Abstract：
PURPOSE:The quality of cataract surgery delivered in sub-Saharan Africa (SSA) is a significant constraint to achieving the elimination of avoidable blindness. No published reports from routine SSA cataract services attain the WHO benchmarks for visual outcomes; poor outcomes (<6/60) often comprise 20% in published case series. This Delphi exercise aimed to identify and prioritise potential interventions for improving the quality of cataract surgery in SSA to guide research and eye health programme development. METHODS:An initial email open-question survey created a ranked list of priorities for improving quality of surgical services. A second-round face-to-face discussion facilitated at a Vision 2020 Research Mentorship Workshop in Tanzania created a refined list for repeated ranking. RESULTS:Seventeen factors were agreed that might form target interventions to promote quality of cataract services. Improved training of surgeons was the top-ranked item, followed by utilisation of biometry, surgical equipment availability, effective monitoring of outcomes of cataract surgery by the surgeon, and well-trained support staff for the cataract pathway (including nurses seeing post-operative cases). CONCLUSION:Improving the quality of cataract surgery in SSA is a clinical, programmatic and public health priority. In the absence of other evidence, the collective expert opinion of those involved in ophthalmic services regarding the ranking of factors to promote quality improvement, refined through this Delphi exercise, provides us with candidate intervention areas to be evaluated.
journal_name
Int Ophthalmoljournal_title
International ophthalmologyauthors
Buchan JC,Dean WH,Foster A,Burton MJdoi
10.1007/s10792-017-0599-ysubject
Has Abstractpub_date
2018-08-01 00:00:00pages
1409-1414issue
4eissn
0165-5701issn
1573-2630pii
10.1007/s10792-017-0599-yjournal_volume
38pub_type
杂志文章abstract：:Current theories for macular hole formation implicate antero-posterior and tractional forces at the vitreofoveal interface. It is thought that localized perifoveal defects enlarge from centrifugal forces acting about the axis of ocular rotation. If this is true, eyes with longer axial lengths should have an increased ...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-012-9568-7
更新日期：2012-08-01 00:00:00
abstract：:To report the clinical and microbiological characteristics of infectious endophthalmitis after Boston type I keratoprosthesis (B-K-Pro) implantation. Retrospective analysis of 136 eyes that received a B-K-Pro type 1 between 1999 and 2012 was performed. Five eyes with a diagnosis of exogenous endophthalmitis after B-K-...
journal_title：International ophthalmology
pub_type： 杂志文章,评审
doi：10.1007/s10792-014-9994-9
更新日期：2015-10-01 00:00:00
abstract：:The choroidal vascular bed has many interesting features such as relatively wide but flat capillaries, fenestrated capillary walls and an enormous blood flow. The high flow rate results in a high oxygen tension in the tissue and is also of importance in the temperature control of the eye. The capillary wall is permeab...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00127638
更新日期：1983-02-01 00:00:00
abstract：:The physiology of the orbital arteries supplying the eye is currently under intensive investigation. However, while the anatomical distribution of these vessels in humans is well known, their normal histology and age-related or other pathologic alterations have hardly been studied. We obtained at autopsy 10 orbits fro...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00918866
更新日期：1993-02-01 00:00:00
abstract：:Ectopic cilia are the most rare of cilial anomalies. We report a 27-year-old man who presents with tarsal conjunctival symptomatic ectopic cilia. On slit-lamp examination eversion of the lower eyelid demonstrated that several black-white cilia were protruding from the conjunctiva. ...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-008-9228-0
更新日期：2009-08-01 00:00:00
abstract：PURPOSE:To report a comparison analysis of accelerated corneal cross-linking (A-CXL) treatment for progressive keratoconus patients in different pediatric age groups. STUDY DESIGN:Retrospective, cross-sectional. METHODS:Patients with progressive keratoconus aged ≤ 18 were retrospectively reviewed. Forty-one eyes of 4...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-020-01446-w
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:To evaluate and compare outcomes of CO2 laser-assisted sclerectomy surgery (CLASS) with mitomycin C (MMC) combined with or without phacoemulsification in adult Asian glaucoma patients. DESIGN:Retrospective, comparative study. METHODS:Adult Asian glaucoma patients who underwent CLASS alone or combined with pha...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-021-01707-2
更新日期：2021-01-22 00:00:00
abstract：:To report a case of bilateral granulomatous post-streptococcal syndrome uveitis in association with reactive arthritis as manifestation of post-streptococcal syndrome. To our knowledge, this could represent the first reported case in the literature. A 9-year-old girl, with no past ocular history, presented with a 5-da...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-012-9626-1
更新日期：2015-10-01 00:00:00
abstract：PURPOSE:To report a case with acute endophthalmitis as a postoperative complication of 25-gauge transconjunctival sutureless vitrectomy. METHODS:A 65-year-old gentleman, who underwent 25-gauge sutureless vitrectomy for an idiopathic epiretinal membrane at Beyoğlu Eye Research and Training Hospital, presented with pain...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-007-9081-6
更新日期：2007-12-01 00:00:00
abstract：:The Hermansky-Pudlak Syndrome, a "tyrosinase positive' form of oculocutaneous albinism, is a triad comprising albinism, a hemorrhagic diathesis and ceroid-lipofuscin storage. A pedigree is presented showing consanguinity with a pattern of pseudodominance. Electroretinography in two isolated Hermansky-Pudlak subjects w...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00139585
更新日期：1981-08-01 00:00:00
abstract：:This study aimed to monitor the graft-host junction's (GHJ's) apposition with anterior segment optical coherence tomogram after penetrating keratoplasty (PK) and correlate the analysis with the preoperative diagnosis. Fifty-one eyes of 50 patients with various preoperative diagnosis of adherent leucoma, pseudophakic b...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-016-0269-5
更新日期：2017-04-01 00:00:00
abstract：PURPOSE:To report a large, consecutive series of endophthalmitis of all causes managed at a tertiary referral retina center. METHODS:Retrospective chart review of all cases diagnosed with endophthalmitis that received reatment and follow-up between January 2000 and January 2005. RESULTS:A total of 67 patients were di...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-007-9068-3
更新日期：2007-08-01 00:00:00
abstract：:The purpose of this study was to evaluate the effect of Nd.YAG-laser treatment on retinal function. All the patients treated showed a temporary decrease of visual acuity immediately after treatment. The ERG and EOG recordings were identical before and after treatment. The Umazume-Ohta test showed temporary central or ...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF02027893
更新日期：1987-10-01 00:00:00
abstract：:Clinical trials are often used to evaluate the efficacy of a given treatment. The results of clinical trials however do not always agree with a clinician's experience or intuition. The merits and demerits of Clinical Trials versus Intuition are discussed by using the laser photocoagulation trials of Proliferative Diab...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00159835
更新日期：1986-05-01 00:00:00
abstract：PURPOSE:To compare the efficacy of intravitreal injection of ranibizumab, dexamethasone implant and aflibercept for the management of macular edema (ME) related to branch retinal vein occlusion (BRVO). METHODS:This retrospective and comparative study included 62 eyes of 62 patients with BRVO and ME. Patients received ...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-017-0618-z
更新日期：2018-08-01 00:00:00
abstract：PURPOSE:The authors investigated the use of dapiprazole, an alpha-adrenergic blocking agent, in preventing pigment release and IOP increase after exercise in patients affected with PDS. METHODS:Three young myopic males (31, 34 and 35 years old) affected with pigmentary dispersion syndrome performed 30 minutes of joggi...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00130855
更新日期：1995-01-01 00:00:00
abstract：:To evaluate the role of brimonidine (BMD), an alpha-2 agonist, in the management of clinically significant macular edema (CSME) in diabetic maculopathy with ischemic changes. A prospective, randomized controlled trial including 30 eyes of 30 metabolically stable diabetic patients with CSME showing fundus fluorescein a...
journal_title：International ophthalmology
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10792-013-9871-y
更新日期：2014-08-01 00:00:00
abstract：:We report on a patient with an overhanging bleb several years following trabeculectomy surgery with mitomycin C. ...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-011-9477-1
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Cyclocryotherapy and transscleral cyclophotocoagulation are commonly used procedures for the treatment of refractory glaucoma, but still with many complications. Ultrasound cyclo plasty (UCP) is a novel technique that determines a selective and more precise coagulation necrosis of the ciliary body to reduce ...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-020-01606-y
更新日期：2020-10-18 00:00:00
abstract：PURPOSE:Numerous studies suggest that reactive oxygen species play a crucial role in the development of glaucoma. Since glaucoma patients exhibit posterior vitreous detachment earlier than controls, it has been suggested that reactive oxygen species-increased in glaucoma-also affect the vitreous. In the present study w...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-019-01268-5
更新日期：2020-04-01 00:00:00
abstract：:Ocular wall dimensions (axial eye length, anterior chamber depth, lens thickness, vitreous length, thickness and volume of the ocular wall) were determined by echobiometry on 10 eyes of 10 patients with glaucoma one day before and four days after trabeculectomy. The results showed significant differences: decreased ax...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00917990
更新日期：1992-09-01 00:00:00
abstract：:Spontaneous hyphema has been linked to many conditions. We describe a patient with recurrent spontaneous hyphema caused by an abnormal angle vessel without associated rubeosis iridis, glaucoma, or other vascular abnormalities as documented by iris fluorescein angiography. After treatment with several sessions of argon...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00136495
更新日期：1985-09-01 00:00:00
abstract：:From January 1990 until October 1992, 103 Zimbabwean patients underwent intracapsular cataract extraction by a general medical doctor. Of the first 100 patients operated upon, 50 were traced of which 37 could be assessed adequately. Operative complications and visual acuities after three months show that this is an ef...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00131924
更新日期：1996-01-01 00:00:00
abstract：:Melanoma-associated retinopathy is a paraneoplastic retinopathy associated mostly with cutaneous melanoma. In most cases it presents months to years after diagnosis of primary cutaneous melanoma was made or after recurrence. We describe a 55-year-old male patient who presented with symptoms of decreased vision and pho...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-012-9564-y
更新日期：2012-08-01 00:00:00
abstract：PURPOSE:To report a childhood case of tumor necrosis factor receptor-associated periodic syndrome (TRAPS) carrying the R92Q variant with a vision-threatening bilateral panuveitis. METHODS:Case report and review of the literature. RESULTS:A 7-year-old boy presented with an active bilateral panuveitis and a macular ras...
journal_title：International ophthalmology
pub_type： 杂志文章,评审
doi：10.1007/s10792-017-0785-y
更新日期：2019-01-01 00:00:00
abstract：:To describe the efficacy of intravitreal chemotherapy (IViC) preceded by intra-arterial chemotherapy (IAC) for the treatment of advanced stage retinoblastoma. This non-comparative interventional case series retrospectively reviewed the medical records of six patients who presented within months of each other with unil...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-015-0129-8
更新日期：2015-12-01 00:00:00
abstract：:We constructed a contact lens with an integrated pressure-sensing device. It is housed in a container with three force-sensing elements, each 120 degrees apart, enabling measurement of the appositional force, i.e., the force with which the instrument is held against the eye. In part 1 of the study, the lens' precision...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1023/a:1006292102204
更新日期：1998-01-01 00:00:00
abstract：:Myelinated retinal nerve fibers (MRNF) represent an asymptomatic developmental anomaly in which myelin sheaths extend to a group of retinal nerve fibers along their intraocular portion. The additional volume of the myelin sheaths causes displacement of the axons toward the vitreous body. We investigated the effect of ...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-016-0207-6
更新日期：2016-12-01 00:00:00
abstract：:A 61-year-old male developed recurrent anterior uveitis over a period of 8 months after an uncomplicated phacoemulsification and posterior chamber intraocular lens implantation surgery. This was subsequently found to be due to a retained lens fragment in the anterior segment, with complete resolution following surgica...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-008-9279-2
更新日期：2010-02-01 00:00:00
abstract：:Published data on growth rates of uveal melanomas and effects of treatment modalities raise important considerations. Dissemination from uveal melanomas starts after the tumour is larger than 7 mm diameter; growth from 7 to 10 mm diameter increases the risk of metastases incrementally to approximately 16%. Estimations...
journal_title：International ophthalmology
pub_type： 杂志文章,评审
doi：10.1007/BF00132688
更新日期：1995-01-01 00:00:00
