Ioanna Ploumi, Xinyi Ding, Ying Zhu, Celine Chaaya, Chong Chen, Kayla N Nodecker, Shivesh H Shah, Sandra Hoyek, Selin S Gumustop, Sarah L Wagner, Nimesh A Patel, John B Miller
{"title":"Ultra-widefield Swept-source Optical Coherence Tomography Angiography in Adults With a History of Retinopathy of Prematurity.","authors":"Ioanna Ploumi, Xinyi Ding, Ying Zhu, Celine Chaaya, Chong Chen, Kayla N Nodecker, Shivesh H Shah, Sandra Hoyek, Selin S Gumustop, Sarah L Wagner, Nimesh A Patel, John B Miller","doi":"10.3928/23258160-20250723-01","DOIUrl":"https://doi.org/10.3928/23258160-20250723-01","url":null,"abstract":"<p><p>The ophthalmic sequelae of retinopathy of prematurity (ROP) can persist into adulthood, necessitating lifelong monitoring to detect and manage late-onset complications. This report presents findings using ultra-widefield swept-source optical coherence tomography angiography (UWF SSOCTA) in adults with a history of ROP. In this case series, UWF SS-OCTA aided in the assessment of persistent avascular retina (PAR) and other peripheral vascular abnormalities, including vascular tangles, arteriovenous shunts, and abnormal vascular remodeling, which were not evident on standard clinical exam. UWF SS-OCTA offers a noninvasive, rapid, and high-resolution method for peripheral vascular imaging that may become a valuable tool for long-term surveillance of ROP and PAR.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964064","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}
Nish Patel, Calvin C Robbins, Evgeny Gelman, Uday R Desai
{"title":"Bilateral Endogenous <i>Nocardia</i> Endophthalmitis: A Case Report.","authors":"Nish Patel, Calvin C Robbins, Evgeny Gelman, Uday R Desai","doi":"10.3928/23258160-20250721-01","DOIUrl":"https://doi.org/10.3928/23258160-20250721-01","url":null,"abstract":"<p><p>This report describes a case of presumed bilateral endogenous <i>Nocardia</i> endophthalmitis in order to guide clinicians in recognizing and treating this atypical etiology of ocular infection. A 56-year-old woman with a history of renal transplant presented with bilateral subretinal abscesses in the setting of a subcarinal infection with cultures positive for <i>Nocardia</i>. She was treated with serial intravitreal injections of amikacin for presumed bilateral endogenous <i>Nocardia</i> endophthalmitis with clinical improvement. Visual acuities were 20/200 in the right eye and 20/30 in the left eye approximately 6 months after initial presentation. Amikacin appears to be the drug of choice for treatment of <i>Nocardia</i> ocular infections. Endogenous <i>Nocardia</i> endophthalmitis tends to present differently than its exogenous counterpart, with the former subtype tending to present in a more indolent manner with choroidal abscesses. Providers should maintain a high suspicion for <i>Nocardia</i> as a potential etiology of ocular infection in immunocompromised patients.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964121","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":"Coats-like Retinopathy Associated With 18p Deletion Syndrome.","authors":"Jeremia E Williams, Franco M Recchia","doi":"10.3928/23258160-20250718-02","DOIUrl":"https://doi.org/10.3928/23258160-20250718-02","url":null,"abstract":"<p><p>This report examines a case of a novel association of Coats-like retinopathy and 18p deletion syndrome (18p-) and proposes a pathogenic mechanism for the association. A 4-year-old boy with 18p- presented with vision loss due to abnormal retinal vasculature associated with macular lipid exudate and exudative retinal detachment. Fluorescein angiography confirmed peripheral capillary nonperfusion, telangiectasias, and exudation. The left eye was normal. The patient was treated with indirect laser panretinal photocoagulation. Examination 6 years post-treatment revealed stable visual acuity at 20/70, with no recurrence of exudation or fluid. A plausible explanation for association of 18p- and Coats-like retinopathy involves overexpression of the homeobox gene <i>DUX4</i>, which can result from 18p deletion. Over-expression of <i>DUX4</i> causes facioscapulohumeral muscular dystrophy (FSHD), a genetic muscle disorder also associated with Coats disease. This case suggests the possibility of a spectrum of findings caused by <i>DUX4</i> overexpression, which may include exudative retinopathy in the absence of systemic FSHD.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822158","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}
Ludovico Alisi, Marta Armentano, Giacomo Visioli, Massimo Accorinti, Elvia Mastrogiuseppe, Mattia D'Andrea, Giulia Firmani, Maria Pia Pirraglia, Magda Gharbiya, Ludovico Iannetti
{"title":"Clinical Outcomes of Pars Plana Vitrectomy for Persistent Vitreous Opacities in Infectious and Noninfectious Uveitis.","authors":"Ludovico Alisi, Marta Armentano, Giacomo Visioli, Massimo Accorinti, Elvia Mastrogiuseppe, Mattia D'Andrea, Giulia Firmani, Maria Pia Pirraglia, Magda Gharbiya, Ludovico Iannetti","doi":"10.3928/23258160-20250718-01","DOIUrl":"https://doi.org/10.3928/23258160-20250718-01","url":null,"abstract":"<p><strong>Background and objective: </strong>This study evaluated functional and inflammatory outcomes after pars plana vitrectomy (PPV) in patients with persistent vitreous opacities due to infectious and noninfectious uveitis unresponsive to medical therapy.</p><p><strong>Patients and methods: </strong>Twenty-three eyes with noninfectious uveitis and 16 eyes with infectious uveitis were enrolled. Functional and inflammatory parameters were assessed, focusing on best-corrected visual acuity (BCVA), vitreous haze, and inflammation.</p><p><strong>Results: </strong>At 6 months, both vitreous haze and anterior chamber inflammation decreased from severe to minimal levels. BCVA improved in 28 eyes (71.8%), remained stable in five eyes (12.8%), and worsened in six eyes (15.4%). Linear regression analysis showed that preoperative BCVA significantly predicted visual improvement (coefficient = 0.60, 95% confidence interval [CI]: 0.22-0.98, <i>P</i> = 0.003), while etiology (<i>P</i> = 0.217) and lens status (<i>P</i> = 0.201) were not significant factors (R<sup>2</sup> = 0.34). Elevated intraocular pressure occurred in five patients, with two requiring trabeculectomy after 3 months. In two cases, epiretinal membrane formation progressed to tractional retinal detachment within 6 months.</p><p><strong>Conclusion: </strong>PPV is an effective treatment for persistent vitreous opacities, resulting in visual improvement and stabilization of inflammation. Postoperative follow-up is necessary due to potential complications and recurrence.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822157","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}
Bijal A Kikani, Jordan A Ueberroth, Cory A Christensen, Mark P Breazzano
{"title":"Nonsyndromic Retinitis Pigmentosa With Pathogenic CEP290 Mutations.","authors":"Bijal A Kikani, Jordan A Ueberroth, Cory A Christensen, Mark P Breazzano","doi":"10.3928/23258160-20250513-01","DOIUrl":"10.3928/23258160-20250513-01","url":null,"abstract":"<p><p>CEP290 variants, commonly associated with Leber congenital amaurosis, cause severe visual impairment within the first year of life. Herein, we report a unique case of nonsyndromic retinitis pigmentosa with foveal sparing and preserved central vision in a patient harboring two pathogenic CEP290 variants. A 28-year-old woman presented with longstanding poor peripheral vision and nyctalopia since childhood, but with visual acuity of 20/25 bilaterally. Examination showed retinal arteriolar attenuation, diffuse foveal-sparing retinal atrophy, and peripheral bone spicule pigmentation. Genetic testing identified two pathogenic nonsense mutations in CEP290 (c.1666del and c.4057G>T) and heterozygous missense mutations in BBS5 (c.715A>G), PDE6A (c.367G>T), and RPGR (c.2594_2596del), which were variants of unknown significance. Although nonsense mutations in CEP290 are associated with severe and early-onset vision loss, our patient demonstrated a mild retinitis pigmentosa phenotype with stable disease over 6 months. This case expands the phenotypic spectrum of CEP290-associated diseases and suggests a potential role for genetic modifiers in disease severity.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"506-509"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128372","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}
Grace S Fine, Seenu M Hariprasad, Jonathan L Prenner
{"title":"Chlorhexidine Versus Povidone Iodide for Intravitreal Injection Antisepsis.","authors":"Grace S Fine, Seenu M Hariprasad, Jonathan L Prenner","doi":"10.3928/23258160-20250604-03","DOIUrl":"10.3928/23258160-20250604-03","url":null,"abstract":"","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"455-458"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637698","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}
Gabriel Castilho S Barbosa, Nathália Nishiyama Tondelli, Cleide Guimarães Machado, André Vieira Gomes
{"title":"Silicone Oil Into the Suprachoroidal Space: An Illustrative Report and Literature Review.","authors":"Gabriel Castilho S Barbosa, Nathália Nishiyama Tondelli, Cleide Guimarães Machado, André Vieira Gomes","doi":"10.3928/23258160-20250522-02","DOIUrl":"10.3928/23258160-20250522-02","url":null,"abstract":"<p><p>Silicone oil (SO) tamponade has been widely used in vitreoretinal surgery for complex retinal detachment cases, yet its migration into unintended intraocular spaces remains an uncommon but clinically significant complication. While sub-retinal and anterior chamber migration have been more frequently described, suprachoroidal SO migration is a rare event, with few reports in the literature. The underlying mechanisms proposed for this complication include transient hypotony, infusion cannula malposition, and structural vulnerabilities within the suprachoroidal space. This review synthesizes reported cases of suprachoroidal SO migration, detailing clinical presentations, surgical management approaches, and postoperative outcomes. Various drainage techniques have been attempted, including transscleral evacuation through posterior sclerotomies, internal drainage into the vitreous cavity via pars plana incisions, and adjunctive perfluorocarbon liquid injection to facilitate oil displacement. While some cases have been managed conservatively without surgical intervention, the long-term implications of retained SO in the suprachoroidal space remain largely unknown. Given its potential association with ciliary detachment, hypotony, and visual disturbances, careful patient monitoring is warranted. The current literature lacks comprehensive studies on the biological behavior of SO within the suprachoroidal compartment, and further investigations are necessary to assess its stability, potential toxic effects, and indications for surgical removal. This review aims to provide vitreoretinal surgeons with a systematic understanding of suprachoroidal SO migration, offering insights into pathophysiology, prevention strategies, and optimal surgical management based on current evidence.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"495-500"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317572","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}
Ferhina S Ali, David C Tabano, Durga S Borkar, Theodore Leng, Vincent Garmo, Ayesha Ahmed, Rachel Myers, Jacqueline K Shaia, Giulio Barteselli, Rishi P Singh
{"title":"Early Outcomes After Initiation of Faricimab for Neovascular Age-Related Macular Degeneration.","authors":"Ferhina S Ali, David C Tabano, Durga S Borkar, Theodore Leng, Vincent Garmo, Ayesha Ahmed, Rachel Myers, Jacqueline K Shaia, Giulio Barteselli, Rishi P Singh","doi":"10.3928/23258160-20250304-02","DOIUrl":"10.3928/23258160-20250304-02","url":null,"abstract":"<p><strong>Background and objective: </strong>This study assessed treatment patterns and early outcomes among patients with neovascular age-related macular degeneration (nAMD) initiating faricimab in routine clinical practice in the United States.</p><p><strong>Patients and methods: </strong>FARETINA-AMD is a retrospective study among patients with nAMD initiating faricimab from February 2022 to June 2023 identified from the US IRIS<sup>®</sup> Registry.</p><p><strong>Results: </strong>Included were 21,508 patients previously treated with anti-vascular endothelial growth factor (anti-VEGF) (25,784 eyes) and 1,836 treatment-naïve patients (1,982 eyes) with nAMD. Among previously treated eyes, visual acuity remained stable with faricimab. In treatment-naïve eyes, mean ± SD visual acuity improved from 56.7 ± 24.1 letters at index to 61.4 ± 22.3 after faricimab injection 4 (<i>P</i> < 0.01). Mean ± SD central subfield thickness improved from 315.2 ± 80.0 (index) to 264.9 ± 60.1 μm (injection 4) in treatment-naïve eyes and 296.2 ± 95.5 to 273.0 ± 81.4 μm in previously treated eyes (both <i>P</i> < 0.01).</p><p><strong>Conclusions: </strong>Among patients with nAMD receiving faricimab, visual acuity improved in treatment-naïve eyes, and both previously treated and treatment-naïve eyes experienced anatomical improvement.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"468-477"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079389","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}
Leonardo Bottazzi, Gaia L'Abbate, Claudia Fossataro, Maria Cristina Savastano, Riccardo Sacconi, Stanislao Rizzo, Francesco Bandello, Giuseppe Querques
{"title":"Management of Vasoproliferative Tumor in a Patient With Coats' Disease: Multiple Therapeutic Approach in Current Era.","authors":"Leonardo Bottazzi, Gaia L'Abbate, Claudia Fossataro, Maria Cristina Savastano, Riccardo Sacconi, Stanislao Rizzo, Francesco Bandello, Giuseppe Querques","doi":"10.3928/23258160-20250522-01","DOIUrl":"10.3928/23258160-20250522-01","url":null,"abstract":"<p><p>This case report describes a vasoproliferative tumor in a 16-year-old male patient with Coats' disease, treated with laser photocoagulation, cryoablation, and anti-vascular endothelial growth factor injections therapies, that developed an epiretinal membrane as a complication. The surgical treatment in association with the retinal laser treatment greatly improved visual acuity. At 8 months follow-up from surgery, visual acuity had significantly improved, and macular anatomy recovered. Vasoproliferative tumors may occur in patients with Coats' disease, and in such a clinical scenario, a multiple therapeutical approach should be considered, in order to reach the best anatomical and functional outcome for the patient.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"502-505"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317570","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}
Durga S Borkar, David C Tabano, Ferhina S Ali, Theodore Leng, Vincent Garmo, Ayesha Ahmed, Rachel Myers, Jacqueline K Shaia, Giulio Barteselli, Rishi P Singh
{"title":"Early Outcomes After Initiation of Faricimab in Patients With Diabetic Macular Edema.","authors":"Durga S Borkar, David C Tabano, Ferhina S Ali, Theodore Leng, Vincent Garmo, Ayesha Ahmed, Rachel Myers, Jacqueline K Shaia, Giulio Barteselli, Rishi P Singh","doi":"10.3928/23258160-20250304-01","DOIUrl":"10.3928/23258160-20250304-01","url":null,"abstract":"<p><strong>Background and objective: </strong>This study evaluated treatment patterns and outcomes among patients with diabetic macular edema (DME) treated with the bispecific antibody faricimab in routine clinical practice in the United States.</p><p><strong>Patients and methods: </strong>FARETINA-DME was a retrospective study among patients with DME initiating faricimab from February 2022 to June 2023 identified from the United States IRIS<sup>®</sup> Registry.</p><p><strong>Results: </strong>Four thousand five hundred fourteen (4,514) patients (6,204 eyes) previously treated with anti-vascular endothelial growth factor (anti-VEGF) therapy and 691 treatment-naïve patients (851 eyes) were included. In previously treated eyes, mean ± SD visual acuity was 64.0 ± 18.3 letters at index and 65.3 ± 19.0 at faricimab injection 4. In treatment-naïve eyes, visual acuity improved from 60.3 ± 19.8 to 63.9 ± 18.5 letters (<i>P</i> < 0.01). Mean ± SD central subfield thickness improved from 364.3 ± 132.2 to 330.1 ± 121.2 μm in previously treated eyes and 359.6 ± 115.0 to 307.4 ± 114.6 μm in treatment-naïve eyes (both <i>P</i> < 0.01).</p><p><strong>Conclusions: </strong>In patients with DME receiving faricimab, visual acuity was maintained in previously treated and improved in treatment-naïve eyes. Both groups had anatomical improvement.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"478-486"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079390","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}