Romanian journal of ophthalmology最新文献

{"title":"Fern-Like Pattern on Ultra-Widefield Fluorescein Angiography Across Various Uveitic Conditions.","authors":"Vipin Rana, Meenu Dangi, Pradeep Kumar, Ashish Markan, Jaya Kaushik, Ranjit Goenka, Anupama Rana, Atul Gupta, Amit Nandan Tripathi","doi":"10.22336/rjo.2025.16","DOIUrl":"10.22336/rjo.2025.16","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the occurrence and characteristics of the \"Fern-like pattern\" (FLP) on ultra-wide field fluorescein angiography (UWFA) across a variety of uveitic conditions, challenging the traditional association of FLP primarily with Behçet's disease (BD).</p><p><strong>Methods: </strong>This observational study at a tertiary care centre in India analysed the UWFA images of 23 eyes from 12 patients diagnosed with BD, tubercular vasculitis, intermediate uveitis, Vogt‒Koyanagi‒Harada (VKH) syndrome, or exudative retinal detachment. Clinical and imaging data were reviewed to assess the presence and implications of FLP in these conditions.</p><p><strong>Results: </strong>The study included 12 patients: 8 males (66.67%) and four females (33.33%). The distribution was: 3 with BD, 4 with tubercular vasculitis, 3 with intermediate uveitis, 1 with VKH syndrome, and 1 with exudative retinal detachment. The average age was 29.58 ± 11.35 years. Anterior segment examination revealed significantly more hypopyon, cells, and posterior synechiae in BD patients. Posterior segment examination showed choroiditis exclusively in non-Behçet's patients and considerably increased vitritis in BD patients. Disc hyperfluorescence and neovascularization were substantially more common in BD patients.</p><p><strong>Discussion: </strong>Our study is the first to comprehensively assess the presence of FLP on UWFA across both BD and non-BD uveitic conditions, demonstrating its occurrence in TB vasculitis, VKH syndrome, and intermediate uveitis. While traditionally linked to BD, FLP signifies retinal capillary leakage and inflammation, necessitating careful differential diagnosis. We observed optic disc hyperfluorescence predominantly in BD, underscoring its role as a potential disease activity marker requiring aggressive immunosuppression. Notably, FLP was identified in exudative retinal detachment and VKH, suggesting shared inflammatory mechanisms across conditions. These findings broaden the clinical relevance of FLP in uveitis and highlight the need for further studies to explore its diagnostic and prognostic significance.</p><p><strong>Conclusion: </strong>The study confirms that FLP on UWFA is not exclusive to BD and appears in other uveitic conditions. Clinical signs such as hypopyon and disc hyperfluorescence indicate BD, whereas choroiditis is more common in non-Behçet's uveitis. These findings highlight the importance of precise clinical and imaging assessments to distinguish between different uveitic conditions for accurate diagnosis and effective treatment.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"101-109"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049597","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":"Minoxidil and bilateral central serous chorioretinopathy in an adolescent girl: relationship or causality?","authors":"Juan Manuel Correa Alvarez, Sara Turizo Mejia, Mauricio Arango Hurtado","doi":"10.22336/rjo.2025.22","DOIUrl":"https://doi.org/10.22336/rjo.2025.22","url":null,"abstract":"<p><strong>Objective: </strong>This report describes a case of bilateral central serous chorioretinopathy linked to cosmetic minoxidil use in an adolescent girl, highlighting clinical findings, progression, and implications for practice.Materials and methods: Case report.</p><p><strong>Results: </strong>A 14-year-old girl with no significant medical history reported several weeks of blurred vision in both eyes. She had been using 2% topical minoxidil on her eyebrows and eyelashes without a prescription for the past 6 months. The initial examination revealed that the best-corrected visual acuity (BCVA) was 20/80 in the right eye and 20/25 in the left eye, with no abnormalities noted in the anterior segment. Fundus evaluation and OCT confirmed bilateral serous retinal detachment. Given the patient's unsupervised minoxidil use, a causal link to central serous chorioretinopathy (CSC) was suspected. After discontinuing the drug, the subretinal fluid (SRF) resolved, and visual acuity fully recovered within three months, supporting the association between minoxidil and choroidal neovascularization (CNV), not CSC.</p><p><strong>Discussion: </strong>Topical minoxidil has been widely used due to its vasodilatory, anti-inflammatory, anti-androgenic, and trichogenic properties, primarily through its induction of the Wnt/β-catenin signaling pathway. Despite its benefits, adverse effects such as hypotension, pruritus, and hypertrichosis are common, and isolated reports have linked its use to CSC, with symptoms typically resolving after discontinuation of the drug in most case studies. Proposed mechanisms for this association include systemic absorption leading to increased choroidal vascular permeability and disruption of retinal homeostasis. To our knowledge, this is the first reported case in the literature of bilateral CSC linked to cosmetic minoxidil use in an adolescent girl, with complete resorption of SRF and recovery of visual acuity following discontinuation of the drug.</p><p><strong>Conclusion: </strong>CSC linked to topical minoxidil use is rare and requires early detection for prompt discontinuation and recovery. Further research is needed to confirm this link, understand the underlying mechanisms, and develop more effective treatments.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"134-137"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001393","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":"Retinal Vascular Diseases Highlighted by Adaptive Optics Ophthalmoscopy.","authors":"Andrada-Elena Mirescu, Dan George Deleanu, George Baltă, Ioana Teodora Tofolean, Florian Baltă, Irina-Elena Cristescu, Sanda Jurja","doi":"10.22336/rjo.2025.07","DOIUrl":"https://doi.org/10.22336/rjo.2025.07","url":null,"abstract":"<p><strong>Objective: </strong>We used adaptive optics ophthalmoscopy to assess retinal microcirculation and photoreceptor parameters in healthy individuals and patients with vascular retinal diseases. This technology enhances optical system resolution to 2 µm by correcting wavefront aberrations, revolutionizing in vivo studies of ocular structures.</p><p><strong>Methods: </strong>Our study examined the clinical applications of adaptive optics in both healthy individuals and patients with vascular retinal diseases, including nonproliferative diabetic retinopathy, proliferative diabetic retinopathy, and macular telangiectasia (MacTel) type 2.</p><p><strong>Results: </strong>Our study underlined a higher wall-to-lumen ratio (WLR) value in our patient with proliferative diabetic retinopathy compared to our healthy volunteer. Additionally, we found a positive correlation between WLR and the severity of diabetic retinopathy. Furthermore, cone density was lower in all quadrants with proliferative diabetic retinopathy. For our patient diagnosed with MacTel type 2, the cone mosaic appeared irregular and blurred, with notable cone loss, especially on the temporal side of the macula, consistent with the typical location of MacTel type 2 lesions.</p><p><strong>Discussion: </strong>Adaptive optics imaging assesses retinal changes in vascular diseases despite acquisition challenges. The obtained images aid in tracking diabetic retinopathy progression and detecting early MacTel Type 2 changes. Our study highlighted vascular and photoreceptor changes, quantifying these parameters to enhance understanding of these vascular diseases.</p><p><strong>Conclusions: </strong>Adaptive optics imaging is an advanced technique that provides high-resolution visualization of the microstructure of retinal vasculature and photoreceptors. This technology enhances our understanding of healthy and vascular retinal conditions, aiding diagnosis, monitoring, and prognosis.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040606","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":"Impact of Cataract Surgery on Higher Order Aberrations and Comparative Analysis using Scheimpflug imaging and ray-tracing technology.","authors":"Deepti Saxena, Vikas Kanaujia, Ankita Ranjan, Vaibhav Jain, Ankita Aishwarya, Ahmad Husain, Rachna Agarwal","doi":"10.22336/rjo.2025.11","DOIUrl":"https://doi.org/10.22336/rjo.2025.11","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate higher-order aberrations (HOAs) pre- and post-cataract surgery using advanced technologies to achieve an acceptable best-corrected visual outcome in favor of patients.</p><p><strong>Methods: </strong>This prospective, observational study involves 200 adult patients (aged 40 years or older) undergoing cataract surgery. All these patients have been evaluated before and after cataract surgery.The study involved comprehensive measurements of higher-order aberrations (HOAs) using both Scheimpflug imaging (Sirius system) and ray-tracing technology (iTrace). These measurements were taken preoperatively and at specific postoperative time points (7 days, 1 month, and 2 months). Various parameters were analyzed, including the root mean square (RMS) of total HOAs and specific corneal HOAs. Patients were followed up for 2 months postoperatively.</p><p><strong>Results: </strong>We found no significant differences between the S and I methods at any time point for lower-order aberration (LOA). The S method generally measured higher LOA values than the I method. Significant differences were observed between the S and I methods at all time points for HOA. The S method consistently measured higher HOA values. The S method showed small but significant changes over time, while the I method showed no significant changes.</p><p><strong>Discussion: </strong>This study provides comprehensive insights into the changes in corneal curvature and higher-order aberrations following modern cataract surgery. The findings suggested that while small changes occur in corneal properties, these have minimal impact on visual outcomes. The significant improvement in vision appears to be primarily driven by replacing the cataractous lens with an IOL, particularly in reducing total ocular aberrations.</p><p><strong>Conclusion: </strong>Our study highlighted a significant reduction in total ocular higher-order aberrations (HOAs), particularly spherical aberrations. This reduction is a key factor in improving visual quality after cataract surgery. This reduction is primarily attributed to replacing the cataractous lens with an IOL rather than to changes in corneal optics.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"60-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035408","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":"Recalcitrant Fovea-Involving Macular Fold After Uneventful Epiretinal Membrane Surgery.","authors":"Matteo Mario Carlà, Carlos Mateo","doi":"10.22336/rjo.2025.20","DOIUrl":"https://doi.org/10.22336/rjo.2025.20","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a case of recalcitrant fovea-involving macular folds developing after uncomplicated epiretinal membrane (ERM) peeling and causing intractable metamorphopsia.</p><p><strong>Methods: </strong>Case report.</p><p><strong>Results: </strong>A 22-year-old man with a stage 3 ERM, visual acuity (VA) of 20/100, and a history of scleral buckle underwent pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling. One week after surgery, VA dropped to 20/125 with worsened metamorphopsia. Ophthalmoscopy revealed a fovea-involving full-thickness macular fold, with photoreceptor outer segments in opposition. After 3 weeks of follow-up without improvement, PPV with induction of localized retinal detachment was performed, combined with retinal massage. Moreover, perfluorocarbon liquid (PFCL) was employed to stretch the retina. Nevertheless, the macular fold and metamorphopsia were unchanged, even one year after the first surgery.</p><p><strong>Discussion: </strong>We hypothesize that, due to the highly contracted ERM, the retina may have separated from the RPE during peeling and folded over in the first postoperative days. Concurrently, incorrect patient positioning under air tamponade might have contributed to the vertical orientation of the fold.</p><p><strong>Conclusion: </strong>Even if macular folds after ERM surgery are rare, prompt surgical treatment rather than watchful waiting should be considered to prevent permanent functional impairment.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"124-128"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056852","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":"Pediatric posttraumatic macular rupture.","authors":"Hasimbegovic Selma, Stojanovic Andjela, Peric Miroslav, Tomic Zoran, Pidro Miokovic Ajla, Pidro Gadzo Aida","doi":"10.22336/rjo.2025.21","DOIUrl":"10.22336/rjo.2025.21","url":null,"abstract":"<p><strong>Objective: </strong>Macular rupture following ocular trauma is an uncommon but significant complication that can lead to vision loss. Due to the scarcity of literature on treatment options for traumatic macular ruptures (TMR) in pediatric patients, this case report aims to provide scientific insight and share our positive experience in treating a pediatric TMR.</p><p><strong>Materials and methods: </strong>A 6-year-old patient presented with reduced vision in the right eye following blunt trauma. Initial examination revealed hyphema, corneal edema, post-traumatic uveitis, and diminished visual acuity. Despite improvement in anterior segment findings, OCT confirmed a persistent full-thickness macular rupture three months post-injury, prompting surgical intervention.</p><p><strong>Results: </strong>After three months of observation to allow spontaneous closure, the patient underwent pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling using the inverted flap technique and SF6 gas tamponade. OCT showed a closed macular rupture three months after surgery with residual tissue reorganization, and visual acuity improved from 0.02 to 0.3. The surgical approach resulted in successful anatomical closure and moderate functional improvement.</p><p><strong>Discussion: </strong>This case report highlights the successful management of a pediatric traumatic macular rupture (TMR) using pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling. Despite the limited literature on the optimal treatment for TMR in children, the surgical approach described resulted in anatomic closure and functional improvement in the patient. The report emphasizes the importance of individualized treatment, considering both conservative and surgical options, particularly in cases where spontaneous closure is unlikely or delayed.</p><p><strong>Conclusion: </strong>TMH management in pediatric patients poses unique challenges due to a lack of standardized treatment protocols. While conservative observation is acceptable in cases with a higher chance of spontaneous closure, surgical intervention should be considered for more significant or persistent ruptures.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"129-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035668","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 Phaco-trabeculectomy versus Phacoemulsification on Refractive Outcome - A Prospective Observational Study.","authors":"Subashini Kaliaperumal, Krishin K, Mary Stephen, Jayasri P","doi":"10.22336/rjo.2025.14","DOIUrl":"https://doi.org/10.22336/rjo.2025.14","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the refractive outcomes of phaco-trabeculectomy versus phacoemulsification.</p><p><strong>Methods: </strong>This prospective observational study included 75 eyes, 42 eyes with cataract and glaucoma that underwent phaco-trabeculectomy, and 33 eyes with cataract that underwent phacoemulsification. The primary outcome measures were the assessment of mean prediction refractive error and absolute mean prediction refractive error, measured during biometry with a target refraction of more than -1 diopter.</p><p><strong>Results: </strong>The mean age of the study population was 60.3 ± 4.5 years (SD) in the phaco trabeculectomy group (Group 1) and 64.24 ± 3.2 years (SD) in the phacoemulsification group (Group 2). The mean prediction error in group 1 was -0.21 + 0.88 diopters, and in group 2, it was -0.24 + 1.42 diopters, with absolute mean prediction errors of 0.72 + 0.68 diopters in group 1 and 0.71 + 0.97 diopters in group 2. A statistically significant shift in myopic and hyperopic prediction error was noted for 0 to 1 diopter, and a change above one diopter was not substantial.</p><p><strong>Discussion: </strong>This discussion examines the challenges associated with refractive outcomes following combined cataract and glaucoma filtration surgery. The study found considerable variability in achieving the target refraction, with prediction errors generally within one diopter, consistent with other research. The study's limitations, including a short follow-up period and variations in surgical techniques, are acknowledged as possible factors that may contribute to refractive errors and astigmatism.</p><p><strong>Conclusions: </strong>The predicted refractive errors in both groups were similar, with equal myopic and hyperopic shifts noted, and a statistically significant change was observed from 0 to 1 diopter.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001388","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":"Surgery for epiretinal membrane using three different surgical platforms: A comparative pilot study.","authors":"Vibha Badrinath, Ashish Markan, Mohit Dogra, Basavraj Tigari, Deeksha Katoch, Ramandeep Singh","doi":"10.22336/rjo.2025.10","DOIUrl":"10.22336/rjo.2025.10","url":null,"abstract":"<p><strong>Purpose: </strong>To compare dye-assisted epiretinal membrane (ERM) peeling using a standard operating microscope (SOM) with peeling without staining using either microscope-integrated optical coherence tomography (Mi-OCT) or a three-dimensional heads-up display (3D-HUD) platform.</p><p><strong>Materials and methods: </strong>A prospective, randomized, and interventional pilot study. Patients requiring surgical intervention for ERM were randomized into group A (Mi-OCT), group B (3D-HUD), where dye was not used, and group C (dye-assisted peeling using SOM). Primary outcomes included the percentage of the eyes where complete ERM removal was possible without staining in groups A and B, intraoperative and postoperative complications, and best-corrected visual acuity (BCVA) at 3 months follow-up. Secondary outcomes included total surgical and ERM peel time.</p><p><strong>Results: </strong>Complete ERM peeling was possible only in 80% (group A) and 70% (group B) without using dye. Postoperatively, no ERM recurrence was observed in groups A and B, except for one (10%) in group C. BCVA at 3 months improved significantly from baseline in all. The mean surgical and ERM peel time was considerably lesser in groups A and B than in group C.</p><p><strong>Discussion: </strong>Mi-OCT and 3D-HUD ensured complete ERM removal in 80% and 70% of cases, respectively, without dye, compared to 100% in the conventional group, with one recurrence. Both technologies reduced surgical and peeling time. Intraoperative OCT improved visualization and minimized unnecessary maneuvers, aligning with PIONEER and DISCOVER studies. BCVA improved significantly at three months across all groups, with no intergroup differences. Despite benefits, high costs and a learning curve limit widespread adoption. Our study's small sample size and short follow-up warrant further research to validate findings and assess long-term outcomes, including potential dye-related toxicity in conventional techniques.</p><p><strong>Conclusion: </strong>Mi-OCT and 3D-HUD were associated with shorter surgical times and less need for staining. However, they had no added advantage over SOM at the three-month follow-up.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004306","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":"Hyaluronic Acid Dermal Filler for Inducing Mechanical Ptosis in Facial Nerve Palsy: A Novel Approach to Treat Exposure Keratopathy.","authors":"Neeraj Sharma, Vipin Rana, Amit Nandan Tripathi, Kalpamoi Kakati","doi":"10.22336/rjo.2025.06","DOIUrl":"https://doi.org/10.22336/rjo.2025.06","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess a dermal filler's safety, efficacy, and outcome for inducing temporary mechanical ptosis of the upper eyelid in patients with facial nerve palsy with exposure keratopathy.</p><p><strong>Methods: </strong>A prospective interventional study was conducted on 13 patients with facial nerve palsy with various levels of lagophthalmos and exposure keratopathy. A total of 0.3 ml of dermal filler (Juvéderm Ultra Plus XC, Allergan, USA) was injected subdermally over the pretarsus area of the upper lid to induce mechanical ptosis. Post-dermal filler implantation patients were followed up for a reduction in the amount of lagophthalmos and adverse effects.</p><p><strong>Results: </strong>Out of 13 patients exposed to keratopathy due to facial nerve palsy, two were females, and eleven were males, with a mean age of 54+/-6.5 years and House Brackmann severity grades IV and V. The preinjection average lagophthalmos was 5.5 mm, and it decreased to an average of 0.8 mm postinjection at 1 week of follow-up, which was maintained at 12 weeks and 24 weeks of follow-up. No adverse side effects were observed during the 24-week follow-up.Discussion: This study highlights the effectiveness and safety of hyaluronic acid-based dermal fillers in treating lagophthalmos and exposure keratopathy caused by facial nerve palsy. A single 0.3 ml injection in the pretarsal region successfully induced mechanical ptosis, significantly reducing lagophthalmos and protecting the cornea, with results sustained for 24 weeks and no adverse effects. Offering a minimally invasive, cost-effective alternative to traditional surgical methods, dermal fillers show promise, particularly in early-stage management. Despite a small sample size and limited follow-up, these findings pave the way for future research to refine dosing and assess long-term efficacy.</p><p><strong>Conclusions: </strong>Absorbable dermal filler implants are an easy and effective method for inducing mechanical ptosis and protecting the cornea in patients with exposure keratopathy due to facial nerve palsy.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053916","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":"Patient Trust and Reputation Management in Dental and Ophthalmology Practices.","authors":"Cristina Stanciu Neculau, Aida Geamănu, Roxana Monica Purcărea","doi":"10.22336/rjo.2025.08","DOIUrl":"https://doi.org/10.22336/rjo.2025.08","url":null,"abstract":"<p><p>Reputation is one of the most significant aspects of an organization. It plays a crucial role in Dentistry and Ophthalmology, significantly influencing the relationship between doctors and patients. Reputation management in these two fields is viewed as a strategic process through which dentists and ophthalmologists can establish patients' trust, thereby ensuring high-quality services and patient satisfaction. The study conducted in this paper aimed to analyze patients' opinions on how the reputation of medical offices and trust in ophthalmologists and dentists influence their decision to choose a particular office. The results showed that the doctors' professionalism and the quality of the equipment used are the most critical factors influencing patients' trust in ophthalmology and dental offices. Additionally, patients primarily evaluate the reputation of these practices based on their previous experiences or recommendations from family and friends.</p>","PeriodicalId":94355,"journal":{"name":"Romanian journal of ophthalmology","volume":"69 1","pages":"42-47"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056552","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}