scholarly journals Factors Associated with Anatomic Failure and Hole Reopening after Macular Hole Surgery

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Yutong Li ◽  
Siyan Jin ◽  
Lijun Shi ◽  
Hecong Qin ◽  
Jinsong Zhao
Keyword(s):  
Macular Hole ◽  
Vision Loss ◽  
Internal Limiting Membrane ◽  
Idiopathic Macular Hole ◽  
Slit Lamp ◽  
Central Vision ◽  
Factors Associated ◽  
Central Vision Loss ◽  
Underlying Mechanisms ◽  
Slit Lamp Microscopy

A macular hole (MH), particularly an idiopathic macular hole (IMH), is a common cause of central vision loss. Risk factors for nonidiopathic MH include high myopia, cystoid macular edema, inflammation, and trauma. MH is primarily diagnosed using slit-lamp microscopy and optical coherence tomography (OCT). Half of the patients with stage I MHs are treated conservatively and may show spontaneous resolution. The main treatment methods for MHs currently include vitrectomy and stripping of the internal limiting membrane (ILM). However, in some patients, surgery does not lead to anatomical closure. In this review, we summarize the factors influencing the anatomical closure of MHs and analyze the potential underlying mechanisms.

scholarly journals Driving Habits in Older Patients with Central Vision Loss

Ophthalmology ◽  
2014 ◽  
Vol 121 (3) ◽  
pp. 727-732 ◽  
Author(s):  
Sabyasachi Sengupta ◽  
Suzanne W. van Landingham ◽  
Sharon D. Solomon ◽  
Diana V. Do ◽  
David S. Friedman ◽  
...  
Keyword(s):  
Older Patients ◽  
Vision Loss ◽  
Central Vision ◽  
Central Vision Loss

scholarly journals Bilateral juxtapapillary choroidal neovascularization secondary to Birdshot chorioretinopathy -- case report

2021 ◽  
Author(s):  
Sania Vidas Pauk ◽  
Nenad Vukojević ◽  
Sonja Jandroković ◽  
Miro Kalauz ◽  
Martina Tomić ◽  
...  
Keyword(s):  
Case Report ◽  
Macular Edema ◽  
Choroidal Neovascularization ◽  
High Myopia ◽  
Vision Loss ◽  
Detailed Examination ◽  
Central Vision ◽  
Birdshot Chorioretinopathy ◽  
Central Vision Loss ◽  
The Right

Central vision loss, photopsia, floaters and macular edema in a highly myopic patient can easily be misrelated to high myopia complications. However, in atypical cases, detailed examination along with a thorough diagnostic is required to establish the right diagnosis, which is often beyond the limits of the condition originally considered.

High rate of conversion from ocular hypertension to glaucoma in subjects with uveitis

2021 ◽  
pp. bjophthalmol-2021-318809
Author(s):  
Tiffany Ma ◽  
Joanne L Sims ◽  
Sonya Bennett ◽  
Shenton Chew ◽  
Rachael L Niederer
Keyword(s):  
Ocular Hypertension ◽  
Vision Loss ◽  
Glaucoma Surgery ◽  
High Rate ◽  
Rapid Progression ◽  
Central Vision ◽  
Uveitic Glaucoma ◽  
Central Vision Loss

AimsTo examine presentation, management and long-term sequelae of ocular hypertension and uveitic glaucoma.MethodsRetrospective observational study of all subjects with uveitic glaucoma or ocular hypertension seen in Auckland uveitis clinics over the last 10 years.ResultsA total of 188 eyes of 139 subjects with uveitic glaucoma or ocular hypertension were included for analysis. Total follow-up was 1854.5 eye years (mean 9.9 years). The mean age at uveitis diagnosis was 49.3 years. 52.5% of subjects were male. The most common diagnoses were idiopathic uveitis (29.3%), sarcoidosis (13.3%), herpes zoster (6.9%), HLA-B27 uveitis (6.9%), tuberculosis (5.9%) and Posner-Schlossmann or cytomegalovirus (CMV) uveitis (5.3%). Median intraocular pressure (IOP) at diagnosis was 35 mm Hg (IQR 29–45). 144 eyes (77.0%) developed glaucoma during the follow-up period, of whom 41 lost some central vision due to glaucoma. Oral acetazolamide was required for IOP control in 64.5%, 50 eyes underwent trabeculectomy, 18 eyes required a tube and 6 underwent minimally invasive glaucoma surgery.ConclusionRapid progression was observed from ocular hypertension to uveitic glaucoma. Uveitic glaucoma is aggressive, with high likelihood of requiring surgical management and high risk of central vision loss. Close collaboration between uveitis and glaucoma specialists is required to maximise outcomes for these patients.

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