Effect of migraine attack on pupil size, accommodation and ocular aberrations.
CONCLUSION: Our results suggest the presence of a subtle oculosympathetic hypofunction in patients with migraine during the ictal period compared to the interictal period. The accommodation status of the eye seems to be affected by this autonomic dysfunction. PMID: 33246366 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 27, 2020 Category: Opthalmology Authors: Yildiz MB, Yildiz E, Balci S, Hasirci Bayir BR, Çetinkaya Y Tags: Eur J Ophthalmol Source Type: research

Optical coherence tomography angiography of choroidal neovascularization in immune choroiditis following acute retinal necrosis.
CONCLUSION: This case discusses the use of OCTA detection of CNV in a case of immune choroiditis following contralateral ARN. During anti-VEGF therapy for inflammatory CNV-related diseases, OCTA may be useful not only for CNV detection but also for the follow-up of CNV activity. PMID: 33246374 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 27, 2020 Category: Opthalmology Authors: Nakamura S, Nakao S, Shiose S, Kohno RI, Hasegawa E, Sonoda KH Tags: Eur J Ophthalmol Source Type: research

Functional and morphological outcomes after surgery in lamellar macular holes versus epiretinal membrane foveoschisis.
Abstract PURPOSE: To compare the clinical findings and outcomes of vitrectomy for lamellar macular holes (LMH) versus epiretinal membrane foveoschisis (ERMF). MATERIALS AND METHODS: This retrospective study enrolled 36 eyes of 35 patients with a minimum follow-up of 6 months. Spectral domain optical coherence tomography (SD-OCT) parameters and best-corrected visual acuity (BCVA) were analyzed preoperatively and postoperatively. RESULTS: The 19 (52.8%) ERMF and 17 (47.2%) LMH were included. Preoperatively, eyes with LMH were characterized by a lower central foveal thickness (CFT) (102.18 &pl...
Source: European Journal of Ophthalmology - November 27, 2020 Category: Opthalmology Authors: Caretti L, La Gloria Valerio A, Verzola G, Badin G, Monterosso C, Daniele AR Tags: Eur J Ophthalmol Source Type: research

Is a virtual clinic model a safe and effective way for assessing patients referred with suspiciously blurred optic discs? The blurred disc clinic.
CONCLUSIONS: A virtual clinic model is an effective way of screening for papilloedema in patients referred to the eye clinic with suspicious optic discs. Unrelated or incidental pathology may be missed in a virtual clinic. PMID: 33246385 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 27, 2020 Category: Opthalmology Authors: Jefferis JM, Griffith N, Blackwell D, Batty R, Hickman SJ, Pepper IM Tags: Eur J Ophthalmol Source Type: research

The influence of dead spaces and the designs of injectors on the amount of drug dose in intra-vitreal injection.
okmen O Abstract AIM: To evaluate the dead spaces resulting from different designs of the insulin injectors used for intravitreal injections and the amounts of drug doses. METHODS: In the study, five different brands of sterile insulin injectors of 1 mL were used for the test. The weight of the injectors was determined before and after filling the injectors with 0.05 and 0.1 mL distilled water. The weight of the injectors was measured with and without the needle after the water within the injectors had been taken out and weight differences were measured. The difference between the intended amoun...
Source: European Journal of Ophthalmology - November 26, 2020 Category: Opthalmology Authors: Havuz E, Güdül Havuz S, Gokmen O Tags: Eur J Ophthalmol Source Type: research

Arc flash macular hole.
Abstract Macular holes are common. Lightening, direct electric shock induced and laser beam induced macular holes are though rare. Reporting a case of spark flashlight (Arc Flash) induced macular hole in an electrician, which has never been reported. A 19 year old male electrician by profession presented to our clinic with a history of exposure to a bright flash light from spark of wires while at work that led to decrease of vision in his both eyes. Examination revealed a full thickness macular hole in his right eye and loss of foveal photoreceptors in the left eye. Arc flash light exposure in electricians ...
Source: European Journal of Ophthalmology - November 26, 2020 Category: Opthalmology Authors: Kaur R, Koul P Tags: Eur J Ophthalmol Source Type: research

Is post-trabeculectomy serous choroidal detachment a risk factor for failure in the long term.
Abstract BACKGROUND: To investigate the long-term effect of serous choroidal detachment on the success of trabeculectomy in glaucoma patients. METHODS: In this case-control study, 17 patients who underwent trabeculectomy and developed choroidal detachment, and completed at least 3 years of follow-up were included. The controls were matched based on age, sex, preoperative intraocular pressure, and glaucoma type, and lack of choroidal detachment. Surgical success was defined based on two definitions of 5 
Source: European Journal of Ophthalmology - November 26, 2020 Category: Opthalmology Authors: Yadgari M, Hassanpour K, Nassiri N Tags: Eur J Ophthalmol Source Type: research

Visualization of the posterior surface of the lens nucleus with triamcinolone acetonide in phacoemulsification.
CONCLUSION: The triamcinolone acetonide-assisted phacoemulsification procedure is safe and useful for visualizing the posterior surface of the lens nucleus and facilitates removal of the lens nucleus by phacoemulsification. PMID: 33238716 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Mizuguchi T, Horiguchi M, Tanikawa A Tags: Eur J Ophthalmol Source Type: research

Ocular oncology service during the COVID-19 outbreak in Florence (Italy): Practical considerations for the management of patients.
Abstract The Coronavirus disease 2019 (COVID-19) outbreak has imposed the adoption of strategies to limit the risk of contagion for cancer patients without compromising their healthcare. As well as cancers of other sites, the treatment of certain ocular and periocular malignancies is considered non-deferrable and should proceed despite the pandemic. Delays in treatment of these patients may result in negative outcomes. Herein, we provide some practical considerations deriving from our experience at the Ocular Oncology Unit of Careggi University Hospital (Florence, Italy). PMID: 33238727 [PubMed - as supplied ...
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Mazzini C, Pieretti G, Vicini G, Nicolosi C, Giattini D, Calamita R, Santoro N, Giansanti F Tags: Eur J Ophthalmol Source Type: research

A custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket.
Abstract PURPOSE: To investigate the clinical effects of a custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket. METHODS: Clinical data and photographs of 32 patients with severely contracted socket were retrospectively analyzed. Among the 32 cases, 21 were males and 11 were females. Their ages ranged from 20 to 71 years (mean, 45 years). Each patient underwent conjunctival sac plasty using a custom-made conformer wrapped by oral mucosa, then compression bandage for 1 month. All patients received tarsorrhaphy 6 months postoperatively, and an ...
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Yang F, Li Z, Deng Y Tags: Eur J Ophthalmol Source Type: research

Anterior uveitis after transepithelial photorefractive keratectomy: Demographics and clinical characteristics - a one-year analysis.
CONCLUSION: Anterior uveitis after TransPRK is infrequent. It could be due to intraocular transmittance of high frequency excimer laser beams used for longer durations to provide continuous, single step ablation in this novel type of PRK surgery. Further studies are needed to investigate the mechanisms of this association. PMID: 33238750 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Dhami NB, Dhami A, Dhami GS Tags: Eur J Ophthalmol Source Type: research

Systemic evaluation of patients with central serous chorioretinopathy: A case-control study.
CONCLUSION: Other than the previously described associations of CSCR like alcohol use and sleep disturbances, this study reports possible association with deranged serum protein and thyroid hormone profile. Further large-scale prospective studies need to validate these results. PMID: 33238760 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Kumawat D, Ravi AK, Sahay P, Alam T, Desai A, Kumar A Tags: Eur J Ophthalmol Source Type: research

Combination of Mustard è cheek advancement flap and paramedian forehead flap as a reconstructive option in orbital exenteration.
CONCLUSION: The proposed technique can be considered by the head and neck reconstructive surgeon as a good option in extended orbital exenteration. PMID: 33238764 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Battista RA, Giordano L, Giordano Resti A, Bordato A, Trimarchi M, Familiari M, Ferraro M, Bandello FM, Bussi M Tags: Eur J Ophthalmol Source Type: research

Variable phenotype of Knobloch syndrome due to biallelic COL18A1 mutations in children.
CONCLUSIONS: This report describes variable features in patients with Knobloch syndrome, including marked lack of eye pigment similar to albinism in one child, macular coloboma in two children as well as advanced cone-rod dysfunction in all children. One patient had normal neuroradiologic findings, emphasizing that some affected individuals have isolated ocular disease. Awareness of this syndrome, with its variable phenotype may aid early diagnosis, monitoring for potential complications, and providing appropriate genetic counseling. PMID: 33238767 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Levinger N, Hendler K, Banin E, Hanany M, Kimchi A, Mechoulam H, Meiner V, Parag Y, Sharon D, Macarov M, Yahalom C Tags: Eur J Ophthalmol Source Type: research

The role of Ahmed glaucoma valve in the management of refractory glaucoma: Long-term outcomes and complications.
Abstract PURPOSE: To retrospectively evaluate the efficacy and long-term complications of the Ahmed glaucoma valve (AGV) in refractory glaucoma. MATERIALS AND METHODS: Seventy-eight eyes with glaucoma refractory to conventional surgical procedures (filtration surgery and diode laser cyclophotocoagulation) underwent AGV implantation between May 2006 and August 2018. The criteria for success were defined as an intraocular pressure (IOP) less than 18 mmHg and a decrease of at least 20% from the preoperative IOP. The criteria for failure were an IOP greater than 18 mmHg or less than 5 mmHg, a...
Source: European Journal of Ophthalmology - November 25, 2020 Category: Opthalmology Authors: Luzu J, Baudouin C, Hamard P Tags: Eur J Ophthalmol Source Type: research

Validation of virtual reality system based on eye-tracking technologies to support clinical assessment of glaucoma.
CONCLUSION: The results show that eye-tracking technologies can be used as a tool for evaluating the gaze patterns of glaucoma patients and differentiate them of healthy individuals. However, further studies with a larger cohort of participants and additional tasks are needed. PMID: 33233935 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 24, 2020 Category: Opthalmology Authors: Martínez-Almeida Nistal I, Lampreave Acebes P, Martínez-de-la-Casa JM, Sánchez-González P Tags: Eur J Ophthalmol Source Type: research

Intraocular mitomycin C use in the treatment and prophylaxis of proliferative vitreoretinopathy in severe traumatic retinal detachments.
CONCLUSION: Temporary intraocular MMC use in vitreoretinal surgery yielded good anatomic and visual outcomes after the treatment of traumatic RDs with PVR or those with high risk of PVR development. Furthermore, MMC application appeared to prevent further PVR development after vitreoretinal surgery. PMID: 33233948 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 24, 2020 Category: Opthalmology Authors: Gürelik G, Sül S, Üçgül AY Tags: Eur J Ophthalmol Source Type: research

Late endoscopic evaluation of the ostium size after external dacryocystorhinostomy.
CONCLUSIONS: Nasal endoscopy after DCR is valuable in evaluating the ostium with no observed potential correlation between the long-term follow-up after surgery and the size of the ostium. PMID: 33233950 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 24, 2020 Category: Opthalmology Authors: Al Huthail RR, Al-Faky YH Tags: Eur J Ophthalmol Source Type: research

Hummelsheim procedure combined with medial rectus recession in complete sixth nerve palsy and esotropic Duane Retraction Syndrome.
CONCLUSION: HVRT combined with MRrec is an effective procedure to improve esotropia, face turn, and abduction limitation in CSNP and eDRS. PMID: 33228408 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Bagheri A, Veisi A, Tavakoli M Tags: Eur J Ophthalmol Source Type: research

Suturing large therapeutic corneal grafts based on donor size: A simplified technique for the novice corneal surgeon.
CONCLUSION: The Castroviejo caliper can be effectively used for equidistant spacing of interrupted sutures in large therapeutic grafts by a novice surgeon thereby simplifying the procedure and reducing the surgical time. PMID: 33228422 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 23, 2020 Category: Opthalmology Authors: Bafna RK, Kalra N, Asif MI, Lata S, Rathod A, Balaji A, Sharma N Tags: Eur J Ophthalmol Source Type: research

Efficacy and safety of single Ultrasound Cyclo-Plasty to treat refractory glaucoma: Results at 1  year.
Efficacy and safety of single Ultrasound Cyclo-Plasty to treat refractory glaucoma: Results at 1 year. Eur J Ophthalmol. 2020 Nov 22;:1120672120973605 Authors: Longfang Z, Die H, Jie L, Yameng L, Mingyuan L, Xiaojing P Abstract PURPOSE: To evaluate clinical efficacy and safety of single Ultrasound Cyclo-Plasty (UCP) in the treatment of advanced refractory glaucoma. METHODS: From January 2018 to August 2018, 25 patients (25 eyes) with refractory glaucoma and intraocular pressure (IOP) not controlled by drugs or conventional filtering surgery were included in the study. All subjects (neovasc...
Source: European Journal of Ophthalmology - November 22, 2020 Category: Opthalmology Authors: Longfang Z, Die H, Jie L, Yameng L, Mingyuan L, Xiaojing P Tags: Eur J Ophthalmol Source Type: research

Atypical bilateral acute retinal necrosis in a coronavirus disease 2019 positive immunosuppressed patient.
CONCLUSION AND SIGNIFICANCE: To the best of our knowledge this is the first description of a case that has undergone vitreous PCR testing for COVID-19. It is interesting to note the high level of vitreous inflammation which would not be expected in an immunosuppressed state. We present a number of possible links between the SARS-CoV-2 virus and the unusual ocular presentation of bilateral VZV viral retinitis in this patient.While extra ocular VZV outbreaks have been reported with rituximab treated patients, this report should also raise the awareness of VZV related viral retinitis in DLBCL patients on rituximab chemotherap...
Source: European Journal of Ophthalmology - November 22, 2020 Category: Opthalmology Authors: Gupta A, Dixit B, Stamoulas K, Akshikar R Tags: Eur J Ophthalmol Source Type: research

Peribulbar anesthesia for strabismus surgery in adult patients.
CONCLUSION: Peribulbar anesthesia was an effective and safe option during strabismus surgery in adult patients. PMID: 33225731 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 22, 2020 Category: Opthalmology Authors: Vagge A, Simonetti F, Marenco M, Burtolo C, Musolino M, Traverso CE Tags: Eur J Ophthalmol Source Type: research

Implementing the new normal in ophthalmology care beyond COVID-19.
Abstract The COVID-19 pandemic has altered the clinical landscape immeasurably. The need to physical distance requires rethinking how we deliver ophthalmic care. Within healthcare, we will need to focus our resources on the five T's: Utilising technology, multidisciplinary clinical teams with wide professional talents need to work efficiently to reduce patient contact time. With regular testing, this will allow us to reduce the risk further. We also must acknowledge the explosion of different modalities to train our future ophthalmologists and the global challenges and advantages that these bring. Finally, we must...
Source: European Journal of Ophthalmology - November 22, 2020 Category: Opthalmology Authors: Chandra A, Romano MR, Ting DS, Chao DL Tags: Eur J Ophthalmol Source Type: research

Evaluation of the reasons for the microvascular changes in patients with Fabry disease using optic coherence tomography angiography.
CONCLUSION: Patients with FD showed a lower dCVD without any change in sCVD and choriocapillaris compared to the healthy controls. This decrease was associated mostly with the renal involvement and duration of treatment. PMID: 33225739 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 22, 2020 Category: Opthalmology Authors: Dogan C, Gonen B, Dincer MT, Mergen B, Kiykim E, Bakir A, Trabulus S, Yetik H, Seyahi N Tags: Eur J Ophthalmol Source Type: research

Late-stage sequela of an isolated optic neuropathy after acute magnesium valproate overdose: A case report.
CONCLUSION: We report a rare case of TON caused by acute VPA overdose. Hyperbaric oxygen therapy, and neuroprotective and neurotrophic treatments might be effective at the early stage but cannot fully reverse the damage to the optic nerve. The present case indicates the potential neurotoxicity of VPA. It is crucial to determine the severity of an isolated optic nerve sequela caused by VPA overdose, though it might be rare as observed in previous reports. Further confirmation of the likelihood of its causation and its pathophysiology is needed in the future. PMID: 33222509 [PubMed - as supplied by publisher] (Source: E...
Source: European Journal of Ophthalmology - November 21, 2020 Category: Opthalmology Authors: Chen X, Di H, Hong Y, Zhang C Tags: Eur J Ophthalmol Source Type: research

Association of sleep disturbance with diabetic retinopathy.
Abstract PURPOSE: Diabetes mellitus (DM) patients are more likely to experience sleep disturbances than normal. Sleep disturbances may contribute to the development of diabetic retinopathy (DR) by higher inflammatory markers in circulation. We investigated the association between sleep quality and DR. METHODS: Institutional case control study with type 2 DM patients of
Source: European Journal of Ophthalmology - November 21, 2020 Category: Opthalmology Authors: Dutta S, Ghosh S, Ghosh S Tags: Eur J Ophthalmol Source Type: research

Bilateral choroidal detachment and myopic shift after acetazolamide intake for laser capsulotomy.
CONCLUSION: To the best of our knowledge, this is the first reported case of choroidal detachment and acute transient myopia following the administration of oral acetazolamide after laser capsulotomy. PMID: 33222519 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 21, 2020 Category: Opthalmology Authors: Musetti D, Nicolò M, Bagnis A, Cutolo CA, Traverso CE Tags: Eur J Ophthalmol Source Type: research

Efficacy of Vincamine treatment in a rat model of anterior ischemic optic neuropathy.
In this study, we aimed to investigate the potential neuroprotection of Vincamine in the photodynamic induced rat model of NAION (rAION), to evaluate its effects and possible mechanisms. We found that Vincamine can rescue RGC death and reduce the number of apoptotic cells. The protection of Vincamine might play through the PI3K/Akt/eNOS signaling pathway. Therefore, Vincamine can be an effective therapy method for NAION. PMID: 33222520 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 21, 2020 Category: Opthalmology Authors: Li L, Su Y, Liu J, Chen C Tags: Eur J Ophthalmol Source Type: research

Inflammatory myofibroblastic tumour of the conjunctiva masquerading as ocular surface squamous neoplasia.
Abstract A 63-year-male had painless, progressive, yellowish-pink, immobile conjunctival mass with prominent feeder vessels in the right eye of 1-year duration. The rest of the ophthalmic examination was unremarkable. MRI showed no extension into orbit or extraocular muscles. An excision biopsy with the amniotic membrane patch was performed. Histopathology confirmed inflammatory myofibroblastic tumour (IMT) with SMA and calponin positivity on immunohistochemistry. Complete surgical excision, amniotic membrane, and oral steroids provided long-term relief from recurrence. The conjunctiva is a rare site for IMT, and ...
Source: European Journal of Ophthalmology - November 21, 2020 Category: Opthalmology Authors: Singh M, Saini M, Chatterjee D, Mehta A, Kaur M, Gupta P Tags: Eur J Ophthalmol Source Type: research

Long term outcomes in dry age-related macular degeneration following low vision rehabilitation interventions.
CONCLUSION: Long term, as expected, changes were noticed in visual acuity, fixation stability and PRL topography. However, it seems that LVR interventions for distance vision help patients retain significantly better functional vision at the 2 years follow up interval when compared to others. PMID: 33222522 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 21, 2020 Category: Opthalmology Authors: Pyatova Y, Daibert-Nido M, Markowitz SN Tags: Eur J Ophthalmol Source Type: research

Fovea-sparing coats disease: A rare clinical entity.
CONCLUSIONS: Careful pediatric retinal screening and early management are crucial to ensure a good visual prognosis in such an early feature of Coats disease as fovea sparing since this condition unfortunately tends to recall the physician's attention in more advanced stages.Due to the extremely poor number of articles regarding such a rare feature of Coats disease like fovea sparing, we report our experience. PMID: 33222523 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 21, 2020 Category: Opthalmology Authors: Girolamo MM, De Francesco S, Salvoldi F, Barchitta M, Menicacci C, Hadjistilianou T Tags: Eur J Ophthalmol Source Type: research

A singular case of iatrogenic gas-filled double anterior chamber after DALK.
CONCLUSION: This case suggests that an injection of air or gas into the anterior chamber, to deal with a Descemet membrane detachment following perforation during DALK procedure, can enlarge the double anterior chamber by increasing the space between stroma and Descemet membrane. These cases can be managed with a "wait and see" strategy for a spontaneous resolution to Descemet membrane detachment. PMID: 33213183 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 20, 2020 Category: Opthalmology Authors: Franco FGS, Vicchio L, Branchetti M, Vignapiano R, Giansanti F Tags: Eur J Ophthalmol Source Type: research

Rebubbling of detached descemet membrane endothelial grafts at the slit lamp with 50% air fill after PI-less DMEK during COVID-19 era.
CONCLUSION: Rebubbling of detached DMEK grafts at the slit lamp with 50% air fill in the anterior chamber is a relatively simple and effective procedure. This provides an alternative approach for managing the complication of partially detached DMEK grafts in the era of COVID-19 with limited operating theatre access and avoids the risk of complications such as pupillary block in 'PI-less' DMEK. PMID: 33213181 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 19, 2020 Category: Opthalmology Authors: Franka M, Mistry M, Moustafa M, Erikitola OO, Lyall D Tags: Eur J Ophthalmol Source Type: research

The impact of vision impairment on vision-related quality of life of patients with neovascular age-related macular degeneration.
CONCLUSION: The Greek IVI was found to assess AMD patients' perceptions of VRQoL in a valid, reliable and responsive to eyesight manner. VRQoL was mainly established by patients' distance VA and mental health. PMID: 33213182 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 19, 2020 Category: Opthalmology Authors: Marakis TP, Koutsandrea C, Poulou MS Tags: Eur J Ophthalmol Source Type: research

Impact of COVID-19 pandemic and lockdown on eye emergencies.
CONCLUSION: COVID-19 pandemic related lockdown has had a significant impact on the range of presenting conditions to the EED. Measures to stop spread of COVID-19 such as awareness of hand hygiene practices, social distancing measures and school closures could have an indirect role in reducing spread of infective conjunctivitis. The higher proportion of macula-off RD and lower number of retinal tears raises possibility of delayed presentation in these cases. Going forward, we anticipate additional pressures on EED and other subspecialty services due to complications and associated morbidity from delayed presentations. ...
Source: European Journal of Ophthalmology - November 19, 2020 Category: Opthalmology Authors: Poyser A, Deol SS, Osman L, Kuht HJ, Sivagnanasithiyar T, Manrique R, Okafor LO, DeSilva I, Sharpe D, Savant V, Sarodia U, Sarvananthan N, Chaudhuri R, Banerjee S, Burns J, Thomas MG Tags: Eur J Ophthalmol Source Type: research

Orbital and periorbital dermoid cysts: Comparison of clinical features and management outcomes in children and adults.
CONCLUSIONS: Dermoid cysts are commoner in children, but can also present in adulthood. Secondary visual, orbital, radiologic changes and intra-operative rupture of dermoid cyst are more common in adults compared to children. PMID: 33198489 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 16, 2020 Category: Opthalmology Authors: Dave TV, Gupta Rathi S, Kaliki S, Mishra D Tags: Eur J Ophthalmol Source Type: research

Primary low-grade myofibroblastic sarcoma: A rare case report of this tumor in the orbit and literature review.
Abstract Low-grade myofibroblastic sarcoma (LGMS) is an exceedingly rare, malignant tumor with myofibroblastic differentiation. It frequently occurs in the oral cavity and extremities, despite being classified as a distinct entity by the World Health Organization (WHO). Here, we report a rare case of orbital LGMS occurring in an 11-month-old baby with a 3.2 × 2.4 × 2.1 cm mass. LGMS was diagnosed based on the histological and immunohistochemical findings. Previous literature suggests that surgical resection with clear margins is an appropriate method for the treatment of LGMS, and combined adjuv...
Source: European Journal of Ophthalmology - November 16, 2020 Category: Opthalmology Authors: Tang L, Xu H, Gao H, Yang H, Chen S, Zhang P Tags: Eur J Ophthalmol Source Type: research

Bilateral choroidal metastasis from adenoid cystic carcinoma of the submandibular salivary gland.
CONCLUSION: Salivary gland carcinoma rarely metastasizes to the choroid, with few cases described in literature. In patients with a history of salivary glands tumor the possibility of choroidal metastatization should always be considered. PMID: 33198499 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 16, 2020 Category: Opthalmology Authors: Bacherini D, Pellegrini M, Vicini G, Nicolosi C, Pieretti G, Vannozzi L, Rizzo S, Mazzini C, Giansanti F Tags: Eur J Ophthalmol Source Type: research

Two-year results of a combined regimen of aflibercept treatment in three types of choroidal neovascular membrane in the wet form of age-related macular degeneration: Real-life evidence in the Czech Republic.
Abstract AIM: To present the results of a 2-year therapy with aflibercept in real-life practice in a mixed regimen in patients with a neovascular form of age-related macular degeneration (nAMD) and to evaluate the treatment response of various types of choroidal neovascular membranes (CNV) - occult (Type 1), classic (Type 2) and minimally classic (Type 4). METHODS: This was a multicentric, prospective, observational study of a series of cases. Patients diagnosed with the wet form of AMD were treated in a fixed regimen (3 injections at intervals of 1 month and then injections at 8-week intervals) in the first ...
Source: European Journal of Ophthalmology - November 16, 2020 Category: Opthalmology Authors: Stepanov A, Nemcansky J, Veith M, Manethova K, Stredova M, Pencak M, Tarkova A, Studnicka J Tags: Eur J Ophthalmol Source Type: research

Iris thickness measurements in patients with diabetic retinopathy.
CONCLUSION: Iris thickness is similar in diabetic patients and healthy controls. Meanwhile, iris thickness near the pupillary margin is positively correlated with macular thickness. PMID: 33183073 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 13, 2020 Category: Opthalmology Authors: Demirtas Ö, Pekel G, Pekel E, Cetin EN Tags: Eur J Ophthalmol Source Type: research

MRI after successful eyeWatchTM implantation.
We report the case of an 82-old female patient successfully operated with the implantation of an eyeWatchTM. The patient underwent a cerebral MRI for persistent headache. Shortly after the MRI procedure, the patient was checked at the eye clinic to assess the position of the rotor and to measure the IOP. The eyeWatchTM was readjusted to the former position set before undergoing the MRI. No complications were reported in the follow-up after MRI. This case demonstrates that MRI examinations can be safely performed after glaucoma surgery using an eyeWatchTM without compromising on the quality of the imaging or the stability o...
Source: European Journal of Ophthalmology - November 13, 2020 Category: Opthalmology Authors: Roy S, Villamarin A, Stergiopulos N, Mermoud A Tags: Eur J Ophthalmol Source Type: research

Topical corticosteroids in Acanthamoeba keratitis: Friend or foe?
Abstract BACKGROUND/AIMS: To analyse the effect of topical corticosteroids before start of anti-amoebic therapy (AAT) in Acanthamoeba keratitis (AK) on final visual outcome and to identify factors that affect the outcome. METHODS: A retrospective case control study of the medical records of patients diagnosed with AK at the Rotterdam Eye Hospital between 2003 and 2017 was performed. Patient demographic and clinical data were collected. The outcomes of patients treated with topical corticosteroids before the start of AAT were compared with those not treated with topical corticosteroids. Univariable and multiva...
Source: European Journal of Ophthalmology - November 13, 2020 Category: Opthalmology Authors: Wouters KA, Verhoekx JS, van Rooij J, Wubbels R, van Goor AT Tags: Eur J Ophthalmol Source Type: research

Comparison between three protocols of corneal collagen crosslinking in adults with progressive keratoconus: Standard versus accelerated CXL for keratoconus.
CONCLUSION: The standard CXL showed better results for keratometry and astigmatism in comparison with the accelerated. Therefore, the wide use of the accelerated CXL should be considered and reviewed for longer follow-up time and larger sample size in focus on the visual acuity parameters. PMID: 33183087 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 13, 2020 Category: Opthalmology Authors: Beloshevski B, Shashar S, Mimouni M, Novack V, Malyugin BE, Boiko M, Knyazer B Tags: Eur J Ophthalmol Source Type: research

Oedipism: An unusual case of auto-enucleation including mechanism of avulsion.
CONCLUSION: This case is unique as it offers an alternative presentation to those most commonly reported in the current literature, highlights the sparsity of literature detailing the mechanism of AE and stimulates discussion around various potential systemic etiological differential diagnoses, management strategies and complications of AE. PMID: 33183093 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 13, 2020 Category: Opthalmology Authors: Okafor L, Choudry A, Mudhar HS, Sandramouli S Tags: Eur J Ophthalmol Source Type: research

Waldenstr öm Macroglobulinemia of the orbit: A diagnostic challenge.
CONCLUSION AND IMPORTANCE: This case highlights the importance of clinical evaluation, histopathology, and immunohistochemistry for phenotyping of ocular adnexal lymphomas. PMID: 33183084 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 12, 2020 Category: Opthalmology Authors: Adiga S, Mehta A, Singh U, Singh C, Sharma R, Banerjee N, Lad D, Rastogi P Tags: Eur J Ophthalmol Source Type: research

Conjunctival bleb tearing by XEN gel stent after conjunctival compression sutures.
CONCLUSION: Conjunctival compression sutures may be used for overfiltration control after XEN gel implantation but we must be aware of potential conjunctival damage due to implant erosion even if it is correctly positioned. Close follow-up and early suture release may be convenient in these patients. PMID: 33176452 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 11, 2020 Category: Opthalmology Authors: Montolío-Marzo S, Lanzagorta-Aresti A, Piá-Ludeña JV, Davó-Cabrera JM Tags: Eur J Ophthalmol Source Type: research

Conjunctival melanoma: Risk factors for recurrent or new tumor in 540 patients at a single ocular oncology center.
CONCLUSION: On multivariate analysis, the strongest predictors of recurrent or new tumor formation following treatment of conjunctival melanoma included older age, history of prior conjunctival surgery, and advanced AJCC T-subcategory. These results suggest that earlier detection and the first surgery in conjunctival melanoma management are critical for prevention of recurrent or new tumor, and we recommend prompt referral to an experienced surgeon. PMID: 33176471 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 11, 2020 Category: Opthalmology Authors: Vaidya S, Dalvin LA, Yaghy A, Pacheco R, Shields JA, Lally SE, Shields CL Tags: Eur J Ophthalmol Source Type: research

Dural venous sinus thrombosis after lumbar puncture in a patient with idiopathic intracranial hypertension.
CONCLUSIONS: DVST should be considered in IIH patients who have worsening papilloedema or symptoms of intracranial hypertension. Repeat venous imaging can prevent devastating consequences such as venous infarcts of haemorrhage in these patients. PMID: 33176472 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 11, 2020 Category: Opthalmology Authors: Garg A, Rajendram P, Muccilli A, Noel de Tilly L, Micieli JA Tags: Eur J Ophthalmol Source Type: research

Impact of early and delayed Nd:YAG laser goniopuncture on results of deep sclerectomy (5-years follow up period).
CONCLUSION: Early LGP after DS excludes TDM influence on further formation of intrascleral canal cavity and outflow pathways demonstrating pronounced hypotensive success in a long-term follow-up. PMID: 33176495 [PubMed - as supplied by publisher] (Source: European Journal of Ophthalmology)
Source: European Journal of Ophthalmology - November 11, 2020 Category: Opthalmology Authors: Volkova N, Iureva T, Shchuko A Tags: Eur J Ophthalmol Source Type: research