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Ophthamology Evidence Update

6th December 2016

Cochrane Systematic Reviews

Integrated versus non-integrated orbital implants for treating anophthalmic sockets.  Read Authors' Conclusions

Prophylactic non-steroidal anti-inflammatory drugs for the prevention of macular oedema after cataract surgery. Read Authors' Conclusions 

Oral antivirals for preventing recurrent herpes simplex keratitis in people with corneal grafts. Read Authors' conclusions

Fibrin glue versus sutures for conjunctival autografting in primary pterygium surgery.  Read Authors' conclusions

 
Cochrane Clinical Answers- Eyes and Vision
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Blepharitis
Topical 1% azithromycin plus 0.1% dexamethasone may be more effective than azithromycin alone for resolving symptoms of blepharitis, but does not appear more effective than dexamethasone alone (Clin Ophthalmol 2016 Aug 10)

Topical azithromycin appears as effective as oral doxycycline for improving subjective symptoms of chronic posterior blepharitis, but may not reduce objective findings (such as ocular surface staining and meibomian gland plugging) as effectively (Int J Ophthalmol 2016 Jul 18)


 
Leicester Publications

The concept of virtual clinics in monitoring patients with age-related macular degeneration.
Acta Ophthalmol. 2016 Aug;94(5):e353-5. doi: 10.1111/aos.12832. Epub 2015 Sep 19
Tsaousis KT, Empeslidis T, Konidaris VE, Kapoor B, Deane J.

Retinal Pigment Epithelial Tear Developing in a Patient with Outer Retinal Tubulations: Pathogenic Association or Coincidence?
J Clin Diagn Res. 2016 Aug;10(8):NJ01-2. doi: 10.7860/JCDR/2016/21439.8366. Epub 2016 Aug 1.
Tsaousis KT, Empeslidis T.
Selected Evidence Syntheses

Avoiding Clinical Misinterpretation and Artifacts of Optical Coherence Tomography Analysis of the Optic Nerve, Retinal Nerve Fiber Layer, and Ganglion Cell Layer.

Fish Consumption and Age-Related Macular Degeneration Incidence: A Meta-Analysis and Systematic Review of Prospective Cohort Studies.

Benefits, Potential Harms, and Optimal Use of Nutritional Supplementation for Preventing Progression of Age-Related Macular Degeneration.

CAVERNOUS HEMANGIOMA OF THE RETINA: A Comprehensive Review of the Literature (1934-2015).

Prophylactic non-steroidal anti-inflammatory drugs for the prevention of macular oedema after cataract surgery.

SUBTHRESHOLD MICROPULSE DIODE LASER VERSUS CONVENTIONAL LASER PHOTOCOAGULATION FOR DIABETIC MACULAR EDEMA: A Meta-Analysis of Randomized Controlled Trials.

Cost-effectiveness of community versus hospital eye service follow-up for patients with quiescent treated age-related macular degeneration alongside the ECHoES randomised trial.

Alcohol consumption and dry eye syndrome: a Meta-analysis.
Embed Health Daily Bulletin Reports 

Ophthalmology common clinical competency framework
A new Ophthalmology common clinical competency framework (CCCF) has been published by the Royal College of Ophthalmologists to provide standards of knowledge and skill required for non-medical eye healthcare professionals.  The Framework covers four clinical areas: acute and emergency eye care, cataract assessment, glaucoma and medical retina.

Variation in cataract service provision
The Royal National Institute for the Blind has published Surgery deferred, sight denied: variation in cataract service provision across England three years on.  This report highlights differences in waiting times for NHS cataract treatment across Clinical Commissioning Groups (CCGs) in 2015/16. The RNIB is calling for all CCGs to implement the Royal College of Ophthalmologists cataract commissioning guidance to ensure patients are given the best and most appropriate care, in a timely manner.
Table of Contents

American Journal of Ophthalmology
British Journal of Ophthalmology
Current Opinion in Ophthalmology
Eye
Ophthalmology
Survey of Ophthalmology

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