High speed and small gauge vitrectomy systems have made surgical intervention in complications of diabetic retinopathy(DR)safer.The availability of anti-vascular endothelial growth factor(anti-VEGF)compounds for use i...High speed and small gauge vitrectomy systems have made surgical intervention in complications of diabetic retinopathy(DR)safer.The availability of anti-vascular endothelial growth factor(anti-VEGF)compounds for use in DR has significantly improved intraoperative and postoperative outcomes.This review discusses the indications for surgical intervention in DR.The role of anti-VEGF compounds is discussed as surgical adjuvants with an emphasis on timing of treatment before surgery.展开更多
Several factors drive the need for increased efficiency in telemedicine screening programs directed toward diabetic retinopathy:continually increasing prevalence of diabetes worldwide,growing awareness among physician...Several factors drive the need for increased efficiency in telemedicine screening programs directed toward diabetic retinopathy:continually increasing prevalence of diabetes worldwide,growing awareness among physicians and patients of the importance of early detection of retinal damage,and emerging technology in artificial intelligence that enables rapid identification of vision-threatening fundus features.In this context,optimizing workflows in teleretinopathy programs becomes a priority.Recent work has revealed opportunities for improvement in areas of logistics,in particular in finding the best way to get diabetic patients in front of screening cameras as conveniently as possible,as this improves compliance and,ultimately,achieves the widest reach for detection programs.The present review discusses particular aspects of mobile screening programs in which specialized retinal cameras are deployed in a van or similar type of vehicle so that they can reach patients anywhere in order to reduce barriers to access.The rationale for implementing such programs and practical considerations are presented,along with a view toward future expansion of screening and integration with artificial intelligence platforms.Lacking standardization of format and quality control among smartphone-linked approaches at present,translation of eye clinic-based photographic techniques to community-based screening offers a means of expanding the scope of impactful screening programs without the need for adoption of significantly new technology.展开更多
Diabetic retinopathy(DR)presents one of the greatest challenges currently faced in ophthalmology by both patients and clinicians.Simply by virtue of the number of people impacted and the acceleration in the developmen...Diabetic retinopathy(DR)presents one of the greatest challenges currently faced in ophthalmology by both patients and clinicians.Simply by virtue of the number of people impacted and the acceleration in the development of diabetes in larger populations throughout the world,the problem of diabetic complications has taken on new urgency in recent years.Because of the immediate impact on quality of life,activities of daily living,and a person’s ability to work and live independently,DR tops the list of concerns about the damage wrought by the explosive growth of diabetes.展开更多
文摘High speed and small gauge vitrectomy systems have made surgical intervention in complications of diabetic retinopathy(DR)safer.The availability of anti-vascular endothelial growth factor(anti-VEGF)compounds for use in DR has significantly improved intraoperative and postoperative outcomes.This review discusses the indications for surgical intervention in DR.The role of anti-VEGF compounds is discussed as surgical adjuvants with an emphasis on timing of treatment before surgery.
基金Research to Prevent Blindness,and That Man May See,Inc.
文摘Several factors drive the need for increased efficiency in telemedicine screening programs directed toward diabetic retinopathy:continually increasing prevalence of diabetes worldwide,growing awareness among physicians and patients of the importance of early detection of retinal damage,and emerging technology in artificial intelligence that enables rapid identification of vision-threatening fundus features.In this context,optimizing workflows in teleretinopathy programs becomes a priority.Recent work has revealed opportunities for improvement in areas of logistics,in particular in finding the best way to get diabetic patients in front of screening cameras as conveniently as possible,as this improves compliance and,ultimately,achieves the widest reach for detection programs.The present review discusses particular aspects of mobile screening programs in which specialized retinal cameras are deployed in a van or similar type of vehicle so that they can reach patients anywhere in order to reduce barriers to access.The rationale for implementing such programs and practical considerations are presented,along with a view toward future expansion of screening and integration with artificial intelligence platforms.Lacking standardization of format and quality control among smartphone-linked approaches at present,translation of eye clinic-based photographic techniques to community-based screening offers a means of expanding the scope of impactful screening programs without the need for adoption of significantly new technology.
文摘Diabetic retinopathy(DR)presents one of the greatest challenges currently faced in ophthalmology by both patients and clinicians.Simply by virtue of the number of people impacted and the acceleration in the development of diabetes in larger populations throughout the world,the problem of diabetic complications has taken on new urgency in recent years.Because of the immediate impact on quality of life,activities of daily living,and a person’s ability to work and live independently,DR tops the list of concerns about the damage wrought by the explosive growth of diabetes.
