This study provides reference values for macular thickness, macular volume, and RNFL in healthy children.

Healthy pediatric subjects exhibit choroidal differences in refractive error and AL. In the study population, CT and volume show an increase with age after adjusting for AL.

Purpose. To evaluate the ability of frequency-doubling technology (FDT) perimetry in detecting visual field defects in young adults with type I diabetes prior to retinopathy or with minor retinovascular changes. Methods. This comparative cross-sectional study included 30 healthy subjects and 73 age-matched patients with type I diabetes mellitus. All subjects underwent a full ocular examination including an FDT with the threshold C-20-5 strategy. Only one eye per subject was randomly included in the statistical analysis. FDT results and time to perform the test were compared between the groups. Results. The mean age was 27.1 years in the control group and 26.6 years in the diabetic group (P = 0.875). The mean period from the onset of diabetes was 12.6 ± 6.7 years, while minimal retinovascular changes were observed in 18 eyes. Mean deviation of FDT did not differ between the groups. Although global indices of FDT were within normal limits, pattern standard deviation of FDT was higher in the diabetic group (P = 0.035). The area under the receiver operating characteristic curve was 0.647 for pattern standard deviation of FDT (standard error = 0.052; P = 0.017). Conclusion. FDT can detect retinal dysfunctions in diabetic patients prior to the onset of significant vascular complications.

Purpose: To report a case of bacterial keratitis in a patient with a history of intrastromal corneal ring segments (INTACS®) implantation to correct keratoconus. Methods: The patient’s history, clinical presentation, pathological analysis and therapeutic management were reviewed. Results: A 36-year-old-man was referred to our department due to decreased vision and intense pain in his left eye, 40 days after INTACS® implantation for keratoconus. Slit-lamp examination revealed epithelial defects and stromal infiltrates in the lower channel without evidence of the inferior ring. The anterior chamber also showed a significant fibrin reaction to hypopyon. A low-tension suture was removed at the site of the incision. Microbiological study of the conjunctival swab was positive for Staphylococcus epidermidis, but the corneal culture was sterile. The patient was treated with topical fortified and systemic antibiotics. The infection slowly resolved, leaving opacity at the inferior segment site. Conclusions: Infectious keratitis following INTACS implantation is an infrequent complication that can have important consequences without suitable and early therapeutic management.

To evaluate the ability of short-wavelength automated perimetry (SWAP) for the detection of visual impairment in patients with type I diabetes without retinopathy or with minor retinal vascular changes. Comparative cross-sectional study. 30 eyes of 30 healthy subjects and 73 eyes of 73 patients with type I diabetes mellitus were studied. Ophthalmic examination of diabetic patients showed no retinopathy or minimal changes (less than 5 microaneurisms in each eye) with no previous laser treatment. All patients were examined by means of the SWAP 24-2 strategy. Mean Deviation (MD) and Pattern Standard Deviation (PSD) were compared between both groups. There were differences in the clusters of altered points between both groups (p=0.004). SWAP MD was lower in the diabetic group than in the controls (-2.89 dB vs. -0.20 dB, p<0.001). SWAP PSD also differed between both groups (2.50 dB in control group, 3.12 dB in the diabetic group, p=0.003). In the diabetic group, mean period from the onset of diabetes was 12.6±6.7 years and minimal vascular changes were observed in the retina of 18 eyes (24.7%), while 55 had no lesions (75.3%). No differences in SWAP changes were found between patients without and with minimal diabetic retinopathy. Retinal sensitivity assessed by SWAP is depressed in patients with type I diabetes regardless of the presence of retinal vascular changes.

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Purpose LCHAD deficiency is an autosomal recessive inheritance metabolic disorder associated with myopathy, cardiomyopathy, hypoglycaemia, neuropathy and retinal changes as retinitis pigmentosa. It is also related to sudden death. The purpose of this study is to present a case of LCHAD deficiency associated with retinal pigmentary changes. Methods A 3 year‐olds children diagnosed of LCHAD deficiency was examined. Parents were consanguineous. He had several hospitalizations related to hypotonia and lethargia. Results Fundoscopy examination showed a retinal dystrophy with macular hyperpigmentation and pigmented aggregations and hypopigmentation changes. Both parents and one brother were examined showing no changes in their retinal aspect. Conclusion Retinal dystrophy in children can be related to metabolic disorders. LCHAD deficiency should always be discarded.

Purpose To evaluate the correlation between OCT changes and fundus autofluorescence (FAF) with immunohistochemistry (ICC) findings in an animal model of RP, the P23H rat and to investigate retinal and choroidal vascularization using fluorescein and indocianin green angiography Methods Twenty albino homozigous P23H line 1 rats aging from P18 to 27 months and wild‐type albino Sprague‐Dawley (SD rats) (2 and 11 months old) were used for this study. Normal pigmented Long Evans (LE) 2 months old were used to compare FAF findings. SLO imaging and OCT were acquired using an Spectralis system (Heidelberg Engineering, Germany). For checking FAF, fluorescence was excited using diode laser at 488 nm. Thickness measurements were evaluated avoiding the ones close to the optic nerve. ICC was performed to correlate with the findings of OCT and AF changes Results During the course of P23H degeneration, the FAF pattern varied from not findings in young animals, some spotting at 2 months old to a mosaic of hyperfluorescent dots in the rats of 6 months or older. Retinal thicknesses diminished during the time. P23H rats showed great changes in morphology in advanced ages. Mean retinal thickness values varied from 189.88 μm at P60 to 58.15 μm at 27 months old. Retinal vascular plexus were diminished with time, and vessels exhibiting an abnormal, tortuous morphology could be observed. Conclusion FAF is a non‐invasive procedure that can detect changes in metabolic activity at the RPE in animal models of retinal degeneration in vivo. OCT and ICC show a good correlation. Retinal vascular plexus changes with aging.