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Articles9

Toward equity-first, AI-ready school vision screening: comment on Little et al.

Agreement I do not Agree Body Dear Editor, Little et al. recently created a comprehensive and timely literature review of School Vision Screening by discussing in detail the rationale for implementation, the delivery models, the impact of school vision screenings, and the challenges to implementation in different settings. ¹ We are in complete agreement with

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British Journal of Ophthalmology7mo ago

Turning UNICORNS findings into actionable adolescent uveitis pathways

Agreement I do not Agree Body UNICORNS provides timely population-based evidence that childhood-onset non-infectious uveitis in the UK is frequently bilateral, commonly non-JIA at diagnosis, and most often presents in adolescence. The authors conclude that care pathways should be reconsidered; we agree and suggest three immediate, implementable service chang

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British Journal of Ophthalmology7mo ago

Letter to the Editor

Agreement I do not Agree Body Dear Editor, I read with great interest the scoping review by Lin et al. entitled “Impact of artificial intelligence on the availability, accessibility, acceptability and quality of ophthalmic disease screening services.” The authors provide a timely and comprehensive overview of the current evidence regarding the role of artifi

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British Journal of Ophthalmology7mo ago

Further Considerations

Agreement I do not Agree Body I read with interest the randomized controlled trial by Fernández Fidalgo and colleagues evaluating red laser therapy combined with orthokeratology for myopia control in Spanish children.1 Expanding myop therapy in non-Asian populations is important; however, several methodological and interpretive limitations warrant careful co

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British Journal of Ophthalmology6mo ago

Expanding school-based vision screening to adolescence: a strategy for early keratoconus identification

Agreement I do not Agree Body We read with great interest the review on school vision screening by Dr. Little and coworkers [1]. The authors provide a comprehensive overview of the methods, benefits, and challenges of implementing school-based vision screening, with appropriate emphasis on the detection of uncorrected refractive errors [1,2]. We would like t

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British Journal of Ophthalmology6mo ago

Optic disc-at-risk is a crucial unmeasured variable in analyses of GLP-1 receptor agonists and ischemic optic neuropathy

Agreement I do not Agree Body We have read the report by Lakhani et al. analyzing the sex and formulation-specific risk of ischemic optic neuropathy (ION) with semaglutide with interest. The authors report that Wegovy carries nearly fivefold higher odds for ION compared to Ozempic, and suggest a dose-dependent relationship between formulation and optic nerve

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British Journal of Ophthalmology3mo ago

Re-evaluating the Impact of Sleeping Posture on Intraocular Pressure: Mechanical and Hemodynamic Considerations

Agreement I do not Agree Body To the Editor, The study by Liu et al. (2026) regarding the association between high-pillow sleeping posture and intraocular pressure (IOP) elevation provides important insights into glaucoma management.1 However, after reviewing the methodology and supplemental data, several points regarding the statistical analysis and biomech

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British Journal of Ophthalmology2mo ago

AI-Based Glaucoma Screening: Bridging Accuracy and Real-World Constraints

Agreement I do not Agree Body To the Editor, We read with interest the recent report in the British Journal of Ophthalmology (April 2026) demonstrating high (>90%) diagnostic accuracy of deep learning models for population-based glaucoma screening. These findings represent an important advance and align with current trends in ophthalmology, including recent

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British Journal of Ophthalmology2mo ago

Note of caution

Agreement I do not Agree Body Dear Editors of BJO, We read with interest the study by Jia and colleagues (doi:10.1136/bjo-2025-329013) reporting excellent repeatability of cone photoreceptor measurements with the Mona II AO-SLO system and wish to raise two methodological concerns that we believe substantially limit the paper’s conclusions. We close with a br

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British Journal of Ophthalmology1mo ago