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Efficacy of toric intraocular lens implantation in individuals with cataracts and asymmetric corneal astigmatism
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-08 DOI: 10.1016/j.pdpdt.2025.104515
Jiezheng Xue , Anpeng Pan , Xu Shao , Xu Xu

Objective

The objective of this study is to evaluate the efficacy and safety of toric intraocular lens (IOL) implantation in individuals with cataracts and asymmetric corneal astigmatism and to assess their postoperative visual quality.

Methods

In this prospective case series, 26 eyes of individuals with cataracts and corneal astigmatism > 0.75 diopters (D) and asymmetric central astigmatism as identified through corneal topography were examined at the Eye Hospital of Wenzhou Medical University, China. All participants underwent toric IOL implantation surgery at the hospital. The primary outcome measures included uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), residual astigmatism, prediction error, and the degree of IOL rotation.

Results

Both postoperative UCVA and BCVA improved significantly, with UCVA increasing from 0.70 (0.40, 0.93) to 0.018 (0.05, 0.30) logMAR, and BCVA improving from 0.50 (0.38, 0.70) to 0.00 (0.0, 0.10) logMAR (P < 0.001). A strong positive correlation was observed between the preoperative predicted spherical equivalent and the postoperative actual spherical equivalent (= 0.7682), with prediction errors for the spherical equivalent within ± 1.00 D in all cases. Postoperative residual astigmatism was ≤ 1.00 D in 25 eyes (96%), and the mean degree of toric IOL rotation was 2.46° ± 2.08°. Objective assessments of visual quality showed that patients with asymmetric corneal astigmatism achieved better postoperative visual quality under miotic conditions (pupil diameter: 2 mm), with a significant decrease in visual quality as pupil diameter increased.

Conclusion

The results of this study demonstrated that toric IOL implantation surgery is an effective and safe treatment for selected individuals with cataracts and asymmetric corneal astigmatism. Preoperative predictions for spherical equivalent and residual astigmatism in these patients proved accurate and reliable, resulting in favorable visual outcomes and enhanced visual quality post-surgery.
{"title":"Efficacy of toric intraocular lens implantation in individuals with cataracts and asymmetric corneal astigmatism","authors":"Jiezheng Xue ,&nbsp;Anpeng Pan ,&nbsp;Xu Shao ,&nbsp;Xu Xu","doi":"10.1016/j.pdpdt.2025.104515","DOIUrl":"10.1016/j.pdpdt.2025.104515","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study is to evaluate the efficacy and safety of toric intraocular lens (IOL) implantation in individuals with cataracts and asymmetric corneal astigmatism and to assess their postoperative visual quality.</div></div><div><h3>Methods</h3><div>In this prospective case series, 26 eyes of individuals with cataracts and corneal astigmatism &gt; 0.75 diopters (D) and asymmetric central astigmatism as identified through corneal topography were examined at the Eye Hospital of Wenzhou Medical University, China. All participants underwent toric IOL implantation surgery at the hospital. The primary outcome measures included uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), residual astigmatism, prediction error, and the degree of IOL rotation.</div></div><div><h3>Results</h3><div>Both postoperative UCVA and BCVA improved significantly, with UCVA increasing from 0.70 (0.40, 0.93) to 0.018 (0.05, 0.30) logMAR, and BCVA improving from 0.50 (0.38, 0.70) to 0.00 (0.0, 0.10) logMAR (P &lt; 0.001). A strong positive correlation was observed between the preoperative predicted spherical equivalent and the postoperative actual spherical equivalent (= 0.7682), with prediction errors for the spherical equivalent within ± 1.00 D in all cases. Postoperative residual astigmatism was ≤ 1.00 D in 25 eyes (96%), and the mean degree of toric IOL rotation was 2.46° ± 2.08°. Objective assessments of visual quality showed that patients with asymmetric corneal astigmatism achieved better postoperative visual quality under miotic conditions (pupil diameter: 2 mm), with a significant decrease in visual quality as pupil diameter increased.</div></div><div><h3>Conclusion</h3><div>The results of this study demonstrated that toric IOL implantation surgery is an effective and safe treatment for selected individuals with cataracts and asymmetric corneal astigmatism. Preoperative predictions for spherical equivalent and residual astigmatism in these patients proved accurate and reliable, resulting in favorable visual outcomes and enhanced visual quality post-surgery.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"52 ","pages":"Article 104515"},"PeriodicalIF":3.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of additional points in the 24-2C visual field test in pre-perimetric glaucoma
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-06 DOI: 10.1016/j.pdpdt.2025.104513
Gökhan Çelik , Tuncay Karaçocuk , Furkan Çiftci

Background

Early detection and prevention of glaucoma progression are critical. However, studies of early visual field (VF) changes, particularly those using the 24-2C VF test, are limited. Evaluation of additional points in 2C may help identify glaucoma at an early stage, enabling timely intervention. Pre-perimetric glaucoma (PPG) is characterised by structural damage without noticeable VF loss in standard tests. Assessments of changes in retinal nerve fibre layer (RNFL) and macular ganglion cell complex (mGCC) thickness are valuable, but exploring how these structural changes are related to functional deficits is crucial.

Objective

This study focused on the average of the additional points in the 24-2C test to understand their correlation with structural measures in the PPG.

Material and method

This study included 59 patients with PPG and 36 healthy individuals. All the patients underwent peripapillary and macular optical coherence tomography (OCT) (Nidek RS-3000 Advance; Nidek, Japan). RNFL thickness was evaluated using peripapillary OCT, and mGCC thickness was evaluated using the macular OCT glaucoma module. The mean deviation (MD), pattern standard deviation (PSD), visual field index (VFI), and average of additional points in the 2C (AAP-2C) were evaluated using the 24-2C SITA Faster VF Humphrey Field Analyser III Model 850 (HFAIII; Zeiss Meditec, Dublin, CA, USA). The relationship between structural and functional parameters was statistically evaluated.

Results

The PPG group showed significantly lower RNFL and mGCC thickness values than the healthy group. The MD, PSD, and VFI did not differ significantly between the groups. For AAP-2C, the PPG group showed significantly lower sensitivity than healthy individuals. A statistically significant positive correlation between was observed between AAP-2C and mGCC thickness (p = 0.003, r = 0.385). However, the RNFL and mGCC thickness values showed no statistically significant correlations with the MD, PSD, and VFI.

Conclusion

Although no glaucomatous change was observed in the VF in patients with PPG, these patients showed reduced sensitivity of the additional points. The reduced sensitivity of the additional points in the 24-2C VF test may reflect early macular functional alterations that correlate with structural damage during the pre-perimetric period.
{"title":"Evaluation of additional points in the 24-2C visual field test in pre-perimetric glaucoma","authors":"Gökhan Çelik ,&nbsp;Tuncay Karaçocuk ,&nbsp;Furkan Çiftci","doi":"10.1016/j.pdpdt.2025.104513","DOIUrl":"10.1016/j.pdpdt.2025.104513","url":null,"abstract":"<div><h3>Background</h3><div>Early detection and prevention of glaucoma progression are critical. However, studies of early visual field (VF) changes, particularly those using the 24-2C VF test, are limited. Evaluation of additional points in 2C may help identify glaucoma at an early stage, enabling timely intervention. Pre-perimetric glaucoma (PPG) is characterised by structural damage without noticeable VF loss in standard tests. Assessments of changes in retinal nerve fibre layer (RNFL) and macular ganglion cell complex (mGCC) thickness are valuable, but exploring how these structural changes are related to functional deficits is crucial.</div></div><div><h3>Objective</h3><div>This study focused on the average of the additional points in the 24-2C test to understand their correlation with structural measures in the PPG.</div></div><div><h3>Material and method</h3><div>This study included 59 patients with PPG and 36 healthy individuals. All the patients underwent peripapillary and macular optical coherence tomography (OCT) (Nidek RS-3000 Advance; Nidek, Japan). RNFL thickness was evaluated using peripapillary OCT, and mGCC thickness was evaluated using the macular OCT glaucoma module. The mean deviation (MD), pattern standard deviation (PSD), visual field index (VFI), and average of additional points in the 2C (AAP-2C) were evaluated using the 24-2C SITA Faster VF Humphrey Field Analyser III Model 850 (HFAIII; Zeiss Meditec, Dublin, CA, USA). The relationship between structural and functional parameters was statistically evaluated.</div></div><div><h3>Results</h3><div>The PPG group showed significantly lower RNFL and mGCC thickness values than the healthy group. The MD, PSD, and VFI did not differ significantly between the groups. For AAP-2C, the PPG group showed significantly lower sensitivity than healthy individuals. A statistically significant positive correlation between was observed between AAP-2C and mGCC thickness (<em>p</em> = 0.003, <em>r</em> = 0.385). However, the RNFL and mGCC thickness values showed no statistically significant correlations with the MD, PSD, and VFI.</div></div><div><h3>Conclusion</h3><div>Although no glaucomatous change was observed in the VF in patients with PPG, these patients showed reduced sensitivity of the additional points. The reduced sensitivity of the additional points in the 24-2C VF test may reflect early macular functional alterations that correlate with structural damage during the pre-perimetric period.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"52 ","pages":"Article 104513"},"PeriodicalIF":3.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New insights on antibacterial mode of action of blue-light photoactivated berberine and curcumin-antibiotic combinations against Staphylococcus aureus
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-06 DOI: 10.1016/j.pdpdt.2025.104514
Ariana S.C. Gonçalves , José R. Fernandes , Maria José Saavedra , Nuno M. Guimarães , Cristiana Pereira , Manuel Simões , Anabela Borges
Antimicrobial photodynamic inactivation (aPDI), using photosensitisers in combination with antibiotics, is a promising multi-target strategy to address antibiotic resistance, particularly in wound infections. This study aimed to elucidate the antibacterial mode of action of combinations of berberine (Ber) or curcumin (Cur) with selected antibiotics (Ber-Ab or Cur-Ab) under blue light irradiation (420 nm) against Staphylococcus aureus, including methicillin-resistant (MRSA) and methicillin-susceptible (MSSA) strains. Multiple physiological parameters were assessed using complementary assays (fluorometry, epifluorescence microscopy, flame emission and atomic absorption spectroscopy, zeta potential, flow cytometry, and the plate agar method) to examine the effect on ROS production, membrane integrity, DNA damage, motility and virulence factors of S. aureus. Results indicated that blue light photoactivated Ber-Ab and Cur-Ab combinations led to substantial ROS generation, even at low concentrations, causing oxidative stress that severely impacted bacterial membrane integrity (approximately 90 % in MRSA and 40 % in MSSA). Membrane destabilization was further confirmed by elevated intercellular potassium release (≈ 2.00 and 2.40 µg/mL in MRSA and MSSA, respectively). Furthermore, significant DNA damage was observed in both strains (≈ 50 %). aPDI treatment with blue light also reduced S. aureus pathogenicity by impairing motility and inhibiting key virulence factors such as proteases, lipases, and gelatinases, all of which play key roles in the infectious process. Overall, Ber-Ab combinations demonstrated the highest efficacy across all parameters tested, highlighting for the first time the multi-target therapeutic potential of this phytochemical-based aPDI strategy to combat antibiotic-resistant S. aureus infections and improve wound infection treatment outcomes.
{"title":"New insights on antibacterial mode of action of blue-light photoactivated berberine and curcumin-antibiotic combinations against Staphylococcus aureus","authors":"Ariana S.C. Gonçalves ,&nbsp;José R. Fernandes ,&nbsp;Maria José Saavedra ,&nbsp;Nuno M. Guimarães ,&nbsp;Cristiana Pereira ,&nbsp;Manuel Simões ,&nbsp;Anabela Borges","doi":"10.1016/j.pdpdt.2025.104514","DOIUrl":"10.1016/j.pdpdt.2025.104514","url":null,"abstract":"<div><div>Antimicrobial photodynamic inactivation (aPDI), using photosensitisers in combination with antibiotics, is a promising multi-target strategy to address antibiotic resistance, particularly in wound infections. This study aimed to elucidate the antibacterial mode of action of combinations of berberine (Ber) or curcumin (Cur) with selected antibiotics (Ber-Ab or Cur-Ab) under blue light irradiation (420 nm) against <em>Staphylococcus aureus</em>, including methicillin-resistant (MRSA) and methicillin-susceptible (MSSA) strains. Multiple physiological parameters were assessed using complementary assays (fluorometry, epifluorescence microscopy, flame emission and atomic absorption spectroscopy, zeta potential, flow cytometry, and the plate agar method) to examine the effect on ROS production, membrane integrity, DNA damage, motility and virulence factors of <em>S. aureus</em>. Results indicated that blue light photoactivated Ber-Ab and Cur-Ab combinations led to substantial ROS generation, even at low concentrations, causing oxidative stress that severely impacted bacterial membrane integrity (approximately 90 % in MRSA and 40 % in MSSA). Membrane destabilization was further confirmed by elevated intercellular potassium release (≈ 2.00 and 2.40 µg/mL in MRSA and MSSA, respectively). Furthermore, significant DNA damage was observed in both strains (≈ 50 %). aPDI treatment with blue light also reduced <em>S. aureus</em> pathogenicity by impairing motility and inhibiting key virulence factors such as proteases, lipases, and gelatinases, all of which play key roles in the infectious process. Overall, Ber-Ab combinations demonstrated the highest efficacy across all parameters tested, highlighting for the first time the multi-target therapeutic potential of this phytochemical-based aPDI strategy to combat antibiotic-resistant <em>S. aureus</em> infections and improve wound infection treatment outcomes.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"52 ","pages":"Article 104514"},"PeriodicalIF":3.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Second harmonic generation-mediated Photodynamic Therapy for Staphylococcus aureus: A novel approach using Bismuth Ferrite-Protoporphyrin IX conjugates
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-05 DOI: 10.1016/j.pdpdt.2025.104512
Manu Kumar , Avinash Jukanti , Rivka Cahan , Ariel Nause , Refael Minnes
Photodynamic therapy (PDT) is a minimally invasive treatment modality that utilizes photosensitizing agents, light, and molecular oxygen to produce cytotoxic reactive oxygen species (ROS) to treat cancerous cells and bacterial infections. However, the effectiveness of PDT is often limited by the penetration depth of the light used to activate the photosensitizer (PS). We propose an effective method to address this challenge using Second Harmonic Generation (SHG), a nonlinear optical process in which two identical photons combine to form a new photon with double the frequency. This technique enables the utilization of longer wavelengths for enhanced tissue penetration, subsequently converting them into shorter wavelengths that align with the absorption characteristics of the photosensitizer. Thus, to achieve a highly effective production of SHG, we successfully synthesized the Harmonic Nanoparticle (HNP), Bismuth Ferrite (BFO). Subsequently, BFO was conjugated with Protoporphyrin IX (PPIX) to get BFO-PPIX conjugates for PDT treatment. These were exposed to Near Infrared (NIR) femtoseconds pulsed laser with a wavelength of 798 nm. PDT experiments using BFO-PPIX conjugates and an 8-minute irradiation by a 798 nm pulse laser reduced the survival rate of cultured Staphylococcus aureus (S. aureus) bacterial cells to 44.5 % ± 3.4 %. To the best of our knowledge, BFO and BFO-PPIX conjugates have not been used previously for advancing the conventional PDT treatment using SHG for deeper and precise treatment in S. aureus.
{"title":"Second harmonic generation-mediated Photodynamic Therapy for Staphylococcus aureus: A novel approach using Bismuth Ferrite-Protoporphyrin IX conjugates","authors":"Manu Kumar ,&nbsp;Avinash Jukanti ,&nbsp;Rivka Cahan ,&nbsp;Ariel Nause ,&nbsp;Refael Minnes","doi":"10.1016/j.pdpdt.2025.104512","DOIUrl":"10.1016/j.pdpdt.2025.104512","url":null,"abstract":"<div><div>Photodynamic therapy (PDT) is a minimally invasive treatment modality that utilizes photosensitizing agents, light, and molecular oxygen to produce cytotoxic reactive oxygen species (ROS) to treat cancerous cells and bacterial infections. However, the effectiveness of PDT is often limited by the penetration depth of the light used to activate the photosensitizer (PS). We propose an effective method to address this challenge using Second Harmonic Generation (SHG), a nonlinear optical process in which two identical photons combine to form a new photon with double the frequency. This technique enables the utilization of longer wavelengths for enhanced tissue penetration, subsequently converting them into shorter wavelengths that align with the absorption characteristics of the photosensitizer. Thus, to achieve a highly effective production of SHG, we successfully synthesized the Harmonic Nanoparticle (HNP), Bismuth Ferrite (BFO). Subsequently, BFO was conjugated with Protoporphyrin IX (PPIX) to get BFO-PPIX conjugates for PDT treatment. These were exposed to Near Infrared (NIR) femtoseconds pulsed laser with a wavelength of 798 nm. PDT experiments using BFO-PPIX conjugates and an 8-minute irradiation by a 798 nm pulse laser reduced the survival rate of cultured Staphylococcus aureus (<em>S. aureus</em>) bacterial cells to 44.5 % ± 3.4 %. To the best of our knowledge, BFO and BFO-PPIX conjugates have not been used previously for advancing the conventional PDT treatment using SHG for deeper and precise treatment in <em>S. aureus.</em></div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"52 ","pages":"Article 104512"},"PeriodicalIF":3.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation of retinal curvature with ocular biometry in patients with myopia
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-04 DOI: 10.1016/j.pdpdt.2025.104505
Guo-Ren Xu , Ming Yan , Zhen Huang , Ya Ye , Yan-Ping Song

Purpose

To evaluate the relationship between retinal curvature (RC) and ocular biometry in patients with myopia.

Method

The clinical data of 74 patients with myopia (148 eyes) were retrospectively analyzed. Macular 24×20 mm optical coherence tomography (OCT) scans were acquired using an ultra-widefield swept-source optical coherence tomography (UWF SS-OCT) system. The software then identified the Bruch's membrane and integrated it with the axial length (AL) for morphological correction, yielding a fitted three-dimensional retinal model. From this model, an RC map was generated, detailing the Gaussian curvature at each point. The maximum retinal curvature (RCmax) and central macular retinal curvature (RCc) were analyzed.

Results

A total of 148 eyes were analyzed. The analysis revealed that RCmax was negatively correlated with AL (r=-0.266, P < 0.05) and positively correlated with mean keratometry (Km) (r = 0.285, P < 0.05). RCc was also positively correlated with Km (r = 0.167, P < 0.05), whereas RCmax and RCc were positively correlated with each other (r = 0.450, P < 0.05).

Conclusions

In eyes with large innate eyeballs (characterized by a smaller Km), the RCmax was smaller, and acquired axial elongation (characterized by a larger AL) led to a reduction in RCmax, and vice versa. Eyes with large innate eyeballs also showed a smaller RCc, and vice versa.
{"title":"Correlation of retinal curvature with ocular biometry in patients with myopia","authors":"Guo-Ren Xu ,&nbsp;Ming Yan ,&nbsp;Zhen Huang ,&nbsp;Ya Ye ,&nbsp;Yan-Ping Song","doi":"10.1016/j.pdpdt.2025.104505","DOIUrl":"10.1016/j.pdpdt.2025.104505","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the relationship between retinal curvature (RC) and ocular biometry in patients with myopia.</div></div><div><h3>Method</h3><div>The clinical data of 74 patients with myopia (148 eyes) were retrospectively analyzed. Macular 24×20 mm optical coherence tomography (OCT) scans were acquired using an ultra-widefield swept-source optical coherence tomography (UWF SS-OCT) system. The software then identified the Bruch's membrane and integrated it with the axial length (AL) for morphological correction, yielding a fitted three-dimensional retinal model. From this model, an RC map was generated, detailing the Gaussian curvature at each point. The maximum retinal curvature (RCmax) and central macular retinal curvature (RCc) were analyzed.</div></div><div><h3>Results</h3><div>A total of 148 eyes were analyzed. The analysis revealed that RCmax was negatively correlated with AL (<em>r</em>=-0.266, <em>P</em> &lt; 0.05) and positively correlated with mean keratometry (Km) (<em>r</em> = 0.285, <em>P</em> &lt; 0.05). RCc was also positively correlated with Km (<em>r</em> = 0.167, <em>P</em> &lt; 0.05), whereas RCmax and RCc were positively correlated with each other (<em>r</em> = 0.450, <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>In eyes with large innate eyeballs (characterized by a smaller Km), the RCmax was smaller, and acquired axial elongation (characterized by a larger AL) led to a reduction in RCmax, and vice versa. Eyes with large innate eyeballs also showed a smaller RCc, and vice versa.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"52 ","pages":"Article 104505"},"PeriodicalIF":3.1,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visualization of retinal displacement after macular hole surgery and its correlation with postoperative visual function 黄斑孔手术后视网膜移位的可视化及其与术后视觉功能的相关性。
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-02 DOI: 10.1016/j.pdpdt.2025.104503
Naxin Duan , Lin Liu , Song Lin, Zetong Nie, Siqiong Bai, Boshi Liu, Xiaorong Li, Wenbo Li , Bojie Hu

Purpose

To observe retinal displacement following macular hole surgery using a three-dimensional barycenter localization algorithm and to evaluate its relationship with postoperative visual function.

Methods

This prospective study included 28 eyes of 27 patients with idiopathic macular holes. A customized algorithm takes a weighted sum to locate the perimacular area (PMA) barycenter based on the magnitude of the distance between the barycenter and the intersection of retinal vessels. Retinal displacement distance, angle, and the rate of change in the PMA were calculated by comparing the barycenters in preoperative and postoperative photographs. Correlations between retinal displacement and various clinical parameters were also analyzed.

Main Outcome Measures

The primary outcomes included retinal displacement characteristics (distance, angle, and rate of change in the PMA). Secondary outcomes were postoperative visual function, including best-corrected visual acuity, mean retinal sensitivity, and fixation stability.

Results

A significant "rebound" phenomenon, characterized by PMA wrinkling and extension, was observed in 11 cases (39.3 %). The PMA was lower at 1 month postoperatively compared to that preoperatively (t = 1.876, p = 0.025). The mean displacement distance at 1 and 3 months postoperatively was 7.725 ± 0.097 and 6.187 ± 0.827, respectively. Mean retinal sensitivity at 3 months postoperatively improved compared to preoperative values (t = -2.171, p = 0.039) and was significantly correlated with the rate of change in PMA at 3 months postoperatively (t = -2.162, p < 0.05).

Conclusion

The three-dimensional barycenter localization algorithm effectively visualized retinal displacement. The PMA was shown to be associated with postoperative visual function in this analysis. The change trend of PMA and mean retinal sensitivity is consistent.
目的:使用三维arycenter定位算法观察黄斑孔手术后视网膜移位的情况,并评估其与术后视觉功能的关系:这项前瞻性研究包括 27 位特发性黄斑孔患者的 28 只眼睛。一种定制算法根据视网膜血管交汇处与黄斑周围区域(PMA)的距离大小进行加权求和,以确定黄斑周围区域(PMA)双中心的位置。通过比较术前和术后照片中的基点,计算出视网膜移位距离、角度和 PMA 的变化率。还分析了视网膜移位与各种临床参数之间的相关性:主要结果包括视网膜位移特征(距离、角度和 PMA 变化率)。次要结果是术后视觉功能,包括最佳矫正视力、平均视网膜灵敏度和固定稳定性:结果:11 例患者(39.3%)出现了明显的 "反弹 "现象,表现为 PMA 起皱和延伸。术后 1 个月的 PMA 低于术前(t=1.876,p=0.025)。术后 1 个月和 3 个月的平均位移距离分别为 7.725 ± 0.097 和 6.187 ± 0.827。术后3个月的平均视网膜敏感度与术前相比有所提高(t=-2.171,p=0.039),并与术后3个月的PMA变化率显著相关(t=-2.162,p<0.05):结论:三维原发中心定位算法可有效观察视网膜移位。分析表明,PMA 与术后视功能相关。PMA 与平均视网膜灵敏度的变化趋势一致。
{"title":"Visualization of retinal displacement after macular hole surgery and its correlation with postoperative visual function","authors":"Naxin Duan ,&nbsp;Lin Liu ,&nbsp;Song Lin,&nbsp;Zetong Nie,&nbsp;Siqiong Bai,&nbsp;Boshi Liu,&nbsp;Xiaorong Li,&nbsp;Wenbo Li ,&nbsp;Bojie Hu","doi":"10.1016/j.pdpdt.2025.104503","DOIUrl":"10.1016/j.pdpdt.2025.104503","url":null,"abstract":"<div><h3>Purpose</h3><div>To observe retinal displacement following macular hole surgery using a three-dimensional barycenter localization algorithm and to evaluate its relationship with postoperative visual function.</div></div><div><h3>Methods</h3><div>This prospective study included 28 eyes of 27 patients with idiopathic macular holes. A customized algorithm takes a weighted sum to locate the perimacular area (PMA) barycenter based on the magnitude of the distance between the barycenter and the intersection of retinal vessels. Retinal displacement distance, angle, and the rate of change in the PMA were calculated by comparing the barycenters in preoperative and postoperative photographs. Correlations between retinal displacement and various clinical parameters were also analyzed.</div></div><div><h3>Main Outcome Measures</h3><div>The primary outcomes included retinal displacement characteristics (distance, angle, and rate of change in the PMA). Secondary outcomes were postoperative visual function, including best-corrected visual acuity, mean retinal sensitivity, and fixation stability.</div></div><div><h3>Results</h3><div>A significant \"rebound\" phenomenon, characterized by PMA wrinkling and extension, was observed in 11 cases (39.3 %). The PMA was lower at 1 month postoperatively compared to that preoperatively (<em>t</em> = 1.876, <em>p</em> = 0.025). The mean displacement distance at 1 and 3 months postoperatively was 7.725 ± 0.097 and 6.187 ± 0.827, respectively. Mean retinal sensitivity at 3 months postoperatively improved compared to preoperative values (<em>t</em> = -2.171, <em>p</em> = 0.039) and was significantly correlated with the rate of change in PMA at 3 months postoperatively (<em>t</em> = -2.162, <em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The three-dimensional barycenter localization algorithm effectively visualized retinal displacement. The PMA was shown to be associated with postoperative visual function in this analysis. The change trend of PMA and mean retinal sensitivity is consistent.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"52 ","pages":"Article 104503"},"PeriodicalIF":3.1,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variations in the diagnostic performance of transurethral resection of bladder tumor with photodynamic diagnosis according to surgical experience: A retrospective, single-center study 基于手术经验的经尿道膀胱肿瘤光动力学诊断的差异:一项回顾性单中心研究。
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-01 DOI: 10.1016/j.pdpdt.2024.104429
Shuhei Suzuki , Yoshiyuki Nagumo , Kosuke Kojo , Atsushi Ikeda , Bunpei Isoda , Akane Yamaguchi , Kozaburo Tanuma , Satoshi Nitta , Masanobu Shiga , Takashi Kawahara , Shuya Kandori , Akio Hoshi , Hiromitsu Negoro , Bryan J. Mathis , Hiroyuki Nishiyama

Background

To investigate variations in diagnostic performance of photodynamic diagnosis (PDD) according to surgical experience.

Methods

Data were extracted from patients having pT1 or lower primary tumors that underwent PDD-assisted transurethral resection of bladder tumors (TURBT) with orally 5-amibolevulinic acid at our institute. Surgical experience was categorized by urological experience (first-year and second-year) and PDD experience (<10, 10–19, and ≥20 cases). Sensitivity, specificity, and accuracy rates were calculated based on PDD or white light (WL) findings and pathologic diagnosis. The bladder neck, trigone, and prostatic urethra were defined as areas with a high probability of tangential effect.

Results

A total of 108 patients and 343 specimens were extracted. The second-year surgeons had significantly higher accuracy rates than first-year surgeons (81.5 % vs. 69.0 %, p = 0.013), while PDD experience did not significantly affect accuracy rates (76.5, 75.5, and 69.0 %). In addition, the accuracy rate was also significantly lower in tangential effect areas (59.6 % vs. 80.8 %). Multivariate analysis identified urological experience as a significant factor improving accuracy rate (odds ratio [OR] 2.14) while tangential effects substantially reduced accuracy rate (OR 0.37). Notably, combining both PDD and WL resulted in a sensitivity exceeding 94 %, even in first-year urology residents and tangential effect areas.

Conclusions

Urological experience had a greater impact on diagnostic performance of PDD compared to PDD experience. The combination of PDD and WL findings may improve sensitivity and reduce the possibility of missed diagnoses for less experienced urology residents.
背景:探讨不同手术经验光动力诊断(PDD)诊断效能的差异。方法:数据来自我院经pdd辅助经尿道膀胱肿瘤切除术(TURBT)的pT1或下原发肿瘤患者,这些患者口服5-氨基乙酰丙酸。手术经验按泌尿外科经验(第一年和第二年)和PDD经验进行分类。结果:共提取108例患者和343例标本。第二年外科医生的准确率明显高于第一年外科医生(81.5%比69.0%,p=0.013),而PDD经验对准确率没有显著影响(76.5、75.5和69.0%)。此外,切向效应区的准确率也明显较低(59.6%比80.8%)。多因素分析表明,泌尿外科经验是提高准确率的重要因素(比值比[OR] 2.14),而切向效应显著降低准确率(比值比[OR] 0.37)。值得注意的是,PDD和WL联合使用导致敏感性超过94%,即使在泌尿外科第一年住院医师和切线影响区域也是如此。结论:泌尿外科经验对PDD诊断效能的影响大于PDD经验。对于经验不足的泌尿外科患者,PDD和WL结合检查可以提高敏感性,减少漏诊的可能性。
{"title":"Variations in the diagnostic performance of transurethral resection of bladder tumor with photodynamic diagnosis according to surgical experience: A retrospective, single-center study","authors":"Shuhei Suzuki ,&nbsp;Yoshiyuki Nagumo ,&nbsp;Kosuke Kojo ,&nbsp;Atsushi Ikeda ,&nbsp;Bunpei Isoda ,&nbsp;Akane Yamaguchi ,&nbsp;Kozaburo Tanuma ,&nbsp;Satoshi Nitta ,&nbsp;Masanobu Shiga ,&nbsp;Takashi Kawahara ,&nbsp;Shuya Kandori ,&nbsp;Akio Hoshi ,&nbsp;Hiromitsu Negoro ,&nbsp;Bryan J. Mathis ,&nbsp;Hiroyuki Nishiyama","doi":"10.1016/j.pdpdt.2024.104429","DOIUrl":"10.1016/j.pdpdt.2024.104429","url":null,"abstract":"<div><h3>Background</h3><div>To investigate variations in diagnostic performance of photodynamic diagnosis (PDD) according to surgical experience.</div></div><div><h3>Methods</h3><div>Data were extracted from patients having pT1 or lower primary tumors that underwent PDD-assisted transurethral resection of bladder tumors (TURBT) with orally 5-amibolevulinic acid at our institute. Surgical experience was categorized by urological experience (first-year and second-year) and PDD experience (&lt;10, 10–19, and ≥20 cases). Sensitivity, specificity, and accuracy rates were calculated based on PDD or white light (WL) findings and pathologic diagnosis. The bladder neck, trigone, and prostatic urethra were defined as areas with a high probability of tangential effect.</div></div><div><h3>Results</h3><div>A total of 108 patients and 343 specimens were extracted. The second-year surgeons had significantly higher accuracy rates than first-year surgeons (81.5 % vs. 69.0 %, <em>p</em> = 0.013), while PDD experience did not significantly affect accuracy rates (76.5, 75.5, and 69.0 %). In addition, the accuracy rate was also significantly lower in tangential effect areas (59.6 % vs. 80.8 %). Multivariate analysis identified urological experience as a significant factor improving accuracy rate (odds ratio [OR] 2.14) while tangential effects substantially reduced accuracy rate (OR 0.37). Notably, combining both PDD and WL resulted in a sensitivity exceeding 94 %, even in first-year urology residents and tangential effect areas.</div></div><div><h3>Conclusions</h3><div>Urological experience had a greater impact on diagnostic performance of PDD compared to PDD experience. The combination of PDD and WL findings may improve sensitivity and reduce the possibility of missed diagnoses for less experienced urology residents.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"51 ","pages":"Article 104429"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of photodynamic therapy with 5-aminolevulinic acid and fractional CO2 laser for the management of recalcitrant plantar warts 应用 5-Aminolevulinic Acid 光动力疗法和点阵 CO2 激光治疗顽固性跖疣
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-01 DOI: 10.1016/j.pdpdt.2024.104407
Jiaoquan Chen , Xinyi Xie , Yingxue Liu, Fengyi Chen, Yeqing Gong, Bihua Liang, Yiling Wu, Shiqi He, Yueming Li, Huilan Zhu, Shaoyin Ma

Significance

Plantar warts, benign lesions on the soles of the feet, are caused by the human papillomavirus (HPV) infecting keratinocytes. Complete eradication of these warts is challenging, often leading to recurrences. This study evaluates the combined clinical efficacy of topical 5-aminolevulinic acid (5-ALA) photodynamic therapy (PDT) and fractional carbon dioxide (CO2) laser treatment for recalcitrant plantar warts.

Approach

Data from 10 patients with recalcitrant plantar warts were analyzed. Initially, thickened hyperkeratotic tissue was removed using a super-pulsed CO2 laser. This was followed by fractional laser application, after which a 20 % 5-ALA cream was applied occlusively for 4 h. Patients then received He-Ne laser irradiation for 30 min at an energy density of 100 mW/cm², with treatments spaced 4 weeks apart.

Results

The study included 10 participants aged 24 to 53 years (mean age: 33.4 ± 8.09 years). In total, 40 lesions were treated across 1 to 9 PDT sessions, with an average of 5.2 ± 2.86 sessions per patient. Complete clearance was achieved in 3 patients (30 %), 4 patients (40 %) showed an excellent response (≥80 % improvement), while 2 patients had a partial response. One patient (10 %) showed <50 % improvement. The overall clearance rate was 70 % (28 out of 40 lesions). Aside from temporary pain during the procedure and mild erythema post-treatment, one patient developed localized proliferative scarring. After a one-year follow-up, only one patient experienced recurrence.

Conclusions

The combination of 5-ALA PDT and fractional CO2 laser therapy shows promise as an effective and safe alternative for treating persistent plantar warts.
意义重大:跖疣是足底的良性病变,由人类乳头瘤病毒(HPV)感染角质形成细胞引起。彻底根除这些疣具有挑战性,往往会导致复发。本研究评估了外用 5-aminolevulinic acid(5-ALA)光动力疗法(PDT)和点阵二氧化碳(CO2)激光治疗顽固性跖疣的综合临床疗效:方法:分析了10名顽固性跖疣患者的数据。首先,使用超脉冲二氧化碳激光去除增厚的角化过度组织。然后使用点阵激光,之后在局部涂抹 20% 5-ALA 乳膏 4 小时。然后,患者接受能量密度为 100 mW/cm² 的 He-Ne 激光照射 30 分钟,治疗间隔为 4 周:研究共包括 10 名参与者,年龄在 24 至 53 岁之间(平均年龄:33.4 ± 8.09 岁)。共有 40 个病灶接受了 1 至 9 次光导治疗,平均每位患者接受 5.2 ± 2.86 次治疗。3名患者(30%)获得了完全清除,4名患者(40%)获得了极佳反应(改善≥80%),2名患者获得了部分反应。一名患者(10%)出现了结论:5-ALA 光动力疗法和点阵 CO2 激光疗法的组合有望成为治疗顽固性跖疣的一种有效而安全的替代疗法。
{"title":"Application of photodynamic therapy with 5-aminolevulinic acid and fractional CO2 laser for the management of recalcitrant plantar warts","authors":"Jiaoquan Chen ,&nbsp;Xinyi Xie ,&nbsp;Yingxue Liu,&nbsp;Fengyi Chen,&nbsp;Yeqing Gong,&nbsp;Bihua Liang,&nbsp;Yiling Wu,&nbsp;Shiqi He,&nbsp;Yueming Li,&nbsp;Huilan Zhu,&nbsp;Shaoyin Ma","doi":"10.1016/j.pdpdt.2024.104407","DOIUrl":"10.1016/j.pdpdt.2024.104407","url":null,"abstract":"<div><h3>Significance</h3><div>Plantar warts, benign lesions on the soles of the feet, are caused by the human papillomavirus (HPV) infecting keratinocytes. Complete eradication of these warts is challenging, often leading to recurrences. This study evaluates the combined clinical efficacy of topical 5-aminolevulinic acid (5-ALA) photodynamic therapy (PDT) and fractional carbon dioxide (CO<sub>2</sub>) laser treatment for recalcitrant plantar warts.</div></div><div><h3>Approach</h3><div>Data from 10 patients with recalcitrant plantar warts were analyzed. Initially, thickened hyperkeratotic tissue was removed using a super-pulsed CO<sub>2</sub> laser. This was followed by fractional laser application, after which a 20 % 5-ALA cream was applied occlusively for 4 h. Patients then received He-Ne laser irradiation for 30 min at an energy density of 100 mW/cm², with treatments spaced 4 weeks apart.</div></div><div><h3>Results</h3><div>The study included 10 participants aged 24 to 53 years (mean age: 33.4 ± 8.09 years). In total, 40 lesions were treated across 1 to 9 PDT sessions, with an average of 5.2 ± 2.86 sessions per patient. Complete clearance was achieved in 3 patients (30 %), 4 patients (40 %) showed an excellent response (≥80 % improvement), while 2 patients had a partial response. One patient (10 %) showed &lt;50 % improvement. The overall clearance rate was 70 % (28 out of 40 lesions). Aside from temporary pain during the procedure and mild erythema post-treatment, one patient developed localized proliferative scarring. After a one-year follow-up, only one patient experienced recurrence.</div></div><div><h3>Conclusions</h3><div>The combination of 5-ALA PDT and fractional CO<sub>2</sub> laser therapy shows promise as an effective and safe alternative for treating persistent plantar warts.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"51 ","pages":"Article 104407"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The disinfectant effects of portable ultraviolet light devices and their application to dentures 便携式紫外线设备的消毒效果及其在假牙上的应用。
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-01 DOI: 10.1016/j.pdpdt.2024.104434
Kae Harada , Reiya Horinouchi , Mamoru Murakami , Masakazu Isii , Yuji Kamashita , Naohiro Shimotahira , Fumio Suehiro , Yasuhiro Nishi , Hiroshi Murata , Masahiro Nishimura
Interest in ultraviolet (UV) light devices for disinfection has increased due to pandemic concerns, but their efficacy in denture disinfection is underexplored. This study evaluated seven-enclosed type portable UV irradiation devices (devices A–G). Among these, devices A, B, and C used bulb light sources, while devices D, E, F, and G utilized LED (light-emitting diode) light sources. All devices were assessed in agar plate assay, and Candida albicans and Staphylococcus aureus spread on agar plates and irradiated under two conditions: inoculated surface facing upward and downward. Colony counts were recorded. Devices A and D were tested on C. albicans-contaminated dentures immersed in C. albicans medium, with samples collected before and after irradiation on the mucosal surfaces of the dentures. Device A was tested on denture-wearing patients in a clinical study, with samples collected from mucosal surfaces before and after irradiation to assess microbial CFUs (colony forming units). Devices A, C, and D significantly reduced C. albicans and S. aureus on plates with the inoculated surface facing upward, while device F showed a slight reduction when the inoculated surfaces were facing downward. Devices A and D eliminated C. albicans on contaminated dentures in vitro. Device A reduced all microorganism CFUs on denture surfaces in clinical studies. This study demonstrates that some portable UV light devices effectively reduce microbial contamination on denture surfaces, suggesting their potential as valuable tools for improving denture hygiene in the future.
由于对大流行的担忧,对用于消毒的紫外线(UV)光装置的兴趣有所增加,但其在假牙消毒中的功效尚未得到充分探索。本研究评估了7个封闭式便携式紫外线照射装置(设备A-G)。其中,器件A、B、C采用灯泡光源,器件D、E、F、G采用LED(发光二极管)光源。所有装置在琼脂平板试验中进行评估,白色念珠菌和金黄色葡萄球菌在琼脂平板上扩散,并在接种面朝上和朝下两种条件下照射。记录菌落计数。在白色念珠菌培养基中浸泡白色念珠菌污染的义齿,分别采集照射前后义齿粘膜表面的样品,对A、D装置进行检测。在一项临床研究中,Device A在佩戴义齿的患者身上进行测试,在照射前后的粘膜表面采集样本,评估微生物菌落形成单位(CFUs)。装置A、C、D在接种面朝上时明显减少白色念珠菌和金黄色葡萄球菌,而装置F在接种面朝下时略有减少。器械A和D在体外清除污染假牙上的白色念珠菌。器械A在临床研究中降低了义齿表面的所有微生物cfu。本研究表明,一些便携式紫外线设备可以有效地减少义齿表面的微生物污染,这表明它们有潜力成为未来改善义齿卫生的有价值的工具。
{"title":"The disinfectant effects of portable ultraviolet light devices and their application to dentures","authors":"Kae Harada ,&nbsp;Reiya Horinouchi ,&nbsp;Mamoru Murakami ,&nbsp;Masakazu Isii ,&nbsp;Yuji Kamashita ,&nbsp;Naohiro Shimotahira ,&nbsp;Fumio Suehiro ,&nbsp;Yasuhiro Nishi ,&nbsp;Hiroshi Murata ,&nbsp;Masahiro Nishimura","doi":"10.1016/j.pdpdt.2024.104434","DOIUrl":"10.1016/j.pdpdt.2024.104434","url":null,"abstract":"<div><div>Interest in ultraviolet (UV) light devices for disinfection has increased due to pandemic concerns, but their efficacy in denture disinfection is underexplored. This study evaluated seven-enclosed type portable UV irradiation devices (devices A–G). Among these, devices A, B, and C used bulb light sources, while devices D, E, F, and G utilized LED (light-emitting diode) light sources. All devices were assessed in agar plate assay, and <em>Candida albicans</em> and <em>Staphylococcus aureus</em> spread on agar plates and irradiated under two conditions: inoculated surface facing upward and downward. Colony counts were recorded. Devices A and D were tested on <em>C. albicans</em>-contaminated dentures immersed in <em>C. albicans</em> medium, with samples collected before and after irradiation on the mucosal surfaces of the dentures. Device A was tested on denture-wearing patients in a clinical study, with samples collected from mucosal surfaces before and after irradiation to assess microbial CFUs (colony forming units). Devices A, C, and D significantly reduced <em>C. albicans</em> and <em>S. aureus</em> on plates with the inoculated surface facing upward, while device F showed a slight reduction when the inoculated surfaces were facing downward. Devices A and D eliminated <em>C. albicans</em> on contaminated dentures in vitro. Device A reduced all microorganism CFUs on denture surfaces in clinical studies. This study demonstrates that some portable UV light devices effectively reduce microbial contamination on denture surfaces, suggesting their potential as valuable tools for improving denture hygiene in the future.</div></div>","PeriodicalId":20141,"journal":{"name":"Photodiagnosis and Photodynamic Therapy","volume":"51 ","pages":"Article 104434"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of retinal vascular abnormalities in the fellow eyes of children with Coats’ disease and normal subjects using ultra-widefield fundus fluorescein angiography 超广角眼底荧光素血管造影对Coats病患儿与正常人同侧眼视网膜血管异常的比较
IF 3.1 3区 医学 Q2 ONCOLOGY Pub Date : 2025-02-01 DOI: 10.1016/j.pdpdt.2024.104455
Shenshen Yan , Haixia Ji , Yuzhu Liu , Haicheng She , Haiying Zhou

Purpose

To investigate retinal vascular abnormalities in the affected and fellow eyes of children with Coats’ disease using Optos® ultra-widefield fundus fluorescein angiography (UWFFA) and compare the peripheral vascular abnormalities between fellow eyes and normal control eyes.

Methods

Children diagnosed with Coats’ disease who underwent UWFFA were retrospectively reviewed. Healthy eyes with complete UWFFA data were selected as controls. Retinal vascular abnormalities of the primary affected, fellow eyes and normal control eyes were recorded by investigating the UWFFA images.

Results

Among the 190 eyes of 95 patients with unilateral Coats’ disease, 83 (87.4%) were male, and the median age was 9.00 (7.00, 12.25) years (4–18 years). 93 (97.9%) fellow eyes had peripheral capillary telangiectasia that most commonly located in the temporal periphery. 59 (62.1%) fellow eyes had microaneurysms and 19 (20.0%) had vascular leakage; 29 (30.5%) fellow eyes had peripheral vascular tortuosity and 86 (90.5%) eyes had peripheral right-angle vessels. Peripheral capillary non-perfusion (CNP) were found in 31.6% (30/95) fellow eyes. We also found that the terminal vascular patterns in the fellow eyes were mainly loop pattern, accounting for 90.5%. The incidence of capillary bed abnormalities, vascular leakage, right-angle vessels and CNP were significantly higher in fellow eyes of Coats’ disease than control eyes (p<0.001, p=0.044, p<0.001, p=0.001, respectively). Regarding the terminal vascular patterns, the proportion of loop pattern in fellow eye group was significantly higher than that in control eye group (p<0.001). A total of 21 Coats’ patients had follow-up UWFFA data. The average follow-up time was 13.19±10.09 (3–35) months. There was no significant change in peripheral retinal vascular abnormalities in the fellow eye of all patients between the first and last visit.

Conclusions

Because Optos® UWFFA device is able to quickly take panoramic fundus images using mild excitation light without contacting the cornea, it allows the detection of peripheral vascular changes in the fellow eyes of children with Coats’ disease. Contrary to the previous belief that Coats’ disease is a “unilateral condition”, our finding shows that Coats’ disease appears to be a highly asymmetric bilateral disease, and the peripheral vascular abnormalities in the fellow eye remains stable in short term.
目的:应用Optos®超宽视场眼底荧光素血管造影(UWFFA)研究科茨病患儿的视网膜血管异常,并比较其周围血管异常与正常对照眼的差异。方法:回顾性分析诊断为Coats病并行UWFFA的儿童。选取UWFFA数据完整的健康眼作为对照。通过UWFFA图像记录原发受累眼、同侧眼和正常对照眼的视网膜血管异常情况。结果:95例单侧Coats病患者190只眼中,男性83只(87.4%),中位年龄为9.00(7.00,12.25)岁(4 ~ 18岁)。93只眼(97.9%)有外周毛细血管扩张,最常见于颞外周。并发微动脉瘤59例(62.1%),血管渗漏19例(20.0%);29只眼(30.5%)有周围血管扭曲,86只眼(90.5%)有周围直角血管。外周毛细血管无灌注(CNP)发生率为31.6%(30/95)。同体眼终末血管型以环状为主,占90.5%。科茨病患儿的毛细血管床异常、血管渗漏、直角血管和CNP的发生率明显高于对照眼。结论:由于Optos®UWFFA装置能够在不接触角膜的情况下使用温和的激发光快速拍摄眼底全景图像,因此可以检测科茨病患儿的周围血管变化。与之前认为Coats病是“单侧疾病”相反,我们的研究结果表明,Coats病似乎是一种高度不对称的双侧疾病,而同侧眼睛的周围血管异常在短期内保持稳定。
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Photodiagnosis and Photodynamic Therapy
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