Background/Objectives: Western societies introduce school-based or school-linked programs in order to improve the physical health status of students and prevent the negative impact of the late diagnosis of a series of diseases and conditions. Preschool visual acuity (VA) screening represents an established school-based approach aimed at the early detection of amblyopia risk factors and vision-related learning difficulties. In this study, we report the methods and outcomes of the first officially organized kindergarten-based VA screening program in Greece, implemented using the Democritus Digital Visual Acuity Test (DDiVAT) screening suite and involving trained educators as part of the screening workflow. The present analysis focuses on the operational performance and screening outcomes within this defined setting. Methods: This study was a kindergarten-based screening. Each kindergarten was equipped with the DDiVAT screening framework, which consisted of a 32-inch, 4K, Android Smart TV with the DDiVAT application preinstalled, a site-license granting access to the secure DDiVAT database, and two vouchers for teachers to participate in the official lifelong DDiVAT training program. Results: From 2476 enrolled students, 207 (8.36%) were referred due to suboptimal presenting VA in one or both eyes. Average VA ranged from logMAR 0.11 to 0.07, which is consistent with former reports. Conclusions: No major technical difficulties were encountered, suggesting that DDiVAT may represent a feasible digital approach for preschool VA screening in real-world educational settings.

Purpose: The purpose of this report is to describe an uncommon case of vision loss in a 27-year-old male patient that presented with impending central retinal vein occlusion followed by Acute Macular Neuroretinopathy (AMN). Methods: A case report of a 27-year-old male patient presented with vision loss following impending CRVO and secondary deterioration in visual acuity due to AMN. The case was alanyzed to understand the differential diagnosis of the OCT findings and to explain the pathophysiology of the visual loss in this patient. Medical history ,laboratory examinations and frequent imaging were performed to monitor the progress of the disorder. Results: The patient was diagnosed with acute Middle Maculopathy associated eith venous stasis or impending CRVO. Long term follow-up revealed improvement of the visual acuity and visual field defects although full recovery was not achieved. Conclusion: Although CRVO is more commonly associated with Paracentral Acute Middle Maculopathy (PAMM), there are cases in which CRVO is associated with AMN, even then they are less frequent.

Background/Objectives: The aim of this study was to evaluate the correlation between the visual curve (ViC) and Area of the Curve (AoC) indices and the subjective perception of vision-related quality of life in patients who had undergone pseudophakic presbyopia correction. The central hypothesis was that AoC indices would show stronger correlations with vision-specific quality-of-life measures than single-point visual acuity (VA) assessments. Methods: A total of 100 patients who underwent bilateral pseudophakic presbyopia correction at the University Hospital of Alexandroupolis, Greece, were included in the study. Six months following surgery, visual acuity was assessed at nine distances using the DDART tool. The AoC was calculated using VA data from four, five, six, and nine distances, and further categorized into Near Vision AoC (AoCN) and Distance Vision AoC (AoCD). Participants also completed the NEI-VFQ-25 questionnaire to evaluate their subjective vision-related quality of life. Results: Statistically significant correlations were observed between AoC values and NEI-VFQ-25 total scores (r = 0.668–0.682, p < 0.001), near activity subscale scores (r = 0.656–0.686, p < 0.001), and distance activity subscale scores (r = 0.733–0.758, p < 0.001). In all analyses, the AoC indices derived from ViC demonstrated stronger correlations with quality-of-life scores than those observed with AoC-derived DCT and single VA measurements, even when the AoC was computed using only four measurement points. Conclusions: The AoC metric is a superior indicator of vision-specific quality of life compared to isolated VA measurements. AoC effectively captures the multifaceted nature of functional vision following presbyopia correction.

This is a case report describing the uncommon finding of a cystic-like lesion and its management in the anterior chamber of a male patient after cataract surgery.

Monoclonal gammopathies can produce a spectrum of ocular manifestations, most commonly paraproteinemic keratopathy, but retinal involvement, though rare, may be vision‐threatening. We report a case of paraproteinemic maculopathy in a 49‐year‐old female with a history of hypertension and albuminuria, who presented with blurred vision and renal impairment. Examination revealed subretinal yellow infiltrates in the posterior pole with hyperautofluorescence on fundus autofluorescence and subretinal fluid with hyperreflective deposits above the retinal pigment epithelium on optical coherence tomography. Laboratory workup identified an excess of free kappa light chains in serum. A diagnosis of light chain deposition disease (LCDD) was made on the basis of a renal biopsy, and systemic therapy was initiated. At 5 months posttreatment, best‐corrected visual acuity improved to 20/20 OU, with resolution of subretinal fluid, although sub‐RPE deposits persisted. This case illustrates that monoclonal free light chains can induce maculopathy through RPE and choroidal depositions, mimicking other macular diseases. Early recognition and systemic treatment targeting the underlying plasma cell disorder are essential for visual recovery. Ophthalmologists should maintain a high index of suspicion for paraproteinemic maculopathy in patients with atypical serous macular detachments, particularly when the findings are bilateral or associated with subtle systemic signs, emphasizing the need for a multidisciplinary approach.