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9. Brain tumor-like lesion in Behçet disease

Author

Appenzeller, Simone, de Castro, Rafael, Queiroz, Luciano de Souza, Madegan, Luciana, Soledade, Cinira, Zanardi, Verônica de Araújo, Nucci, Anamarli, Cendes, Fernando, and Fernandes, Sandra Regina M.

Published
2006
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17. Sternal wound infection revisited

Author

Liberatore, Mauro, Fiore, Vittorio, D’Agostini, Antonio, Prosperi, Daniela, Iurilli, Anna Paola, Santini, Claudio, Baiocchi, Pia, Galiè, Maurizia, Di Nucci, Gian Domenico, and Sinatra, Riccardo

Published
2000
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27. The 3rd annual congress of the European society of skeletal radiology

Author

Bloem, J. L., Geirnaerdt, M. J. A., Hogendoorn, P. C. W., Chevrot, A., Davies, A. M., Hájek, M., Kurková, D., Herynek, V., Imhof, H., Masciocchi, C., Maffey, M. V., Møller, J. F., Putz, R., Reiser, M. F., Braunschweig, R., Bonél, H., Stäbler, A., Watt, I., Adams, J. E., Harake, M. D. J., Lipscomp, K., Selby, P. L., Aparisi, F., Arana, E., Lloret, R. M., Marti-Bonmati, I., Menor, F., Sanchez, E., Rodrigo, C., Beltran, J., Cifrian, C., Garci, J. L., Memis, A., Arkun, R., Akalin, T., Ustu, E. E., Sabah, D., Barile, A., Rossi, F., Zugaro, L., Manetta, R., Maurizi Enrici, R., Beggs, I., Bianchi, S., Martinoli, C., Molini, L., Gandolfo, N., Damiani, S., Helmberger, T., Sittek, H., Steinborn, M., Ritter, M. M., Geisst, H. C., Pistitsch, C., Herrmann, K., Bögl, K., Kainberger, F., Adlassnig, K. P., Kolousek, G., Leitich, H., Kolarz, G., Bracke, P., Ramon, F., Stevens, W., De Clarck, L., De Schepper, A., Sys, J., Michielsen, J., Martens, M., Breitenseher, M. J., Trattnig, S., Gaebler, C., Metz, V., Kukla, C., Gneger, A., Rand, T., Brossmann, J., Andresen, R., Preidler, K. W., Daenen, B., DeMaeseneer, M., Resnick, D., Burnett, S., Saifuddin, A., White, J., Cassar-Pullicino, V. N., Inman, C., Griffiths, J., McCall, I. W., Masri, W. E., Csókási, Z., Forgacs, S., Czerny, C., Neuhold, A., Hofmann, S., Tschauner, C., Engel, A., Recht, M. P., Kramer, J., DeBeuckeleer, L., DeSchepper, A., Somerville, J., Vandevenne, J., De Maeseneer, M., Jaovishidha, S., Sartoris, D. J., Elizagaray, E., Saez, F., Faletti, C., De Stefano, N., Sorrentin, T., Foderà Pierangeli, L., Mona, D., Foster, J. E., Taberner, J., Keen, M., Dieppe, P., Freyschmidt, J., Gibbon, W. W., O'Connor, P. J., McGonagle, D., Emery, P., Grampp, S., Lang, P., Jergas, M., Glüer, C. C., Steiner, E., Takada, M., Mathur, A., Genant, H. K., Jevtic, V., Rozman, B., Kos-Golja, M., Demsar, F., Nehrer, S., Seidl, G., Baldt, M., Klarlund, M., Østergaard, M., Sørensen, K., Lorenzen, I., Eschberger, J., Gstettner, M., Schneider, W., Plenk, H., Kühne, J. H., Steinborn, A., Dürr, H. R., Scheidler, J., Lienemann, A., Landsiedl, F., Mamdorff, P., Honda, G., Rosenau, W., Johnston, J., Mindell, E., Peterfy, C. G., Nevitt, M., Majumdar, S., Lecouvet, F. E., Vande Berg, B. C., Maighem, J., Michaux, J. L., Maldague, B. E., Lecoevet, F. E., Malghem, J., Mastantuono, M., Larciprete, M., Bassetti, E., Argento, G., Amoroso, M., Satragno, L., Nucci, F., Romanini, L., Passariello, R., McNally, E. G., Goodman, T. R., Merkle, E. M., Krammel, E., Vogel, J., Krämer, S., Schulte, M., Usadel, S., Kern, P., Brambs, H. J., Mester, Á., Makó, E., Papp, E., Kiss, K., Márton, E., Dévai, T., Duffek, L., Bártfai, K., Németh, L., Karlinger, K., Posgay, M., Kákosy, T., Davies, G. A., Cowen, A. R., Fowler, R. C., Bury, R. F., Parkin, G. J. S., Lintott, D. J., Martinez, D., Safadin, A., Pal, C. R., Ostlere, S. J., Phillps, A. J., Athanasou, N., Lemperle, S. M., Holmes, R. E., Rühm, S., Zanetti, M., Romero, J., Hodler, J., Larena, J. A., Marti-Bonmarti, L., Martin, I., Tabernero, G., Alonso, A., Scarabino, T., Guglielmi, G., Giannatempo, G. M., Cammisa, M., Salvolini, U., Schmitt, R., Fellner, F., Heinze, A., Obletter, N., Schnarkowski, P., Tirman, P. F. J., Steinbach, L. S., Schneider, P., Ferrettiz, J. L., Capozza, R. F., Braun, M., Reiners, C., Zettl, R., Silvestri, E., Falchi, M., Delucchi, S., Cella, R., Neumaier, C. E., Prato, N., Migliorini, S., Jessel, C., Heuck, A., Stevens, K. J., Preston, B. J., Kerslake, R. W., Wright, W., Wallace, W. A., Stiskal, M., Szolar, D., Stenzel, I., Mesaric, P., Smolen, J., Czembirek, H., Tasker, A. D., Benson, M. K., Fleischmann, D., Haller, J., Rottmann, B., Kontaxis, G., Vanel, D., Missenard, G., Le Cesne, A., Guinebretiere, J. M., Verhoek, G., Duewell, S., Zollinger, H., Vrooman, H. A., Valstar, E. R., Brand, G. J., Obermann, W. R., Rozing, P. M., Reiber, J. H. C., Zafiroski, G., Kamnar, J., Zografski, G., Jeftic, V., Vidoevski, G., Ledermann, T., Zerbi, A., Gambaretti, R., Trenti, N., Zanolla, W., Allen, A. W., Willis, Ch. E., Radmer, S., Hakim, S., Banzer, D., Sparmann, M., Argent, J. D., Sampson, M. A., Baur, A., Bartl, R., Llopis, E., Monton, T., Vallcanera, A., Serafini, G., Bertolotto, M., Trudell, D., White, L. M., Garlaschi, G., DiLella, G. M., Bray, A., Parrella, A., Salvia, F., Parrella, R. E., Esztergályos, J., Faul, S., Link, J., Behrendt, S., Helbich, T., Steingruber, I., Gahleitner, A., Kettenbach, J., Kreuzer, S., Lomoschitz, F., Kaposi, P. N., Reti, P. G., Kolenc, M., Turk, Z., Barovic, J., Kugler, Ch., Uggowitzer, M., Gröll, R., Raith, J., Ranner, G., Liskutin, J., Youssefzadeh, S., Montagnon, C., Billiard, J. S., Tanji, P., Peerally, S., Gazielly, D., Muhaz-Vives, J. M., Fernández, J., Girveni-Montilos, R., Catasuz-Capellades, X., Valls-Pascual, R., Niitsu, M., Mishima, H., Itai, Y., Pirronti, T., Sallustio, G., Cerase, A., Priolo, F., Poleksic, L., Atanackovic, M., Dimitrijevic, B., Bacic, G., Potsybina, V. V., Rangger, Ch., Kathrein, A., Klestil, T., Gabl, M., Daniaux, H., Recondo, J. A., Alustiza, J. M., Villanua, J., Barrera, M. C., Salvador, E., Larrea, J. A., and Martin, J.

Published
1996
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43. Relation between binocular vision alteration and prehension movements in children: a scoping review.

Author

Rao G, Massa L, Schiavetti I, Vagge A, Nucci P, Giorgia Perinelli M, Striano P, and Serafino M

Abstract

Purpose: To investigate, map, and synthesize evidence regarding the correlation between changes in binocular vision and fine motor skills among children., Methods: We conducted a scoping review of existing evidence, following the guidelines and checklist outlined in "Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Scoping Reviews" (PRISMAScR)., Results: Sixteen papers were systematically included in our scoping review. A predominant focus was placed on assessing the impact of strabismus on motor skills. Most of the studies used motor test batteries for comprehensive analysis, while the remaining employed methodologies, such as questionnaires or laboratory-based tests., Conclusion: Vision stands as a pivotal perceptual modality essential for the optimal development of children. Alterations in visual acuity can significantly affect fine motor skills. Pediatric ophthalmology and orthoptics frequently encounter binocular vision disorders, such as amblyopia and strabismus. Our finding showed that impaired binocular vision affects fine motor skills., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Published
2024
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45. Managing the ocular surface after glaucoma filtration surgery: an orphan topic.

Author

Agnifili L, Figus M, Sacchi M, Oddone F, Villani E, Ferrari G, Posarelli C, Carnevale C, Nucci P, Nubile M, and Mastropasqua L

Subjects
Humans, Postoperative Complications, Intraocular Pressure physiology, Dry Eye Syndromes etiology, Corneal Diseases surgery, Corneal Diseases diagnosis, Disease Management, Glaucoma surgery, Glaucoma physiopathology, Filtering Surgery methods, Quality of Life
Abstract

Background: Ocular surface (OS) disorders before glaucoma filtration surgery (GFS) have been considered to play a crucial role influencing the surgical outcome. Conversely, the impact of surgery itself on the OS is almost completely overlooked, though evidence suggest that ocular surface disease (OSD) may be induced in patients by GFS. This review analyzes the determinants involved in the OSD development after GFS, the clinical features and related consequences, the main diagnostic hallmarks, as well as the therapeutic strategies for its management., Methods: The PubMed database was utilized for the literature examination. Keywords that were searched included ocular surface disease, glaucoma filtration surgery, filtration bleb, post-surgical management, and quality of life., Results: After GFS, OSD is promoted by peri- and post-operative factors, such as the filtration bleb (FB) development, combined surgical approach with phacoemulsification, the use of antifibrotic agents and the reintroduction of antiglaucoma medications. This particular form of OSD that present similar clinical features to mild to moderate dry eye, can be named as post-glaucoma surgery-OSD (PGS-OSD). PGS-OSD may negatively affect the FB functionality, thus potentially hindering the disease control, and significantly worsen the patient quality of life (QOL)., Conclusions: Clinicians are encouraged to routinely include the OS evaluation after GFS and to consider proper management when the occurrence of PGS-OSD worsen the patient's QOL or exert negative effects to the FB functionality. An outline summarizing the main risk factors and the most appropriate therapeutic options to mitigate the PGS-OSD was proposed to support the routine practice., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Published
2024
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47. Retinal vascular occlusion and SARS-CoV-2 vaccination.

Author

Vujosevic S, Limoli C, Romano S, Vitale L, Villani E, and Nucci P

Subjects
Adult, Humans, Angiogenesis Inhibitors, Fluorescein Angiography, Intravitreal Injections, Retrospective Studies, SARS-CoV-2, Tomography, Optical Coherence, Treatment Outcome, Vaccination, COVID-19 epidemiology, COVID-19 prevention & control, COVID-19 Vaccines adverse effects, Retinal Diseases drug therapy, Retinal Vein Occlusion etiology, Retinal Vein Occlusion complications
Abstract

Purpose: To assess the clinical and retinal imaging features of patients in whom retinal vascular occlusion (VO) had developed in temporal associations with COVID-19 vaccination., Methods: In this retrospective case series, all consecutive adult patients with new onset VO within 6 weeks of vaccination against COVID-19 were included in the study between May 1 and October 31, 2021. All patients had a systemic medical health assessment, full ophthalmic evaluation, and complete fundus imaging., Results: Fifteen eyes of VO (14 patients) after COVID-19 vaccinations were identified. The median time between vaccination and symptoms onset was 14 days (range 7-42 days). The mean best-corrected visual acuity (BCVA) was 20/55 with a range of 20/20 to 20/200. Eleven of 15 eyes (73.3%) had visual acuity improvement after intravitreal treatment at 60-90 days (range, 45-105 days) from the presentation. Four of 5 cases without systemic risk factors for VO had a mean BCVA > 20/32 at presentation and > 20/25 at the latest evaluation. Between May 1 and October 31, 2021, a temporal association was found between the 15 reported cases and COVID-19 vaccination out of a total of 29 VO (p = 0.05). The incidence of VO was higher in the considered period compared to the equivalent 6-month period in 2019 (1.17% vs 0.52%, respectively; p = 0.0134)., Conclusions: Retinal vascular occlusion with different grades of severity are reported in temporal association with COVID-19 vaccination. The exact pathogenic mechanism needs to be further studied. No certain causal relationship can be established from this case series., (© 2022. The Author(s).)

Published
2022
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49. Medical management of pediatric glaucoma: lessons learned from randomized clinical trials.

Author

Sacchi M, Lizzio RAU, Villani E, Monsellato G, Lucentini S, Cremonesi E, Luccarelli S, Serafino M, and Nucci P

Subjects
Child, Glaucoma physiopathology, Humans, Intraocular Pressure drug effects, Antihypertensive Agents therapeutic use, Glaucoma drug therapy, Intraocular Pressure physiology, Randomized Controlled Trials as Topic
Abstract

Purpose: To critically discuss the randomized clinical trials (RCTs) on glaucoma medical therapy for the management of pediatric glaucoma., Methods: RCTs on glaucoma drugs carried out on pediatric subjects with ocular hypertension and glaucoma were identified through systematic searches. The methods of the RCTs and the safety and the efficacy of the glaucoma drugs were reviewed and discussed., Results: We included five RCTs. One study compared dorzolamide with 0.5% timolol gel; one brinzolamide with 0.5% levobetaxolol; one 0.25% betaxolol, 0.25% timolol gel, and 0.5% timolol gel; one latanoprost with 0.5% timolol; and one travoprost with 0.5% timolol. The primary outcome was safety for two studies and efficacy for three studies. None of the RCTs was powered to detect statistically significant differences in intraocular pressure (IOP) between treatments. In total, 658 subjects received at least one dose of study medication. Beta-blockers were administered to 359 patients, carbonic anhydrase inhibitor (CAI) to 154, and prostaglandins to 145 patients. IOP-lowering efficacy ranged from 20 to 23% for CAI, from 9 to 36% for beta-blockers, and from 26 to 27% for prostaglandins. The percentage of responders was 50% for CAI, ranged from 38 to 74% for beta-blockers and from 60 to 83% for prostaglandins. Two patients receiving timolol experienced a systemic, drug-related serious adverse event (one patient bradycardia and one pneumonia). Systemic, nonserious drug-related events occurred in 15 patients randomized to beta-blockers and in 8 patients randomized to CAI. No adverse events occurred in children treated with prostaglandins., Conclusion: RCTs that are available on medical therapy for glaucoma are few and underpowered. The proportion of responders is lower in children; however, in subjects who are responders, the efficacy of glaucoma drugs seemed to be comparable to that in adults. As systemic adverse events have been reported, including serious events with timolol, a particular attempt to minimize the absorption of the drug (using the lowest dose and the gel formulation of beta-blockers or considering the lacrimal punctum occlusion) and a follow-up that is more frequent and more focused on safety should be considered in pediatric subjects who are on topical glaucoma medications.

Published
2020
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50. Structural imaging of conjunctival filtering blebs in XEN gel implantation and trabeculectomy: a confocal and anterior segment optical coherence tomography study.

Author

Sacchi M, Agnifili L, Brescia L, Oddone F, Villani E, Nucci P, and Mastropasqua L

Subjects
Aged, Cross-Sectional Studies, Female, Follow-Up Studies, Glaucoma diagnosis, Glaucoma physiopathology, Humans, Intraocular Pressure physiology, Male, Microscopy, Confocal, Middle Aged, Prosthesis Design, Retrospective Studies, Anterior Eye Segment pathology, Conjunctiva pathology, Glaucoma surgery, Imaging, Three-Dimensional methods, Prosthesis Implantation methods, Tomography, Optical Coherence methods, Trabeculectomy methods
Abstract

Purpose: To describe and compare the conjunctival filtering bleb features after XEN gel implantation and trabeculectomy using anterior segment optical coherence tomography (AS-OCT) and in vivo confocal microscopy (IVCM)., Methods: Fifty-two patients who underwent completely successful trabeculectomy (24 eyes) or completely successful XEN gel implantation (28 eyes) were consecutively enrolled. At the sixth-month follow-up, filtering blebs were analyzed with AS-OCT and IVCM. The main outcomes were the following: (i) bleb-wall epithelium cyst-like structure density and area (BECSD, BSCSA), (ii) bleb-wall sub-epithelium cyst-like structure density and area (BSCSD, BSCSA,), (iii) bleb-wall thickness (BT), (iv) bleb-wall epithelial thickness (BET), (v) bleb-wall reflectivity (BR), and (vi) bleb height (BH), for AS-OCT. Mean microcyst density (MMD) and area (MMA) and stromal meshwork reflectivity (SMR) were the IVCM outcomes., Results: Six-month intraocular pressure was 11.46 ± 3.09 and 10.06 ± 3.39 mmHg in the XEN gel implantation and trabeculectomy, respectively (p > 0.05). At AS-OCT, XEN gel blebs showed lower BH, BT, BET, BR, (p < 0.001), and BECSA values (p < 0.005), and a higher BECSD (p < 0.05) compared with trabeculectomy blebs. At IVCM, MMA and SMR values were lower in the XEN gel implantation, compared with trabeculectomy (p < 0.05). BECSD and BSCSD negatively correlated with BR (p < 0.01; r = - 0.110; p < 0.01; r = - 0.249), whereas BR strongly correlated with SMR (p < 0.001; r = 0.819)., Conclusion: Successful filtering blebs after XEN gel implantation appeared flatter and thinner, with a higher number of epithelial cysts and a hypo-reflective bleb wall compared with trabeculectomy. These aspects may depend on the different intra-operative tissue manipulation and/or on different aqueous humor dynamics in the sub-conjunctiva between surgeries.

Published
2020
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