Diabetic Macular Edema remains a major cause of vision loss globally, highlighting the importance of timely diagnosis, patient-centred management, and evolving retinal treatment strategies.
Overcoming Treatment Plateaus in Chronic DME
https://t.co/BR3PIGUfTj via @ReachMD
@NatureMedicine@DanaFarber Increasing transplant volume is encouraging, but persistent inequity in access shows that capacity alone is not enough. Eye-bank infrastructure, workforce, referral pathways and equitable allocation must advance together.
@aao_ophth The key message is balance: emerging ocular safety signals deserve careful surveillance and clear communication, without losing sight of the substantial systemic benefits of GLP-1 therapy. Evidence-led counselling is essential.
@WHO Preparedness is ultimately a health-system capability, not simply an emergency response. Sustained prevention, surveillance and resilient systems are what turn lessons from past outbreaks into protection before the next threat emerges.
Green space should increasingly be viewed as part of public-health infrastructure, not simply an environmental amenity. By supporting physical activity, stress reduction, social connection and healthier environmental exposure, well-designed access to nature can contribute meaningfully to prevention and population wellbeing.
Health threats are inherently cross-border, and preparedness must therefore be built on equally connected systems. The greatest value of AI-assisted preparedness intelligence will come from combining timely data-sharing, interoperable surveillance, strong regional coordination and clear governance — enabling countries to detect earlier, coordinate faster and act before local threats become wider emergencies.
Health security is only as strong as its weakest point of access. The Pandemic Agreement’s emphasis on equity is therefore not simply a matter of fairness; it is fundamental to preparedness, resilience and collective protection. Ensuring timely access to diagnostics, vaccines, treatments and essential supplies must remain central to building a more effective global response to future health emergencies.
@NEJM_AI A valuable framework. Medical AI safety cannot be reduced to model accuracy alone; it must encompass clinical workflow, human oversight, failure modes and post-deployment monitoring. This is the governance architecture needed for responsible AI at scale.
This is where AI in ophthalmology becomes genuinely transformative: not by replacing clinical judgement, but by strengthening it. In DME care, well-designed human–AI workflows can improve triage, consistency and efficiency while preserving clinical accountability for complex and uncertain cases — the essential foundation for safe, scalable adoption in real-world practice.
An excellent example of how multimodal retinal imaging can clarify unusual vascular anatomy and its functional consequences. The apparent relationship between transient hydrostatic pressure changes and macular leakage makes this particularly interesting from both diagnostic and pathophysiological perspectives.
@RetinaToday A valuable discussion. In diabetic retinopathy, connecting retinal perfusion with functional measures can help move assessment beyond anatomy alone toward a more complete understanding of disease burden and treatment response.
@WHO Patient safety in chronic disease care is built through consistency—across every consultation, treatment decision, follow-up and point of self-care. Strong systems make safety part of the entire patient journey, not a single intervention.
@NEJM_AI An important distinction. Clinical AI maturity should not be judged by model performance alone; external validation, demonstrated impact on care, and post-deployment monitoring are what turn technical promise into safe, durable clinical value.
Managed Blind: Why Ophthalmology Still Counts Visits Instead of Visual Outcomes
Ophthalmology measures disease with extraordinary precision — but services are still often managed by activity rather than visual outcomes.
My latest article introduces “outcome-native management”: using clinical data to measure whether eye care is truly preserving sight.
https://t.co/XehtwRVlmA
#Ophthalmology #HealthcareManagement
@GlobalHealthBMJ Disability inclusion should be embedded within NCD policy and health-system design, not treated as a parallel agenda. Truly effective NCD strategies must address accessibility, continuity of care and meaningful participation from prevention through long-term management.
A powerful example of how healthcare networks can extend expertise without displacing local capacity. Sustainable system strengthening comes from connecting clinical knowledge with local delivery—building capability, improving access and enabling high-quality care closer to the communities being served.
The evolving wet AMD pipeline reflects an important shift beyond treatment efficacy alone—toward greater durability, precision and reduced treatment burden. Translating these advances into meaningful real-world outcomes will be central to the next generation of retinal care. #Retina #AMD #Ophthalmology
The real test of medical AI is not performance in isolation, but whether it translates into safe, reproducible and clinically meaningful value. Rigorous evaluation, real-world validation and continuous monitoring are essential if AI is to move responsibly from promising research into trusted patient care.
Accurate diagnosis is one of the foundations of patient safety. Empowering patients to share information, ask questions and remain actively engaged in their care strengthens clinical decision-making and builds safer, more responsive health systems. #WorldPatientSafetyDay #PatientSafety
@WHOAFRO@WHOEthiopia Preparedness becomes meaningful when countries build response capacity that can be mobilised quickly and to consistent standards. This milestone shows the value of sustained investment in people, systems and readiness long before an emergency occurs.
@WHOAFRO Safer NCD care depends on continuity, not isolated encounters. Strong primary care, reliable handovers and meaningful patient involvement are what turn long-term treatment into genuinely safe care.