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  1. Article: Ocular inflammatory events following COVID-19 vaccination: a multinational case series.

    Testi, Ilaria / Brandão-de-Resende, Camilo / Agrawal, Rupesh / Pavesio, Carlos

    Journal of ophthalmic inflammation and infection

    2022  Volume 12, Issue 1, Page(s) 4

    Abstract: Background: Inflammatory adverse events following COVID-19 vaccination are being reported amidst the growing concerns regarding vaccine's immunogenicity and safety, especially in patients with pre-existing inflammatory conditions.: Methods: ... ...

    Abstract Background: Inflammatory adverse events following COVID-19 vaccination are being reported amidst the growing concerns regarding vaccine's immunogenicity and safety, especially in patients with pre-existing inflammatory conditions.
    Methods: Multinational case series of patients diagnosed with an ocular inflammatory event within 14 days following COVID-19 vaccination collected from 40 centres over a 3 month period in 2021.
    Results: Seventy patients presented with ocular inflammatory events within 14 days following COVID-19 vaccination. The mean age was 51 years (range, 19-84 years). The most common events were anterior uveitis (n = 41, 58.6%), followed by posterior uveitis (n = 9, 12.9%) and scleritis (n = 7, 10.0%). The mean time to event was 5 days and 6 days (range, 1-14 days) after the first and second dose of vaccine, respectively. Among all patients, 36 (54.1%) had a previous history of ocular inflammatory event. Most patients (n = 48, 68.6%) were managed with topical corticosteroids. Final vision was not affected in 65 (92.9%), whereas 2 (2.9%) and 3 (4.3%) had reduction in visual acuity reduced by ≤3 lines and > 3 lines, respectively. Reported complications included nummular corneal lesions (n = 1, 1.4%), cystoid macular oedema (n = 2, 2.9%) and macular scarring (n = 2, 2.9%).
    Conclusion: Ocular inflammatory events may occur after COVID-19 vaccination. The findings are based on a temporal association that does not prove causality. Even in the possibility of a causal association, most of the events were mild and had a good visual outcome.
    Language English
    Publishing date 2022-01-04
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2592309-2
    ISSN 1869-5760
    ISSN 1869-5760
    DOI 10.1186/s12348-021-00275-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Enhancing Ophthalmic Triage: identification of new clinical features to support healthcare professionals in triage.

    Jindal, Anish / Brandao-de-Resende, Camilo / Neo, Yan Ning / Melo, Mariane / Day, Alexander C

    Eye (London, England)

    2024  

    Abstract: Objective: To investigate which features from a patient's history are either high or low risk that could support healthcare professionals in ophthalmic emergency triage.: Methods: Prospective, 12,584 visits from 11,733 adult patients attending an ... ...

    Abstract Objective: To investigate which features from a patient's history are either high or low risk that could support healthcare professionals in ophthalmic emergency triage.
    Methods: Prospective, 12,584 visits from 11,733 adult patients attending an Accident and Emergency department at a single tertiary centre were analysed. Data were collected by ophthalmic nurses working in triage, using an online form from August 2021 to April 2022. Multivariate analysis (MVA) was conducted to identify which features from the patients' history would be associated with emergency care.
    Results: This study found that 45.5% (5731 patient visits (PV)) required a same day eye emergency examination (SDEE), 11.3% (1416 PV) needed urgent care, and 43.2% (5437 PV) were appropriate for elective consultations with a GP or optometrist. The MVA top ten features that were statistically significant (p < 0.05) that would warrant SDEE with odds ratio (95% CI) were: bilateral eye injury 36.5 [15.6-85.5], unilateral eye injury 25.8 [20.9-31.7], vision loss 4.8 [2.9-7.8], post-operative ophthalmic ( < 4 weeks) 4.6 [3.8-5.7], contact lens wearer 3.9 [3.3-4.7], history of uveitis 3.9 [3.3-4.7], photophobia 2.9 [2.4-3.6], unilateral dark shadow/curtain in vision 2.4 [1.8-3.0], unilateral injected red eye 2.0 [1.8-2.2] and rapid change in visual acuity 1.8 [1.5-2.2].
    Conclusion: This study characterises presenting features covering almost 100 ophthalmic acute presentations that are commonly seen in emergency and elective care. This information could supplement current red flag indicators and support healthcare professionals in ophthalmic triage. Further research is required to evaluate the cost effectivity and safety of our findings for triaging acute presentations.
    Language English
    Publishing date 2024-04-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/s41433-024-03070-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Glaucoma and Telemedicine.

    Brandão-de-Resende, Camilo / Alcântara, Liliane de Abreu Rosa de / Vasconcelos-Santos, Daniel Vítor / Diniz-Filho, Alberto

    Journal of glaucoma

    2023  Volume 32, Issue 5, Page(s) 327–332

    Abstract: Prcis: Teleglaucoma is the future, but there is a need for clearer regulation by government agencies and medical entities, as well as for studies to further demonstrate the cost-effectiveness and safety of teleglaucoma strategies at a global scale.: ... ...

    Abstract Prcis: Teleglaucoma is the future, but there is a need for clearer regulation by government agencies and medical entities, as well as for studies to further demonstrate the cost-effectiveness and safety of teleglaucoma strategies at a global scale.
    Abstract: The coronavirus disease 2019 pandemic drastically impacted global health, forcing institutions to provide alternative models of safe and reliable health care. In this context, telemedicine has been successfully used to overcome distance barriers and improve access to medical services. Teleglaucoma is the application of telemedicine to screen and monitor glaucoma, a chronic and progressive optic neuropathy. Teleglaucoma screening aims to detect the disease at an earlier stage, especially in high-risk populations and underserved areas, also identifying patients who require more urgent treatment. Teleglaucoma monitoring seeks to provide remote management through virtual clinics, where classic in-person visits are replaced by synchronous data collection (clinical measurements) performed by non-ophthalmologists and asynchronous review (decision-making) by ophthalmologists. This may be employed for low-risk patients with early disease, improving health care logistics, reducing the number of face-to-face consultations, and saving time and costs. New technologies may also allow home monitoring of patients in teleglaucoma programs, with the addition of artificial intelligence methods, which are expected to increase the accuracy of remote glaucoma screening/monitoring and support clinical decision-making. However, for the incorporation of teleglaucoma into clinical practice, a complex system for collection, transfer, flow, and interpretation of data is still necessary, in addition to clearer regulatory markers by government agencies and medical entities.
    MeSH term(s) Humans ; Artificial Intelligence ; Intraocular Pressure ; COVID-19/epidemiology ; Glaucoma/therapy ; Telemedicine/methods
    Language English
    Publishing date 2023-02-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 913494-3
    ISSN 1536-481X ; 1057-0829
    ISSN (online) 1536-481X
    ISSN 1057-0829
    DOI 10.1097/IJG.0000000000002200
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Seeking clarity on retinal findings in patients with COVID-19.

    Brandão-de-Resende, Camilo / Diniz-Filho, Alberto / Vasconcelos-Santos, Daniel V

    Lancet (London, England)

    2020  Volume 396, Issue 10254, Page(s) e37

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; Retina/pathology ; Retina/virology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-19
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(20)31918-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Usability of an artificially intelligence-powered triage platform for adult ophthalmic emergencies: a mixed methods study.

    Jindal, Anish / Sumodhee, Dayyanah / Brandao-de-Resende, Camilo / Melo, Mariane / Neo, Yan Ning / Lee, Elsa / Day, Alexander C

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 22490

    Abstract: There is growing demand for emergency-based eyecare services where the majority of those attending do not require urgent ophthalmic management. The Royal College of Ophthalmologists have recommended upskilling and supporting of allied health ... ...

    Abstract There is growing demand for emergency-based eyecare services where the majority of those attending do not require urgent ophthalmic management. The Royal College of Ophthalmologists have recommended upskilling and supporting of allied health professionals to support eyecare delivery, where machine learning algorithms could help. A mixed methods study was conducted to evaluate the usability of an artificial intelligence (AI) powered online triage platform for ophthalmology. The interface, usability, safety and acceptability were investigated using a Think Aloud interview and usability questionnaires. Twenty participants who actively examine patients in ophthalmic triage within a tertiary eye centre or primary care setting completed the interview and questionnaires. 90% or more of participants found the platform easy to use, reflected their triage process and were able to interpret the triage outcome, 85% found it safe to use and 95% felt the processing time was fast. A quarter of clinicians reported that they have experienced some uncertainty when triaging in their career and were unsure of using AI, after this study 95% of clinicians were willing to use the platform in their clinical workflow. This study showed the platform interface was acceptable and usable for clinicians actively working in ophthalmic emergency triage.
    MeSH term(s) Adult ; Humans ; Triage/methods ; Artificial Intelligence ; Emergencies ; Ophthalmology ; Intelligence
    Language English
    Publishing date 2023-12-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-49213-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Multimodal Imaging in Ocular Toxoplasmosis.

    Brandão-de-Resende, Camilo / Balasundaram, Manohar Babu / Narain, Shishir / Mahendradas, Padmamalini / Vasconcelos-Santos, Daniel V

    Ocular immunology and inflammation

    2020  Volume 28, Issue 8, Page(s) 1196–1204

    Abstract: Multimodal imaging relies on combination of multiple imaging modalities to precisely delineate pathological changes in the posterior segment of the eye associated with a wide range of conditions. This combined application of fundus photography, optical ... ...

    Abstract Multimodal imaging relies on combination of multiple imaging modalities to precisely delineate pathological changes in the posterior segment of the eye associated with a wide range of conditions. This combined application of fundus photography, optical coherence tomography, fundus reflectance/autofluorescence and fundus angiography (with fluorescein, indocyanine green and/or optical coherence tomography) is of great utility for assessment of patients with ocular toxoplasmosis. Multimodal imaging is helpful to characterize the typical pattern of toxoplasmic retinochoroiditis, with primary focal inflammatory involvement of the neurosensory retina, and secondary changes at the level of underlying choroid, retinal blood vessels, vitreous and even optic disc. It may also be valuable to document and follow local complications, including macular edema, vascular occlusions, and choroidal neovascularization, among others.
    MeSH term(s) Coloring Agents/administration & dosage ; Eye Infections, Parasitic/diagnostic imaging ; Fluorescein Angiography ; Humans ; Indocyanine Green/administration & dosage ; Multimodal Imaging ; Optical Imaging ; Tomography, Optical Coherence ; Toxoplasmosis, Ocular/diagnostic imaging
    Chemical Substances Coloring Agents ; Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2020-03-11
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1193873-0
    ISSN 1744-5078 ; 0927-3948
    ISSN (online) 1744-5078
    ISSN 0927-3948
    DOI 10.1080/09273948.2020.1737142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Use of machine learning to predict the risk of early morning intraocular pressure peaks in glaucoma patients and suspects.

    Brandão-de-Resende, Camilo / Cronemberger, Sebastião / Veloso, Artur W / Mérula, Rafael V / Freitas, Carolina S / Borges, Érica A / Diniz-Filho, Alberto

    Arquivos brasileiros de oftalmologia

    2021  Volume 84, Issue 6, Page(s) 569–575

    Abstract: Purpose: To use machine learning to predict the risk of intraocular pressure peaks at 6 a.m. in primary open-angle glaucoma patients and suspects.: Methods: This cross-sectional observational study included 98 eyes of 98 patients who underwent a 24- ... ...

    Abstract Purpose: To use machine learning to predict the risk of intraocular pressure peaks at 6 a.m. in primary open-angle glaucoma patients and suspects.
    Methods: This cross-sectional observational study included 98 eyes of 98 patients who underwent a 24-hour intraocular pressure curve (including the intraocular pressure measurements at 6 a.m.). The diurnal intraocular pressure curve was defined as a series of three measurements at 8 a.m., 9 a.m., and 11 a.m. from the 24-hour intraocular pressure curve. Two new variables were introduced: slope and concavity. The slope of the curve was calculated as the difference between intraocular pressure measurements at 9 a.m. and 8 a.m. and reflected the intraocular pressure change in the first hour. The concavity of the curve was calculated as the difference between the slopes at 9 a.m. and 8 a.m. and indicated if the curve was bent upward or downward. A classification tree was used to determine a multivariate algorithm from the measurements of the diurnal intraocular pressure curve to predict the risk of elevated intraocular pressure at 6 a.m.
    Results: Forty-nine (50%) eyes had intraocular pressure measurements at 6 a.m. >21 mmHg, and the median intraocular pressure peak in these eyes at 6 a.m. was 26 mmHg. The best predictors of intraocular pressure measurements >21 mmHg at 6 a.m. were the intraocular pressure measurements at 8 a.m. and concavity. The proposed model achieved a sensitivity of 100% and a specificity of 86%, resulting in an accuracy of 93%.
    Conclusions: The machine learning approach was able to predict the risk of intraocular pressure peaks at 6 a.m. with good accuracy. This new approach to the diurnal intraocular pressure curve may become a widely used tool in daily practice and the indication of a 24-hour intraocular pressure curve could be rationalized according to risk stratification.
    MeSH term(s) Cross-Sectional Studies ; Glaucoma/diagnosis ; Glaucoma, Open-Angle/diagnosis ; Humans ; Intraocular Pressure ; Machine Learning
    Language English
    Publishing date 2021-09-29
    Publishing country Brazil
    Document type Journal Article ; Observational Study
    ZDB-ID 603915-7
    ISSN 1678-2925 ; 0004-2749
    ISSN (online) 1678-2925
    ISSN 0004-2749
    DOI 10.5935/0004-2749.20210101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Ocular Inflammatory Events Following COVID-19 Vaccination in the Paediatric Population: A Multinational Case Series.

    Testi, Ilaria / Brandão-de-Resende, Camilo / De-La-Torre, Alejandra / Concha-Del-Rio, Luz Elena / Cheja-Kalb, Rashel / Mahendradas, Padmamalini / Habot-Wilner, Zohar / Yalçındağ, Nilüfer / Markelj, Špela / Iriqat, Salam / Portero, Alejandro / Petrushkin, Harry / Pavesio, Carlos / Solebo, Ameenat Lola

    Ocular immunology and inflammation

    2023  , Page(s) 1–6

    Abstract: Background: Ocular inflammatory events following COVID-19 vaccination have been reported in the adult population.: Methods: Multinational case series of patients under the age of 18 diagnosed with ocular inflammatory events within 28 days of COVID-19 ...

    Abstract Background: Ocular inflammatory events following COVID-19 vaccination have been reported in the adult population.
    Methods: Multinational case series of patients under the age of 18 diagnosed with ocular inflammatory events within 28 days of COVID-19 vaccination.
    Results: Twenty individuals were included. The most common event was anterior uveitis (
    Conclusion: Ocular inflammatory events may happen in the paediatric population following COVID-19 vaccination. Most events were successfully treated, and all showed a good visual outcome.
    Language English
    Publishing date 2023-06-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 1193873-0
    ISSN 1744-5078 ; 0927-3948
    ISSN (online) 1744-5078
    ISSN 0927-3948
    DOI 10.1080/09273948.2023.2220782
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: SARS-CoV-2 and COVID-19 for the ophthalmologist.

    Brandão-de-Resende, Camilo / Diniz-Filho, Alberto / de Almeida Brito, Fabiano / Vasconcelos-Santos, Daniel Vitor

    Clinical & experimental ophthalmology

    2020  Volume 49, Issue 1, Page(s) 70–80

    Abstract: The COVID-19 pandemic has had an unprecedented impact on ophthalmology. This review compiles general aspects of the novel coronavirus and COVID-19, further dissects the most recent data on the role of the eye regarding disease transmission and ... ...

    Abstract The COVID-19 pandemic has had an unprecedented impact on ophthalmology. This review compiles general aspects of the novel coronavirus and COVID-19, further dissects the most recent data on the role of the eye regarding disease transmission and manifestations, and summarizes preventive measures in the particular context of eye care.
    MeSH term(s) COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/therapy ; COVID-19/virology ; Education, Medical, Continuing ; Eye Infections, Viral/diagnosis ; Eye Infections, Viral/epidemiology ; Eye Infections, Viral/therapy ; Eye Infections, Viral/virology ; Humans ; Ophthalmologists ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Pneumonia, Viral/virology ; Respiratory Tract Infections/diagnosis ; Respiratory Tract Infections/epidemiology ; Respiratory Tract Infections/therapy ; Respiratory Tract Infections/virology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-11-09
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 2014008-3
    ISSN 1442-9071 ; 1442-6404
    ISSN (online) 1442-9071
    ISSN 1442-6404
    DOI 10.1111/ceo.13877
    Database MEDical Literature Analysis and Retrieval System OnLINE

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