Prognosis value of Chinese Ocular Fundus Diseases Society classification for proliferative diabetic retinopathy on postoperative visual acuity after pars plana vitrectomy in type 2 diabetes

AIM: To compare the postoperative visual acuity among eyes with proliferative diabetic retinopathy(PDR) of different stages after pars plana vitrectomy(PPV) in type 2 diabetic patients. METHODS: A retrospective study was conducted for PDR eyes undergoing PPV in type 2 diabetic patients. All patients were divided into three groups based on Chinese Ocular Fundus Diseases Society(COFDS) classification for PDR: Group A(primary vitreous hemorrhage), Group B(primary fibrovascular proliferation) and Group C(primary vitreous hemorrhage and/or fibrovascular proliferative combined with retinal detachment). The postoperative visual acuity and the change between postoperative and preoperative visual acuity were compared among three groups. The associated risk factors for postoperative visual acuity were analyzed in the univariate and multiple linear aggression. RESULTS: In total, 195 eyes of 195 patients were collected in this study, including 71 eyes of 71 patients in Group A, 75 eyes of 75 patients in Group B and 49 eyes of 49 patients in Group C. The eyes in Group A got better postoperative best-corrected visual acuity(BCVA) compared to the eyes in Group B and C(0.48±0.48 vs 0.89±0.63, P<0.001;0.48±0.48 vs 1.04±0.67, P<0.001;respectively). The eyes in Group A got more improvement of BCVA compared to the eyes in Group B and C(1.07±0.70 vs 0.73±0.68, P=0.004;1.07±0.70 vs 0.77±0.78, P=0.024;respectively). In the multiple linear regression analysis, primary fibro-proliferative type(β=0.194, 95%CI=0.060-0.447, P=0.01), retinal detachment type(β=0.244, 95%CI=0.132-0.579, P=0.02), baseline log MAR BCVA(β=0.192, 95%CI=0.068-0.345, P=0.004), silicone oil tamponade(β=0.272, 95%CI=0.173-0.528, P<0.001) was positively correlated with postoperative log MAR BCVA. Eyes undergoing phacovitrectomy had better postoperative BCVA(β=-0.144, 95%CI=-0.389 to-0.027, P=0.025). CONCLUSION: PDR eyes of primary vitreous hemorrhage type usually have better visual acuity prognosis compared to primary fibrovascular proliferation type and retinal detachment type. COFDS classification for PDR may have a high prognostic value for postoperative visual outcome and surgical management indications.

Using a ＋20D lens for non-contact slit lamp biomicroscopy of ocular fundus

Noncontact slit lamp examination of the ocular fundus has been classically done using high power convex lenses like+90D,+78D,and+60D.A real and inverted image of the fundus is formed in between the high power convex lens and the slit lamp.The+20D lens is commonly used for binocular indirect ophthalmoscopy.The authors use this+20D lens

Vessel Extraction on Ocular Fundus Images by Using Gabor Filter Bank

Fundus diagnosis is an important part of the whole body examination that may provide rich clinical information to doctors for diagnostic reference. Manual fundus vessel extraction is helpful to quantitative measurement of diseases but obviously it is a tough work for physicians. This paper presents an automatic method by using Gabor filter bank to extract the artery and vein separately in the ocular fundus images. After preprocessing steps that include gray-scale transform, gray value inversion and contrast enhancement, the Gabor filter bank is applied to the extraction of the artery and vein in the ocular fundus images. Finally these two different width types of vessels are selected by post-processing methods such as labeling, corrosion, binarization, etc. Evaluation results show an accurate rate of 90% in vein and 82% in artery from 20 cases, that indicates the effectiveness of our proposed segmentation method.

Retinal toxicity with Ritonavir

Dear sir,Non-systemic,ocular toxicity caused by medications used in highly active antiretroviral therapy（HAART）for human immunodeficiency virus（HIV）infection is an uncommon adverse event[1].Roe et al[2]reported Ritonavir