Welcome to the latest edition of European Ophthalmic Review. The past year has seen an impressive number of new approvals of ophthalmic drugs and devices, and 2019 promises further advances that change the way we practice though new drugs and technologies that will improve our patients’ lives.
The edition begins with an editorial from Noel Alpins on the subject of vector planning, which combines corneal topography and refraction. This approach can give better visual outcomes than manifest or wavefront refraction alone in refractive laser surgery that requires correction of astigmatism.
Despite many recent advances, glaucoma continues to have a negative impact on the quality of life of millions of people worldwide. Gemma Caterina Maria Rossi presents a brief report on the influence of age and gender on the reaction to a diagnosis of glaucoma. We also feature two review articles on the subject of glaucoma. Modern trabeculectomy is the gold-standard surgical option in glaucoma, with long-term success rates exceeding 90%, and relatively low rates of serious complications. Sousa and Pinto discuss the potential complications associated with trabeculectomy, as well as strategies for preventing or managing these conditions. Self-monitoring of chronic conditions is becoming more widespread, and Boote and Tatham report on how wearable digital devices are being developed to monitor intraocular pressure in people living with glaucoma.
Diabetic macular oedema (DMO) remains the most common cause of vision loss among diabetic patients, and the number of people with DMO is expected to increase in parallel with the predicted rise in the incidence of diabetes. Loewenstein et al. review the use of an intravitreal implant of fluocinolone acetonide, which has proven to be a cost-effective treatment for persistent or recurrent DMO.
Finally, imaging and diagnostic techniques continue to evolve across the field of ophthalmology, including oculoplastic surgery. Jyothi et al. present a proof-of-concept study demonstrating that quantitative texture analysis of magnetic resonance imaging has the potential to be used as a non-invasive method to classify a variety of orbital pathologies.
Foreword – European Ophthalmic Review. 2018;12(2):81
Welcome to the latest edition of European Ophthalmic Review. The past year has seen an impressive number of new approvals of ophthalmic drugs and devices, and 2019 promises further advances that change the way we practice though new drugs and technologies that will improve our patients’ lives. We begin with an editorial from Noel […]
Vector Planning and Corneal Topographic Astigmatism
Ocular residual astigmatism The initial step of planning any refractive laser treatment that requires correction of astigmatism is to calculate the difference in magnitude and axes between the refractive cylinder at the corneal plane, and the corneal astigmatism – that is the vectorial difference. This has been defined as the ocular residual astigmatism (ORA) and […]
Age and Gender Influence Reaction to Glaucoma Diagnosis
Glaucoma is a chronic disease that affects the optic nerve and it is often accompanied by an increase in intraocular pressure (IOP). The disease affects both men and women and is more common in those aged over 40 years. Glaucoma, if left untreated, can lead to an important reduction of vision and to blindness: the […]
The 0.19 mg Fluocinolone Acetonide Intravitreal Implant – A Review on its Use in Diabetic Macular Oedema from the Association for Research in Vision and Ophthalmology Annual Meeting 2018
Diabetic macular oedema (DMO) is a complication of diabetic retinopathy, a microvascular ocular complication of diabetes mellitus.1 The blood–retinal barrier (BRB) is a specialised structure, which tightly regulates, maintains and balances the levels of electrolytes, protein and fluid in the retinal tissues – a function that is central to the maintenance of normal visual acuity […]
Trabeculectomy – Prevention and Management of Complications
Initially described by Sugar and Cairns in the early 1960s, traditional trabeculectomy was associated with a significant risk of complications, such as persistent hypotony, bleb-related problems and sight-threatening infection.1,2 Since then, and motivated by the need to reduce the number of complications and surgical failure rates, trabeculectomy technique has evolved in order to minimise associated […]
Home Monitoring in Glaucoma
The number of people living with chronic conditions is rapidly growing, increasing pressure on healthcare providers. In England, for example, it is estimated that long-term conditions account for 70% of total health and social care spending.1 Given that the average age of European populations is increasing and that for many diseases treatment costs are escalating, […]
Non-invasive Classification of Orbital Tissue Pathology Based on Texture Analysis Parameters from Magnetic Resonance Images
Oculoplastic surgeons are often faced with the diagnostic dilemma of abnormal tissues within the orbit and adnexal structures. In many cases, the associated signs, symptoms and radiological appearances allow a tentative differential diagnosis to be formulated. However, most often, diagnostic dilemma prevails, leading to frequent surgical intervention in the form of tissue biopsy for diagnostic, […]
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