social media for epidemiological models. Finally, social media is emerging as a powerful tool for patient advocacy in ophthalmology. SUMMARY: The accessibility of social media uniquely positions it to educate patients, disseminate public eye health initiatives, and increase the reach of individual physicians. It is also able to enhance the academic experience of conferences, connecting new research colleagues, and is becoming the subject of epidemiologic studies itself. Whether using social media for patient education, research, clinical practice, or patient advocacy, ophthalmologists will find social media an increasingly important workplace contributor.


Assuntos
Oftalmopatias/terapia , Oftalmologia , Mídias Sociais/tendências , Humanos
20.
Clin Exp Optom ; 104(6): 711-716, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34016025

RESUMO

CLINICAL RELEVANCE: Following the COVID-19 lockdown, uptake of slitlamp-enabled live teleophthalmology increased. Its use contributed to a reduction of referrals escalated to secondary care during-lockdown (avoided: 64% pre-lockdown vs 86% during-lockdown). BACKGROUND: Live teleophthalmology using video conferencing allows real-time, three-way consultation between secondary care, community providers and patients, improving interpretation of slit lamp findings and potentially reducing referrals to secondary care. NHS Forth Valley implemented live teleophthalmology in March 2019. In March 2020, the COVID-19 pandemic created urgency to deliver ophthalmic care while minimising the risk of contracting or spreading the disease. We aim to compare the uptake and two outcomes (number of avoided secondary care referrals; pattern of presenting conditions) of live teleophthalmology consultations in NHS Forth Valley before and during the COVID-19 national lockdown. METHODS: An NHS secure video conferencing platform connected the video slit lamps of optometrists, or an iPad mounted on a slit lamp and viewing through the eyepieces, to a secondary care ophthalmologist via a virtual live clinic/waiting area. Data about avoiding a secondary care referral were extracted from a post-consultation ophthalmologist survey for 14 months of data. Pre- and during-lockdown intervals were before/after 23 March 2020, when routine eyecare appointments were suspended. Numbers of avoided referrals to secondary care and patterns of presenting conditions were compared for pre- and during-lockdown periods. RESULTS: The COVID-19 pandemic markedly increased use of live teleophthalmology in NHS Forth Valley. Surveys were completed for 164 of 250 (66%) teleophthalmology consultations over the study period. Data from 154 surveys were analysed, 78 and 76 for the pre- and during-lockdown periods, respectively. Significantly more during-lockdown (86%) than pre-lockdown (64%; difference 21%, 95% CI 8-34%, p = 0.001) surveys indicated that referrals to secondary care were avoided. CONCLUSION: Survey data from ophthalmologists suggest significantly fewer escalations to secondary care due to teleophthalmology use.


Assuntos
COVID-19/epidemiologia , Oftalmopatias/epidemiologia , Oftalmologia/métodos , Quarentena , Encaminhamento e Consulta/tendências , Atenção Secundária à Saúde/normas , Telemedicina/métodos , Controle de Doenças Transmissíveis/métodos , Oftalmopatias/terapia , Humanos , Pandemias , SARS-CoV-2
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