Alexandros Chatzirallis, Dimitrios Kalogeropoulos, Fatima Shawkat, Anna M Roszkowska, Rino Frisina, Gabriella De Salvo
{"title":"Crocodile Skin Retinal Appearance: Miliary Distribution of Bilateral Idiopathic Multifocal Retinal Pigment Epithelial Detachments.","authors":"Alexandros Chatzirallis, Dimitrios Kalogeropoulos, Fatima Shawkat, Anna M Roszkowska, Rino Frisina, Gabriella De Salvo","doi":"10.3928/23258160-20240923-03","DOIUrl":"10.3928/23258160-20240923-03","url":null,"abstract":"<p><p>This report presents cases of an unusual appearance of bilateral idiopathic multifocal retinal pigment epithelial detachments (PEDs) in three patients, using multimodal imaging. Three patients with multiple PEDs, initially diagnosed as drusen, were referred for evaluation. They underwent comprehensive ophthalmic examination and multimodal imaging. All patients had a best-corrected visual acuity of 6/6 in both eyes. Fundoscopy revealed multiple idiopathic PEDs in a miliary distribution, resembling crocodile skin. Systemic workup excluded associated diseases, though one patient was pregnant. The pathogenesis and progression are poorly understood, but prognosis is favorable without intervention unless complications arise. <b>[<i>Ophthalmic Surg Lasers Imaging Retina</i> 2025;56:108-112.]</b>.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"108-112"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625291","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}
Ozgur Yalcinbayir, Sengul Ozdek, Ali Hakan Durukan, Mohsen Abou Shousha, Muhammad Samir Abd Al Shafy, Kenan Sonmez, Huseyin Egemen Kose, Ece Ozdemir-Zeydanli, Mohit Garg
{"title":"Preliminary Experience With a Novel Titanium Macular Buckle in the Management of Myopic Maculopathy.","authors":"Ozgur Yalcinbayir, Sengul Ozdek, Ali Hakan Durukan, Mohsen Abou Shousha, Muhammad Samir Abd Al Shafy, Kenan Sonmez, Huseyin Egemen Kose, Ece Ozdemir-Zeydanli, Mohit Garg","doi":"10.3928/23258160-20250128-02","DOIUrl":"10.3928/23258160-20250128-02","url":null,"abstract":"<p><p>The objective of this study was to report the initial experiences of seven surgeons using a titanium macular buckle (TMB) for the treatment of myopic maculopathy. The records of 11 cases that underwent TMB placement, with or without concomitant vitrectomy, were reviewed. Collected data included demographics, type of maculopathy, pre-operative and postoperative ophthalmic findings. The intraoperative utilization of pars plana vitrectomy and any associated complications were also documented. The indications for surgery included posterior pole retinal detachment with maculoschisis, maculoschisis with an epiretinal membrane, myopic macular hole with posterior pole retinal detachment, isolated maculoschisis, and myopic macular hole. Eight of the 11 cases underwent combined titanium macular buckle placement and vitrectomy, while three patients received buckle placement without vitrectomy. Partial or complete resolution of the pathology was achieved in all cases. Best-corrected visual acuity improved in 10 out of 11 cases following surgery. A scleral perforation occurred intraoperatively in one case. The patients were followed up for a mean duration of 6.0 ± 2.3 months (range: 2 to 10 months). TMB may serve as a valuable adjunct in the surgical repair of myopic maculopathy requiring intervention. <b>[<i>Ophthalmic Surg Lasers Imaging Retina</i> 2025;56:XX-XX.]</b>.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"1-4"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441651","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}
Effie Z Rahman, Matthew Ellis, Timothy Pardee, Rajiv Shah
{"title":"Non-Blast Phase Chronic Myelogenous Leukemia Presenting as Bilateral Infiltration of the Optic Nerve.","authors":"Effie Z Rahman, Matthew Ellis, Timothy Pardee, Rajiv Shah","doi":"10.3928/23258160-20240923-02","DOIUrl":"10.3928/23258160-20240923-02","url":null,"abstract":"<p><p>A 27-year-old woman presented with bilateral blurry vision for 2 weeks. She had a presumed diagnosis of idiopathic intracranial hypertension given her bilateral disc edema; however, bilateral disc and retinal infiltration was noted on ophthalmoscopy. This report presents a rare case of chronic myelogenous leukemia (CML) in the non-blast phase presenting as bilateral optic disc infiltration, indicating central nervous system involvement at the time of diagnosis. The patient had no other clinical symptoms at the time of diagnosis and was promptly treated with orbital radiation and a tyrosine kinase inhibitor, resulting in 20/20 vision in both eyes. <b>[<i>Ophthalmic Surg Lasers Imaging Retina</i> 2025;56:102-107.]</b>.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"102-107"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625349","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}
Meghana Chalasani, Jonathan C Markle, Priya Shukla, Rula A Hajj-Ali, Katherine E Talcott, Rishi P Singh
{"title":"Relationship Between Janus Kinase Inhibitor Use and Development of Retinal Vein Occlusion.","authors":"Meghana Chalasani, Jonathan C Markle, Priya Shukla, Rula A Hajj-Ali, Katherine E Talcott, Rishi P Singh","doi":"10.3928/23258160-20240908-01","DOIUrl":"10.3928/23258160-20240908-01","url":null,"abstract":"<p><strong>Background and objective: </strong>Janus kinase (Jak) inhibitors may have increased risk of thromboembolism compared to tumor necrosis factor (TNF) inhibitors. This study investigates the association between Jak inhibitor use and retinal vein occlusion.</p><p><strong>Patients and methods: </strong>This retrospective, non-randomized cohort study used a federated health research network. Propensity-score matched risk ratios with 95% CI were calculated for central and branch retinal vein occlusion (CRVO, BRVO) in patients with immune-mediated inflammatory diseases (IMIDs) treated with Jak inhibitors versus TNF inhibitors.</p><p><strong>Results: </strong>Jak and TNF inhibitor cohorts each had 5,249 patients. Risk ratio for CRVO with Jak inhibitors (<i>n</i> = 11) versus TNF inhibitors (<i>n</i> = 18) was 0.61 [CI (0.29,1.29)]. Risk ratio for BRVO with Jak inhibitors (<i>n</i> = 17) compared to TNF inhibitors (<i>n</i> = 19) was 0.89 [CI (0.47,1.72)].</p><p><strong>Conclusion: </strong>This study did not find evidence of increased risk of RVO with the use of Jak inhibitors compared to TNF inhibitors among patients with IMIDs, contributing to literature on Jak inhibitor safety. <b>[<i>Ophthalmic Surg Lasers Imaging Retina</i> 2025;56:72-78.]</b>.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"72-78"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292842","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}
Kaylie Chen, Stephanie B Engelhard, Sarah H Van Tassel, Kyle D Kovacs
{"title":"Adverse Events Associated With Yamane Scleral Fixation of Intraocular Lens as Reported to the FDA MAUDE Database.","authors":"Kaylie Chen, Stephanie B Engelhard, Sarah H Van Tassel, Kyle D Kovacs","doi":"10.3928/23258160-20241101-03","DOIUrl":"10.3928/23258160-20241101-03","url":null,"abstract":"<p><p>To identify real-world complications involving flanged scleral tunnel fixation of Zeiss CT Lucia 602 intraocular lenses, the Food and Drug Administration Manufacturer and User Facility Device Experience (FDA MAUDE) was searched by Manufacturer field for Zeiss with the terms \"Yamane\" and \"scleral fixated\". Reports containing these terms were reviewed to confirm technique and categorize adverse events. The search yielded 178 confirmed reports of lens malfunctions for CT Lucia 602 between 2013 to 2024, with 95% of reports in the last 3 years. The most common complication was lens tilt (94 reports), followed by breakage (53) comprised of haptic-optic disinsertion (31) and haptic breakage (22). Intraoperatively, 118 (66.3%) complications occurred, and 60 (33.7%) occurred postoperatively. Temporal analysis revealed that the number of reports to MAUDE has shown a ten-fold annual increase since 2020. Reports suggest haptic breakage is a noteworthy malfunction for CT Lucia 602 lenses. The occurrence of intraoperative breakage and lens tilt may be higher than previously expected in real-world settings. <b>[<i>Ophthalmic Surg Lasers Imaging Retina</i> 2025;56:123-125.]</b>.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"123-125"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142730978","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, Marcelo Zas, Se Joon Woo, Clara Vazquez-Alfageme, Sharat Hegde, Kourous A Rezaei
{"title":"RWC Update: Optic Pit Maculopathy and Lyophilized Amniotic Membrane; How Do You Choose One Biosimilar Over the Others?; Diffuse Unilateral Subacute Neuroretinitis.","authors":"Ashish Sharma, Lihteh Wu, Steven Bloom, Paulo Stanga, Marcelo Zas, Se Joon Woo, Clara Vazquez-Alfageme, Sharat Hegde, Kourous A Rezaei","doi":"10.3928/23258160-20250122-01","DOIUrl":"https://doi.org/10.3928/23258160-20250122-01","url":null,"abstract":"","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":"56 2","pages":"68-71"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409987","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}
Richard N Sather, Jade Y Moon, Francesco Romano, Kate Overbey, Hanna Choi, Inês M D C Laíns, Deeba Husain, Nimesh A Patel, John B Miller
{"title":"The Ergonomic Evaluation of Attendings and Trainees Across the Vitreoretinal Service as Measured by a Wearable Device.","authors":"Richard N Sather, Jade Y Moon, Francesco Romano, Kate Overbey, Hanna Choi, Inês M D C Laíns, Deeba Husain, Nimesh A Patel, John B Miller","doi":"10.3928/23258160-20240906-01","DOIUrl":"10.3928/23258160-20240906-01","url":null,"abstract":"<p><strong>Background and objective: </strong>A cross-sectional prospective study to examine ergonomic differences in vitreoretinal settings: surgery, clinic, and dedicated procedure clinic.</p><p><strong>Patients and methods: </strong>Three vitreoretinal surgeons, three fellows, and one resident at a tertiary eye care facility. Participants wore an Upright Go 2 posture device and posture was recorded in each setting between July 1 to August 31, 2023.</p><p><strong>Results: </strong>Time in upright and poor postures was tracked. Significant differences were found in postural score for attendings between work settings (<i>P</i> < 0.01). Trainees showed no significant difference between settings. Poor posture in surgery was linked to microscope use and scleral buckle placement; in the clinic, it was associated with pan-retinal photocoagulation and injection minutes; in procedure clinic, it was ophthalmologist-dependent and those performing injections.</p><p><strong>Conclusions: </strong>Ergonomic considerations are crucial in vitreoretinal practice. Attendings and trainees should focus on posture in surgery and clinic settings to enhance career longevity. <b>[<i>Ophthalmic Surg Lasers Imaging Retina</i> 2025;56:80-85.]</b>.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"80-85"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292844","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":"Macular Hole Surgery Without Postoperative Head Positioning: A Technique of Viscoelastic Device Injection Covering the Temporal Internal Limiting Membrane Flap.","authors":"Oğuzhan Saygılı, Sevim Ayça Seyyar","doi":"10.3928/23258160-20241015-01","DOIUrl":"10.3928/23258160-20241015-01","url":null,"abstract":"<p><p>The purpose of this study was to describe a technique in which a dispersive viscoelastic device is injected under air onto and around the inverted temporal internal limiting membrane (ILM) flap to close the macular hole (MH) without the need for any postoperative head positioning. A temporal ILM flap was created in the patients. The created ILM flap was inverted over the MH using perfluorocarbon (PCFL) injection. Then, after a fluid-air exchange, careful PFCL-air exchange was performed. Under air, two to three disc diameters of viscoelastic device were injected over and around the inverted flap. No postoperative head position was recommended to any patient. In all 16 eyes treated with this approach, the MH was closed with a single procedure, and there were no intraoperative or postoperative complications. Injection of a viscoelastic device over the inverted ILM flap in MH surgery is an innovative approach that does not require any special postoperative head positioning. <b>[<i>Ophthalmic Surg Lasers Imaging Retina</i> 2025;56:120-122.]</b>.</p>","PeriodicalId":19679,"journal":{"name":"Ophthalmic surgery, lasers & imaging retina","volume":" ","pages":"120-122"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731229","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}