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Enhanced Depth Imaging OCT in Optic Pit Maculopathy Supports the Theory of Cerebrospinal Fluid

Advantages: The source of the subretinal fluid under the macula in patients with optic disc pit (ODP) has remained a controversial subject. Various theories exist about the onset of maculopathy: fluid entry either from the vitreous cavity or from leakage of cerebrospinal fluid through the peripapillary subarachnoid space. To date, OCT studies had not revealed any communication between the subretinal fluid and the peripapillary subaracnoid...

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ME Secondary to Central Serous Chorioretinopathy Treated by PDT Without Verteporfin

ME Secondary to Central Serous Chorioretinopathy Treated by PDT Without Verteporfin Francisco J. Ascaso Advantages: To get a cost-effectiveness central serous chorioretinopathy (CSC) therapy, reducing the side-effects of verteporfin (allergy, photosensitivity, …), and avoiding its contraindications (pregnancy, liver disease, …). Methods: Eight symptomatic male patients (mean age: 45.1 years, range: 27-63 years) with macular...

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Enhanced Depth Imaging OCT of the Choroid in DME

Enhanced Depth Imaging OCT of the Choroid in DME Francisco J. Ascaso Advantages: The choroidal thickness in patients with diabetic macular edema (DME) compared with that in healthy controls let us know the true role of choroids in DME. Methods: Twelve eyes of 9 patients with DME (65.5 ±8.4 years), 9 contralateral eyes without DME (60.2 ±13.7 years), and 186 eyes of 96 age-matched healthy volunteers (62.1 ±19.4 years) underwent enhanced...

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Serous Macular Detachment Secondary to Choroidal Osteoma: Inefficacy of Intravitreal Ranibizumab Therapy

Francisco J. Ascaso, Laura Villén, Valentín Huerva, Javier Mateo, María A. Del Buey (Zaragoza, Spain) Advantages: Choroidal osteoma (CO), typically found in healthy young women, is a rare benign intraocular tumor composed of mature cancellous bone replacing the full thickness of the choroid. Vision loss in CO depends on tumor location, serous retinal detachment (RD) associated or not, the presence of choroidal neovascularization (CNV),...

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Spontaneous Resolution of Serous Retinal Detachment in a Patient with Congenital Retinal Macrovessel

Francisco J. Ascaso, Esther Nuñez, Laura Lavilla, María A. Del Buey, José A. Cristóbal (Zaragoza, Spain) Advantages: Macular neurosensory retinal detachments (RD) that present in an atypical fashion constitute a diagnostic challenge to retinal specialists. We recommend observation when they are associated with a congenital retinal macrovessel (CRM). Fluorescein angiography (FA) proves to be valuable in establishing a definitive...

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Late Serous Retinal Detachment of the Macula Following Uneventful Phacoemulsification

Francisco J. Ascaso, Valentín Huerva, Anna March, Beatriz Jimenez (Zaragoza, Spain) Advantages: Macular neurosensory retinal detachments (RD) that present in an atypical fashion constitute a diagnostic challenge to retinal specialists. We recommend observation when they were associated with a congenital retinal macrovessel (CRM). Fluorescein angiography (FA) proved to be valuable in establishing a definitive diagnosis. Methods: An...

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Expectant Attitude in Retinal Pigment Epithelium Detachment Associated to Hemochromatosis

F.J. Ascaso, P. Casas, C. Peiro, E. Nuñez, J. A. Cristóbal (Zaragoza, Spain) Advantages: Retinal pigment epithelium detachment (RPED) is a feature in many chorioretinal disorders. In other cases this condition occurs idiopathically. We report a case of idiopathic RPED in a patient with associated hemochromatosis. We decided to observe and not perform intravitreal antiangiogenic therapy because there was neither subretinal fluid nor a...

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Complete Resolution of Multifocal Serous Neurosensory Retinal Detachments with Corticosteroids

Ester Nuñez, Maria Rojo, Francisco J. Ascaso, Enrique Mínguez (Zaragoza, Spain) Advantages: A successful treatment with corticosteroids in a rare case of bilateral multiple serous neurosensory retinal detachments are presented. Methods: A 51-year-old woman complained of sudden onset of bilateral metamorphopsia and discromatopsia. On initial examination, she presented with bilateral macular sensory retinal detachment simulating to what...

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Proliferative Retinopathy Secondary to Chronic Lymphocytic Leukemia. The Role of Intravitreal Ranibizumab Prior to Pars Plana Vitrectomy

Ester Nuñez, Francisco J. Ascaso, Beatriz Jimenez, José A. Cristóbal (Zaragoza, Spain) Advantages: Retinal neovascularization is rare in patients with leukemia. To our knowledge, no case of chronic lymphocytic leukemia (CLL) has been associated with bilateral proliferative retinopathy. Intravitreal Ranibizumab facilitated the surgery reducing active neovascularization and intraoperative bleeding. Methods: We present the case report of a...

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Effectiveness of Argon Laser Photocoagulation in Idiopathic Juxtafoveal Retinal Telangiectasia with Circinate Effectiveness of Argon Laser Photocoagulation in Idiopathic Juxtafoveal Retinal Telangiectasia with Circinate Maculopathy

Ester Nuñez, Beatriz Jimenez, Francisco J. Ascaso, Francisco Iturbe (Zaragoza, Spain) Advantages: Retinal telangiectasis are rare vascular anomalies of unknown origin characterized by weakness of the wall of the retinal blood vessels associated with increased permeability of capillary endothelium. Idiopathic juxtafoveal retinal telangiectasia (IJRT) is an entity that can give rise to different clinical manifestations. Although initially...

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