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Comment on “Central retinal artery occlusion in rhino-orbital-cerebral mucormycosis: An inflammatory-prothrombotic state” 关于 "犀牛-眶-脑粘液瘤病中的视网膜中央动脉闭塞:炎症-血栓状态"
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1097/APO.0000000000000615
Damir Bosnar, Mira Knežić Zagorec, Mladen Bušić
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引用次数: 0
Natural Course for Retinal Detachment in Morning Glory Disc Anomaly Based on a Grading System 基于分级系统的朝霞盘异常视网膜脱落的自然过程
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1097/APO.0000000000000572
Yihua Zou, Xiaohan Wang, Jing Li, Jie Peng, Peiquan Zhao
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引用次数: 0
Spontaneous Regression and Recurrence of Corneal Intrastromal Cyst 角膜基质内囊肿的自发消退与复发
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1097/APO.0000000000000575
Mona Bhargava, Raj S. Paul, Karan R. Nathani
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引用次数: 0
Interocular difference in crystalline lens morphology in children and adolescents with unilateral high myopia 单侧高度近视儿童和青少年晶状体形态的眼间差异
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.apjo.2023.100001
Yifan Zhang , Jiaqing Zhang , Aixia Jin , Xuhua Tan , Kyoko Ohno-Matsui , Xiaotong Han , Lixia Luo , Yizhi Liu

Purpose

To investigate the between-eye differences of the crystalline lens in subjects with unilateral high myopia and assess its contribution to the interocular refractive error disparity.

Methods

Children and adolescents with unilateral high myopia, defined as cycloplegic spherical equivalent (SE) ≤ −5D in one eye and ≥ −3D in the other eye, were recruited. Ocular biometric parameters, including axial length (AL) and lens thickness (LT), were measured by IOLMaster 700. Other lens-related parameters, including anterior lens radius of curvature (ALR) and posterior lens radius of curvature (PLR), were measured by CASIA2 swept-source optical coherence tomography. Lens power (LP) was calculated using Bennett’s formula. Paired t-test was used to assess the between-eye difference in biometric parameters, and multiple regression analysis was used to assess factors associated with the between-eye SE difference.

Results

Ninety-one participants (6–18 years of age; 52.75% girls) were included. The highly myopic eyes showed significantly lower LP (P < 0.001) and smaller ALR (P < 0.001) than the contralateral eyes, while no significant difference was found in central LT. In both eyes, ALR was significantly related to SE (P = 0.001 and P = 0.006, respectively); while LT was not associated with SE (P = 0.051 and P = 0.052, respectively). Paired-eye analysis showed that the between-eye difference in ALR was the only lenticular parameter significantly associated with the between-eye difference in SE (P = 0.005).

Conclusion

In highly myopic eyes, the crystalline lens reduced total power but morphologically changed to a more curved shape without significant lens thinning, suggesting that the LP loss is mainly achieved by reducing its internal power in high myopes.

目的 研究单侧高度近视受试者晶状体的眼间差异,并评估其对眼间屈光不正差异的影响。方法 招募单侧高度近视的儿童和青少年,定义为一只眼的球镜视力等值(SE)≤-5D,另一只眼≥-3D。眼部生物测量参数包括轴长(AL)和晶状体厚度(LT),由 IOLMaster 700 测量。其他晶状体相关参数,包括晶状体前曲率半径(ALR)和晶状体后曲率半径(PLR),由 CASIA2 扫源光学相干断层扫描测量。晶状体功率(LP)采用贝内特公式计算。采用配对 t 检验评估两眼间生物计量参数的差异,并采用多元回归分析评估与两眼间 SE 差异相关的因素。高度近视眼的LP(P <0.001)和ALR(P <0.001)明显低于对侧眼,而中心LT无明显差异。在双眼中,ALR 与 SE 显著相关(分别为 P = 0.001 和 P = 0.006);而 LT 与 SE 无关(分别为 P = 0.051 和 P = 0.052)。结论 在高度近视眼中,晶状体的总功率降低,但形态上却变为更弯曲的形状,晶状体并没有明显变薄,这表明高度近视眼的LP损失主要是通过降低其内部功率来实现的。
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引用次数: 0
Genetic associations of central serous chorioretinopathy subtypes, neovascular age-related macular degeneration, and polypoidal choroidal vasculopathy 中心性浆液性脉络膜视网膜病变亚型、新生血管性老年黄斑变性和多形性脉络膜血管病的遗传关联
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.apjo.2023.100003
Zhen Ji Chen , Danny S. Ng , Mary Ho , Shi Yao Lu , Pancy O.S. Tam , Alvin L. Young , Marten E. Brelen , Jason C. Yam , Clement C. Tham , Chi Pui Pang , Li Jia Chen

Purpose

To evaluate the genetic associations of different subtypes of central serous chorioretinopathy (CSCR), neovascular age-related macular degeneration (nAMD), and polypoidal choroidal vasculopathy (PCV).

Design

A case-control genetic association study.

Methods

This study enrolled 217 CSCR, 341 nAMD, 288 PCV patients, and 1380 controls. The CSCR patients were classified into those with focal or diffuse leakage, with or without pigment epithelial detachment (PED), and with or without macular neovascularization (MNV). Associations between 11 variants from 8 genes, ADAMTS9, ANGPT2, ARMS2, CFH, NR3C2, PGF, TNFRSF10A and VIPR2, and diseases/subtypes were analyzed by logistic regression analysis adjusted for age and sex, and inter-phenotype comparison by heterogeneity test.

Results

The CFH rs800292-A conferred a protective effect for CSCR with MNV (OR=0.44, P = 0.002) and a risk effect for CSCR without MNV (OR=1.31, P = 0.023). CSCR patients carrying rs800292-G had a 3.23-fold of increased risk towards developing secondary MNV (P = 1.45 ×10-4). CFH rs3753394, rs800292 and rs1329428 showed similar effects among CSCR with MNV, nAMD and PCV, but opposite effects on CSCR without MNV. TNFRSF10A rs13278062-T was associated with overall CSCR but not with CSCR subtypes, nAMD or PCV. Moreover, CFH and ARMS2 SNPs showed heterogeneous effects in CSCR without MNV against CSCR with MNV, nAMD and PCV.

Conclusions

Genetic associations of CSCR with MNV resembled nAMD and PCV compared to CSCR without MNV, indicating differential genetic effects on neovascularization and choroidopathy. Further investigation of the functional roles of CFH, ARMS2, and TNFRSF10A in CSCR, nAMD and PCV should help elucidate the mechanisms of these maculopathies.

目的评估中心性浆液性脉络膜视网膜病变(CSCR)、新生血管性年龄相关性黄斑变性(nAMD)和多形性脉络膜血管病(PCV)不同亚型的遗传关联。CSCR患者分为局灶性或弥漫性渗漏、有或无色素上皮脱落(PED)、有或无黄斑新生血管(MNV)。通过调整年龄和性别后的逻辑回归分析,以及异质性检验和表型间比较,分析了ADAMTS9、ANGPT2、ARMS2、CFH、NR3C2、PGF、TNFRSF10A和VIPR2这8个基因的11个变异与疾病/亚型之间的相关性。结果CFH rs800292-A对伴有MNV的CSCR具有保护作用(OR=0.44,P=0.002),对不伴有MNV的CSCR具有风险作用(OR=1.31,P=0.023)。携带 rs800292-G 的 CSCR 患者罹患继发性 MNV 的风险增加了 3.23 倍(P = 1.45 ×10-4)。CFH rs3753394、rs800292 和 rs1329428 在伴有 MNV、nAMD 和 PCV 的 CSCR 中显示出相似的效应,但在不伴有 MNV 的 CSCR 中却显示出相反的效应。TNFRSF10A rs13278062-T 与总体 CSCR 相关,但与 CSCR 亚型、nAMD 或 PCV 无关。此外,CFH和ARMS2 SNPs在无MNV的CSCR与有MNV的CSCR、nAMD和PCV中显示出异质性效应。结论与无MNV的CSCR相比,有MNV的CSCR与nAMD和PCV的遗传关联相似,这表明遗传对新生血管和脉络膜病变的影响不同。进一步研究 CFH、ARMS2 和 TNFRSF10A 在 CSCR、nAMD 和 PCV 中的功能作用将有助于阐明这些黄斑病变的机制。
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引用次数: 0
Comment on "Central retinal artery occlusion in rhino-orbital-cerebral mucormycosis: An inflammatory-prothrombotic state". 关于 "鼻-眶-脑粘液瘤病中的视网膜中央动脉闭塞:炎症-血栓状态"。
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2024-02-07 DOI: 10.1097/APO.0000000000000615
Damir Bosnar, Mira Knežić Zagorec, Mladen Bušić
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引用次数: 0
Integration of Massive Open Online Course (MOOC) in Ophthalmic Skills Training for Medical Students: Outcomes and Perspectives 将大规模在线开放课程(MOOC)融入医学生眼科技能培训:成果与展望。
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1097/APO.0000000000000601
Sasha Zaki
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引用次数: 0
Rationale and protocol paper for the Asia Pacific Network for inherited eye diseases 亚太地区遗传性眼病网络的基本原理和协议文件。
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.apjo.2023.100030
Wendy M. Wong , Yih Chung Tham , Matthew P. Simunovic , Fred Kuanfu Chen , Chi D. Luu , Haoyu Chen , Zi-Bing Jin , Ren-Juan Shen , Shiying Li , Ruifang Sui , Chen Zhao , Liping Yang , Muna Bhende , Rajiv Raman , Parveen Sen , Arkasubhra Ghosh , B. Poornachandra , Muhammad Bayu Sasongko , Alia Arianti , Valen Chia , Hwei Wuen Chan

Purpose

There are major gaps in our knowledge of hereditary ocular conditions in the Asia-Pacific population, which comprises approximately 60% of the world's population. Therefore, a concerted regional effort is urgently needed to close this critical knowledge gap and apply precision medicine technology to improve the quality of lives of these patients in the Asia-Pacific region.

Design

Multi-national, multi-center collaborative network.

Methods

The Research Standing Committee of the Asia-Pacific Academy of Ophthalmology and the Asia-Pacific Society of Eye Genetics fostered this research collaboration, which brings together renowned institutions and experts for inherited eye diseases in the Asia-Pacific region. The immediate priority of the network will be inherited retinal diseases (IRDs), where there is a lack of detailed characterization of these conditions and in the number of established registries.

Results

The network comprises 55 members from 35 centers, spanning 12 countries and regions, including Australia, China, India, Indonesia, Japan, South Korea, Malaysia, Nepal, Philippines, Singapore, Taiwan, and Thailand. The steering committee comprises ophthalmologists with experience in consortia for eye diseases in the Asia-Pacific region, leading ophthalmologists and vision scientists in the field of IRDs internationally, and ophthalmic geneticists.

Conclusions

The Asia Pacific Inherited Eye Disease (APIED) network aims to (1) improve genotyping capabilities and expertise to increase early and accurate genetic diagnosis of IRDs, (2) harmonise deep phenotyping practices and utilization of ontological terms, and (3) establish high-quality, multi-user, federated disease registries that will facilitate patient care, genetic counseling, and research of IRDs regionally and internationally.

目的:亚太地区人口约占世界总人口的 60%,我们对亚太地区遗传性眼病的了解还存在很大差距。因此,迫切需要一个协调一致的地区性努力来填补这一关键的知识空白,并应用精准医疗技术来改善亚太地区这些患者的生活质量:设计:多国、多中心协作网络:亚太眼科学会研究常务委员会和亚太眼遗传学会促成了这一研究合作,汇集了亚太地区研究遗传性眼病的知名机构和专家。该网络的当务之急是研究遗传性视网膜疾病(IRDs),因为这些疾病缺乏详细的特征描述,也缺乏已建立的登记处:该网络由来自 35 个中心的 55 名成员组成,横跨 12 个国家和地区,包括澳大利亚、中国、印度、印度尼西亚、日本、韩国、马来西亚、尼泊尔、菲律宾、新加坡、台湾和泰国。指导委员会的成员包括在亚太地区眼科疾病联盟中有经验的眼科医生、国际上在IRD领域处于领先地位的眼科医生和视觉科学家以及眼科遗传学家:亚太地区遗传性眼病(APIED)网络的目标是:(1)提高基因分型能力和专业知识,以增加对IRD的早期准确基因诊断;(2)协调深度表型实践和本体术语的使用;以及(3)建立高质量、多用户、联合疾病登记处,以促进地区和国际范围内的IRD患者护理、遗传咨询和研究。
{"title":"Rationale and protocol paper for the Asia Pacific Network for inherited eye diseases","authors":"Wendy M. Wong ,&nbsp;Yih Chung Tham ,&nbsp;Matthew P. Simunovic ,&nbsp;Fred Kuanfu Chen ,&nbsp;Chi D. Luu ,&nbsp;Haoyu Chen ,&nbsp;Zi-Bing Jin ,&nbsp;Ren-Juan Shen ,&nbsp;Shiying Li ,&nbsp;Ruifang Sui ,&nbsp;Chen Zhao ,&nbsp;Liping Yang ,&nbsp;Muna Bhende ,&nbsp;Rajiv Raman ,&nbsp;Parveen Sen ,&nbsp;Arkasubhra Ghosh ,&nbsp;B. Poornachandra ,&nbsp;Muhammad Bayu Sasongko ,&nbsp;Alia Arianti ,&nbsp;Valen Chia ,&nbsp;Hwei Wuen Chan","doi":"10.1016/j.apjo.2023.100030","DOIUrl":"10.1016/j.apjo.2023.100030","url":null,"abstract":"<div><h3>Purpose</h3><p>There are major gaps in our knowledge of hereditary ocular conditions in the Asia-Pacific population, which comprises approximately 60% of the world's population. Therefore, a concerted regional effort is urgently needed to close this critical knowledge gap and apply precision medicine technology to improve the quality of lives of these patients in the Asia-Pacific region.</p></div><div><h3>Design</h3><p>Multi-national, multi-center collaborative network.</p></div><div><h3>Methods</h3><p>The Research Standing Committee of the Asia-Pacific Academy of Ophthalmology and the Asia-Pacific Society of Eye Genetics fostered this research collaboration, which brings together renowned institutions and experts for inherited eye diseases in the Asia-Pacific region. The immediate priority of the network will be inherited retinal diseases (IRDs), where there is a lack of detailed characterization of these conditions and in the number of established registries.</p></div><div><h3>Results</h3><p>The network comprises 55 members from 35 centers, spanning 12 countries and regions, including Australia, China, India, Indonesia, Japan, South Korea, Malaysia, Nepal, Philippines, Singapore, Taiwan, and Thailand. The steering committee comprises ophthalmologists with experience in consortia for eye diseases in the Asia-Pacific region, leading ophthalmologists and vision scientists in the field of IRDs internationally, and ophthalmic geneticists.</p></div><div><h3>Conclusions</h3><p>The Asia Pacific Inherited Eye Disease (APIED) network aims to (1) improve genotyping capabilities and expertise to increase early and accurate genetic diagnosis of IRDs, (2) harmonise deep phenotyping practices and utilization of ontological terms, and (3) establish high-quality, multi-user, federated disease registries that will facilitate patient care, genetic counseling, and research of IRDs regionally and internationally.</p></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2162098923000300/pdfft?md5=e6c9bf41d8332b424fdfd963f3895da3&pid=1-s2.0-S2162098923000300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485064","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
Phacogoniotomy: An alternative treatment for advanced primary angle-closure glaucoma with cataract 虹膜切开术:晚期原发性闭角型青光眼合并白内障的另一种治疗方法。
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.apjo.2024.100034
Poemen P.M. Chan, Enne Hiu Ying Leung, Jost B. Jonas, Dennis S.C. Lam
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引用次数: 0
Perioperative intense pulsed light to prevent and improve symptoms of post-laser corneal refractive surgery dry eye. A randomized clinical trial 围手术期用强脉冲光预防和改善激光角膜屈光手术后干眼症状。随机临床试验
IF 4.4 3区 医学 Q1 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.apjo.2023.100029
María C. Martínez-Hergueta , Mario Cantó-Cerdán , Maria A. Amesty , M. Jose García-Corral , Laura Casanova-Blanquer , Ana B. Plaza-Puche , Jorge L. Alió , Jorge L. Alió del Barrio

Purpose

To evaluate the efficacy of perioperative IPL therapy in preventing postoperative ocular surface disorders in patients undergoing corneal laser refractive surgery.

Design

randomized, controlled, clinical trial with triple-blinding.

Methods

Setting: Vissum Miranza - Alicante; Study population: 61 patients randomized in two groups: 31 study patients (perioperative IPL + laser refractive surgery) and 30 control patients (perioperative placebo + laser refractive surgery). Follow-up was conducted over a 6-month period; Intervention: Each participants underwent three IPL sessions with a two-week interval between each session (pre-surgery, post-surgery week-one, and post-surgery week-three). For controls, placebo was administered following the same protocol. Main outcomes measures: visual outcomes and refraction, slit-lamp examination, corneal topography, visual analogue scale questionnaire and Oculus Keratograph 5 M including tear meniscus height, non-invasive tear break- up time, ocular redness, infrared meibography and Ocular Surface Disease Index (OSDI) questionnaire.

Results

61 randomized eyes were included. No significant differences were observed in terms of uncorrected and corrected distance visual acuity (UDVA, CDVA), refractive error or corneal aberrations. A statistically significant improvement in OSDI score (change −8.47, p = 0.043), tear meniscus (change 0.05 mm, p = 0.004) and Meibography (change −0.42, p = 0.012) was observed at the third postoperative month in the study group. Additionally, at the sixth postoperative month, there were statistically significant improvements in tear meniscus (change 0.06 mm, p = 0.018), tear break-up-time (change 1.68 s, p = 0.039) and Meibography (change −0.37, p = 0.030).

Conclusions

Results suggest that perioperative IPL therapy applied to laser corneal refractive surgery improves objective and subjective ocular surface parameters over non-IPL-treated control patients and early postoperative dry eye symptoms.

目的 评估角膜激光屈光手术患者围手术期 IPL 治疗对预防术后眼表疾病的疗效:Vissum Miranza - Alicante;研究人群:61名患者随机分为两组:31名研究组患者(围手术期IPL+激光屈光手术)和30名对照组患者(围手术期安慰剂+激光屈光手术)。随访期为 6 个月;干预措施:每位参与者接受三次 IPL 治疗,每次治疗间隔两周(手术前、手术后第一周和手术后第三周)。对照组则按照相同的方案服用安慰剂。主要结果测量指标:视觉结果和屈光度、裂隙灯检查、角膜地形图、视觉模拟量表问卷和 Oculus Keratograph 5 M,包括泪液半月板高度、非侵入性泪液破裂时间、眼红、红外线睑板腺造影和眼表疾病指数(OSDI)问卷。在未矫正和矫正的远距离视力(UDVA、CDVA)、屈光不正或角膜像差方面未观察到明显差异。在术后第三个月,研究组的 OSDI 评分(变化-8.47,p = 0.043)、泪液半月板(变化 0.05 mm,p = 0.004)和 Meibography(变化-0.42,p = 0.012)均有明显改善。此外,在术后第六个月,泪液半月板(变化 0.06 mm,p = 0.018)、泪液破裂时间(变化 1.68 s,p = 0.039)和 Meibography(变化 -0.37,p = 0.030)均有显著改善。
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引用次数: 0
期刊
Asia-Pacific Journal of Ophthalmology
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