Publications by authors named "Alan Y Hsu"

Dengue-related ocular complications were considered rare, but recent evidence points to a broader spectrum of manifestations, including uveitis. This study utilized the Taiwan National Health Insurance Research Database (NHIRD) to investigate the incidence of uveitis in dengue patients, aiming to fill this research gap. This population-based, retrospective cohort study utilized the Taiwan National Health Insurance Research Database (NHIRD) and included patients with and without Dengue fever.

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The risks of uveitis development among monkeypox (MPOX) patients are unclear. To determine the uveitis risks after (MPOX) diagnosis. Population-based, retrospective cohort study used the TriNetX database and recruited those with and without MPOX diagnosis from January 1, 2016, to December 31, 2023.

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Article Synopsis
  • This study explored the link between chronic kidney disease (CKD) and new diagnoses of glaucoma over a decade (2009-2019) using Taiwanese health records.
  • The research found that patients with CKD had a significantly higher risk of developing glaucoma, regardless of age, gender, or CKD subtype, compared to those without CKD.
  • Statistical analysis revealed consistent increases in glaucoma risk across various demographics, with hazard ratios indicating greater vulnerability among both genders and all age groups.
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Importance: The long-term estimated risk of development of cataracts among pediatric patients with uveitis is not clear.

Objective: To describe factors associated with the development of cataracts among pediatric patients with uveitis.

Design, Setting, And Participants: This cohort study used the international TriNetX database to enroll pediatric patients with and without uveitis from January 1, 2002, to December 31, 2022.

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The risks of uveitis development among pediatric patients with Down syndrome (DS) remain unclear. Therefore, we aimed to determine the risk of uveitis following a diagnosis of DS. This multi-institutional retrospective cohort study utilized the TriNetX database to identify individuals aged 18 years and younger with and without a diagnosis of DS between 1 January 2000 and 31 December 2023.

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: The aim of this study was to synthesize the available evidence on the clinical efficacy of different relaxation exercises on intraocular pressure (IOP) reduction. : A systemic search of PubMed, Embase, Cochrane CENTRAL, and Web of Science was undertaken from the earliest record to 10 April 2024. Peer-reviewed studies that reported on healthy individuals and glaucoma patients engaging in relaxation exercises for at least three weeks were included.

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Plasma membrane perforation elicited by caspase cleavage of the gasdermin D (GSDMD) N-terminal domain (GSDMD-NT) triggers pyroptosis. The mechanisms underlying GSDMD membrane translocation and pore formation are not fully understood. Here, using a proteomic approach, we identified fatty acid synthase (FASN) as a GSDMD-binding partner.

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Purpose: To determine the risk of ptosis among diabetic retinopathy (DR) patients.

Methods: This is a population-based, retrospective, matched-cohort study where DR patients were recruited from the Taiwan National Health Insurance Research Database (NHIRD) to investigate the risk of developing ptosis. Preexisting co-factors of interest included smoking status and medical comorbidities of hyperlipidemia and hypertension.

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Objective: To explore the associations between the use of immune checkpoint inhibitors (ICIs) and the risk of developing uveitis among cancer patients.

Methods: Cancer patients who received ICI therapy and a comparison group of cancer patients who did not receive ICI therapy were retrospectively recruited from the TriNetX electronic heath-record registry. The outcome of interest was the development of new-onset uveitis.

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Reports on uveitis after COVID-19 have been limited. Our objective was to examine the risk of uveitis among COVID-19 patients. This was a retrospective cohort study based on the TriNetX platform.

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Neutrophil recruitment to sites of infection and inflammation is an essential process in the early innate immune response. Upon activation, a subset of neutrophils rapidly assembles the multiprotein complex known as the NLRP3 inflammasome. The NLRP3 inflammasome forms at the microtubule organizing center, which promotes the formation of interleukin (IL)-1β and IL-18, essential cytokines in the immune response.

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To investigate the clinical efficacy of omidenepag isopropyl (OMDI) among glaucoma patients in terms of increased intraocular pressure (IOP) changes through a meta-analysis. Studies investigating the clinical efficacy of OMDI toward glaucoma patients were systemically searched. Inclusion criteria include recruiting studies that consisted of glaucoma or normal tension glaucoma patients who received OMDI treatment at least 4 weeks in duration.

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Article Synopsis
  • The study investigated the potential link between tinnitus (ringing in the ears) and uveitis (inflammation of the eye) due to shared autoimmune pathways.
  • It analyzed data from over 31,000 tinnitus patients compared to more than 124,000 individuals without tinnitus, from 2001 to 2018.
  • Results indicated that tinnitus patients have a significantly higher risk of developing uveitis, suggesting a possible association between the two conditions.
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  • Emergency granulopoiesis (EG) boosts neutrophil production in response to severe inflammation and can be monitored through photolabeling techniques.
  • Traditional photolabeling has limitations due to strong laser requirements and its inability to clearly differentiate new neutrophils from existing ones.
  • Researchers developed a transgenic zebrafish line that shifts from green fluorescent protein (GFP) to red fluorescent protein (RFP) in neutrophils, enabling easier measurement of EG through simple ratiometric imaging of GFP/RFP.
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The average lifespan of a neutrophil is less than 24 h, which limits basic research on neutrophils and the application of neutrophil studies. Our previous research indicated that multiple pathways could mediate the spontaneous death of neutrophils. A cocktail was developed by simultaneously targeting these pathways, caspases-lysosomal membrane permeabilization-oxidant-necroptosis inhibition plus granulocyte colony-stimulating factor (CLON-G), which prolonged the neutrophil lifespan to greater than 5 days without significantly compromising the neutrophil function.

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  • There is currently no established protocol for managing tubercular uveitis (TBU) in Taiwan, prompting a need for a consensus.
  • The Taiwan Ocular Inflammation Society organized a meeting with key experts to discuss nomenclature, diagnosis, and treatment of TBU, supported by a literature review.
  • As a result, they created consensus statements and an algorithm for TBU management, aimed at improving clinical practices while still valuing individual clinician-patient relationships.
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We report a case of fibrinoid reaction after diabetic vitrectomy surgery. Our case report describes a male patient with severe fibrinoid reaction with both intravitreal fibrin bands and subretinal fibrin and fluid following vitrectomy for diabetic retinopathy. He was managed initially with posterior subtenon and suprachoroidal injection of triamcinolone as well as intravitreal injection of tissue plasminogen activator (TPA).

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