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Ophthalmic Surgery, Lasers & Imaging Retina

Alessandro Marchese, Alessandro Rabiolo, Francesco Bandello, Giuseppe Querques
The authors present a case of a 29-year-old man who presented to the Department of Ophthalmology at their institution to complete a peripheral laser treatment in his left eye for familial exudative vitreoretinopathy complicated by tractional macular edema. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e112-e113.].
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Jesus H Gonzalez-Cortes, Abel Ramirez Estudillo, Jorge A Sanchez-Ramos, Yunuen Bages-Rousselon, Mariana Fernandez-Mar, Jesus Mohamed-Hamsho
BACKGROUND AND OBJECTIVE: To evaluate anatomical changes of idiopathic macular hole (MH) after internal limiting membrane removal and after passive suction at the hole's borders using microscope-integrated intraoperative optical coherence tomography (iOCT). PATIENTS AND METHODS: Five eyes of five subjects with full-thickness idiopathic MH underwent phacoemulsification, intraocular lens implantation, pars plana vitrectomy, and internal limiting membrane (ILM) removal...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Edward H Wood, Prethy Rao, Stavros N Moysidis, Vaidehi S Dedania, Michael J Elman, Kimberly A Drenser, Antonio Capone, Michael T Trese
BACKGROUND AND OBJECTIVE: Anti-vascular endothelial growth factor (VEGF) therapy is increasing in popularity for treatment of retinopathy of prematurity (ROP). Despite many technical benefits, issues remain prompting further investigation. PATIENTS AND METHODS: Retrospective case report and literature review. RESULTS: A 42-week-old postmenstrual age female with gestational age of 28 weeks and birth weight of 990 g presented with prominent progression of peripapillary purely tractional atypical stage 4A ROP in both eyes following intravitreal bevacizumab therapy in the right eye only...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Yodpong Chantarasorn, Jay C Wang, Miin Roh, Dean Eliott
Macular hole associated with high myopia (MH-HM) and macular hole-associated retinal detachment (MH-RD) are two conditions found in eyes with pathologic myopia that often have poor postoperative outcomes. A discrepancy in size between the stretched retina and the posteriorly expanded sclera is a major factor in the pathogenesis. The authors report a case comprising both types of maculopathy, one in each eye. The eye with the MH-HM (right eye) represents the longest axial length ever reported to have successful macular hole closure by any technique...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Camila V Ventura, Emmalee S Bandstra, Maria P Fernandez, Joshua M Cooper, Gaurav M Saigal, Charles R Bauer, Julie A Hofheimer, Michelle D Berkovits, Robert C Fifer, Alyssa D Pensirikul, Ivan A Gonzalez, Christine L Curry, Samita Andreansky, Ramzi T Younis, Xue Z Liu, Tanuj P Banker, Sander R Dubovy, Samantha M Langer, Audina M Berrocal
In the spring of 2017, a full-term infant with microcephaly was delivered in South Florida. During first trimester, the mother presented with fever, nausea, and vomiting. She reported no foreign travel for herself or her partner. The infant's neurologic, ophthalmologic, neuroradiologic, and audiologic findings were highly suggestive of congenital Zika syndrome (CZS), confirmed by IgM antibodies and plaque reduction neutralization test. New observations, including peripheral temporal retinal avascularity and peripapillary retinal nerve fiber layer thinning, are presented from this first known case of non-travel-associated CZS in the United States...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Ratimir Lazić, Nataša Drača, Vesna Cerović, Dinko Katić, Stefan Mladenovski, Nikica Gabrić
A patient presented with a large chronic macular hole (MH) of 700 μm. Best-corrected visual acuity (BCVA) was 20/200. Since the MHs edges were attached and stiff, an autologous neurosensory retinal flap was harvested and placed into the MH to close it. Perfluoro-n-octane heavy liquid (PFC) was instilled over the flap and exchanged with silicone oil (1,000 cs). Seven days postoperatively, the MH was closed, with a BCVA of 20/80 that improved to 20/60 at months 1 and 3. Optical coherence tomography and angiography showed patch incorporation with fovea formation and normal circulation...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Vaidehi S Dedania, Cem Ozgonul, Cagri G Besirli
The authors report three cases of persistent fetal vasculature (PFV) presenting with an atypical peripheral fibrovascular stalk. A 5-month-old with congenital exotropia with a vitreous hemorrhage in the right eye underwent vitrectomy, and a mid-peripheral vitreal vascular stalk was visualized within the area of hemorrhage. The second case is of an 8-year-old with two fetal vascular remnants in the right eye: (1) a stalk superotemporally extending from the pars plana to the mid-peripheral retina that was associated with a retinal break and (2) a focal lens opacity...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Jaclyn L Kovach
Three adult siblings with Sjögren-Larsson syndrome (SLS) demonstrated signs of late-stage SLS maculopathy, including intraretinal crystals, atrophic changes, and lipofuscin deposition. This first report of SLS maculopathy imaged with optical coherence tomography angiography revealed decreased retinal capillary density, vessel dilation, and increased flow voids in the superficial and deep capillary plexuses. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e78-e82.].
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Ho Ra, Won Ki Lee
BACKGROUND AND OBJECTIVE: To determine the efficacy of a new surgical technique involving use of a contralateral autologous internal limiting membrane (ILM) free flap for closure of a refractory macular hole (MH). PATIENTS AND METHODS: Closure could not be achieved after several MH surgeries in a 72-year-old woman with an epiretinal membrane (ERM) in the right eye and a chronic MH in the left eye. Therefore, the authors performed surgery on the left eye using a contralateral autologous ILM free flap obtained during ERM surgery performed on the right eye...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Gloria Paulina Trujillo-Sanchez, Juan Carlos Martinez-Camarillo, Christine K Spee, David R Hinton, Mark S Humayun, Andrew C Weitz
BACKGROUND AND OBJECTIVE: To evaluate a stereological method in optical coherence tomography (OCT) as an in vivo volume measurement of laser-induced choroidal neovascularization (L-CNV) lesion size. PATIENTS AND METHODS: Laser photocoagulation was applied in rats to rupture Bruch's membrane and induce L-CNV. In vivo OCT images of neovascular lesions were acquired with a spectral-domain OCT system at days 0, 3, 7, 10, and 14 after laser surgery. A stereological image-processing method was used to calculate lesion volumes from the OCT images...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Yodpong Chantarasorn, Patrinee Thamsriswadi
BACKGROUND AND OBJECTIVE: The purpose of this study is to describe a new technique for the treatment of large, chronic macular hole (MH) using scleral imbrication and retinal expansion and to report the outcomes of MH closure. PATIENTS AND METHODS: This retrospective study demonstrates a procedure for correcting the disproportion between an area of stiff neurosensory retina and the inner scleral wall. Baseline MH parameters were collected. MH closure rate, visual outcomes, and biometry were reported at 6-month follow-up...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Alexander L Ringeisen, David Wilkin Parke
BACKGROUND AND OBJECTIVE: This study compares outcomes of patients who were examined on postoperative (PO) day 0 and PO day 1 following retina surgery. PATIENTS AND METHODS: A nonrandomized, comparative, retrospective series of one vitreoretinal surgeon was conducted on 166 patients with a PO day 0 visit (approximately 5 hours following surgery) and 428 patients with a PO day 1 visit. RESULTS: Among patients examined at PO day 0, 4.6% had hypotony (intraocular pressure [IOP] ≤ 5 mm Hg) and 1...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Xian Zhang, Bo Chen, Huajing Yang, Yinwei Song, Di Zhang, Brian T Soetikno, Xufang Sun
BACKGROUND AND OBJECTIVE: To evaluate the correlation between pars plana incision and transient hypotony after silicone oil removal in aphakic eyes PATIENTS AND METHODS:Twenty-two patients with aphakia and a high degree of myopia with silicone oil tamponade were recruited for this prospective study and randomly scheduled to two groups for silicone oil removal: 3.5-mm corneal incision with suture corneal or 20-gauge pars plana incision with suture. Intraocular pressure (IOP) was measured and fundus and anterior structure were examined preoperatively on the first, third, and seventh postoperative day and at 1 month after surgery...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Lucas Brandolt Farias, Daniel Lavinsky, Camila Zanella Benfica, Jacó Lavisnky, Luis Henrique Canani
BACKGROUND AND OBJECTIVE: To evaluate retinal layer changes in patients with type 2 diabetes, microalbuminuria, and no diabetic retinopathy, and to investigate its possible relationship with age, gender, diabetes duration, urinary albumin excretion (UAE), glycosylated hemoglobin, and hypertension. PATIENTS AND METHODS: A prospective, cross-sectional study was performed in 60 patients divided into three groups: diabetic patients with normal UAE, diabetic patients with microalbuminuria, and controls...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Akhila Alapati, Michael Trese
BACKGROUND AND OBJECTIVE: A retrospective clinical study was performed to assess whether photographically screened and remotely read images for retinopathy of prematurity (ROP) allowed for timely and accurate diagnosis of treatment-warranted ROP compared to bedside examination. PATIENTS AND METHODS: The study included 130 eyes of 65 premature neonates in born at William Beaumont Hospital, Royal Oak NICU. Bedside examined (2006 to 2010) and telemedicine screened (2010 to 2014) neonates were compared to identify whether there is a statistical difference in postmenstrual age (PMA) at the time of treatment...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Rodolfo Mastropasqua, Lisa Toto, Luca Di Antonio, Maurizio Battaglia Parodi, Luca Sorino, Ivana Antonucci, Liborio Stuppia, Marta Di Nicola, Cesare Mariotti
BACKGROUND AND OBJECTIVE: The aim of the study was to determine optical coherence tomography angiography (OCTA) findings and to identify mutations in the RS1 gene in a three-generation family with X-linked juvenile retinoschisis (XLRS). PATIENTS AND METHODS: Clinical and genetic assessments were performed in 12 family members. OCTA was performed at baseline (12 members including cases and carriers) and after acetazolamide administration (three cases). Twenty healthy subjects (20 eyes, controls) were chosen for comparison...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Felipe F Conti, Jason M Young, Fabiana Q Silva, Eduardo B Rodrigues, Rishi P Singh
BACKGROUND AND OBJECTIVE: To evaluate the repeatability of retinal thickness and vascular density measurements using split-spectrum amplitude-decorrelation angiography (SSADA) with optical coherence tomography (OCT). PATIENTS AND METHODS: Forty patients were divided into seven categories according to their diagnosis: no retinopathy (control), retinal vein occlusion, diabetes with no retinopathy, diabetes with retinopathy, non-exudative age-related macular degeneration (AMD), exudative AMD, and epiretinal membrane...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Matthew A Powers, Ryan A Shields, Andrew A Moshfeghi, Darius M Moshfeghi
BACKGROUND AND OBJECTIVE: To examine perioperative factors associated with the development of outer retinal defects (ORDs) following surgical repair of macular holes (MHs). PATIENTS AND METHODS: An institutional review board-approved, retrospective, interventional cohort study was conducted. Patients who underwent MH repair during a 5-year period were identified. Statistical analysis was conducted to detect significant perioperative associations to ORD development...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Rehan M Hussain, Robert B Garoon, Jay S Duker, Sander R Dubovy, Thomas A Albini
Primary vitreoretinal lymphoma (PVRL) can be a diagnostic challenge and commonly presents as a partially steroid-responsive vitritis or as subretinal cream-colored infiltrates. The authors present a patient with PVRL who initially presented with bilateral vitritis; however, after two non-diagnostic vitrectomy specimens and two unremarkable brain MRIs, she was lost to follow-up. She presented 2.5 years later with a white plaque on the posterior capsule of her left intraocular lens, though the vitreous cavity was free of infiltrate...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
Adam J Weiner, Prethy Rao, George Williams
A 13-year-old female with a history of regressed retinopathy of prematurity presented with new-onset floaters after sustaining blunt force trauma to her left eye. Best-corrected visual acuity was 20/20 in both eyes (OU), with an intraocular pressure of 14 mm Hg and 15 mm Hg in the right eye (OD) and left eye (OS), respectively. Exam under anesthesia revealed an unremarkable anterior segment OU, including no hyphema or subluxated crystalline lens. Scleral depression OS demonstrated a retinal dialysis superotemporally (1-o'clock to 3-o'clock) and nasally (7-o'clock to 10-o'clock) associated with a prominent vitreous base avulsion but no subretinal fluid (Figure)...
September 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
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