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17. Cataracts

Author

Cicinelli, Maria Vittoria, Buchan, John C, Nicholson, Maneck, Varadaraj, Varshini, and Khanna, Rohit C

Published
2023
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18. Effective refractive error coverage in adults aged 50 years and older: estimates from population-based surveys in 61 countries

Author

Bron, Alain, Cheng, Ching-Yu, Fernandes, Arthur, Friedman, David, Gazzard, Andrew, Kahloun, Rim, Kempen, John, Khairallah, Moncef, Lansingh, Van C, Leasher, Janet, Leveziel, Nicolas, Limburg, Hans, Nowak, Michal, Pesudovs, Konrad, Peto, Tunde, Rossetti, Luca, Tahhan, Nina, Varma, Rohit, Alemayehu, Wondu, Arditi, Aries, Dana, Reza, Del Monte, Monte, Deva, jenny, Dreer, Laura, Ehrlich, Josh, Ellwein, Leon, Hammond, Billy, Hartnett, Mary E, Ingram, April, Khanna, Rohit, Kim, Judy, Lim, Jennifer, Morse, Alan, Musch, David, Parodi, Maurizio B, Ramulu, Pradeep, Robin, Alan, Serle, Janet, Shen, Tueng, Sitorus, Rita S, Stambolian, Dwight, Topouzis, Fotis, Tsilimbaris, Miltiadis, Virgili, Gianni, West, Sheila, Ababora, Jafer K, AlSawahli, Heba, Andriamanjato, Hery Harimanitra, Barrenechea, Rosario, Batlle, Juan F, Burnett, Anthea M, Finger, Robert P, Gallarreta, Marcelo, Gomez-Bastar, Pedro A, Gurung, Reeta, Jain, Elesh, Kabona, George E, Kalua, Khumbo, Kandeke, Levi, Karimurio, Jefitha, Kikira, Susan A, Kulkarni, Sucheta, Mathenge, Wanjiku, Mishra, Sailesh Kumar, Mohammadi, Seyed Farzad, Mörchen, Manfred, Muhammad, Nasiru, Mutati, Grace C, Nano, Maria Eugenia, Németh, János, Paduca, Ala, Páez, Alexander, Rabiu, M Mansur, Rif'ati, Lutfah, Salowi, Mohamad Aziz, Sapkota, Yuddha D, Sargent, Nicholas, Thoufeeq, Ubeydulla, Villalobos, Astrid V, Xiao, Biaxiang, Yee Melgar, Mariano, Zhang, Xiu Juan, Bourne, Rupert Richard Alexander, Cicinelli, Maria Vittoria, Sedighi, Tabassom, Tapply, Ian H, McCormick, Ian, Jonas, Jost B, Congdon, Nathan G, Ramke, Jacqueline, Naidoo, Kovin S, Fricke, Timothy R, Burton, Matthew J, Müller, Andreas, Bikbov, Mukharram M, Furtado, João M, Kyari, Fatima, He, Mingguang, Wang, Ya Xing, Vijaya, Lingam, Nangia, Vinay, Brian, Garry, Emamian, Mohammad Hassan, Fotouhi, Akbar, Hashemi, Hassan, Khandekar, Rajiv B, Marmamula, Srinivas, Salomão, Solange, George, Ronnie, Kazakbaeva, Gyulli, Braithwaite, Tasanee, Casson, Robert J, Iwase, Aiko, Gupta, Noopur, Abdianwall, Mohammad H, Wong, Tien Y, Wang, Ningli, Taylor, Hugh R, Flaxman, Seth R, Keel, Stuart, and Resnikoff, Serge

Published
2022
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19. STELLATE MULTIFORM AMELANOTIC CHOROIDOPATHY: Clinical and Multimodal Imaging Features

Author

Ramtohul, Prithvi, Pellegrini, Marco, Pichi, Francesco, Preziosa, Chiara, Marchese, Alessandro, Cicinelli, Maria Vittoria, Miserocchi, Elisabetta, Mundae, Rusdeep, Mrejen, Sarah, Rofagha, Soraya, Mein, Calvin E., Mein, Luke, Ober, Michael D., Cunha de Souza, Eduardo, Cohen, Salomon Yves, van Dijk, Elon H. C., Jampol, Lee, Boon, Camiel J. F., and Freund, K. Bailey

Published
2023
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22. Unraveling the Spectrum of Uveitis: Insights from an Epidemiological Study in a National Referral Center in Northern Italy.

Author

Menean, Matteo, Scandale, Pierluigi, Apuzzo, Aurelio, Barresi, Costanza, Checchin, Lisa, L'Abbate, Gaia, Fantaguzzi, Federico, Rissotto, Federico, Servillo, Andrea, Cucuccio, Elena, Modorati, Giulio, Marchese, Alessandro, Bandello, Francesco, Cicinelli, Maria Vittoria, and Miserocchi, Elisabetta

Subjects
UVEITIS, VISUAL acuity, CLINICAL epidemiology, TOXOPLASMOSIS, ETIOLOGY of diseases, IRIDOCYCLITIS
Abstract

Purpose: Uveitis embraces a heterogeneous group of vision-threatening inflammatory conditions. Understanding uveitis epidemiology, etiology, and clinical findings is fundamental for a prompt diagnosis and optimal patient management. The aim of the study is to report the epidemiology of uveitis in a national referral center in Northern Italy and investigate the visual prognosis. Methods: This retrospective study was conducted at Uveitis Service (Ospedale San Raffaele) between June 2016 and May 2023. Demographic data, clinical characteristics, and etiological diagnoses of uveitis patients were collected, and visual prognosis was longitudinally explored. Results: 1105 patients with uveitis were included in the study, while 47 patients presented neoplastic masquerade syndrome and have been excluded. The population had a slight majority of females (M/F ratio = 0.76), mean age was 47 years. 25% presented infectious uveitis, primarily due to herpetic etiology, toxoplasmosis, and tuberculosis. Non-infectious uveitis was the most prevalent diagnosis (38%), with sarcoidosis, HLA-B27-associated uveitis, and Fuch's uveitis as prominent causes. Anatomically, anterior segment was most frequently involved (41%). Significant improvement in visual acuity was observed at follow-up, particularly in patients with infectious uveitis. Conclusions: Our study sheds light into the epidemiological landscape of uveitis in Northern Italy, reflecting changing patterns due to factors such as migration and changing sexual habits. In particular, higher percentages of syphilis have been observed, compared to other European reports. The distribution of non-infectious uveitis reflects other epidemiological European series. Higher percentages of neoplastic masquerade syndromes support the need of early recognition. Our findings offer precious insights for uveitis epidemiology and daily clinical practice. [ABSTRACT FROM AUTHOR]

Published
2024
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23. Multimodal Imaging of Vitreo-Retinal Lymphoma: A Comprehensive Review.

Author

Rissotto, Federico, Cicinelli, Maria Vittoria, Servillo, Andrea, Berni, Alessandro, Menean, Matteo, Bianco, Lorenzo, Antropoli, Alessio, Bandello, Francesco, Miserocchi, Elisabetta, and Marchese, Alessandro

Subjects
*FLUORESCENCE angiography, *OPTICAL coherence tomography, *OCULAR manifestations of general diseases, *COLOR photography, *INDOCYANINE green
Abstract

Purpose: Vitreoretinal lymphoma (VRL) is a rare lymphoma affecting the vitreous and the retina. Clinical diagnosis is challenging and often delayed and may lead to aggravated prognosis. This study aims to review multimodal imaging findings in VRL. Methods: We performed a comprehensive narrative review of the multimodal imaging findings that might be useful in the detection of VRL lesions. Results: The most frequent ocular manifestations of VRL are vitritis, and retinal and sub-retinal Pigmented Epithelium (RPE) infiltrations. Color Fundus Photography (CFP) detects vitreous haze, optic nerve, retinal and sub-RPE infiltration. Ultra-wide field imaging allows visualization of different patterns of vitreous haze and monitoring of VRL evolution through the detection of chorio-retinal atrophy (CRA). Fundus Autofluorescence shows granular hypo- and hyper-autofluorescent pattern. Optical Coherence Tomography (OCT) reveals vitreous cells, vertical hyper-reflective lesions and sub-RPE infiltrates. Fluorescein Angiography (FA) shows hypo or hyperfluorescent round lesions at the late stages of the examination, while Indocyanine Green Angiography (ICGA) detects round areas of focal hypo-fluorescence in the early phases that gradually enlarge in the late phases. B-scan ultrasonography detects vitreous opacities and homogeneous hyperreflective corpuscular material in the vitreous, and is a strongly recommended tool in suspecting VRL and is particularly useful when vitreous haze is impeding retinal examination. Conclusion: Diagnostic vitrectomy with cytopathological analysis remains the gold standard for VRL diagnosis, however multimodal imaging allows the identification of suggestive retinal and vitreal lesions for early suspicion, diagnosis, and treatment and monitoring disease progression and response to treatment. [ABSTRACT FROM AUTHOR]

Published
2024
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24. Real-world experience with fluocinolone acetonide intravitreal implant in patients with diabetic macular edema.

Author

Capone, Luigi, Airaghi, Pietro, Aragona, Pasquale, Castellino, Nicolò, Cicinelli, Maria Vittoria, Ciucci, Francesco, Coppola, Michele, Gaetano, Cristiano De, Lattanzio, Rosangela, Lorusso, Massimo, Maceroni, Martina, Malvasi, Maria Elena, Marco, Luisa, Marraffa, Michele, Martini, Gaia, Mastropasqua, Rodolfo, Minnella, Angelo Maria, Nikolopulou, Eleni, Ortisi, Elina, and Pacella, Elena

Published
2024
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34. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study

Author

Steinmetz, Jaimie D, Bourne, Rupert R A, Briant, Paul Svitil, Flaxman, Seth R, Taylor, Hugh R B, Jonas, Jost B, Abdoli, Amir Aberhe, Abrha, Woldu Aberhe, Abualhasan, Ahmed, Abu-Gharbieh, Eman Girum, Adal, Tadele Girum, Afshin, Ashkan, Ahmadieh, Hamid, Alemayehu, Wondu, Alemzadeh, Sayyed Amirpooya Samir, Alfaar, Ahmed Samir, Alipour, Vahid, Androudi, Sofia, Arabloo, Jalal, Arditi, Aries Berhe, Aregawi, Brhane Berhe, Arrigo, Alessandro, Ashbaugh, Charlie, Ashrafi, Elham Debalkie, Atnafu, Desta Debalkie, Bagli, Eleni Amin, Baig, Atif Amin Winfried, Bärnighausen, Till Winfried, Battaglia Parodi, Maurizio, Beheshti, Mahya Srikanth, Bhagavathula, Akshaya Srikanth, Bhardwaj, Nikha, Bhardwaj, Pankaj, Bhattacharyya, Krittika, Bijani, Ali, Bikbov, Mukharram, Bottone, Michele, Braithwaite, Tasanee M, Bron, Alain M, Burugina Nagaraja, Sharath A, Butt, Zahid A, Caetano dos Santos, Florentino Luciano L, Carneiro, Vera L James, Casson, Robert James, Cheng, Ching-Yu Jasmine, Choi, Jee-Young Jasmine, Chu, Dinh-Toi, Cicinelli, Maria Vittoria M, Coelho, João M G, Congdon, Nathan G A, Couto, Rosa A A, Cromwell, Elizabeth A M, Dahlawi, Saad M, Dai, Xiaochen, Dana, Reza, Dandona, Lalit, Dandona, Rakhi A, Del Monte, Monte A, Derbew Molla, Meseret, Dervenis, Nikolaos Alemayehu, Desta, Abebaw Alemayehu P, Deva, Jenny P, Diaz, Daniel, Djalalinia, Shirin E, Ehrlich, Joshua R, Elayedath, Rajesh Rashad, Elhabashy, Hala Rashad B, Ellwein, Leon B, Emamian, Mohammad Hassan, Eskandarieh, Sharareh, Farzadfar, Farshad G, Fernandes, Arthur G, Fischer, Florian S, Friedman, David S M, Furtado, João M, Gaidhane, Shilpa, Gazzard, Gus, Gebremichael, Berhe, George, Ronnie, Ghashghaee, Ahmad, Gilani, Syed Amir, Golechha, Mahaveer, Hamidi, Samer Randall, Hammond, Billy Randall R, Hartnett, Mary Elizabeth R Kusuma, Hartono, Risky Kusuma, Hashi, Abdiwahab I, Hay, Simon I, Hayat, Khezar, Heidari, Golnaz, Ho, Hung Chak, Holla, Ramesh, Househ, Mowafa J, Huang, John J Emmanuel, Ibitoye, Segun Emmanuel M, Ilic, Irena M D, Ilic, Milena D D, Ingram, April D Naghibi, Irvani, Seyed Sina Naghibi, Islam, Sheikh Mohammed Shariful, Itumalla, Ramaiah, Jayaram, Shubha Prakash, Jha, Ravi Prakash, Kahloun, Rim, Kalhor, Rohollah, Kandel, Himal, Kasa, Ayele Semachew, Kavetskyy, Taras A, Kayode, Gbenga A H, Kempen, John H, Khairallah, Moncef, Khalilov, Rovshan Ahmad, Khan, Ejaz Ahmad C, Khanna, Rohit C, Khatib, Mahalaqua Nazli Ahmed, Khoja, Tawfik Ahmed E, Kim, Judy E, Kim, Yun Jin, Kim, Gyu Ri, Kisa, Sezer, Kisa, Adnan, Kosen, Soewarta, Koyanagi, Ai, Kucuk Bicer, Burcu, Kulkarni, Vaman P, Kurmi, Om P, Landires, Iván Charles, Lansingh, Van Charles L, Leasher, Janet L E, LeGrand, Kate E, Leveziel, Nicolas, Limburg, Hans, Liu, Xuefeng, Madhava Kunjathur, Shilpashree, Maleki, Shokofeh, Manafi, Navid, Mansouri, Kaweh, McAlinden, Colm Gebremichael, Meles, Gebrekiros Gebremichael M, Mersha, Abera M, Michalek, Irmina Maria R, Miller, Ted R, Misra, Sanjeev, Mohammad, Yousef, Mohammadi, Seyed Farzad Abdu, Mohammed, Jemal Abdu H, Mokdad, Ali H, Moni, Mohammad Ali Al, Montasir, Ahmed Al R, Morse, Alan R Fentaw, Mulaw, Getahun Fentaw C, Naderi, Mehdi, Naderifar, Homa S, Naidoo, Kovin S, Naimzada, Mukhammad David, Nangia, Vinay, Narasimha Swamy, Sreenivas Muhammad, Naveed, Dr Muhammad, Negash, Hadush Lan, Nguyen, Huong Lan, Nunez-Samudio, Virginia Akpojene, Ogbo, Felix Akpojene, Ogundimu, Kolawole T, Olagunju, Andrew T E, Onwujekwe, Obinna E, Otstavnov, Nikita O, Owolabi, Mayowa O, Pakshir, Keyvan, Panda-Jonas, Songhomitra, Parekh, Utsav, Park, Eun-Cheol, Pasovic, Maja, Pawar, Shrikant, Pesudovs, Konrad, Peto, Tunde Quang, Pham, Hai Quang, Pinheiro, Marina, Podder, Vivek, Rahimi-Movaghar, Vafa, Rahman, Mohammad Hifz Ur Y, Ramulu, Pradeep Y, Rathi, Priya, Rawaf, Salman Laith, Rawaf, David Laith, Rawal, Lal, Reinig, Nickolas M, Renzaho, Andre M, Rezapour, Aziz L, Robin, Alan L, Rossetti, Luca, Sabour, Siamak, Safi, Sare, Sahebkar, Amirhossein, Sahraian, Mohammad Ali M, Samy, Abdallah M, Sathian, Brijesh, Saya, Ganesh Kumar, Saylan, Mete A, Shaheen, Amira A Ali, Shaikh, Masood Ali T, Shen, Tueng T, Shibuya, Kenji Shibabaw, Shiferaw, Wondimeneh Shibabaw, Shigematsu, Mika, Shin, Jae Il, Silva, Juan Carlos, Silvester, Alexander A, Singh, Jasvinder A, Singhal, Deepika S, Sitorus, Rita S, Skiadaresi, Eirini Yurievich, Skryabin, Valentin Yurievich Aleksandrovna, Skryabina, Anna Aleksandrovna, Soheili, Amin Bekele, Sorrie, Muluken Bekele A R C, Sousa, Raúl A R C T, Sreeramareddy, Chandrashekhar T, Stambolian, Dwight Girma, Tadesse, Eyayou Girma, Tahhan, Nina Ismail, Tareque, Md Ismail, Topouzis, Fotis Xuan, Tran, Bach Xuan, Tsegaye, Gebiyaw K, Tsilimbaris, Miltiadis K, Varma, Rohit, Virgili, Gianni, Vongpradith, Avina Thu, Vu, Giang Thu, Wang, Ya Xing, Wang, Ningli Hailay, Weldemariam, Abrha Hailay K, West, Sheila K Gebeyehu, Wondmeneh, Temesgen Gebeyehu Y, Wong, Tien Y, Yaseri, Mehdi, Yonemoto, Naohiro, Yu, Chuanhua Sergeevich, Zastrozhin, Mikhail Sergeevich, Zhang, Zhi-Jiang R, Zimsen, Stephanie R, Resnikoff, Serge, and Vos, Theo

Published
2021
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35. Trends in prevalence of blindness and distance and near vision impairment over 30 years: an analysis for the Global Burden of Disease Study

Author

Bourne, Rupert, Steinmetz, Jaimie D, Flaxman, Seth, Briant, Paul Svitil, Taylor, Hugh R, Resnikoff, Serge, Casson, Robert James, Abdoli, Amir, Abu-Gharbieh, Eman, Afshin, Ashkan, Ahmadieh, Hamid, Akalu, Yonas, Alamneh, Alehegn Aderaw, Alemayehu, Wondu, Alfaar, Ahmed Samir, Alipour, Vahid, Anbesu, Etsay Woldu, Androudi, Sofia, Arabloo, Jalal, Arditi, Aries, Asaad, Malke, Bagli, Eleni, Baig, Atif Amin, Bärnighausen, Till Winfried, Battaglia Parodi, Maurizio, Bhagavathula, Akshaya Srikanth, Bhardwaj, Nikha, Bhardwaj, Pankaj, Bhattacharyya, Krittika, Bijani, Ali, Bikbov, Mukharram, Bottone, Michele, Braithwaite, Tasanee, Bron, Alain M, Butt, Zahid A, Cheng, Ching-Yu, Chu, Dinh-Toi, Cicinelli, Maria Vittoria, Coelho, João M, Dagnew, Baye, Dai, Xiaochen, Dana, Reza, Dandona, Lalit, Dandona, Rakhi, Del Monte, Monte A, Deva, Jenny P, Diaz, Daniel, Djalalinia, Shirin, Dreer, Laura E, Ehrlich, Joshua R, Ellwein, Leon B, Emamian, Mohammad Hassan, Fernandes, Arthur G, Fischer, Florian, Friedman, David S, Furtado, João M, Gaidhane, Abhay Motiramji, Gaidhane, Shilpa, Gazzard, Gus, Gebremichael, Berhe, George, Ronnie, Ghashghaee, Ahmad, Golechha, Mahaveer, Hamidi, Samer, Hammond, Billy Randall, Hartnett, Mary Elizabeth R, Hartono, Risky Kusuma, Hay, Simon I, Heidari, Golnaz, Ho, Hung Chak, Hoang, Chi Linh, Househ, Mowafa, Ibitoye, Segun Emmanuel, Ilic, Irena M, Ilic, Milena D, Ingram, April D, Irvani, Seyed Sina Naghibi, Jha, Ravi Prakash, Kahloun, Rim, Kandel, Himal, Kasa, Ayele Semachew, Kempen, John H, Keramati, Maryam, Khairallah, Moncef, Khan, Ejaz Ahmad, Khanna, Rohit C, Khatib, Mahalaqua Nazli, Kim, Judy E, Kim, Yun Jin, Kisa, Sezer, Kisa, Adnan, Koyanagi, Ai, Kurmi, Om P, Lansingh, Van Charles, Leasher, Janet L, Leveziel, Nicolas, Limburg, Hans, Majdan, Marek, Manafi, Navid, Mansouri, Kaweh, McAlinden, Colm, Mohammadi, Seyed Farzad, Mohammadian-Hafshejani, Abdollah, Mohammadpourhodki, Reza, Mokdad, Ali H, Moosavi, Delaram, Morse, Alan R, Naderi, Mehdi, Naidoo, Kovin S, Nangia, Vinay, Nguyen, Cuong Tat, Nguyen, Huong Lan Thi, Ogundimu, Kolawole, Olagunju, Andrew T, Ostroff, Samuel M, Panda-Jonas, Songhomitra, Pesudovs, Konrad, Peto, Tunde, Quazi Syed, Zahiruddin, Rahman, Mohammad Hifz Ur, Ramulu, Pradeep Y, Rawaf, Salman, Rawaf, David Laith, Reinig, Nickolas, Robin, Alan L, Rossetti, Luca, Safi, Sare, Sahebkar, Amirhossein, Samy, Abdallah M, Saxena, Deepak, Serle, Janet B, Shaikh, Masood Ali, Shen, Tueng T, Shibuya, Kenji, Shin, Jae Il, Silva, Juan Carlos, Silvester, Alexander, Singh, Jasvinder A, Singhal, Deepika, Sitorus, Rita S, Skiadaresi, Eirini, Skirbekk, Vegard, Soheili, Amin, Sousa, Raúl A R C, Spurlock, Emma Elizabeth, Stambolian, Dwight, Taddele, Biruk Wogayehu, Tadesse, Eyayou Girma, Tahhan, Nina, Tareque, Md Ismail, Topouzis, Fotis, Tran, Bach Xuan, Travillian, Ravensara S, Tsilimbaris, Miltiadis K, Varma, Rohit, Virgili, Gianni, Wang, Ya Xing, Wang, Ningli, West, Sheila K, Wong, Tien Y, Zaidi, Zoubida, Zewdie, Kaleab Alemayehu, Jonas, Jost B, and Vos, Theo

Published
2021
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36. Symptomatic Vitreous Opacities: Exploring the Mismatch between Clinical Observation of Vitreous Alterations and Self-Reported Symptoms.

Author

Bamonte, Giulio, Iodice, Clemente Maria, Mastropasqua, Rodolfo, Van Dijk, Elon H. C., Appeltans, Andrea, Cicinelli, Maria Vittoria, Menean, Matteo, Ten Tusscher, Marcel, Harmer, Stuart W., Marolo, Paola, Borrelli, Enrico, Reibaldi, Michele, Panos, Georgios D., and Motta, Lorenzo

Subjects
VITREOUS body, MEDICAL records, OPHTHALMOSCOPY, SLIT lamp microscopy, SYMPTOMS
Abstract

Objectives: To assess the mismatch between the clinical observation of vitreous alterations and self-reported symptoms in young patients complaining of symptomatic vitreous opacities (SVO). Methods: The ophthalmic medical records of young patients presenting primarily with SVO were retrospectively evaluated. Symptoms severity was assessed using a questionnaire. The status of the vitreous body was examined with indirect ophthalmoscopy at the slit-lamp and classified according to an ad hoc severity scale. Results: Sixty eyes of thirty otherwise healthy patients (median age: 32.5 (IQR: 29.0–37.0) years old) complaining of SVO (median duration: 38 months; interquartile range: 18–84 months) were enrolled. SVO was rated as severe by 50% of participants, affecting all the activities explored in the questionnaire. Twenty-three patients (76.6%) reported SVO-related depression and/or anxiety, for which eleven patients (36.6%) were or had been using medication. Fifty-eight eyes (96.6%) showed no evidence of (or minimal) vitreous opacity, while two eyes (3.3%) were found to have significant vitreous opacity. No significant inter-gender differences (p > 0.05) and no significant differences (p > 0.05) were found between the severity of vitreous opacity and patients' reported symptoms nor with their psychological status and medication use. Conclusions: Severe discomfort related to the perception of vitreous floaters exists in young patients whose vitreous gel examination is unremarkable or shows only minor alterations. We believe this discrepancy can be explained by optical anisotropy; significant forward-scattering of light, which results in floater symptoms; and reduced back reflection, which limits the clinical observation. [ABSTRACT FROM AUTHOR]

Published
2024
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37. Acute and Chronic Manifestations of Sympathetic Ophthalmia on Multimodal Imaging.

Author

Marchese, Alessandro, Filipello, Federica, Cicinelli, Maria Vittoria, Sanvito, Francesca, Pedica, Federica, Bandello, Francesco, Modorati, Giulio, and Miserocchi, Elisabetta

Subjects
OCULAR injuries, EYE inflammation, RETINAL detachment, OPTIC disc, UVEITIS
Abstract

Purpose: To report the clinical and multimodal imaging features of sympathetic ophthalmia in the acute and chronic phases. Methods: Retrospective cohort study of consecutive patients with sympathetic ophthalmia seen at a tertiary referral center. Charts, imaging studies, and histopathological specimens were reviewed. The clinical features and multimodal imaging in the sympathizing eye were analyzed by sorting features into those seen in the acute and chronic phase. Results: Ten patients were included in the analysis and all of them had previous ocular trauma or complicated retinal detachment. In the acute phase, 70% had anterior uveitis, 70% had vitritis, and 100% had active posterior uveitis; posterior uveitis included multifocal choroiditis (80%), optic disc swelling (40%), multiple serous retinal detachments (20%), MEWDS-like findings (10%), and retinal vasculitis with chorioretinitis (10%). In the chronic phase, posterior manifestations included widespread patches of chorioretinal atrophy in the mid- and far-periphery (80%), peripapillary subretinal fibrosis (50%), and nummular perivascular atrophy (50%). Conclusions: Sympathetic ophthalmia shows different posterior segment manifestations in the acute and chronic phase. Active sympathetic ophthalmia should be ruled out in eyes with a MEWDS-like presentation or rapidly progressing chorioretinitis, and history of trauma in the fellow eye. Peripapillary subretinal fibrosis and perivascular nummular atrophy may be useful features to suspect SO once acute inflammation has resolved. [ABSTRACT FROM AUTHOR]

Published
2024
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38. Anterior segment involvement in vitreoretinal lymphoma: clinical manifestations, molecular findings and in vivo confocal microscopy.

Author

Marchese, Alessandro, Di Biase, Carlo, Cicinelli, Maria Vittoria, Menean, Matteo, Ferrari, Giulio, Bandello, Francesco, Modorati, Giulio, Goldstein, Debra Anne, and Miserocchi, Elisabetta

Abstract

Background Intermediate and posterior manifestations of vitreoretinal lymphoma (VRL) are well characterised. However, there is limited information on anterior segment involvement in VRL. This study aimed to describe the anterior manifestations of VRL, and their association with molecular testing. Methods Retrospective analysis of patients with biopsy-proven VRL. Study variables included anterior segment manifestations, findings from slit-lamp photos and in vivo confocal microscopy (IVCM) when available. MYD88 L265P mutation and cytology in the aqueous humour, retinal and systemic findings were also analysed. Results The analysis included 108 eyes of 55 VRL patients. Anterior segment involvement was present in at least one visit in 55 eyes (51%) of 33 patients (60%); it included keratic precipitates (dendritiform with branching and irregular margins in 33 eyes, dust-like in 16 eyes and large granulomatous in 12 eyes), cells in the anterior chamber (51 eyes) and posterior synechiae (2 eyes). IVCM was available for 41 eyes and showed different morphologies of keratic precipitates, including floral, spikes and mulberry patterns (66%, 56% and 20%, respectively). MYD88 L265P mutation in the aqueous humour was detected in 10/21 (48%) eyes with no anterior segment involvement and 24/37 (65%) eyes with anterior segment involvement. Conclusions Anterior segment manifestations are often present in VRL and include dendritiform and dust-like keratic precipitates. IVCM in VRL can identify different patterns associated with keratic precipitates. MYD88 L265P mutation in the aqueous humour of VRL patients can also be found in eyes without significant anterior segment involvement. [ABSTRACT FROM AUTHOR]

Published
2024
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48. Diabetic Macular Edema

Author

Bandello, Francesco, Lattanzio, Rosangela, Zucchiatti, Ilaria, Arrigo, Alessandro, Battista, Marco, Cicinelli, Maria Vittoria, Bandello, Francesco, editor, Zarbin, Marco Attilio, editor, Lattanzio, Rosangela, editor, and Zucchiatti, Ilaria, editor

Published
2019
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