Comment on Naranjo-Bonilla et al. Retinal and Choroidal Effects of Continuous Positive Airway Pressure as Treatment for Sleep Apnea: Results at 12 Months. Int. J. Environ. Res. Public Health 2022, 19, 12637

Marca, Aniello La; Biondino, Danilo; Gioia, Marco

doi:10.3390/ijerph20021139

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…Furthermore, correlations are independent from age and AL, factors that could introduce a bias in the analysis of correlation [34]. In terms of ChT, we failed to detect any difference between the two groups.…”

Section: Discussionmentioning

confidence: 55%

The Correlation between Retinal and Choroidal Thickness with Age-Related White Matter Hyperintensities in Progressive Supranuclear Palsy

De Bernardo,

Diana,

Gioia

et al. 2023

JCM

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Progressive supranuclear palsy (PSP) is a rare neurodegenerative disease. Recently, several retinal layers in PSP compared to healthy controls. were found to be thinner. However, no studies evaluating the correlation between retinal layers and cerebral white matter changes, nor eventual choroidal changes in PSP, have been conducted so far. The goals of the present study were to explore potential differences in choroidal structure between PSP and healthy controls, and to describe the relationship between retinal layers’ thickness and volume, using spectral-domain optical coherence tomography (SD-OCT) and age-related white matter change scores (ARWMC) using magnetic resonance imaging (MRI) of the brain. Choroidal structures of 26 PSP patients and 26 healthy controls using standard SD-OCT with an enhanced depth imaging (EDI) approach were analyzed; then, retinal the structures of 16 of these PSP patients using standard SD-OCT were examined; finally, the same patients underwent brain MRI, and their cerebral white matter changes were calculated. Non-statistically significant differences between PSP patients’ and healthy controls’ choroidal structure were found. On the contrary, PSP patients’ inner retinal layers (INR), retinal pigmented epithelium (RPE) and all retinal layers’ thicknesses in the macular region were found to be significantly correlated with ARWMC, independently from age and axial length (AL). PSP patients’ neurological alterations go hand in hand with retinal ones, independently from age and axial length. Our results suggest a mutual relationship between cerebral and retinal structure pathological alterations. On the other hand, no significant differences in the choroidal evaluation compared to healthy controls have been found.

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Section: Discussionmentioning

confidence: 55%

The Correlation between Retinal and Choroidal Thickness with Age-Related White Matter Hyperintensities in Progressive Supranuclear Palsy

De Bernardo,

Diana,

Gioia

et al. 2023

JCM

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“…We are aware that this may limit the information on the morphologic correlation to other eye structures. 32…”

Section: Resultsmentioning

confidence: 99%

“…We are aware that this may limit the information on the morphologic correlation to other eye structures. 32 secondary adhesions between the RPE and the retina prevent proper healing; thus, applying subretinal BSS around the fovea might solve this problem. 21 Reis et al showed improvement of BCVA with complete closure of stage IV macular holes using a perifoveal incision technique after a previous failed closure in 7 patients 28 : five perifoveal retinal incisions were done radial as deep as the RPE near the borders of the hole.…”

Section: Discussionmentioning

confidence: 99%

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Relaxing radial retinal incisions for the treatment of persistent macular holes

Camenzind-Zuche,

Janeschitz-Kriegl,

Hasler

et al. 2023

European Journal of Ophthalmology

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Purpose Various surgical techniques have been described for managing persistent macular holes after an unsuccessful vitrectomy with internal limiting membrane (ILM) peeling. However, the closure and functional improvement rates after these procedures are limited. Therefore, the aim of this study was to evaluate the usefulness of radial retinal incisions (retinotomies) in eyes with persistent large macula holes despite previous vitrectomy with ILM peeling. Design In a retrospective case series, closure rate and best-corrected visual acuity (BCVA) were evaluated in eyes with persistent macular holes after an unsuccessful vitrectomy that included posterior vitreous detachment and ILM peeling. Subjects 22 eyes of 22 patients (10 men and 12 women) underwent re-vitrectomy with radial retinal incisions. All the patients had undergone an unsuccessful surgery before. Methods Small-incision re-vitrectomy with radial retinal incisions (retinotomies) and air tamponade was performed. Main Outcome Measurements For all eyes, high-definition SD-OCT scans (SD-OCT Spectralis, Heidelberg Engineering GmbH, Germany) of the macula were routinely performed before surgery; 1 week and 1 month after surgery; and at final follow-up. Additionally, age, gender, axial length, macular hole diameter, biomicroscopic fundus evaluation and best-corrected visual acuity (BCVA) in logMAR and Snellen at baseline, 1 and 4 months after operation, and at the final follow-up visit were analyzed. Results The mean baseline macular hole diameter was 668.5 ± 226.8 μm. At the final examination, 16 (72.72%) of the 22 macula holes were closed. Visual acuity increased in 17 eyes, was stable in 3 eyes, and decreased in 2 eyes owing to central retinal atrophy in both. The mean BCVA increased from logMAR 1.04 ± 0.29 at baseline to 0.57 ± 0.31 (Snellen 0.11 ± 0.05 to 0.33 ± 0.18). In all successful cases, macula hole closure was attained after 3 days, and none of the eyes showed macula hole recurrence. Conclusion The results of this limited case series suggest that radial retinal incisions of the rim in persistent macula holes after initial surgery with ILM peeling increase the success rate of macula hole closure and results in a relevant increase in BCVA. However, as the number of eyes included in this series is limited, the results must be confirmed in a study with a larger sample size.

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“…Thank you for your interest [1] in our work [2]. In all choroidal thickness (ChT) images, the drawn lines are at the level of the RPE.…”

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confidence: 99%

Reply to La Marca et al. Comment on “Naranjo-Bonilla et al. Retinal and Choroidal Effects of Continuous Positive Airway Pressure as Treatment for Sleep Apnea: Results at 12 Months. Int. J. Environ. Res. Public Health 2022, 19, 12637”

Naranjo-Bonilla

Giménez-Gómez

Muñoz-Villanueva

et al. 2023

IJERPH

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Comment on Naranjo-Bonilla et al. Retinal and Choroidal Effects of Continuous Positive Airway Pressure as Treatment for Sleep Apnea: Results at 12 Months. Int. J. Environ. Res. Public Health 2022, 19, 12637

Abstract: We read with great interest the article by Naranjo-Bonilla et al. concerning changes in retinal and choroidal thickness (ChT) in patients with obstructive sleep apnea (OSA) who underwent continuous positive airway pressure treatment (CPAP) [...]

Cited by 4 publications

References 5 publications

The Correlation between Retinal and Choroidal Thickness with Age-Related White Matter Hyperintensities in Progressive Supranuclear Palsy

The Correlation between Retinal and Choroidal Thickness with Age-Related White Matter Hyperintensities in Progressive Supranuclear Palsy

Relaxing radial retinal incisions for the treatment of persistent macular holes

Reply to La Marca et al. Comment on “Naranjo-Bonilla et al. Retinal and Choroidal Effects of Continuous Positive Airway Pressure as Treatment for Sleep Apnea: Results at 12 Months. Int. J. Environ. Res. Public Health 2022, 19, 12637”

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