Long-term outcomes in patients undergoing vitrectomy for retinal detachment due to viral retinitis.

Purpose: To determine the outcomes in patients with rhegmatogenous retinal detachment (RRD) secondary to viral retinitis.

Patients And Methods: This was a retrospective, consecutive, noncomparative, interventional case series of 12 eyes in ten patients with RRD secondary to viral retinitis. Results of vitreous or aqueous biopsy, effect of antiviral therapeutics, time to retinal detachment, course of visual acuity, and anatomic and surgical outcomes were investigated.

Effect of internal limiting membrane abrasion on retinal tissues in macular holes.

Purpose: The purpose of this study was to identify the structural and histological effects of a Tano diamond-dusted membrane scraper (DDMS) on the retinal surface after internal limiting membrane (ILM) abrasion in macular hole surgery.

Methods: Institutional experimental study was performed in 11 eyes. All eyes underwent ILM abrasion in the operating room with a DDMS for macular hole repair as an alternative to traditional ILM peeling.

Macular Hole Closure With Internal Limiting Membrane Abrasion Technique.

Importance: Internal limiting membrane (ILM) abrasion is an alternative surgical technique for successful full-thickness macular hole (MH) repair.

Objective: To study the effects of ILM abrasion as an alternative method of MH repair.

Design, Setting, And Participants: Retrospective consecutive case series from January 2006 to December 2008.

Screening, prevention, and ambitious management of diabetic macular edema in patients with type 1 diabetes.

Diabetic macular edema results from progressive retinopathy related to chronic hyperglycemic and inflammatory vascular damage. Loss of vision secondary to diabetic macular edema is the most common cause of vision loss in patients with diabetes. Blood glucose control remains the main means of preventing progression of retinopathy and macular edema.

Proliferative vitreoretinopathy may be a risk factor in combined macular hole retinal detachment cases.

Objective: To review the incidence and closure rate of full-thickness macular holes (MH) in cases associated with concomitant rhegmatogenous retinal detachment (RRD).

Methods: A retrospective consecutive case series was performed from patients undergoing surgical repair of RRD and simultaneous closure of MH. The presence of proliferative vitreoretinopathy (PVR), rates of hole closure and reattachment, and visual acuity outcomes were evaluated.

Elimination of infusion bubbles and uncontrolled reflux in the alcon constellation vitrectomy vision system.

Purpose: To identify the sources and management of 2 problems associated with the Alcon Constellation Vitrectomy (Alcon Laboratories, Inc) System: 1) infusion bubbles and 2) uncontrolled reflux.

Methods: Surgical and analytical videos were evaluated to identify the source of intraoperative bubbles, which localized to the duckbill valve (DV). Intraoperatively, the authors modified the infusion tubing and its control by removing the DV.

Intraoperative sclerotomy-related retinal breaks during 23-gauge pars plana vitrectomy.

Purpose: To study the incidence and characteristics of intraoperative sclerotomy-related retinal breaks encountered during 23-gauge pars plana vitrectomy.

Methods: A retrospective consecutive case series was assembled from the surgical logs and charts of patients who underwent 23-gauge pars plana vitrectomy. Demographic data and preoperative, intraoperative, and postoperative records were examined.

Temporal approach for small-gauge pars plana vitrectomy combined with anterior segment surgery.

Purpose: To describe our preliminary experience with temporal small-gauge pars plana vitrectomy (PPV) techniques used to treat anterior and posterior segment pathology.

Methods: A retrospective consecutive case review of patients who underwent temporal PPV was performed. Patients underwent combined temporal small-gauge PPV and anterior segment intervention.

Uveitis following intravitreal bevacizumab: a non-infectious cluster.

Background And Objective: In this retrospective case series, the authors report seven cases of bevacizumab-related uveitis that occurred within a 4-month period.

Patients And Methods: Seven eyes of six patients developed non-infectious uveitis following bevacizumab intravitreal injections in a cohort of 978 consecutive bevacizumab injections.

Results: The mean age of patients was 74.

Sutureless triplanar sclerotomy for 23-gauge vitrectomy.

Objectives: To describe and test the intraoperative integrity of triplanar sclerotomies.

Methods: A prospective consecutive case series of 180 sclerotomies in 60 eyes was studied. After conjunctival dissection, triplanar transscleral wounds were created with a 23-gauge trocar using a standardized technique.

Fungal eye disease at a tertiary care center: the utility of routine inpatient consultation.

Purpose: Hematogenous dissemination of fungus of the eyes can manifest as chorioretinitis or endophthalmitis. Early reports of this condition describe the prevalence to range from 10% to 40%; however, more recent studies have suggested a declining prevalence, presumably because of widespread use of prophylactic antifungal therapy and earlier diagnosis and treatment of systemic illness before ocular symptoms become apparent. This study estimates the current prevalence and microbial profile of fungal chorioretinitis and endophthalmitis among patients with positive fungal cultures at a tertiary care medical center.

Intraoperative choroidal detachment during 23-gauge vitrectomy.

Purpose: To review intraoperative choroidal detachments during 23-gauge vitrectomy and examine possible mechanism(s) involved.

Methods: A retrospective consecutive case review of 23-gauge vitrectomies was performed. Main outcomes included choroidal detachment incidence, location, extent, relation to infusion cannula, and postoperative course.

Characterization of kjellin syndrome using spectral-domain optical coherence tomography and fundus autofluorescence.

Purpose: The purpose of this study was to describe the characteristic funduscopic appearance of Kjellin syndrome, to report unique spectral-domain optical coherence tomography (Carl Zeiss Meditec, Dublin, CA) and fundus autofluorescence findings, and to provide long-term follow-up observations about this patient.

Methods: A 43-year-old man presented for an ophthalmologic examination with a known diagnosis of hereditary spastic paraplegia and no visual complaints.

Results: Retinal flecks were present throughout the macula in both eyes of the patient.

Long-term results of combined endoscope-assisted pars plana vitrectomy and glaucoma tube shunt surgery.

Purpose: To assess outcomes after endoscope-assisted pars plana vitrectomy with concurrent pars plana tube shunt placement.

Methods: Records of 18 adult patients (19 eyes) with uncontrolled chronic angle-closure glaucoma associated with corneal opacification or fibrosed pupils were retrospectively reviewed. All eyes underwent endoscope-assisted pars plana vitrectomy with Baerveldt tube shunt placement into the vitreous cavity between 1997 and 2005.

Intravitreal bevacizumab during pregnancy.

Purpose: To report the clinical course of four women treated with intravitreal bevacizumab during pregnancy.

Methods: Observational case series.

Results: Four pregnant women were treated with intravitreal bevacizumab for choroidal neovascularization (CNV) because of presumed ocular histoplasmosis syndrome punctate inner choroidopathy, or sarcoid uveitis.

Late-onset retinal macular degeneration: an entity not to be overlooked.

Purpose: To describe a patient with extensive geographic atrophy and night blindness.

Methods: A 59-year-old Caucasian woman of German descent presenting with progressive visual difficulty in the dark for 5 years was examined.

Results: Her visual acuity was 20/400 in the right eye and 20/50 in the left eye.

Photodynamic therapy as treatment of chronic idiopathic central serous chorioretinopathy.

Background And Objective: Chronic idiopathic central serous chorioretinopathy (ICSC) is characterized by persistent, recurrent, and multifocal serous detachments of the neurosensory retina. Our objective is to evaluate the visual and anatomical outcomes of patients who underwent photodynamic therapy (PDT) with Verteporfin for chronic ICSC.

Study Design/materials And Methods: A retrospective review of 13 eyes of 12 patients (mean age 55, range 45-66 years) treated with PDT for chronic ICSC between June 2004 and January 2008 was conducted.