Pub Date : 2023-11-21DOI: 10.3389/fopht.2023.1305528
Nicholas J. Theis, Pritesh Narsinh, Samuel Newlands, Jason Erasmus, Rebecca Stack
Orbital fractures are a common presentation to acute care and carry an associated risk of ocular injury, however, previous research has not investigated injury rates by fracture category. These patients are frequently assessed by non-ophthalmic clinicians, however, limited data exists regarding referral patterns and how this impacts recorded injury rates (1–3).We performed a retrospective review of all orbital fractures presenting to a tertiary hospital in Christchurch, New Zealand between March 2019 and March 2021. Data including mechanism of injury, fracture type, demographic characteristics, and associated ocular injury were recorded.284 patients with orbital fractures were identified. 41% of patients had isolated wall fractures, while 59% had complex orbitofacial fractures. Fractures were more common in males, and occurred more frequently in young individuals. The most common mechanism of injury was interpersonal violence (32%), followed by falls (23%). 41% of patients were reviewed by ophthalmology (n = 118). Of those, 33% had an associated ocular injury. Severe ocular injury (defined as vision threatening, requiring globe surgery or acute lateral canthotomy and cantholysis) occurred in 4.9% of those with formal ophthalmic review. 0.7% of patients required intraocular surgery or lateral canthotomy due to their orbital fracture.Orbital fractures have a high rate of concurrent ocular injury in our study population, though rates of subsequent intraocular surgery are low. There was no significant difference in injury rates between isolated and complex fracture categories. Vision-threatening ocular injury occurred in 4.9% of fractures.
{"title":"Orbital fractures and concurrent ocular injury in a New Zealand tertiary centre","authors":"Nicholas J. Theis, Pritesh Narsinh, Samuel Newlands, Jason Erasmus, Rebecca Stack","doi":"10.3389/fopht.2023.1305528","DOIUrl":"https://doi.org/10.3389/fopht.2023.1305528","url":null,"abstract":"Orbital fractures are a common presentation to acute care and carry an associated risk of ocular injury, however, previous research has not investigated injury rates by fracture category. These patients are frequently assessed by non-ophthalmic clinicians, however, limited data exists regarding referral patterns and how this impacts recorded injury rates (1–3).We performed a retrospective review of all orbital fractures presenting to a tertiary hospital in Christchurch, New Zealand between March 2019 and March 2021. Data including mechanism of injury, fracture type, demographic characteristics, and associated ocular injury were recorded.284 patients with orbital fractures were identified. 41% of patients had isolated wall fractures, while 59% had complex orbitofacial fractures. Fractures were more common in males, and occurred more frequently in young individuals. The most common mechanism of injury was interpersonal violence (32%), followed by falls (23%). 41% of patients were reviewed by ophthalmology (n = 118). Of those, 33% had an associated ocular injury. Severe ocular injury (defined as vision threatening, requiring globe surgery or acute lateral canthotomy and cantholysis) occurred in 4.9% of those with formal ophthalmic review. 0.7% of patients required intraocular surgery or lateral canthotomy due to their orbital fracture.Orbital fractures have a high rate of concurrent ocular injury in our study population, though rates of subsequent intraocular surgery are low. There was no significant difference in injury rates between isolated and complex fracture categories. Vision-threatening ocular injury occurred in 4.9% of fractures.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139252439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-17DOI: 10.3389/fopht.2023.1222689
Chee Wai Wong, Ning Cheung, James S. Howden, J. M. Busoy, Shaun Sim, Joshua Lim, Candice Ho, A. B. Veluchamy, Gert Storm, Tina T. Wong
To investigate the efficacy of liposomal prednisolone phosphate to mitigate the severity of proliferative vitreoretinopathy (PVR) in a minipig model of PVR.A total of 18 eyes of 9 minipigs underwent PVR induction surgically. Eyes were randomized equally into three groups: intravitreal injection of liposomal prednisolone phosphate (LPP), triamcinolone acetonide (TA), and controls. PVR severity was graded on fundoscopic examination using a modified version of the Silicon Study Classification System. Severe PVR was defined as grade 2-5 on this classification, and the proportion of eyes with retinal detachment from severe PVR, defined as retinal re-detachment, i.e., PVR grade 2-5, was compared between treatment and control groups.On day 28, five eyes (83.3%) in the control group were observed to have severe PVR. Within the LPP group, one (16.7%) eye developed retinal detachment due to severe PVR. Grade 0 PVR was observed in four (66.7%) eyes, grade 1 in one (16.7%) eye, and grade 5 in one (16.7%) eye. Within the TA group, grade 0 PVR was observed in four eyes (66.7%), grade 1 in two eyes (16.6%), and grade 5 in one (16.7%) eye. The difference in the proportion of eyes with severe PVR was significantly lower in the LPP group compared to controls at day 28 (16.7% vs 83.3%, p=0.02). There was no significant difference in the rate of severe PVR or median PVR grade between the liposomal prednisolone phosphate and triamcinolone acetonide groups.Liposomal prednisolone phosphate reduces the severity of PVR in a minipig model of PVR.
{"title":"Evaluation of a steroid delivery system to mitigate the severity of proliferative vitreoretinopathy in a minipig model","authors":"Chee Wai Wong, Ning Cheung, James S. Howden, J. M. Busoy, Shaun Sim, Joshua Lim, Candice Ho, A. B. Veluchamy, Gert Storm, Tina T. Wong","doi":"10.3389/fopht.2023.1222689","DOIUrl":"https://doi.org/10.3389/fopht.2023.1222689","url":null,"abstract":"To investigate the efficacy of liposomal prednisolone phosphate to mitigate the severity of proliferative vitreoretinopathy (PVR) in a minipig model of PVR.A total of 18 eyes of 9 minipigs underwent PVR induction surgically. Eyes were randomized equally into three groups: intravitreal injection of liposomal prednisolone phosphate (LPP), triamcinolone acetonide (TA), and controls. PVR severity was graded on fundoscopic examination using a modified version of the Silicon Study Classification System. Severe PVR was defined as grade 2-5 on this classification, and the proportion of eyes with retinal detachment from severe PVR, defined as retinal re-detachment, i.e., PVR grade 2-5, was compared between treatment and control groups.On day 28, five eyes (83.3%) in the control group were observed to have severe PVR. Within the LPP group, one (16.7%) eye developed retinal detachment due to severe PVR. Grade 0 PVR was observed in four (66.7%) eyes, grade 1 in one (16.7%) eye, and grade 5 in one (16.7%) eye. Within the TA group, grade 0 PVR was observed in four eyes (66.7%), grade 1 in two eyes (16.6%), and grade 5 in one (16.7%) eye. The difference in the proportion of eyes with severe PVR was significantly lower in the LPP group compared to controls at day 28 (16.7% vs 83.3%, p=0.02). There was no significant difference in the rate of severe PVR or median PVR grade between the liposomal prednisolone phosphate and triamcinolone acetonide groups.Liposomal prednisolone phosphate reduces the severity of PVR in a minipig model of PVR.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139263333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-17DOI: 10.3389/fopht.2023.1270948
I. Putera, Paul L. A. van Daele, J. T. Ten Berge, Willem A. Dik, Rina La Distia Nora, P. M. van Hagen, S. Rombach
There is a scarcity of long-term follow-up data and management strategies for recurrent uveitis in tubercular uveitis (TBU), especially in cases extending beyond 10 years after the completion of initial antitubercular treatment (ATT).This retrospective study involved five TBU patients who were initially treated with a combination of four-drug ATT for 6 months, and the five of them had more than 10 years of follow-up after uveitis resolution upon ATT completion. We describe the occurrence of recurrent uveitis and present our approach to managing these recurrent episodes.Recurrent uveitis and cystoid macular edema (CME) developed in three out of five included TBU patients with a median of 18 years (range 13–20 years) of follow-up. The anatomical sites of the recurrences were anterior, intermediate, and pan-uveitis. The recurrent episodes varied from 6 years to 15 years after ATT completion. Systemic or local corticosteroids/immunosuppressants successfully resolved all recurrent episodes, but one was also treated with the combination of isoniazid monotherapy again. Two patients needed anti-tumor necrosis factor-α therapy.Long-term monitoring of TBU patients after ATT completion is warranted. Further well-designed studies with larger sample sizes are required to better estimate the risk of recurrences, investigate the underlying mechanism of recurrences, and identify biomarkers that predict who is at risk for recurrences.
{"title":"Long-term follow-up after treatment of tubercular uveitis: case series and review of the literature","authors":"I. Putera, Paul L. A. van Daele, J. T. Ten Berge, Willem A. Dik, Rina La Distia Nora, P. M. van Hagen, S. Rombach","doi":"10.3389/fopht.2023.1270948","DOIUrl":"https://doi.org/10.3389/fopht.2023.1270948","url":null,"abstract":"There is a scarcity of long-term follow-up data and management strategies for recurrent uveitis in tubercular uveitis (TBU), especially in cases extending beyond 10 years after the completion of initial antitubercular treatment (ATT).This retrospective study involved five TBU patients who were initially treated with a combination of four-drug ATT for 6 months, and the five of them had more than 10 years of follow-up after uveitis resolution upon ATT completion. We describe the occurrence of recurrent uveitis and present our approach to managing these recurrent episodes.Recurrent uveitis and cystoid macular edema (CME) developed in three out of five included TBU patients with a median of 18 years (range 13–20 years) of follow-up. The anatomical sites of the recurrences were anterior, intermediate, and pan-uveitis. The recurrent episodes varied from 6 years to 15 years after ATT completion. Systemic or local corticosteroids/immunosuppressants successfully resolved all recurrent episodes, but one was also treated with the combination of isoniazid monotherapy again. Two patients needed anti-tumor necrosis factor-α therapy.Long-term monitoring of TBU patients after ATT completion is warranted. Further well-designed studies with larger sample sizes are required to better estimate the risk of recurrences, investigate the underlying mechanism of recurrences, and identify biomarkers that predict who is at risk for recurrences.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139266442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-17DOI: 10.3389/fopht.2023.1305131
C. Ribelayga, John O’Brien
Electrical synapses, formed of gap junctions, are ubiquitous components of the central nervous system (CNS) that shape neuronal circuit connectivity and dynamics. In the retina, electrical synapses can create a circuit, control the signal-to-noise ratio in individual neurons, and support the coordinated neuronal firing of ganglion cells, hence, regulating signal processing at the network, single-cell, and dendritic level. We, the authors, and Steve Massey have had a long interest in gap junctions in retinal circuits, in general, and in the network of photoreceptors, in particular. Our combined efforts, based on a wide array of techniques of molecular biology, microscopy, and electrophysiology, have provided fundamental insights into the molecular structure and properties of the rod/cone gap junction. Yet, a full understanding of how rod/cone coupling controls circuit dynamics necessitates knowing its operating range. It is well established that rod/cone coupling can be greatly reduced or eliminated by bright-light adaptation or pharmacological treatment; however, the upper end of its dynamic range has long remained elusive. This held true until Steve Massey’s recent interest for connectomics led to the development of a new strategy to assess this issue. The effort proved effective in establishing, with precision, the connectivity rules between rods and cones and estimating the theoretical upper limit of rod/cone electrical coupling. Comparing electrophysiological measurements and morphological data indicates that under pharmacological manipulation, rod/cone coupling can reach the theoretical maximum of its operating range, implying that, under these conditions, all the gap junction channels present at the junctions are open. As such, channel open probability is likely the main determinant of rod/cone coupling that can change momentarily in a time-of-day- and light-dependent manner. In this article we briefly review our current knowledge of the molecular structure of the rod/cone gap junction and of the mechanisms behind its modulation, and we highlight the recent work led by Steve Massey. Steve’s contribution has been critical toward asserting the modulation depth of rod/cone coupling as well as elevating the rod/cone gap junction as one of the most suitable models to examine the role of electrical synapses and their plasticity in neural processing.
{"title":"When microscopy and electrophysiology meet connectomics—Steve Massey’s contribution to unraveling the structure and function of the rod/cone gap junction","authors":"C. Ribelayga, John O’Brien","doi":"10.3389/fopht.2023.1305131","DOIUrl":"https://doi.org/10.3389/fopht.2023.1305131","url":null,"abstract":"Electrical synapses, formed of gap junctions, are ubiquitous components of the central nervous system (CNS) that shape neuronal circuit connectivity and dynamics. In the retina, electrical synapses can create a circuit, control the signal-to-noise ratio in individual neurons, and support the coordinated neuronal firing of ganglion cells, hence, regulating signal processing at the network, single-cell, and dendritic level. We, the authors, and Steve Massey have had a long interest in gap junctions in retinal circuits, in general, and in the network of photoreceptors, in particular. Our combined efforts, based on a wide array of techniques of molecular biology, microscopy, and electrophysiology, have provided fundamental insights into the molecular structure and properties of the rod/cone gap junction. Yet, a full understanding of how rod/cone coupling controls circuit dynamics necessitates knowing its operating range. It is well established that rod/cone coupling can be greatly reduced or eliminated by bright-light adaptation or pharmacological treatment; however, the upper end of its dynamic range has long remained elusive. This held true until Steve Massey’s recent interest for connectomics led to the development of a new strategy to assess this issue. The effort proved effective in establishing, with precision, the connectivity rules between rods and cones and estimating the theoretical upper limit of rod/cone electrical coupling. Comparing electrophysiological measurements and morphological data indicates that under pharmacological manipulation, rod/cone coupling can reach the theoretical maximum of its operating range, implying that, under these conditions, all the gap junction channels present at the junctions are open. As such, channel open probability is likely the main determinant of rod/cone coupling that can change momentarily in a time-of-day- and light-dependent manner. In this article we briefly review our current knowledge of the molecular structure of the rod/cone gap junction and of the mechanisms behind its modulation, and we highlight the recent work led by Steve Massey. Steve’s contribution has been critical toward asserting the modulation depth of rod/cone coupling as well as elevating the rod/cone gap junction as one of the most suitable models to examine the role of electrical synapses and their plasticity in neural processing.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139266375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-16DOI: 10.3389/fopht.2023.1271882
Riley Ferguson, K. Miyagishima, F. Nadal-Nicolás, Wei Li
AII-amacrine cells (AIIs) are widely accepted as a critical element of scotopic pathways mediating night vision in the mammalian retina and have been well-characterized in rod-dominant mice, rabbits, and non-human primates. The rod pathway is characteristic of all mammalian eyes, however, the anatomic and physiologic role of AIIs and the rod pathways in cone dominant thirteen-lined ground squirrels (TLGS) is limited. Here, we employed both immunohistochemistry and electrophysiological approaches to investigate the morphology of AIIs and functional aspects of the rod pathway in TLGS. In all TLGS retinas examined, putative AIIs were calretinin-positive and exhibited connections to rod bipolar cells with decreased cell density and expanded arborization. Notably, AIIs retained connections with each other via gap junctions labeled with Connexin36. Comparisons between single photoreceptor recordings and full-field electroretinograms revealed scotopic ERG responses were mediated by both rods and cones. Thus, the components of the rod pathway are conserved in TLGS and rod signals traverse the retina in these cone-dominant animals. AIIs are sparsely populated, matching the diminished rod and rod bipolar cell populations compared to rod-dominant species. The infrequent distribution and lateral spacing of AII’s indicate that they probably do not play a significant role in cone signaling pathways that encode information at a finer spatial scale. This contrasts with the mouse retina, where they significantly contribute to cone signaling pathways. Therefore, the AII’s original function is likely that of a ‘rod’ amacrine cell, and its role in cone pathways in the mouse retina might be an adaptive feature stemming from its rod dominance.
{"title":"Characterizing the rod pathway in cone-dominant thirteen-lined ground squirrels","authors":"Riley Ferguson, K. Miyagishima, F. Nadal-Nicolás, Wei Li","doi":"10.3389/fopht.2023.1271882","DOIUrl":"https://doi.org/10.3389/fopht.2023.1271882","url":null,"abstract":"AII-amacrine cells (AIIs) are widely accepted as a critical element of scotopic pathways mediating night vision in the mammalian retina and have been well-characterized in rod-dominant mice, rabbits, and non-human primates. The rod pathway is characteristic of all mammalian eyes, however, the anatomic and physiologic role of AIIs and the rod pathways in cone dominant thirteen-lined ground squirrels (TLGS) is limited. Here, we employed both immunohistochemistry and electrophysiological approaches to investigate the morphology of AIIs and functional aspects of the rod pathway in TLGS. In all TLGS retinas examined, putative AIIs were calretinin-positive and exhibited connections to rod bipolar cells with decreased cell density and expanded arborization. Notably, AIIs retained connections with each other via gap junctions labeled with Connexin36. Comparisons between single photoreceptor recordings and full-field electroretinograms revealed scotopic ERG responses were mediated by both rods and cones. Thus, the components of the rod pathway are conserved in TLGS and rod signals traverse the retina in these cone-dominant animals. AIIs are sparsely populated, matching the diminished rod and rod bipolar cell populations compared to rod-dominant species. The infrequent distribution and lateral spacing of AII’s indicate that they probably do not play a significant role in cone signaling pathways that encode information at a finer spatial scale. This contrasts with the mouse retina, where they significantly contribute to cone signaling pathways. Therefore, the AII’s original function is likely that of a ‘rod’ amacrine cell, and its role in cone pathways in the mouse retina might be an adaptive feature stemming from its rod dominance.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-16DOI: 10.3389/fopht.2023.1260415
Gloria Wu, David A. Lee, Weichen Zhao, Adrial Wong, Sahej Sidhu
Our study investigates ChatGPT and its ability to communicate with glaucoma patients.We inputted eight glaucoma-related questions/topics found on the American Academy of Ophthalmology (AAO)’s website into ChatGPT. We used the Flesch–Kincaid test, Gunning Fog Index, SMOG Index, and Dale–Chall readability formula to evaluate the comprehensibility of its responses for patients. ChatGPT’s answers were compared with those found on the AAO’s website.ChatGPT’s responses required reading comprehension of a higher grade level (average = grade 12.5 ± 1.6) than that of the text on the AAO’s website (average = 9.4 grade ± 3.5), (0.0384). For the eight responses, the key ophthalmic terms appeared 34 out of 86 times in the ChatGPT responses vs. 86 out of 86 times in the text on the AAO’s website. The term “eye doctor” appeared once in the ChatGPT text, but the formal term “ophthalmologist” did not appear. The term “ophthalmologist” appears 26 times on the AAO’s website. The word counts of the answers produced by ChatGPT and those on the AAO’s website were similar (p = 0.571), with phrases of a homogenous length.ChatGPT trains on the texts, phrases, and algorithms inputted by software engineers. As ophthalmologists, through our websites and journals, we should consider encoding the phrase “see an ophthalmologist”. Our medical assistants should sit with patients during their appointments to ensure that the text is accurate and that they fully comprehend its meaning. ChatGPT is effective for providing general information such as definitions or potential treatment options for glaucoma. However, ChatGPT has a tendency toward repetitive answers and, due to their elevated readability scores, these could be too difficult for a patient to read.
{"title":"ChatGPT: is it good for our glaucoma patients?","authors":"Gloria Wu, David A. Lee, Weichen Zhao, Adrial Wong, Sahej Sidhu","doi":"10.3389/fopht.2023.1260415","DOIUrl":"https://doi.org/10.3389/fopht.2023.1260415","url":null,"abstract":"Our study investigates ChatGPT and its ability to communicate with glaucoma patients.We inputted eight glaucoma-related questions/topics found on the American Academy of Ophthalmology (AAO)’s website into ChatGPT. We used the Flesch–Kincaid test, Gunning Fog Index, SMOG Index, and Dale–Chall readability formula to evaluate the comprehensibility of its responses for patients. ChatGPT’s answers were compared with those found on the AAO’s website.ChatGPT’s responses required reading comprehension of a higher grade level (average = grade 12.5 ± 1.6) than that of the text on the AAO’s website (average = 9.4 grade ± 3.5), (0.0384). For the eight responses, the key ophthalmic terms appeared 34 out of 86 times in the ChatGPT responses vs. 86 out of 86 times in the text on the AAO’s website. The term “eye doctor” appeared once in the ChatGPT text, but the formal term “ophthalmologist” did not appear. The term “ophthalmologist” appears 26 times on the AAO’s website. The word counts of the answers produced by ChatGPT and those on the AAO’s website were similar (p = 0.571), with phrases of a homogenous length.ChatGPT trains on the texts, phrases, and algorithms inputted by software engineers. As ophthalmologists, through our websites and journals, we should consider encoding the phrase “see an ophthalmologist”. Our medical assistants should sit with patients during their appointments to ensure that the text is accurate and that they fully comprehend its meaning. ChatGPT is effective for providing general information such as definitions or potential treatment options for glaucoma. However, ChatGPT has a tendency toward repetitive answers and, due to their elevated readability scores, these could be too difficult for a patient to read.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-16DOI: 10.3389/fopht.2023.1173706
Feng Pan, Stephen C. Massey
In the monkey retina, there are two distinct types of axon-bearing horizontal cells, known as H1 and H2 horizontal cells (HCs). In this study, cell bodies were prelabled using 4′,6-diamidino-2-phenylindole (DAPI), and both H1 and H2 horizontal cells were filled with Neurobiotin™ to reveal their coupling, cellular details, and photoreceptor contacts. The confocal analysis of H1 and H2 HCs was used to assess the colocalization of terminal dendrites with glutamate receptors at cone pedicles. After filling H1 somas, a large coupled mosaic of H1 cells was labeled. The dendritic terminals of H1 cells contacted red/green cone pedicles, with the occasional sparse contact with blue cone pedicles observed. The H2 cells were also dye-coupled. They had larger dendritic fields and lower densities. The dendritic terminals of H2 cells preferentially contacted blue cone pedicles, but additional contacts with nearly all cones within the dendritic field were still observed. The red/green cones constitute 99% of the input to H1 HCs, whereas H2 HCs receive a more balanced input, which is composed of 58% red/green cones and 42% blue cones. These observations confirm those made in earlier studies on primate horizontal cells by Dacey and Goodchild in 1996. Both H1 and H2 HCs were axon-bearing. H1 axon terminals (H1 ATs) were independently coupled and contacted rod spherules exclusively. In contrast, the H2 axon terminals contacted cones, with some preference for blue cone pedicles, as reported by Chan and Grünert in 1998. The primate retina contains three independently coupled HC networks in the outer plexiform layer (OPL), identified as H1 and H2 somatic dendrites, and H1 ATs. At each cone pedicle, the colocalization of both H1 and H2 dendritic tips with GluA4 subunits close to the cone synaptic ribbons indicates that glutamate signaling from the cones to H1 and H2 horizontal cells is mediated by α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors.
{"title":"Dye coupling of horizontal cells in the primate retina","authors":"Feng Pan, Stephen C. Massey","doi":"10.3389/fopht.2023.1173706","DOIUrl":"https://doi.org/10.3389/fopht.2023.1173706","url":null,"abstract":"In the monkey retina, there are two distinct types of axon-bearing horizontal cells, known as H1 and H2 horizontal cells (HCs). In this study, cell bodies were prelabled using 4′,6-diamidino-2-phenylindole (DAPI), and both H1 and H2 horizontal cells were filled with Neurobiotin™ to reveal their coupling, cellular details, and photoreceptor contacts. The confocal analysis of H1 and H2 HCs was used to assess the colocalization of terminal dendrites with glutamate receptors at cone pedicles. After filling H1 somas, a large coupled mosaic of H1 cells was labeled. The dendritic terminals of H1 cells contacted red/green cone pedicles, with the occasional sparse contact with blue cone pedicles observed. The H2 cells were also dye-coupled. They had larger dendritic fields and lower densities. The dendritic terminals of H2 cells preferentially contacted blue cone pedicles, but additional contacts with nearly all cones within the dendritic field were still observed. The red/green cones constitute 99% of the input to H1 HCs, whereas H2 HCs receive a more balanced input, which is composed of 58% red/green cones and 42% blue cones. These observations confirm those made in earlier studies on primate horizontal cells by Dacey and Goodchild in 1996. Both H1 and H2 HCs were axon-bearing. H1 axon terminals (H1 ATs) were independently coupled and contacted rod spherules exclusively. In contrast, the H2 axon terminals contacted cones, with some preference for blue cone pedicles, as reported by Chan and Grünert in 1998. The primate retina contains three independently coupled HC networks in the outer plexiform layer (OPL), identified as H1 and H2 somatic dendrites, and H1 ATs. At each cone pedicle, the colocalization of both H1 and H2 dendritic tips with GluA4 subunits close to the cone synaptic ribbons indicates that glutamate signaling from the cones to H1 and H2 horizontal cells is mediated by α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139268774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-16DOI: 10.3389/fopht.2023.1270591
Aparna S Ajjarapu, Alina Dumitrescu
This retrospective cohort study presents a group of patients who underwent laser therapy for retinopathy of prematurity and presented with delayed anterior segment complications.The charts of infants treated with laser photocoagulation for retinopathy of prematurity at our institution between 1988 and 2020 were reviewed. The data extracted included demographics, treatment and clinical examination findings, and those on visual acuity, surgical procedures, and cycloplegic refraction. The inclusion criteria were documented anterior segment changes during the follow-up period. The exclusion criteria were any prior intraocular surgery or inflammation before signs of anterior segment complications developed. The exposure was laser photocoagulation for retinopathy of prematurity and the main outcomes were anterior segment complications, visual acuity, and cycloplegic refraction.A total of 183 charts were reviewed. Sixteen eyes of nine patients (4.4%) met the inclusion criteria. The mean follow-up period after laser treatment was 15.9 years (range 10 years–26 years). The mean gestational age at birth was 24.6 weeks (range 23 weeks–27 weeks), and the mean age at first clinical documentation of anterior segment complications was 8.7 years (range 1 years–25 years). The complications included cataract (n = five patients/eight eyes) and glaucoma (n = three patients/five eyes), with the most frequent complication being band keratopathy (n = nine patients/15 eyes). A total of five out of 16 eyes underwent surgical procedures due to anterior segment complications. After treatment, visual acuity improved back to its baseline value in four out of five of the treated eyes, and improved, but not to its baseline value, in one out of five of the treated eyes. All the patients developed progressive high myopia over the follow-up period.Anterior segment complications after laser photocoagulation for retinopathy of prematurity may develop later in life. They affect patients’ visual acuity and quality of life and may require treatment.
{"title":"Delayed anterior segment complications after the treatment of retinopathy of prematurity with laser photocoagulation","authors":"Aparna S Ajjarapu, Alina Dumitrescu","doi":"10.3389/fopht.2023.1270591","DOIUrl":"https://doi.org/10.3389/fopht.2023.1270591","url":null,"abstract":"This retrospective cohort study presents a group of patients who underwent laser therapy for retinopathy of prematurity and presented with delayed anterior segment complications.The charts of infants treated with laser photocoagulation for retinopathy of prematurity at our institution between 1988 and 2020 were reviewed. The data extracted included demographics, treatment and clinical examination findings, and those on visual acuity, surgical procedures, and cycloplegic refraction. The inclusion criteria were documented anterior segment changes during the follow-up period. The exclusion criteria were any prior intraocular surgery or inflammation before signs of anterior segment complications developed. The exposure was laser photocoagulation for retinopathy of prematurity and the main outcomes were anterior segment complications, visual acuity, and cycloplegic refraction.A total of 183 charts were reviewed. Sixteen eyes of nine patients (4.4%) met the inclusion criteria. The mean follow-up period after laser treatment was 15.9 years (range 10 years–26 years). The mean gestational age at birth was 24.6 weeks (range 23 weeks–27 weeks), and the mean age at first clinical documentation of anterior segment complications was 8.7 years (range 1 years–25 years). The complications included cataract (n = five patients/eight eyes) and glaucoma (n = three patients/five eyes), with the most frequent complication being band keratopathy (n = nine patients/15 eyes). A total of five out of 16 eyes underwent surgical procedures due to anterior segment complications. After treatment, visual acuity improved back to its baseline value in four out of five of the treated eyes, and improved, but not to its baseline value, in one out of five of the treated eyes. All the patients developed progressive high myopia over the follow-up period.Anterior segment complications after laser photocoagulation for retinopathy of prematurity may develop later in life. They affect patients’ visual acuity and quality of life and may require treatment.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139267177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-14DOI: 10.3389/fopht.2023.1249557
Ejaz Ansari
Most readers will be familiar with terminology (from meetings and conferences) that we, the editors, would deem to be incorrect or confusing. In general, we all tend to accept the information conveyed to us without really questioning what the terms truly mean. Therefore, the subsequent chapters discussing the IOLs in question should be studied with this in mind since a lot of familiar terminology will be used in those chapters, which, strictly speaking, may not be in line with the most accurate terminology and classification. The reader is encouraged to read this full article to be mindful of the current confusion surrounding IOL terminology and what the correct terminology should be. This is so that one is better prepared to understand and question the mechanism of action and side effects of IOLs that one is planning to use.
{"title":"Terminology - clarifying the current confusion and presenting the correct terminology","authors":"Ejaz Ansari","doi":"10.3389/fopht.2023.1249557","DOIUrl":"https://doi.org/10.3389/fopht.2023.1249557","url":null,"abstract":"Most readers will be familiar with terminology (from meetings and conferences) that we, the editors, would deem to be incorrect or confusing. In general, we all tend to accept the information conveyed to us without really questioning what the terms truly mean. Therefore, the subsequent chapters discussing the IOLs in question should be studied with this in mind since a lot of familiar terminology will be used in those chapters, which, strictly speaking, may not be in line with the most accurate terminology and classification. The reader is encouraged to read this full article to be mindful of the current confusion surrounding IOL terminology and what the correct terminology should be. This is so that one is better prepared to understand and question the mechanism of action and side effects of IOLs that one is planning to use.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134993309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction It is reported that eyes with a branch retinal artery occlusion (BRAO) had normal full-field electroretinography (ERG) but the response of the multifocal electroretinography (mfERG) was reduced in the area of the arterial occlusion. Optical coherence tomography angiography (OCTA) is a recently appeared modality that can evaluate microvascularizations in different retinal layers and in different regions of the retina. The purpose of this study was to determine the density of the microcirculation and the function of the macular area of eyes with BRAO, and to determine whether they are significantly correlated. Methods The OCTA and mfERG findings of 7 eyes of 6 patients (3 men, 3 women) were studied. The mean age of the patients was 71.7±10.6 years. The OCTA examinations were made with volume scans of 3 × 3 and 6 × 6 mm squares centered on the fovea. The macular vessel densities (mVD) in the superficial retinal layer (SRL) and deep retinal layer (DRL) were measured for the superior and inferior halves of 3 × 3 and 6 × 6 mm diameter concentric circles. The mfERGs were recorded with targets set to stimulate the focal areas of the retina corresponding to the areas examined by OCTA. Results The OCTA examinations showed that the mVD of the 3 mm concentric circle in the SRL was significantly lower on the affected side than on the unaffected side (P = 0.022). No such difference was observed in the DRL. The N1 amplitude of the 20.2° concentric circle and the N1–P1 amplitude of the 10.1° concentric circle of the mfERGs were significantly smaller on the affected side than on the unaffected side (P = 0.047 and 0.031). A significant positive correlation was found between the mVD of the 6 mm concentric circle in the DRL and the P1–N2 amplitude of the 20.2° concentric circle ( ρ = −0.929 and p = 0.003). Discussion These findings indicate that OCTA images may be able to show changes in the density of the retinal macular microcirculation, and the mfERGs may be able to show alterations in the function of the macular area of the eyes with BRAO. A layer-by-layer analysis of the local retinal microcirculation and function should help in determining the pathogenesis of BRAO.
{"title":"Evaluations of microvascular density by optical coherence tomography, angiography, and function by multifocal electroretinography of the macular area in eyes with branch retinal artery occlusion","authors":"Yuro Igawa, Haruna Amaki, Junji Kanno, Midori Tachibana, Satomi Konno, Yuji Yoshikawa, Soiti Matsumoto, Takuhei Shoji, Jun Makita, Kei Shinoda","doi":"10.3389/fopht.2023.1255098","DOIUrl":"https://doi.org/10.3389/fopht.2023.1255098","url":null,"abstract":"Introduction It is reported that eyes with a branch retinal artery occlusion (BRAO) had normal full-field electroretinography (ERG) but the response of the multifocal electroretinography (mfERG) was reduced in the area of the arterial occlusion. Optical coherence tomography angiography (OCTA) is a recently appeared modality that can evaluate microvascularizations in different retinal layers and in different regions of the retina. The purpose of this study was to determine the density of the microcirculation and the function of the macular area of eyes with BRAO, and to determine whether they are significantly correlated. Methods The OCTA and mfERG findings of 7 eyes of 6 patients (3 men, 3 women) were studied. The mean age of the patients was 71.7±10.6 years. The OCTA examinations were made with volume scans of 3 × 3 and 6 × 6 mm squares centered on the fovea. The macular vessel densities (mVD) in the superficial retinal layer (SRL) and deep retinal layer (DRL) were measured for the superior and inferior halves of 3 × 3 and 6 × 6 mm diameter concentric circles. The mfERGs were recorded with targets set to stimulate the focal areas of the retina corresponding to the areas examined by OCTA. Results The OCTA examinations showed that the mVD of the 3 mm concentric circle in the SRL was significantly lower on the affected side than on the unaffected side (P = 0.022). No such difference was observed in the DRL. The N1 amplitude of the 20.2° concentric circle and the N1–P1 amplitude of the 10.1° concentric circle of the mfERGs were significantly smaller on the affected side than on the unaffected side (P = 0.047 and 0.031). A significant positive correlation was found between the mVD of the 6 mm concentric circle in the DRL and the P1–N2 amplitude of the 20.2° concentric circle ( ρ = −0.929 and p = 0.003). Discussion These findings indicate that OCTA images may be able to show changes in the density of the retinal macular microcirculation, and the mfERGs may be able to show alterations in the function of the macular area of the eyes with BRAO. A layer-by-layer analysis of the local retinal microcirculation and function should help in determining the pathogenesis of BRAO.","PeriodicalId":73096,"journal":{"name":"Frontiers in ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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