Comparison of Retinal Vascular Arcade Trajectory Between Eyes with an Idiopathic Macular Hole and the Healthy Fellow Eye

Abstract Purpose: We aimed to present a method to evaluate the retinal arcade vascular trajectory by measuring the distance between the retinal veins in eyes with idiopathic macular hole (IMH) and compare this measurement with healthy fellow eyes.Methods: In this Cross-sectional study18 patients with unilateral IMH were enrolled. We used standard fundus photographs, which were obtained from each eye with a digital fundus camera using a 55-degree lens. The calculation of the retinal arcade vascular trajectories was done by drawing and measuring 5 vertical lines within the macular area. Results: The mean age of the patients was 65±9 years. The between-groups differences of each vertical line were not statistically significant, except for the differences between the most temporal line, which was greater in the diseased group (9388 vs. 8322 mm; P=0.034). The ratio between the 5th (most temporal) and the third (fovea-center) vertical lines was greater than 1 (V-shape) in 72% of eyes with a macular hole, whereas it was less than one (U-shape) in 78% of control eyes (P=0.003). Conclusions: We demonstrated that in eyes with an IMH the vascular arcade has more tendency to diverge on its path temporal to the fovea.

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Parafoveal OCT Angiography Features in Diabetic Patients without Clinical Diabetic Retinopathy: A Qualitative and Quantitative Analysis

Journal of Ophthalmology ◽

10.1155/2017/8676091 ◽

2017 ◽

Vol 2017 ◽

pp. 1-14 ◽

Cited By ~ 16

Author(s):

Mathilde M. Goudot ◽

Anne Sikorav ◽

Oudy Semoun ◽

Alexandra Miere ◽

Camille Jung ◽

...

Keyword(s):

Diabetic Retinopathy ◽

Quantitative Analysis ◽

Capillary Density ◽

Oct Angiography ◽

Foveal Avascular Zone ◽

Diabetic Patients ◽

Cross Sectional ◽

The Mean ◽

Fundus Photographs ◽

And Gender

Purpose. To evaluate the capacity of OCT angiography (OCTA) for detecting infraclinical lesions in parafoveal capillaries in diabetic patients without diabetic retinopathy (DR). Methods. This prospective observational cross-sectional case-control study analyzed the superficial and deep capillary plexuses (SCP and DCP) on macular OCTA scans (3 × 3 mm) centered on the fovea. We compared 22 diabetic patients (34 eyes included) without DR diagnosis on color fundus photographs, with 22 age- and gender-matched nondiabetic controls (40 eyes included). Qualitative analysis concerned morphological ischemic capillary alterations. Quantitative analysis measured foveal avascular zone (FAZ) size, parafoveal capillary density, and enlargement coefficient of FAZ between SCP and DCP. Results. Neither the qualitative nor quantitative parameters were significantly different between both groups. No microaneurysms or venous tortuosity was observed in any of the analyzed images. On the SCP, the mean FAZ area was 0.322 ± 0.125 mm2 in diabetic patients and 0.285 ± 0.150 mm2 in controls, P=0.31. On the DCP, the mean FAZ area was 0.444 ± 0.153 mm2 in cases and 0.398 ± 0.138 mm2 in controls, P=0.20. Conclusion. OCTA did not detect infraclinical qualitative or quantitative differences in parafoveal capillaries of diabetic patients without DR in comparison with nondiabetic controls.

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First-Operated and Fellow Eyes With Bilateral Idiopathic Macular Hole: Comparison of Anatomical and Functional Postoperative Outcomes

Ophthalmic Surgery Lasers and Imaging Retina ◽

10.3928/23258160-20180803-04 ◽

2018 ◽

Vol 49 (8) ◽

pp. 571-578

Author(s):

Mumin Hocaoglu ◽

Isil Sayman Muslubas ◽

M. Giray Ersoz ◽

Serra Arf ◽

Murat Karacorlu

Keyword(s):

Macular Hole ◽

Postoperative Outcomes ◽

Idiopathic Macular Hole ◽

Fellow Eyes

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Reduction of foveal bulges and other anatomical changes in fellow eyes of patients with unilateral idiopathic macular hole without vitreomacular pathologic changes

Graefe s Archive for Clinical and Experimental Ophthalmology ◽

10.1007/s00417-017-3765-z ◽

2017 ◽

Vol 255 (11) ◽

pp. 2141-2146

Author(s):

Barbara Delas ◽

Gemma Julio ◽

Álvaro Fernández-Vega ◽

Ricardo P. Casaroli-Marano ◽

Jeroni Nadal

Keyword(s):

Macular Hole ◽

Idiopathic Macular Hole ◽

Anatomical Changes ◽

Fellow Eyes

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Intraocular pressure change with face-down positioning after macular hole surgery

PLoS ONE ◽

10.1371/journal.pone.0242567 ◽

2020 ◽

Vol 15 (11) ◽

pp. e0242567

Author(s):

Sung Won Choi ◽

Chong Eun Lee ◽

Yu Cheol Kim

Keyword(s):

Intraocular Pressure ◽

Macular Hole ◽

Axial Length ◽

Pressure Change ◽

Idiopathic Macular Hole ◽

Pars Plana ◽

Intravitreal Gas ◽

The Mean ◽

Iop Elevation

This study evaluated changes in intraocular pressure (IOP) with face-down positioning (FDP) following surgical treatment of idiopathic macular hole. We retrospectively reviewed the records of 130 patients diagnosed with idiopathic macular hole who underwent pars plana vitrectomy (PPV) with intravitreal gas injection after fluid-gas exchange. We analyzed IOP changes in both eyes following FDP over the course of 7 days. The mean IOP of the operated eyes was 14.98±2.95 mmHg preoperatively and 16.82±3.12 and 15.57±6.10 mmHg on postoperative days 2 and 7, respectively. In contralateral eyes, the mean IOP changed from 14.78±3.15 mmHg preoperatively to 16.27±1.87 and 14.40±4.14 mmHg on postoperative days 2 and 7, respectively. On postoperative day 2, the IOP increased in both eyes compared to the preoperative values, but the increase was significant only in operated eyes (p = 0.039). In contralateral eyes, the IOP on postoperative day 7 was significantly decreased compared with that on postoperative day 2 (p = 0.021) and in eyes with an axial length ≥ 23.0 mm, compared with the preoperative values (p = 0.042). The IOP of the operated eyes on postoperative day 7 was higher than that of the contralateral eyes (p = 0.039). Based on a short-term follow-up, FDP after PPV with intravitreal gas tamponade for the treatment of idiopathic macular hole may cause IOP elevation not only in the operated, but also in the contralateral eyes; the IOP increase in contralateral eyes was not as significant as that in operated eyes and was not maintained over 7 days after surgery; the IOP change seems to be affected by axial length and lens status.

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Retinal Nerve Fibre Layer and Macular Thicknesses in Adults with Hyperopic Anisometropic Amblyopia

Journal of Ophthalmology ◽

10.1155/2015/946467 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

Konuralp Yakar ◽

Emrah Kan ◽

Aydın Alan ◽

Mehmet Hanifi Alp ◽

Tolga Ceylan

Keyword(s):

Nerve Fibre ◽

Retinal Nerve Fibre Layer ◽

Macular Thickness ◽

Cross Sectional ◽

Anisometropic Amblyopia ◽

Fibre Layer ◽

Disc Area ◽

The Mean ◽

Nerve Fibre Layer ◽

Fellow Eyes

Objectives. This study compared the macular and retinal nerve fibre layer (RNFL) thicknesses and optic nerves of eyes with reduced vision due to anisometropia with the contralateral healthy eyes in adults using optical coherence tomography (OCT).Methods. This cross-sectional study was conducted in Atatürk State Hospital, Sinop, Turkey. Macular and RNFL thicknesses, optic nerve disc area, cup area, and horizontal and vertical cup-to-disc ratios obtained using a NIDEK RS-3000 SLO spectral domain OCT device were compared between the amblyopic and fellow eyes in 30 adults with anisometropic amblyopia 18–55 years old who were seen in our clinic with unilateral poor vision.Results. The mean macular thickness was 266.90 ± 23.22 µm in the amblyopic eyes and 263.90 ± 22.84 µm in the fellow eyes, and the mean RNFL thickness was 111.90 ± 12.9 and 109.70 ± 9.42 µm, respectively. The two thicknesses did not differ significantly between the amblyopic and fellow eyes. There were also no significant differences between the eyes in disc area, cup area, and horizontal-vertical cup/disc ratios.Conclusion. There does not seem to be a difference in macular thickness, peripapillary RNFL, or optic disc structures between the amblyopic and fellow eyes in adults.

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Hypochondriac fears and beliefs of medical students

Psihijatrija danas ◽

10.5937/psihdan2001035s ◽

2020 ◽

Vol 52 (1-2) ◽

pp. 35-45

Author(s):

Dona Stefanović ◽

Dunja Stankić ◽

Stefan Stoisavljević ◽

Olivera Vuković

Keyword(s):

Medical Students ◽

Health Anxiety ◽

Cross Sectional Study ◽

Attitude Scale ◽

Sectional Study ◽

Cross Sectional ◽

Mean Values ◽

The Third ◽

School Year ◽

The Mean

Hypochondria is a mental disorder characterized by a preoccupation with fears that a person may be ill or suffering from a serious illness, based on a misinterpretation of problems that cannot be eliminated by appropriate medical reassurance. A special type of hypochondriasis known as Medical Student Syndrome (MSS) refers to student's fears and beliefs that they are ill or may become ill with the illnesses they are learning while studying in pre-clinical and clinical subjects. A cross-sectional study was conducted during the winter semester of the 2019/2020 school year, with a sample of 90 students of the first, third, and sixth year of the Faculty of Medicine, sampled on a random basis. Subjects completed the Illness Attitude Scale (IAS). The aim of study was to investigate whether there is a difference in the incidence of hypochondrial tendencies and beliefs in the students of the Faculty of Medicine in relation to the year of study. The mean values on certain subscales were statistically significantly higher in students of third compared to students of first and sixth year of medicine. Students who have not renewed a year were found to have significantly higher average scores on the Disease Concerns and Pain Concerns subscale, as well as Disease phobia compared to those who renewed the year, while Hypochondrial beliefs were statistically significantly higher in subjects who renewed the year compared to students who had not renewed the year. The presented results support the hypothesis that health anxiety and all its components among the medical students at the preclinical level is most pronounced in the third year of study, and that it shows declining trend in the later stages of study.

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May Measurement Month 2019: an analysis of blood pressure screening results from Argentina

European Heart Journal Supplements ◽

10.1093/eurheartj/suab055 ◽

2021 ◽

Vol 23 (Supplement_B) ◽

pp. B12-B14

Author(s):

Martin R Salazar ◽

Fortunato Garcia Vazquez ◽

Walter G Espeche ◽

Diego Marquez ◽

Pedro Becerra ◽

...

Keyword(s):

Blood Pressure ◽

Public Spaces ◽

Normal Weight ◽

Prevention Strategies ◽

Cross Sectional Survey ◽

Community Based ◽

Cross Sectional ◽

The Third ◽

The Mean ◽

And Control

Abstract The Argentinean Society of Hypertension, in agreement with the May Measurement Month (MMM) initiative of the International Society of Hypertension, implemented for the third consecutive year a hypertension screening campaign. A volunteer cross-sectional survey was carried out in public spaces and health centres during the month of May 2019 across 33 cities in Argentina. Hypertension was defined as systolic blood pressure (BP) ≥140 mmHg and/or diastolic BP ≥90 mmHg based on the mean of the second and third BP measurements, or in those on treatment for high BP. A total of 94 523 individuals (53.9 ± 17.8 years old, 55 231women and 39 292 men), were evaluated. The age and sex standardized mean BP was 124.7/77.2 mmHg. Among participants, 34.7% were overweight (25-29.9 m/kg2) and 28.7% had obesity (≥30 m/kg2). Individuals identified as being overweight had BP 3/2 mmHg higher and individuals with obesity 6/4 mmHg higher than those with normal weight. The prevalence of hypertension was 52.5%. Although 81.1% were aware and 77.7% were on antihypertensive treatment, only 46.0% of all individuals with hypertension had their BP controlled. Moreover, 19.8% of those not on any antihypertensive medication were found with raised BP. The low level of control of hypertension generates the critical need for the development of community-based prevention strategies reinforcing strategies to increase the awareness and control of hypertension.

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Fellow Eyes in Idiopathic Macular Hole Cases

Ophthalmic Surgery Lasers and Imaging Retina ◽

10.3928/1542-8877-19920901-07 ◽

1992 ◽

Vol 23 (9) ◽

pp. 594-597

Author(s):

Jun Akiba ◽

Akihiro Kakehashi ◽

Carlos W Arzabe ◽

Clement L Trempe

Keyword(s):

Macular Hole ◽

Idiopathic Macular Hole ◽

Fellow Eyes

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The Prevalence and Distribution of Vitreoretinal Interface Abnormalities among Urban Community Population in China

Journal of Ophthalmology ◽

10.1155/2015/742686 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Lei Liu ◽

Song Yue ◽

Jingyang Wu ◽

Jiahua Zhang ◽

Jie Lian ◽

...

Keyword(s):

Macular Hole ◽

Urban Community ◽

Posterior Vitreous Detachment ◽

Age Groups ◽

Normal Subjects ◽

Cross Sectional Study ◽

Vitreoretinal Interface ◽

Cross Sectional ◽

Community Population ◽

Fundus Photographs

The aim of this research was to identify the prevalence and distribution of vitreoretinal interface abnormalities (VIAs) among urban community population in Shenyang, China. According to the WHO criteria, a cross-sectional study was carried out among 304 Type 2 diabetes (T2D) patients and 304 people without diabetes as control over 45 years old. The presence of VIAs was determined by standardized grading of macular optical coherence tomography (Optovue OCT; Optovue, Inc., Fremont, CA) scans and two-field fundus photographs in at least one eye. For both men and women, high prevalence of VIAs (70.79%) was observed among over 65-years-old T2D patients. Prevalence of VIAs was observed to be high among T2D patients in all age groups compared to normal subjects. Prevalence of VIAs increased with age in all subjects. Prevalence of components of VIAs was epiretinal membrane (ERM) 11.43%, posterior vitreous detachment (PVD) 17.76%, vitreomacular traction syndrome (VMT) 5.67%, macular cysts/macular edema (MC/ME) 4.61%, full-thickness macular hole (FTMH) 0.82%, and partial thickness macular hole (PTMH) 0.74% in any eye, respectively. ERM and MC/ME were more prevalent in T2D in both males and females. The results highlight the need for early detection using OCT and approaches for the prevention of VIAs of diabetes in urban community.

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