Is it the right time to promote competency-based European Training Requirements in Ophthalmology? A European Board of Ophthalmology survey.

Purpose: To report national practices and recent progress in competency-based medical education (CBME) implementation in ophthalmology across European countries.

Methods: A 30-question online survey was emailed to European Union of Medical Specialists (UEMS) ophthalmology section delegates, European Board of Ophthalmology Diploma (EBOD) examiners and presidents of ophthalmology societies affiliated with UEMS/EBO.

Results: A total of 230 ophthalmologists with an average age of 54.

[Cataract surgery training in France: Analysis of the results of the European Board of Ophthalmology survey in the French cohort].

Objective: This study aims to present and analyze the results of the French cohort in a European Board of Ophthalmology (EBO) survey on cataract surgical training in Europe, highlighting the particularities of French training.

Materials And Methods: A 23-question electronic questionnaire was sent to interns applying for the EBO examination from 2018 to 2022. Responses from French participants were specifically collected and analyzed.

Evaluation of macular integrity, after retinal detachment surgery, using MAIA microperimetry.

Background And Objective: To describe visual function, macular integrity, and fixation stability using MAIA microperimetry (macular integrity assessment) after retinal detachment surgery. Evaluate if there are statistically significant differences between surgical approaches.

Materials And Methods: A prospective, comparative, interventional study was conducted, recruiting a total of 21 patients with rhegmatogenous retinal detachment and macula-off.

Cataract surgical training in Europe: European Board of Ophthalmology survey.

Purpose: To survey recently graduated European ophthalmologists concerning cataract surgery (CS) training opportunities.

Setting: Countries affiliated to the European Board of Ophthalmology (EBO).

Design: Cross-sectional study of anonymous survey results.

Neovascular glaucoma caused by small-cell lung cancer iris metastasis: A case presentation.

Small-cell lung cancer may directly affect the eye by metastatic proliferation or indirectly by paraneoplastic syndromes. The choroid is the most common site for uveal metastasis (90%); however, the iris can be involved in a smaller proportion of cases (incidence <10%). Blurred vision, pain, redness, photophobia, glaucoma, hyphema and visual field defects can arise from this metastatic involvement.

Ciliary body medulloepithelioma treated with intra-operative brachytherapy after fine needle aspiration biopsy.

Medulloepithelioma is the second most common type of pediatric intra-ocular tumors. It commonly arises from ciliary body, and it is generally diagnosed in the first decade of life. Management options for medulloepithelioma include enucleation, resection, or radiotherapy, but further investigation is still needed.

Fundus changes after cardiac surgery.

A Caucasian male with known severe aortic stenosis was referred to our Ophthalmology Department after undergoing cardiac surgery using extracorporeal circulation. Signs of retinal ischaemia were found during fundus examination and neuroimaging showed posterior cerebral artery occlusion.

Ocriplasmin retinopathy: Possible cause of macular hole closure failure.

Case Report: A 53 year-old woman with a stage 2 macular hole received ocriplasmin injection as a first approach. She subsequently underwent pars plana vitrectomy due to enlargement of the hole post-injection. The visual gain following the surgery was minimal despite closure of the hole.

Procedural aspects of the organization of the comprehensive European Board of Ophthalmology Diploma examination.

The comprehensive European Board of Ophthalmology Diploma (EBOD) examination is one of 38 European medical specialty examinations. This review aims at disclosing the specific procedures and content of the EBOD examination. It is a descriptive study summarizing the present organization of the EBOD examination.

Alternative treatment for retinoblastoma: Intra-arterial chemotherapy with melphalan.

Case Report: A 10-month old infant was referred for the study of a leukocoria of the left eye of one month onset. On examination, a retinoblastoma occupying the macular area was detected. Treatment with intra-arterial chemotherapy (melphalan 6 mg) was performed, with no further intervention required for disease control.

[Autoimmune hepatitis in a patient with serpiginous choroiditis].

Case Report: We report the case of a patient with serpiginous choroiditis who developed an autoimmune hepatitis.

Discussion: The etiology of serpiginous choroiditis remains uncertain. An immune-mediated mechanism has been reported.

Ahmed valve for elevated intraocular pressure associated with black diaphragm lenses for aniridia.

Purpose: To evaluate the Ahmed valve for decrease elevated pressure associated with black diaphragm lenses for aniridia.

Methods: Drainage devices are useful to obtain good control of intraocular pressure in patients with aniridia and the authors often use them because of the poor results of medical therapy or filtering surgery. However, when the elevated intraocular pressure is associated with black diaphragm lenses for aniridia, most authors decide to carry out a filtering technique.

Implantation of iris devices in congenital and traumatic aniridias: surgery solutions and complications.

Purpose: To show surgical solutions in patients with traumatic and congenital aniridia, to evaluate the clinical improvement of these patients when iris prosthesis are implanted, and to examine safety and complications of these implants in a long-term follow-up.

Methods: Eight patients were included in this retrospective noncomparative case series. Nine eyes had an artificial iris implantation for traumatic or congenital aniridia.

Rate of cataract formation in 343 highly myopic eyes after implantation of three types of phakic intraocular lenses.

Purpose: To assess the feasibility of using phakic intraocular lenses (PIOL) to treat high myopia, and evaluate the incidence of cataract, comparing three different lens types.

Methods: From 1989 to 2002, we implanted three different phakic intraocular lenses (PIOL) in 343 eyes of 232 patients; 231 eyes recieved an Ophtec (Worst-Fechner model, iris-claw), 89 an Adatomed (silicone posterior chamber), and 23 a Staar (posterior chamber, models V2, V3, V4). Average follow-up was 96.

Phakic intraocular lenses to correct high myopia: Adatomed, Staar, and Artisan.

Purpose: To evaluate the feasibility and safety of using phakic intraocular lenses (IOLs) to correct high myopia by comparing 3 IOL models: Adatomed, Staar, and Artisan.

Setting: La Fe University Hospital, Department of Ophthalmology, and the Fundación Oftalmológica del Mediterráneo, Valencia, Spain.

Methods: In this prospective comparative study, a phakic IOL was implanted in 217 highly myopic eyes (118 patients).

Posterior chamber phakic intraocular lenses to correct high myopia: a comparative study between Staar and Adatomed models.

Purpose: To determine the feasibility of using posterior chamber phakic intraocular lenses (PIOLs) to treat high myopia, comparing two different models, Staar and Adatomed.

Methods: Twenty-four eyes from 12 patients were studied prospectively. A phakic Staar IOL was implanted in one eye of each patient, and the other eye received a phakic Adatomed IOL.

[High altitude retinal hemorrhages in the expeditions to 8,000 meter peaks. A study of 10 cases].

Background: Retinal haemorrhages are common at high altitude. Their pathogenesis is unknown. It has been suggested that they are less frequent in sherpas, and that possible predisposing factors might be the abscence of previous high-altitude experience, the extent of the high-altitude hypoxic exposure, polycythemia (because of hyperviscosity), history of cough and Valsalva manoeuvres during the expedition, existence of severe forms of mountain sickness (high-altitude pulmonary oedema and high-altitude cerebral oedema) and use of antiinflammatory drugs.

Iris claw phakic intraocular lens for high myopia.

Background: The implantation of a Worst-Fechner iris claw intraocular lens (IOL) is one of the surgical procedures used for the correction of high myopia. This technique reduces myopia with stable refractive results; however, its potential long-term risks have not been evaluated. We report results in 94 eyes with a minimum follow-up of 3 years.

Reproducibility of digital image analysis for measuring corneal haze after myopic photorefractive keratectomy.

Purpose: To evaluate the usefulness of digital image analysis for quantifying corneal haze by determining the reproducibility of its measurements at the corneal plane.

Methods: In a prospective study, 20 randomly selected eyes that had undergone myopic photorefractive keratectomy were photographed focusing the slit beam on their anterior corneal surface. Each photograph was examined using computer image analysis techniques that detect the edge of the reticular pattern of the image.

Direct objective quantification of corneal haze after excimer laser photorefractive keratectomy for high myopia.

Purpose: The purpose of the study is to measure regional distribution differences in corneal haze after excimer laser photorefractive keratectomy for high myopia.

Methods: The authors developed computerized gradient edge detectors with which were analyzed digitized anterior slit-lamp photographs of 40 eyes, an average of 21.0 plus or minus 14.

Excimer laser photorefractive keratectomy for high myopia.

One hundred and thirty-three eyes of 103 patients had photorefractive keratectomy with a slit scan mode excimer laser for myopia ranging from -6.00 to -22.00 diopters (D).

[Angiography by the oral route using enteric-coated capsules].

We have performed Retinal Fluorescein Angiograms in three groups of patients who had been previously administered, respectively: intravenous sodium fluorescein, hard gelatin-coated fluorescein oral capsules, and enteric-coated fluorescein capsules. In all groups, we carried out a curve of the dye plasma levels. We concluded that the enteric-coated fluorescein capsules provide effective dye plasma levels for the performance of the angiogram between 40 and 60 minutes later, thus obtaining great sharpness and quality retinal images, much better than those attained with the hard gelatin-coated fluorescein capsules.