No abstract available.
Africa* ; Carcinoma, Basal Cell* ; Myiasis* ; Sarcophagidae* ; Wounds and Injuries*

PURPOSE: To report a case of full-thickness macular hole following intravitreal aflibercept injection in a patient with wet age-related macular degeneration (AMD). CASE SUMMARY: A 70-year-old man presented to our department with gradually decreasing vision in his left eye. Best-corrected visual acuity was measured as 0.8 in the right eye and 0.2 in the left eye. Fundus examination, fluorescein angiography, and optical coherence tomography (OCT) showed occult choroidal neovascularization associated with subretinal fluid in the left eye. The patient received several intravitreal ranibizumab and bevacizumab injections in his left eye but responded poorly to the treatment. The patient was switched to intravitreal aflibercept injection. After 1 month, the best corrected visual acuity in the left eye was decreased to 0.05. Although the fundus examination was indistinct, OCT confirmed the presence of a full-thickness macular hole. The patient underwent pars plana vitrectomy with internal limiting membrane peeling and fluid-gas exchange, 20% SF6 gas injection, phacoemulsification, and posterior chamber intraocular lens implantation. One month after the operation, the best corrected visual acuity was 0.2. The macular hole was closed completely, as confirmed by OCT. CONCLUSIONS: Although the occurrence of a full-thickness macular hole after intravitreal aflibercept injection in the treatment of choroidal neovascularization with wet AMD is uncommon, physicians should pay attention for this complication.
Aged ; Bevacizumab ; Choroidal Neovascularization ; Fluorescein Angiography ; Humans ; Lens Implantation, Intraocular ; Macular Degeneration* ; Membranes ; Phacoemulsification ; Ranibizumab ; Retinal Perforations* ; Subretinal Fluid ; Tomography, Optical Coherence ; Visual Acuity ; Vitrectomy

Purpose: To evaluate the refractive outcomes of FineVision multifocal intraocular lens (IOL) implantation after vitrectomy for retinal detachment in eyes that had undergone myopia-correcting refractive surgery. Methods: This study involved 27 eyes from 27 patients who received FineVision multifocal IOL implantation due to nuclear cataract following vitrectomy for retinal detachment. All patients had previously undergone myopia-correcting refractive surgery. Preoperative and postoperative visual acuity and manifest refraction were measured. Prediction errors were compared between 8 eyes with axial length (AL) ≥ 26 mm and 19 eyes with AL < 26 mm, as well as between 9 eyes with macula-involved retinal detachment and 18 eyes without macula involvement. Results: Six months postoperatively, the mean uncorrected distance visual acuity was 0.12 ± 0.14 logarithm of the minimal angle of resolution (logMAR), and near visual acuity was 0.08 ± 0.14 logMAR. The postoperative spherical equivalent (SE) was within ± 0.50 diopters (D) in 9 eyes (33.3%) and within ± 1.00 D in 19 eyes (70.4%). All eyes had SE within ± 1.50 D. Prediction errors did not significantly differ between eyes with AL ≥ 26 mm and those with AL < 26 mm, nor between macula-involved and non-involved groups up to 6 months postoperatively. Conclusions FineVision multifocal IOL implantation resulted in SEs close to the preoperative expected refraction in eyes with previous vitrectomy and myopia-correcting refractive surgery, with all eyes within ± 1.50 D.

Purpose: To evaluate the refractive outcomes of FineVision multifocal intraocular lens (IOL) implantation after vitrectomy for retinal detachment in eyes that had undergone myopia-correcting refractive surgery. Methods: This study involved 27 eyes from 27 patients who received FineVision multifocal IOL implantation due to nuclear cataract following vitrectomy for retinal detachment. All patients had previously undergone myopia-correcting refractive surgery. Preoperative and postoperative visual acuity and manifest refraction were measured. Prediction errors were compared between 8 eyes with axial length (AL) ≥ 26 mm and 19 eyes with AL < 26 mm, as well as between 9 eyes with macula-involved retinal detachment and 18 eyes without macula involvement. Results: Six months postoperatively, the mean uncorrected distance visual acuity was 0.12 ± 0.14 logarithm of the minimal angle of resolution (logMAR), and near visual acuity was 0.08 ± 0.14 logMAR. The postoperative spherical equivalent (SE) was within ± 0.50 diopters (D) in 9 eyes (33.3%) and within ± 1.00 D in 19 eyes (70.4%). All eyes had SE within ± 1.50 D. Prediction errors did not significantly differ between eyes with AL ≥ 26 mm and those with AL < 26 mm, nor between macula-involved and non-involved groups up to 6 months postoperatively. Conclusions FineVision multifocal IOL implantation resulted in SEs close to the preoperative expected refraction in eyes with previous vitrectomy and myopia-correcting refractive surgery, with all eyes within ± 1.50 D.

Purpose: To evaluate the refractive outcomes of FineVision multifocal intraocular lens (IOL) implantation after vitrectomy for retinal detachment in eyes that had undergone myopia-correcting refractive surgery. Methods: This study involved 27 eyes from 27 patients who received FineVision multifocal IOL implantation due to nuclear cataract following vitrectomy for retinal detachment. All patients had previously undergone myopia-correcting refractive surgery. Preoperative and postoperative visual acuity and manifest refraction were measured. Prediction errors were compared between 8 eyes with axial length (AL) ≥ 26 mm and 19 eyes with AL < 26 mm, as well as between 9 eyes with macula-involved retinal detachment and 18 eyes without macula involvement. Results: Six months postoperatively, the mean uncorrected distance visual acuity was 0.12 ± 0.14 logarithm of the minimal angle of resolution (logMAR), and near visual acuity was 0.08 ± 0.14 logMAR. The postoperative spherical equivalent (SE) was within ± 0.50 diopters (D) in 9 eyes (33.3%) and within ± 1.00 D in 19 eyes (70.4%). All eyes had SE within ± 1.50 D. Prediction errors did not significantly differ between eyes with AL ≥ 26 mm and those with AL < 26 mm, nor between macula-involved and non-involved groups up to 6 months postoperatively. Conclusions FineVision multifocal IOL implantation resulted in SEs close to the preoperative expected refraction in eyes with previous vitrectomy and myopia-correcting refractive surgery, with all eyes within ± 1.50 D.

Purpose: To report a case of nutritional optic neuropathy due to folic acid deficiency and who recoverd from oral supplementation with folic acid.Case summary: A 45-year-old man was referred to our hospital because of visual disturbance and color vision on the both eye without pain. There were no abnormal findings in the anterior segment and retina. An afferent pupillary defect was found in the left eye. Visual field examination showed central scotoma in both eyes and total color blindness on Hahn color vision test. The patient had a history of chronic alcoholism and had not eaten often recently. The folic acid level was decreased in the blood and after oral folic acid supplementation, visual acuity and visual field recovered after 6 weeks. Conclusions We report a new case of nutritional optic neuropathy due to folic acid deficiency and who recovered from oral supplementation with folic acid.

Purpose: This study aimed to compare the surgical outcomes of 23-gauge (g) micro-incision vitrectomy surgery (MIVS) and 25-g MIVS for lens fragments that dropped into the vitreous cavity during cataract surgery. Methods: This study was a comparative, retrospective, and interventional case series study based on a medical records review. Sixty-six eyes of 66 patients with dropped lens fragments in the vitreous cavity during MIVS, performed between January 1, 2014 and December 31, 2017, were included. The characteristics of the patients and their visual acuity, operation time duration, and complication rate were analyzed retrospectively. Results: 23-MIVS and 25-g MIVS were performed on 41 and 25 eyes, respectively. The mean value of best-corrected visual acuity (logMAR) improved significantly from 1.79 ± 1.12 to 0.36 ± 0.63 in the 23-g group and from 1.82 ± 1.15 to 0.31 ± 0.53 in the 25-g group (p < 0.001). The mean operation time was 33.0 ± 6.8 minutes in the 23-g group and 32.3 ± 6.9 minutes in the 25-g group, with no significant difference between the two groups (p = 0.694). There were two cases of postoperative cystoid macular edema in the 23-g group; however, no significant difference with regard to postoperative complications was found between the two groups (p = 0.262). Conclusions 23- and 25-g MIVS for lens fragments dropped into the vitreous cavity during cataract surgery is a comparably safe and effective method for reducing the size of the incision and shortening the operation time.

Purpose: To evaluate the surgical outcomes of microincision pars plana vitrectomy (PPV) and intravitreal torsional phacoemulsification in eyes with dropped nuclear fragments following complicated cataract surgery. Methods: A retrospective analysis of 22 eyes of 22 patients who underwent microincison PPV for lens fragments dropped into the vitreous cavity during cataract surgery between January 2014 and December 2017 with a minimum 6-month follow-up was performed. Pre- and postoperative visual acuity, and intra- and postoperative complications (retinal detachment, retinal tear, cystoid macular edema, and thermal burns of the sclerotomy site) were recorded. Results: The study included 17 males and 5 females. The mean age of patients was 71.3 ± 8.2 years. The mean interval between cataract surgery and PPV was 0.4 ± 0.8 days, and all PPV procedures were performed within 3 days after cataract surgery. The mean best-corrected visual acuity (LogMAR) was 1.37 ± 0.79 in the preoperative state, which improved significantly to 0.21 ± 0.15 in the postoperative state (p < 0.001). No complication such as thermal burns of the sclerotomy site and retinal damage due to lens fragments occurred during intravitreal torsional phacoemulsification. Postoperative cystoid macular edema occurred in two eyes, which was managed medically. No retinal detachment was noted. Conclusions Microincision PPV and intravitreal phacoemulsification using a torsional phacoemulsification probe for lens fragments dropped into the vitreous cavity during cataract surgery was a safe and effective method, which resulted in visual improvement without any complication directly attributable to the probe.

No abstract available.
Cytomegalovirus Retinitis* ; Cytomegalovirus*

Purpose: To report a case of nutritional optic neuropathy due to folic acid deficiency and who recoverd from oral supplementation with folic acid.Case summary: A 45-year-old man was referred to our hospital because of visual disturbance and color vision on the both eye without pain. There were no abnormal findings in the anterior segment and retina. An afferent pupillary defect was found in the left eye. Visual field examination showed central scotoma in both eyes and total color blindness on Hahn color vision test. The patient had a history of chronic alcoholism and had not eaten often recently. The folic acid level was decreased in the blood and after oral folic acid supplementation, visual acuity and visual field recovered after 6 weeks. Conclusions We report a new case of nutritional optic neuropathy due to folic acid deficiency and who recovered from oral supplementation with folic acid.