A Prospective Study of Binocular Visual Function before and after Successful Surgery to Remove a Unilateral Epiretinal Membrane

Purpose: Optical coherence tomography (OCT) is useful in diagnosing and monitoring retinal pathology such as age-related macular degeneration, diabetic macular edema (DME), central serous chorioretinopathy, and epiretinal membrane, among others. This study compared the ability of horizontal (H) 25-, 13-, and 7-cut macular OCT vs 24-, 12-, and 6-cut radial (R) macular OCT in identifying various macular pathology. Methods: This was a prospective study of 161 established patients evaluated at Wilford Hall Eye Center Retina Clinic between September and October of 2019. Pathology included age-related macular degeneration, central serous chorioretinopathy, DME, and epiretinal membrane, among others. Patients obtained 25-, 13-, and 7-cut H raster OCT as well as 24-, 12-, and 6-cut R OCT. Primary outcomes were sensitivity in detecting macular fluid and each macular abnormality. Results: The 24-cut radial (R24) OCT equally or out-performed the H25 (horizontal 25-cut OCT) in detecting macular fluid across all pathological groups. Generally, a higher number of cuts correlated with better detection of fluid. In detecting any macular abnormalities, H25, R24, and R12 had 100% sensitivity. R6 OCT had near 100% sensitivity across all groups, except for DME (95%). Overall, R OCT had better sensitivity (0.960) than H OCT (0.907) in detecting macular pathology. Conclusions: R outperformed H macular OCT in detecting fluid and other abnormalities. Clinically, both scanning patterns can be used by ophthalmologists in diagnosis and management of commonly encountered macular diseases. Technicians may be able to use a variety of these scans to screen for pathology prior to physician evaluation.

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Sexuality in patients with ulcerative colitis before and after restorative proctocolectomy: a prospective study

Scandinavian Journal of Gastroenterology ◽

10.1080/00365520310008449 ◽

2004 ◽

Vol 39 (4) ◽

pp. 374-379 ◽

Cited By ~ 58

Author(s):

I. Berndtsson ◽

T. Öresland ◽

L. Hultén

Keyword(s):

Ulcerative Colitis ◽

Prospective Study ◽

Restorative Proctocolectomy ◽

Before And After ◽

A Prospective Study

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Assessment of visual function in idiopathic intracranial hypertension: A prospective study

Eye ◽

10.1038/eye.1998.18 ◽

1998 ◽

Vol 12 (1) ◽

pp. 111-118 ◽

Cited By ~ 67

Author(s):

Fiona J Rowe ◽

Nicholas J Sarkies

Keyword(s):

Prospective Study ◽

Intracranial Hypertension ◽

Visual Function ◽

Idiopathic Intracranial Hypertension ◽

A Prospective Study

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Triggerfish Recording of IOP Patterns in Combined HFDS Minimally Invasive Glaucoma and Cataract Surgery: A Prospective Study

Journal of Clinical Medicine ◽

10.3390/jcm10163472 ◽

2021 ◽

Vol 10 (16) ◽

pp. 3472

Author(s):

Bojan Pajic ◽

Mirko Resan ◽

Brigitte Pajic-Eggspuehler ◽

Horace Massa ◽

Zeljka Cvejic

Keyword(s):

Circadian Rhythm ◽

Intraocular Pressure ◽

Minimally Invasive ◽

Prospective Study ◽

Cataract Surgery ◽

High Frequency ◽

Glaucoma Surgery ◽

Before And After ◽

Contact Lens Sensor ◽

A Prospective Study

Background: The aim of the study is to investigate whether the circadian IOP rhythm can be influenced by combined cataract surgery with high frequency deep sclerotomy (HFDS) and whether intraocular pressure (IOP) can be significantly reduced by HFDS. Methods: In our study 10 patients were included, in whom 24 h IOP monitoring was installed before and after HFDS/cataract surgery using a Triggerfish. HFDS is a minimally invasive glaucoma surgery (MIGS). Results: After performed HFDS combined with cataract surgery, the IOP was reduced from 27.7 ± 2.11 mmHg to 14.4 ± 2.59 mmHg, which is highly significant (p < 0.001). The contact lens sensor (CLS) cosinor analysis pre- and postoperatively showed that the circadian rhythm is not influenced by the surgery, i.e., the circadian IOP rhythm did not show significant differences before and after surgery. Conclusions: HFDS combined with cataract surgery is a potent surgical method that can significantly reduce the IOP. However, the circadian rhythm cannot be changed by the surgery. The acrophase remained during the night in all patients.

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Fibreoptic Bronchoscopy in the Critically Ill: A Prospective Study of its Diagnostic and Therapeutic Value

Anaesthesia and Intensive Care ◽

10.1177/0310057x9202000412 ◽

1992 ◽

Vol 20 (4) ◽

pp. 464-469 ◽

Cited By ~ 8

Author(s):

R. Bellomo ◽

E. Tai ◽

G. Parkin

Keyword(s):

Prospective Study ◽

Critically Ill ◽

Lower Lobe ◽

Major Complication ◽

Diagnostic Value ◽

Fibreoptic Bronchoscopy ◽

Clinical Assessments ◽

Therapeutic Value ◽

Before And After ◽

A Prospective Study

Aim A prospective study was undertaken to assess the diagnostic value and therapeutic usefulness of fibreoptic bronchoscopy in the critically ill. Method Fifty-six bronchoscopies were performed in fifty patients. Biochemical, radiological, microbiological and clinical assessments were made before and after each procedure. Results Eighteen fibreoptic bronchoscopies were performed for therapeutic indications (32.1%) of which ten (55.6%) yielded a useful outcome. Thirty-eight bronchoscopies were for diagnostic purposes (67.8%) of which 22 (5 7.9%) were clinically useful. Broncho-alveolar lavage was performed in twenty-eight cases (50%) and it led to a clinically useful diagnosis in 17 (60.7%). There was no major complication. A subgroup of patients was defined (persistent left lower lobe collapse or consolidation following thoracic or abdominal surgery) in whom fibreoptic bronchoscopy usually did not yield a useful outcome. Conclusion The use of fibreoptic bronchoscopy in the Intensive Care Unit, in combination with the technique of broncho-alveolar lavage, results in a clinically useful outcome in the majority of cases. Fibreoptic bronchoscopy is an effective and safe diagnostic and therapeutic tool in critically ill patients.

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