The cost-utility study of cataract surgery by Brown et al shows off the authors’ high degree of skill in conducting analyses of this type. Readers do not have to be concerned that the extremely favorable results on cataract surgery will be doubted bec…
Category: Peer-reviewed
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Evidence-Based Ophthalmology
It is easy to assume that colleagues are familiar with the structure and function of the international Cochrane Collaboration (List of contributors to CEVG available at http://aaojournal.org), but often this is off the mark or their understanding is misinformed. The Collaboration consists of >30 000 persons around the world who are committed to responding to Archie Cochrane’s challenge to the medical world in 1979:It is surely a great criticism of our profession that we have not organized a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomized controlled (Read more...)
Author reply
Sullivan-Mee et al questioned whether our longitudinal results demonstrating a relationship between lower corneal hysteresis (CH) and faster progression in glaucoma could perhaps be confounded by a relationship between CH and disease severity. They su…
Author reply
We appreciate the opportunity to discuss the recent report on innovative draping methods to minimize elevated oxygen concentrations in ophthalmic surgical fields. We agree that using a standard nasal cannula does not absolutely eliminate the risk of …
Subfoveal Choroidal Thickness in Retinal Vein Occlusion
Since Spaide et al described the enhanced depth imaging mode of optical coherence tomography to visualize the choroid, an increasing number of studies have examined choroidal thickness and its associated factors in normal eyes and eyes with various re…
Donor Age and Factors Related to Endothelial Cell Loss 10 Years after Penetrating Keratoplasty: Specular Microscopy Ancillary Study
Objective: To examine the effect of donor age and other perioperative factors on long-term endothelial cell loss after penetrating keratoplasty (PKP).Design: Multicenter, prospective, double-masked clinical trial.Participants: We included 176 participa…
The Effect of Donor Age on Penetrating Keratoplasty for Endothelial Disease: Graft Survival after 10 Years in the Cornea Donor Study
Objective: To determine whether the 10-year success rate of penetrating keratoplasty for corneal endothelial disorders is associated with donor age.Design: Multicenter, prospective, double-masked clinical trial.Participants: A total of 1090 participants undergoing penetrating keratoplasty at 80 sites for Fuchs’ dystrophy (62%), pseudophakic/aphakic corneal edema (34%), or another corneal endothelial disorder (4%) and followed for up to 12 years.Methods: Forty-three eye banks provided corneas from donors aged 12 to 75 years, using a randomized approach to assign donor corneas to study participants without respect to recipient factors. Surgery and postoperative care were (Read more...)
How Will the Next Accreditation System Affect Ophthalmology Residency Training?
Years ago, imagine a co-resident who demonstrated suboptimal surgical skills early in residency. In some programs, this person would have received extra attention to bring his or her performance up to a passable level of competence. In others, the resi…
Erratum
With apologies from the author, in the article entitled, “Combination Therapy for Neovascular Age-related Macular Degeneration Refractory to Anti-Vascular Endothelial Growth Factor Agents” by Kevin Tozer, MD, A. Brock Roller, MD, Lawrence P. Chong,…
Secukinumab in the Treatment of Noninfectious Uveitis
We read with interest the article by Dick et al on the efficacy and safety of different doses of secukinumab in patients with noninfectious uveitis in 3 multicenter, randomized, double-masked, placebo-controlled, dose-ranging, phase III studies in the…
Erratum
Please note that one of the authors’ degrees in the publication entitled, “Lessons in Corneal Structure and Mechanics to Guide the Corneal Surgeon” (Ophthalmology 2013;120:1715-1717) had errors. The correct degrees for Dr. Jan P.G. Bergmanson shoul…
This Issue At A Glance
Young et al (p. 2390) compared the long-term outcome of limbal conjunctival autograft (LCAU) with that of intraoperative applications of mitomycin C (MMC) in minimizing pterygium recurrence. They also evaluated the effects of MMC on corneal endothelia…
Author reply
We appreciate Suelves, Gregori, and Diaz-Llopis’ interest in our recent article “A National Survey of Practice Patterns: Temporal Artery Biopsy.” In this study, we surveyed neuro-ophthalmologists, oculoplastic surgeons, and rheumatologists regarding temporal artery biopsy practices in the assessment of patients suspected to have giant cell arteritis (GCA). Specifically, we questioned practitioners as to whether they favored unilateral or bilateral temporal artery biopsy and their thoughts regarding the effect of prior corticosteroid therapy on biopsy findings. In short, responses varied greatly within and between specialists. Of slightly >1000 respondents, 37% recommended (Read more...)
Cataract Surgery Cost Utility Revisited in 2012: A New Economic Paradigm
Objective: To assess the 2012 cost utility of cataract surgery in the United States and to compare 2012 cost-utility data with those from 2000.Design: Value-Based Medicine (Flourtown, PA), patient preference-based, comparative effectiveness analysis a…
Erratum
With apologies from the authors, in the publication entitled, “Dominant optic atrophy: Novel OPA1 mutations and revised prevalence estimates” (Ophthalmology 2013;120:1712.e1) had errors.
A Simple Vista en Este Número
Young y otros (p. 2390), compararon el resultado a largo plazo del autoinjerto limbal conjuntival (LCAU) con el de la aplicación de mitomicina C (MMC) para minimizar la recurrencia del pterigio. Evaluaron también los efectos de la MMC en la densidad …
Temporal Artery Biopsy
The recent article describing the clinical practice patterns for temporal artery biopsy as a mean of diagnosing giant cell arteritis (GCA) by Schallhorn et al provides important data that can inform the current practice. This article evaluated the pre…
Corneal Hysteresis and Glaucoma Progression
We read with interest the paper by Medeiros et al entitled “Corneal Hysteresis as a Risk Factor for Glaucoma Progression: A Prospective Longitudinal Study.” Although we applaud the utilization of longitudinal visual field analysis within that stud…