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Article ; Online: Skin Extravasation After Fluorescein Angiography in an Adult Man With Waldenström Macroglobulinemia.

Shemer, Asaf / Rahimi-Levene, Naomi / Shoshany, Nadav

2022 Volume 140, Issue 5, Page(s) e220009

MeSH term(s)	Adult ; Fluorescein Angiography ; Humans ; Lymphoma, B-Cell ; Male ; Skin ; Waldenstrom Macroglobulinemia/complications ; Waldenstrom Macroglobulinemia/diagnosis
Language	English
Publishing date	2022-05-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2701705-9
ISSN	2168-6173 ; 2168-6165
ISSN (online)	2168-6173
ISSN	2168-6165
DOI	10.1001/jamaophthalmol.2022.0009
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Article ; Online: Overcoming Vaccine Hesitancy Around Bell Palsy in Otolaryngology-Head and Neck Surgery-Reply.

Chang, C W David / Tamaki, Akina / Shemer, Asaf

JAMA otolaryngology-- head & neck surgery

2021 Volume 148, Issue 2, Page(s) 198–199

MeSH term(s)	Bell Palsy ; Humans ; Nose ; Otolaryngology ; Pharynx ; Vaccination Hesitancy
Language	English
Publishing date	2021-12-09
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2701825-8
ISSN	2168-619X ; 2168-6181
ISSN (online)	2168-619X
ISSN	2168-6181
DOI	10.1001/jamaoto.2021.3561
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Article: Peripheral Facial Nerve Palsy Following BNT162b2 (COVID-19) Vaccination.

Shemer, Asaf / Pras, Eran / Hecht, Idan

The Israel Medical Association journal : IMAJ

2021 Volume 23, Issue 3, Page(s) 143–144

MeSH term(s)	Aged ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines/administration & dosage ; COVID-19 Vaccines/adverse effects ; Emergency Service, Hospital/statistics & numerical data ; Facial Paralysis/diagnosis ; Facial Paralysis/epidemiology ; Facial Paralysis/etiology ; Facial Paralysis/therapy ; Female ; Humans ; Israel/epidemiology ; Male ; Middle Aged ; Neurologic Examination ; Patient Care Management/methods
Chemical Substances	COVID-19 Vaccines ; BNT162 vaccine (N38TVC63NU)
Language	English
Publishing date	2021-03-18
Publishing country	Israel
Document type	Journal Article
ZDB-ID	2008291-5
ISSN	1565-1088 ; 0021-2180
ISSN	1565-1088 ; 0021-2180
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Article ; Online: Correction to: Predictive accuracy of the ABCD progression display among patients with keratoconus: A historic cohort analysis.

Dubinsky-Pertzov, Biana / Segal, Omri / Hecht, Idan / Gazit, Inbal / Or, Lior / Shemer, Asaf / Pras, Eran / Einan-Lifshitz, Adi

Eye (London, England)

2023 Volume 37, Issue 9, Page(s) 1949

Language	English
Publishing date	2023-02-14
Publishing country	England
Document type	Published Erratum
ZDB-ID	91001-6
ISSN	1476-5454 ; 0950-222X
ISSN (online)	1476-5454
ISSN	0950-222X
DOI	10.1038/s41433-022-02296-9
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Article ; Online: Optic Neuritis After SARS-CoV-2 Vaccination.

Shemer, Asaf / Greenbaum, Assaf / Toledano, Amit / Biron, Roy / Dubinsky-Pertzov, Biana / Or, Lior

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society

2023 Volume 43, Issue 1, Page(s) 29–33

Abstract: Background: To describe recent cases of optic neuritis in patients who received a vaccine for COVID-19.: Methods: Retrospective case series of patients diagnosed with optic neuritis after a recent COVID-19 vaccination with BNT162b2 (Pfizer-BioNTech), ...

Abstract	Background: To describe recent cases of optic neuritis in patients who received a vaccine for COVID-19. Methods: Retrospective case series of patients diagnosed with optic neuritis after a recent COVID-19 vaccination with BNT162b2 (Pfizer-BioNTech), in one university-affiliated tertiary hospital, from January 2021 to June 2021. Data were obtained from medical charts. Results: We describe 7 patients who developed optic neuritis after immunization with the BNT162b2 vaccine. Conclusions: A causal relationship cannot be deduced, and the importance of COVID-19 vaccination is not challenged. However, the authors encourage a prospective monitoring and reporting system for all patients receiving COVID-19 vaccines, to further assess the spectrum of adverse events in large databases.
MeSH term(s)	Humans ; BNT162 Vaccine ; COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; Optic Neuritis/diagnosis ; Optic Neuritis/etiology ; Prospective Studies ; Retrospective Studies ; SARS-CoV-2 ; Vaccination/adverse effects
Chemical Substances	BNT162 Vaccine ; COVID-19 Vaccines
Language	English
Publishing date	2023-01-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	1189901-3
ISSN	1536-5166 ; 1070-8022
ISSN (online)	1536-5166
ISSN	1070-8022
DOI	10.1097/WNO.0000000000001811
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Article ; Online: Between-eye correlation of ocular parameters.

Hecht, Idan / Shemer, Asaf / Vardi, Maya / Braudo, Sharon / Dubinsky-Pertzov, Biana / Or, Lior / Pras, Eran

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie

2024

Abstract: Objective: It is accepted that ocular parameters are more correlated with the fellow eye. This poses a challenge in ophthalmic research. There is a relative scarcity of data concerning the extent of correlation. The aim of this study was to analyze and ... ...

Abstract	Objective: It is accepted that ocular parameters are more correlated with the fellow eye. This poses a challenge in ophthalmic research. There is a relative scarcity of data concerning the extent of correlation. The aim of this study was to analyze and quantify the correlation of different ocular parameters. Design: Historical registry analysis. Participants: All patients examined in a 10-year period (2011-2021) in one academic tertiary medical centre in central Israel. Methods: Data from optical coherence tomography examinations and biometry of a single examination of both eyes taken at the same time from each patient was included. Pearson's r values were calculated to estimate the extent of correlation. Results: A total of 17,212 patients were included. Mean age was 73 ± 12.7 years, and 54.5% were female. All examined parameters were highly statistically significantly correlated between eyes (all with p < 0.1 × 10 Conclusions: In a retrospective analysis of optical coherence tomography and biometry measurements of >10,000 patients, all examined parameters were highly statistically significantly correlated. Correlation magnitude varied, with structural characteristics more correlated than functional ones. Including both eyes in an outcome analysis likely will introduce bias. We recommend adjusting for inter-eye correlation in all studies assessing ocular outcome measures.
Language	English
Publishing date	2024-01-11
Publishing country	England
Document type	Journal Article
ZDB-ID	80091-0
ISSN	1715-3360 ; 0008-4182
ISSN (online)	1715-3360
ISSN	0008-4182
DOI	10.1016/j.jcjo.2023.12.009
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Article ; Online: The Definition-Dependent Nature of Myopia Prevalence: A Nationwide Study of 1.5 Million Adolescents.

Nitzan, Itay / Akavian, Inbal / Einan-Lifshitz, Adi / Shemer, Asaf / Afek, Arnon / Peled, Alon

Ophthalmic epidemiology

2023 Volume 30, Issue 5, Page(s) 515–522

Abstract: Purpose: The application of myopia definition varies considerably within the literature. The purpose of this study was to examine the relationship between different myopia and high myopia definitions and resultant prevalence estimates.: Methods: A ... ...

Abstract	Purpose: The application of myopia definition varies considerably within the literature. The purpose of this study was to examine the relationship between different myopia and high myopia definitions and resultant prevalence estimates. Methods: A population-based cross-sectional study of 1,588,508 Israeli adolescents assessed for medical fitness before mandatory military service at the age of 17 years between 1993 through 2015. Participants underwent non-cycloplegic autorefraction. Nine definitions of myopia and seven definitions of high myopia were examined. Prevalence estimates for each definition were calculated and compared with the reference definition (right eye spherical equivalent (SE)≤-0.50D and ≤-6.00D for myopia and high myopia, respectively), to yield a rate ratio (RR) across definitions. Results: Applying the right eye SE≤-0.50D reference definition yielded 31.0% myopia prevalence. While some definitions resulted in similar prevalence estimates, using the right eye SE of ≤-0.75D; ≤-1.00D or least minus meridian of ≤-0.75D definitions yielded 28.8%, 26.3%, and 26.9% myopia prevalence, respectively, which corresponded to a 7.1%, 15.1% and 13.4% reduction in myopia RR, respectively. The prevalence of high myopia demonstrated considerable alternations, with a 1.7-fold increase in prevalence for the narrower threshold of SE≤-5.00D compared with SE≤-6.00D reference definition (4.2% and 2.4%, respectively). Conclusions: The prevalence of myopia and especially high myopia varies between frequently applied definitions, considering diverse thresholds, eye lateralization, and spherical vs. astigmatic refractive components. This variability highlights the pressing need for standardization of myopia definition in ophthalmic research. The results of this study provide crude estimates of a "conversion rate" across data, allowing comparisons between studies that utilize different myopia definitions.
MeSH term(s)	Humans ; Adolescent ; Cross-Sectional Studies ; Myopia/epidemiology ; Refraction, Ocular ; Vision Tests ; Eye ; Prevalence
Language	English
Publishing date	2023-01-04
Publishing country	England
Document type	Journal Article
ZDB-ID	1213070-9
ISSN	1744-5086 ; 0928-6586
ISSN (online)	1744-5086
ISSN	0928-6586
DOI	10.1080/09286586.2022.2159984
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Article ; Online: Association between level of training and reliability of intrapartum transperineal ultrasound measurement of angle of progression.

Shemer, Ofer / Shemer, Asaf / Ganor Paz, Yael / Rosen, Hadar / Tovbin, Josef / Barzilay, Eran

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

2021 Volume 35, Issue 25, Page(s) 9093–9097

Abstract: Objectives: Intrapartum transperineal ultrasound (ITU) is an accepted tool for assessing fetal head position and station prior to operative vaginal delivery attempt. However, the validity of intrapartum ultrasound in real-life obstetrics with operators ... ...

Abstract	Objectives: Intrapartum transperineal ultrasound (ITU) is an accepted tool for assessing fetal head position and station prior to operative vaginal delivery attempt. However, the validity of intrapartum ultrasound in real-life obstetrics with operators at different proficiency level is yet to be established. We aimed to investigate the association between operator level of training and reliability of angle of progression (AOP) measurements in real-life obstetrics. Methods: This was a retrospective study in one university medical center. We included women who underwent ITU for the measurement of AOP, before vacuum assisted delivery from November 2017 to September 2020. AOP measurements performed by residents and their correlation to head station were compared to those performed by specialists. Results: A total of 320 cases met the inclusion criteria. In 234 of them, AOP measurements were performed by specialists and in 86 by residents. Average AOP for each station was similar between the specialists and the residents groups, indicating similar accuracy. However, measurements in the residents group were more scattered (median deviation 11.4° vs. 8.9°, respectively, Conclusions: AOP measurements performed by obstetrics and gynecology (OBGYN) specialists are more precise than those performed by residents. Efforts should be taken to improve ITU training and to implement assessment of performance programs.
MeSH term(s)	Pregnancy ; Female ; Humans ; Labor Presentation ; Fetus ; Reproducibility of Results ; Retrospective Studies ; Ultrasonography, Prenatal ; Prospective Studies
Language	English
Publishing date	2021-12-09
Publishing country	England
Document type	Journal Article
ZDB-ID	2077261-0
ISSN	1476-4954 ; 1057-0802 ; 1476-7058
ISSN (online)	1476-4954
ISSN	1057-0802 ; 1476-7058
DOI	10.1080/14767058.2021.2014811
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Article ; Online: RATES OF RECURRENT RETINAL DETACHMENT AFTER VAGINAL VERSUS CESAREAN DELIVERIES: A Retrospective Analysis and Review of the Literature.

Shemer, Asaf / Zloto, Keren / Peretz, Ziv / Eting, Eva / Or, Lior / Pras, Eran / Dubinsky-Pertzov, Biana

Retina (Philadelphia, Pa.)

2023 Volume 44, Issue 1, Page(s) 78–82

Abstract: Purpose: To evaluate the risk of a retinal redetachment in women after vaginal delivery versus cesarean delivery.: Methods: Retrospective cohort analysis of patients diagnosed with retinal detachment (RD) who had later delivered in one tertiary ... ...

Abstract	Purpose: To evaluate the risk of a retinal redetachment in women after vaginal delivery versus cesarean delivery. Methods: Retrospective cohort analysis of patients diagnosed with retinal detachment (RD) who had later delivered in one tertiary medical center. Recurrence rates of RD were obtained from medical charts. Results: A total of 967 women with RDs were evaluated, and 66 patients met the inclusion criteria. The mean age at the time of RD was 22.64 ± 5.81 SD years and 21.75 ± 5.47 SD years in the vaginal delivery group and the cesarean section group, respectively. None of the patients had a history of eye surgery or traumatic eye injury before the event of RD. In all patients, the detached retina was surgically reattached. Retinal detachment was not recorded in the fellow eye during follow-up. We report four cases of redetachment after birth in four women. In our study, there was a 5% rate (n = 2) of RD after a vaginal delivery as compared with a 7.5% (n = 2) redetachment rate for patients after a cesarean delivery ( P = 0.654). Conclusion: The risk of a redetachment of the retina in women is not increased after a vaginal delivery as compared with a cesarean delivery. Therefore, in our opinion, there is no ophthalmic benefit in a cesarean section for a woman with prior RD.
MeSH term(s)	Humans ; Female ; Pregnancy ; Cesarean Section/adverse effects ; Retrospective Studies ; Retinal Detachment/diagnosis ; Retinal Detachment/epidemiology ; Retinal Detachment/etiology ; Delivery, Obstetric/adverse effects ; Cohort Studies
Language	English
Publishing date	2023-08-29
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	603192-4
ISSN	1539-2864 ; 0275-004X
ISSN (online)	1539-2864
ISSN	0275-004X
DOI	10.1097/IAE.0000000000003909
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Zs.A 1724: Show issues

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Article ; Online: Diagnostic capabilities of ChatGPT in ophthalmology.

Shemer, Asaf / Cohen, Michal / Altarescu, Aya / Atar-Vardi, Maya / Hecht, Idan / Dubinsky-Pertzov, Biana / Shoshany, Nadav / Zmujack, Sigal / Or, Lior / Einan-Lifshitz, Adi / Pras, Eran

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie

2024

Abstract: Purpose: The purpose of this study is to assess the diagnostic accuracy of ChatGPT in the field of ophthalmology.: Methods: This is a retrospective cohort study conducted in one academic tertiary medical center. We reviewed data of patients admitted ... ...

Abstract	Purpose: The purpose of this study is to assess the diagnostic accuracy of ChatGPT in the field of ophthalmology. Methods: This is a retrospective cohort study conducted in one academic tertiary medical center. We reviewed data of patients admitted to the ophthalmology department from 06/2022 to 01/2023. We then created two clinical cases for each patient. The first case is according to the medical history alone (Hx). The second case includes an addition of the clinical examination (Hx and Ex). For each case, we asked for the three most likely diagnoses from ChatGPT, residents, and attendings. Then, we compared the accuracy rates (at least one correct diagnosis) of all groups. Additionally, we evaluated the total duration for completing the assignment between the groups. Results: ChatGPT, residents, and attendings evaluated 126 cases from 63 patients (history only or history and exam findings for each patient). ChatGPT achieved a significantly lower accurate diagnosis rate (54%) in the Hx, as compared to the residents (75%; p < 0.01) and attendings (71%; p < 0.01). After adding the clinical examination findings, the diagnosis rate of ChatGPT was 68%, whereas for the residents and the attendings, it increased to 94% (p < 0.01) and 86% (p < 0.01), respectively. ChatGPT was 4 to 5 times faster than the attendings and residents. Conclusions and relevance: ChatGPT showed low diagnostic rates in ophthalmology cases compared to residents and attendings based on patient history alone or with additional clinical examination findings. However, ChatGPT completed the task faster than the physicians.
Language	English
Publishing date	2024-01-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	8435-9
ISSN	1435-702X ; 0721-832X
ISSN (online)	1435-702X
ISSN	0721-832X
DOI	10.1007/s00417-023-06363-z
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