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An AI-Based Prognostic Model for Prediction of Functional Glaucoma Progression from Clinical and Structural Data 从临床和结构数据预测功能性青光眼进展的基于ai的预后模型
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.ajo.2025.12.026
Vahid Mohammadzadeh, Sean Wu, Sajad Besharati, Mahshad Rafiee, Yasamin Banaei, Arthur Martinyan, Jane Zou, Evelyn Kung, Kiumars Edalati, Esteban Morales, Fabien Scalzo, Joseph Caprioli, Kouros Nouri-Mahdavi
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引用次数: 0
Clinical Assessment of a Highly Multiplexed Panel Assay for the Diagnosis of Infectious Uveitis. 诊断感染性葡萄膜炎的高度多重面板试验的临床评价。
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-31 DOI: 10.1016/j.ajo.2025.12.024
Paulo J M Bispo, Nicole L Belanger, Renee Liu, Eduardo Ferracioli-Oda, Tatiana Tanaka, Joyce Hisae Yamamoto, Lucia Sobrin

Purpose: Current diagnostic workup for infectious uveitis relies on the use of various immunoassays and PCR tests on ocular fluids that are time consuming and not comprehensive, requiring large sample volumes to probe for all causes. To streamline the diagnosis process, improve turnaround time and target inclusivity, we developed a highly multiplexed pan-ocular-pathogen panel (OcuPan) that can be used for broad-range pathogen detection in only one assay, with PCR-level sensitivity and in a timely fashion (12h). Here, we assessed the clinical usefulness and performance of this innovative assay as a novel tool for rapid and accurate laboratory diagnosis of infectious uveitis.

Design: Laboratory evaluation of a novel diagnostic test and technology PARTICIPANTS AND CONTROLS: A total of 109 patients from two centers were included, including 78 infectious uveitis cases and 31 controls.

Methods: Intraocular samples (n=108 from patients and 43 from controls) were processed by PCR and the OcuPan diagnostic assay that detects 46 ocular pathogens plus two resistance/virulence markers.

Main outcome measures: Clinical sensitivity and specificity, quantification capabilities, and agreement between PCR and the OcuPan assay.

Results: The clinical sensitivity and specificity of the OcuPan assay were 50.9% (95% confidence interval [CI]), 41.3 to 60.5) and 100% (95% CI, 89.7% to 100%), respectively. Sensitivity varied according to the sample matrix tested, with undiluted vitreous having the highest positivity rates (72.4%; 95% CI, 55.1 to 89.7), followed by dilute vitreous (53.3%; 95% CI, 34.4 to 72.3) and aqueous (36.7%; 95% CI, 22.7 to 50.7). There was excellent overall agreement (93.5%) between the OcuPan assay and PCR (kappa of 0.870, ±0.047; P <0.001) with positive (PPA) and negative (NPA) percent agreements >92% for all targets. PPA was 100% for herpesviruses and T. pallidum, while the NPA values ranged from 96.6% to 100% for these pathogens. For T. gondii the PPA was 75% and NPA 100%. We also found significant correlation (Spearman rho= -0.7506, P <0.0001) between the quantitative metric for the OcuPan assay and the real time PCR Ct values.

Conclusions: The OcuPan assay offers an all-in-one highly multiplexed detection system for rapid, comprehensive, quantitative and accurate diagnosis of infectious uveitis.

目的:目前感染性葡萄膜炎的诊断工作依赖于使用各种免疫测定和PCR检测眼液,耗时且不全面,需要大量样本量来探测所有原因。为了简化诊断过程,改善周转时间和目标包容性,我们开发了一种高度多用途的泛眼病原体面板(OcuPan),只需一次检测就可以用于广泛的病原体检测,具有pcr水平的灵敏度,并且及时(12小时)。在这里,我们评估了这种创新的检测方法作为一种快速准确的实验室诊断感染性葡萄膜炎的新工具的临床实用性和性能。设计:一种新型诊断测试和技术的实验室评估参与者和对照组:来自两个中心的109例患者,包括78例感染性葡萄膜炎患者和31例对照组。方法:采用PCR和OcuPan诊断法检测46种眼部病原菌和2种耐药/毒力标记物,对患者108例和对照组43例眼内样本进行处理。主要结果测量:临床敏感性和特异性,定量能力,以及PCR和OcuPan测定之间的一致性。结果:OcuPan检测的临床敏感性和特异性分别为50.9%(95%可信区间[CI])、41.3 ~ 60.5)和100% (95% CI, 89.7% ~ 100%)。灵敏度根据检测的样品基质而变化,未稀释的玻璃体具有最高的阳性率(72.4%,95% CI, 55.1至89.7),其次是稀释玻璃体(53.3%,95% CI, 34.4至72.3)和水溶液(36.7%,95% CI, 22.7至50.7)。OcuPan试验与PCR之间的总体一致性很好(93.5%)(kappa为0.870,±0.047;所有靶标的P为92%)。疱疹病毒和苍白t的PPA值为100%,而这些病原体的NPA值为96.6% ~ 100%。弓形虫的PPA为75%,NPA为100%。结论:OcuPan检测为感染性葡萄膜炎的快速、全面、定量、准确诊断提供了一种一体化、高度多元的检测系统。
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引用次数: 0
Reply to Comment on Glucagon-like Peptide-1 Receptor Agonist Use and Risk of Cataract Development. 胰高血糖素样肽-1受体激动剂的使用与白内障发展风险的评论回复。
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-30 DOI: 10.1016/j.ajo.2025.12.021
Abhimanyu S Ahuja, Alfredo A Paredes, Sejal A Ahuja, Benjamin K Young
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引用次数: 0
Comment on: Glucagon-like Peptide-1 Receptor Agonist Use and Risk of Cataract Development. 评论:胰高血糖素样肽-1受体激动剂的使用和白内障发展的风险。
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-29 DOI: 10.1016/j.ajo.2025.11.050
Ha-Neul Yu, Isdin Oke, Julius T Oatts
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引用次数: 0
Association of Sodium-Glucose Cotransporter 2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists with Risk of Cataract 钠-葡萄糖共转运蛋白2抑制剂和胰高血糖素样肽-1受体激动剂与白内障风险的关系
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-26 DOI: 10.1016/j.ajo.2025.12.025
Bing-Hua Lin, Shu-Han Chuang, Lien-Chen Wu, Yu-Pin Chen, Yi-Jie Kuo, Cheng-Hsien Chang
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引用次数: 0
The AJO and Academic Freedom: Then and Now AJO和学术自由:过去和现在
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-26 DOI: 10.1016/j.ajo.2025.12.023
Richard K. Parrish
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引用次数: 0
Elevated RNV on Widefield OCTA Predicts Complications in High-Risk PDR 宽视场OCTA RNV升高预测高危PDR并发症
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-24 DOI: 10.1016/j.ajo.2025.12.017
An-Lun Wu, Jinyi Hao, Liqin Gao, Yukun Guo, Tristan T. Hormel, Christina J. Flaxel, Merina Thomas, Benjamin K. Young, Steven T. Bailey, Dong-Wouk Park, Yali Jia, Thomas S. Hwang
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引用次数: 0
Geographic and Phenotypic Variability in RHO-Associated Retinopathy: Evidence from a Chinese Cohort and Global Literature rho相关视网膜病变的地理和表型变异:来自中国队列和全球文献的证据
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-23 DOI: 10.1016/j.ajo.2025.12.020
Chenyue Hang, Tianyuan Zhao, Zhixuan Chen, Hong Wang, Lin Chen, Ting Zhang, Yutian Jiao, Tong Li, Junran Sun, Suqin Yu, Yuanyuan Gong, Hao Zhou, Xujun Jiang, Xinxin Liu, Huixun Jia, Kairong Zheng, Xiaoling Wan, Jieqiong Chen, Xiaodong Sun
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引用次数: 0
Natural history of CNGA1-associated retinitis pigmentosa in a large Chinese cohort revealing an optimal intervention window cnga1相关视网膜色素变性的自然历史揭示了一个最佳的干预窗口
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-23 DOI: 10.1016/j.ajo.2025.12.018
Yue Liu, Dingding Zhang, Yunyu Zhou, Yamei Li, Xiaoxu Han, Zixi Sun, Xing Wei, Hui Li, Xuan Zou, Ruifang Sui
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引用次数: 0
Gonioscopy Assisted Transluminal Trabeculotomy (GATT) as a viable intervention for Neovascular Glaucoma 经腔镜辅助小梁切开术(GATT)作为新生血管性青光眼可行的干预手段
IF 4.2 1区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-23 DOI: 10.1016/j.ajo.2025.12.016
Avilasha Mohapatra, Vyshak Suresh, Sushmita Kaushik
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引用次数: 0
期刊
American Journal of Ophthalmology
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