In eyes with rhegmatogenous retinal detachment treated with vitrectomy and gas or silicone oil tamponade, retinal displacement may occur despite successful reattachment. Type of intraocular tamponade seems to influence the occurrence of retinal dislocation and its direction.
This review aims to give to the reader an overview selectively oriented on safety and efficacy of surgery, providing concise and direct answers about crucial questions of trainees and experts. Surgery for idiopathic epiretinal membrane (ERM) is a safe and effective procedure that can achieve long-term stable postoperative visual and anatomical improvement, with an overall low recurrence and complication rate. Young patients, with a short onset of symptoms and with better initial visual acuity achieve higher levels of visual outcome. The preoperative degree of metamorphopsia is the prognostic factor for their postoperative degree. Successful results may be obtained in eyes with specific optical coherence tomography criteria, such as thin ganglion cell layers, thin internal plexiform layer, longer photoreceptors outer segment, regular ellipsoid zone and cone outer segment tips line, and without ectopic inner foveal layer. Internal limiting membrane peeling demonstrates positive anatomical and functional outcomes, but final positions about its safety remain controversial.
Purpose: To evaluate the optical coherence tomography (OCT) findings in patients with solar retinopathy after watching a solar eclipse. Methods: Complete ocular examinations and OCT were done in 4 patients presenting with acute solar retinopathy soon after observation of an eclipse. All 4 patients repeated the examinations about 1 month and 1 year after the first visit. Results: The symptoms and fundus findings were similar in all patients; all eyes were emmetropic. However, the OCT images were different in all patients, and the alterations were at different levels. The most evident alterations shown by OCT were: a reduction in the intensity of reflectivenesss of the retinal pigment epitelium in 3 cases; intraretinal nonreflective spaces between the inner retinal layers in 2 cases; increased reflectiveness of the inner retinal layers in 2 cases, and a round hyperreflective formation in the vitreous just in front of the fovea in 1 case. All these OCT alterations disappeared after 1 month. Conclusions: The retinal damage arising soon after exposure to sunlight showed many different aspects in the OCT images of the 4 cases examined. All retinal layers seemed to be altered, but these alterations disappeared after 1 month, and the OCT findings remained the same after 1 year.
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