A study of interactions between pharmaceutical representatives and ophthalmology trainees.


PURPOSE:To evaluate the behavior and attitudes among ophthalmology trainees toward pharmaceutical promotions. DESIGN:Questionnaire survey. METHODS:A questionnaire on behavior and attitudes toward interactions with pharmaceutical representatives was distributed to 110 ophthalmology residency programs in the United States. Responses were collected and analyzed. RESULTS:One hundred and twenty-two responses were received. Most (87%) respondents reported seeing pharmaceutical representatives visiting their program at least once every 1 to 2 months. Most respondents reported having accepted gifts from them. Although only 26% of trainees have changed prescribing behavior based on information provided by pharmaceutical representatives, 77% did so because of available medicine samples. Trainees tended to consider their peers more susceptible than themselves to the influence of pharmaceutical promotions. When asked to rate their agreement to questionnaire statements, with 5 meaning strongly agree and 1 meaning strongly disagree, the average score for "Pharmaceutical representatives influence my prescribing" was only 2.72, compared with 3.67 for "Pharmaceutical representatives influence other physicians' prescribing" (P < .0001). Although half of the trainees (51%) acknowledged that their programs have guidelines or policies regarding interactions with the pharmaceutical industry, only 28% reported having received training in this area. CONCLUSIONS:Ophthalmology trainees have frequent encounters with pharmaceutical representatives. The trainees tend to consider their peers more susceptible than themselves to the influence of pharmaceutical promotions. Pharmaceutical representatives seem able to change prescribing practices among trainees they contact by providing information or leaving drug samples. Many trainees have not received any education in this area from their programs.


Am J Ophthalmol


Wang Y,Adelman RA




Has Abstract


2009-10-01 00:00:00














  • Pars plana vitrectomy as a primary treatment for acute bacterial endophthalmitis.

    abstract::We successfully treated six patients with culture-proven acute bacterial endophthalmitis by a combination of emergency pars plana vitrectomy and the instillation of intravitreal antibiotics. All six patients regained satisfactory vision. ...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Eichenbaum DM,Jaffe NS,Clayman HM,Light DS

    更新日期:1978-08-01 00:00:00

  • Objective Evaluation of Corneal and Lens Clarity in Children With Type 1 Diabetes Mellitus.

    abstract:PURPOSE:To investigate whether abnormal glucose metabolism and duration of diabetes mellitus (DM) affected the corneal and lens clarity in children with well-controlled type 1 DM and to compare the results obtained with those in healthy children. DESIGN:Cross-sectional prospective study. METHODS:This multicenter stud...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Tekin K,Inanc M,Kurnaz E,Bayramoglu E,Aydemir E,Koc M,Aycan Z

    更新日期:2017-07-01 00:00:00

  • Limbal stem cell deficiency following topical mitomycin C treatment of conjunctival-corneal intraepithelial neoplasia.

    abstract:PURPOSE:To report a case of conjunctival-corneal intraepithelial neoplasia (CCIN) in an elderly African American patient treated with topical mitomycin C and the subsequent complication of limbal stem cell deficiency. DESIGN:Interventional case report. METHODS:A 92-year-old African American woman was diagnosed with C...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Dudney BW,Malecha MA

    更新日期:2004-05-01 00:00:00

  • Laser trabeculoplasty for open-angle glaucoma: a systematic review and network meta-analysis.

    abstract:PURPOSE:To comprehensively evaluate the effectiveness of different types of laser trabeculoplasty (LT) in the treatment of open-angle glaucoma. DESIGN:Systematic review and network meta-analysis. METHODS:Eligible randomized controlled trials (RCT) were identified by searching PubMed, EMBASE, Cochrane Library, SCOPUS,...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章,评审


    authors: Zhou R,Sun Y,Chen H,Sha S,He M,Wang W

    更新日期:2020-09-01 00:00:00

  • Facial necrotizing fasciitis following acute dacryocystitis.

    abstract:PURPOSE:To report a case of progressive necrotizing fasciitis of the face following acute dacryocystitis. DESIGN:Interventional case report. METHODS:A 60-year-old woman presented with left acute dacryocystitis with abscess formation that had ruptured; a small wound remained. Erythematous swelling of the left eyelid a...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Lin PW,Lin HC

    更新日期:2003-07-01 00:00:00

  • Quantitation of tumor seeding from fine needle aspiration of ocular melanomas.

    abstract::Twenty-two fine needle (30 gauge) aspirations were performed in eyes enucleated for the clinical diagnosis of melanoma. Cytologic preparations were evaluated for adequacy of material, and needle tracts were evaluated for tumor implantation. A scleral marking method was used to identify all needle tracts. The number of...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Glasgow BJ,Brown HH,Zargoza AM,Foos RY

    更新日期:1988-05-15 00:00:00

  • Sudden occlusion of the retinal and posterior choroidal circulations in a youth.

    abstract::A 14-year-old boy was stabbed above the left eye and had subsequent loss of both retinal and choroidal perfusion to the posterior segment. Ophthalmoscopic examination ten days after the injury disclosed intense nerve fiber layer edema, most prominent in the posterior pole, and absence of a cherry-red spot. Intravenous...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Brown GC,Magargal LE

    更新日期:1979-10-01 00:00:00

  • Mucinous sweat gland adenocarcinoma of the eyelid.

    abstract::A 62-year-old woman developed a recurrent mucinous sweat gland adenocarcinoma of the eyelid. The clinical characteristics of this rare, primary adnexal neoplasm of skin in our patient were, to our knowledge, unique. The tumor mimicked a lacrimal sac tumor and had orbital extension demonstrated preoperatively by comput...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Cohen KL,Peiffer RL,Lipper S

    更新日期:1981-08-01 00:00:00

  • Boston Type I Keratoprosthesis: Antibacterial Resistance and Microbiota Evaluation of Soft Contact Lenses.

    abstract:PURPOSE:To evaluate microbiota colonizing soft contact lenses (CL) in eyes with Boston type I keratoprosthesis (BKPro), and determine the prevalence of resistance to fourth-generation fluoroquinolone (FQ). DESIGN:Prospective, observational study. SUBJECTS:Patients with BKPro using CL as routine who were in postoperat...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Torres-Netto EA,Silva LD,Bordon Riveros MA,Santos A,Sousa LB,Oliveira LA

    更新日期:2018-08-01 00:00:00

  • Optimizing treatment of choroidal neovascularization feeder vessels associated with age-related macular degeneration.

    abstract:PURPOSE:To optimize the method of treating choroidal neovascularization (CNV) associated with age-related macular degeneration (AMD). DESIGN:Experimental study and interventional case series. METHODS:The parameters associated with locating and then photocoagulating CNV feeder vessels were identified and optimized usi...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Flower RW

    更新日期:2002-08-01 00:00:00

  • Retinal neovascularization after branch retinal arterial obstruction.

    abstract::We examined two eyes from two noninsulin-dependent diabetic patients that developed vitreous hemorrhage secondary to retinal neovascularization after branch retinal arterial obstruction. Although there was no ophthalmoscopic evidence of diabetic retinopathy, diabetes mellitus may have predisposed the retinas to a neov...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Kraushar MF,Brown GC

    更新日期:1987-09-15 00:00:00

  • Electroretinographic testing as an aid in detection of carriers of X-chromosome-linked retinitis pigmentosa.

    abstract::Twenty-two of 23 obligate female carriers in nine families with known X-chromosome-linked retinitis pigmentosa were detected on the basis of abnormal full-field electroretinograms (ERGs). Only 14 of these carriers had fundus findings characteristic of the carrier state. Electroretinograms of carriers were either reduc...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Berson EL,Rosen JB,Simonoff EA

    更新日期:1979-04-01 00:00:00

  • A rat model for acute rise in intraocular pressure: immune modulation as a therapeutic strategy.

    abstract:PURPOSE:To establish a rat model of acute increase in intraocular pressure (IOP) and to investigate the therapeutic window for protection against death of retinal ganglion cells (RGCs) by vaccination with glatiramer acetate (Cop-1) or by treatment with brimonidine or MK-801. DESIGN:Animal study, laboratory investigati...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Ben Simon GJ,Bakalash S,Aloni E,Rosner M

    更新日期:2006-06-01 00:00:00

  • Recent statin use and cataract surgery.

    abstract:PURPOSE:To investigate whether the statin class of drugs reduces the risk of cataract extraction. DESIGN:Case-control study. METHOD:setting: Kaiser Permanente Southern California, which provides prepaid healthcare for 3.2 million residents by 6000 physicians. patient population: Eligible patients were those who had 5...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Fong DS,Poon KY

    更新日期:2012-02-01 00:00:00

  • Ptosis secondary to amyloidosis of the tarsal conjunctiva and tarsus.

    abstract:PURPOSE:To report a case of chronic unilateral ptosis in a 63-year-old, otherwise healthy woman with visual restriction. METHODS:We performed a biopsy on an enlarged tarsal plate that we believed had caused ptosis. A levator aponeurotic advancement was performed subsequently. RESULTS:Histologic and ultrastructural ex...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Hill VE,Brownstein S,Jordan DR

    更新日期:1997-06-01 00:00:00

  • Reduction in the area of the anterior capsule opening after polymethylmethacrylate, silicone, and soft acrylic intraocular lens implantation.

    abstract:PURPOSE:To report reduction in the area of anterior capsule opening at various postoperative intervals after continuous capsulorrhexis and to compare any differences in the area reduction between polymethylmethacrylate, silicone, and soft acrylic intraocular lenses. METHODS:Prospectively, 240 eyes of 240 patients unde...

    journal_title:American journal of ophthalmology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Hayashi K,Hayashi H,Nakao F,Hayashi F

    更新日期:1997-04-01 00:00:00

  • Acute rubella retinal pigment epitheliitis in an adult.

    abstract::A 50-year-old man who had been taking betamethasone for 20 days experienced a slight bilateral decrease in visual acuity. There were localized dark-gray atrophic lesions at the posterior pole, accompanied by a diffuse detachment of the sensory retina. The retinal vessels appeared to be normal and only minimal anterior...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Hayashi M,Yoshimura N,Kondo T

    更新日期:1982-03-01 00:00:00

  • Delayed functional loss in glaucoma. LII Edward Jackson Memorial Lecture.

    abstract:PURPOSE:This study is a systematic exploration of why some patients with glaucoma continue to lose visual field long after therapeutic normalization of their increased intraocular pressures. METHODS:Three cases of glaucoma are described that had increased intraocular pressures and good initial visual fields. RESULTS:...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Brubaker RF

    更新日期:1996-05-01 00:00:00

  • Microrips of the retinal pigment epithelium in polypoidal choroidal vasculopathy.

    abstract:PURPOSE:To study the clinical characteristics of microrips of the retinal pigment epithelium (RPE) in polypoidal choroidal vasculopathy (PCV). DESIGN:Retrospective case series. METHODS:For this study, we retrospectively reviewed 156 consecutive eyes of 136 patients with PCV. The lesions were examined with fluorescein...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Musashi K,Tsujikawa A,Hirami Y,Otani A,Yodoi Y,Tamura H,Yoshimura N

    更新日期:2007-05-01 00:00:00

  • High magnification direct ophthalmoscopy.

    abstract::The combination of a high minus setting of the ophthalmoscope and an extra positive lens in front of the patient's eye forms a Galilean telescope that increases magnification in direct ophthalmoscopy. The telescope magnification equals the ratio between objective and ocular focal lengths. ...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Frisén L

    更新日期:1978-08-01 00:00:00

  • Vogt-Koyanagi-Harada syndrome with focal neurologic signs.

    abstract::The Vogt-Koyanagi-Harada syndrome includes inflammation of the uveal tract, retina, and meninges. Integumentary and auditory signs are common. Neurologic involvement has been reported. We studied two patients who manifested many of the varied clinical signs of Vogt-Koyanagi-Harada syndrome, but who also showed focal n...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Lubin JR,Loewenstein JI,Frederick AR Jr

    更新日期:1981-03-01 00:00:00

  • Corneal wavefront errors 24 months after deep lamellar endothelial keratoplasty and penetrating keratoplasty.

    abstract:PURPOSE:To evaluate high-order aberrations (HOA) induced by the anterior corneal surface after deep lamellar endothelial keratoplasty (DLEK) and penetrating keratoplasty (PK). DESIGN:Prospective, randomized clinical trial. METHODS:Twenty-eight eyes of 25 patients with corneal edema resulting from Fuchs dystrophy unde...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章,随机对照试验


    authors: McLaren JW,Patel SV,Bourne WM,Baratz KH

    更新日期:2009-06-01 00:00:00

  • Comparison Over Time of Vault in Chinese Eyes Receiving Implantable Contact Lenses With or Without a Central Hole.

    abstract:PURPOSE:To compare the longitudinal vault changes after implantation of a posterior chamber phakic intraocular lens (pIOL) (Visian implantable contact lens) with (ICL V4c) and without (ICL V4) a central artificial hole for moderate to high myopia in Chinese eyes. DESIGN:Retrospective case series. METHODS:This study c...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Cao X,Wu W,Wang Y,Xie C,Shen Y

    更新日期:2016-12-01 00:00:00

  • Subfoveal fibrosis in eyes with neovascular age-related macular degeneration treated with intravitreal ranibizumab.

    abstract:PURPOSE:To assess baseline and follow-up characteristics of choroidal neovascularization (CNV) lesions in age-related macular degeneration in relation to the development of subfoveal subretinal fibrosis. DESIGN:Retrospective, observational case series. METHODS:settings and study population: One hundred ninety-seven t...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Bloch SB,Lund-Andersen H,Sander B,Larsen M

    更新日期:2013-07-01 00:00:00

  • Spontaneous closure of a large traumatic macular hole in a young patient.

    abstract:PURPOSE:To report the spontaneous resolution of a traumatic macular hole that was considerably larger than in previously reported cases. DESIGN:Observational case report. METHODS:The clinical and angiographic data of the patient were reviewed. RESULTS:A traumatic 600 x 400 micro macular hole was observed to spontane...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Yeshurun I,Guerrero-Naranjo JL,Quiroz-Mercado H

    更新日期:2002-10-01 00:00:00

  • Marginal corneal ulcers with acute beta streptococcal conjunctivitis and chronic dacryocystitis.

    abstract::A 73-year-old woman had right dacryocystitis, intense conjunctival hyperemia and chemosis, marginal corneal ulcers, and abscesses and conjunctival cultures that were positive for beta hemolytic streptococci. A distinct lucid interval separated the peripheral corneal ulcers and infiltrates from the corneoscleral limbus...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Cohn H,Mondino BJ,Brown SI,Hall GD

    更新日期:1979-04-01 00:00:00

  • The incidence of Graves' ophthalmopathy in Olmsted County, Minnesota.

    abstract:PURPOSE:To determine the incidence of Graves' ophthalmopathy. METHODS:A population-based cohort of all Olmsted County, Minnesota, residents who had ophthalmopathy associated with autoimmune thyroid disease between Jan. 1, 1976, and Dec. 31, 1990, was identified through the medical diagnostic index of the Mayo Clinic a...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Bartley GB,Fatourechi V,Kadrmas EF,Jacobsen SJ,Ilstrup DM,Garrity JA,Gorman CA

    更新日期:1995-10-01 00:00:00

  • Nonaccommodative convergence excess.

    abstract::Nonaccommodative convergence excess is a condition in which a patient has orthotropia or a small-angle esophoria or esotropia at distance and a large-angle esotropia at near, not significantly reduced by the addition of spherical plus lenses. The AC/A ratio, determined with the gradient method, is normal or subnormal....

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: von Noorden GK,Avilla CW

    更新日期:1986-01-15 00:00:00

  • Computerized topographic analysis of the healing graft after penetrating keratoplasty for keratoconus.

    abstract::After penetrating keratoplasty, visual rehabilitation can be slow and is largely a function of corneal surface configuration. Computerized topographic analysis allows the detailed study of corneal surface factors that determine the optical function of the graft. We performed a prospective, longitudinal study of eight ...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Khong AM,Mannis MJ,Plotnik RD,Johnson CA

    更新日期:1993-02-15 00:00:00

  • Ultrastructure of traction retinal detachment in rhesus monkey eyes after a posterior penetrating ocular injury.

    abstract::We studied the ultrastructural characteristics of an experimental model of traction retinal detachment secondary to a penetrating eye injury in the rhesus monkey. Cells with the characteristics of myofibroblasts were present in the intravitreal fibrous tissue and in epiretinal membranes. These cells were probably deri...

    journal_title:American journal of ophthalmology

    pub_type: 杂志文章


    authors: Cleary PE,Minckler DS,Ryan SJ

    更新日期:1980-12-01 00:00:00