Beyoglu Eye Journal最新文献

{"title":"Could Corneal Densitometry be a Progression Criterion for Subclinical Keratoconus?","authors":"Hasan Kiziltoprak,&nbsp;Kemal Tekin,&nbsp;Halil Ibrahim Atesoglu,&nbsp;Dilara Ozkoyuncu Kocabas,&nbsp;Mustafa Koc,&nbsp;Mustafa Ilker Toker","doi":"10.14744/bej.2023.85688","DOIUrl":"https://doi.org/10.14744/bej.2023.85688","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study is to investigate the changes in topometry, tomography, and corneal densitometry in subclinical keratoconus (SK) at the 6-month interval.</p><p><strong>Methods: </strong>The clinical keratoconus and SK groups included 25 eyes; the control group included 22 eyes from 22 patients. Corneal topographic, tomographic, topometric, and densitometric values obtained using the Pentacam HR imaging system were analyzed.</p><p><strong>Results: </strong>Posterior elevation (PE), Keratoconus index (KI), index of height asymmetry (IHA), index of height decentration (IHD), Dp, Da, Final D, maximum pachymetric progression index (PPImax), and maximum Ambrósio relational thickness parameters showed significant changes between the baseline and the 6th-month follow-up in SK group (p<0.05 for all values). There were significant changes in all zones except a central layer of 6-10 zone, anterior, and central layer of 10-12 zone between the baseline and the 6th-month follow-up in the SK group (p<0.05, for all values). The changes in mean±standard deviation of KI, IHA, IHD, PPImax parameters, and corneal densitometry values of the posterior layer of 0-2 mm and 2-6 mm zones were significant in the SK group compared to the controls (p<0.05, for all values).</p><p><strong>Conclusion: </strong>PE, KI, IHA, IHD, and PPImax parameters as well as increasing corneal light backscatter of the posterior central layer might be useful for follow-up of progression of SK. New multimeric parameters created by combinations of topometric, tomographic, and corneal densitometry parameters could be the future of SK follow-up.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"157-165"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/12/BEJ-8-157.PMC10521129.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41103217","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":"Ocular Manifestations of Wernicke's Encephalopathy in a Patient with Hyperemesis Gravidarum Complicating Pregnancy.","authors":"Ksheeraja Ye,&nbsp;Chris Diana Pius","doi":"10.14744/bej.2023.03274","DOIUrl":"https://doi.org/10.14744/bej.2023.03274","url":null,"abstract":"<p><p>Wernicke's encephalopathy (WE) is a condition resulting from thiamine deficiency and has been linked to conditions such as hyperemesis gravidarum, anorexia nervosa, hemodialysis, and chronic alcoholism. The aim of the report is to outline the ocular manifestations of WE. We present the case of a 33-year-old woman, who presented in her second trimester of pregnancy with persistent vomiting, nystagmus, ataxia, global confusion as well as hypotonia, and tremors. She was subsequently diagnosed with WE complicating pregnancy. Ophthalmoscopy showed asymmetric superficial retinal hemorrhages at the peripapillary area in both eyes with associated retinal exudates. On treatment with thiamine supplementation, her systemic condition as well as ocular symptoms resolved. This is a rare case outlining the ocular manifestations of WE. This condition may cause serious, lasting neurologic impairments or death if not properly treated. Only 50% of these pregnancies end in the delivery of healthy offspring. Early diagnosis and treatment of these cases can prevent avertable consequences.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"221-225"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/83/BEJ-8-221.PMC10521135.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41116041","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":"Efficacy of Simultaneous Application of Subretinal Tissue Plasminogen Activator and Bevacizumab for Submacular Hemorrhages.","authors":"Utku Limon,&nbsp;Tugba Aydogan Gezginaslan,&nbsp;Isilay Ozsoy Saygin,&nbsp;Erdinc Bozkurt,&nbsp;Esra Kardes,&nbsp;Betul Ilkay Sezgin Akcay","doi":"10.14744/bej.2023.34735","DOIUrl":"https://doi.org/10.14744/bej.2023.34735","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to evaluate the patients who received simultaneous subretinal tissue plasminogen activator (tPA) and bevacizumab for submacular hemorrhages secondary to neovascular age-related macular degeneration.</p><p><strong>Methods: </strong>This retrospective study included patients who underwent pars plana vitrectomy (PPV) with simultaneous subretinal tPA and subretinal bevacizumab with 18% SF6 tamponade. Anatomical and functional results of the patients before surgery and at the 1^st, 6^th, and 12^th months after surgery, additional treatments, and complications after PPV were evaluated.</p><p><strong>Results: </strong>Eight eyes of eight patients were included in the study. The mean age of the patients was 72.38±92.3. The mean time from the onset of symptoms to treatment was 5.13±1.88 days. The patients' mean best-corrected visual acuity (BCVA) was 2.23±0.14 logMAR at baseline. Mean BCVA increased significantly at 1^st, 6^th, and 12^th months to 1.68±0.47 logMAR, 1.58±0.49 logMAR, and 1.51±0.58 logMAR, respectively (p=0.001 at all). The mean central foveal thickness (CFT) in measurable patients was 836.8±627.02 μm at baseline. Mean CFT decreased significantly to 370.13±66.13 μm in the 1^st month, 373.38±78.33 μm in the 6th month, and 367.75±116.43 μm in the 12^th month (p<0.05). The maximum measurable subretinal hemorrhage height at baseline was 814.2±556.45 μm. The mean number of anti-VEGFs performed for 12 months after surgery was 4.13±2.1. At month 12, the ellipsoid zone could not be detected in 6 (75%) patients.</p><p><strong>Conclusion: </strong>Administration of subretinal bevacizumab and subretinal tPA effectively removes subretinal hemorrhage under the fovea. Intravitreal anti-VEGF treatment must be continued, as choroidal neovascular membrane activity continues after surgery.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"198-207"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/f5/BEJ-8-198.PMC10521123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41096519","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":"A Report on Children with CEP290 Mutation, Vision Loss, and Developmental Delay.","authors":"Esra Sahli,&nbsp;Pinar Bingol Kiziltunc,&nbsp;Aysun Idil","doi":"10.14744/bej.2023.37233","DOIUrl":"https://doi.org/10.14744/bej.2023.37233","url":null,"abstract":"<p><p>Mutations in CEP290, which encodes a centrosomal protein, cause Joubert syndrome, retinal dystrophy, and several other manifestations. Retinal dystrophy related to CEP290 mutation (Leber's congenital amaurosis type 10) presents with a severe visual impairment from birth, wandering eye movements, and oculodigital reflex. Fundus examination may initially be normal, but varying degrees of retinal pigmentation can be detected over time. This report presents 4 children who were referred to the ophthalmology clinic with a lack of eye contact and the suspicion of low vision. The ophthalmological examination revealed very poor visual function, the vision slightly improved over time, and enophthalmos became evident. There was neuromotor retardation in their history and mutations in the CEP290 gene were revealed in the whole-exome analysis. Both pediatricians and ophthalmologists should be aware of the coincidence between severe vision loss and neuromotor retardation and should refer patients for genetic testing if they suspect it. Genetic diagnosis will enable patients to be followed both neurologically and ophthalmologically and to benefit from rehabilitation opportunities that will contribute to visual and neurological development. It will also allow the family to receive genetic counseling on disease progression and heredity, and to follow ongoing gene therapy studies for mutations in the relevant gene.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"226-232"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/42/cf/BEJ-8-226.PMC10521126.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113217","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 Aqueous Flare in Graves' Ophthalmopathy and its Relationship with Thyroid Hormones, Antibodies, and Clinical Activity Score.","authors":"Husna Topcu,&nbsp;Burcu Kemer Atik,&nbsp;Berru Yargi Ozkocak,&nbsp;Ayse Cetin Efe,&nbsp;Mehmet Goksel Ulas,&nbsp;Kubra Serefoglu Cabuk","doi":"10.14744/bej.2023.80557","DOIUrl":"https://doi.org/10.14744/bej.2023.80557","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to assess intraocular inflammation in patients with active and inactive Graves' ophthalmopathy (GO) using an aqueous laser flash meter and to assess its relationship with thyroid hormones, antibodies, and clinical activity score (CAS).</p><p><strong>Methods: </strong>Forty patients (29 females and 11 males) were included in the study. The patients were divided into two groups according to CAS; patients with CAS <3 (inactive) were included in Group 1 and patients with CAS ≥3 (active) were included in Group 2. The laser flare meter was used to measure the flare of aqueous humor. Each patient's ocular findings, thyroid hormone, and antibody levels were also recorded.</p><p><strong>Results: </strong>The mean age of patients was 46.88±11.79 years in Group 1 and 44.50±12.59 years in Group 2 (p=0.555). The mean CAS was 0.88±0.65 in Group 1 and 3.57±0.85 in Group 2 (p<0.001). The mean aqueous flare was 6.5±2.2 ph/ms in Group 1 and 7.0±6.4 ph/ms in Group 2 (p=0.73). Hertel exophthalmometry, intraocular pressure (IOP), antithyroglobulin antibody, and thyroid stimulating hormone receptor antibody (TRAb) levels were similar in both groups (each p>0.05). There was no correlation between aqueous flare value and CAS, Hertel exophthalmometry, IOP, thyroid hormone, and antibody levels (each p>0.05). There was a significant correlation between CAS and antibody levels (each p<0.05).</p><p><strong>Conclusion: </strong>Flare values that are not much above the normal range may be an indication that intraocular inflammation is not elevated in GO patients. This suggests that the damage to the blood-aqueous barrier in these patients is not severe enough to increase intraocular inflammation.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"208-213"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/3e/BEJ-8-208.PMC10521130.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177929","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":"The Effects of Blepharoptosis Surgery on Meibomian Gland, Tear Film, and Corneal Topography.","authors":"Elif Ceren Yesilkaya, Emine Betul Akbas Ozyurek, Tugce Dursun, Ayse Burcu Dirim, Ibrahim Cagri Turker, Semra Tiryaki Demir","doi":"10.14744/bej.2023.99266","DOIUrl":"10.14744/bej.2023.99266","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to evaluate the Meibomian gland (MG), tear film, and corneal changes in the post-operative period following ptosis surgery using corneal topography.</p><p><strong>Methods: </strong>This non-comparative, case series study analyzed 30 eyes of 23 patients undergoing blepharoptosis surgery with an external approach. Ocular surface and tear film evaluation was performed at baseline and post-operative 3rd month. The corneal topography was used to assess the MG, the noninvasive tear film break-up time (NI-TBUT), K values, astigmatism, and corneal aberrations. For the examination of dry eyes, the I-TBUT, Schirmer, and ocular surface disease index (OSDI) questionnaires were also performed.</p><p><strong>Results: </strong>The study involved patients with a mean age of 55.1±18.11 years. Postoperatively, marginal reflex distance 1 is significantly increased (1.23±1.09 vs. 3.65±0.65; p=0.001). Results revealed no significant changes in Kmean (43.65±1.15 vs. 43.67±1.14; p=0.727), astigmatism (-1±0.74 vs. -0.99±0.68; p=0.910), and corrected distance visual acuity logMAR (0.09±0.1 vs. 0.07±0.11; p=0.497). There was a significant increase in MG loss area postoperatively (5.02±5.04-7.75±6.75; p=0.047), while the degree of MG loss did not significantly change (0.2±0.48 vs. 0.37±0.56; p=0.132). However, no significant differences were detected in Schirmer I test (17.4±4.7 vs. 16.1±5.5; p=0.711), I-TBUT (12.4±3.1 vs. 11.9±4.7; p=0.483), and OSDI questionnaire score (16.7±9.4 vs. 17.9±10.3; p=0.176) between baseline and post-operative measurements. Similarly, no significant changes were found in NI-TBUT (5.73±3.72 vs. 6.58 4.71; p=0.535) and NIAvg-TBUT (6.06±4.8 vs. 7.51±4.43; p=0.322) values.</p><p><strong>Conclusion: </strong>Surgical correction of blepharoptosis affects MG morphology without causing dry eye at the 3rd month. Post-operative corneal topography is useful in demonstrating changes in the MG.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"214-220"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/7c/BEJ-8-214.PMC10521128.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41096144","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":"The Importance of Using CBI-LVC for Detecting Ectasia in Post-Refractive Eyes.","authors":"Vanessa Ferraro,&nbsp;Renato Ambrósio,&nbsp;Paolo Vinciguerra,&nbsp;Riccardo Vinciguerra","doi":"10.14744/bej.2023.82542","DOIUrl":"10.14744/bej.2023.82542","url":null,"abstract":"Dear Editor, We have read the article by Yilmaz et al. with great interest (1). The study aimed to detect subclinical ectasia in the fellow eye of two patients who underwent femtosecondassisted laser in situ keratomileusis surgery (FS LASIK) and developed post-LASIK clinical and topographical ectasia in the other eye, using the Corvis ST tonometer. The authors observed that, despite the topographical and clinical findings not being consistent with corneal ectasia, the corneal biomechanical index (CBI), tomographic biomechanical index (TBI), and Belin-Ambrósio Deviation Display values suggested biomechanical weakness. However, we would like to draw attention to an important aspect concerning the detection of ectasia in post-refractive eyes. It is worth noting that the CBI was specifically designed to distinguish between normal corneas from those affected by keratoconus, exhibiting a high level of sensitivity and specificity also when used alone (2). Moreover, TBI was developed as a combined parameter based on Scheimpflug imaging from the Pentacam (Oculus Optikgeräte GmbH) and biomechanical assessment from the Corvis ST, to advance the ability to detect clinical and subclinical ectasia. It has shown the ability in identifying ectasia when compared to alternative topometric, tomographic, and biomechanical parameters. It has exhibited a high sensitivity for detecting subclinical (fruste) ectasia, particularly in cases where one eye has obvious ectasia, whereas the other eye appears to have normal tomographic indices (3). Numerous studies have reported significant changes in corneal biomechanical properties post-refractive surgery (4-6). Hence, CBI and TBI resulting from the analysis of post-refractive corneas are going to be always altered. The modified corneal structure can lead to inaccurate interpretations and erroneous assessments when using these indices. Therefore, caution should be exercised when using them in the analysis of post-refractive corneas, as they were primarily developed to detect ectasia in normal corneas. We share the authors’ concern regarding the need for the early recognition of post-refractive ectasia to prevent potential complications, which could be managed effectively with corneal crosslinking, a procedure aimed at stabilizing the cornea and halting the progression of ectasia (7). In light of the increasing prevalence of refractive surgeries such as LASIK and PRK, it is crucial to employ precise and dependable methods for detecting potential complications in patients who have undergone these procedures. Therefore, we suggest to the authors the utilization of validated diagnostic techniques specifically designed for post-refractive Vanessa Ferraro,1 Renato Ambrósio Jr,2 Paolo Vinciguerra,1 Riccardo Vinciguerra3","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"237-238"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9e/f3/BEJ-8-237.PMC10521133.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41103271","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 Macular Pigment Optical Density in Eyes with Hyperopic Anisometropic Amblyopia Using Fundus Reflectometry.","authors":"Mahmut Kaya,&nbsp;Taylan Ozturk,&nbsp;Ziya Ayhan,&nbsp;Ferdane Atas,&nbsp;Betul Akbulut Yagci","doi":"10.14744/bej.2023.98159","DOIUrl":"https://doi.org/10.14744/bej.2023.98159","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the macular pigment optical density (MPOD) scores in eyes with hyperopic anisometropic amblyopia and compare those with their fellow and control eyes using one-wavelength fundus reflectometry.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 33 patients diagnosed with hyperopic anisometropic amblyopia aged 12-40 years. The control group consisted of 36 hyperopic and 42 emmetropic children, age-matched to the patients. Central macular thickness (CMT), MPOD, axial length (AL), best-corrected visual acuity, and refraction errors were measured between the study group and the control group.</p><p><strong>Results: </strong>Eyes with the diagnosis of hyperopic anisometropic amblyopia had significantly higher mean and maximum (max) MPOD scores compared with their fellow eyes as well as hyperopic and emmetropic eyes (p<0.001 for all). The mean AL in eyes with hyperopic anisometropic amblyopia was statistically shorter than that in hyperopic and emmetropic controls (p=0.027, p<0.001, respectively). The mean CMT was found to be thicker in eyes with hyperopic anisometropic amblyopia when compared to their fellow eyes, as well as hyperopic and emmetropic controls, eventhough there was no significant difference was found among the four groups (p=0.052). The mean MPOD levels were significantly correlated with the difference in CMT (r=-0.21, p=0.032), and logMAR visual acuity scores (r=-0.44, p<0.001) in the hyperopic anisometropic amblyopia group.</p><p><strong>Conclusion: </strong>The present study indicates that the MPOD is reduced in eyes with hyperopic anisometropic amblyopia. This reduction may be due to less visual stimulus-induced deterioration of foveal development and microarchitecture in anisometropic amblyopic eyes.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"177-183"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/6b/BEJ-8-177.PMC10521122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41095992","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":"Effect of ILM Peeling on Anatomical and Visual Outcomes in Diabetic Tractional Retinal Detachment.","authors":"Seren Pehlivanoglu,&nbsp;Damla Bektasoglu,&nbsp;Sehnaz Ozcaliskan,&nbsp;Cengiz Alagoz,&nbsp;Gurkan Erdogan,&nbsp;Ozgur Artunay","doi":"10.14744/bej.2023.26986","DOIUrl":"https://doi.org/10.14744/bej.2023.26986","url":null,"abstract":"<p><strong>Objectives: </strong>The objcetive is to compare the anatomic and functional outcomes of vitrectomy between internal limiting membrane (ILM) peeling and non-ILM peeling in diabetic tractional retinal detachment (TRD).</p><p><strong>Methods: </strong>Twenty-three eyes with diabetic TRD with ILM peeling were compared with twenty-four eyes with non-ILM peeling. Best-corrected visual acuity (BCVA) was recorded at baseline and 3, 6, 9, 12 months, and end of follow-up. The mean retinal thickness across nine different regions that defined in the Early Treatment Diabetic Retinopathy Study (ETDRS) were obtained. The ETDRS grid was used to determine the extent of macular involvement.</p><p><strong>Results: </strong>In the 1st month postoperatively, the mean BCVA of eyes with ILM peeling (1.08±0.63 LogMAR) was significantly better than eyes with ILM non-peeling (1.69±0.75 LogMAR, p=0.003). There was also a significant difference at 9 and 12 months between groups in BCVA, in favor of ILM peeling (p=0.012 and p=0.047, respectively). Seven patients (29.2%) developed epiretinal membrane (ERM), and one patient (4.1%) had ERM with the lamellar macular hole in the ILM non-peeling group, while only one patient developed ERM in ILM peeling group during the follow-up.</p><p><strong>Conclusion: </strong>ILM removal may be considered in diabetic TRD surgery, as it can provide rapid visual recovery. Moreover, post-operative ERM formation was less frequent in ILM peeled eyes within 1 year after surgery.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"184-192"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/36/BEJ-8-184.PMC10521131.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41098513","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":"Short-term Effects of Intravitreal Dexamethasone Implant on Choroidal Structure in Eyes with Refractory Diabetic Macular Edema.","authors":"Serdar Bilici,&nbsp;Enes Serbest,&nbsp;Suat Hayri Ugurbas","doi":"10.14744/bej.2023.73644","DOIUrl":"https://doi.org/10.14744/bej.2023.73644","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of the study was to evaluate choroidal structural changes after intravitreal dexamethasone implant (IDI) in eyes with diabetic macular edema (DME) refractory to antivascular endothelial growth factor (VEGF) therapy.</p><p><strong>Methods: </strong>Twenty-three eyes of 14 patients with DME refractory to anti-VEGF therapy were included in this retrospective study. Detailed ophthalmological examinations were recorded, and optical coherence tomography images were obtained before and 3 months after IDI. Choroidal images were binarized into the luminal area and total choroidal area. Subfoveal choroidal thickness and choroidal vascularity index (CVI) were calculated.</p><p><strong>Results: </strong>The mean best-corrected visual acuity (BCVA) and central macular thickness (CMT) were improved significantly (from 0.94 to 0.81 LogMAR, p=0.02, and from 464 to 371 μ, p=0.01, respectively) after IDI. There were no significant changes in both SCFT and CVI at the end of the follow-up period (from 446.3 to 428.8 μ, p=0.51 and from 63.1 to 63.7 p=0.35, respectively).</p><p><strong>Conclusion: </strong>IDI in eyes with DME refractory to anti-VEGF therapy improves BCVA and CMT but has no significant effect on SCFT and CVI in the short term.</p>","PeriodicalId":8740,"journal":{"name":"Beyoglu Eye Journal","volume":"8 3","pages":"193-197"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/4d/BEJ-8-193.PMC10521124.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41101446","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}