Performance of automated machine learning in detecting fundus diseases based on ophthalmologic B-scan ultrasound images.

Aim: To evaluate the efficacy of automated machine learning (AutoML) models in detecting fundus diseases using ocular B-scan ultrasound images.

Methods: Ophthalmologists annotated two B-scan ultrasound image datasets to develop three AutoML models-single-label, multi-class single-label and multi-label-on the Vertex artificial intelligence (AI) platform. Performance of these models was compared among themselves and against existing bespoke models for binary classification tasks.

Case report: Unveiling the silent threat in the ICU - a case of disseminated invasive aspergillosis in a patient with fulminant myocarditis.

Invasive aspergillosis (IA) significantly increases mortality in critically ill patients in the ICU and its occurrence is closely related to immunocompromise. Dissemination of IA is easily misdiagnosed and mistreated due to its ability to invade multiple systems throughout the body and lack of typical clinical manifestations. In this case, a 25-year-old previously healthy woman was hospitalized with fulminant myocarditis and treated with veno-arterial extracorporeal membrane pulmonary oxygenation (VA-ECMO) support and intravenous acyclovir, high-dose methylprednisolone, and immunoglobulin.

[Risk factors associated with myopic maculopathy in acquired myopia].

Purpose: This study aimed to identify factors associated with the development of myopic maculopathy (MM) in patients with acquired myopia.

Material And Methods: The study included a total of 135 patients (41 men, 94 women; 135 eyes) over 30 years old with acquired myopia and axial length (AL) of 26 mm. Forty-six patients had MM, while 89 (66%) had no macular changes.

Management of Painful Blind Eye with Bilateral Symblepharon: A Case Report.

Introduction: Symblepharon is a challenging condition characterized by a painful blind eye. The main goal of treatment is to alleviate discomfort and improve the patient's physical and mental well-being.

Case Presentation: An Indonesian male, 38 years old, complained of vision loss and ocular pain in his right eye 1 month ago.

Preoperative Widefield Swept-Source Optical Coherence Tomography Versus Intraoperative Findings in Detecting Posterior Vitreous Detachment.

Purpose: To assess the accuracy of swept-source optical coherence tomography (SS-OCT) in detecting complete posterior vitreous detachment (PVD) in comparison with intraoperative findings.

Methods: The retrospective study included 145 eyes of 145 consecutive patients who underwent surgery for epiretinal membranes or macular holes. Within a week prior to surgery, PVD status was evaluated by SS-OCT with a depth of field of 3 mm and a capture window of 16 × 8 mm.

RELATIONSHIP BETWEEN THE HEIGHT OF WIDE AND NARROW PRIMARY MACULAR STAPHYLOMA AND MYOPIC MACULAR RETINOSCHISIS.

Purpose: To investigate the relationship between the depth of wide and narrow primary macular staphyloma and myopic macular retinoschisis.

Methods: Sixty-nine highly myopic eyes with wide and narrow primary macular staphyloma were included in this cross-sectional study and classified into two groups according to the presence or absence of myopic macular retinoschisis on swept-source optical coherence tomography. All patients received a complete ophthalmologic examination with determination of macular staphyloma depth by ocular ultrasonography (B-scan).

Ocular Ultrasound in the Diagnosis of Optic Neuropathies: A Review of the Literature.

Background: Optic neuropathies represent one of the most frequent causes of vision loss, and they can manifest alone or in conjunction with neurological or systemic symptoms and signs. In recent years, the diagnostic techniques used to detect optic neuropathies have significantly improved, facilitating diagnosis and improving treatment. Among these, ocular ultrasound has assumed a fundamental role, although with conflicting results in the published scientific literature.

Clinical Implications of Ultrasound-Based Morphology in Choroidal Melanoma.

Objective: To describe the frequency of different B-scan morphologies and their association with clinical features and outcomes.

Design: Cohort study of patients enrolled in the Prospective Ocular Tumor Study from January 2000 to January 2024 initially seen at Mayo Clinic Rochester.

Participants: Consecutive inclusion of patients with posterior uveal melanoma.

Comparing New Smartphone-Connected Handheld Ultrasound Device vs. Traditional Ultrasound in Vitreo-Retinal Disease Diagnosis.

(1) Background: Ocular emergencies account for 1.5-3% of emergency department (ED) visits and require urgent diagnosis to prevent serious complications. Ultrasonography is a crucial, non-invasive diagnostic tool for these conditions but traditionally lacks portability and integration with modern electronic smart devices.

Silent Sentinel: Incidental Discovery of Gunpowder-Induced Subconjunctival Foreign Bodies Three Years Post-firearm Injury.

Gunpowder-related ocular injuries are rare and can present significant diagnostic and management challenges. This case report describes a 27-year-old male who was discovered to have subconjunctival gunpowder foreign bodies during a routine annual medical examination. The patient presented with best-corrected visual acuity (BCVA) of 20/20 in both eyes and was asymptomatic, with no complaints of pain, visual disturbances, or other ocular symptoms.

Predicting visual outcomes in keratoprosthesis surgery with critical flicker fusion frequency, B-scan, visual electrophysiology and endoscopy.

Purpose: This study evaluates the predictive power of the critical flicker fusion frequency (CFF) test for visual outcomes in keratoprosthesis (KPro) candidates, comparing its accuracy with B-scan ultrasound, flash visual evoked potentials (fVEP) and endoscopy.

Methods: The study included 42 patients (42 eyes) scheduled for KPro surgery with a median follow-up period of 6 months. The receiver operating characteristic curve identified the cut-off threshold for CFF in the model development study (17 eyes).

Ocular Disease Detection with Deep Learning (Fine-Grained Image Categorization) Applied to Ocular B-Scan Ultrasound Images.

Introduction: The aim of this work is to develop a deep learning (DL) system for rapidly and accurately screening for intraocular tumor (IOT), retinal detachment (RD), vitreous hemorrhage (VH), and posterior scleral staphyloma (PSS) using ocular B-scan ultrasound images.

Methods: Ultrasound images from five clinically confirmed categories, including vitreous hemorrhage, retinal detachment, intraocular tumor, posterior scleral staphyloma, and normal eyes, were used to develop and evaluate a fine-grained classification system (the Dual-Path Lesion Attention Network, DPLA-Net). Images were derived from five centers scanned by different sonographers and divided into training, validation, and test sets in a ratio of 7:1:2.

Bilateral ciliochoroidal detachment: Drug- or COVID-19-related? A case report and literature review.

Background: This report describes a case of bilateral transient myopia with a shallow anterior chamber and ciliochoroidal detachment following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and indapamide intake.

Case Presentation: A 37-year-old man with coronavirus disease 2019 (COVID-19) was referred to our department due to bilateral blurred vision. The patient had been treated with ibuprofen for fever and indapamide for uncontrolled blood pressure.

Debilitating ocular globe rupture due to a forklift accident: A case report.

We describe a case of globe rupture due to a forklift accident. A 64-year-old man presented to the ophthalmology hospital shortly after the jaws of a forklift struck his left eye. The left eye was shrunken with a full-thickness scleral laceration.

Posterior Scleritis in a Pediatric Patient: Importance of Pain Recognition and Early Ultrasound Diagnosis.

Scleritis is a rare and potentially sight-threatening inflammatory disorder affecting the sclera. While anterior scleritis is the more commonly encountered subtype, posterior scleritis represents a larger portion of cases in the pediatric population. Diagnosing posterior scleritis can be challenging due to the overlap with other more common ocular conditions, particularly in the pediatric age group.

Exogenous endophthalmitis caused by Enterobacter cloacae following water gun injury.

Enterobacter is a Gram-negative anaerobic bacillus. Enterobacter-associated endophthalmitis is rare. We report Enterobacter cloacae-associated traumatic endophthalmitis following a water gun injury with no visible external entry wound.

A Case of Refractory Posterior Scleritis with Marked Retinochoroidal Detachment Associated with Panuveitis.

An 84-year-old man presented with decreased right-eye visual acuity. Upon initial examination, the rightand left-eye visual acuities were 0.03 and 1.

Atopic Dermatitis Leading to Blindness: A Frequently Forgotten Sequelae.

A 12-year-old boy with underlying severeand poorly controlled atopic dermatitis (AD) associated with atopic conjunctivitis and rhinitis presented with a right painless blurring of vision for two weeks. On examination, his right eye visual acuity was 1/60,with grade 1 relative afferent pupillary defect (RAPD). Anterior segment examination revealed anterior uveitis with dense posterior subcapsular cataract and hazy fundus view.

Sphingomonas paucimobilis: Navigating from Recurrent Hypopyon Anterior Uveitis to Endogenous Endophthalmitis: A Case Report.

Purpose: To report a case of endogenous endophthalmitis caused by Sphingomonas paucimobilis in a young male.

Materials And Methods: A retrospective case report.

Results: A 25-year-old male presented with reduced vision in the right eye and recurrent past episodes of hypopyon uveitis.