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Ophthalmology

Vitreoretinal Diseases and Surgery   

Questions discussed in this category

If a patient is legally blind and on hydroxychloroquine, do you still recommend follow up with ophthalmology to monitor for hydroxychloroquine retinal toxicity?
1 Answer available
How do you optimize retinopathy screening schedules for patients on hydroxychloroquine while also prioritizing cost-effectiveness?
This question is part of a collaboration with RheumMadness and is specifically in reference to: Cost Effectiveness of HCQ Screening.
6 Answers available
What guides reoperation versus observation in managing macular folds after retinal detachment surgery?
1 Answer available
In which cases of post-injection endophthalmitis should early vitrectomy be considered if there is little to no improvement 48 hours after a tap and inject and there is no organism isolated?
1 Answer available
What factors influence the decision between anti-VEGF injections and surgical displacement with tPA for treating submacular hemorrhage in AMD patients?
2 Answers available
What is your preferred method for choroidal drainage?
1 Answer available
What alternative treatment strategies can be considered for pediatric patients with idiopathic choroidal neovascularization (CNVM) who require q4 week intravitreal anti-VEGF injections?
1 Answer available
What is your surgical approach for optic disc pit retinal detachments if laser treatment is unsuccessful?
2 Answers available
Is there a role for PDT in a young patient with PXE and bilateral CNVM who requires intravitreal anti-VEGF injections every 4 weeks and is beginning to develop atrophy?
1 Answer available
How do you decide which secondary IOL to place in an aphakic eye?
2 Answers available
How do you typically manage the use of intravitreal antibiotics during globe repair?
7 Answers available
What factors influence your evaluation of surgical candidacy for persistent fetal vasculature, and how do you approach operative management?
1 Answer available
How do you approach the timing of vitrectomy in non-clearing vitreous hemorrhage secondary to proliferative diabetic retinopathy?
1 Answer available
What long-term complications have you observed in previously stable preterm infants with incomplete peripheral retinal vascularization who did not undergo ROP laser treatment?
1 Answer available
When should delayed removal of an intraocular foreign body be considered?
2 Answers available
What is your approach to antiviral treatment of HSV acute retinal necrosis?
Is there a role for oral antiviral therapy alone (as opposed to induction with IV) and for what duration? And is there a role for ongoing suppressive ...
1 Answer available
When should surgical resection be considered for vasoproliferative tumors?
2 Answers available
How do you manage the severe adverse drug reaction of central serous retinopathy with MEK inhibitors?
If a patient develops central serous retinopathy on a MEK inhibitor despite dose reductions, is it ok to switch to a different BRAF/MEK combination?
1 Answer available
How do you decide on when to start or continue anti-VEGF injections during pregnancy?
1 Answer available
What factors guide the decision to treat with ROP laser treatment versus a repeat anti-VEGF injection in a child who has previously received anti-VEGF therapy for retinopathy of prematurity (ROP)?
2 Answers available
What factors guide the choice between early versus delayed vitrectomy after an open globe injury?
1 Answer available
How often do you monitor asymptomatic atrophic holes and lattice in pediatric patients?
2 Answers available
What’s your approach to managing postoperative inflammation and CME in high-risk patients after cataract surgery?
1 Answer available
How should diabetic retinopathy surveillance be adjusted for patients starting GLP-1 agonists?
1 Answer available
How do you manage macular-threatening toxoplasma chorioretinitis in pregnancy?
1 Answer available
What factors should be considered when deciding the best timing for choroidal drainage in a monocular patient with a suprachoroidal hemorrhage and a concurrent retinal detachment?
3 Answers available
How do you approach patient selection for starting intravitreal complement inhibitors?
1 Answer available
What factors influence the decision to initiate anti-VEGF injections to prevent radiation retinopathy after plaque brachytherapy?
1 Answer available
When should methotrexate injections be initiated for proliferative vitreoretinopathy?
1 Answer available
How do you manage a situation where the lens optic shifts in front of the iris after a Yamane technique?
1 Answer available
How do you manage cystoid macular edema (CME) in patients with steroid-induced intraocular hypertension that is resistant to topical treatments?
1 Answer available
Do you utilize thrombolytic therapy in patients with CRAO?
2 Answers available
Do you routinely recommend IV systemic antibiotic therapy in additional to intravitreal antibiotic therapy for exogenous bacterial endophthalmitis?
1 Answer available
Does your decision to start or continue Ozempic therapy in patients with diabetic retinopathy depend on the severity of the retinopathy?
1 Answer available
How do you manage occlusive bilateral retinal vasculitis with isolated lupus anticoagulant positivity?
4 Answers available
How would you approach management of active bilateral pan uveitis in patients who have a history of prior infectious uveitis?
Patient with history of toxoplasma chorioretinitis, currently on oral and topical prednisone. 
2 Answers available
How do you approach the use of hydroxychloroquine in patients with a history of visual field defect from another cause such as macular degeneration or diabetic retinopathy?
3 Answers available
What is your approach to the workup for an underlying systemic condition in a patient presenting with retinal vasculitis?
1 Answer available
What do you use to treat uveitis refractory to conventional synthetic DMARDs and TNF inhibitors?
Are IL-17 or IL-23 inhibitors helpful?
5 Answers available
How do you manage MEK inhibitor induced ocular adverse events?
1 Answer available


Papers discussed in this category

Ophthalmology, 2015-05
Efficacy and safety of intravenous secukinumab in noninfectious uveitis requiring steroid-sparing immunosuppressive therapy.
Retina,
LONG-TERM OUTCOMES OF RITUXIMAB THERAPY IN PATIENTS WITH NONINFECTIOUS POSTERIOR UVEITIS REFRACTORY TO CONVENTIONAL IMMUNOSUPPRESSIVE THERAPY.
Ophthalmic Res, 2018 Apr 10
Cyclophosphamide or Rituximab Treatment of Scleritis and Uveitis for Patients with Granulomatosis with Polyangiitis.
Dev Ophthalmol, 2012 Apr 17
Rituximab for noninfectious uveitis.
Arthritis Rheumatol, 2019 Aug 12
Long-Term Outcome of Ustekinumab Therapy for Behçet's Disease.
American journal of ophthalmology, 2017-11
Primary (Month-6) Outcomes of the STOP-Uveitis Study: Evaluating the Safety, Tolerability, and Efficacy of Tocilizumab in Patients With Noninfectious Uveitis.
JAMA ophthalmology, 2016-08-01
Subretinal Fluid Associated With MEK Inhibitor Use in the Treatment of Systemic Cancer.
Curr Opin Rheumatol,
Retinal vasculitis.
Int J Environ Res Public Health, 2021 Aug 01
Relationship of Hydroxychloroquine and Ophthalmic Complications in Patients with Type 2 Diabetes in Taiwan.
International ophthalmology clinics, 2022 Apr 01
Challenges and Updates on the Management of Acute Retinal Necrosis.
Clinical ophthalmology (Auckland, N.Z.), 2020 Jul 08
Management Strategies of Acute Retinal Necrosis: Current Perspectives.
Retinal cases & brief reports, 2022 Nov 01
RECURRENT ACUTE RETINAL NECROSIS.
The New England journal of medicine, 2016 Sep 15
Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes.
Ophthalmology. Retina, 2019 Mar 21
International Practice Patterns for the Management of Acute Postsurgical and Postintravitreal Injection Endophthalmitis: European Vitreo-Retinal Society Endophthalmitis Study Report 1.
Retina (Philadelphia, Pa.), 2021 Feb 01
VISUAL OUTCOME OF EARLY VITRECTOMY AND INTRAVITREAL ANTIBIOTICS IN ACUTE POSTSURGICAL AND POSTINTRAVITREAL INJECTION ENDOPHTHALMITIS: European Vitreo-Retinal Society Endophthalmitis Study Report Two.
Archives of ophthalmology (Chicago, Ill. : 1960), 1995 Dec
Results of the Endophthalmitis Vitrectomy Study. A randomized trial of immediate vitrectomy and of intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Endophthalmitis Vitrectomy Study Group.
Arthritis & rheumatology (Hoboken, N.J.), 2021 Apr 26
American College of Rheumatology, American Academy of Dermatology, Rheumatologic Dermatology Society, and American Academy of Ophthalmology 2020 Joint Statement on Hydroxychloroquine Use With Respect to Retinal Toxicity.
Ophthalmology, 2016-06
Recommendations on Screening for Chloroquine and Hydroxychloroquine Retinopathy (2016 Revision).
Retina (Philadelphia, Pa.), 2025 Jan 17
Combined Pars Plana Vitrectomy and Novel Scleral Fixation of the Light Adjustable Lens.
Ophthalmology, 2010-11
Visual and anatomic outcomes with or without surgery in persistent fetal vasculature.
Indian journal of ophthalmology, 2020 Jun
Commentary: Retinal folds: To operate or not to operate.
Indian journal of ophthalmology, 2020 Jun
Management of fovea-involving dry macular fold complicating retinal detachment surgery: Does delayed intervention influence outcome?

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