David Oliver-Gutierrez, Cristina Pares-Alfonso, Natalia Anglada-Masferrer, Laia Bisbe
{"title":"Khodadoust Line Indicating Graft Rejection in Descemet's Stripping Automated Endothelial Keratoplasty: A Unique Case Report.","authors":"David Oliver-Gutierrez, Cristina Pares-Alfonso, Natalia Anglada-Masferrer, Laia Bisbe","doi":"10.4103/joco.joco_222_23","DOIUrl":"10.4103/joco.joco_222_23","url":null,"abstract":"<p><strong>Purpose: </strong>To highlight the rarity of the endothelial rejection line, also known as the Khodadoust line, as a manifestation following Descemet's stripping automated endothelial keratoplasty (DSAEK). The objective is to present a meticulously detailed case, including imaging and anterior optical coherence tomography (OCT), to enhance understanding and recognition of this phenomenon.</p><p><strong>Methods: </strong>A detailed case presentation involving a 50-year-old male, 3 years post-DSAEK transplantation for endothelial damage resulting from intraocular surgeries. The patient urgently sought consultation due to vision loss while under daily fluorometholone use. Clinical examination revealed acute graft rejection characterized by corneal edema, anterior chamber reaction, and the presence of keratic precipitates forming a Khodadoust line. The management approach included the initiation of a tapered dexamethasone regimen.</p><p><strong>Results: </strong>The identified acute graft rejection, marked by the presence of a Khodadoust line, demonstrated favorable responsiveness to the initiated tapered dexamethasone regimen. Corneal OCT and imaging played crucial roles in providing detailed insights into the manifestation.</p><p><strong>Conclusions: </strong>While the endothelial rejection line (Khodadoust line) is a rare occurrence following DSAEK, this case underscores its potential association with graft rejection. The successful management outlined in this report suggests the importance of prompt recognition and appropriate anti-inflammatory intervention in such cases to achieve positive outcomes.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"96-98"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Taher Rajabi, Melika Samadi, Sepide Ghods, Seyed Mohsen Rafizadeh
{"title":"Correlation between Orbital Computed Tomography Scan Measurements and Clinical Enophthalmos in Acute Isolated Orbital Floor Fractures.","authors":"Mohammad Taher Rajabi, Melika Samadi, Sepide Ghods, Seyed Mohsen Rafizadeh","doi":"10.4103/joco.joco_213_23","DOIUrl":"10.4103/joco.joco_213_23","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the correlation between orbital computed tomography (CT) scan measurements including the fracture area (FA), the fracture location, the soft-tissue herniation volume (HV), the fractured orbital volume ratio (OVR) to the normal orbit, and the clinical enophthalmos in acute isolated orbital floor fractures.</p><p><strong>Methods: </strong>We enrolled 100 patients with acute isolated unilateral orbital floor fractures from May 2017 to January 2021. Based on the CT scan findings, we measured the FA, HV, OVR, and fracture site. We assessed enophthalmos using both clinical (CE) and radiographic (RE) measurements. Additionally, we investigated the correlation between CE and the measured parameters, along with the relationship between the pattern of diplopia and the fracture site.</p><p><strong>Results: </strong>We identified enophthalmos in 81% and diplopia in 78% of the patients with an acute blowout orbital floor fracture. CE was moderately correlated with the FA (<i>R</i> <sup>2</sup> = 0.4341, <i>P</i> < 0.001). CE was weakly correlated with the HV (<i>R</i> <sup>2</sup> = 0.2861, <i>P</i> = 0.04). Anterior fractures caused diplopia in both vertical gazes, but posterior fractures were mostly associated with diplopia in the up gaze. OVR was strongly associated with RE (<i>R</i> <sup>2</sup> = 0.663, <i>P</i> < 0.0001) and moderately associated with CE (<i>R</i> <sup>2</sup> = 0.4378, <i>P</i> < 0.0001). The univariate regression analysis also showed that OVR could significantly predict CE and RE.</p><p><strong>Conclusions: </strong>OVR surpasses other CT scan measurements such as FA and HV in the prediction of clinical enophthalmos. Thus, OVR could be utilized to estimate clinical enophthalmos at the time of presentation, especially when the acute clinical setting prohibits the proper clinical evaluation.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"89-95"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Celine Chaaya, Georges El Haddad, Fadi Abdul Karim, Sarah Abou Daher
{"title":"Adenoid Cystic Carcinoma of the Lacrimal Gland.","authors":"Celine Chaaya, Georges El Haddad, Fadi Abdul Karim, Sarah Abou Daher","doi":"10.4103/joco.joco_231_23","DOIUrl":"10.4103/joco.joco_231_23","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the various aspects of adenoid cystic carcinoma of the lacrimal gland (LACC), including its clinical features, presentations, genetic factors, as well as current and potential future treatment options.</p><p><strong>Methods: </strong>A thorough exploration of the literature was conducted by extensively searching the PubMed database. A total of 68 articles with a primary focus on adenoid cystic carcinoma were selected.</p><p><strong>Results: </strong>LACC is the most frequent malignant epithelial tumor of the lacrimal gland. It is characterized by the symptoms such as pain, progressive swelling of the eye, double vision, and bulging of the eye. Although LACC is a rare tumor, early detection and appropriate treatment are crucial due to its aggressive nature which includes high recurrence rate and a significant risk of mortality. The primary treatment options for LACC involve a wide range of surgical procedures, including orbitotomy, exenteration, and cranio-orbital resection. Neoadjuvant intra-arterial chemotherapy represents the paradigm shift in the treatment of LACC enhancing patient survival when compared to conventional treatments.</p><p><strong>Conclusion: </strong>The existing literature emphasizes the importance of identifying prognostic factors that can guide treatment decisions and enhance the outcomes for patients with LACC.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation and Comparison of the Knowledge Levels of Current Artificial Intelligence Programs on Retinal/Vitreous Diseases and Treatment Methods.","authors":"Eyupcan Sensoy, Mehmet Citirik","doi":"10.4103/joco.joco_192_23","DOIUrl":"10.4103/joco.joco_192_23","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the answers to multiple-choice questions about retina and vitreous diseases and treatment modalities of Chat Generative Pre-Trained Transformer (ChatGPT), Bard, and Bing artificial intelligence chatbots, examining the level of knowledge about these subjects, and investigating the existence of their superiority over each other.</p><p><strong>Methods: </strong>Forty-six questions related to retinal and vitreous diseases and treatment modalities were asked to ChatGPT, Bing, and Bard chatbots.</p><p><strong>Results: </strong>The Bing artificial intelligence chatbot correctly answered 76.1% of the questions. ChatGPT and Bard artificial intelligence chatbots correctly answered 60.9% of the questions. No statistically significant difference was observed between the rates of correct and incorrect answers to the questions on the three artificial intelligence chatbots (<i>P</i> = 0.206).</p><p><strong>Conclusions: </strong>Artificial intelligence chatbots can be used to access accurate information about retinal and vitreous diseases and treatment modalities. However, the information obtained may not always be correct, and care should be taken about its use and results.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"78-81"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siamak Zarei-Ghanavati, Marzieh Najjaran, Samira Hassanzadeh, Mehdi Khabazkhoob, Akilesh Gokul, Mohammed Ziaei
{"title":"Agreement of a Pyramidal Wavefront-Based Autorefraction with Dry, Cycloplegic, and Subjective Refraction in Myopic Refractive Surgery Candidates.","authors":"Siamak Zarei-Ghanavati, Marzieh Najjaran, Samira Hassanzadeh, Mehdi Khabazkhoob, Akilesh Gokul, Mohammed Ziaei","doi":"10.4103/joco.joco_261_23","DOIUrl":"10.4103/joco.joco_261_23","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the repeatability of a pyramidal wavefront-based refraction (WFR) measurement and its agreement with dry autorefraction (DR), cycloplegic autorefraction (CR), and subjective refraction (SR) in myopic refractive surgery candidates.</p><p><strong>Methods: </strong>One hundred eighty-nine eyes from 189 participants were evaluated. PERAMIS aberrometry (PERAMIS; SCHWIND eye-tech-solutions, Kleinostheim, Germany), DR, and CR, as well as SR, were completed for all candidates. The repeatability of PERAMIS measurements was assessed, and the Bland-Altman plots were used to test the agreement between different methods.</p><p><strong>Results: </strong>Repeatability of the PERAMIS aberrometer was very high in the measurement of all refractive elements (Sphere, cylinder, spherical equivalent [M], J0, and J45) (interclass correlation coefficient >0.980 for all). A significant myopic shift was found with WFR compared to CR (0.45 diopter [D]) and SR (0.28 D) (<i>P</i> < 0.05). For the M component, there was a significant difference between WFR and CR (<i>P</i> < 0.05). J0 component measured with WFR was significantly different from SR and CR (<i>P</i> < 0.05). For the J45 variable, all three refraction methods were comparable (all, <i>P</i> > 0.05). In M > 5.00 D, a difference of 0.79 D (limit of agreement: -3.50-1.90) was found between WFR and CR.</p><p><strong>Conclusions: </strong>In lower degrees of myopia, WFR was in good agreement with the manifest autorefraction. WFR, CR, and SR techniques were comparable in measuring astigmatism, especially in oblique astigmatism.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"54-60"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amir Houshang Beheshtnejad, Mohammad Hani, Parya Abdolalizadeh, Fateme Alipour
{"title":"Corneal Epithelial Thickness in Normal Corneas with Low and High Toricity.","authors":"Amir Houshang Beheshtnejad, Mohammad Hani, Parya Abdolalizadeh, Fateme Alipour","doi":"10.4103/joco.joco_169_23","DOIUrl":"10.4103/joco.joco_169_23","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the corneal epithelial thickness along the flat and steep meridians of corneas with low and high toricity.</p><p><strong>Methods: </strong>This was a prospective observational comparative study on healthy subjects with normal corneas seeking preoperative evaluation for refractive surgery at a university-based hospital. Subjects with up to 2 diopters (D) of corneal with-the-rule astigmatism were defined as low corneal toricity (CT), whereas cylinder > two-dimensional was considered as high CT. The anterior segment optical coherence tomography was conducted to measure the epithelial thickness along the principle meridians of CT over a diameter of 9 mm. At the eye level, outcome variables (corneal and epithelial thicknesses in low- and high-astigmatism groups) were assessed using generalized estimating equation models.</p><p><strong>Results: </strong>Included were 98 eyes (49 subjects): 46 eyes (23 subjects) with low CT and 52 eyes (26 subjects) with high CT. Two groups were similar with respect to the age (<i>P</i> = 0.82), sex (<i>P</i> = 0.49), and spherical equivalent (<i>P</i> = 0.11). Although the corneal thickness at steep and flat meridians was not different between two groups, high-CT group had significantly thinner epithelium at inferior 2.5-3.5 and 3.5-4.5 mm zones (<i>P</i> = 0.01 and 0.04) as well as superior 2.5-3.5 mm zone (<i>P</i> = 0.03) along the steep meridian. Two groups were similar with respect to epithelial thickness of flat meridian (all <i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>The epithelium of steep meridian was thinner in the high-CT group compared to the low-CT group.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"37-41"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prakriti Yagnam Konuganti, Muralidhar Rajamani, Craig John Chaya, Chitra Ramamurthy
{"title":"Short-Term Outcomes of a Modified Safer Surgery Trabeculectomy Technique.","authors":"Prakriti Yagnam Konuganti, Muralidhar Rajamani, Craig John Chaya, Chitra Ramamurthy","doi":"10.4103/joco.joco_241_23","DOIUrl":"10.4103/joco.joco_241_23","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the short-term outcomes of a modified Moorfields Safer Surgery System technique of trabeculectomy.</p><p><strong>Methods: </strong>This is a prospective interventional study. Trabeculectomy was performed according to the author's modification of Moorfields Safer Surgery System. This method allows titrating the opening pressure of trabeculectomy by varying the side cuts, varying the ostium size, and adjusting the tightness of the sutures. Forty-four eyes of 43 patients were included. Main outcome measures include postoperative intraocular pressure (IOP), incidence of intra and postoperative complications, and success up to 6 months after surgery.</p><p><strong>Results: </strong>The mean preoperative and postoperative IOP at 6 months were 20.97 ± 7.93 mmHg and 12.69 ± 4.76 mmHg, respectively (<i>n</i> = 44). 70.5% of the patients had absolute success at 6 months, and the overall success was 88.6%. None of the patients had hypotony and there were no intraoperative complications noted. Forty-two out of 44 eyes (95.5%) had diffuse formed blebs without leak on the 1<sup>st</sup> postoperative day. The most common postoperative complication (13.6%) was a conjunctival leak that was detected on fluorescein staining. In all these patients, the anterior chamber was deep, and the bleb well formed. These leaks were resolved with conservative measures. Many of these leaks would have been missed if not intentionally looked for. Excluding this complication, we had a complication rate of 9.1%.</p><p><strong>Conclusion: </strong>The authors' modification of the Moorfields Safer Surgery System technique may allow the surgeon to optimize aqueous flow through trabeculectomy while mitigating complications.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"23-30"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the Activity of Vogt-Koyanagi-Harada Disease; A Comparison of Indocyanine Green Angiography Scoring, Enhanced Depth Imaging Optical Coherence Tomography, and Choroidal Vascularity Index.","authors":"Kaveh Fadakar, Keivan Rezaii, Hanieh Niktinat, Ramak Roohipourmoallai, Tahereh Mahmoudi, Sonal Tuli, Amin Ahmadi, Elias Kalili Pour, Fatemeh Golsoorat Pahlaviani, Zahra Mahdizad, Samaneh Davoudi, Mohammad Zarei, Nazanin Ebrahimiadib","doi":"10.4103/joco.joco_156_23","DOIUrl":"10.4103/joco.joco_156_23","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the correlation between choroidal biomarkers using enhanced depth imaging optical coherence tomography (EDI-OCT) and indocyanine green angiography (ICGA) scoring for monitoring the activity of Vogt-Koyanagi-Harada (VKH).</p><p><strong>Methods: </strong>Patients who were not in the acute phase of VKH were recruited. Simultaneous EDI-OCT and ICGA were captured in seven patients only at baseline, in six patients at the 3-month follow-up, and in two patients at both the 6- and 9-month follow-ups. Subfoveal choroidal thickness (SFCT), subfoveal choroidal area (SFCA), and choroidal vascular index (CVI) were measured on EDI-OCT using FIJI software and a denoising system. ICGA scoring was performed.</p><p><strong>Results: </strong>Fifteen subjects with the median of 4-month follow-up were recruited. Forty-eight pairs of EDI-OCT and ICGA were investigated. In univariate analysis, ICGA scores were positively associated with SFCT, and SFCA, but negatively with CVI. The strength of correlation between ICGA scores and SFCT was strong (correlation coefficient: 0.91). In multivariate analysis, only SFCT remained significant (B: 2.4, 95% confidence interval: 1.9-3.0; <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>SFCT can be an acceptable representative of the subclinical inflammatory activity of VKH. As an alternative to ICGA, SFCT functions better than SFCA and CVI.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"36 1","pages":"66-71"},"PeriodicalIF":1.2,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hassan Hashemi, Samira Heydarian, Alireza Hashemi, Mehdi Khabazkhoob
{"title":"Macular Thickness and Volume by Spectral-Domain Optical Coherence Tomography and their Related Factors in the Elderly Population.","authors":"Hassan Hashemi, Samira Heydarian, Alireza Hashemi, Mehdi Khabazkhoob","doi":"10.4103/joco.joco_153_23","DOIUrl":"https://doi.org/10.4103/joco.joco_153_23","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the distribution of macular thickness and macular volume in an elderly healthy population 60 years of age and above and their determinants.</p><p><strong>Methods: </strong>The sampling was performed using a multistage stratified random cluster sampling method on the geriatric population 60 years of age and above in Tehran, Iran. All participants underwent optometric examinations, slit-lamp examination, and optical biometry. Retinal imaging was performed by spectral-domain optical coherence tomography.</p><p><strong>Results: </strong>The means ± standard deviation and 95% confidence interval of central macular thickness (CMT), average macular thickness (AMT), and macular volume were 221 ± 33 (218-223) μm, 267 ± 29 (265-269) μm, and 8.36 ± 0.44 (8.33-8.39) mm<sup>3</sup>, respectively. The CMT was significantly lower in females than males (β: -5.77; <i>P</i> = 0.002). The AMT was significantly lower in females than males (β = -10.32; <i>P</i> < 0.001) and was significantly directly related to intraocular pressure (β = 0.63; <i>P</i> = 0.038). The macular volume was significantly lower in females than males (β = -0.13; <i>P</i> < 0.001) and decreased with age (β = -0.01; <i>P</i> < 0.001). In addition, the macular volume had a significant inverse and direct relationship with axial length (β = -0.04; <i>P</i> = 0.011) and keratometry (β = 0.03; <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Macular thickness in the Iranian geriatric population was slightly less than the populations studied in other countries. The role of sex should also be taken into account in the interpretation of macular thickness findings.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"35 4","pages":"362-368"},"PeriodicalIF":1.2,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Resolution of Posttraumatic Retinal Pigment Epithelium Tear and Associated Exudative Retinal Detachment.","authors":"Pradeep Kumar Panigrahi, Anita Minj, Japesh Thareja, Chinthala Navyasree, Laukya Jyothsna Devi Veerla","doi":"10.4103/joco.joco_77_23","DOIUrl":"https://doi.org/10.4103/joco.joco_77_23","url":null,"abstract":"<p><strong>Purpose: </strong>To report a case of posttraumatic retinal pigment epithelium (RPE) tear complicated with exudative retinal detachment that underwent spontaneous resolution.</p><p><strong>Methods: </strong>Case report.</p><p><strong>Results: </strong>A 61-year-old healthy female presented with sudden-onset loss of vision in the left eye for 5 days following blunt trauma. She had undergone left upper eyelid and eyebrow laceration repair elsewhere. A comprehensive ophthalmic examination revealed a subfoveal RPE tear with exudative retinal detachment in the left eye. There was spontaneous healing of RPE tear and complete resolution of exudative retinal detachment 2 weeks following the initial presentation.</p><p><strong>Conclusions: </strong>RPE tear is an extremely rare complication following blunt trauma. The size of the RPE tear can play an important role in determining the final visual prognosis in such cases.</p>","PeriodicalId":15423,"journal":{"name":"Journal of Current Ophthalmology","volume":"35 4","pages":"408-410"},"PeriodicalIF":1.2,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}