[Smartphone-operated detonation of a firecracker resulting in a macular hole]. / Makulaforamen durch Smartphone-gesteuerte Fernzündung eines Feuerwerkskörpers.

A 22-year-old man presented to the emergency room on New Years Eve after a firecracker had exploded next to his left eye. Besides injuries to the eyelid, conjunctival and corneal trauma, a commotio retinae at the temporal periphery and the central retina were revealed funduscopically. A small full macular hole was detected by spectral domain optical coherence tomography scan (OCT). After topical treatment with tobramycin, fluorometholone and lubrication eye drops the best-corrected vision improved from 0.2 to 0.8 within 3 months and the follow-up OCT revealed a spontaneous closure of the macular hole.

[Long-term visual outcome comparison of bilateral implantation of apodised diffractive versus progressive multizonal refractive multifocal intraocular lenses after cataract extraction]. / Langzeitergebnisse nach Implantation apodisiert diffraktiver versus progressiv refraktiver Multi-Zonen-Intraokularlinsen nach Kataraktoperation.

AIM: The aim of this study was to evaluate the functional effect of bilateral implantation of apodised diffractive versus progressive multizonal refractive multifocal intraocular lenses compared to standard monofocal intraocular lenses. PATIENTS AND METHOD: 229 patients underwent cataract extraction; 66 Array SA40N (AMO, Irvine, CA, USA), 76 SA60D3 ReSTOR (Alcon, Fort Worth, TX, USA), and 87 MA60AC (Alcon, Fort Worth, TX, USA) were implanted. In this retrospective trial the main outcome measures were near, intermediate, and distance visual acuity and assessment of subjective function by questionnaire. RESULTS: Mean follow-up was 4.7 ± 1.4 years with monofocal, 6.6 ± 1.7 with Array and 4.3 ± 1.1 with ReSTOR implants. Uncorrected binocular distance visual acuity was equivalent in the three groups. Uncorrected binocular near and intermediate visual acuity and spectacle independence were significantly higher in the two multifocal groups (p < 0.001). Glare and halos were more bothersome with multifocal than monofocals implants (p < 0.05) and adverse visual symptoms at night with Array implants but equivalent between ReSTOR patients and monofocal patients. Between the two multifocal groups spectacle independence was higher and adverse visual symptoms lower in ReSTOR patients than in Array patients (p < 0.05). ReSTOR patients reported a higher overall visual satisfaction than the other groups (p < 0.001) and rated their vision at 8.8 ± 1.8. Monofocal patients reported a slightly higher satisfaction at 7.6 ± 1.7 compared to Array patients at 6.9 ± 2.6 (p = 0.05). CONCLUSION: In this long-term study the highest overall visual satisfaction could be achieved by bilateral implantation of apodised diffractive intraocular lenses.

[Vascular lesion of the conjunctiva]. / Vaskuläre Läsion der Bindehaut.

A 44-year-old male patient first noticed a pain-free light red swelling of the right eye in 1983. Based on the results of the early indocyanine green angiography, MRI and sonography, a racemose hemangioma of the conjunctiva was diagnosed. Although a racemose hemangioma already exists at birth, it remains clinically silent for a long time and symptoms often first appear in early adulthood. In this patient external surgical excision was terminated due to substantial bleeding. A symptomatic treatment in the sense of surface care is considered to be the best option.