Lifu Luo, Jun Xiao, Zhongping Luo, Yanbo Liu, Cheng Wang
{"title":"Novel Management of a Vitreous Cyst Using Nd:YAG Ultra-Q Reflex Laser: A Case Report.","authors":"Lifu Luo, Jun Xiao, Zhongping Luo, Yanbo Liu, Cheng Wang","doi":"10.3928/23258160-20251015-01","DOIUrl":"10.3928/23258160-20251015-01","url":null,"abstract":"<p><p>This case report covers the novel use of an Nd:YAG Ultra-Q Reflex laser to treat a symptomatic vitreous cyst in a 47-year-old man. Following a single 0.3-mJ laser pulse applied to the cyst's superior pole, controlled fluid egress led to cyst collapse and inferior displacement without complications. The patient experienced immediate visual improvement, with the cyst remaining inactive in the inferior vitreous at 1-month follow-up and demonstrating no significant change in size when located in the anterior vitreous at 10 months. This laser cystotomy technique presents a safe, effective, and minimally invasive alternative to traditional management.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"198-200"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459371","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}
Zeynep Eylül Ercan, Bahadır Azizagaoglu, Imren Akkoyun, Gürsel Yılmaz
{"title":"Long-term Anatomical and Visual Success of Pneumatic Retinopexy in Sequential Bilateral Giant Retinal Tears: A 20-Year Follow-up Case Report.","authors":"Zeynep Eylül Ercan, Bahadır Azizagaoglu, Imren Akkoyun, Gürsel Yılmaz","doi":"10.3928/23258160-20260123-01","DOIUrl":"10.3928/23258160-20260123-01","url":null,"abstract":"<p><p>This case report presents a rare case of sequential bilateral giant retinal tears (GRTs) successfully managed with pneumatic retinopexy, highlighting the long-term anatomical and visual outcomes. A 43-year-old woman with a history of mild myopia and bilateral pseudophakia developed a superior temporal GRT in the left eye in 2005 and a similar tear in the right eye in 2010. Both eyes were treated with pneumatic retinopexy using intravitreal sulfur hexafluoride gas injection, followed by laser photocoagulation. The patient was monitored regularly for 20 years. Complete retinal reattachment was achieved in both eyes without the need for pars plana vitrectomy. Best-corrected visual acuity remained 20/20 bilaterally throughout the follow-up period. No recurrence or secondary complications were observed. Although pars plana vitrectomy is typically the preferred treatment for GRTs, this case demonstrates that, in carefully selected patients, pneumatic retinopexy can be a viable and durable alternative even in the context of bilateral GRTs. The 20-year follow-up underscores the long-term effectiveness and safety of this less invasive approach.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"57 3","pages":"194-197"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444503","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}
Marie Callet, Raphael Lejoyeux, Margherita Barzilai, Kevin Varanda-Ramos, Catherine Vignal Clermont, Olivier Galatoire, Aurore Couturier
{"title":"Turning the Angle: Vertical Scans Improve Chorioretinal Fold Detection-Comparative Evaluation of B-scan Directions for Chorioretinal Folds in SD-OCT.","authors":"Marie Callet, Raphael Lejoyeux, Margherita Barzilai, Kevin Varanda-Ramos, Catherine Vignal Clermont, Olivier Galatoire, Aurore Couturier","doi":"10.3928/23258160-20251113-01","DOIUrl":"10.3928/23258160-20251113-01","url":null,"abstract":"<p><strong>Background and objective: </strong>This study investigated the impact of scan orientation on the detection of chorioretinal folds using spectral-domain optical coherence tomography (SD-OCT).</p><p><strong>Patients and methods: </strong>A total of 64 eyes with chorioretinal folds were included. The ability to identify folds was compared between horizontal and vertical B-scan acquisitions. Two independent observers evaluated the SD-OCT scans to determine the visibility of folds.</p><p><strong>Results: </strong>Vertical scan orientation revealed folds in 63 of 64 cases (98.4%), whereas horizontal scans identified folds in only 26 cases (40.6%).</p><p><strong>Conclusion: </strong>Our findings show that chorioretinal folds were more consistently and clearly identified in vertically oriented scans than in horizontal scans, suggesting that scan direction significantly influences the detection and evaluation of these lesions.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"174-177"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220646","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}
Dmitrii S Maltsev, Alexei N Kulikov, Yana A Kalinicheva
{"title":"Possible Association Between Retinal Arterial Occlusions and Subretinal Drusenoid Deposits: A Missing Link.","authors":"Dmitrii S Maltsev, Alexei N Kulikov, Yana A Kalinicheva","doi":"10.3928/23258160-20251202-01","DOIUrl":"10.3928/23258160-20251202-01","url":null,"abstract":"<p><strong>Background and objective: </strong>The aim of this study was to investigate the association between retinal artery occlusion (RAO), subretinal drusenoid deposits (SDD), and choroidal circulation.</p><p><strong>Patients and methods: </strong>Patients with RAO and healthy age-matched volunteers were included in this study. The presence of SDD, choriocapillaris perfusion area, and subfoveal choroidal thickness were analyzed using optical coherence tomography (OCT) and OCT angiography.</p><p><strong>Results: </strong>In total, 25 patients with RAO (14 women and 11 men, 71.5 ± 8.9 years) and 19 healthy individuals (10 women and 9 men, 69.0 ± 5.2 years) were included. SDD were found in seven RAO patients (28.0%), among whom four (18.2%) had no age-related macular degeneration. Patients with RAO had a statistically significantly lower choriocapillaris perfusion area and subfoveal choroidal thickness than healthy controls (<i>P</i> < .05).</p><p><strong>Conclusion: </strong>RAO may have an association with the presence of SDD that agrees with common systemic risk factors and changes of posterior eye segment microcirculation for both conditions.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"57 3","pages":"168-173"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444627","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}
Ashish Sharma, Lihteh Wu, Steven Bloom, Paulo Stanga, Arshad M Khanani, Mark Gillies, Fulya Yaylacıoğlu Tuncay, Daniela Rueda-Latorre, Gökçen Deniz, Şengül Özdek, Kourous A Rezaei
{"title":"RWC Update: Gene Therapy in Common Retinal Disorders: Hope, Hype, or Near-term Reality?; 1.4-mm Trophy; Persistent Fetal Vasculature with Tractional Retinal Detachment.","authors":"Ashish Sharma, Lihteh Wu, Steven Bloom, Paulo Stanga, Arshad M Khanani, Mark Gillies, Fulya Yaylacıoğlu Tuncay, Daniela Rueda-Latorre, Gökçen Deniz, Şengül Özdek, Kourous A Rezaei","doi":"10.3928/23258160-20260223-01","DOIUrl":"https://doi.org/10.3928/23258160-20260223-01","url":null,"abstract":"","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"57 3","pages":"141-144"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444641","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}
Akın Çakır, Emine B Akbaş Özyürek, Tahsin Uzundede
{"title":"Inner Collagenous Layer Detachment: A Novel Optical Coherence Tomography Sign in Avascular Serous Pigment Epithelial Detachment Secondary to Central Serous Chorioretinopathy.","authors":"Akın Çakır, Emine B Akbaş Özyürek, Tahsin Uzundede","doi":"10.3928/23258160-20260126-02","DOIUrl":"10.3928/23258160-20260126-02","url":null,"abstract":"<p><p>This case series describes a novel optical coherence tomography (OCT) finding in avascular serous pigment epithelial detachment (PED) secondary to central serous chorioretinopathy (CSC), and evaluates its multimodal imaging features and clinical relevance. Two patients with CSC demonstrated a well-demarcated, hyperreflective band extending between the retinal pigment epithelium and Bruch's membrane within the serous PED on macular OCT. Multimodal imaging, encompassing fluorescein angiography and OCT angiography, was employed to ascertain the absence of neovascularization, thereby substantiating the avascular nature of the lesion. The structure exhibited dynamic behavior, characterized by a regression with PED resolution and subsequent reappearance with recurrence. This OCT finding, termed inner collagenous layer detachment (ICLD), is indicative of a localized separation within Bruch's membrane. ICLD may serve as a novel imaging biomarker of PED activity in CSC, thereby offering insights into its underlying pathophysiology. Further studies are needed to determine its prevalence, specificity, and potential role in clinical management.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"57 3","pages":"186-189"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444493","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}
{"title":"The Patient Experience: 5% Povidone-Iodine vs 0.05% Aqueous Chlorhexidine.","authors":"Brandon Bates, Edward Wood, Philip Storey","doi":"10.3928/23258160-20260123-02","DOIUrl":"10.3928/23258160-20260123-02","url":null,"abstract":"<p><p>Aqueous chlorhexidine (aqCHX) is emerging as a safe and potentially gentler alternative to povidone-iodine (PI) for intravitreal injection anti-sepsis. In a single-center patient survey, we compared experiences with PI (141 patients) and aqCHX (92 patients). Patients receiving aqCHX reported less ocular pain or eye irritation than those receiving PI one hour (2.35 vs 1.45, <i>P</i> = .005) and one day (0.79 vs 0.34, <i>P</i> = .027) after their injection. They also described greater satisfaction with the IVI process (9.70 vs. 9.29, <i>P</i> = .014). A lower frequency of participants experienced worsened vision with use of aqCHX (19.6%) vs PI (33.6%, <i>P</i> = .02). This may suggest improved tolerability and patient experience with aqCHX over PI.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"57 3","pages":"201-203"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444622","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}
{"title":"Photobiomodulation for Dry Age-related Macular Degeneration.","authors":"Sofia Prenner, Howard F Fine, Diana V Do","doi":"10.3928/23258160-20251125-02","DOIUrl":"https://doi.org/10.3928/23258160-20251125-02","url":null,"abstract":"","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"57 3","pages":"146-148"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444582","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}
{"title":"Evaluation of a Clover-looped-haptics IOL for Sutured Scleral Fixation in a Porcine Eye Model.","authors":"Jing-Wei Xu, Sha Zhu, Ce Shi, Yixuan Feng, Huiling Zhao, Chujun Liu, Mingxuan Zhang, Zhe Xu, Wen Xu","doi":"10.3928/23258160-20260122-01","DOIUrl":"10.3928/23258160-20260122-01","url":null,"abstract":"<p><strong>Background and objective: </strong>This study utilizes a porcine eye model to evaluate the performance of a novel clover-shaped triangular-symmetrical looped-haptics intraocular lens (IOL), made of hydrophobic crosslinked polyisobutylene (xPIB) material specifically designed for sutured scleral fixation.</p><p><strong>Materials and methods: </strong>Twenty fresh postmortem porcine eyes were randomized into two groups: Group A underwent three-point sutured scleral fixation using the Hoffman Pocket technique, and Group B received intracapsular implantation using commercial injectors. Postoperative assessment included swept-source optical coherence tomography and Miyake-Apple imaging to evaluate IOL tilt, decentration, and effective lens position (ELP). The data from both groups were statistically analyzed and compared to evaluate the suitability of this clover-shaped IOL as a specialized IOL for sutured scleral fixation.</p><p><strong>Results: </strong>The IOL implantation procedures were successfully completed in both groups of porcine eyes. No significant differences in tilt or decentration were demonstrated between the two groups, but the ELP of scleral-fixated IOLs was significantly closer to the iris plane (<i>P</i> < .05), consistent with surgical expectations. Miyake-Apple imaging confirmed the absence of haptic breakage and secure suture retention within the haptic eyelets.</p><p><strong>Conclusions: </strong>The combination of looped-haptic design with fixation eyelets and the novel xPIB material enables the clover-shaped triangular-symmetrical IOL to perform effectively in sutured scleral fixation, highlighting its potential for use in aphakic patients without capsular supports. The porcine eye model is suitable for evaluation of IOL sutured scleral fixation.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"57 3","pages":"178-185"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444461","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}
Sara Ben Addou Idrissi, Hassan Moutei, Ahmed Bennis, Fouad Chraibi, Meriem Abdellaoui, Idriss Benatiya Andaloussi
{"title":"Prognostic Value of Multimodal Imaging in Retinal Vein Occlusion: A Prospective Study from a North African Tertiary Center.","authors":"Sara Ben Addou Idrissi, Hassan Moutei, Ahmed Bennis, Fouad Chraibi, Meriem Abdellaoui, Idriss Benatiya Andaloussi","doi":"10.3928/23258160-20251021-01","DOIUrl":"10.3928/23258160-20251021-01","url":null,"abstract":"<p><strong>Background and objective: </strong>Retinal vein occlusion (RVO) is a major cause of visual impairment. This study aimed to assess the clinical features, multi-modal imaging findings, and prognostic factors of RVO in a Moroccan cohort.</p><p><strong>Patients and methods: </strong>This 24-month prospective study included 60 patients, comprising 19 patients having central retinal vein occlusion (CRVO) and 41 having branch retinal vein occlusion (BRVO). Comprehensive ophthalmologic examination and multi-modal imaging were performed. Risk factors and visual outcomes were analyzed. Prognostic factors for poor visual outcome (≥ 1 logMAR) were identified.</p><p><strong>Results: </strong>Mean age was 61.9 years with male predominance. Hypertension (48.3%) and carotid stenosis (41.7%) were major risk factors, with carotid stenosis significantly associated with CRVO (odds ratio [OR] = 4.20; <i>P</i> = .039). Macular edema (80%) and ischemia (81.7%) were frequent. Relative afferent pupillary defect (RAPD) (OR =16.47; <i>P</i> = 0.003) and external limiting membrane (ELM) disruption (<i>O</i> = 11.85; <i>P</i> = .010) independently predicted poor outcomes.</p><p><strong>Conclusion: </strong>Multimodal imaging is essential for diagnosis and assessment of visual prognosis in RVO. Carotid stenosis is a significant CRVO risk factor. RAPD and ELM disruption predict poor prognosis.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"149-158"},"PeriodicalIF":1.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145661139","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}