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Purpose: To investigate best corrected visual acuity (BCVA), subretinal fluid (SRF) absorption time or ellipsoid zone (EZ) restoration time and various variables in patients with persistent SRF after successful primary repair of rhegmatogenous retinal detachment (RRD)., Methods: This retrospective multicenter study allowed independent analysis of the healing pattern by two observers based on composite of serial cross-sectional macular optical coherence tomography (OCT) scans. Univariate and multivariate analyses were implemented., Results: One hundred and three cases had persistent SRF after pars plana vitrectomy, scleral buckling, or pneumatic retinopexy. By univariate analysis, SRF resolution time correlated positively with the number of retinal breaks ( p  < 0.001) and with increased myopia ( p  = 0.011). Using multivariate analysis, final BCVA (log MAR) correlated positively with age, duration of RRD, initial BCVA (OR = 3.28; [95%CI = 1.44-7.47]; p  = 0.015), and SRF resolution time (OR = 0.46 [95%CI 0.21-1.05]; p  = 0.049). EZ restoration time was longer with increasing number of retinal tears (OR = 0.67; [95%CI 0.29-1.52]; p  = 0.030), worse final BCVA, and presence of macula-off RRD (OR = 0.26; [95%CI 0.08-0.88]; p  = 0.056). SRF resolution time correlated marginally with prone position., Conclusions: Residual posterior SRF is more common in eyes with multiple breaks or in myopic eyes. Final BCVA is better in younger subjects and in eyes with shorter duration of RRD. Persistent SRF is a self-limited disorder with a mean resolution of 11.2 months with good visual prognosis improving from a mean baseline logMAR of 1.08 to 0.25 at one year., Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Purpose: To find out whether the opacity of the lens in well-developed cataracts might be so dense as to influence the electrophysiological readings in any way, modifying these to such an extent that they might become pathological., Method: A prospective study was carried out on 24 eyes from 21 patients with advanced cataracts (visual acuity from light perception and counting fingers making it impossible to see the retina). During the study, the eyes were subjected to an electrophysiological exploration: electroretinogram (ERG) and visual evoked potentials (VEP), both before and after surgery, analysing the possible changes in the recordings attribuitable to the opacity of the lens., Results: No significant differences were observed in the electrophysiological readings before surgery with respect to postoperative readings, either in terms of latencies or in the amplitude of readings, in either the ERG or in the VEP in all the explored eyes. Although an increase in the amplitude and a slight wave reduction in latencies were indeed observed in the ERG following surgery, these values were not significant., Conclusions: The opacity of the lens itself does not significantly change the values of the electrophysiological readings, so that electrophysiological exploration in well-developed cataracts is considered to be most accurate test for predicting visual function in these patients.

Case Report: Two clinical cases of painful ophthalmoplegia from a cavernous sinus syndrome induced by carotid intracavernous aneurysm are presented. Two women presenting similar clinical patterns: total restriction of ocular movements, pthosis, alterations in the pupil and intense cephalalgia of sudden onset. Carotid aneurysms were found to be responsible for these clinical patterns. A carotid embolization was performed in one of the cases while a <> attitude was adopted for the other., Discussion: Both cases showed similar favorable evolution, after a follow up period of one year. We concluded that in these cases a close collaboration with other specialties is required in order to adopt the most adequate therapeutic option.