Publications by authors named "Emmett Cunningham"

Purpose: To study the clinical features, causative factors and treatment outcomes in patients with infectious scleritis seen in India.

Methods: A retrospective study of all patients examined at a tertiary care center between August 2012 and March 2021.

Results: Forty-five patients (45 eyes; mean age 52.

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Purpose: To develop professional guidelines for best practices for suprachoroidal space (SCS) injection, an innovative technique for retinal therapeutic delivery, based on current published evidence and clinical experience.

Methods: A panel of expert ophthalmologists reviewed current published evidence and clinical experience during a live working group meeting to define points of consensus and key clinical considerations to inform the development of guidelines for in-office SCS injection.

Results: Core consensus guidelines for in-office SCS injection were reached and reported by the expert panel.

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Purpose: To provide an overview of pre-selected emerging arboviruses (arthropod-borne viruses) that cause ocular inflammation in humans.

Methods: A comprehensive review of the literature published between 1997 and 2023 was conducted in PubMed database. We describe current insights into epidemiology, systemic and ocular manifestations, diagnosis, treatment, and prognosis of arboviral diseases including West Nile fever, Dengue fever, Chikungunya, Rift Valley fever, Zika, and Yellow fever.

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Background: Healthcare restrictions during the COVID-19 pandemic, particularly in ophthalmology, led to a differential underutilization of care. An analytic approach is needed to characterize pandemic health services usage across many conditions.

Methods: A common analytical framework identified pandemic care utilization patterns across 261 ophthalmic diagnoses.

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Article Synopsis
  • The study investigates the awareness and diagnostic practices related to monogenic uveitis (mU) among uveitis specialists through an anonymous survey conducted with members of the Autoinflammatory Diseases Alliance and International Uveitis Study Group.
  • Results showed that a majority of participants rated their knowledge of mU as poor, with 60.4% identifying NOD2 as the primary gene, and success rates in clinical scenarios varied significantly, especially among those in multidisciplinary teams.
  • The findings highlight knowledge gaps and barriers in prescribing disease-modifying anti-rheumatic drugs (DMARDs), suggesting that the results could guide the development of better clinical guidelines and improve patient care.
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Purpose: To report a case series of herpetic uveitis following COVID-19 vaccinations.

Methods: Demographic, clinical and treatment-related data of herpetic anterior uveitis cases was collected at five tertiary eye hospitals between January 2021 and June 2022. A retrospective database review at one of the centers comparing the number of cases of herpetic eye disease before and after the introduction of COVID-19 vaccination was performed as well.

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Purpose: Traditionally, ophthalmologists complete training and then choose a clinical care setting. The skills required to become an ophthalmologist can be applied to a variety of alternative career paths within and beyond healthcare. Not unexpectedly, therefore, there is a growing trend for ophthalmologists to explore alternative career paths in both healthcare and the life science industry more broadly.

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We provide an updated review of pre-selected RNA viruses causing ocular inflammation in humans. RNA viruses such as coronaviruses and arboviruses are reviewed elsewhere. A Google Scholar search was conducted to identify recent publications on ocular inflammation caused by the RNA viruses specified here.

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Purpose: To evaluate eye drop self-administration in a low-vision patient population and test whether a nose-pivoted drop delivery device (NPDD, GentleDrop) can improve eye drop delivery in these patients.

Design: Repeated-measures case series.

Participants: Thirty subjects (58 eyes) with low vision, defined as best-corrected visual acuity worse than 20/60 or visual field worse than 20° in the better-seeing eye.

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Purpose: To describe the clinical characteristics and multimodal imaging features of a distinctive subtype of active idiopathic multifocal choroiditis (iMFC) lesions with grey-yellow chorioretinal lesions surrounded by smaller satellite dots, a presentation referred to as "chrysanthemum lesions."

Methods: Retrospective, observational, multicenter case series of eyes with active iMFC and chrysanthemum lesions. Multimodal imaging features were reviewed and presented.

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Purpose: To report an increasingly prevalent fundoscopic manifestation of syphilitic uveitis.

Methods: Case report of a patient with acute retinal necrosis secondary to syphilis.

Results: A 48-year-old man presented with decreased vision, anterior segment inflammation, and a wedge-shaped retinal lesion in the superior periphery, with a diaphanous leading edge extending down toward the superior arcade.

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Article Synopsis
  • This study focuses on a 66-year-old man who developed choroidal neovascularization (CNV) as a complication of acute syphilitic posterior placoid chorioretinitis (ASPPC).
  • The patient had a history of systemic syphilis and presented with blurry vision, and lab tests indicated a significant rise in syphilis markers.
  • Treatment included monthly injections of bevacizumab and systemic antibiotics, which successfully resolved his ASPPC and reduced the CNV.
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Introduction: Sympathetic ophthalmia (SO) is rare, bilateral granulomatous panuveitis that typically occurs following penetrating or perforating ocular trauma or surgery. This review aims to provide an update on the etiopathogenesis, clinical presentations, diagnosis and treatment of SO.

Methods: Reports cited in MEDLINE database, that analyzed SO in at least 5 patients, published prior to December 1st, 2021 were included.

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Background/purpose: The purpose of this report was to describe the use of multimodal imaging to establish the diagnosis of Bartonella henselae -associated optic neuropathy in a patient who presented with a central scotoma without overt evidence of optic nerve involvement.

Methods: This was a case report. Main outcome measures included clinical, optical coherence tomography, and fluorescein angiography findings.

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