{"id":"https://openalex.org/W7225433479","doi":"https://doi.org/10.1111/jir.70200","title":"Utility of Ophthalmic Exam Under Anaesthesia in Adult Patients With Intellectual Disability","display_name":"Utility of Ophthalmic Exam Under Anaesthesia in Adult Patients With Intellectual Disability","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225433479","doi":"https://doi.org/10.1111/jir.70200","pmid":"https://pubmed.ncbi.nlm.nih.gov/42992961"},"language":"en","primary_location":{"id":"doi:10.1111/jir.70200","doi":"https://doi.org/10.1111/jir.70200","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jir.70200","pdf_url":null,"source":{"id":"https://openalex.org/S67377460","display_name":"Journal of Intellectual Disability Research","issn_l":"0964-2633","issn":["0964-2633","1365-2788"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","erih-plus","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Intellectual Disability Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111618697","display_name":"Tara L Gallant","orcid":"https://orcid.org/0009-0004-6913-9403","observed_orcids":["https://orcid.org/0009-0004-6913-9403"]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tara L. Gallant","raw_affiliation_strings":["Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"],"raw_orcid":"https://orcid.org/0009-0004-6913-9403","affiliations":[{"raw_affiliation_string":"Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA","institution_ids":["https://openalex.org/I1289422878"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161123382","display_name":"Rachel F. Lamy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel F. Lamy","raw_affiliation_strings":["Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA","institution_ids":["https://openalex.org/I1289422878"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031813470","display_name":"Michael E. Zegans","orcid":"https://orcid.org/0000-0002-6029-9855","observed_orcids":["https://orcid.org/0000-0002-6029-9855","https://orcid.org/0000-0003-3074-7589"]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael E. Zegans","raw_affiliation_strings":["Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"],"raw_orcid":"https://orcid.org/0000-0002-6029-9855","affiliations":[{"raw_affiliation_string":"Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA","institution_ids":["https://openalex.org/I1289422878"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5112487623","display_name":"Nikhil N. Batra","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289422878","display_name":"Dartmouth\u2013Hitchcock Medical Center","ror":"https://ror.org/00d1dhh09","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I107672454","https://openalex.org/I1289422878","https://openalex.org/I4390039337"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nikhil N. Batra","raw_affiliation_strings":["Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Section of Ophthalmology Dartmouth Hitchcock Medical Center  Lebanon New Hampshire USA","institution_ids":["https://openalex.org/I1289422878"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5112487623"],"corresponding_institution_ids":["https://openalex.org/I1289422878"],"apc_list":{"value":3920,"currency":"USD","value_usd":3920},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14384","display_name":"Ophthalmology and Visual Health Research","score":0.6963000297546387,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14384","display_name":"Ophthalmology and Visual Health Research","score":0.6963000297546387,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.13019999861717224,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11015","display_name":"Down syndrome and intellectual disability research","score":0.0551999993622303,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intellectual-disability","display_name":"intellectual disability","score":0.9789999723434448},{"id":"https://openalex.org/keywords/adults-with-intellectual-disabilities","display_name":"adults with intellectual disabilities","score":0.8270000219345093},{"id":"https://openalex.org/keywords/anaesthesia-risk","display_name":"anaesthesia risk","score":0.5809999704360962},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8059999942779541},{"id":"https://openalex.org/keywords/cataract-surgery","display_name":"cataract surgery","score":0.9570000171661377},{"id":"https://openalex.org/keywords/retinal-surgery","display_name":"retinal surgery","score":0.8180000185966492}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8738999962806702},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5170999765396118},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.503600001335144},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.49939998984336853},{"id":"https://openalex.org/C551499885","wikidata":"https://www.wikidata.org/wiki/Q183560","display_name":"Intellectual disability","level":2,"score":0.4763000011444092},{"id":"https://openalex.org/C190812933","wikidata":"https://www.wikidata.org/wiki/Q28923","display_name":"Chart","level":2,"score":0.4359999895095825},{"id":"https://openalex.org/C2992234860","wikidata":"https://www.wikidata.org/wiki/Q618211","display_name":"Eye care","level":2,"score":0.4205999970436096},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.41350001096725464},{"id":"https://openalex.org/C2994218517","wikidata":"https://www.wikidata.org/wiki/Q760348","display_name":"Ophthalmic surgery","level":2,"score":0.38929998874664307},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3824999928474426},{"id":"https://openalex.org/C2776983577","wikidata":"https://www.wikidata.org/wiki/Q166543","display_name":"General anaesthesia","level":2,"score":0.3508000075817108},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.3433000147342682},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.32510000467300415},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3138999938964844},{"id":"https://openalex.org/C2780929884","wikidata":"https://www.wikidata.org/wiki/Q737460","display_name":"Blindness","level":2,"score":0.2969000041484833},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.2915000021457672},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2888999879360199},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.28360000252723694},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.25769999623298645},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.25519999861717224},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.2515999972820282}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1111/jir.70200","doi":"https://doi.org/10.1111/jir.70200","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jir.70200","pdf_url":null,"source":{"id":"https://openalex.org/S67377460","display_name":"Journal of Intellectual Disability Research","issn_l":"0964-2633","issn":["0964-2633","1365-2788"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-c","erih-plus","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Intellectual Disability Research","raw_type":"journal-article"},{"id":"pmid:42992961","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42992961","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of intellectual disability research : JIDR","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1543374060","https://openalex.org/W1974891305","https://openalex.org/W2024565910","https://openalex.org/W2074699719","https://openalex.org/W2122771895","https://openalex.org/W2128977942","https://openalex.org/W2479239217","https://openalex.org/W2795743739","https://openalex.org/W2929375306","https://openalex.org/W2972879239","https://openalex.org/W4387807705"],"related_works":["https://openalex.org/W7164480533","https://openalex.org/W3134550895","https://openalex.org/W2098592505","https://openalex.org/W4387807705","https://openalex.org/W4293279172","https://openalex.org/W7204519474","https://openalex.org/W4221065817","https://openalex.org/W4407732299","https://openalex.org/W2042451313","https://openalex.org/W4317470406"],"abstract_inverted_index":{"BACKGROUND:":[0],"While":[1],"ophthalmic":[2,61,86,185],"exam":[3],"under":[4],"anaesthesia":[5,230],"(EUA)":[6],"is":[7,15,23,47,71,225],"well-described":[8],"in":[9,31,63,116,125,128,182],"the":[10,55,108,136,144,175,183,199,204],"paediatric":[11],"patient":[12,223],"population,":[13],"it":[14],"rarely":[16],"performed":[17],"on":[18,103],"adult":[19,78],"patients.":[20],"Ophthalmic":[21],"EUA":[22,62,87,179],"often":[24],"necessary":[25],"for":[26],"accurate":[27],"diagnosis":[28],"and":[29,57,120,174,201,212],"management":[30,186],"adults":[32],"with":[33,65,80,210,219],"intellectual":[34,66,81],"disability":[35,82],"due":[36],"to":[37,39,53,97,192],"inability":[38],"tolerate":[40,193],"an":[41,85,194],"outpatient":[42,195],"eye":[43,129,196],"exam.":[44,197],"This":[45,69],"paper":[46],"a":[48,72,117,126],"retrospective":[49,73],"chart":[50,74],"review":[51,75],"aiming":[52],"explore":[54],"diagnostic":[56],"therapeutic":[58],"benefits":[59,202],"of":[60,76,113,122,143,148,187,203,229],"patients":[64,79,106,150,158,188,211],"disability.":[67],"METHODS:":[68],"study":[70],"all":[77],"who":[83,189],"underwent":[84],"at":[88,226],"our":[89,149,172],"rural":[90],"academic":[91],"centre":[92],"from":[93],"1":[94,98],"April":[95,99],"2015":[96],"2025.":[100],"Thirty-eight":[101],"exams":[102,114,123],"15":[104],"different":[105],"met":[107],"inclusion":[109],"criteria.":[110],"RESULTS:":[111],"21.1%":[112],"resulted":[115,124],"new":[118],"diagnosis,":[119],"44.7%":[121],"change":[127],"care":[130],"management,":[131],"including":[132],"procedural":[133],"intervention":[134],"during":[135],"EUA,":[137],"subsequent":[138,164],"surgical":[139],"procedures":[140],"or":[141,166],"alterations":[142],"eyedrop":[145],"regimen.":[146],"None":[147],"experienced":[151],"postoperative":[152,161],"complications":[153,231],"following":[154,163],"EUA.":[155],"However,":[156,198],"two":[157],"had":[159],"complicated":[160],"courses":[162],"cataract":[165],"retina":[167],"surgery.":[168],"CONCLUSIONS:":[169],"In":[170],"both":[171],"series":[173],"previously":[176],"published":[177],"literature,":[178],"proved":[180],"instrumental":[181],"proper":[184],"are":[190],"unable":[191],"risks":[200],"procedure":[205],"should":[206],"be":[207],"carefully":[208],"discussed":[209],"their":[213,233],"caregivers/medical":[214],"decision":[215],"makers":[216],"before":[217],"proceeding":[218],"anaesthesia,":[220],"as":[221],"this":[222],"population":[224],"higher":[227],"risk":[228],"than":[232],"age-matched":[234],"peers.":[235]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}