OPHTHALMOLOGICA

Early Changes in Ocular Biomarkers in Patients with Vogt-Koyanagi-Harada Disease After Pulse Steroid Therapy
Muto T, Kawaguchi S, Kusuda S, Misu K, Sakamoto M, Machida S, Imaizumi S and Sekiryu T
This study aimed to identify when ocular biomarker changes occur within 1 month and which ocular biomarkers correlate with best-corrected visual acuity (BCVA) at months 1 and 6.
Dealing with the verteporfin shortage: treatment options and outcomes in patients with chronic and non-resolving central serous chorioretinopathy
Van den Tillaart FM, Hartgers F, Hoyng CB and Yzer S
Introduction Half-dose photodynamic therapy (HD-PDT) with verteporfin is the mainstay treatment in central serous chorioretinopathy (CSC). Since 2021, there is a worldwide shortage of verteporfin. This called for adjustments of daily practice. Here we provide a comprehensive evaluation of the adapted treatment methods and outcomes in patients with non-resolving and chronic CSC. Methods In this retrospective cohort study, we compared patients referred in the year before the verteporfin shortage (group 1), with patients referred in the first year of verteporfin shortage (group 2). Treatment strategies, subretinal fluid (SRF) resolution, and visual acuity (VA) were evaluated during a follow-up period of at least 4 months. Results Eighty-five eyes of 79 patients were analysed, 36 eyes in group 1 and 49 in group 2. The treatment strategy at the first visit shifted from HD-PDT as the most performed treatment in group 1 to a more patient tailored approach in group 2, with a wait-and-see policy in most cases. During follow-up, HD-PDT was performed significantly less in group 2 (89% vs. 45%; p < 0.001). At a mean follow-up time of 6.2 months, SRF resolved in 61% of the eyes in group 1 and in 55% in group 2 (p = 0.821). No difference in VA was observed between the groups at follow-up (p = 0.637). Conclusion During the shortage of verteporfin, a different treatment strategy was applied, with HD-PDT being performed less frequently. By implementing a more patient-tailored approach, the VA and the resolution rate of SRF remained similar to the year before the shortage.
Baseline Features in Polypoidal Choroidal Vasculopathy in Caucasian Patients
Ruggeri ML, Toto L, D'Aloisio R, Romano A, Quarta A, Gironi M, Formenti F, Aloia R, Porreca A, Di Nicola M and Mastropasqua R
The aim of this study was to investigate demographic, anatomical, angiographic, and functional parameters in patients suffering from polypoidal choroidal vasculopathy (PCV).
Efficacy and Safety of Intravitreal Faricimab in Neovascular Age-Related Macular Degeneration, Diabetic Macular Edema, and Retinal Vein Occlusion: A Meta-Analysis
Nichani PAH, Popovic MM, Mihalache A, Pathak A, Muni RH, Wong DTW and Kertes PJ
Intravitreal anti-vascular endothelial growth factor (VEGF) therapy has become the mainstay of treatment in many retinal diseases. The comparative efficacy and safety of newer bispecific anti-VEGF/angiopoietin 2 (Ang2) agents in the treatment paradigm versus widely used monospecific anti-VEGF agents remains unclear.
Advancing the Frontiers of Retinal Vasculitis: Insights, Challenges, and Future Directions
Munk MR and Cunningham ET
Incidence of Acute Endophthalmitis after Secondary Intraocular Lens Implantation: A Nationwide Cohort Study
Lee S, Lee JK, Kim SH and Chung EJ
In this study, we aimed to analyze the incidence of acute endophthalmitis after secondary intraocular lens (IOL) implantation in South Korea.
Clinical and Demographic Characteristics of Treatment Requiring Retinopathy of Prematurity in Big Premature Infants in Turkiye: Report No. 1 (BIG-ROP Study)
Özdek Ş, Ozdemir HB, Ozen Tunay Z, Bayramoglu SE, Alyamac Sukgen E, Kır N, Koç E, and
The aim of the study was to analyse the clinical and demographic features of infants with gestational age (GA) of 32-37 weeks and birth weight (BW) of >1,500 g who developed treatment requiring retinopathy of prematurity (ROP).
Diagnostic work-up of retinal vasculitis: An algorithmic approach
Arora A, Agarwal M, Loh NC, Amin H, Menia NK, Agrawal R and Gupta V
Retinal vasculitis has heterogenous etiologies encompassing infections, autoimmune, masquerades and idiopathic. The heterogeneity in the underlying clinical features and aetiologies of retinal vasculitis makes its diagnosis challenging for clinicians and the work up thus becomes quite extensive and many a times several unwarranted investigations are done to look for a possible etiology. Timely and accurate diagnosis is crucial for effective management and vision preservation. The algorithmic approach needs understanding of the phenotype, clinical as well as imaging biomarkers so that only customized investigations are done in order to make the timely diagnosis and initiate specific therapy wherever required. In this review article, we shall present an algorithmic approach that combines clinical assessment, ophthalmic imaging, laboratory investigations, and targeted ancillary tests.
New Approaches in the Management of Submacular Hemorrhages
Iglicki M and Zur D
Changes of Optical Coherence Tomography Biomarkers after Peeling of Epiretinal Membranes
Leisser C, Schlatter A, Ruiss M, Pilwachs C and Findl O
Several optical coherence tomography (OCT) biomarkers for postsurgical success among patients with idiopathic epiretinal membranes (iERMs) undergoing pars plana vitrectomy and membrane peeling have been described in the past. The aim of this study was to examine the remission of OCT biomarkers in patients with iERM after pars plana vitrectomy with membrane peeling 3 months and 1 year after surgery.
Macular Structure Characteristics in Unilateral Idiopathic Full-Thickness Macular Hole and the Healthy Fellow Eyes
Hou YT, Yang CM and Hsieh YT
This study aimed to investigate the macular structure and foveal pit characteristics in the unilateral full-thickness macular hole (FTMH) patients and healthy fellow eyes.
Blue Dye-Assisted Intraoperative Optical Coherence Tomography for Macular Surgery
Pellegrini M, Adamo G, Sarti L, Talli PM, Nasini F and Mura M
The purpose of this study was to evaluate whether vital blue dyes could enhance the contrast of intraoperative optical coherence tomography (OCT) during macular surgery.
Comparison of Chandelier-Assisted versus Standard Scleral Buckling for the Treatment of Primary Rhegmatogenous Retinal Detachment: A Systematic Review and Meta-Analysis
Kao YS, Chen CY, Huang YT and Chen SN
Compare the anatomical and functional outcomes, operation duration, and complication rates between standard scleral buckling (SSB) and chandelier-assisted scleral buckling (CSB) for phakic eyes with rhegmatogenous retinal detachment (RRD).
The Short-Term Efficacy and Safety of Faricimab in Refractory Neovascular Age-Related Macular Degeneration: The Real-World Experience in Taiwan
Chi SC, Weng CC, Chen SJ, Lin TC, Chou YB and Hwang DK
Anti-vascular endothelial growth factor (VEGF) treatment stands as the primary approach for neovascular age-related macular degeneration (nAMD). Faricimab has recently emerged as a novel anti-VEGF option for nAMD. This study aimed to assess the efficacy of faricimab in patients with refractory nAMD.
Prevalence and Risk Factors for Metamorphopsia after Successful Retinal Detachment Surgery
Pastor G, Salleron J, Zessler A, Stoebener S, Angioi-Duprez K, Berrod JP and Conart JB
The aim of the study was to determine the prevalence of metamorphopsia following rhegmatogenous retinal detachment (RRD) surgery, as well as associated predictive factors.
Twelve-Month Outcomes of Three Episcleral Surgeries in Treatment of Rhegmatogenous Retinal Detachment
Zhou Z, Guo B, Zhou H, Yang C, Mei J, Deng C, Wu R and Lin Z
The aim of this study was to compare the long-term outcomes of conventional scleral buckling (CSB), modified scleral buckling (MSB), and scleral encircling (SE) in the treatment of rhegmatogenous retinal detachment and identify factors influencing the outcomes.
Performance of Extended Depth of Focus Intraocular Lens in Eyes with Preexisting Retinal Disease
Reitblat O, Velleman DA, Levy A, Assia EI and Kleinmann G
Extended depth of focus (EDOF) intraocular lens (IOL) offers improved near and intermediate vision, aiming to reduce spectacle dependence in cataract patients. This research aimed to evaluate the performance of EDOF IOL in patients with retinal pathologies following cataract surgery.
Comparison of Postoperative Axial Rotation of the Toric Intraocular Lens in Cataract Surgery Combined with Vitrectomy versus Cataract Surgery Alone
Mito T, Ishida H, Seki Y, Shirayama T, Ukai Y and Sasaki H
This study compared the postoperative axial rotation of the toric intraocular lens (T-IOL) after cataract surgery combined with vitrectomy versus cataract surgery alone.
Novel Variants in ABCA4-Related Retinopathies with Structural Re-Assessment of Variants of Uncertain Significance
Gregory-Evans K, Kolawole OU, Molday RS and Gregory-Evans CY
Conclusive molecular genetic diagnoses in inherited retinal diseases remains a major challenge due to the large number of variants of uncertain significance (VUS) identified in genetic testing. Here, we determined the genotypic and phenotypic spectrum of ABCA4 gene variants in a cohort of Canadian inherited retinal dystrophy subjects.
Clinical Outcomes of a New Monofocal Intraocular Lens in Patients Undergoing Phacovitrectomy for Idiopathic Epiretinal Membrane
Jukić T, Bajraktari G, Vukojević N, Oroz M, Radolović A, Mandić K and Kalauz M
The purpose of this study was to evaluate the clinical outcomes and quality of life of newly generated monofocal intraocular lens (IOL) in patients diagnosed with idiopathic epiretinal membrane (IEM) following phacovitrectomy.
Multimodal Imaging in Retinal Vasculitis
Perez Y, Neri P and Pichi F
Retinal vasculitis is an inflammatory condition that affects the retinal blood vessels.