Ophthopedia’s Post

Acquired sessile hemangioma is an unusual conjunctival vascular lesion of adults that has characteristic clinical features. t should be differentiated from other conjunctival vascular lesions. There are no systemic associations The best management is observation only, since most remain stable and have no known complications. #eye #eyedoctor #optometrist #optometria #optometry #optometrista #optometrystudent #ophthalmology #ophthalmologist #oculista #ocular #hemangioma

Ophthopedia Update:Macular lesions associated with age-related macular degeneration in pachydrusen eyes: Eye, Published online: 29 September 2023; doi:10.1038/s41433-023-02752-0Macular lesions associated with age-related macular degeneration in pachydrusen eyes #Ophthalmology #Eye #Ophthotwitter

Ophthopedia Update:Topical NSAIDs impact on macular oedema and visual outcome after phacoemulsification: systematic review of RCTs with network meta-analysis: Eye, Published online: 02 August 2024; doi:10.1038/s41433-024-03268-xTopical NSAIDs impact on macular oedema and visual outcome after phacoemulsification: systematic review of RCTs with network meta-analysis #Ophthalmology #Eye #Ophthotwitter

Ophthopedia Update:Short-term response to anti-VEGF as indicator of visual prognosis in refractory age-related macular degeneration: Eye, Published online: 26 January 2024; doi:10.1038/s41433-023-02900-6Short-term response to anti-VEGF as indicator of visual prognosis in refractory age-related macular degeneration #Ophthalmology #Eye #Ophthotwitter

Fundus image showing cilioretinal artery occlusion (ischemic macula with cherry-red spot) secondary to central retinal vein occlusion (optic nerve edema, peripapillary cottonwool spots, flame-shaped hemorrhages, and tortuous veins). https://lnkd.in/exCnFZyG #Ophthalmology #ClinicalResearch #VisionScience #OcularImaging

Cornea Update: Mediators of Visual Acuity in Descemet Membrane Endothelial Keratoplasty and Ultrathin Descemet Stripping Automated Endothelial Keratoplasty: Purpose: The aim of this study was to investigate mediators of visual acuity in ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) compared with Descemet membrane endothelial keratoplasty (DMEK). Methods: This was a prespecified secondary analysis of the Descemet Endothelial Thickness Comparison Trial, a prospective, randomized controlled trial comparing UT-DSAEK with DMEK. Subjects with Fuchs endothelial dystrophy or pseudophakic bullous keratopathy presenting to 2 academic centers were enrolled and randomized to either UT-DSAEK (n = 25 eyes) or DMEK (n = 25 eyes). Higher order aberrations (HOAs) and corneal densitometry were measured with Pentacam Scheimpflug imaging at 3, 6, 12, and 24 months. Results: The posterior corneal surface at the 6.0-mm optical zone had significantly less total HOAs (P http://dlvr.it/SzFY8R #Cornea #Ophthalmology #Ophthotwitter

ICYMI: Cornea Update: Combined Photorefractive Keratectomy and Corneal Cross-Linking for Keratoconus and Ectasia: The Athens Protocol: Abstract: Customized photorefractive keratectomy with minimal tissue ablation combined with corneal cross-linking seems to be a long-term safe and effective strategy for anatomical and visual management of keratoconus, postsurgical ectasia, and other ectasia management. Multiple published studies, many with long-term follow-up, have supported the Athens Protocol and its various forms as a means to manage corneal ectatic disorders, which not only stabilize corneal shapes but also improve functional vision. http://dlvr.it/SwPntS #Cornea #MostPopularArticles #Ophthalmology

ICYMI: Cornea Update: Mediators of Visual Acuity in Descemet Membrane Endothelial Keratoplasty and Ultrathin Descemet Stripping Automated Endothelial Keratoplasty: Purpose: The aim of this study was to investigate mediators of visual acuity in ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) compared with Descemet membrane endothelial keratoplasty (DMEK). Methods: This was a prespecified secondary analysis of the Descemet Endothelial Thickness Comparison Trial, a prospective, randomized controlled trial comparing UT-DSAEK with DMEK. Subjects with Fuchs endothelial dystrophy or pseudophakic bullous keratopathy presenting to 2 academic centers were enrolled and randomized to either UT-DSAEK (n = 25 eyes) or DMEK (n = 25 eyes). Higher order aberrations (HOAs) and corneal densitometry were measured with Pentacam Scheimpflug imaging at 3, 6, 12, and 24 months. Results: The posterior corneal surface at the 6.0-mm optical zone had significantly less total HOAs (P http://dlvr.it/SzKVG5 #Cornea #Ophthalmology #Ophthotwitter

Ophthopedia Update:Filamentous RPE Hyperplasia in Combined Hamartoma of the Retina and RPE: This case report describes a diagnosis of combined hamartoma of the retina and retinal pigment epithelium (RPE) with filamentous RPE hyperplasia in a female child with a history of amblyopia, myopia, and exotropia of the affected eye. #Ophthalmology #Eyecare #JAMA

Recently we performed a unique test called inferior petrosal sinus sampling (IPSS), for a young girl with Cushing syndrome. When the pituitary lesion is not detected on MRI, it necessitates IPS sampling since the microadenomas that secrete ACTH may be too small to be detected with MRI. It helps us figure out if the extra ACTH hormone causing Cushing syndrome is coming from the pituitary gland or somewhere else in the body. This test is crucial for getting the right diagnosis and treatment plan. This test is pretty cool because it's minimally invasive but super accurate. During the test, we carefully guide a tiny tube into veins near the base of the skull. Then, we collect blood samples from those veins and compare them to samples from elsewhere in the body. It's like detective work for hormones. The results revealed that our patient has a corticotroph adenoma on right side of the pituitary gland. Now, armed with this info, we can move forward with treatment options tailored to her condition. #Neuroradiology #interventionalradiology #Cushing #ipss #endocrine #pituitary