Diagnosis, Treatment and Management of Eye Diseases, Third Edition

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 31 January 2026 | Viewed by 550

Special Issue Editor


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Guest Editor
1. Department of Ophthalmology, “Iuliu Hațieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
2. Emergency County Hospital, 400006 Cluj-Napoca, Romania
Interests: vitreo-retinal surgery; medical retina; retinopathy of prematurity; artificial intelligence in retinal disease; stem cells; genetics in ophthalmology
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Special Issue Information

Dear Colleagues,

In recent years, significant progress has been achieved in the diagnosis and management of eye diseases. Optical coherence tomography, progress in ophthalmic surgical technology, gene therapy, regenerative cellular therapies, nanotechnology, development of new molecules to target various ocular tissues and pathogenetic mechanisms, and artificial intelligence offer new tools to diagnose and treat ocular diseases in a multidisciplinary approach. This Special Issue focuses on the methods currently available to diagnose and treat various eye conditions, with a view to future developments and their potential to improve ophthalmological care. Original articles and reviews from all subspecialties of ophthalmology are welcome, with an emphasis on recent advances in diagnosis and therapy. The goal of this Special Issue is to publish articles from clinical, but also from experimental research with an impact on the diagnosis and treatment of eye diseases with a multidisciplinary approach.

Prof. Dr. Simona Delia Nicoara
Guest Editor

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Keywords

  • optical coherence tomography
  • artificial intelligence
  • gene therapy
  • nanotechnology
  • stem cells
  • vitreo-retinal surgery
  • corneal transplantation
  • minimally invasive glaucoma surgery
  • cataract surgery
  • retinopathy of prematurity

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Published Papers (1 paper)

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Review

20 pages, 458 KB  
Review
The Role of OCTA and Microperimetry in Revealing Retinal and Choroidal Perfusion and Functional Changes Following Silicone Oil Tamponade in Rhegmatogenous Retinal Detachment: A Narrative Review
by Dan-Grigore Dunca and Simona-Delia Nicoară
Diagnostics 2025, 15(19), 2422; https://doi.org/10.3390/diagnostics15192422 - 23 Sep 2025
Viewed by 354
Abstract
Background: Rhegmatogenous retinal detachment (RRD), the most common type of retinal detachment, requires prompt surgery to reattach the retina and avoid permanent vision loss. While surgical treatment is adapted to each individual case, one frequent option is pars plana vitrectomy (PPV) with [...] Read more.
Background: Rhegmatogenous retinal detachment (RRD), the most common type of retinal detachment, requires prompt surgery to reattach the retina and avoid permanent vision loss. While surgical treatment is adapted to each individual case, one frequent option is pars plana vitrectomy (PPV) with silicone oil (SO) tamponade. Despite achieving anatomical success (complete retinal attachment), concerns persist regarding potential microvascular alterations in the retina and choroid, with a negative impact on visual function. Optical coherence tomography angiography (OCTA) allows detailed, in-depth imaging of retinal and choroidal circulation, whereas microperimetry makes it possible to accurately assess macular function. This review aims to strengthen the existing evidence on vascular and functional alterations at the macular level after SO tamponade in cases of RRD. Methods: A narrative review was conducted using a structured approach, utilizing a PubMed search from January 2000 up to April 2025. Twenty-three studies on OCTA and microperimetry after SO tamponade for RRD were included. Data on vessel densities, choroidal vascular index (CVI), foveal avascular zone (FAZ) size, and retinal sensitivity were extracted and qualitatively analyzed. Results: Studies consistently reported a reduction in the vessel density within the superficial capillary plexus (SCP) under SO tamponade, with partial but incomplete reperfusion post-removal. Choroidal perfusion and CVI were also decreased, exhibiting a negative correlation with the duration of SO tamponade. Microperimetry demonstrated significant reductions in retinal sensitivity (~5–10 dB) during SO tamponade, which modestly improved (~1–2 dB) following removal but generally remaining below normal levels. Conclusions: SO tamponade causes substantial retinal and choroidal vascular impairment and measurable macular dysfunction, even after anatomical reattachment of the retina. It is recommended to perform early SO removal (~3–4 months) and implement routine monitoring by OCTA and microperimetry with the aim of optimizing patient outcomes. Future research should focus on investigating protective strategies and enhancing visual rehabilitation following RRD repair. Full article
(This article belongs to the Special Issue Diagnosis, Treatment and Management of Eye Diseases, Third Edition)
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