Introduction: The research aimed to study the natural course of serous macular detachment SRD) in patients with pregnancy induced hypertension (PIH), and document fundus changes, OCT findings and visual outcome.
Materials And Methods: This is a prospective observational study. Admitted patients underwent ocular screening, and detailed dilated indirect ophthalmoscopy. Those with serous macular detachment were further evaluated with OCT; characteristics of OCT analysed and recorded. All eyes were followed up till macular resolution was noted.
Results: Out of 4950 cases, 22 patients (38 eyes) had serous macular detachment. Mean central macular thickness (CMT) was 512.29 (SD 242.074). RPE irregularity (31.6%),subretinal hyperreflective dots (26.3%) and subretinal membranes (23.7%) were more commonly seen OCT features in these eyes. The difference between mean vision and mean central macular thickness at different intervals was statistically significant : F(3, 111)=65.514, p - 0.001; F(3, 111)=47.331, p - 0.001 respectively. All eyes had resolution of retinal detachment with full visual recovery following delivery. However, 10 pregnancies had foetal mortality.
Conclusion: The incidence of ocular affection in pregnancy induced hypertension is 1-2%. Retinal detachment in such cases have good visual potential following termination of pregnancy. However, the cases had a high incidence of foetal demise. Therefore, early emphasis on early detection of ocular involvement in pregnancy induced hypertension and timely intervention is focused on to prevent foetal demise.
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http://dx.doi.org/10.3126/nepjoph.v14i2.41804 | DOI Listing |
Int J Retina Vitreous
December 2024
Federal University of São Paulo, São Paulo, Brazil.
Background: Central serous chorioretinopathy (CSC) is marked by serous retinal detachments caused by fluid leakage from the retinal pigment epithelium, often associated with stress, psychiatric disorders and the use of corticosteroids. This study aims to investigate the clinical and systemic characteristics associated with BALAD in patients with CSC, comparing those with and without BALAD to clarify its function as a biomarker of CSC severity and improve diagnostic and treatment approaches.
Purpose: Compare the clinical characteristics, risk factors, and optical coherence tomography (OCT) findings in patients with Central Serous Chorioretinopathy (CSC) with and without Bacillary Layer Detachment (BALAD), and to identify the distinguishing features and associated conditions of CSC with BALAD.
Eur J Ophthalmol
December 2024
Department of Ophthalmology, Centre Hospitalier Intercommunal de Créteil, University Paris Est Créteil, Créteil, France.
Purpose: To report 8 cases of acute intra ocular inflammation (IOI) following intravitreal injections (IVI) of faricimab in patients with age related macular degeneration (AMD), retinal vein occlusion (RVO) and macular neovascularization associated with chronic central serous retinopathy (CSR).
Methods: This is a multicentric retrospective observational case-series. Cases of acute IOI that occurred in 5 different institutions in France and Italy between November 2023 and June 2024 were reported.
Diagnostics (Basel)
December 2024
Beijing Children's Hospital, Capital Medical University, Beijing 100070, China.
Bartonella henselae is a Gram-negative bacillus, mainly parasitizing on cats. When a child is scratched by a cat, they may present with the disease symptoms including regional lymphadenopathy, malaise, fever, and splenomegaly, which is known as cat-scratch disease (CSD). Ocular manifestations occur in 5-10% of patients with CSD.
View Article and Find Full Text PDFCureus
November 2024
Ophthalmology, Gandhi Medical College and Hamidia Hospital, Bhopal, IND.
Diabetic macular oedema (DME) is a major cause of vision impairment in individuals with diabetes mellitus, characterised by fluid accumulation in the macula due to increased vascular permeability. The growing prevalence of diabetes worldwide has led to an increasing burden of DME on healthcare systems. While current treatment options such as anti-vascular endothelial growth factor (anti-VEGF) injections, corticosteroids, and laser therapy exist, the variability in patient responses highlights the need for reliable prognostic tools.
View Article and Find Full Text PDFTransl Vis Sci Technol
December 2024
Ophthalmology Clinic, Department of Medicine and Science of Ageing, "G. d'Annunzio" University Chieti-Pescara, Chieti, Italy.
Purpose: To analyze choroidal and choriocapillaris changes in eyes affected by active unilateral central serous chorioretinopathy (CSC).
Methods: A total of 17 eyes suffering from naïve CSC were enrolled. In addition, 17 healthy fellow eyes were analyzed, and 10 eyes were enrolled as controls.
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