BACKGROUND: Measurement of intraocular pressure in the presence of combined ophthalmic condition could determine further therapy and prognosis. However, tonometry in corneal diseases could lead to unreliable results. The search for methods for intraocular pressure measurement in these settings is a critical task intended to expand diagnostic capabilities. AIM: Evaluation of the transpalpebral tonometry diagnostic value for intraocular pressure monitoring in patients with corneal conditions of various origin. MATERIALS AND METHODS: Measurements of intraocular pressure were carried out in 39 patients with glaucoma and/or cataract (mean age 62.34 9.1), with corneal changes due to various ophthalmic conditions: post-traumatic scars; keratotomy scars as a result of refractive surgery; corneal defects due to ulcerative process of various etiology; corneal erosions; bullous keratopathy; deformities and leukomas after surgical treatment of pterygium or exposure to an infectious agent. Intraocular pressure measurement was carried out using several methods: palpation, using rebound and transpalpebral tonometry, in some cases tonometry was performed according to Maklakov method. RESULTS: The averaged data were comparable: palpation; rebound tonometry 23.34 4.7 mm Hg; transpalpebral tonometry 24.27 4.7 mm Hg; and Maklakov tonometry 23.16 5.4 mm Hg. The accuracy and reproducibility of measurement results increased significantly with the improvement of skills in using tonometers. CONCLUSIONS: Transpalpebral tonometry using TVGD-02 tonometer makes it possible to adequately assess intraocular pressure in patients with corneal pathology. The absence of contact during the implementation of technique makes it possible to recognize it as a priority when measuring intraocular pressure in certain categories of patients.
背景:在合并眼部疾病的情况下测量眼压可以决定进一步的治疗和预后。然而，眼压测量在角膜疾病中可能导致不可靠的结果。在这些环境中寻找测量眼压的方法是扩大诊断能力的关键任务。目的:评价经睑压测量对各种角膜病变患者眼压监测的诊断价值。材料和方法:对39例青光眼和/或白内障患者(平均年龄62.34 - 9.1岁)进行眼压测量，这些患者的角膜因各种眼病发生变化:创伤后疤痕;屈光手术造成的角膜切开术疤痕;各种病因引起的溃疡性角膜缺损;角膜侵蚀;大疱的角膜病;翼状胬肉手术治疗后的畸形和白血病或接触传染因子。眼压测量采用触诊法、反跳法和经睑压法，部分病例采用Maklakov法。结果:平均数据具有可比性:触诊;回弹血压计23.34 4.7 mm Hg;经颅血压计24.27 4.7 mm Hg;随着血压计使用技能的提高，测量结果的准确性和重复性显著提高。结论:使用TVGD-02眼压计进行经睑压测量可以充分评估角膜病变患者的眼压。在技术实施过程中没有接触，使得在测量某些类别的患者眼压时可以将其视为优先事项。
{"title":"Transpalpebral tonometry as a priority method for intraocular pressure monitoring in corneal pathology","authors":"S. Petrov, O. M. Filippova, O. I. Markelova","doi":"10.17816/ov122120","DOIUrl":"https://doi.org/10.17816/ov122120","url":null,"abstract":"BACKGROUND: Measurement of intraocular pressure in the presence of combined ophthalmic condition could determine further therapy and prognosis. However, tonometry in corneal diseases could lead to unreliable results. The search for methods for intraocular pressure measurement in these settings is a critical task intended to expand diagnostic capabilities. \u0000AIM: Evaluation of the transpalpebral tonometry diagnostic value for intraocular pressure monitoring in patients with corneal conditions of various origin. \u0000MATERIALS AND METHODS: Measurements of intraocular pressure were carried out in 39 patients with glaucoma and/or cataract (mean age 62.34 9.1), with corneal changes due to various ophthalmic conditions: post-traumatic scars; keratotomy scars as a result of refractive surgery; corneal defects due to ulcerative process of various etiology; corneal erosions; bullous keratopathy; deformities and leukomas after surgical treatment of pterygium or exposure to an infectious agent. Intraocular pressure measurement was carried out using several methods: palpation, using rebound and transpalpebral tonometry, in some cases tonometry was performed according to Maklakov method. \u0000RESULTS: The averaged data were comparable: palpation; rebound tonometry 23.34 4.7 mm Hg; transpalpebral tonometry 24.27 4.7 mm Hg; and Maklakov tonometry 23.16 5.4 mm Hg. The accuracy and reproducibility of measurement results increased significantly with the improvement of skills in using tonometers. \u0000CONCLUSIONS: Transpalpebral tonometry using TVGD-02 tonometer makes it possible to adequately assess intraocular pressure in patients with corneal pathology. The absence of contact during the implementation of technique makes it possible to recognize it as a priority when measuring intraocular pressure in certain categories of patients.","PeriodicalId":10836,"journal":{"name":"Current Ophthalmology Reports","volume":"91 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83767509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Using the example of a clinical case, a clinical and functional analysis of a combined method for correcting irregular post-keratoplastic astigmatism in a patient with cataract is presented. Patient, aged 50, complained of low vision and fog in front of the left eye during the last 3 years. For the left eye, the diagnosis was made: Irregular post-keratoplastic astigmatism of a high degree, condition after penetrating keratoplasty, posterior capsular cataract. To correct the irregular post-keratoplastic astigmatism, the patient underwent the MyoRing implantation into the corneal graft. Then, 1 year later, the patient underwent cataract phacoemulsification with a toric intraocular lens implantation for the simultaneous correction of residual corneal astigmatism. The follow-up period after phacoemulsification was 1 year. One year after the MyoRing implantation into the corneal graft, uncorrected visual acuity and corrected visual acuity increased from 0.02 to 0.05, corneal astigmatism decreased by 4.46 D and became significantly more regular. 1 month after phacoemulsification with toric intraocular lens implantation, uncorrected visual acuity increased from 0.05 to 0.8, corrected visual acuity from 0.05 to 1.0; spherical and cylindrical components of refraction amounted to 0.5 D each and did not change anymore. The combined method of irregular post-keratoplastic astigmatism correction in a patient with cataract showed a high refractive result, stability and safety in the late postoperative period.
{"title":"A clinical case of a combined method for correcting irregular post-keratoplastic astigmatism in a patient with cataract","authors":"M. Sinitsyn, N. Pozdeyeva","doi":"10.17816/ov109620","DOIUrl":"https://doi.org/10.17816/ov109620","url":null,"abstract":"Using the example of a clinical case, a clinical and functional analysis of a combined method for correcting irregular post-keratoplastic astigmatism in a patient with cataract is presented. \u0000Patient, aged 50, complained of low vision and fog in front of the left eye during the last 3 years. For the left eye, the diagnosis was made: Irregular post-keratoplastic astigmatism of a high degree, condition after penetrating keratoplasty, posterior capsular cataract. To correct the irregular post-keratoplastic astigmatism, the patient underwent the MyoRing implantation into the corneal graft. Then, 1 year later, the patient underwent cataract phacoemulsification with a toric intraocular lens implantation for the simultaneous correction of residual corneal astigmatism. The follow-up period after phacoemulsification was 1 year. One year after the MyoRing implantation into the corneal graft, uncorrected visual acuity and corrected visual acuity increased from 0.02 to 0.05, corneal astigmatism decreased by 4.46 D and became significantly more regular. 1 month after phacoemulsification with toric intraocular lens implantation, uncorrected visual acuity increased from 0.05 to 0.8, corrected visual acuity from 0.05 to 1.0; spherical and cylindrical components of refraction amounted to 0.5 D each and did not change anymore. \u0000The combined method of irregular post-keratoplastic astigmatism correction in a patient with cataract showed a high refractive result, stability and safety in the late postoperative period.","PeriodicalId":10836,"journal":{"name":"Current Ophthalmology Reports","volume":"2 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84561733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-23DOI: 10.1007/s40135-023-00311-0
Sofía M. Muns, V. Villegas, Juan Ramos-Acevedo, T. Murray, Leslie A. Soto-Velez, Maria Echevarria-Escudero, Gloria Colón-González, Jhon Guerra, Ruth Padilla García
{"title":"Intra-Arterial Chemotherapy for Retinoblastoma","authors":"Sofía M. Muns, V. Villegas, Juan Ramos-Acevedo, T. Murray, Leslie A. Soto-Velez, Maria Echevarria-Escudero, Gloria Colón-González, Jhon Guerra, Ruth Padilla García","doi":"10.1007/s40135-023-00311-0","DOIUrl":"https://doi.org/10.1007/s40135-023-00311-0","url":null,"abstract":"","PeriodicalId":10836,"journal":{"name":"Current Ophthalmology Reports","volume":"11 1","pages":"34-39"},"PeriodicalIF":0.9,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43894912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-02DOI: 10.1007/s40135-023-00312-z
Christian Kim, Samantha Paul, Jose J. Echegaray
{"title":"Update on Immune Checkpoint Inhibitor-Associated Uveitis","authors":"Christian Kim, Samantha Paul, Jose J. Echegaray","doi":"10.1007/s40135-023-00312-z","DOIUrl":"https://doi.org/10.1007/s40135-023-00312-z","url":null,"abstract":"","PeriodicalId":10836,"journal":{"name":"Current Ophthalmology Reports","volume":"1 1","pages":"1-11"},"PeriodicalIF":0.9,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49618474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Belov, N. G. Zumbulidze, Amina I. Yusupova, F. Kasymov
BACKGROUND: Introduction and use of various tonometry methods can lead to misinterpretation of intraocular pressure results and influence the choice of treating approaches by ophthalmologist in a glaucoma patient. AIM: To compare pneumotonometry and rebound tonometry results with Maklakovs applanation tonometry and to develop corrections for their comparability. MATERIALS AND METHODS: The study included 75 patients. All subjects underwent Maklakov applanation tonometry (10 g) and pachymetry (Topcon SP-3000P). In 48 patients (94 eyes) of the 1st group, pneumotonometry (TONOREF II Nidek) was performed, and 27 patients of the 2nd group (52 eyes) underwent rebound tonometry (iCare IC-100). RESULTS: The mean difference in intraocular pressure level in the 1st group was 4.81 (p 0.001), and in the 2nd 0.98 mmHg (p = 0.399). Both methods pneumo- and rebound tonometry showed underestimated results with intraocular pressure less than 23.0 and 22.5 mmHg (respectively) relative to applanation tonometry and, conversely, overestimated intraocular pressure when these values were exceeded. A significant (p 0.001) strong (R2 = 0.86) relationship between applanation and rebound tonometry was obtained, which made it possible, using regression analysis, to develop a formula for recalculating results of iCare tonometry into those of Maklakov tonometry: PMaklakov = 0.40 PiCare + 13.44. CONCLUSIONS: Both pneumo- and rebound tonometry demonstrate adequate results of P0 with intraocular pressure below 23.0 and 22.5 mmHg (respectively) and overestimate the results when these values are exceeded. The developed formula allows converting the results of iCare tonometry into the values of the Maklakovs tonometry.
{"title":"Comparison and comparability of pneumotonometry and rebound tonometry results with Maklakov’s applanation tonometry","authors":"D. Belov, N. G. Zumbulidze, Amina I. Yusupova, F. Kasymov","doi":"10.17816/ov321245","DOIUrl":"https://doi.org/10.17816/ov321245","url":null,"abstract":"BACKGROUND: Introduction and use of various tonometry methods can lead to misinterpretation of intraocular pressure results and influence the choice of treating approaches by ophthalmologist in a glaucoma patient. \u0000AIM: To compare pneumotonometry and rebound tonometry results with Maklakovs applanation tonometry and to develop corrections for their comparability. \u0000MATERIALS AND METHODS: The study included 75 patients. All subjects underwent Maklakov applanation tonometry (10 g) and pachymetry (Topcon SP-3000P). In 48 patients (94 eyes) of the 1st group, pneumotonometry (TONOREF II Nidek) was performed, and 27 patients of the 2nd group (52 eyes) underwent rebound tonometry (iCare IC-100). \u0000RESULTS: The mean difference in intraocular pressure level in the 1st group was 4.81 (p 0.001), and in the 2nd 0.98 mmHg (p = 0.399). Both methods pneumo- and rebound tonometry showed underestimated results with intraocular pressure less than 23.0 and 22.5 mmHg (respectively) relative to applanation tonometry and, conversely, overestimated intraocular pressure when these values were exceeded. A significant (p 0.001) strong (R2 = 0.86) relationship between applanation and rebound tonometry was obtained, which made it possible, using regression analysis, to develop a formula for recalculating results of iCare tonometry into those of Maklakov tonometry: PMaklakov = 0.40 PiCare + 13.44. \u0000CONCLUSIONS: Both pneumo- and rebound tonometry demonstrate adequate results of P0 with intraocular pressure below 23.0 and 22.5 mmHg (respectively) and overestimate the results when these values are exceeded. The developed formula allows converting the results of iCare tonometry into the values of the Maklakovs tonometry.","PeriodicalId":10836,"journal":{"name":"Current Ophthalmology Reports","volume":"19 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79417706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article describes a casuistic case of a long asymptomatic stay of a giant foreign body in the orbit and of its removal. Immediately after the injury and at primary surgical treatment, the foreign body was not diagnosed. The patient did not have any complaints for a long time, then gradually there was a periodic double vision when looking straight ahead, a dense formation under the eyebrow began to be revealed by palpation. The foreign body was successfully removed almost a year after the injury.
{"title":"A giant foreign body of the orbit. A clinical case","authors":"I. Filatova","doi":"10.17816/ov109283","DOIUrl":"https://doi.org/10.17816/ov109283","url":null,"abstract":"The article describes a casuistic case of a long asymptomatic stay of a giant foreign body in the orbit and of its removal. Immediately after the injury and at primary surgical treatment, the foreign body was not diagnosed. The patient did not have any complaints for a long time, then gradually there was a periodic double vision when looking straight ahead, a dense formation under the eyebrow began to be revealed by palpation. The foreign body was successfully removed almost a year after the injury.","PeriodicalId":10836,"journal":{"name":"Current Ophthalmology Reports","volume":"20 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81476514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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