{"title":"Impact of posterior corneal astigmatism on deviation in predicted residual astigmatism for toric IOL calculations in keratoconic eyes","authors":"E. Özyol","doi":"10.14744/eer.2022.29200","DOIUrl":"https://doi.org/10.14744/eer.2022.29200","url":null,"abstract":"","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121090831","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}
Macular edema (ME) is a common entity that can accompany a wide range of diseases. Diagnosing the underlying cause of ME is therefore of great importance. We present two cases of persistent ME. The first patient was a 43-year-old female and the other was a 31-year-old male. Both patients were diagnosed with ME before applying to our clinic and were treated with intravitreal anti-VEGF injections. Detailed examination revealed vitritis and fundus fluorescein angiography showed vasculitic leakage in both patients. The patients were diagnosed as uveitic ME and treated accordingly. Moreover, the second patient was diagnosed with Behçet’s disease in a very short time. Multimodal imaging and detailed examination are crucial in handling of patients with ME. Especially in young patients, uveitis and vasculitis should be suspected.
{"title":"Should all macular edema be treated with intravitreal injection? Importance of fundus fluorescein angiography in macular edema","authors":"Almila Sarıgul Sezenoz","doi":"10.14744/eer.2023.94695","DOIUrl":"https://doi.org/10.14744/eer.2023.94695","url":null,"abstract":"Macular edema (ME) is a common entity that can accompany a wide range of diseases. Diagnosing the underlying cause of ME is therefore of great importance. We present two cases of persistent ME. The first patient was a 43-year-old female and the other was a 31-year-old male. Both patients were diagnosed with ME before applying to our clinic and were treated with intravitreal anti-VEGF injections. Detailed examination revealed vitritis and fundus fluorescein angiography showed vasculitic leakage in both patients. The patients were diagnosed as uveitic ME and treated accordingly. Moreover, the second patient was diagnosed with Behçet’s disease in a very short time. Multimodal imaging and detailed examination are crucial in handling of patients with ME. Especially in young patients, uveitis and vasculitis should be suspected.","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124683352","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}
Purpose: The purpose of the study was to evaluate the vascular density (VD) in the optic disk (OD) head and macula by optical coherence tomography angiography (OCT-A) in patients with inactive thyroid eye disease (TED), as well as the relationship between extraocular muscle (EOM) thickness and the VD of the retina and OD. Methods: The study group and control group each consisted of 65 eyes of 65 participants. The foveal, parafoveal, and perifoveal VD were examined for both superficial capillary plexus and deep capillary plexus. In addition, choriocapillaris flow, foveal avascular zone (FAZ) areas, and the perimeter were calculated. The thicknesses of the peripapillary retinal nerve fiber layer (RNFL) and VD were recorded. EOM thickness was measured with magnetic resonance imaging. Results: VD was significantly lower in all quadrants for the superficial foveal areas, as well as the deep and superficial parafoveal and perifoveal areas in the study group (p<0.05 for all). The study group had significantly lower choriocapillaris flow area (2.08±0.1; 2.12±0.10 p=0.049) and higher FAZ (0.29 (0.22–0.36); 0.26 (0.17–0.32) p=0.037) and perimeter (2.08±0.46; 1.92±0.35 p=0.03) values compared with the controls. VD was higher in the inferior half of the peripapillary region in the study group than the controls (p=0.045). Conclusion: Macular VD measured using OCT-A was found to be significantly lower in TED patients compared to healthy controls. It is thought that noninvasive quantitative retinal perfusion analysis using OCT-A may be useful in the follow-up of TED, close monitoring of complications, and early treatment decision.
{"title":"Evaluation of the optic disk and macular vessel density in inactive thyroid eye disease using optical coherence tomography angiography","authors":"Z. Yılmaz","doi":"10.14744/eer.2022.07078","DOIUrl":"https://doi.org/10.14744/eer.2022.07078","url":null,"abstract":"Purpose: The purpose of the study was to evaluate the vascular density (VD) in the optic disk (OD) head and macula by optical coherence tomography angiography (OCT-A) in patients with inactive thyroid eye disease (TED), as well as the relationship between extraocular muscle (EOM) thickness and the VD of the retina and OD. Methods: The study group and control group each consisted of 65 eyes of 65 participants. The foveal, parafoveal, and perifoveal VD were examined for both superficial capillary plexus and deep capillary plexus. In addition, choriocapillaris flow, foveal avascular zone (FAZ) areas, and the perimeter were calculated. The thicknesses of the peripapillary retinal nerve fiber layer (RNFL) and VD were recorded. EOM thickness was measured with magnetic resonance imaging. Results: VD was significantly lower in all quadrants for the superficial foveal areas, as well as the deep and superficial parafoveal and perifoveal areas in the study group (p<0.05 for all). The study group had significantly lower choriocapillaris flow area (2.08±0.1; 2.12±0.10 p=0.049) and higher FAZ (0.29 (0.22–0.36); 0.26 (0.17–0.32) p=0.037) and perimeter (2.08±0.46; 1.92±0.35 p=0.03) values compared with the controls. VD was higher in the inferior half of the peripapillary region in the study group than the controls (p=0.045). Conclusion: Macular VD measured using OCT-A was found to be significantly lower in TED patients compared to healthy controls. It is thought that noninvasive quantitative retinal perfusion analysis using OCT-A may be useful in the follow-up of TED, close monitoring of complications, and early treatment decision.","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126426620","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 pachychoroid spectrum defines a group of diseases in which focal or diffuse thickness increase in the choroid layer is accompanied by dilated outer choroidal vessels and structural changes in the inner choroidal layers associated with it. This spectrum of diseases includes pachychoroid pigment epitheliopathy, central serous chorioretinopathy, pachychoroid neovasculopathy, polypoidal choroidal vasculopathy, focal choroidal excavation, peripapillary pachychoroid syndrome, and pachydrusen. Although these diseases have similar pachychoroid features, they have different clinical prognosis, ranging from a completely asymptomatic course to a very resistant clinical situation. The aim of this review is to summarize the current definition, underlying etiopathogenesis, examination findings, imaging features, differential diagnoses, and treatment approaches in light of current literature.
{"title":"Current concepts in pachychoroid spectrum diseases: insights into the pathophysiology","authors":"S. Demirel","doi":"10.14744/eer.2023.70783","DOIUrl":"https://doi.org/10.14744/eer.2023.70783","url":null,"abstract":"The pachychoroid spectrum defines a group of diseases in which focal or diffuse thickness increase in the choroid layer is accompanied by dilated outer choroidal vessels and structural changes in the inner choroidal layers associated with it. This spectrum of diseases includes pachychoroid pigment epitheliopathy, central serous chorioretinopathy, pachychoroid neovasculopathy, polypoidal choroidal vasculopathy, focal choroidal excavation, peripapillary pachychoroid syndrome, and pachydrusen. Although these diseases have similar pachychoroid features, they have different clinical prognosis, ranging from a completely asymptomatic course to a very resistant clinical situation. The aim of this review is to summarize the current definition, underlying etiopathogenesis, examination findings, imaging features, differential diagnoses, and treatment approaches in light of current literature.","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129071987","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}
A 74-year-old male patient, who previously had central corneal opacity, presented to our clinic with decrease in vision, and diffuse corneal edema following uncomplicated phacoemulsification and intraocular lens implantation. With topical treatment of steroids and artificial tears, the edema resolved in peripheral cornea and remained edematous in the central cornea during the following 2.5 months. Optical coherence tomography showed Descemet membrane detachment (DMD) in the edematous area. Intracameral perfluoropropane (C3F8) was injected. In the following days, Descemet membrane reattached and corneal edema resolved. The visual acuity increased to 20/40. Following uneventful phacoemulsification, if corneal edema is refractory to treatment, DMD should be remembered. In cases where corneal opacity interferes with the detailed examination of cornea, optical coherence tomography is helpful. In those patients, C3F8 injection is a viable option even in the late post-operative weeks.
{"title":"Anterior Segment Optical Coherence Tomography As A Diagnostic Tool In Descemet Membrane Detachment In A Case With Corneal Opacity","authors":"Rana Altan Yaycıoğlu","doi":"10.14744/eer.2022.46220","DOIUrl":"https://doi.org/10.14744/eer.2022.46220","url":null,"abstract":"A 74-year-old male patient, who previously had central corneal opacity, presented to our clinic with decrease in vision, and diffuse corneal edema following uncomplicated phacoemulsification and intraocular lens implantation. With topical treatment of steroids and artificial tears, the edema resolved in peripheral cornea and remained edematous in the central cornea during the following 2.5 months. Optical coherence tomography showed Descemet membrane detachment (DMD) in the edematous area. Intracameral perfluoropropane (C3F8) was injected. In the following days, Descemet membrane reattached and corneal edema resolved. The visual acuity increased to 20/40. Following uneventful phacoemulsification, if corneal edema is refractory to treatment, DMD should be remembered. In cases where corneal opacity interferes with the detailed examination of cornea, optical coherence tomography is helpful. In those patients, C3F8 injection is a viable option even in the late post-operative weeks.","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129429118","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}
{"title":"Corneal sensitivity in patients with lamellar ichthyosis","authors":"Revan Yıldırım Karabağ","doi":"10.14744/eer.2022.87597","DOIUrl":"https://doi.org/10.14744/eer.2022.87597","url":null,"abstract":"","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114564058","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}
{"title":"Visual outcome of macular hole surgery based on pre-operative hole configuration in optical coherence tomography from a developing country-Nepal","authors":"S. Piya","doi":"10.14744/eer.2022.83703","DOIUrl":"https://doi.org/10.14744/eer.2022.83703","url":null,"abstract":"","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128265659","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}
Purpose: The objective of the study is to compare post-operative outcomes and patient-surgeon satisfaction between a needle-tipped electrocautery incision and a cold scalpel incision in upper eyelid blepharoplasty Methods: The data from 247 patients who underwent bilateral upper eyelid blepharoplasty were retrospectively analyzed. Patients who underwent upper eyelid blepharoplasty with ptosis surgery or fat pad removal were excluded. The patients were divided into 2 groups, Group 1 - needle-tipped electrocautery incision and Group 2 - a cold scalpel incision. Pre-operative skin types of the patients, perioperative hemorrhage, and surgical time were observed. Post-operative ecchymosis on days 1 and 7 and scar cosmesis at months 1 and 6 were evaluated. Patients were asked about the level of satisfaction at 6 months. Results: One hundred and fifty-five patients, 75 patients in Group 1 and 80 patients in Group 2, were included in the study. No statistical differences were detected between the two groups for age, sex, and skin type. No serious complications were recorded. For surgeon satisfaction, surgical time and hemorrhage amount were statistically significantly lower in Group 1. Post-operative ecchymosis on days 1 and 7, scar cosmesis at months 1 and 6, and patient satisfaction at 6 months, the scores were similar between the groups. Conclusion: The clinical difference between needle-tipped electrocautery and cold scalpel incision was not observed after upper eyelid blepharoplasty. Needle-tipped electrocautery should be used conveniently and reliably for skin incisions in upper eyelid blepharoplasty for good cosmetic results.
{"title":"Comparison of post-operative outcomes and patient-surgeon satisfaction with a needle-tipped electrocautery incision and a cold scalpel incision in upper eyelid blepharoplasty: Cohort study","authors":"A. Boz","doi":"10.14744/eer.2023.28291","DOIUrl":"https://doi.org/10.14744/eer.2023.28291","url":null,"abstract":"Purpose: The objective of the study is to compare post-operative outcomes and patient-surgeon satisfaction between a needle-tipped electrocautery incision and a cold scalpel incision in upper eyelid blepharoplasty Methods: The data from 247 patients who underwent bilateral upper eyelid blepharoplasty were retrospectively analyzed. Patients who underwent upper eyelid blepharoplasty with ptosis surgery or fat pad removal were excluded. The patients were divided into 2 groups, Group 1 - needle-tipped electrocautery incision and Group 2 - a cold scalpel incision. Pre-operative skin types of the patients, perioperative hemorrhage, and surgical time were observed. Post-operative ecchymosis on days 1 and 7 and scar cosmesis at months 1 and 6 were evaluated. Patients were asked about the level of satisfaction at 6 months. Results: One hundred and fifty-five patients, 75 patients in Group 1 and 80 patients in Group 2, were included in the study. No statistical differences were detected between the two groups for age, sex, and skin type. No serious complications were recorded. For surgeon satisfaction, surgical time and hemorrhage amount were statistically significantly lower in Group 1. Post-operative ecchymosis on days 1 and 7, scar cosmesis at months 1 and 6, and patient satisfaction at 6 months, the scores were similar between the groups. Conclusion: The clinical difference between needle-tipped electrocautery and cold scalpel incision was not observed after upper eyelid blepharoplasty. Needle-tipped electrocautery should be used conveniently and reliably for skin incisions in upper eyelid blepharoplasty for good cosmetic results.","PeriodicalId":350672,"journal":{"name":"European Eye Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125294991","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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