Article
Health Care Sciences & Services
Jee Hyun Jeong, Kyung Tae Kang, You Hyun Lee, Yu Cheol Kim
Summary: Patients with preoperative idiopathic epiretinal membrane (ERM) may have a higher risk of pseudophakic cystoid macular edema (PCME) after cataract surgery, and the likelihood of PCME development increases with higher ERM grades. Therefore, careful attention should be given to patients with preexisting ERM and ectopic inner foveal layer before cataract surgery.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Review
Medicine, General & Internal
Michal Orski, Maciej Gawecki
Summary: Irvine-Gass syndrome is a common complication following cataract surgery, causing macular edema. While most cases of macular edema are benign, refractory cases may deteriorate visual function. There is currently no definitive treatment guideline, but topical non-steroidal anti-inflammatory drugs are recommended as first-line therapy, with invasive procedures reserved for prolonged or refractory cases.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Ophthalmology
Mustafa Iftikhar, Chen Dun, Oliver D. Schein, Flora Lum, Fasika Woreta
Summary: This study aimed to determine the incidence, risk factors, and visual outcomes of cystoid macular edema (CME) after cataract surgery in the United States. The study found that the incidence of CME was low, but there were significant outcome disparities that warrant further exploration.
Article
Ophthalmology
Damien Guindolet, Odile Huynh, Gilles C. Martin, Hugo Disegni, Georges Azar, Isabelle Cochereau, Eric Gabison
Summary: This study aimed to determine the incidence and risk factors of cystoid macular edema (CMO) after DMEK surgery. The study found that patients with a history of epiretinal membrane (ERM), pseudophakic bullous keratopathy (PBK), and intraoperative hyphaema were more likely to develop CMO. These findings are important for monitoring and prevention in patients undergoing DMEK surgery.
BRITISH JOURNAL OF OPHTHALMOLOGY
(2023)
Article
Ophthalmology
Conceicao Lobo, Torcato Santos, Ines P. Marques, Maria H. Madeira, Ana Rita Santos, Joao Figueira, Jose Cunha-Vaz
Summary: This study characterizes the prevalence and progression of centre-involving diabetic macular oedema (CI-DMO) in minimal to moderate non-proliferative diabetic retinopathy using optical coherence tomography (OCT) and optical reflectivity ratios (OCT-Leakage) measurements of retinal fluid. The results show that subclinical CI-DMO and CI-DMO occur independently of the severity grading of retinopathy and exhibit a progressive increase in retinal extracellular fluid, which is associated with vision loss.
Article
Ophthalmology
Douglas Rodrigues da Costa, Pedro Gomes Oliveira Braga, Leonardo Eleuterio Ariello, Leandro Cabral Zacharias
Summary: This case report presents a patient who spontaneously closed a full-thickness macular hole after resolving Irvine-Gass syndrome following an uneventful cataract extraction.
Review
Ophthalmology
Masood Naseripour, Sara Hemmati, Samira Chaibakhsh, Arzhang Gordiz, Leila Miri, Fatemeh Abdi
Summary: This literature review discusses the different causes, mechanisms, and management options of non-leaking CMO, focusing on drugs, retinal dystrophies, and systemic disorders.
Article
Ophthalmology
Thomas A. Ciulla, Barry Kapik, Mark R. Barakat, Rahul N. Khurana, Quan Dong Nguyen, Dilraj S. Grewal, Thomas Albini, Emmett T. Cunningham, Debra A. Goldstein
Summary: This study assessed the relationship between BCVA and OCT features in NIU-related macular edema. The results showed that baseline EZ integrity and the presence of central subfield cystoid spaces or subretinal fluid predicted improved therapeutic response. Modeling analysis indicated that CST improvement preceded BCVA improvement in eyes treated with CLS-TA.
AMERICAN JOURNAL OF OPHTHALMOLOGY
(2022)
Article
Ophthalmology
Maria Vittoria Cicinelli, Claudia Gerosolima, Pierluigi Scandale, Sarah Touhami, Dominika Pohlmann, Audrey Giocanti, Amir Rosenblatt, Anat Loewenstein, Francesco Bandello, Elisabetta Miserocchi
Summary: This study aimed to investigate the clinical and SD-OCT biomarkers associated with pre- and post-injection visual acuity and the regression of macular edema (MO) following dexamethasone (DEX) implant injection in non-infectious uveitic (NIU) patients. The results showed that the integrity of the inner and outer retina was correlated with better visual response to DEX. Long-standing or recurrent MO was associated with reduced likelihood of both visual and anatomical response. Timely treatment is necessary to maximize the outcomes of MO in NIU patients.
Article
Ophthalmology
Andrea Govetto, Fabiana Mazzotta, Mayss Al-Sheikh, Alessandro Mauro, Mario R. Romano
Summary: This study used novel imaging analysis techniques to describe vessel density differences between tractional and exudative macular oedema. Exudative eyes had higher vessel density in the deep capillary plexus compared to tractional eyes and controls, while no differences were found in the superficial capillary plexus. In exudative eyes, areas of low flow were directly correlated with areas of high flow in both the deep and superficial capillary plexus.
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
(2021)
Article
Medicine, General & Internal
Joao Heitor Marques, Ana Carolina Abreu, Nisa Silva, Angelina Meireles, Bernardete Pessoa, Joao Melo Beirao
Summary: In the study evaluating the effectiveness of fluocinolone acetonide intravitreal implant in treating recurrent cystoid macular edema due to IGS, it was found that the treatment improved both functional and anatomical outcomes, indicating its efficacy as a therapeutic alternative. This treatment may also provide longer recurrence-free periods with reduced treatment burden in eyes with suboptimal response to intravitreal therapies.
INTERNATIONAL MEDICAL CASE REPORTS JOURNAL
(2021)
Article
Biology
Diana Anna Dmuchowska, Patryk Sidorczuk, Barbara Pieklarz, Joanna Konopinska, Zofia Mariak, Iwona Obuchowska
Summary: The study found that eyes with DME, regardless of the type, had lower choroidal thickness, volume, and CVI values compared to non-diabetic controls. Some specific types of DME also differed significantly in terms of LA and SA compared to controls.
Article
Ophthalmology
Michael A. Singer, Pauline Merrill, Steven Yeh, Colette Hall, Barry Kapik, Thomas A. Ciulla
Summary: The post hoc analysis compared the efficacy and safety of suprachoroidally administered triamcinolone acetonide (CLS-TA) to other commonly available treatments for non-infectious uveitis. Results showed that CLS-TA subjects experienced significantly greater reduction in CST and tended towards greater improvement in BCVA, compared with rescued control subjects. The incidence of IOP-related safety findings was lower in subjects receiving CLS-TA.
CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
(2022)
Article
Ophthalmology
Sanjeeb Bhandari, Vuong Nguyen, Adrian Hunt, Pierre-Henry Gabrielle, Francesco Viola, Hemal Mehta, Les Manning, David Squirrell, Jennifer Arnold, Ian L. McAllister, Daniel Barthelmes, Mark Gillies
Summary: This study aims to analyze the changes in clinical outcomes of neovascular age-related macular degeneration (nAMD), diabetic macular oedema (DMO), and retinal vein occlusion (RVO) over time. The results show that the visual acuity and treatment patterns remained stable from 2015 to 2019 for patients with these eye diseases.
Article
Ophthalmology
Sanjeeb Bhandari, David Squirrell, Vuong Nguyen, Nancy Wang, Jane M. Wells, Terence Tan, Rachel Barnes, Richard Barry, Daniel Barthelmes, Mark Gillies
Summary: In routine clinical practice, bevacizumab was shown to be an effective treatment for diabetic macular oedema (DMO) in unselected populations. Eyes with better vision tended to maintain their vision, while eyes with worse vision showed improvement over the observation period.
Article
Ophthalmology
Christopher Maximilian Behrens, Lasse Malmqvist, Morten Jorgensen, Patrick A. Sibony, Inger Christine Munch, Anne Mette Skovgaard, Michael Larsen, Steffen Hamann
Summary: This study examined the prevalence of peripapillary hyperreflective ovoid mass-like structures (PHOMS) in a population-based child cohort and explored their association with other optic nerve head features and myopia.
AMERICAN JOURNAL OF OPHTHALMOLOGY
(2023)
Editorial Material
Ophthalmology
Bilal Haj Najeeb, Ursula Schmidt-Erfurth
Summary: Considering the unique characteristics of MNV3 compared to types 1 and 2, reevaluating the color photography assessment in the AREDS study is suggested to determine the impact of AREDS supplements on eyes with MNV3.
Article
Ophthalmology
Martin Michl, Martina Neschi, Alexandra Kaider, Katja Hatz, Gabor Deak, Bianca S. S. Gerendas, Ursula Schmidt-Erfurth
Summary: The objective of this study was to assess agreement in evaluating OCT variables in leading macular diseases among OCT-certified graders. Even in optimized conditions, there is disease-dependent variability in biomarker evaluation, particularly for IRF in nAMD and DMO. Our findings highlight the variability in human expert OCT grading performance and the need for AI-based automated feature analyses.
Article
Computer Science, Information Systems
Botond Fazekas, Dmitrii Lachinov, Guilherme Aresta, Julia Mai, Ursula Schmidt-Erfurth, Hrvoje Bogunovic
Summary: Segmentation of Bruch's membrane (BM) on optical coherence tomography (OCT) is crucial for the diagnosis and follow-up of age-related macular degeneration (AMD), a leading cause of blindness. Existing automated methods lack anatomical coherence and confidence feedback, limiting their real-world applicability. To address this, we propose an end-to-end deep learning method that uses an Attention U-Net to output a probability density function and considers the natural curvature of the surface. Additionally, our method estimates uncertainty and interpolates A-scans with high uncertainty. Evaluation on internal and external datasets demonstrates superior performance and strong generalization ability.
IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
(2023)
Article
Ophthalmology
Wolf-Dieter Vogl, Sophie Riedl, Julia Mai, Gregor S. Reiter, Dmitrii Lachinov, Hrvoje Bogunovic, Ursula Schmidt-Erfurth
Summary: This study aimed to assess disease activity and the effects of intravitreal pegcetacoplan treatment on the topographic progression of geographic atrophy (GA) secondary to age-related macular degeneration. The study used automated deep learning algorithms to analyze SD-OCT scans and found that pegcetacoplan-treated eyes showed significantly slower GA lesion progression compared with sham.
OPHTHALMOLOGY RETINA
(2023)
Article
Surgery
Reinhard Told, Eva Placheta-Gyoeri, Birgit Lackner, Andreas Kuchar, Jonas Brugger, Ursula Schmidt-Erfurth, Roman Dunavoelgyi
Summary: This study compared two suturing techniques in upper eyelid blepharoplasty and assessed patient-reported outcomes using the FACE-Q(TM) Eye Module questionnaire and blinded Likert-scale gradings of two surgeons. The results showed no significant difference in patient satisfaction and appraisal of the upper eyelids between the two suturing techniques at both 7 days and 3 months after surgery. Dry eye symptoms increased postoperatively, regardless of the suturing technique, patient age, or sex.
AESTHETIC PLASTIC SURGERY
(2023)
Article
Ophthalmology
Reinhard Told, Adrian Reumueller, Markus Schranz, Jonas Brugger, Guenther Weigert, Gregor Sebastian Reiter, Stefan Sacu, Ursula Schmidt-Erfurth
Summary: This study aimed to evaluate the individual influence of retinal thickness, intra- and sub-retinal fluid on the treatment response in patients with neovascular AMD. The results showed that retinal thickness and the presence of intra- and sub-retinal fluid had an impact on the treatment response, while junction density and vessel density did not.
CURRENT EYE RESEARCH
(2023)
Article
Ophthalmology
Gregor S. Reiter, Hrvoje Bogunovic, Ferdinand Schlanitz, Wolf-Dieter Vogl, Philipp Seeboeck, Dariga Ramazanova, Ursula Schmidt-Erfurth
Summary: This study evaluated the quantitative impact of drusen and hyperreflective foci (HRF) volumes on mesopic retinal sensitivity in age-related macular degeneration (AMD) patients. The results showed a negative correlation between the volume of drusen and HRF and retinal sensitivity. The study highlights the use of AI-based methods to assess the impact of cellular changes on the development of AMD.
Article
Ophthalmology
Maximilian Pawloff, Bianca S. S. Gerendas, Gabor Deak, Hrvoje Bogunovic, Anastasiia Gruber, Ursula Schmidt-Erfurth
Summary: The purpose of this study was to evaluate the reliability of automated fluid detection in identifying retinal fluid activity in OCT scans of patients treated with anti-VEGF therapy for neovascular age-related macular degeneration. The results showed that the concordance between human expert grading and automated algorithm performance was high, indicating that deep learning-based segmentation of retinal fluid performs reliably on OCT images.
Article
Computer Science, Interdisciplinary Applications
M. Niederleithner, L. de Sisternes, H. Stino, A. Sedova, T. Schlegl, H. Bagherinia, A. Britten, P. Matten, U. Schmidt-Erfurth, A. Pollreisz, W. Drexler, R. A. Leitgeb, T. Schmoll
Summary: Optical Coherence Tomography Angiography (OCTA) has the potential to replace invasive fluorescein angiography (FA) in ophthalmology, but it still lacks the field of view compared to fluorescence fundus photography techniques. To address this issue, a custom developed high-speed swept-source OCT (SS-OCT) system is presented, which can capture ultra-wide fields of view up to 90 degrees with high resolution. Additionally, a three-dimensional deep learning based algorithm is developed for denoising volumetric OCTA data sets, enhancing the visual appearance of angiograms.
IEEE TRANSACTIONS ON MEDICAL IMAGING
(2023)
Article
Ophthalmology
Leonard M. Coulibaly, Gregor S. Reiter, Philipp Fuchs, Dmitrii Lachinov, Oliver Leingang, Wolf-Dieter Vogl, Hrvoje Bogunovic, Ursula Schmidt-Erfurth
Summary: This study investigated the progression of geographic atrophy secondary to nonneovascular age-related macular degeneration using artificial intelligence-based precision tools. The findings revealed that early lesions have slower growth rates and there are differences in growth dynamics compared to atrophic lesions in advanced stages.
OPHTHALMOLOGY RETINA
(2023)
Article
Ophthalmology
Christopher Voigt Carstensen, Jakob Bjerager, Mohamed Belmouhand, Christina Eckmann-Hansen, Simon P. Rothenbuehler, Sami Dabbah, Christine Dalgard, Poul Laigaard, Michael Larsen
Summary: Retinal artery wall thickness is influenced by age and arterial blood pressure, with the latter being subject to environmental factors rather than genetics. Other factors such as retinal artery outer diameter and ocular axial length also affect the wall-to-lumen ratio. The heritability of WLR is estimated to be 21%, while environmental factors account for the majority of the interindividual variance.
ACTA OPHTHALMOLOGICA
(2023)
Article
Ophthalmology
Virginia Mares, Ursula Margarethe Schmidt-Erfurth, Oliver Leingang, Philipp Fuchs, Marcio B. Nehemy, Hrvoje Bogunovic, Daniel Barthelmes, Gregor S. Reiter
Summary: This study uses artificial intelligence technology to predict treatment requirements, visual acuity, and morphological outcomes in patients with neovascular age-related macular degeneration. By processing spectral-domain optical coherence tomography data and using a deep learning algorithm for segmentation, future treatment requirements and morphological outcomes can be accurately predicted.
BRITISH JOURNAL OF OPHTHALMOLOGY
(2023)
Article
Ophthalmology
Marlene Hollaus, Michael Georgopoulos, Johannes Iby, Jonas Brugger, Oliver Leingang, Hrvoje Bogunovic, Ursula Schmidt-Erfurth, Stefan Sacu
Summary: This study aimed to analyze the short-term changes of mean photoreceptor thickness (PRT) on the ETDRS-grid after vitrectomy and membrane peeling in patients with epiretinal membrane (ERM). The results showed significant changes in PRT after surgery, but no correlation with BCVA was found.
Article
Multidisciplinary Sciences
Teresa Araujo, Guilherme Aresta, Ursula Schmidt-Erfurth, Hrvoje Bogunovic
Summary: This study performs a comparative analysis of uncertainty estimation methods for out-of-distribution (OOD) detection in automated screening and staging of age-related macular degeneration (AMD) using retinal OCT imaging. The combination of cosine distance in the feature space and a few-shot outlier exposure (OE) approach improves the near-OOD detection performance, providing robust and reliable diagnostic systems.
SCIENTIFIC REPORTS
(2023)