BMC Ophthalmology

Unexpected extraocular muscle hypoplasia during strabismus surgery: case series
Yuan Y, Wang X, Ling L, Yu X, Jiang C, Wen W and Zhao C
Reports of congenital isolated medial rectus muscle abnormalities are relatively uncommon and are seldom seen. According to our clinical experience, some rare cases of abnormalities could not be detected by clinical examination and imaging before surgical treatment, which brought difficulties to diagnosis and surgery.
Anatomical and functional outcome of surgical correction of optic disc pit maculopathy using autologous scleral patch graft: a long-term retrospective analysis
Kannan NB, Sarkar AD, Vallinayagam M, Jena S, Shah S and Ramasamy K
Optic disc pit (ODP) is a rare congenital anomaly of optic nerve head and is associated with maculopathy. Scleral patch graft (SPG) as a therapeutic option is recently advocated.
Suggestive evidence of male specific genetic association of IL8 -251T>A promoter polymorphism with primary angle closure glaucoma in a north Indian Punjabi population
Thakur N, Pandey RK, Vig VK and Mehrotra S
Overproduction of IL-8 in the retina and optic nerve may affect the survival of retinal ganglion cells (RGCs) and contribute to axonal damage in glaucoma. The -251T > A functional variant in the promoter region of the IL8 gene is known to affect its transcriptional activity, as demonstrated in in vitro assays.
Aflibercept high-dose (8mg) related intraocular inflammation (IOI) - a case series
Hoffmann L, Michels S, Eandi C, Karam MA, Figueiredo ECO and Hatz K
Monitoring for potential inflammatory events following intravitreal anti-vascular endothelial factor (VEGF) injection is crucial with the use of new agents such as aflibercept 8 mg. Despite a safety profile comparable to aflibercept 2 mg in pivotal and phase 3 studies, reporting such cases in clinical practice helps evaluate potential risk of these agents.
Challenges in identifying papilledema amid myopic peripapillary atrophy in a patient with idiopathic intracranial hypertension and high myopia: a case report
Han IJ, Choi JY and Park KA
Idiopathic intracranial hypertension (IIH) is a disease entity characterized by elevated intracranial pressure, which usually accompanied by papilledema. However, diagnosing papilledema can be challenging in patients with preexisting ocular conditions, such as high myopia.
Acute retinal pigment epitheliitis using adaptive optics imaging: a case report
Heutinck PAT, Wooning S, Liman K, Durand M, Sanchez Brea L, Klaver CCW, Verhoeven VJM, Andrade De Jesus D and Thiadens AAHJ
Acute Retinal Pigment Epitheliitis (ARPE, Krill's disease) is a rare inflammatory retinal disorder commonly affecting young adults. It often presents unilaterally with central vision disruption, and typically resolves with vision restoration within 6 to 12 weeks. The pathogenesis of ARPE remains a subject of ongoing debate. Adaptive Optics Flood Illumination Ophthalmoscopy (AO-FIO) imaging has emerged as a valuable tool capable of detecting early cone photoreceptor changes and recovery. This case study presents two patients with ARPE, with longitudinal follow-up using multimodal imaging, including optical coherence tomography (OCT) and AO-FIO.
Plasma cell type Castleman's disease of lacrimal gland: a case report and literature review
Xu L, Li J, Xu X, Ren T and Ma J
Orbital Castleman's disease is a rare benign lymphoproliferative disorder of extranodal origin.
Intraocular complement activation is independent of systemic complement activation and is related to macular vascular remodelling in retinal vein occlusion
Liu H, Zhou Y, Qi J, Liang S, Guo T, Chen J, Tan H, Wang J, Xu H and Chen Z
Retinal vein occlusion (RVO) is a major cause of vision loss. The pathogenesis remains poorly defined although inflammation is known to play a critical role. In this study, we investigated the levels of complement proteins in the aqueous humour and plasma of RVO participants and the relationship between complement levels and retinal pathologies.
The relationship between illness perception and vision-related quality of life among Chinese patients with diabetic retinopathy: the mediating role of resignation coping style
Zhang B, Xu M, Wang Q, Zhang X, Liu B, Li M and Jiang L
Maladaptive illness perception and coping strategies have been linked to illness-related quality of life in patients with chronic diseases. However, the impact of illness perception and coping strategies on vision-related quality of life (VRQOL) in patients with diabetic retinopathy (DR), a significant microvascular complication of diabetes mellitus, remains unclear. This study aims to evaluate the associations among illness perception, coping styles, and VRQOL in Chinese patients with DR, and to explore the mediating role of coping styles in the relationship between illness perception and VRQOL.
BlephEx-treatment for blepharitis: a prospective randomized placebo-controlled trial
Siegel H, Merz A, Gross N, Bründer MC, Böhringer D, Reinhard T and Maier P
Blepharitis is a chronic inflammatory condition of the eyelids that affects a large proportion of patients in eye care settings. First-line treatments provide only partial relief for many patients. The BlephEx™ device provides automated eyelid debridement and aims to remove pathogenic biofilms from the eyelid margin to treat blepharitis long-term. However, evidence supporting the efficacy of BlephEx™ is limited.
Optic neuropathy as an initial manifestation of acute retinal necrosis caused by varicella zoster virus: a case report
Li L, Wu Q, Tian Q, Han G and Xie X
We present the treatment and follow-up of a rare patient with acute retinal necrosis (ARN) with optic neuropathy as the first manifestation.
Thelaziasis in an urban woman in Beijing: a case report and literature review
Tan S, Zhang P, Li F, Li Y, Liu Z and Li X
Thelaziasis is a zoonotic disease mainly caused by Thelazia callipaeda (Spirurida, Thelaziidae, Thelazia), which can cause mild to severe signs and lesions, such as foreign body sensation, itching, tearing, eye pain, conjunctival bleeding, conjunctivitis, corneal ulcers, and even blindness. Thelaziasis cases have been reported mainly in agricultural areas and areas with high potential for contact with domestic animals [1].
Evaluating anterior corneal surface using Placido ring mires for irregular astigmatism in refractory corneal subepithelial infiltrates after adenoviral conjunctivitis
Toyokawa N, Araki-Sasaki K, Kimura H and Kuroda S
Corneal subepithelial infiltrates (SEIs) are characteristic clinical findings of adenoviral keratoconjunctivitis (AKC). In eyes with SEIs, both corneal opacity and irregular astigmatism may interfere with vision. However, irregular astigmatism is often overlooked in patients with AKC. Here, we report a case of decreased vision due to irregular corneal surfaces detected by Placido ring mires in eyes with corneal SEIs after AKC.
Clinical and surgical outcomes of tectonic corneal patch grafts : insights from a tertiary referral hospital
Asfuroğlu Y, Karaca EE, Orman C and Evren Kemer Ö
This study aimed to report the clinical characteristics, surgical indications, outcomes and long-term complications of full-thickness or lamellar corneal patch grafts for various indications.
The macular microvascular changes in children with a history of retinopathy of prematurity treated with intravitreal Bevacizumab injection using optical coherence tomography angiography: a retrospective cohort
Eftekhari Milani A, Ahoor MH, Etemad F, Kharrazi Ghadim B and Arasteh A
Our study aims to evaluate and compare the macular microvascular condition of the intravitreal Bevacizumab (IVB)-treated retinopathy of prematurity (ROP) cases to the preterm cases without ROP and spontaneously regressed ROPs.
The analysis of foveal microvascular anomalies in retinopathy of prematurity after anti-vascular endothelial growth factor therapy using optical coherence tomography angiography
Liu W, Guo L, Cai Y, Xu H, Linghu D, Zhu X, Cheng Y, Deng X, Zhao M, Shi X and Liang J
To investigate the quantitative vascular and structural differences in the foveal region of the eyes in retinopathy of prematurity children with or without anti-vascular endothelial growth factor (VEGF) therapy and healthy children using optical coherence tomography angiography (OCTA).
Comparison of therapeutic effects of 0.05% Cyclosporine A versus 0.1% Fluorometholone in Chinese patients with mild dry eye unresponsive to artificial tears: a randomized control study
Gao H, Zhao L, Du A, Zhang X, Chai M, Liu L, Pazo EE and Wei R
To assess and compare the therapeutic outcomes of 0.05% Cyclosporine A (CsA) ophthalmic solution versus 0.1% Fluorometholone (FML) eyedrops in Chinese patients with mild dry eye disease (DED) unresponsive to conventional artificial tears (AT).
A rare case of infiltrative optic neuropathy caused by vitreoretinal lymphoma with hyperreflective deposits in the intraretinal and subretinal pigment epithelial layers prior to the disease onset
Kuji T, Komoto S, Maruyama K, Fujimoto S, Fujino T, Kitaguchi Y, Shimojo H, Morimoto T and Nishida K
To describe a rare case of infiltrative optic neuropathy (ION) caused by vitreoretinal lymphoma (VRL) with hyperreflective deposits in the intraretinal and subretinal pigment epithelial (RPE) layers before the disease onset.
Tocilizumab for the management of corticosteroid-resistant GO combined with OMG: a case series
Guo C, Wang P, Zhang S, Cheng Q, Zhang Q, Ma N and Li Y
To highlight the safety and efficacy of tocilizumab (TCZ) in Graves' ophthalmopathy (GO) combined with ocular myasthenia gravis (OMG) patients refractory to steroids and cholinesterase inhibitor (CEI).
Comparison of clinical outcomes, complications and patient satisfaction following deep anterior lamellar keratoplasty and penetrating keratoplasty
Aldebasi T, Gangadharan S, Alshammari YS, Alruhaimi SS, Alrashid SO, Ardah H, Shahrani JA, Shahrani SA, Badri M and Alfardan F
Keratoplasty is a surgical procedure in which a damaged or diseased cornea is replaced with healthy donor tissue, thereby restoring vision. Recent advancements have led to the replacement of penetrating keratoplasty (PKP) with the more selective deep anterior lamellar keratoplasty (DALK) procedure, especially for treating keratoconus. Although DALK typically has a shorter recovery time, less pain and a lower risk of rejection, PKP is still being performed for more severe corneal diseases. A comparative study of clinical profiles, treatment outcomes and patient-reported satisfaction will provide valuable insights into the cost-effectiveness, impact on quality of life and ability of each procedure to treat different pathologies of the cornea. Here, we aimed to compare the clinical and subjective outcomes of DALK with those of the PKP at a single center in the Kingdom of Saudi Arabia.
Bony realignment in surgically treated orbital blowout fractures based on computed tomography
Park JW, Lee C, Woo KI and Kim YD
This study investigated postoperative bony realignment using follow-up computed tomography (CT) scans of patients with blowout fracture repair using an alloplastic implant.