The Royal Society of Victoria’s Post

Ophthopedia Update:Eight Years and Beyond Longitudinal Changes of Peripapillary Structures on OCT in Adult Myopia: To investigate the long-term changes of peripapillary structures detected by enhanced depth imaging of OCT in adult myopia. #Ophthalmology #Ophthotwitter #Scicomm

Neurovascular-Nuggets (17) 🎁the key points and clinical implications from this paper: Main Points: - This paper reports two cases of acute blood flow disturbance after deploying the Flow Redirection Endoluminal Device (FRED), a dual-layer flow diverting stent, for intracranial aneurysms. - In both cases, the inner layer of the stent failed to expand at the proximal end, while the outer layer expanded fully. This was termed "ghost twisting". - Ghost twisting was only detectable on high-resolution cone beam CT, not conventional angiography. - Both cases were successfully treated with balloon angioplasty. The structural design of FRED may contribute to this ghost twisting phenomenon. Clinical Implications: - Ghost twisting of dual-layer flow diverting stents like FRED can occur and cause acute flow disturbances. - High resolution imaging like cone beam CT is important to diagnose ghost twisting when flow issues occur with FRED stenting. - Securing the true lumen of FRED until full expansion of both layers is confirmed is important to avoid ghost twisting. - Balloon angioplasty can successfully address ghost twisting when it does occur. - Further study on structural modifications to prevent ghost twisting of dual-layer flow diverting stents is warranted. Read more at  #neurovascularnuggets https://lnkd.in/dHekQGgW

Recording single-neuron activity from deep brain regions was never achieved before with an endovascular probe like MEV and was previously only possible with surgical implantation directly into the brain tissue. // https://bit.ly/3Yc7Zgj

#DYK that by activating the intrinsic control of the spinal networks, we can enable sufficient recovery of voluntary control? We are doing this through spinal cord neuromodulation which involves placing electrodes on specific points on the skin above spinal cord. Compared with traditional surgical methods, our transcutaneous neuromodulation technology is non-invasive and corrects the underlying neurological deficit thus restoring function to an end organ. #spinex #gamechanger #spinalcordneuromodulation

Adaptive optics: Voretigene neparvovec treatment does not induce long-term alterations in the retinal arterial vasculature in patients with RPE65-associated retinal dystrophy. Well done, Friederike Dr. Kortüm and team! https://lnkd.in/e4cn9Y5V

Today is World Glaucoma Day, a global initiative that aims to raise awareness about glaucoma, which is the leading cause of irreversible blindness worldwide. Glaucoma is a complex condition that includes a range of optic neuropathies that can lead to a progressive deterioration of the optic nerve head and visual field impairment. Heidelberg Engineering is proud to continuously improve our ophthalmic solutions to provide clinicians with a complete toolkit to diagnose and manage patients with glaucoma.   SPECTRALIS® Glaucoma Premium Edition helps you assess the glaucoma-related structural loss in the posterior segment, while the ANTERION® with its swept-source OCT technology helps you measure and visualize the anterior chamber angle.   UNCOVER SPECTRALIS ® Glaucoma Module Premium Edition: https://lnkd.in/dvSA3hG UNCOVER ANTERION®: https://lnkd.in/ecSfVdJG   #UncoverMore #glaucoma #ANTERION #SPECTRALIS #OCT #ophthalmology #glaucomaweek #worldglaucomaday

It remains a challenge to diagnose and treat an unstable partial syndesmotic lesion (usually AITFL). Clear physical examination (fibular shift, external rotation stress test) with evident partial lesions on MRI, after high ankle sprain, are rare, in my practice. Dynamic ultrasound may be of added value. While stress test under fluoroscopy are often negative. Diagnostic arthroscopy shows a varying picture. In my opinion, it supports stabilizing the syndesmosis in high demanding athletes, with a low threshold. Should I have stabilized IOL in addition to the AITFL, in this case?

Take the Clinical Challenge A patient in their mid-60s was referred for evaluation of a left iris lesion. The mass had been present for decades and multiple prior office visits with referring ophthalmologists, most recently 4 years prior, showed the mass remained stable in size. Ocular history included cataract extraction with intraocular lens placement and retinal tear of the right eye and cataract of the left eye. Visual acuity without correction was 20/20 OD and 20/25+ OS. What would you do next? A. Observation B. Fine-needle aspiration biopsy C. Plaque brachytherapy D. Iridectomy for excision of the lesion Leave your answer in the comments. 12 PM ET Friday we’ll post the discussion.

Thanks to Daniel G. Fuller, OD, Dipl. FAAO., FSLS, for this interesting case from the Glaucoma Imaging Atlas: Myopia can easily mimic glaucoma when one limits glaucoma assessment to the classification. The anatomical variance in eyes with myopia may shift the peaks on the RNFL thickness profile resulting in the abnormal sector classifications. The flexibility of the SPECTRALIS Glaucoma Module Premium Edition (GMPE) supports the exploration of additional details to avoid misdiagnosis. An analysis of the neuroretinal rim (BMO-MRW) allowed the doctor to rule out glaucoma. UNCOVER MORE about SPECTRALIS Glaucoma Module Premium Edition: https://lnkd.in/dvSA3hG Interested in more clinical cases? UNCOVER our Glaucoma Imaging Atlas: https://lnkd.in/dngZs8y #UncoverMore #Glaucoma #SPECTRALIS #Ophthalmology