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5. Referral to Vision Rehabilitation Services for Uveitis Patients: Referral Criteria and Barriers.

Author

Ambrosino, Christina M., Kaleem, Mona A., and Berkenstock, Meghan K.

Subjects
*VISION disorders, *LOW vision, *VISUAL fields, *VISUAL acuity, *FISHER exact test
Abstract

Purpose: Despite the benefits of vision rehabilitation services (VRS) for uveitis patients, limited literature has examined issues in VRS access within uveitis. We surveyed American Uveitis Society members regarding VRS referral practices, criteria, and barriers. Methods: Survey responses were collected from November 2022 to January 2023. Analysis summarized responses and compared response patterns of frequently-referring and infrequently-referring providers through Fisher's exact tests and logistic regression. Results: Most of the 33 respondents completed 1 to 5 monthly referrals using criteria of visual acuity loss, visual field loss, and difficulty performing vision-related activities. Key referral barriers included cost of services and insufficient patient-provider communication regarding vision loss. The practice of speaking to patients about vision loss during clinic visits was correlated with higher VRS referral rates (P = 0.047). Conclusions: Greater patient-provider communication about vision loss may represent an opportunity to increase access to VRS. [ABSTRACT FROM AUTHOR]

Published
2024
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6. Pediatric Toy-Related Ocular Injuries in the United States: A National Electronic Injury Surveillance System Study.

Author

Rachapudi, Sruti and Kaleem, Mona

Subjects
*ELECTRONIC surveillance, *CORNEA injuries, *CHILD patients, *AGE groups, *DATABASES, *OCULAR injuries
Abstract

PurposeMethodsResultsConclusion\nKey SummariesThe purpose of this study is to evaluate the epidemiological trends, primary ocular diagnosis, and degree of injury severity in pediatric patients after a toy-related ocular trauma.A cross-sectional analysis was conducted using data from the National Electronic Injury Surveillance System Study (NEISS), encompassing patients who visited emergency departments over a 5-year period from January 1, 2017, to December 31, 2021, with toy-related ocular injuries. Descriptive statistics were employed using Microsoft Excel.Among the 1439 toy-related ocular injuries identified, the mean age of injury was 6.67 ± 4.36 years. The highest proportion of injuries occurred in the 2–5 years age group (27.2%). The NEISS database classified the severity of injury – the majority of which were minor anterior segment injuries. Toy guns with projectiles were identified as the most common type of toy associated with ocular eye injury. While most injuries were minor, a small percentage was severe.Age-appropriate toy selection and adult supervision during playtime are recommended preventive measures to mitigate the incidence and severity of traumatic eye injuries in children. There is a risk of major ocular injury related to toys, especially toy guns/darts, in young children that requires intervention.However, the incidence of injuries related to toy guns has been stable for the last 40 years.Although most of these cases resulted in minor anterior segment injuries, patterns of serious injury can occur with toys.Physicians, educators, and parents should be made aware of the high risk of ocular toy-related injury when there is poor supervision, inadequate ocular protection, and a lack of understanding of toy-related risks to the eye.There is a risk of major ocular injury related to toys, especially toy guns/darts, in young children that requires intervention.However, the incidence of injuries related to toy guns has been stable for the last 40 years.Although most of these cases resulted in minor anterior segment injuries, patterns of serious injury can occur with toys.Physicians, educators, and parents should be made aware of the high risk of ocular toy-related injury when there is poor supervision, inadequate ocular protection, and a lack of understanding of toy-related risks to the eye. [ABSTRACT FROM AUTHOR]

Published
2024
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17. List of Contributors

Author

Al Saif, Hind, primary, Almeida, Tawany, additional, Babu, Kevin, additional, Bajaj, Gurjas S., additional, Bitar, Maya, additional, Brar, Vikram S., additional, Bregman, Jana, additional, Couser, Natario L., additional, Fard, Sara, additional, Hara, Yurika, additional, Humberson, Jennifer, additional, Hunter, Thomas, additional, Hutchinson, Amy K., additional, Kaleem, Mona, additional, Knight, O'Rese J., additional, Lambert, Scott R., additional, Love, Eleanor, additional, Masood, Maheer, additional, Mathews, Michaela, additional, Melvani, Rakhi, additional, Miller, Payton M., additional, Nasir, Mariam, additional, Ngo, Harrison, additional, Pande, Chetna, additional, Pandya, Arti, additional, Pflugrath, Adam E., additional, Powell, Cynthia M., additional, Randolph, Jessica, additional, Rhodes, Jennifer, additional, Richards, Nikisha Q., additional, Sahni, Dev R., additional, Sethi, Dhruv, additional, Shankar, Suma P., additional, Silverstein, Evan, additional, Smith, Laurie D., additional, Smith-Marshall, Janine, additional, and Toffoli, Daniela, additional

Published
2019
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18. Genetic Abnormalities With Glaucoma

Author

Knight, O'Rese J., primary, Kaleem, Mona, additional, Melvani, Rakhi, additional, Bregman, Jana, additional, Hunter, Thomas, additional, and Couser, Natario L., additional

Published
2019
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19. Vision Rehabilitation Preferred Practice Pattern®

Author

Jackson, Mary Lou, primary, Virgili, Gianni, additional, Shepherd, John D., additional, Di Nome, Marie A., additional, Fletcher, Donald Calvin, additional, Kaleem, Mona A., additional, Lam, Linda A., additional, Lawrence, Linda M., additional, Sunness, Janet S., additional, and Riddering, Anne T., additional

Published
2023
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23. Predictors of intraocular pressure reduction after femtosecond laser-assisted cataract surgery versus conventional phacoemulsification surgery: a prospective trial

Author

Devience, Eva X., primary, Awidi, Abdelhalim, additional, Kalarn, Sachin, additional, DeVience, Stephen, additional, Bui, Brendan, additional, Munir, Wuqaas M., additional, Kaleem, Mona A., additional, Im, Lily, additional, Jeng, Bennie H., additional, Daoud, Yassine, additional, and Saeedi, Osamah J., additional

Published
2022
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27. Postoperative complications of Ab-Interno XEN implantation in primary angle closure glaucoma

Author

Asanad, Samuel, Kalarn, Sachin, and Kaleem, Mona A

Subjects
genetic structures, Case Report, sense organs, eye diseases
Abstract

The XEN Gel Stent offers a unique Ab-interno approach for managing glaucoma and has shown a favorable risk profile relative to traditional trabeculectomy. XEN implantation has almost exclusively been reported in patients with open angle glaucoma and data in patients with angle closure glaucoma is limited. We report a postoperative complication of the XEN Gel Stent in a patient with primary angle closure glaucoma. An 86-year-old man with primary angle closure glaucoma underwent combined phacoemulsification and XEN implantation. After approximately two months, intraocular pressure was elevated and the stent was occluded by iris pigmentary deposits, traversing from the proximal to the distal conjunctival ends of the stent. Using an Ab-interno approach, the implant was successfully explanted, and the patient’s intraocular pressure was notably lowered.

Published
2021

31. Semiautomated Assessment of Anterior Segment Structures in Pediatric Glaucoma Using Quantitative Ultrasound Biomicroscopy

Author

Alexander, Janet L., primary, Maripudi, Snehaa, additional, Kannan, Karun, additional, Drechsler, Jennifer, additional, Levin, Moran R., additional, Saeedi, Osamah J., additional, Kaleem, Mona, additional, Bazemore, Marlet, additional, Karwoski, Bethany, additional, Martinez, Camilo, additional, Jaafar, Mohamad, additional, and Madigan, William P., additional

Published
2021
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32. A scan of chromosome 10 identifies a novel locus showing strong association with late-onset Alzheimer disease

Author

Grupe, Andrew, Li, Yonghong, Rowland, Charles, Nowotny, Petra, Hinrichs, Anthony L., Smemo, Scott, Kauwe, John S.K., Maxwell, Taylor J., Cherny, Sara, Doil, Lisa, Tacey, Kristina, van Luchene, Ryan, Myers, Amanda, Wavrant-De Vrieze, Fabienne, Kaleem, Mona, Hollingworth, Paul, Jehu, Luke, Foy, Catherine, Archer, Nicola, Hamilton, Gillian, Holmans, Peter, Morris, Chris M., Catanese, Joseph, Sninsky, John, White, Thomas J., Powell, John, Hardy, John, O'Donovan, Michael, Lovestone, Simon, Jones, Lesley, Morris, John C., Thal, Leon, Owen, Michael, Williams, Julie, and Goate, Alison

Subjects
Alzheimer's disease -- Genetic aspects, Alzheimer's disease -- Development and progression, Chromosomes -- Research, Gene expression -- Research, Biological sciences
Published
2006

36. Measurement of Retinal Microvascular Blood Velocity Using Erythrocyte Mediated Velocimetry

Author

Tracey, Breanna M., primary, Mayo, Lakyn N., additional, Le, Christopher T., additional, Chen, Victoria Y., additional, Weichsel, Julian, additional, Renner, Corinne Y., additional, Li, Jiaqi, additional, Tsai, Joby J., additional, Kalarn, Sachin P., additional, Ou, Michael T., additional, Chang, Luke Y., additional, Mohammed, Taariq K., additional, Mohammed, Isa S. K., additional, Shah, Khelly A., additional, Thompson, Ginger M., additional, Jones, Anja M. K., additional, Im, Lily T., additional, Kaleem, Mona A., additional, and Saeedi, Osamah J., additional

Published
2019
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38. Structural changes of the ciliary body and ciliary processes measured by ultrasound biomicroscopy of primary congenital glaucoma in comparison to glaucoma following congenital cataract surgery

Author

Andrews, Laura, primary, Kueny, Laura, additional, Martinez, Camilo, additional, Li, Joy, additional, Lee, Adrianna, additional, Saeedi, Osamah, additional, Levin, Moran Roni, additional, Kaleem, Mona, additional, Karwoski, Bethany, additional, Bazemore, Marlet, additional, Miller, Marijean, additional, Jaafar, Mohamad, additional, Alexander, Janet Leath, additional, and Madigan, William P., additional

Published
2019
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42. Survey of musculoskeletal disorders among US ophthalmologists.

Author

Schechet, Sidney A., DeVience, Eva, DeVience, Stephen, Shukla, Shweta, and Kaleem, Mona

Subjects
OCCUPATIONAL diseases, MUSCULOSKELETAL system diseases, WORK environment, OPHTHALMOLOGISTS, FISHER exact test, T-test (Statistics), ERGONOMICS, SURVEYS, PAIN management, DISEASE risk factors, SYMPTOMS
Abstract

Purpose--To characterize the prevalence of work-related musculoskeletal disorders (MSD), symptoms, and risk factors among ophthalmologists. Methods--An online survey was distributed to ophthalmologist members of the Maryland Society of Eye Physicians and Surgeons. The survey consisted of 34 questions on respondent demographics, practice characteristics, pain, and effects of MSD on their practice patterns. Participants were excluded if they were not ophthalmologists or if they had MSD symptoms prior to the start of their ophthalmology career. Demographics and practice patterns were compared for those with or without MSD symptoms using the Welch t test and the Fisher exact test. Results--The survey was completed by 127 of 250 active members (response rate, 51%). Of the 127, 85 (66%) reported experiencing work-related pain, with an average pain level of 4/10. With regard to mean age, height, weight, years in practice, number of patients seen weekly, and hours worked weekly, there was no difference between respondents reporting pain and those without. Those reporting MSD symptoms spent significantly more time in surgery than those who did not (mean of 7.9 vs 5.3 hours/week [P < 0.01]). Fourteen percent of respondents reported plans to retire early due to their symptoms. Conclusions--A majority of respondents experienced work-related MSD symptoms, which was associated with time spent in surgery. Modifications to the workplace environment focusing on ergonomics, particularly in the operating room, may benefit ophthalmologists. [ABSTRACT FROM AUTHOR]

Published
2020
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45. Vision Rehabilitation Preferred Practice Pattern®

Author

Fontenot, Joseph L., primary, Bona, Mark D., additional, Kaleem, Mona A., additional, McLaughlin, William M., additional, Morse, Alan R., additional, Schwartz, Terry L., additional, Shepherd, John D., additional, and Jackson, Mary Lou, additional

Published
2018
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48. Prediction of MIGS outcomes on second eyes using first eyes’ response

Author

Dickinson, Anna, Leidy, Luke, Nusair, Omar, Rachapudi, Sruti, Valenzuela, Tony, Ramulu, Pradeep, Mihailovic, Aleksandra, Yohannan, Jithin, Kaleem, Mona, Johnson, Thomas V., and An, Jella

Abstract

To evaluate how well outcomes following cataract extraction and microinvasive glaucoma surgery in one eye predict outcomes in sequential second eye. Retrospective study of 78 patients who underwent cataract extraction and microinvasive glaucoma surgery in both eyes. Linear regressions using Pearson correlation coefficients were used to evaluate correlations in intraocular pressure and glaucoma medication change between eyes. Multivariable logistic regression models were used to evaluate the associations between first-eye variables and the likelihood of second-eye surgical success at 6 months. Surgical success was defined as meeting target intraocular pressure without additional medications compared to baseline or secondary surgical interventions. Baseline ocular characteristics were comparable between fellow eyes, with the majority having mild glaucoma. Intraocular pressure changes between fellow eyes at 6 months were modestly correlated between eyes (R = 0.48; P < .001). Changes in glaucoma medications were strongly correlated between eyes at all time points, and month 6 demonstrated the most significant correlation (R = 0.80; P < .001). First and second eye cohorts achieved 82% and 83% surgical success. Multivariate analysis for predictive factors of successful second eye surgery showed patients with successful first eye surgery at 6 months were significantly more likely to have successful second eye surgery (odds ratio, 20.67; P < .001). Reductions in intraocular pressure and glaucoma medications at 6 months following surgery in first eyes are correlated to second eye reductions. Successful surgical outcomes at 6 months following first eye surgeries are strongly associated with successful sequential second eye outcomes.

Published
2023
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