CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE加拿大眼科学杂志
CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE(英文缩写 CAN J OPHTHALMOL),ISSN 0008-4182,eISSN 1715-3360,中文译名:加拿大眼科学杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.592 | Q3 |
| 2022 | 4.200 | Q1 |
| 2023 | 3.300 | Q1 |
| 2024 | 2.800 | Q1 |
| 2025 | 2.300 | Q2 |
CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE 最新收录文献
-
1. Is ophthalmology a pain-free career? A systematic review and meta-analysis of musculoskeletal pain among ophthalmologists.
PMID:日期:2026-10-01To estimate the pooled prevalence, anatomical distribution, and occupational impact of work-related musculoskeletal (MSK) pain among ophthalmologists, and to identify modifiable ergonomic risk factors. A systematic review and meta-analysis of published data. The protocol was preregistered (PROSPERO CRD42023422368) and reported in accordance with PRISMA. The participants were 6691 ophthalmologists from 21 studies. Electronic databases (MEDLINE, Embase, Cochrane, and PubMed) were searched for peer-reviewed quantitative studies reporting MSK pain prevalence in ophthalmologists. Pooled estimates with 95% CI were calculated using random-effects models; heterogeneity was quantified using I². Prevalence of overall and site-specific MSK pain; effects on workload and productivity; prevalence of treatment or mitigation strategies. The pooled prevalence of any MSK pain was 70% (95% CI: 65%-75%; I² = 92%); neck (41%; 95% CI: 35%-47%; I² = 95%), lower back (36%; 95% CI: 32%-39%; I² = 87%), and shoulder pain (28%; 95% CI: 22%-35%; I² = 91%) were most common. Pain led to workload modification in up to 44% and contributed to reduced clinical volume, sick leave, or contemplation of early retirement. Forty-six percent (95% CI: 22%-71%) pursued no treatment; 39% (95% CI: 30%-49%) used medical therapy; and 29% (95% CI: 20%-41%) sought physiotherapy. Heterogeneity was high across studies, reflecting differing case definitions and self-reported measures. MSK pain affects most ophthalmologists, particularly in the cervical and lumbar regions and frequently alters practice patterns. These findings underscore the need for early ergonomic training, structured micro-breaks, and workspace redesign. Prospective intervention trials are required to establish causality and quantify benefit.
-
2. Evaluation of the Deep Reality Viewer for teaching slit-lamp examination of the anterior segment and the optic nerve head.
PMID:日期:2026-10-01A major challenge in teaching slit-lamp biomicroscopy is providing adequate depth perception and anatomical detail; the Deep Reality Viewer (DRV) addresses this by enabling stereopsis. This study evaluated the utility of DRV for slit-lamp examination (SLE) teaching and compared it with 2-dimensional monitors. In this single-centre prospective comparative study, 33 medical learners completed a qualitative assessment comparing DRV versus 2-dimensional (2D) monitors for SLE of the anterior segment and optic nerve head (ONH). Perceived educational value and task-specific utility were compared across 16 Likert-scale (1-5) parameters in 4 domains: image quality, anatomical visualization, user experience, and teaching utility. The primary outcome was the comparison of teaching utility ratings between modalities. Secondary outcomes included composite domain scores, trainee-level differences, and intermodality agreement for ONH assessments. Median [IQR] DRV was rated significantly higher than 2D monitors for image quality (4.3 [4.0-4.6] vs 3.5 [3.3-4.2]; p < .001), anatomical visualization (4.4 [4.0-4.8] vs 3.6 [3.2-4.3]; p < .001), and teaching utility (5.0 [4.5-5.0] vs 4.0 [3.8-4.8]; p < .001). Cup-to-disc ratio estimates showed minimal systematic bias (mean differences -0.01 to 0.03) with no significant difference in variability between DRV and 2D monitors (all p > .05). Subjective ratings of ONH visual quality did not significantly differ between modalities (all p > .05). DRV may be a useful tool to improve SLE teaching, as its perceived image quality and depth perception appear superior to 2D monitors.
-
4. Comparative risk of glaucoma surgery in uveitis-associated versus primary open-angle glaucoma: a multicentre database study.
PMID:日期:2026-10-01To evaluate treatment patterns of newly diagnosed glaucoma among patients with uveitis compared with primary open-angle glaucoma (POAG) without uveitis, and to identify predictors of surgical intervention. Retrospective cohort study using a multicentre electronic health record network. Adults ≥40 years with glaucoma were identified using ICD-10 codes and stratified by uveitis history within a 2-year lookback. Two phenotypes for uveitis-associated glaucoma were evaluated: (i) specific (uveitic or steroid-induced glaucoma) and (ii) sensitive (including POAG with uveitis). Cohorts were propensity score-matched (1:1) to POAG controls without uveitis. Outcomes included incidence of bleb-forming glaucoma surgeries (trabeculectomy, aqueous shunts, XEN stents), non-bleb-forming procedures (minimally invasive glaucoma surgeries, selective laser trabeculoplasty), and initiation of intraocular pressure (IOP)-lowering drops over 10 years. Cox models estimated hazard ratios (HRs) with 95% CIs. In the specific phenotype (n = 7848 per cohort), uveitis-associated glaucoma was associated with greater risk of bleb-forming surgery (8.9% vs 4.1%; HR: 1.75 [95% CI: 1.56-1.96]), particularly aqueous shunts (HR: 2.95 [95% CI: 2.55-3.42]); trabeculectomy risk was lower (HR: 0.70 [95% CI: 95% 0.54-0.91]). In the sensitive phenotype (n = 13 873 each), uveitis history was associated with greater risk of bleb-forming surgery (HR: 1.76 [95% CI: 1.60-1.93]), including aqueous shunts (HR: 2.67 [95% CI: 2.38-3.00]), but lower risk of noninvasive procedures and IOP-lowering drops. Predictors of bleb-forming surgery included male sex, Hispanic ethnicity, anterior uveitis, nicotine dependence, higher body mass index, and immunomodulatory therapy use. Uveitis-associated glaucoma is associated with a greater risk of bleb-forming surgery, especially aqueous shunts, highlighting the need for early identification and tailored management in this high-risk population.
-
5. Childhood overweight and obesity as risk factors for astigmatism: a longitudinal analysis.
PMID:日期:2026-10-01The association between body mass index (BMI) and astigmatism among children remains unclear. We conducted a longitudinal study to examine the relationship between BMI and astigmatism in a large pediatric cohort. A population-based retrospective cohort study. A total of 22,130 children aged 6 to 10 years from Maccabi Healthcare Services, Israel's second-largest health maintenance organization, who underwent refractive assessment between 2012 and 2022 and had at least 2 years of follow-up. BMI was categorized using U.S. Centers for Disease Control and Prevention percentiles. Astigmatism was defined as ≥0.75 D and classified by severity and axis. Multinomial logistic regression assessed the associations between baseline BMI and astigmatism at follow-up, adjusting for sociodemographic factors. The population attributable fraction was calculated. Mean baseline age was 8.1 years, mean follow-up was 62.9 months, and 53.6% of participants were female. Astigmatism at follow-up increased across baseline BMI categories (p < 0.001). In multivariable analysis, overweight and obesity were associated with higher odds ratios (ORs) for low-to-moderate astigmatism (OR: 1.10; 95% CI: 1.01-1.21; p = .026 and OR: 1.24; 95% CI: 1.14-1.34; p < .001, respectively) and high astigmatism (OR: 1.40; 95% CI: 1.00-1.96; p = .048 and OR: 1.76; 95% CI: 1.30-2.38; p < .001, respectively). BMI was also associated with against-the-rule astigmatism, with the strongest association observed in obesity (OR: 1.41; 95% CI: 1.29-1.55; p < .001). Population attributable fractions were 4.3% for low-to-moderate astigmatism and 13.4% for high astigmatism. Overweight and obesity were associated with increased risk of astigmatism. Early vision screening in children with high BMI may support timely correction and reduce visual impairment.
-
8. A cost-effectiveness analysis of medications compared with selective laser trabeculoplasty in patients with newly diagnosed open-angle glaucoma.
PMID:日期:2026-10-01Selective laser trabeculoplasty (SLT) has increasingly been used as a first-line glaucoma treatment. To better understand its impact on the Canadian patient and health care system, a cost-effectiveness analysis was performed to compare SLT against topical eye medications for patients with newly diagnosed open-angle glaucoma. Using a Markov model with a 20-year horizon from a health care payer perspective, the incremental cost-effectiveness ratio (ICER) of treating newly diagnosed mild open-angle glaucoma with SLT and medication was calculated. A discount rate of 1.5% was applied to all costs and health outcomes. Sensitivity and probabilistic analyses were performed to test the uncertainty of the model. The base case analysis indicated that patients who received the SLT treatment had a lower health care system cost of $1,671.48 and a higher quality-adjusted life year of 0.09 per patient compared with the medication treatment. As a result, the SLT treatment dominates medication treatment. The one-way cost-effectiveness sensitivity analysis showed that SLT dominates the medication treatment at all discount rates between 0% and 3%. The largest effects on the ICER value were variations in medication utility of ocular hypertension and mild glaucoma state, and SLT utility of mild glaucoma state, based on the tornado diagram. Probabilistic sensitivity analyses also demonstrated that the SLT treatment dominated the medication treatment. Our model suggests that SLT as the initial treatment strategy for glaucoma patients and investment in SLT could lead to improved clinical outcomes, costs, and resource utilization within the Canadian health care system.