Ocular morbidities of premature children with mild or no retinopathy of prematurity

SUMMARY: Küçükevcilioğlu M, Mutlu FM, Sarıcı SÜ. Ocular morbidities of premature children with mild or no retinopathy of prematurity. Turk J Pediatr 2015; 57: 129-135. This study reports the ocular and neurologic outcomes at 3 years of age of preterm children with mild or no retinopathy of prematurity (ROP). We were able to compile data from the medical records of 119 out of 585 (20.3%) children with mild and no ROP, who were screened between March 1999 and March 2012. There were 52 children with mild ROP and 67 with no ROP. In terms of ROP-related risk factors, the mild ROP and no ROP groups showed significant differences in birth weight (p<0.001) and gestational age (p<0.001), as well as in the presence of mechanical ventilation (p=0.04), respiratory distress syndrome (p=0.003), blood transfusion (p=0.006) and sepsis (p=0.024). However, both groups seemed identical in terms of the distribution of refractive errors, presence of strabismus, presence of unfavorable structural or functional outcome, and presence of neurologic sequelae. In particular, the high incidence of neurologic morbidity (100%) in subjects with very poor vision suggested a clear correlation

Clinical Features and Surgical Results in Harada-Ito Surgery Patients

Symptomatic excyclotorsion is an important clinical problem, especially in acquired superior oblique muscle palsy. Excyclotorsion can disrupt the fusion and cause torsional diplopia. Harada-Ito surgery (HI) is a widely used method for treating excyclotorsions. This method relieves the torsional diplopia by increasing the effect of the incyclotorsion. In this study, we aimed to report the clinical features of patients with torsional diplopia due to acquired trochlear nerve palsy and the results of HI surgery in these patients

Outcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy

Objectives: To present the outcomes of unilateral inferior oblique myectomy performed in patients with inferior oblique overaction due to superior oblique palsy. Materials and Methods: Twenty-seven eyes of 27 patients that underwent inferior oblique myectomy surgery for superior oblique palsy between 2002 and 2008 were included. Inferior oblique overaction scores (between 0-4) at preoperative, early postoperative (within 1 week after surgery) and late postoperative (earliest 6 months) visits were reviewed. Results: There were 12 male and 15 female patients. Eighteen were operated on the right eye, and 9 were operated on the left eye. The mean age was 15.62±13.31 years, and the mean follow-up was 17±11.28 months (range, 6-60 months). Patients who had horizontal component and V-pattern deviation were excluded. Preoperative and early postoperative inferior oblique overaction scores were 2.55±0.75 and 0.14±0.36, respectively, and the difference was statistically significant (p<0.01). This improvement was maintained up to the late postoperative period. Conclusion: Due to its promising short-term and long-term results, inferior oblique myectomy can be the first choice of surgery for inferior oblique overaction due to superior oblique pals

Prostaglandin-Associated Periorbitopathy: Report of three Cases and Review of Fundamental Physiopathology

Prostaglandin analogues, latanoprost and travoprost, and one of the prostamides, bimatoprost, are widely used in glaucoma practice with their efficacious intraocular pressure-lowering effect. Treatment-related trichomegaly, increase in periocular pigmentation and adnexal hair growth are well-known periocular changes. But recently, a new and infrequent side effect called prostaglandin-associated periorbitopathy characterized by deepening of the upper lid sulcus, ptosis, enophthalmus, regression in dermatochalasis and lower lid lateral orbital fat pad prolapsus has been determined. In this case report, we wanted to present this rare side effect in three glaucoma patients who received bimatoprost and travoprost and to remind related fundamental physiopathology. (Turk J Ophthalmol 2013; 43: 57-60

Dual Congenital Anterior Scleral Staphylomas in an Otherwise Normal Eye

In most cases, congenital anterior staphyloma presents with a disfigured eye and very poor vision. Only one pediatric case in the literature was reported as a mild form with a solitary lesion in an otherwise normal eye. We herein report an adult case with two neighboring congenital anterior scleral staphylomas confirmed with ultrasound biomicroscopic imaging, with no associated ocular abnormalities. (Turk J Ophthalmol 2013; 43: 211-2

Accidental Intralenticular Injection of Ozurdex® for Branch Retinal Vein Occlusion: Intact Posterior Capsule and Resolution of Macular Edema

Purpose. We present a case of accidental intralenticular injection of Ozurdex implant in a patient with macular edema secondary to branch retinal vein occlusion. Method. A case report. Results. Intravitreal dexamethasone implant injection had been performed for macular edema due to left superior temporal vein branch occlusion to the left eye of a 78-year-old male patient. The slit-lamp examination 85 days later revealed that the dexamethasone implant was intralenticular. The best-corrected visual acuity (BCVA) was 0.16 on the Snellen chart. Cataract surgery was decided on for the cataract as there was no anterior chamber inflammation, the intraocular pressure (IOP) was normal, and the macular edema had resolved. Uneventful phacoemulsification within the bag intraocular lens placement was performed. Conclusions. Accidental intralenticular Ozurdex injection is an extremely rare complication. The surgeon must decide whether to continue to observe or intervene immediately when such a complication is encountered. Cataract surgery can be planned if the macular edema has resolved and a cataract has developed. It is important to evaluate the posterior capsule with ultrasound biomicroscopy and Scheimpflug imaging before the cataract surgery to ensure a safe surgical procedure

Severe Chloroquine Retinopathy without Bull’s Eye Maculopathy

Chloroquine has long been used for the treatment of autoimmune diseases, beside its use for treatment and prevention of malaria. We herein report a chloroquine retinopathy case with a history of 250 mg per day chloroquine treatment for SLE for the last 15 years. Besides clinical evaluation, the patient was assessed with different functional (visual field, microperimetry, electroretinography, multifocal electroretinography) and structural (optical coherence tomography, retinal nerve fiber layer thickness analysis) retinal analysis methods. (Turk J Ophthalmol 2014; 44: 403-6

Comparison of Confocal Microscopy and Scheimpflug Camera Findings in Avellino Corneal Dystrophy

In this case report, a literature-guided comparative analysis of confocal microscopy and Scheimpflug camera findings of an adult with Avellino corneal dystrophy was performed. It was observed that along with the confocal microscopy, which is a commonly used procedure in corneal dystrophies, the rarely used Scheimpflug camera may provide additional data, especially about the degree of corneal spread, that can be helpful in diagnosis and follow-up. (Turk J Ophthalmol 2012; 42: 489-91

Choroidal thickness changes in connective tissue diseases

Amaç: Çalışmanın amacı bağ dokusu hastalıklarında (BDH) koroid kalınlığı (KK) değişikliklerinin Spektral Domein optik koherens tomografi (SD OKT) kullanılarak değerlendirilmesidir.Gereç ve Yöntemler: Bu prospektif klinik çalışmada, en az 3 aydır remisyonda olan ve bağ dokusu hastalığı tanısı almış 34 hasta ve yaş ve cinsiyet uyumu olan 30 sağlam kişi kontrol grubu olarak değerlendirilmiştir. Santral makula kalınlığı (SMK) subfoveal, nazal ve temporal 500, 1500 mikron mesafelerdeki KK, SD OKT ile ölçülmüştür.Bulgular: Hasta grubunda ortalama SMK (219,2 ?m) kontrol grubuna göre (225,5 ?m) daha ince bulunmuştur. Ancak aradaki fark istatistiksel olarak anlamlı değildi (P = 0,2). Aynı zamanda ortalama KK her ölçüm noktası için hasta grubunda incelmiş olarak bulunmuştur fakat aradaki fark yine istatistiksel olarak anlamlı değildi (P > 0,05). Sonuçlar: İstatistiksel olarak anlamlı olmamasına rağmen BDH'larında koroid dokusu kalınlığı incelmiş olarak bulunmuşturAim: The aim of this study is to evaluate the choroidal thickness (CT) changes in connective tissue disease (CTD) using spectral domain optical coherence tomography (SD OCT) with enhanced depth imaging (EDI).Material and Methods: In this prospective clinical study, we included 34 subjects who were diagnosed as CTD in remission for at least 3 months, and age and gender matched 30 healthy controls. Central macular thickness (CMT), subfoveal CT, and CT at nasal (N) and temporal (T) distances of 500 ?m (N500 and T500, respectively) and 1500 ?m (N500 and T1500, respectively) from the central fovea were measured by EDI OCT.Results: The mean CMT of the patient group (219.2 ?m) was thinner compared to the control group (225.5 ?m), but the difference was not statistically significant (P = 0.2). At the same time, mean CT values were thinner at all measure points in the CTD subjects. The mean subfoveal CT, N500, N1500, T500 and T1500 were not significantly different in comparison to controls (all P > 0.05). Conclusion: Although our results did not reach statistical significance, we found that choroidal tissue was thinner in patients with CT

Inverse Implantation and Rapid Postoperative Necrosis of Conjunctival Autograft in Pterygium Surgery

A 72 year-old female underwent surgery for nasal pterygium in the right eye. Conjunctival autograft with Mytomycine-C was performed. In the postoperative period slit lamp examination revealed a pale and avascular appearance of the conjunctival graft. On postoperative fifth day inverse graft implantation and graft necrosis was diagnosed. The graft was removed. We herein discuss the reason and possible preventive measures of this unusual outcome. (Turk J Oph thal mol 2012; 42: 298-9