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🔬👁️ Dive into treatment strategies with Dr. Prof. Marion Munk, M.D., Ph.D at European Society of Retina Specialists (EURETINA) 2024! Dr. Munk elaborates on her decision-making process for utilizing high-dose anti-VEGF treatments like EYLEA HD® (aflibercept) Injection HCP eight milligrams. Amid discussions on treatment efficacy and safety, she advocates for using potent drugs to extend treatment intervals and reduce the risks associated with frequent injections. 🌟💊 Dr. Munk's approach reflects a strategic balance between potency and patient safety, emphasizing the importance of minimizing injection-related risks while maximizing therapeutic benefits. 💡👩⚕️ Stay tuned as we explore more innovative strategies from leading experts in ophthalmology that enhance patient care and treatment outcomes. #Euretina #Ophthalmology #EyeCare #RetinaSpecialist #MedicalInnovation #VisionHealth #EyeHealth #DigitalHealth #Retina #Ophthalmology #ClinicianLinkLive 

The #ORCAstudy and its previously published result #paper on nAMD (2020 Sandra Liakopoulos et al) is basically why deepeye was founded almost 3 years ago: #Undertreatment, often despite correct detection by #ophthalmologists of #fluids in the #retina is more widespread than we all thought & wish - and leads to permanent vision loss. A solution to this challenge was also published around this time (2019 Rothaus et al): #Expert 2nd opinions can support ophthalmologists in getting towards optimal #treatment for their anti-VEGF patients faster, resulting in higher visual acuity (3x higher compared to other real-world studies) and in its wake, better therapy adherence & persistence from patients (2x higher), as observed over 2 years across almost 2,500 patients in more than 60 centers at the "IVI Portal Münster". Please reach out if you want to learn more how the soon available deepeye® TPS imitates this proven clinical method to achieve world-class results in retina therapy. Find all publications linked on our website: https://lnkd.in/dFXWyR6E #preventingblindness #stablevision #retina #patients #nAMD #RVO #DME #antiVEGF #2ndopinion #visualacuity #realworld #outcomes

🚨 New Insights on Great Saphenous Vein Treatment! 🚨 A recent study sheds light on the long-term outcomes of using the Clarivein device for treating GSV incompetence! 🌟 Over 8.4 years, researchers found a 60.5% anatomical success rate, but clinical improvements and quality of life metrics were significantly better for patients, even with partial recanalisation. 💪✨ The study highlights the importance of ongoing evaluation for GSV treatments and gives hope for improving venous care for all. 🩺❤️🩹 🔗 Dive deeper into the study here: https://lnkd.in/eDfarwbm 🌐 #VascularHealth #VenousTreatment #Clarivein #GSVIncompetence #PhlebologyNews #HealthUpdate #VeinCare #LongTermOutcomes #MedicalResearch #QualityOfLife Sharon Oud Tamana Alozai Yee Lai Lam Çağdaş Ünlü Michael Mooij Michiel Schreve

Improving the approach to difficult endoureterotomy or retrograde endopyelotomy, especially in cases involving a tight pelvis-ureteric junction (PUJ), requires careful planning and technique. Here's a refined protocol that may enhance outcomes: 1. **Initial Assessment**: - Conduct thorough imaging studies (CT Angio scan, ultrasound) to evaluate the anatomy and degree of obstruction at the PUJ. - Assess kidney function and other relevant comorbidities before proceeding. 2. **Preoperative Preparation**: - Insert a 4.7/6 Fr ureteral stent. Leave the stent in place for **6 weeks**. 3. **Surgical Technique**: - **Informed Consent**: Ensure the patient is fully informed about the procedure, risks, and benefits. 4. **Laser Incision**: - Employ a **Biolitec** diode laser for precise incision of the PUJ with 8fr URS. The laser technology allows for fine control and reduces surrounding tissue damage. - Focus on creating a sufficient incision in the PUJ, ensuring complete relief of the obstruction while preserving healthy tissue. 5. **Stenting**: - After laser incision, insert an **8 fr DJ Stent 6. **Postoperative Care**: - Monitor the patient for signs of infection or complications (e.g., hematuria, flank pain, urinoma) post-procedure. - Schedule regular follow-up visits after stent placement for imaging and clinical evaluation. - Plan for removal of the DJ stent typically **4-6 weeks post-insertion 7. **Long-term Follow-Up**: - Arrange for long-term follow-up, including imaging to assess the success of the procedure and monitor for any recurrent obstruction. ### Additional Considerations - **Use of Adjunctive Techniques**: If necessary, consider adjunctive techniques such as balloon dilatation of the PUJ after laser incision. - **Patient Education**: Educate the patient on signs and symptoms of complications to ensure timely reporting and management. #laserendoureterotomy #diodelaser #uretericstricture #laserurology

𝗧𝗵𝗲 𝗣𝗼𝘄𝗲𝗿 𝗼𝗳 𝗮 𝗦𝗲𝗰𝗼𝗻𝗱 𝗢𝗽𝗶𝗻𝗶𝗼𝗻: 𝗪𝗵𝘆 𝗠𝗼𝗿𝗲 𝗘𝘆𝗲𝘀 𝗖𝗮𝗻 𝗟𝗲𝗮𝗱 𝘁𝗼 𝗕𝗲𝘁𝘁𝗲𝗿 𝗗𝗲𝗰𝗶𝘀𝗶𝗼𝗻𝘀 Ever wondered why some patients 𝙟𝙪𝙨𝙩 𝙙𝙤 𝙣𝙤𝙩 𝙜𝙚𝙩 𝙩𝙝𝙖𝙩 𝙞𝙣𝙟𝙚𝙘𝙩𝙞𝙤𝙣, even when the OCT shows fluid? Turns out, it is not always about what we see—but what we believe in. Our recent study took a closer look at this by having three Reading Centers (ＧＲＡＤＥ, ＣＩＲＣＬＥ, Ｍ３) review OCT images. The results? In everyday practice, fluid is missed more often than we would like to admit. And even when it’s spotted,  𝗶𝗻 𝗮 𝘁𝗵𝗶𝗿𝗱 𝗼𝗳 𝗰𝗮𝘀𝗲𝘀 treatment is skipped for diabetic macular oedema or oedema secondary to retinal vein occlusions. What is the reason? Sometimes, it is our own hesitation to act when we are not convinced ourselves. The classic excuse of “stable function” does not really cut it, especially when the potential for further improvement is right there! So, how do you tackle the tricky decision of "Treat of Not to Treat"? Many thanks to Georg Spital, Steffen Schmitz-Valckenberg, Bettina Müller, Erika Liczenczias, Petrus Chang, Britta Heimes‑Bussmann, and Sandra Liakopoulos the whole ORCA team! 𝗣𝗹𝗲𝗮𝘀𝗲 𝗿𝗲𝗮𝗱: Interpretation of SD-OCT imaging data in real-life conditions versus standardized reading centre analysis in eyes with diabetic macular oedema or macular oedema secondary to retinal vein occlusion: 24-month follow-up of the ORCA study. Graefes Arch Clin Exp Ophthalmol. 2024 Sep 19. doi: 10.1007/s00417-024-06579-7. https://lnkd.in/ejt8_-Qi #4EyesPrinciple #Ophthalmology #RetinalDiseases #SecondOpinion #PatientCare #ClinicalDecisions

Endometriosis, a scarcely known disease, with a major impact on personal and social life. Endometriosis affects about 10% of women of childbearing age. Women suffering from endometriosis, for the most part, go through a long period of doctor-hopping (over a period of 8 to 12 years on average). During this time they see multiple physicians ,undergo numerous tests and examinations before a diagnosis (which sometimes requires surgery) is finally reached. Cureleads brought to the UAE, Ziwig Endotest, an innovative salivary test to diagnose all types of endometriosis. Ziwig Endotest is a simple, non-invasive and accurate test ( AUC >95%) Compared to current methods, Ziwig Endotest® represents a major innovation in the detection of endometriosis Ziwig Biotech #endometriosisawareness #chronicpain

💡Exciting insights from the PULSAR study reveal the consistent effects of aflibercept treatment across diverse patient subgroups. Regardless of baseline characteristics such as visual acuity, central subfield thickness, lesion type, or race, the outcomes remained steady among the three treatment arms. These results underscore the reliability and efficacy of aflibercept in treating #wetAMD 👁️ Read more in this article from Healio by Michela Cimberle  #AMD #Ophthalmology #HealthcareInnovation #EyeHealth #EyeSurgery #Biotech #Medtech #Lifescience

#AGS2024: Rates of intraoperative complications, cystoid macular edema (CME), and visual improvements are similar between patients who receive cataract extraction combined with trabeculectomy (phaco+trab) compared with patients who undergo cataract extraction after prior trabeculectomy (post-trab phaco), according to research presented at the American Glaucoma Society's 2024 Annual Meeting. Presented by Joseph Toma, MD, PhD, (of Jones Eye Institute, UAMS - University of Arkansas for Medical Sciences) and colleagues. Read more: https://brnw.ch/21wHQhd #CystoidMacularEdema #CME #VisualImprovements #CataractExtraction #Trabeculectomy #PhacoTrab #PostTrabPhaco #Ophthalmology #EyeCare

T2 mapping is an advanced MRI technique used to assess the cartilage and soft tissues in the knee joint. It involves the measurement of T2 relaxation times, which reflect the molecular environment of the cartilage, particularly the water content and collagen structure. ▎Key Aspects of T2 Mapping: 1. T2 Relaxation Time: This is the time it takes for protons in a tissue to lose their transverse magnetization after being excited by a radiofrequency pulse. T2 values can provide information about the biochemical composition of cartilage. 2. Cartilage Assessment: T2 mapping is particularly useful for evaluating articular cartilage health, as changes in T2 values can indicate early degenerative changes or damage before structural changes are visible on conventional MRI. 3. Quantitative Analysis: Unlike standard MRI techniques that provide qualitative images, T2 mapping offers quantitative data that can be analyzed statistically, allowing for more objective assessments of cartilage condition. ▎Clinical Applications: • Osteoarthritis: T2 mapping is often used to detect early signs of osteoarthritis by identifying changes in cartilage composition before significant degeneration occurs. • Injury Assessment: It can help evaluate cartilage injuries resulting from trauma or sports-related activities. • Monitoring Treatment Response: T2 mapping can be used to monitor the effectiveness of treatments such as physical therapy, injections, or surgical interventions by assessing changes in cartilage over time. • Research: It is commonly used in clinical research to study cartilage health and disease progression, as well as to evaluate new therapeutic strategies. Overall, T2 mapping is a valuable tool in both clinical practice and research settings for understanding knee joint health and managing conditions related to cartilage degeneration. Written by: #Sinaparvizi #MRI #knee #healthcare

This week's case of the week features a rare diagnosis! A 34-year-old weightlifter presented to the emergency department this week with right shoulder pain. The emergency clinician ordered an x-ray of the patient's right shoulder and a CT of the right shoulder. Our diagnostic radiology attending physician, Dr. Nisha Mani, assisted by R1/PGY-2 radiology resident, Dr. Daniel Rapado Barreto, reviewed the images of this case. They diagnosed the patient with post-traumatic distal clavicle osteolysis due to repetitive weightlifting. Distal clavicle osteolysis is the painful development of bony erosions and resorption of the distal clavicle caused by repetitive trauma to the acromioclavicular (AC) joint. It is an uncommon diagnosis as it is most often seen in young, male weightlifters. A combination of activity modification, rest, anti-inflammatory medications, steroid injections into the joint, and/or physical therapy will typically resolve pain due to bone resorption. #weightlifting #radiology #shoulderpain #shouldertrauma