Purpose: Evaluation the optical coherence tomography angiogram changes in non-active sever thyroid related ophthalmopathy patients after cosmetic bone decompression Methods: included 18 patients (25 eyes) with severe not active not compressive (NANC) TED who were candidates for decompression surgery for cosmetic reasons and A 3 × 3 mm macular scan was used to measure vessel density and RNFL thickness. Whole macular vessel density, in its superficial, deep and choriocapillaris layers were evaluated. Whole macular vessel density, in its superficial, deep and choriocapillaris layers were evaluated. The following data was extracted for each of layers: superior and inferior hemispheres, fovea, parafoveal vessel density, its superior and inferior hemispheres, and temporal, superior, nasal, and inferior quadrant. Results: The mean RPC increased postoperatively, which was statistically significant in small vessels of peripapillary area. (p-value=0.045).The mean RNFL thickness decreased after surgery and it was statistically significant in the peripapillary (p-value= 0.032) and -Inferior-Hemifield area (p-value= 0.036). The choriocapillaris changes were significant in Superior-Hemifield (p-value= 0.031) and Fovea (p-value= 0.03). Conclusion: thyroid associated orbitopathy patients have a tendency to decrease vascular density and correlated with disease activity more than stage of orbitopathy. There was not a strong an even discrepant results in linkage of RNFL thickness and other optic nerve function tests and TED patients status and it is needed to do studies with more epidemiologic power and same methodology of study to be more comparable.
Objective To investigate the presence of persistent ocular pain after 23-gauge pars plana vitreoretinal surgery Method This is a prospective study including patients who underwent 23-gauge vitrectomy or silicone removal with local or general anesthesia. We evaluated the symptoms of ocular neuropathic pain before and two months after surgery using the Brief Pain Inventory (BPI) questionnaire, and the impact of reported ocular symptoms on quality of life. Correlation between ocular pain and factors such as patient demographics and underlying conditions were also assessed. Result 75 patients with a mean age of 58.93 ± 12.05 years were evaluated. 44 (58.7%) were males. 67 (89.3%) patients underwent vitrectomy and eight had silicone removal surgery, all using 23-gauge instruments. there was an increasing trend in eye pain scores two months after surgery which did not reach a statistical significance. However, the analgesic consumption increased from 4% before surgery to 17.3% two months after surgery. Patients who reported increased analgesic usage two months after surgery, scored worse in items of the quality-of-life questionnaire. In addition, patients who reported ocular and facial pain and photophobia before surgery had higher chances of analgesic consumption after surgery (p-value: 0.03, 0.003, and 0.001, respectively). Those who reported migraine headaches had higher chances of reporting eye symptoms, postoperatively (p-value: 0.041). Conclusion Surgeries involving 23-gauge incisions may not induce ocular neuropathic pain. However, increased use of analgesics after surgery was observed.
Purpose: To investigate the presence of persistent ocular pain after 23-gauge pars plana vitreoretinal surgeryMethod: This is a prospective study including patients who underwent 23-gauge vitrectomy or silicone removal with local or general anesthesia. We evaluated the symptoms of ocular neuropathic pain before and two months after surgery using the Brief Pain Inventory (BPI) questionnaire, and the impact of reported ocular symptoms on quality of life. Correlation between ocular pain and factors such as patient demographics and underlying conditions were also assessed.Result: Seventy-five patients with a mean age of 58.93 ± 12.05 years were evaluated. Forty-four (58.7%) were males. Sixty-seven (89.3%) patients underwent vitrectomy and eight had silicone removal surgery, all using 23-gauge instruments. there was an increasing trend in eye pain scores at two months after surgery which did not reach a statistical significance. However, the analgesic consumption increased from 4% before surgery to 17.3% two months after surgery. Patients who reported increased analgesic usage two months after surgery, scored worse in items of the quality-of-life questionnaire. In addition, patients who reported ocular and facial pain and photophobia before surgery had higher chances of analgesic consumption after surgery (p-value: 0.03, 0.003, and 0.001, respectively). Those who reported migraine headaches had higher chances of reporting eye symptoms, postoperatively (p-value: 0.041). Conclusion: Surgeries involving 23-gauge incisions may not induce ocular neuropathic pain. However, increased use of analgesics after surgery was observed.
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