Anterior Segment Surgeries Performed During the Lockdown Period of the COVID-19 Pandemic

Abstract Purpose: This study aimed to evaluate the anterior segment surgeries performed in the coronavirus (COVID-19) lockdown period when prevention is at the forefront, in terms of etiology, referral region, demographic characteristics, and surgeries performed.Methods: A total of 144 cases who underwent anterior segment surgeries between 19 March 2020 and1 June 2020 were retrospectively reviewed from archive files. The demographic data and ophthalmological examinations of the patients, the region they were referred from, and the surgeries performed were noted.Results: A total of 144 patients, 49 women (34%) and 95 men (66%), were included in this study. The mean age of the patients was 31.30±25.88 (1-86) years. The presenting complaint was in the right eye in 43.7% of the cases, in the left eye in 52.8%, and in both eyes in 3.5% of the cases. While 94.4% of all cases applied from Istanbul, the remaining 5.6% applied from outside the province. Whereas 43.7% of the cases consisted of patients we had followed up previously, 56.3% presented to our hospital for the first time. Our hospital was the first referenced center in only 39.6% of the cases. When evaluated in terms of etiology, corneal perforation (18.1%) was the most common, followed by keratitis (13.2%). The most common surgical intervention was amnion membrane transplantation (19.4%), followed by perforation repair (16.7%).Conclusion: Ophthalmologic surgeries are continuing during the ongoing COVID-19 intervention process. Special algorithms are required to reduce the risk of transmission in terms of COVID-19 and to ensure continuity of health care for ophthalmology patients.

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Ocular findings among patients surviving COVID-19

Scientific Reports ◽

10.1038/s41598-021-90482-2 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Ílen Ferreira Costa ◽

Livia Pimenta Bonifácio ◽

Fernando Bellissimo-Rodrigues ◽

Eduardo Melani Rocha ◽

Rodrigo Jorge ◽

...

Keyword(s):

Visual Acuity ◽

Pigment Epithelium ◽

Demographic Data ◽

Retinal Pigment ◽

Anterior Segment ◽

Posterior Pole ◽

Architecture Evaluation ◽

Severe Group ◽

The Mean ◽

The Right

AbstractTo describe the medium-term ophthalmological findings in patients recovering from COVID-19. Patients recovered from the acute phase of COVID-19 underwent a complete ophthalmological evaluation, including presenting and best-corrected visual acuity (BCVA), refractometry, biomicroscopy, tonometry, break-up time and Schirmer tests, indirect ophthalmoscopy, color fundus picture, and retinal architecture evaluation using optical coherence tomography. Socio-demographic data and personal medical history were also collected. According to the severity of systemic manifestations, patients were classified into mild-to-moderate, severe, and critical. Sixty-four patients (128 eyes) were evaluated 82 ± 36.4 days after the onset of COVID’s symptoms. The mean ± SD duration of hospitalization was 15.0 ± 10.7 days. Seven patients (10.9%) had mild-to-moderate, 33 (51.5%) severe, and 24 (37.5%) critical disease. Median [interquartile ranges (IQR)] presenting visual acuity was 0.1 (0–0.2) and BCVA 0 (0–0.1). Anterior segment biomicroscopy was unremarkable, except for dry eye disease, verified in 10.9% of them. The mean ± SD intraocular pressure (IOP) in critical group (14.16 ± 1.88 mmHg) was significantly higher than in severe group (12.51 ± 2.40 mmHg), both in the right (p 0.02) and left eyes (p 0.038). Among all, 15.6% had diabetic retinopathy, and two patients presented with discrete white-yellowish dots in the posterior pole, leading to hyporreflective changes at retinal pigment epithelium level, outer segment, and ellipsoid layers. The present study identified higher IOP among critical cases, when compared to severe cases, and discrete outer retina changes 80 days after COVID-19 infection. No sign of uveitis was found.

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Okuläre Symptome nach COVID-19-Infektion

Karger Kompass Ophthalmologie ◽

10.1159/000520267 ◽

2021 ◽

pp. 1-3

Author(s):

Katja Göbel

Keyword(s):

Visual Acuity ◽

Pigment Epithelium ◽

Demographic Data ◽

Retinal Pigment ◽

Anterior Segment ◽

Posterior Pole ◽

Architecture Evaluation ◽

Severe Group ◽

The Mean ◽

The Right

To describe the medium-term ophthalmological findings in patients recovering from COVID-19. Patients recovered from the acute phase of COVID-19 underwent a complete ophthalmological evaluation, including presenting and best-corrected visual acuity (BCVA), refractometry, biomicroscopy, tonometry, break-up time and Schirmer tests, indirect ophthalmoscopy, color fundus picture, and retinal architecture evaluation using optical coherence tomography. Socio-demographic data and personal medical history were also collected. According to the severity of systemic manifestations, patients were classified into mild-to-moderate, severe, and critical. Sixty-four patients (128 eyes) were evaluated 82 ± 36.4 days after the onset of COVID’s symptoms. The mean ± SD duration of hospitalization was 15.0 ± 10.7 days. Seven patients (10.9%) had mild-to-moderate, 33 (51.5%) severe, and 24 (37.5%) critical disease. Median [interquartile ranges (IQR)] presenting visual acuity was 0.1 (0–0.2) and BCVA 0 (0–0.1). Anterior segment biomicroscopy was unremarkable, except for dry eye disease, verified in 10.9% of them. The mean ± SD intraocular pressure (IOP) in critical group (14.16 ± 1.88 mmHg) was significantly higher than in severe group (12.51 ± 2.40 mmHg), both in the right (p 0.02) and left eyes (p 0.038). Among all, 15.6% had diabetic retinopathy, and two patients presented with discrete white-yellowish dots in the posterior pole, leading to hyporreflective changes at retinal pigment epithelium level, outer segment, and ellipsoid layers. The present study identified higher IOP among critical cases, when compared to severe cases, and discrete outer retina changes 80 days after COVID-19 infection. No sign of uveitis was found.

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The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series

Acta Cytologica ◽

10.1159/000444385 ◽

2016 ◽

Vol 60 (1) ◽

pp. 31-38 ◽

Cited By ~ 6

Author(s):

Fabio Pagni ◽

Marta Jaconi ◽

Andrew James Smith ◽

Ambrogio Brenna ◽

Maria Gabriella Valente ◽

...

Keyword(s):

Case Series ◽

Needle Aspiration ◽

Lesion Size ◽

Fine Needle ◽

Computed Tomography Scans ◽

The Mean ◽

The Right ◽

First Time ◽

Orbital Lesions

Objective: This paper analyzes a series of ultrasound (US)-guided orbital fine needle aspirations (FNAs) which provide diagnostic information that cytopathologists approaching orbital lesions for the first time can find useful and underlines the importance of teamwork. Study Design: The investigators retrospectively obtained data from 24 consecutive orbital FNAs. For all patients, a complete clinicoradiological database was created. FNAs were performed under US guidance with 25-gauge needles and an aspiration biopsy syringe gun, and sent to the Department of Pathology for examination and data management. Results: The mean age of the patients was 54 years. Imaging studies included US, magnetic resonance imaging and computed tomography scans; 9 lesions involved the right orbit and 15 the left orbit. The mean lesion size was 23.6 ± 7.2 mm. After microscopic examination, 7 smears were labeled as ‘nondiagnostic', while in 17 cases a definitive diagnosis was proposed, which always proved to be correct (70.8%, specificity = 100%). Conclusions: The investigators believe that FNA biopsy of orbital masses is a necessary step; its weaknesses lie in the particularly delicate site of sampling and the extreme heterogeneity of lesions. Nevertheless, when orbital FNA is performed within a well-coordinated multidisciplinary team, it is a powerful tool that can be used to define the most appropriate management of these patients.

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Mean difference of visual acuity with auto refraction and subjective refraction.

Pakistan Journal of Ophthalmology ◽

10.36351/pjo.v36i1.909 ◽

2020 ◽

Vol 36 (1) ◽

Author(s):

Shakeel Ahmad ◽

Rashida RIaz ◽

Muhammad Haseeb ◽

Hafiza Ammara Rasheed ◽

Samia Iqbal

Keyword(s):

Visual Acuity ◽

Demographic Data ◽

Anterior Segment ◽

Cross Sectional Study ◽

Mean Difference ◽

P Value ◽

Cross Sectional ◽

Department Of Ophthalmology ◽

The Mean ◽

Cylindrical Axis

Purpose: To compare the mean difference of visual acuity as measured by auto refraction and subjective refraction. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Department of ophthalmology, Services hospital Lahore from November 2013 to April 2014. Material and Methods: Using non-probability consecutive sampling 300 eyes of 300 patients fulfilling inclusion criteria were recruited through OPD registration slip. Demographic data including age and gender was recorded. Complete ophthalmic examination was performed. This included measurement of refractive error by auto-refraction as well as subjective refraction. Detailed anterior segment examination with slit lamp and dilated fundus examination with indirect ophthalmoscopy was performed. The collected data was analyzed by using software SPSS version 17. Results: The mean age of patients was 34.71 ± 7.45 years. There were 156 (52%) males and 144 (48%) females. There were 263 (87.69%) patients who had visual acuity of 6/6 and 37 (12.33%) had 6/9. Mean spherical auto-refraction and subjective refraction was 0.0290 ± 2.58 and -0.2842 ± 2.37 D with mean difference of -0.3133 ± 1.27 D. The mean cylindrical auto and subjective refraction in this study was -.9742 ± 0.78 D and -0.7500 ± 0.81 D and mean difference was 0.2242 ± 0.74 D. The mean cylindrical axis of auto and subjective refraction was 114.88 ± 49.75 and 115.60 ± 49.70 with mean difference as 0.72 ± 3.02 D (p-value < 0.05). Conclusion: Difference of spherical, cylindrical and cylindrical axis in auto and subjective refraction was significantly different.

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Measurement of Iris Thickness at Different Regions in Healthy Chinese Adults

Journal of Ophthalmology ◽

10.1155/2021/2653564 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Qingchen Li ◽

Yuan Zong ◽

Huiming Wen ◽

Jian Yu ◽

Changbo Zhou ◽

...

Keyword(s):

Anterior Segment ◽

Final Analysis ◽

Middle Part ◽

Chinese Adults ◽

Swept Source ◽

Significant Difference ◽

The Mean ◽

Healthy Chinese ◽

And Gender ◽

The Right

Purpose. To study the variation of iris thicknesses in different regions and explore the possible correlations with age and gender. Methods. Healthy Chinese adults were recruited; the anterior segment of their eyes was imaged by swept-source optical coherence tomography (SS-OCT). The horizontal scan of the right eye was selected, and the thicknesses of both the nasal and temporal irises were measured at 199 evenly spaced points. Results. A total of 233 subjects with an average age of 36.79 ± 10.04 years (range 19 to 62) were included in the final analysis. The mean iris thicknesses of the temporal and nasal sides were 364.79 ± 47.58 μm and 372.44 ± 43.75 μm, respectively. The mean nasal iris thickness was positively correlated with age (β = 0.9 μm/year; P = 0.002), but the temporal one was not (β = 0.077 μm/year; P = 0.806). At 139 points of the nasal iris and 146 points of the temporal iris, the iris thickness was significantly correlated with age ( P < 0.05). The thicknesses of the peripheral and pupillary parts were positively correlated with age, while the middle part was negatively correlated with age. No significant difference was observed in the mean iris thickness between genders (temporal: t = 1.597, P = 0.112; nasal: t = 1.870, P = 0.063), but females had a thicker iris than males at 50 points in the temporal side and 49 points in the nasal side ( P < 0.05); no point in males was observed to have thicker iris compared to females. Conclusion. Using SS-OCT and the novel method, thicknesses of the iris at different regions were measured. The thicknesses of the peripheral and pupillary irises increase with age, while the thicknesses of the middle part decrease.

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Long Term Follow-up Results of Ablation Treatment for Patients with Small Renal Mass

10.22541/au.160831267.75170095/v1 ◽

2020 ◽

Author(s):

Bilal Gumus ◽

Ali Albaz ◽

Fatih Düzgün ◽

Oktay Ucer ◽

Gokhan Temeltas ◽

...

Keyword(s):

Renal Mass ◽

Demographic Data ◽

Left Kidney ◽

Treatment Success ◽

Minor Bleeding ◽

Small Renal Mass ◽

The Mean ◽

The Right

Objective: The aim of this study is to evaluate the outcome of ablation therapy in our clinic for the treatment of patients with small renal mass Materials and Methods: We retrospectively evaluated the technic and follow-up data of 30 patients with 36 tumors who underwent Radiofrequency Ablation (RFA) and Microwave Ablation (MWA) in our clinic. Demographic data, ablation type, tumor characteristics, peroperative and postoperative complications and treatment success of the patients were evaluated. Results: A total of 36 tumors who underwent ablation treatments, 23 were treated with RFA, 13 with MWA. The mean tumor size was 28.9 ± 6.92 mm in RFA and 29.3 ± 7.70 mm in MWA. 12 (52.1%) of the RFA procedures were applied to the right kidney while 11 (47.8%) were applied to the left kidney. 6 (46.1%) of the MWA procedures were performed on the right kidney and 7 (53.8%) on the left kidney. Of the 36 tumors, 4 (11.1%) were located central and 32 (88.8%) were peripheral. Complications occurred in 2 patients. In one of these patients, acute renal failure and urea creatinine were found to be elevated. In the other patient, local pain was found in the ablation side and minor bleeding was detected at the ablation site in USG. The mean follow-up period was 49.6 ± 24.7 months in patients with RFA and mean follow-up was 16 ± 8,05 months in MWA treatments. The overall success in MWA administration was calculated as 76.9%, while the overall success in RFA was 80%. Conclusion: Long-term oncologic efficacy of RFA appears to be successful in the treatment of T1a renal carcinomas. Further studies can be conducted to elucidate the influence of MWA on long-term oncological outcomes.

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Transscrotal orchidopexy for palpable cryptorchid testis: follow-up and outcomes

La Pediatria Medica e Chirurgica ◽

10.4081/pmc.2018.191 ◽

2018 ◽

Vol 40 (2) ◽

Author(s):

Alfonso Papparella ◽

Giovanni Cobellis ◽

Laura De Rosa ◽

Carmine Noviello

Keyword(s):

Surgical Intervention ◽

Inguinal Canal ◽

Demographic Data ◽

Postoperative Recovery ◽

Testicular Atrophy ◽

Undescended Testes ◽

Operative Complications ◽

Cryptorchid Testis ◽

The Mean

We retrospectively reviewed the results of transscrotal orchidopexy in the surgical management of palpable testis. From January 2014 to June 2017, 130 male children with a total of 140 palpable undescended testes (UDT) underwent transscrotal orchidopexy. The charts were retrospectively reviewed for demographic data, preoperative position and mobility of the testis, patency of the peritoneal vaginal duct (PVD), and post-operative complications. The resting position of the testis and its traction towards the scrotum were assessed before surgery and under anaesthesia. The mean age of the patients was 4.6 years. The position of the testis assessed at surgery was in most cases at the external inguinal ring (62.8%), at the neck of the scrotum (15.7%), in the inguinal canal (12.8%), or in an ectopic position (8,5%). A PVD was found in 66 testes (47.1%). Two surgical cases required an inguinal incision. In each patient, the postoperative course was unremarkable. The testicle at 1-year follow-up was in a scrotal position in 134 cases, but 6 patients required a second surgical intervention for re-ascent of the testis. No testicular atrophy or inguinal hernias were observed. Transscrotal orchidopexy is a simple and effective procedure for the treatment of palpable UDT. The incidence of complications is low and manageable, with rapid postoperative recovery and early resumption of normal activities.

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Is Right Sleeve Lower Lobectomy Necessary? Is It Safe?

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0038-1642597 ◽

2018 ◽

Vol 68 (03) ◽

pp. 235-240

Author(s):

Celalettin Ibrahim Kocaturk ◽

Ozkan Saydam ◽

Celal Bugra Sezen ◽

Cem Emrah Kalafat ◽

Levent Cansever ◽

...

Keyword(s):

Demographic Data ◽

Total Survival ◽

Lower Lobectomy ◽

Hospitalization Time ◽

Significant Difference ◽

Prolonged Air Leak ◽

The Mean ◽

Group B ◽

The Right

Abstract Objectives The right sleeve lower lobectomy is the least used of the bronchial sleeve operations. There are only case-based studies in the literature. In this study, we compared this technique to those used in patients who underwent a right lower bilobectomy. Methods We retrospectively reviewed the data of patients who had been operated on due to non-small cell lung cancer (NSCLC) from January 2005 to December 2015 from a dataset that was formed prospectively. Of the 4,166 patients who underwent resections due to NSCLC, the files of those who had a right sleeve lower lobectomy (group S) and those who had a right lower bilobectomy (group B) were evaluated. The remaining 25 patients in group B and 18 patients in group S were compared in terms of demographic data, morbidity, hospitalization time, mortality, histopathology, recurrence, and total survival. Results No significant differences in the demographic or clinical characteristics were observed between the two groups, except that group S had more female patients. Postoperative complications developed in 52% of the patients in group B and 11.1% of the patients in group S (p = 0.006). Mean hospitalization time was 9.6 ± 3.6 (range, 6–19) days in group B and 6.72 ± 1.5 (range, 4–9) days in group S (p = 0.001). All patients received complete resections. The mean patient follow-up time was 42.9 months. No significant difference was found between local and distant recurrences (p = 1, p = 0.432). Mean survival time was 89.6 months (5-year rate = 73%), which was 90.6 months (5-year rate = 75.3%) in group B and 63.1 months (5-year rate = 69.3%) in group S (p = 0.82). Conclusion This technique allows for reduced filling of the thoracic cavity by a prolonged air leak and a reduced prevalence of complications. Additionally, the hospitalization time is shortened. It does not produce any additional mortality burden, and total survival and oncological outcomes are reliable. This technique can be used in selected patients at experienced centers.

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Isolated frontosphenoidal synostosis: a rare cause of synostotic frontal plagiocephaly

Journal of Neurosurgery Pediatrics ◽

10.3171/2014.1.peds1378 ◽

2014 ◽

Vol 13 (5) ◽

pp. 553-558 ◽

Cited By ~ 14

Author(s):

Tina M. Sauerhammer ◽

Albert K. Oh ◽

Michael Boyajian ◽

Suresh N. Magge ◽

John S. Myseros ◽

...

Keyword(s):

Demographic Data ◽

Correct Diagnosis ◽

Retrospective Chart Review ◽

Ct Scanning ◽

Ct Imaging ◽

Radiographic Findings ◽

Anterior Cranial Base ◽

The Mean ◽

Orbital Correction ◽

The Right

Object Unilateral fusion of the frontoparietal suture is the most common cause of synostotic frontal plagiocephaly. Localized fusion of the frontosphenoidal suture is rare but can lead to a similar, but subtly distinct, phenotype. Methods A retrospective chart review of the authors' craniofacial database was performed. Patients with isolated frontosphenoidal synostosis on CT imaging were included. Demographic data, as well as the clinical and radiographic findings, were recorded. Results Three patients were identified. All patients were female and none had an identifiable syndrome. Head circumference was normal in each patient. The mean age at presentation was 4.8 months (range 2.0–9.8 months); 2 fusions were on the right side. Frontal flattening and recession of the supraorbital rim on the fused side were consistent physical findings. No patient had appreciable facial angulation or orbital dystopia, and 2 patients had anterior displacement of the ipsilateral ear. All 3 patients were initially misdiagnosed with unilateral coronal synostosis, and CT imaging at a mean age of 5.4 months (range 2.1–10.8 months) was required to secure the correct diagnosis. Computed tomography findings included patency of the frontoparietal suture, minor to no anterior cranial base angulation, and vertical flattening of the orbit without sphenoid wing elevation on the fused side. One patient underwent CT scanning at 2.1 months of age, which demonstrated a narrow, but patent, frontosphenoidal suture. The patient's condition was assumed to be a deformational process, and she underwent 6 months of unsuccessful helmet therapy. A repeat CT scan obtained at 10.7 months of age demonstrated the synostosis. All 3 patients underwent fronto-orbital correction at mean age of 12.1 months (range 7.8–16.1 months). The mean duration of postoperative follow-up was 11.7 months (range 1.9–23.9 months). Conclusions Isolated frontosphenoidal synostosis should be considered in the differential diagnosis of atypical frontal plagiocephaly.

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Evaluation and management of a spontaneous corneal rupture secondary to pellucid marginal degeneration, using swept-source anterior segment optical coherence tomography

Oxford Medical Case Reports ◽

10.1093/omcr/omab003 ◽

2021 ◽

Vol 2021 (3) ◽

Author(s):

Esther Papamlichael ◽

Abison Logeswaran ◽

Vasilios P Papastefanou ◽

Martin Watson ◽

Andrew Coombes

Keyword(s):

Optical Coherence Tomography ◽

Anterior Segment ◽

Optical Coherence ◽

Corneal Perforation ◽

Swept Source ◽

Chamber Volume ◽

Body Sensation ◽

Anterior Chamber Volume ◽

Contralateral Eye ◽

The Right

Abstract We describe a case of bilateral spontaneous corneal perforation secondary to pellucid marginal degeneration and present the associated swept-source anterior segment optical coherence tomography (SS-ASOCT) findings and management principles used. A 47-year-old woman presented with ocular pain, redness, foreign body sensation and clear discharge in the right eye in 2017 and with very similar symptoms in 2019 in the left eye. Clinically she had a corneal perforation at the inferior cornea with associated loss of anterior chamber volume. Corneal topography demonstrated peripheral thinning and steepening in the contralateral eye. ASOCT images revealed full-thickness perforation, iridocorneal touch and iris stranding. The patient was managed with a combination of contact bandaging and corneal gluing. SS-ASOCT is a useful adjunctive tool in the clinical assessment and evaluation of spontaneous corneal perforation. Alongside the clinical evaluation, it can be used to monitor the clinical response.

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