Ophthalmology
-
Comparative Study
Outcomes of therapeutic deep lamellar keratoplasty and penetrating keratoplasty for advanced infectious keratitis: a comparative study.
To compare the therapeutic success, visual outcomes, complications, and graft survival rates of therapeutic deep anterior lamellar keratoplasty (TDALK) and therapeutic penetrating keratoplasty (TPK) for advanced infectious keratitis. ⋯ For medically unresponsive infectious keratitis, TDALK may be considered instead of TPK yielding similar graft survival, without an increased risk of disease recurrence.
-
To assess resident surgical experience in vitreoretinal surgery (VRS) in the United States. ⋯ This self-reported electronic survey of third-year residents suggested that VRS experience at ACGME-accredited programs as primary surgeon was suboptimal for surgeries. A modest majority of residents reported comfort and satisfaction with VRS training for surgery, but a majority was satisfied and had adequate experience with office procedures such as intravitreal injection and laser treatment. Unfortunately, the majority of residents were unaware of the actual numeric ACGME VRS requirements for ophthalmology residency programs.
-
To report the immediate postoperative complications and the 6- and 12-month clinical results in a large series of cases undergoing the new triple-procedure Descemet's stripping automated endothelial keratoplasty (DSAEK) and concurrent cataract surgery. ⋯ The new triple-procedure DSAEK combined with cataract surgery provides rapid visual recovery and allows selection of an appropriate intraocular lens. Dislocations are rare (1.8%) and primary graft failure did not occur.
-
To assess trends in tenure for chairs of academic departments of ophthalmology and to assess characteristics that may be correlated with longevity. ⋯ The average turnover rate for chairs of departments of ophthalmology has shown a slight upward trend over the last 25 years with a corresponding decrease in mean tenure length. Although this trend is not particularly alarming compared with those of other disciplines, academic leaders must be aware of this trend to estimate future leadership needs and to take steps to ensure tenure length does not decrease in such a way that it hinders the field.