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Disease mechanism most likely involves mutant protein misfolding and/or modified protein interaction rather than misplicing.
ITM2B-related RD is a peculiar, rare, slowly progressive retinal degeneration. Functional exams (ff-ERG and VA) seem more accurate in monitoring the progression in these patients, as imaging tends to be stable over the years.
ITM2B-related RD is a peculiar, rare, slowly progressive retinal degeneration. Functional exams (ff-ERG and VA) seem more accurate in monitoring the progression in these patients, as imaging tends to be stable over the years.
To identify risk factors for incorrect self-identification of treatment eye prior to intravitreal injections.
This prospective study included consecutive patients who were asked to designate the eye for which the intravitreal injection was intended, and were subsequently divided into two groups according to whether or not they identified the correct eye.
Overall, 349 eyes (n=349) were included and 8.6% (n=30) designated the incorrect eye or did not know which eye was intended for treatment. Incorrect designation was associated with diabetic macular edema (OR 0.33 [0.15-0.75]), first injection in the intended eye or ≥ 1-year since previous injection (OR 0.34 [0.14-0.87]), Arabic native tongue (OR 0.48 [0.22-1.01]), prior injection to the fellow eye (OR 0.26 [0.10-0.64]) and concurrent treatment of both eyes (OR 0.35 [0.16-0.74]). Multivariate analysis showed first injection or ≥ 1-year since last injection in treatment eye (R2=2.24%, p=0.004, OR=0.20 [0.07-0.57]) and prior injection in the fellow eye (R2=6.55%, p<0.001, OR=0.20 [0.07-0.52]) as significant independent predictors of incorrect identification.
Several factors associated with greater probability for incorrect patient's self-identification of eye laterality intended for intravitreal injections. These findings may help identify patients with a higher risk of such potential errors.
Several factors associated with greater probability for incorrect patient's self-identification of eye laterality intended for intravitreal injections. These findings may help identify patients with a higher risk of such potential errors.
To compare the clinical outcomes of sutured scleral and sutureless intrascleral fixations of the intraocular lens (IOL).
Medical records of patients who underwent sutureless intrascleral fixation (sutureless group) and the conventional sutured scleral fixation (sutured group) were retrospectively reviewed. Patient demographics and the clinical outcomes of the two techniques were compared before and 1, 3, and 6 months after surgery.
Seventy patients were followed up for 6 months after the surgery 25 patients in the sutureless group (25 eyes) and 45 in the sutured group (45 eyes). Surgery time was shorter in the sutureless group than in the sutured group (73.00 ± 15.68 vs. 107.39 ± 25.30 min, p<0.001). Visual acuity (VA) gradually improved throughout the postoperative period in both groups, and a faster VA recovery was observed in the sutureless group. Pimasertib mouse The cylindrical error at 6 months after the surgery was significantly lower in the sutureless group than in the sutured group (-1.33 ± 0.55 vs. -2.29 ± 1.19 diopter, p<0.001).
Sutureless intrascleral fixation is an effective and reliable surgical technique that provides more favorable visual and refractive outcomes than the conventional sutured scleral fixation method.
Sutureless intrascleral fixation is an effective and reliable surgical technique that provides more favorable visual and refractive outcomes than the conventional sutured scleral fixation method.
This study aimed to describe the choroidal features of ocular amyloidosis using multimodal imaging, to correlate these findings with systemic involvement, and to propose a choroidal grading system.
Eleven patients with systemic amyloidosis were reviewed retrospectively. Each case was assigned a grade according to the severity of choroidal findings as determined by both enhanced depth imaging optical coherence tomography (EDI-OCT) and indocyanine green angiography (ICGA). The severity of systemic amyloidosis was then correlated to the choroidal involvement.
On ICGA, all patients exhibited hyperfluorescent spots in the late stage and were classified according to pre-existing criteria. On EDI-OCT, hyperreflective foci were seen in the choriocapillaris and Sattler's layer in grade 1, partial loss of Sattler's layer was additionally seen in grade 2, and a dense hyperreflective Haller's layer was seen in grade 3. Choroidal grading scores were significantly correlated with systemic severity score (p=0.0014, Pearson's correlation co-efficient; ρ=0.83).
With ocular amyloidosis, evaluation of choroidal characteristics using multimodal imaging may serve as a biomarker for systemic involvement.
With ocular amyloidosis, evaluation of choroidal characteristics using multimodal imaging may serve as a biomarker for systemic involvement.
To evaluate the efficacy of repeat pars-plana vitrectomy (PPV) and gas tamponade for persistent macular holes (MH), especially looking at predictive value of OCT parameters in revisional surgery METHODS Retrospective, non-randomised interventional case series of consecutive patients with persistent MH that underwent revisional PPV and gas tamponade. The primary outcome measure was anatomical closure of the MH after revisional surgery. The secondary outcome measure was functional outcome of the MH closure based on BCVA. The changes of minimum linear diameter (MLD) and macular hole index (MHI) after the primary surgery were evaluated to see if they were prognostic markers of success for the revisional surgery.
Twenty-seven patients with a persistent MH after primary macular hole surgery were identified, all of whom underwent a second operation with PPV and gas tamponade with an ILM peel extension in 20 cases. The MH closure rate after revisonal surgery was 89% (24/27). Twenty-two cases were included in the OCT analysis, of which 14 MH that showed both a reduction of the MLD and an increase in the MHI after the primary repair closed after revisional surgery. Mean BCVA before revisional surgery was 0.86 logMAR (20/145 Snellen) but increased significantly post-operatively to 0.69 (± 0.15) logMAR (20/98 Snellen) at 3 months and to 0.49 logMAR (20/62 Snellen) at 12 month.
For persistent idiopathic MH simple repeat PPV with gas tamponade has a good anatomical and functional success rate in selected cases. MLD and MHI can be useful OCT markers for prognostic guidance.
For persistent idiopathic MH simple repeat PPV with gas tamponade has a good anatomical and functional success rate in selected cases. MLD and MHI can be useful OCT markers for prognostic guidance.
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