Journal of VitreoRetinal Diseases最新文献_第2页

Vision Degrading Myodesopsia From Posterior Vitreous Detachment Floaters. 后玻璃体脱离浮游物引起的视力退化性肌性眼病

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-28 eCollection Date: 2024-09-01 DOI: 10.1177/24741264241267072

J Sebag

引用次数: 0

Risk Factors for Progression of Vitreomacular Traction to Macular Hole 玻璃体黄斑牵引发展为黄斑孔的风险因素

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-27 DOI: 10.1177/24741264241264937

Ariana Allen, Yuxi Zheng, Terry Lee, Suzanna Joseph, Xinxin Zhang, Henry L. Feng, Sharon Fekrat

{"title":"Risk Factors for Progression of Vitreomacular Traction to Macular Hole","authors":"Ariana Allen, Yuxi Zheng, Terry Lee, Suzanna Joseph, Xinxin Zhang, Henry L. Feng, Sharon Fekrat","doi":"10.1177/24741264241264937","DOIUrl":"https://doi.org/10.1177/24741264241264937","url":null,"abstract":"Purpose: To evaluate the clinical and optical coherence tomography (OCT) characteristics associated with progression of vitreomacular traction (VMT) to a full-thickness macular hole (FTMH) and lamellar macular hole (LMH). Methods: A retrospective cohort study of patients with an OCT-confirmed diagnosis of idiopathic VMT and 6 or more months of follow-up was performed. Clinical data included age, sex, race, systemic comorbidities, hormone replacement therapy, corrected visual acuity (VA), subjective visual symptoms, OCT signs, and the presence of or progression to FTMH or LMH. Results: Of the 287 eyes with VMT, 48 (16.7%) progressed to MH. Twelve eyes (4.2%) progressed to LMH, and 36 eyes (12.5%) progressed to FTMH. Female sex ( P = .02), myopic refractive status in phakic eyes ( P = .02), subjective decreased VA ( P = .01), and the presence of an inner segment–outer segment junction disruption on OCT ( P = .003) were risk factors for progression from VMT to FTMH. Subjective metamorphopsia was a risk factor for progression to FTMH ( P = .001) and LMH ( P = .01). In a subgroup analysis, patients who had an FTMH in the fellow eye were significantly more likely to have VMT progress to FTMH in the study eye (24.0% vs 8.7%; P = .04). Having an LMH in the fellow eye was not a risk factor for progression to LMH in the study eye ( P = .47). Conclusions: Risk factors were found for the progression of VMT to MH that may be clinically relevant for risk-stratifying patients presenting with VMT.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141797673","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}

引用次数: 0

Longitudinal Assessment of Peripapillary Microvasculature Using Optical Coherence Tomography Angiography in Cognitively Normal Adults 利用光学相干断层扫描血管造影术纵向评估认知正常成人的毛细血管周围微血管情况

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-27 DOI: 10.1177/24741264241263167

Suzanna Joseph, Joshua Woo, Cason B. Robbins, Alice Haystead, Sandra Stinnett, Dilraj S. Grewal, Sharon Fekrat

{"title":"Longitudinal Assessment of Peripapillary Microvasculature Using Optical Coherence Tomography Angiography in Cognitively Normal Adults","authors":"Suzanna Joseph, Joshua Woo, Cason B. Robbins, Alice Haystead, Sandra Stinnett, Dilraj S. Grewal, Sharon Fekrat","doi":"10.1177/24741264241263167","DOIUrl":"https://doi.org/10.1177/24741264241263167","url":null,"abstract":"Introduction: To evaluate longitudinal peripapillary changes in cognitively normal older adults using optical coherence tomography (OCT) and OCT angiography (OCTA). Methods: Participants older than 50 years with no history of neurodegenerative disease or cognitive impairment were prospectively enrolled. OCT and OCTA images were obtained at the first visit and 2 years later. Results: The study comprised 189 eyes of 111 adults with a mean age (±SD) of 69.3 ± 5.8 years and mean follow-up of 2.1 ± 0.5 years. Woman experienced slower rate of decline than men in capillary perfusion density (0.000% ± 0.005% vs −0.002% ± 0.004%; P = .038) and retinal nerve fiber layer (RNFL) thickness (0.133 ± 1.617 µm vs −0.659 ± 1.431 µm; P = .008). At both timepoints, after controlling for sex, the capillary perfusion density ( P < .001), capillary flux index ( P < .001), and RNFL thickness ( P = .005) were lower in older participants. The mean capillary perfusion density was higher in women than in men at both timepoints ( P = .01 and P = .002, respectively), with no significant differences in the capillary flux index and RNFL thickness. Conclusions: In cognitively normal adults, there is a significant reduction in peripapillary capillary perfusion density, the capillary flux index, and RNFL thickness associated with aging beyond 50 years. Women had higher capillary perfusion density values with slower rates of change in capillary perfusion density and RNFL thickness. These values can serve as benchmarks, and variations could be suspicious for a pathologic process.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141798367","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}

引用次数: 0

Atypical Presentation of Vitreous Inflammation in a Patient With Hypertensive Retinopathy 高血压视网膜病变患者玻璃体炎症的非典型表现

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-27 DOI: 10.1177/24741264241264361

Amani Davis, Jonah Blumenthal, S. Hoyek, Joseph F. Rizzo, Nimesh A. Patel

引用次数: 0

OCT Features of the Donor Area in Autologous Retinal Transplant Surgery for Macular Hole 黄斑裂孔自体视网膜移植手术捐献区的 OCT 特征

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-27 DOI: 10.1177/24741264241264077

Silvia Medina-Medina, A. Ramírez-Estudillo, Sergio Rojas Juárez

引用次数: 0

Cross-Sectional Survey of Vitreoretinal Surgery Fellowship Training in Secondary Intraocular Lens Placement 玻璃体视网膜手术研究员二次眼内透镜置入培训的横断面调查

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-27 DOI: 10.1177/24741264241261440

Seyyedehfatemeh Ghalibafan, Louis Z. Cai, Brandon Graham Chou, Nimesh A. Patel, Abdulla R. Shaheen, Nicolas A. Yannuzzi

{"title":"Cross-Sectional Survey of Vitreoretinal Surgery Fellowship Training in Secondary Intraocular Lens Placement","authors":"Seyyedehfatemeh Ghalibafan, Louis Z. Cai, Brandon Graham Chou, Nimesh A. Patel, Abdulla R. Shaheen, Nicolas A. Yannuzzi","doi":"10.1177/24741264241261440","DOIUrl":"https://doi.org/10.1177/24741264241261440","url":null,"abstract":"Purpose: To assess current trends in vitreoretinal surgical fellowship training for placement of secondary intraocular lenses (IOLs). Methods: A cross-sectional survey was administered to vitreoretinal surgical fellowship graduates who completed their program between 2019 and 2023. Results: Completed responses were obtained from 70 (22.5%) of 311 eligible recipients. Training settings included academic (80%), hybrid academic/private practice (15%), and private practice (5%). During their fellowship, the majority of respondents reported 10 or fewer cases using anterior chamber (AC) IOLs (69%), 5 to 50 cases using scleral-sutured IOLs (64%), and 5 to 25 cases using sutureless scleral-fixated IOLs (52%). Most fellows (79%) did not have exposure to iris-fixated IOL placement during fellowship training. The Akreos AO60 (78%) and Envista MX60 (10%) IOLs were the most common choice for scleral-sutured placement. Most fellows (67%) placed fewer than 10 secondary IOLs through scleral tunnels. Overall, scleral-sutured IOL placement (Akreos Gore-Tex [polytetrafluoroethylene] sutured, 49%) and scleral-fixated IOLs (modified Yamane, 45%) were the preferred and most comfortable surgical techniques for recent graduates after completing training. There was a significant association between surgical case volume during fellowship training and self-reported competency for each type of secondary IOL ( P ≤ .005). Conclusions: The majority of vitreoretinal surgical fellows receive limited training in the placement of AC IOLs or construction of scleral tunnels during their fellowship. Aligned with their experience during fellowship, recent graduates generally prefer implanting scleral-fixated or scleral-sutured IOLs. Analysis of trainees’ exposure to various techniques and postgraduate surgical preferences may identify areas for improvement in surgical education.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141798121","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}

引用次数: 0

Challenging Case of Postoperative Nocardia Endophthalmitis 术后眼底感染诺卡氏菌的棘手病例

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-24 DOI: 10.1177/24741264241265180

Janani Sreenivasan, A. R. Anand, Shobit Varma, Garima

{"title":"Challenging Case of Postoperative Nocardia Endophthalmitis","authors":"Janani Sreenivasan, A. R. Anand, Shobit Varma, Garima","doi":"10.1177/24741264241265180","DOIUrl":"https://doi.org/10.1177/24741264241265180","url":null,"abstract":"Purpose: To describe a case of postoperative Nocardia endophthalmitis that proved to be challenging. Methods: A 64-year-old woman presented with a clinical picture of postoperative endophthalmitis, which was managed by vitrectomy with intraocular lens explantation. Nocardia puris, sensitive to amikacin, cotrimoxazole (trimethoprim–sulfamethoxazole), and ciprofloxacin, was isolated in culture. The patient received intracameral and intravenous amikacin. On the sixth postoperative day, the infection appeared controlled; however, a macular infarction developed. One month later, the patient presented with recurrent infection (iris nodule and vitritis). After consultation with an infectious disease specialist, oral trimethoprim–sulfamethoxazole and oral moxifloxacin were started. Treatment continued for 6 months. Results: At the 3-month and 6-month follow-ups, the iris nodules had regressed in size with no new visible lesions. The vitreous cavity was clear, and the retina was attached; however, the best-corrected visual acuity was poor because of the macular infarction. Conclusions: This case highlights the importance of obtaining a microbiological diagnosis with sensitivity in cases of Nocardia endophthalmitis and its use in the aggressive management of the infection, including frequent monitoring for recurrences.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141806444","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}

引用次数: 0

Successful Closure of an Idiopathic Macular Hole With Topical Therapy After Failed Surgery 手术失败后采用局部疗法成功关闭特发性黄斑孔

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-24 DOI: 10.1177/24741264241262104

Thiago José Muniz Machado Mazzeo, G. C. Barbosa, Renato Silva Filho, Raimunda Cristina Mendonça Freire, Cleide Guimarães Machado, André Marcelo Vieira Gomes

引用次数: 0

Juxtafoveal Retinal Arterial Macroaneurysm Diagnosed on Ancillary Imaging 辅助成像诊断出的视网膜下动脉大动脉瘤

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-24 DOI: 10.1177/24741264241262102

Michael Balas, Mark A. Mandell, Parnian Arjmand

引用次数: 0

Use of Color Channel Optimization in 3D Heads-Up Vitrectomy vs Standard Operating Microscope for Macular Surgeries 在黄斑手术中使用三维平视玻璃体切除术与标准手术显微镜进行色彩通道优化对比

IF 0.5

Journal of VitreoRetinal Diseases Pub Date : 2024-07-24 DOI: 10.1177/24741264241263457

Aniruddha Agarwal, Nicola G. Ghazi, Ibraheem El Ghrably, Claudio Iovino, Enrico Peiretti, Yasmine Alcibahy, N. Menia, Jay K. Chhablani, Francesco Pichi, Dilraj S. Grewal

{"title":"Use of Color Channel Optimization in 3D Heads-Up Vitrectomy vs Standard Operating Microscope for Macular Surgeries","authors":"Aniruddha Agarwal, Nicola G. Ghazi, Ibraheem El Ghrably, Claudio Iovino, Enrico Peiretti, Yasmine Alcibahy, N. Menia, Jay K. Chhablani, Francesco Pichi, Dilraj S. Grewal","doi":"10.1177/24741264241263457","DOIUrl":"https://doi.org/10.1177/24741264241263457","url":null,"abstract":"Purpose: To compare the efficacy and safety of color channel optimization with 3-dimensional (3D) heads-up vitrectomy (3D HUD group) vs standard operating microscope vitrectomy (control group) for macular surgery. Methods: This retrospective multicenter comparative study comprised patients having 25-gauge pars plana vitrectomy for macular hole, epiretinal membrane (ERM), or vitreomacular traction. The minimum follow-up was 6 months. Surgeons completed a subjective questionnaire after each case. The main outcome measures were safety related (dye reinjection rate, macular ERM or internal limiting membrane [ILM] peeling time, endoillumination intensity). Other outcome measures included total surgical time, surgical outcomes, and subjective surgeon-related parameters. Results: The study included 74 eyes (36 in 3D HUD group; 38 in control group). There were no statistical differences in baseline parameters between groups. Significantly more eyes in the control group than in the 3D HUD group required dye reinjection (23.7% vs 5.6%; P = .03). Less time was required for ERM and ILM peeling in the 3D HUD group (both P < .01); however, the total surgical time was the same between groups. Eyes in the 3D HUD group required lower endoillumination ( P < .001). There were no between-group differences in the rates of complications. Surgeons said depth perception was better in the control group (P < .001), with no differences in comfort or visibility. Conclusions: 3D heads-up–based color channel optimization for macular surgeries is safe and effective. Although it may have safety advantages, it did not affect the visual or anatomic outcomes or total surgical time and did not improve surgeon comfort or visibility.","PeriodicalId":17919,"journal":{"name":"Journal of VitreoRetinal Diseases","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807940","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}

引用次数: 0