European Journal of Ophthalmology最新文献

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Trends in glaucoma surgery in a tertiary hospital in Spain: 2010-2022. 西班牙一家三级医院的青光眼手术趋势:2010-2022 年。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-29 DOI: 10.1177/11206721241295291
Laura Morales-Fernandez, Javier Garcia-Bardera, Pilar Pérez-García, Federico Saenz-Frances, Sofia Garcia-Saenz, Jose M Martinez-de-la-Casa, Julian Garcia-Feijoo
{"title":"Trends in glaucoma surgery in a tertiary hospital in Spain: 2010-2022.","authors":"Laura Morales-Fernandez, Javier Garcia-Bardera, Pilar Pérez-García, Federico Saenz-Frances, Sofia Garcia-Saenz, Jose M Martinez-de-la-Casa, Julian Garcia-Feijoo","doi":"10.1177/11206721241295291","DOIUrl":"10.1177/11206721241295291","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to conduct an analysis glaucoma surgeries performed over a 13-year period at a tertiary hospital affiliated with the Spanish National Health System, with the goal of assessing temporal trends.</p><p><strong>Methods: </strong>This retrospective observational study scrutinized surgeries undertaken in the glaucoma unit of a tertiary center in Spain between 2010 and 2022. Data collected included surgical dates, procedure performed, whether it was standalone or combined, as well as patient demographics including age, sex, and type of underlying glaucoma. Surgeries on individuals under 18 years of age were excluded. An annual comparative analysis was performed to ascertain the evolving trends in glaucoma surgical interventions.</p><p><strong>Results: </strong>A total of 12,944 surgeries were included in the analysis, comprising 9428 isolated cataract surgeries and 2975 glaucoma procedures. Trabeculectomy, glaucoma drainage devices (GDD), and cyclodestruction, collectively referred to as traditional surgery, demonstrated a decline from 93.2% to 23.6% over the study duration. Minimally invasive glaucoma surgery (MIGS) and minimally invasive bleb surgery (MIBS) demonstrated a significant increase from 3.8% in 2010 to 74.7% in 2022, relative to the total glaucoma surgeries. Furthermore, combined surgeries manifested a noteworthy increase from 39.0% in 2010 to 44.2% in 2022, with 86.4% of combined procedures in 2022 being MIGS or MIBS.</p><p><strong>Conclusion: </strong>In recent years, there has been a noticeable change in the trend of glaucoma surgeries, with MIGS and MIBS procedures experiencing a significant increase and becoming the most commonly performed glaucoma procedures. Consequently, traditional glaucoma surgeries have decreased in frequency.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Geographic atrophy progression secondary to age-related macular degeneration: Five years of follow-up. 继发于老年性黄斑变性的地理萎缩进展:五年随访
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-24 DOI: 10.1177/11206721241287252
Elham Sadeghi, Nicola Valsecchi, Sharat Chandra Vupparaboina, Kunaal Mehrotra, Kiran Kumar Vupparaboina, Sandeep Chandra Bollepalli, Jose-Alain Sahel, Andrew W Eller, Jay Chhablani
{"title":"Geographic atrophy progression secondary to age-related macular degeneration: Five years of follow-up.","authors":"Elham Sadeghi, Nicola Valsecchi, Sharat Chandra Vupparaboina, Kunaal Mehrotra, Kiran Kumar Vupparaboina, Sandeep Chandra Bollepalli, Jose-Alain Sahel, Andrew W Eller, Jay Chhablani","doi":"10.1177/11206721241287252","DOIUrl":"https://doi.org/10.1177/11206721241287252","url":null,"abstract":"<p><strong>Purpose: </strong>To study the progression of geographic atrophy (GA) secondary to age-related macular degeneration over a five-year follow-up.</p><p><strong>Methods: </strong>Eyes with GA included to assess demographic data, yearly optical coherence tomography (OCT) findings and the GA growth rate on infra-red (IR) images.</p><p><strong>Results: </strong>A total of 41 eyes of 29 patients were included with a mean age of 81.76 ± 6.37 at baseline, and 65.51% were females. Over five years, there was a significant increase in the mean GA area from 8.44 ± 8.98 mm² to 13.32 ± 10.07 mm² (P < 0.001), with an annual growth rate of 1.14 ± 0.78 mm². The annual growth rates in females were slightly higher compared to males (1.29 ± 0.89 mm2 vs 0.96 ± 0.49 mm2, p = 0.569), and in smokers was slightly higher than non-smokers (1.35 ± 0.85 mm2 vs 0.94 ± 0.66 mm2, p = 0.100). Larger GA areas at the baseline showed higher GA progression in mm<sup>2</sup> per year (P = 0.04). Smaller GA areas and fovea-spared GA at the baseline exhibited a larger percentage increase (P < 0.001 and P = 0.015, respectively). There was a lower GA progression rate in eyes with outer retinal tubulations (ORT) (P = 0.027), yet no significant correlation was found between GA progression and other OCT features.</p><p><strong>Conclusions: </strong>Smaller, fovea-sparing GA eyes experienced a more substantial proportional increase over five years. Also, The presence of ORT was associated with a slower rate of GA progression. Additionally, we observed a trend of faster GA growth in smokers and female genders.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cilioretinal artery occlusion after cataract and macular hole surgery: A case report. 白内障和黄斑孔手术后睫状体视网膜动脉闭塞:病例报告。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-22 DOI: 10.1177/11206721241290268
Sinan Bilgin, Suzan Doğruya
{"title":"Cilioretinal artery occlusion after cataract and macular hole surgery: A case report.","authors":"Sinan Bilgin, Suzan Doğruya","doi":"10.1177/11206721241290268","DOIUrl":"https://doi.org/10.1177/11206721241290268","url":null,"abstract":"<p><strong>Purpose: </strong>To report cilioretinal artery occlusion in a patient undergoing cataract and macular hole surgery.</p><p><strong>Material and method: </strong>A 78-year-old male patient was operated on for a left eye cataract and tractional macular hole. The patient had no intraoperative problems and developed sudden visual loss on the 15th postoperative day. Optic coherence tomography (OCT), fundus fluorescein angiography (FFA), and optic coherence tomography angiography (OCTA) images revealed occlusion of the cilioretinal artery. After medical treatment and 20 sessions of hyperbaric oxygen therapy, the best visual acuity was 50 cmFC, the optic nerve was pale, the macula was ischemic, and the central macular thickness was 139 microns at the last eye examination.</p><p><strong>Discussion: </strong>Mitigating the risk of cilioretinal artery occlusion after vitreoretinal surgery requires a comprehensive approach that addresses patient-specific factors, surgical techniques, and perioperative management.</p><p><strong>Conclusion: </strong>Occlusion of the cilioretinal artery may rarely occur after cataract and macular hole surgery. Careful follow-up, early diagnosis, and prompt intervention can minimize visual loss.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The efficacy of a netilmicin/dexamethasone gel combination in the treatment of posterior blepharitis in moderate-severe dry eye patients. 奈替米星/地塞米松凝胶组合治疗中重度干眼症患者后睑缘炎的疗效。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-21 DOI: 10.1177/11206721241293175
Giovanni William Oliverio, Leandro Inferrera, Elisa I Postorino, Paola Palino, Pasquale Aragona
{"title":"The efficacy of a netilmicin/dexamethasone gel combination in the treatment of posterior blepharitis in moderate-severe dry eye patients.","authors":"Giovanni William Oliverio, Leandro Inferrera, Elisa I Postorino, Paola Palino, Pasquale Aragona","doi":"10.1177/11206721241293175","DOIUrl":"https://doi.org/10.1177/11206721241293175","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the safety and efficacy of netilmicin/dexamethasone combination in the treatment of meibomian gland dysfunction (MGD)-associated posterior blepharitis.</p><p><strong>Methods: </strong>In this prospective and controlled study were enrolled 40 patients with MGD and symptoms of dry eye disease. Two groups were established: 20 patients (group 1) received netilmicin 3 mg/ml and dexamethasone 1 mg/ml eye gel, whereas in group 2 (20 patients) received vehicle for 15 days. Patients were evaluated at baseline, 15 and 45 days, including SANDE and VARS questionnaire, non-invasive tear film breakup time (NIBUT), tear meniscus height (TMH), ocular redness and meibography score. Moreover, fluorescein tear-film breakup time (TBUT), fluorescein ocular surface staining, lid margin evaluation including hyperemia, edema and meibum expressibility and quality examinations were carried out. Furthermore, intraocular pressure (IOP) and best-corrected visual acuity (BCVA) were considered as safety parameters.</p><p><strong>Results: </strong>In group 1, at 15 and 45 days there were statistically significant changes in VARS and SANDE score (p < 0.0001) as well as lid margin parameters, TBUT and fluorescein ocular surface staining (p < 0.0001). Comparing the two groups, a significant improvement of SANDE score was observed at 15 days in group 1 as well as lid margin parameters, TBUT and fluorescein ocular surface staining at 15 and 45 days (all p < 0.0001).</p><p><strong>Conclusion: </strong>Netilmicin/dexamethasone combination is effective and safe to treat MGD-associated posterior blepharitis improving both symptoms and ocular surface signs.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delayed high-altitude retinal hemorrhages in well-acclimatized lowlanders: A hidden risk unveiled. 高海拔地区视网膜出血的延迟发生在适应性良好的低地居民身上:揭开隐藏风险的面纱。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-21 DOI: 10.1177/11206721241292382
Vipin Rana, Anju Pannu, Arnab Sadhukhan, Sandepan Bandopadhayay, Pradeep Kumar, Jaya Kaushik, Meenu Dangi, Atul Gupta
{"title":"Delayed high-altitude retinal hemorrhages in well-acclimatized lowlanders: A hidden risk unveiled.","authors":"Vipin Rana, Anju Pannu, Arnab Sadhukhan, Sandepan Bandopadhayay, Pradeep Kumar, Jaya Kaushik, Meenu Dangi, Atul Gupta","doi":"10.1177/11206721241292382","DOIUrl":"https://doi.org/10.1177/11206721241292382","url":null,"abstract":"<p><strong>Background/objectives: </strong>High-altitude retinal hemorrhage (HARH), a frequent entity of high-altitude retinopathy (HAR), is associated with acute exposure to high altitudes (HAs) with rapid ascent. However, the delayed occurrence of HARH in well-acclimatized individuals has received less attention. This study explored the prevalence and characteristics of HARH in individuals who were acclimatized to HA for extended periods, aiming to elucidate the physiological responses of the retina to chronic hypoxic conditions.</p><p><strong>Subjects/methods: </strong>We conducted an observational cross-sectional study involving 1,457 male participants who had resided at altitudes above 3353 meters (11,000 ft) in the Himalayan region for more than three months. Patients who had ocular or systemic diseases affecting the retina, chronic retinotoxic medication use or smoking were excluded. Participants underwent comprehensive ophthalmic examination, including the best corrected visual acuity test, dilated fundus examination and photography.</p><p><strong>Results: </strong>A total of 1,457 males were screened, and the mean age was 34 ± 2 years. Of all the participants screened, 12 (0.82%) had HAR, with all cases occurring at altitudes above 4267 meters (14,000 ft). Seventy-five percent (75%) of the HAR patients had retinal hemorrhage and venous dilatation. Macular involvement and cotton wool spots were observed in 34% and 25% of HAR patients, respectively. Only four participants had foveal involvement with significant visual impairment.</p><p><strong>Conclusion: </strong>Delayed HARH in acclimatized individuals underscores the importance of long-term ocular monitoring for those exposed to HA, despite acclimatization, to prevent and manage potential visual impairments.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Punctate inner choroiditis and choroidal neovascular membrane formation following vitreoretinal surgery: A case report. 玻璃体视网膜手术后的穿孔性内脉络膜炎和脉络膜新生血管膜形成:病例报告。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-18 DOI: 10.1177/11206721241291993
Priyanka Gandhi, Vishma Prabhu, Prathiba Hande, Rupal Kathare, Padmamalini Mahendradas, Jay Chhablani, Ramesh Venkatesh
{"title":"Punctate inner choroiditis and choroidal neovascular membrane formation following vitreoretinal surgery: A case report.","authors":"Priyanka Gandhi, Vishma Prabhu, Prathiba Hande, Rupal Kathare, Padmamalini Mahendradas, Jay Chhablani, Ramesh Venkatesh","doi":"10.1177/11206721241291993","DOIUrl":"https://doi.org/10.1177/11206721241291993","url":null,"abstract":"<p><strong>Purpose: </strong>To report a case of punctate inner choroiditis (PIC) and subsequent choroidal neovascular membrane (CNVM) development in a young, high myope following vitreoretinal surgery for rhegmatogenous retinal detachment.</p><p><strong>Case description: </strong>A 44-year-old male with high myopia underwent pars plana vitrectomy for subtotal retinal detachment in the left eye, followed by cataract extraction and silicone oil removal. Three years postoperatively, he presented with blurred vision, and fundus examination revealed PIC lesions at the posterior pole. Spectral-domain optical coherence tomography (SD-OCT) showed characteristic features of PIC, including hyperreflective nodule-like elevations, disrupted ellipsoid and interdigitation zones, retinal pigment epithelium (RPE) elevations and increased choroidal hyper transmission signals.</p><p><strong>Results: </strong>Initially, no treatment was initiated, and the patient was monitored. Three years later, the patient experienced further vision loss, and fundus examination showed progression of PIC lesions and new CNVM formation in the left eye. The patient was treated with systemic corticosteroids and an intravitreal anti-VEGF injection (Razumab<sup>®</sup> 0.5 mg/0.05 ml). Three weeks after the intervention, SD-OCT showed regression of the CNVM, and the patient's visual symptoms improved.</p><p><strong>Conclusion: </strong>This case underscores the importance of long-term follow-up and timely intervention in managing PIC, especially in high myopes post-retinal surgery. Early identification and treatment with systemic corticosteroids and anti-VEGF therapy are crucial to preserving visual function and preventing severe complications like CNVM.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of a portable non-mydriatic fundus camera for "rule-out papilledema" consultations: A prospective study. 便携式非眼底照相机在 "排除乳头水肿 "咨询中的功效:前瞻性研究。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-18 DOI: 10.1177/11206721241292105
Paras P Shah, Samuel M Gelnick, Daniel Zhu, Jules A Winokur, Prachi Dua, Howard D Pomeranz, Thomas Perera, Matthew G Gorski
{"title":"Efficacy of a portable non-mydriatic fundus camera for \"rule-out papilledema\" consultations: A prospective study.","authors":"Paras P Shah, Samuel M Gelnick, Daniel Zhu, Jules A Winokur, Prachi Dua, Howard D Pomeranz, Thomas Perera, Matthew G Gorski","doi":"10.1177/11206721241292105","DOIUrl":"https://doi.org/10.1177/11206721241292105","url":null,"abstract":"<p><strong>Purpose: </strong>Ophthalmology is frequently consulted to \"rule-out papilledema.\" We assessed the efficacy of a portable, non-mydriatic fundus camera in detecting optic disc edema in the inpatient and emergency room settings during \"rule-out papilledema\" consultations, comparing to the gold standard dilated fundus examination (DFE).</p><p><strong>Methods: </strong>This prospective, blinded, cohort study included 124 non-mydriatic fundus photographs (62 patients) that were obtained over the 11-month enrollment period. The images, along with a brief clinical history, were evaluated independently by an attending neuro-ophthalmologist (NO), general ophthalmologist (GO), emergency room (ER) physician, and ophthalmology resident (OR), for the presence of disc edema and indication for consultation. Results were compared to DFE. Sensitivity, specificity, and area under receiver operating characteristic (ROC) curves were determined to evaluate the efficacy of the camera.</p><p><strong>Results: </strong>On DFE, disc edema was present in 51 eyes (41.1%). Compared to DFE, NO assessment had the greatest combined sensitivity (84.3%) and specificity (97.3%) for the detection of disc edema, followed by that of GO (sensitivity 77.4%, specificity 100%), OR (sensitivity 96.1%, specificity 80.8%), and ER clinician (sensitivity 68.6%, specificity 89.0%). Areas under ROC curves for NO, GO, OR, and ER physician were all statistically significant for the detection of disc edema (0.908, <i>P</i> < 0.001; 0.892, <i>P</i> < 0.001; 0.885, <i>P</i> < 0.001; 0.788, <i>P</i> < 0.001, respectively).</p><p><strong>Conclusion: </strong>Clinicians were able to correctly identify optic disc edema using non-mydriatic fundus photography. Non-mydriatic fundus photography may be an effective inpatient or telemedicine tool to assess for optic disc edema.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to "The chair of diseases of the eyes and urinary bladder in the university of Naples in XVIII century and the institution of autonomous university chairs of ophtalmology in Vienna and in Naples". 十八世纪那不勒斯大学眼科和膀胱疾病教席以及维也纳和那不勒斯大学眼科自治教席的设立 "的更正。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-17 DOI: 10.1177/11206721241292860
{"title":"<i>Corrigendum</i> to \"The chair of diseases of the eyes and urinary bladder in the university of Naples in XVIII century and the institution of autonomous university chairs of ophtalmology in Vienna and in Naples\".","authors":"","doi":"10.1177/11206721241292860","DOIUrl":"https://doi.org/10.1177/11206721241292860","url":null,"abstract":"","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative analysis of retinal microvascular parameters in healthy individuals with or without carotid artery stenosis or plaque. 有无颈动脉狭窄或斑块的健康人视网膜微血管参数的比较分析。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-15 DOI: 10.1177/11206721241291224
Xiaoxia Fang, Fan Yang, Wei Huang, Saiguang Ling, Bing Liang, Weizhong Zeng, Huiling Hu, Guoming Zhang
{"title":"Comparative analysis of retinal microvascular parameters in healthy individuals with or without carotid artery stenosis or plaque.","authors":"Xiaoxia Fang, Fan Yang, Wei Huang, Saiguang Ling, Bing Liang, Weizhong Zeng, Huiling Hu, Guoming Zhang","doi":"10.1177/11206721241291224","DOIUrl":"https://doi.org/10.1177/11206721241291224","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the correlations between retinal microvascular changes and carotid artery stenosis (CAS) with and without plaques using fundus photography.</p><p><strong>Methods: </strong>Patients who had undergone bilateral carotid ultrasonography and bilateral fundus photography were divided into the following groups based on the carotid intima-media thickness (IMT) determined via ultrasonography in this retrospective, observational study: the control and CAS (comprising CAS with and without plaque subgroups) groups. The following retinal indicators were determined via fundus photography based on a deep learning algorithm: the arteriole-to-venule ratio (AVR), whole retinal fractal dimension (FD), arteriolar fractal dimension (AFD), venular fractal dimension (VFD), vascular density (VD), and VD within 3 mm (VD<sub>3mm</sub>) and 5 mm (VD<sub>5mm</sub>) from the macular fovea. The correlations between these indicators and IMT were also assessed.</p><p><strong>Results: </strong>In total, 715 participants, comprising 313 participants with CAS (CAS group; 91 with plaque and 222 without plaque) and 402 participants without CAS (control group), participated in this study. AFD, VFD, and FD in the CAS group were significantly lower than those in the control group (all <i>p </i>< 0.001). VD, VD<sub>3mm</sub>, and VD<sub>5mm</sub> showed significant differences between the groups (all <i>p </i>< 0.05). VFD in the CAS with plaque group was lower than that in the group without plaque (<i>p </i>= 0.014). VD<sub>3mm</sub>, and VD<sub>5mm</sub> showed significantly negative correlations with IMT<sub>min</sub> in the CAS subgroup.</p><p><strong>Conclusions: </strong>AFD, VFD, FD, VD, VD<sub>3 mm</sub>, and VD<sub>5 mm</sub> decreased, and fundus photography based on deep learning algorithm may provide new approaches for screening of CAS.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Wagner Syndrome-like fundus presentation of atypical Persistent Fetal Vasculature. 非典型持续性胎儿血管的瓦格纳综合征眼底表现。
IF 1.4 4区 医学
European Journal of Ophthalmology Pub Date : 2024-10-15 DOI: 10.1177/11206721241291105
Alberto Quarta, Lisa Toto, Maria Ludovica Ruggeri, Rodolfo Mastropasqua
{"title":"Wagner Syndrome-like fundus presentation of atypical Persistent Fetal Vasculature.","authors":"Alberto Quarta, Lisa Toto, Maria Ludovica Ruggeri, Rodolfo Mastropasqua","doi":"10.1177/11206721241291105","DOIUrl":"https://doi.org/10.1177/11206721241291105","url":null,"abstract":"<p><strong>Purpose: </strong>To report the case of a woman with atypical Persistent fetal vasculature (PFV) accompanied by more typical findings of Wagner Syndrome.</p><p><strong>Results: </strong>A 58-year-old woman complained about persistent flashes and floaters for more than 6 months. Multimodal retinal imaging showed Bergmeister papilla and a fibrous gray strand floating behind the macula in the right eye. Ultra-wide field retinography revealed a 270° paving-stone degeneration and a nasal circumferential vitreous veil in both eyes. Functional and genetic testing were negative for inherited retinal diseases.</p><p><strong>Conclusions and importance: </strong>PFV spectrum confirms its heterogeneous presentation. We report an atypical adult PFV case in presence of retrolental and optic nerve head stalks, accompanied by extensive peripheral vitreoretinal degenerations. This case may expand the current understanding of PFV presentation in adulthood.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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