Abstract:
Objective:To report the 15-year trend in ophthalmic presentations to the emergency department (ED) at the only medical center in Lebanon that provides 24-hour ophthalmologic care. Methods:Retrospective review of 1967 patients presenting to the ED with eye-related complaints between September 1997 and August 1998 and between September 2012 and August 2013. Diagnoses were classified into 4 categories according to the International Society of Ocular Trauma and include penetrating eye injuries, nonpenetrating eye trauma, nontraumatic ophthalmic emergencies, and nontraumatic, nonurgent ophthalmic conditions. Results:One thousand sixty eye-related presentations out of 39,158 total ED visits (2.71%) presented in 1997 compared to 907 out of 46,363 in 2012 (1.96%). Penetrating and nonpenetrating eye emergencies decreased between 1997 and 2012 (7.17% to 4.19%, p = 0.003 and 52.64% to 29.00%, p < 0.001, resp.) while nonurgent cases increased from 30.19% to 53.47% (p < 0.001). 57% of patients were covered by third-party guarantors in 1997 versus 73% in 2012. Conclusion:Our results demonstrate a significant increase in nonurgent cases in parallel with the proportion of third-party payers, an issue to be addressed by public health policies and proper resource allocation. A detailed nationwide review is needed to make solid recommendations for the management of ophthalmologic presentations in the ED.
journal_name
J Ophthalmoljournal_title
Journal of ophthalmologyauthors
Salti HI,Mehanna CJ,Abiad B,Ghazi N,Raad S,Barikian A,Haddad R,Ashkar A,Harmouche E,Zaghrini E,Mufarrij Adoi
10.1155/2018/4739865subject
Has Abstractpub_date
2018-03-13 00:00:00pages
4739865eissn
2090-004Xissn
2090-0058journal_volume
2018pub_type
杂志文章abstract:Purpose:To analyze the results of three-year outcomes of combined epithelium-on cross-linking with femtosecond laser ICRS (cross-linking PLUS) for keratoconus management. Design:A retrospective multicenter clinical study. Methods:43 eyes of 38 patients were subjected to preoperative and postoperative UCVA, BCVA, refr...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2018/6907573
更新日期:2018-01-17 00:00:00
abstract:Introduction:To assess long-term efficacy of bimedial rectus tendon elongation with Tutopatch in thyroid-associated orbitopathy (TAO). Materials and Methods:Retrospective chart review of 5 patients with TAO undergoing bimedial rectus recession with Tutopatch tendon elongation between 2009 and 2015. We analyzed horizon...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2018/1294761
更新日期:2018-07-24 00:00:00
abstract::Age-related macular degeneration (AMD) is a major cause of blindness worldwide. Oxidative stress plays a large role in the pathogenesis of AMD. The present study was to evaluate the effects of Fructus lycii ethanol extract on AMD in mice and to investigate whether combination of lutein and zeaxanthin, two carotenoid p...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2013/862806
更新日期:2013-01-01 00:00:00
abstract:Purpose:To evaluate the response of intravitreal aflibercept injection (IAI) in eyes with detachment of retinal pigment epithelium (DEP) secondary to nAMD refractory to monthly ranibizumab. Patients and Methods:This is a retrospective, multicenter study. All patients received 3 IAI then treated as needed every 4 weeks...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2017/8984313
更新日期:2017-01-01 00:00:00
abstract::Purpose. To investigate the local relationship between quantified global-flash multifocal electroretinogram (mfERG) optic nerve head component (ONHC) and visual field defects in patients with glaucoma. Methods. Thirty-nine patients with glaucoma and 30 normal controls were enrolled. The ONHC amplitude was measured fro...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2015/397495
更新日期:2015-01-01 00:00:00
abstract::Purpose. To describe morphology of lamellar hole-associated epiretinal proliferation (LHEP) removed from eyes with lamellar macular holes (LMH). Methods. Based on optical coherence tomography data, 10 specimens of LHEP were removed from 10 eyes with LMH during standard vitrectomy. Specimens were prepared for correlati...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2015/450212
更新日期:2015-01-01 00:00:00
abstract:Background:The aim of this meta-analysis was to compare morphological and functional outcomes between vitrectomy with the inverted internal limiting membrane (ILM) flap technique and vitrectomy with internal limiting membrane peeling in highly myopic eyes with macular hole- (MH-) induced retinal detachment (MHRD). Met...
journal_title:Journal of ophthalmology
pub_type: 杂志文章,评审
doi:10.1155/2020/2374650
更新日期:2020-08-24 00:00:00
abstract::Diabetic retinopathy (DR) is a leading cause of blindness in working age adults. The objective of this study is to investigate the effects of vascular endothelial growth factor receptor 1 (VEGFR1) blockade on the complications of DR. Experimental models of diabetes were induced with streptozotocin (STZ) treatment or I...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2015/605946
更新日期:2015-01-01 00:00:00
abstract::Aim. To investigate the utility of fundus autofluorescence (FAF) and optical coherence tomography (OCT) in the evaluation of cystoid macular edema (CME) following cataract surgery. Materials and Methods. Forty eyes of 29 patients undergone phacoemulsification, with posterior chamber intraocular lens implantation surge...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2013/376013
更新日期:2013-01-01 00:00:00
abstract::Background. We aimed to evaluate the association between maternal smoking and the occurrence of childhood refractive error and amblyopia. Methods. Relevant articles were identified from PubMed and EMBASE up to May 2015. Combined odds ratio (OR) corresponding with its 95% confidence interval (CI) was calculated to eval...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2016/8263832
更新日期:2016-01-01 00:00:00
abstract::Objective. The purpose of this study was to examine how patient, physician, and situational factors are associated with the extent to which providers educate patients about glaucoma and glaucoma medications, and which patient and provider characteristics are associated with whether providers educate patients about gla...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2014/238939
更新日期:2014-01-01 00:00:00
abstract::The functional visual acuity test which is the average of the visual acuities measured during a specific time frame (standard, 60 seconds) has been used recently to assess the visual function in various conditions. The availability of a shorter version of the functional visual acuity test promises to be patient friend...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2019/8950418
更新日期:2019-09-10 00:00:00
abstract::Purpose. To measure the chemotherapeutic effects of focal melphalan (intravitreal and subconjunctival) on tumor burden, hypoxia, and vasculature in LHBETATAG murine retinoblastoma model. Methods. LHBETATAG transgenic mice were treated with a single 1 mcg intravitreal injection of melphalan, 100 mcg subconjunctival inj...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2014/829879
更新日期:2014-01-01 00:00:00
abstract:Purpose:To identify and correlate age-related changes in outer retinal layers' thickness and choroidal thickness (CT) in the normal eyes using spectral-domain optical coherence tomography (SD-OCT) and to investigate factors affecting these changes. Study Design:Observational cross-sectional study. Subjects and Method...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2019/1698967
更新日期:2019-07-31 00:00:00
abstract:Introduction:Hepatitis B virus (HBV) and hepatitis C virus (HCV) and their long-term sequelae are considered a major health issue in Egypt. The aim of this study is to determine the prevalence of undiagnosed hepatitis B virus (HBV) and hepatitis C virus (HCV) among patients admitted for elective eye surgery in a specia...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2019/3985865
更新日期:2019-07-01 00:00:00
abstract::[This corrects the article DOI: 10.1155/2016/3690140.]. ...
journal_title:Journal of ophthalmology
pub_type: 已发布勘误
doi:10.1155/2019/6212745
更新日期:2019-06-11 00:00:00
abstract:Purpose:To assess anterior corneal surface stability 12 months following hyperopic LASIK correction with a light propagation algorithm. Setting:Vissum Instituto Oftalmológico de Alicante, Universidad Miguel Hernández, Alicante, Spain. Methods:This retrospective consecutive observational study includes 37 eyes of 37 p...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2018/3060939
更新日期:2018-03-28 00:00:00
abstract::Purpose. To examine the clinical implications of change in choroidal neovascularization (CNV) size on indocyanine green (ICG) angiography in subjects with idiopathic CNV undergoing bevacizumab therapy. Methods. The charts of subjects with an idiopathic CNV treated by a modified PRN regimen with intravitreal bevacizuma...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2015/642624
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:Popular beliefs exert an impact of lunar phases on elective surgery. The aim of our study was to evaluate potential correlations between complications in cataract surgery and the phases of the moon during its passage through the zodiac and Fridays that fall on the 13th. METHODS:Patients with complications duri...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2017/1946527
更新日期:2017-01-01 00:00:00
abstract::Purpose. To evaluate interobserver, intervisit, and interinstrument agreements for gonioscopy and Fourier domain anterior segment optical coherence tomography (FD ASOCT) for classifying open and narrow angle eyes. Methods. Eighty-six eyes with open or narrow anterior chamber angles were included. The superior angle wa...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2016/1727039
更新日期:2016-01-01 00:00:00
abstract:Purpose:To analyze the "in vitro" aberrometric pattern of a refractive IOL and two extended depth of focus IOLs. Methods:A special optical bench with a Shack-Hartmann wavefront sensor (SH) was designed for the measurement. Three presbyopia correction IOLs were analyzed: Mini WELL (MW), TECNIS Symfony ZXR00 (SYM), and ...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2017/7095734
更新日期:2017-01-01 00:00:00
abstract:Purpose:To evaluate intraoperative complications and utilization of adjunctive devices between microscope and intracameral illuminations during cataract surgery in the elderly over 75 years. Design:A retrospective, consecutive, interventional case series Participants. Two hundred eighty-six eyes of 184 patients older ...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2019/1594152
更新日期:2019-01-10 00:00:00
abstract::Quantitative measurement of the orbital soft tissue volume plays a very important role in the study of orbital diseases. The purpose of this study is to establish a computed tomography- (CT-) based three-dimensional (3D) reconstruction model and measure the orbital soft tissue volume in Chinese adults. We collected da...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2019/9721085
更新日期:2019-07-02 00:00:00
abstract::Aim. To assess the effects of mydriatics commonly used in clinical practice on choroidal thickness and anterior chamber change. Methods. This was a prospective, randomized, controlled, double-blinded study including a single eye of the participants. The subjects were assigned into 4 groups to receive tropicamide 1%, p...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2015/981274
更新日期:2015-01-01 00:00:00
abstract::Purpose. To investigate tear function, ocular manifestations, and squamous metaplasia of the conjunctival epithelium (SMCE) in children with end stage renal failure (ESRF) on dialysis. Methods. Thirty children with ESRF and 20 age and sex matched controls during the period from January 2014 to May 2015 underwent full ...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2016/4767819
更新日期:2016-01-01 00:00:00
abstract::Purpose. This study aims to explore the safety and efficacy of a novel treatment-intense pulsed light (IPL) in MGD eyes. Methods. This study is a prospective and open label study. Forty eyes of 40 MGD patients were recruited in the study and received 4 consecutive IPL treatments on day 1, day 15, day 45, and day 75. T...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2016/1910694
更新日期:2016-01-01 00:00:00
abstract::Ocular complications associated with cutaneous lupus erythematosus (CLE) are less studied compared with those ones associated with systemic lupus erythematosus (SLE). The main ocular sites involved in patients affected by discoid lupus erythematosus (DLE) are eyelids followed by orbit and periorbit, the least being co...
journal_title:Journal of ophthalmology
pub_type: 杂志文章,评审
doi:10.1155/2015/254260
更新日期:2015-01-01 00:00:00
abstract::Purpose. To examine financial and clinical work productivity outcomes associated with the use of the electronic health record (EHR). Methods. 191,360 billable clinical encounters were analyzed for 12 clinical providers over a 9-year study period during which an EHR was implemented. Main outcome measures were clinical ...
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2015/329819
更新日期:2015-01-01 00:00:00
abstract::Purpose. To evaluate the ability of spectral-domain optical coherence tomography to detect subtle amounts of retinal fluid when the choroidal neovascularization is detected as inactive via time-domain optical coherence tomography and clinical examination in neovascular age-related macular degeneration (nAMD) patients....
journal_title:Journal of ophthalmology
pub_type: 杂志文章
doi:10.1155/2013/786107
更新日期:2013-01-01 00:00:00
abstract::Zeaxanthin is a nutritional carotenoid with a considerable amount of safety data based on regulatory studies, which form the basis of its safety evaluation. Subchronic OECD guideline studies with mice and rats receiving beadlet formulations of high purity synthetic zeaxanthin in the diet at dosages up to 1000 mg/kg bo...
journal_title:Journal of ophthalmology
pub_type: 杂志文章,评审
doi:10.1155/2016/3690140
更新日期:2016-01-01 00:00:00