Objectively Measured Visual Impairment and Dementia Prevalence in Older Adults in the US
This survey study estimates the association between visual impairment and dementia in older US adults based on objective visual and cognitive function testing. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research
Evaluating Access to Laser Eye Surgery by Driving Times Using Medicare Data and Geographical Mapping
This cohort study compares patient access to laser surgery eye care by estimated travel time and 30-minute proximity to an optometrist or to an ophthalmologist. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research
American Academy of Ophthalmology Clinical Practice Guidelines and Financial Disclosures —Where Is the Money Going?—Reply
In Reply We want to thank Tinsley et al for directing the JAMA Ophthalmology readership toward considerations when assessing conflicts of interest among physicians. First, regarding physician gender, self-reported identification was not used in our article “Financial Disclosures Reported by Industry Among Authors of the American Academy of Ophthalmology Clinical Practice Guidelines.” Gender was determined using Gender API, an application program interface. Despite its limitations (gender not considered as a spectrum and not self-reported genders), Gender API is widely used in research due to its high accuracy. In our s...
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research
American Academy of Ophthalmology Clinical Practice Guidelines and Financial Disclosures —Where Is the Money Going?
To the Editor We would like to commend Nguyen et al on their excellent study investigating the financial disclosure practices among male and female physicians. The authors use rigorous methodology in their acquisition, analysis, and interpretation of their data. However, we feel that certain study limitations could have been overcome or mitigated with additional considerations. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research
Beyond Accessibility in Exploring Access to Eye Care to Achieve Vision Health Equity
Shaffer et al used the Medicare part B claims, a large data set from the Centers for Medicare and Medicaid, to determine if expanding laser eye surgery privileges to optometrists was associated with improved patient access to laser procedures. Shaffer et al reported that the expansion of optometrists ’ ability to perform laser eye surgery procedures did not provide shorter drive times for patients when receiving laser eye surgeries. Distance and drive time are concerns for patients who have limited access to care, especially patients from low-resource communities. However, beyond accessibility , the theory of access fram...
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research
JAMA Ophthalmology
Mission Statement: To be the indispensable source of ophthalmic knowledge by promptly publishing innovative, clinically relevant research through consistent and authoritative peer review and, thereby, to be the first choice of authors for their important manuscripts. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - August 1, 2023 Category: Opthalmology Source Type: research
Dark-Without-Pressure Lesion in a Patient in Their Mid-40s
This case report discusses a diagnosis of a dark-without-pressure lesion in an otherwise asymptomatic patient in their mid-40s. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 20, 2023 Category: Opthalmology Source Type: research
Metastatic Eyelid Lesion of High-Grade Neuroendocrine Carcinoma From Parotid Gland Primary
This case report describes a diagnosis of neuroendocrine carcinoma metastasis in the eyelid of an immune-competent patient. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 20, 2023 Category: Opthalmology Source Type: research
Endogenous Aspergillus thermomutatus Endophthalmitis in a Patient With Myelodysplastic Syndrome
This case report describes a diagnosis of Aspergillus thermomutatus endophthalmitis in a patient with a recent history of allogeneic stem cell transplant. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 20, 2023 Category: Opthalmology Source Type: research
Purtscher-Like Retinopathy Associated With Atypical Hemolytic Uremic Syndrome
This case report discusses a diagnosis of atypical hemolytic uremic syndrome in a woman aged 38 years who presented with progressively blurry vision in both eyes over a period of 10 days. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 20, 2023 Category: Opthalmology Source Type: research
Comparison of Optical Coherence Tomography Parameters for Diagnosis of Glaucoma in High Myopia
This cross-sectional study investigates the accuracy of various optical coherence tomography parameters in the detection of glaucoma in highly myopic eyes. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 1, 2023 Category: Opthalmology Source Type: research
Cost Utility and Value of Information Analysis of Femtosecond Laser –Assisted Cataract Surgery
This cost-effectiveness analysis of the FEMCAT trial estimates the cost utility of femtosecond laser –assisted cataract surgery compared with phacoemulsification cataract surgery over 12 months. (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 1, 2023 Category: Opthalmology Source Type: research
Which Optical Coherence Tomography Parameter, If Any, Identifies Glaucoma in High Myopia?
Patients with high myopia present a diagnostic dilemma to clinicians. Although they may be at higher risk of glaucoma, detecting coprevalent glaucoma can be challenging due to the characteristically small optic nerve heads, which can be very tilted, rotated, and even anomalous in appearance. Such myopic optic nerve head morphology makes it difficult to appreciate optic nerve head cupping or other classic signs of glaucomatous damage such as optic nerve rim thinning or notching. On the other hand, findings on structural and functional testing in individuals with high myopia can masquerade as glaucoma, leading to overdiagnos...
Source: JAMA Ophthalmology - July 1, 2023 Category: Opthalmology Source Type: research
Femtosecond Laser-Assisted Cataract Surgery —Conclusive Evidence of Lack of Incremental Value
B énard and colleagues report a detailed cost-utility study of femtosecond laser-assisted cataract surgery (FLACS) in comparison with standard phacoemulsification cataract surgery (PCS) and did not find FLACS to be cost-effective. FLACS was introduced into cataract surgical practice about 12 years ag o with much excitement and anticipation. Here was an elegant procedure with the promise of greater precision and enhanced clinical outcomes compared with conventional ultrasound phacoemulsification for cataract surgery, the most performed operation. For many years, achievement of that promise was cl aimed based on small studi...
Source: JAMA Ophthalmology - July 1, 2023 Category: Opthalmology Source Type: research
Red Eye and Choroidal Detachment in an Older Woman
A 64-year-old woman presented with diminution of vision, progressive redness, and dull aching pain in the right eye for 8 months. What would you do next? (Source: JAMA Ophthalmology)
Source: JAMA Ophthalmology - July 1, 2023 Category: Opthalmology Source Type: research
