We evaluated the closure of idiopathic full-thickness macular holes (MHs) the day after surgery in minimizing the burden and maximizing patient outcomes. Herein, 25-gauge pars plana vitrectomy, internal limiting membrane peeling, and fluid-gas (20% sulfur hexafluoride) were performed for the treatment. Patients were instructed to remain in the facedown position until the confirmation of MH closure, and the position was discontinued in cases where the closure was confirmed. In total, 43 eyes of 43 patients, whose average age was 69.7±8.6 years, were enrolled in this study. We used swept-source (SS)-optical coherence tomography (OCT) for the confirmation of MH closure for gas-filled eyes and used spectral domain (SD)-OCT for the reconfirmation of MH closure after the gas volume was reduced to less than half of the vitreous cavity. MH closure was confirmed in 40 eyes (93%, the closure group) on the next day after surgery. The time from surgery to SS-OCT imaging was 24.7 hours. Although facedown positioning was terminated in cases where MH closure was confirmed, there were no cases in which the MH was re-opened afterward. The basal and minimum MH size was significantly larger in the non-closure group than that in the closure group (p = 0.027, p = 0.043, respectively). Therefore, checking with SS-OCT the day after surgery and terminating facedown positioning in cases where MH closure was confirmed would be a useful method, removing great burden for the elderly without sacrificing the MH closure rate.

The VEMoS AXL system is a new optical biometer based on spectral domain optical coherence tomography (SD-OCT) that has been tested in terms of intrasession repeatability and compared with a swept-source optical coherence tomography biometer (SS-OCT), which is considered the gold standard, for an agreement analysis. A biometric analysis was performed three consecutive times in 120 healthy eyes of 120 patients aged between 18 and 40 years with the SD-OCT system and afterwards a single measurement was obtained with the SS-OCT system. Within-subject standard deviations were 0.004 mm, 4.394 µm and 0.017 mm for axial length (AL), central corneal thickness (CCT), and anterior chamber depth (ACD) measures obtained with the SD-OCT biometer, re-spectively. The agreement between devices was good for AL (Limits of agreement, LoA: -0.04 to 0.03 mm) and CCT (LoA: -4.36 to 14.38 µm), whereas differences between devices were clinically relevant for ACD (LoA: 0.03 to 0.21 mm). In conclusion, the VEMoS AXL system provides consistent measures of anatomical parameters, being most of them interchangeable with those provided by the SS-OCT-based gold standard.

In a context of exponential demographic growth, the imbalance between human resources and public health problems is impelling us to envision other solutions to the difficulties faced in the diagnosis, prevention and large-scale management of the most common diseases. Cardiovascular diseases represent the leading cause of morbidity and mortality worldwide. A large-scale screening program would make it possible to promptly identify patients with high cardiovascular risk in order to manage them adequately. Optical coherence tomography-angiography (OCT-A), as a window into the state of the cardiovascular system, is a rapid, reliable, and reproducible imaging examination that enables prompt identification of at-risk patients through the use of automated classification models. One challenge that limits the development of computer-aided diagnostic programs is the small number of open-source OCT-A acquisitions available. To facilitate the development of such models, we have assembled a set of images of the retinal microvascular system from 499 patients. It consists of 814 angiocubes as well as 2005 en face images. Angiocubes were captured with a swept-source OCT-A device of patients with varying overall cardiovascular risk. To the best of our knowledge, our dataset, RASTA, is the only publicly available dataset comprising such a variety of images from healthy and at-risk patients. This dataset will enable the development of generalizable models for screening of cardiovascular diseases from OCT-A retinal images.

This research aimed to compare the measurements recorded by a traditional PCI technology biometer (Partial Coherence Interferometry) and by a SS-OCT (Swept Source Optical Coherence Tomography) technology machine in preoperative screening of patients with age-related cataract. Optical biometry was performed with the IOLMaster 500 (version 5.5, Carl Zeiss Meditec, Germany) and the ANTERION (Heidelberg Engineering, Germany) in a total sample of 144 eyes, from 80 patients, (37 men and 43 women), with a mean age of 70.54 ± 0.739 years (range: 45-89 years) and the values of the Axial Length (AL), two meridians of the cornea (Kf, Kflat and Ks, Ksteep), astigmatism (Ast) as well as the Anterior Chamber Depth (ACD) were compared with the program IBM SPSS Statistics 27. The IOLMaster500 and ANTERION devices did not have statistically significant differences in terms of axial length and flat corneal meridian Kf, while they differed statistically significantly in terms of steep corneal meridian Ks, astigmatism and anterior chamber depth. This study suggests that a thorough pre-operative check must be performed, sometimes with more than one device, aiming at greater accuracy in the measurements of the ocular biometrics, so that we achieve more successful postoperative outcomes and ultimately more satisfied patients.

Turbo-roundabouts are one of the most frequently recommended road junction design options when it comes to increasing traffic capacity and traffic safety. This is in particular true of suburban areas, with dominant traffic flow on the main road and moderate traffic flow on the side road. Other intersections handling local traffic and considerably constricting the availability of space are usually located in the vicinity of such intersections. Another factor contributing to less availability of land for construction in these locations is the presence of surrounding residential housing. Then choosing the suitable turbo-roundabout type becomes the main issue. The article presents a case study for the selection of a type of turbo roundabout under the conditions of considerably constricted land availability, based on analyses of provision of swepth path for the chosen design vehicles. The article considers the typical Egg type turbo roundabouts, "flattened" turbo roundabouts and ellipse based roundabouts, with unconventional geometries of the truck apron and central island. For each of the analysed roundabout types setting out methods were described in detail, which enable designers to quickly select a type of roundabout suitable for specific constrained site conditions.

Age-related macular degeneration (AMD) causes visual impairment in individuals >50 years of age. However, no study has investigated AMD using ultra-wide-field swept-source optical co-herence tomography (UWF SS-OCT). We aimed to evaluate central and peripheral choroidal thickness using UWF SS-OCT and compare AMD subtypes. We included 75 eyes of patients with typical AMD (tAMD), 56 with polypoidal choroidal vasculopathy (PCV), 29 with pachychoroid neovasculopathy (PNV), and 12 with retinal angiomatous proliferation (RAP). To compare cho-roidal thicknesses in the central and peripheral choroids, we established subfields of <3 mm, <9 mm, and 9–18 mm from the fovea. PNV patients were significantly younger than those with tAMD (P=0.01). The choroidal thicknesses of PNV were significantly greater than that of tAMD in all subfields (P<0.01) and choroidal thickness significantly correlated with age and axial length in all subfields (P<0.05). Even after adjusting for age and axial length, the choroidal thickness in PNV was significantly greater than that in tAMD (P<0.05). In addition, the ratio of the posterior < 9 mm to peripheral 9–18 mm choroidal thickness in PNV was significantly greater than that in tAMD (P<0.01). A thickened choroid in PNV was more pronounced in the posterior choroid than in the periphery.