Publications by authors named "Joshua Luis"

Introduction: As with any other radial glia in the central nervous system, Müller glia derive from the same neuroepithelial precursors, perform similar functions, and exhibit neurogenic properties as radial glia in the brain. Müller glial cells retain progenitor-like characteristics in the adult human eye and can partially restore visual function upon intravitreal transplantation into animal models of glaucoma. Recently, it has been demonstrated that intracellular communication is possible via the secretion of nano-sized membrane-bound extracellular vesicles (EV), which contain bioactive molecules like microRNA (miRNA) and proteins that induce phenotypic changes when internalised by recipient cells.

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Glaucomatous optic neuropathy (GON) is the major cause of irreversible visual loss worldwide and can result from a range of disease etiologies. The defining features of GON are retinal ganglion cell (RGC) degeneration and characteristic cupping of the optic nerve head (ONH) due to tissue remodeling, while intraocular pressure remains the only modifiable GON risk factor currently targeted by approved clinical treatment strategies. Efforts to understand the mechanisms that allow species such as the zebrafish to regenerate their retinal cells have greatly increased our understanding of regenerative signaling pathways.

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Article Synopsis
  • Vogt-Koyanagi-Harada (VKH) disease is an autoimmune condition affecting melanin-rich areas of the body, leading to serious eye complications and potentially poor vision if untreated.
  • A 20-year retrospective study of 26 patients revealed a trend towards using a combination of immunosuppressive therapy (IMT) and low-dose steroids rather than steroids alone, with 81% of patients achieving disease stability after 24 months.
  • Although MMF (mycophenolate mofetil) was the most commonly used IMT and tolerated well, half of the patients treated with it still struggled to control the disease, prompting a review of other treatment options.
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Müller glia play very important and diverse roles in retinal homeostasis and disease. Although much is known of the physiological and morphological properties of mammalian Müller glia, there is still the need to further understand the profile of these cells during human retinal development. Using human embryonic stem cell-derived retinal organoids, we investigated the transcriptomic profiles of CD29/CD44 cells isolated from early and late stages of organoid development.

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Article Synopsis
  • The study aims to identify predictive factors for abnormal MRI scans that indicate demyelination in adult non-infectious uveitic patients before starting adalimumab therapy.
  • A retrospective analysis of 240 patients from a single institution was conducted, focusing on the underlying disease, clinical characteristics, and MRI results.
  • The findings revealed that bilateral idiopathic intermediate uveitis and neurological symptoms significantly predict abnormal MRI scans, suggesting the need for a screening protocol for those at high risk of demyelination.
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Aims: To evaluate the efficacy of tacrolimus in patients with noninfectious uveitis, as well as the usefulness of serum tacrolimus concentration measurements in predicting disease control.

Methods: A retrospective review was carried out on 71 eligible patients from a single specialist uveitis center for minimum 1-year follow-up. Analysis was carried out on disease activity, visual acuity, and trough serum tacrolimus concentrations (STC).

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Purpose: To report treatment outcomes and efficacy of the fluocinolone acetonide 0.19 mg intravitreal implant (Iluvien) in controlling retinal and choroidal inflammation in 11 patients with birdshot retinochoroiditis.

Methods: A single-centre, retrospective, interventional case series.

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Purpose: A major challenge in glaucoma research is the lack of reproducible animal models of RGC and optic nerve damage, the characteristic features of this condition. We therefore examined the glaucomatous responses of two different rat strains, the Brown Norway (BN) and Lister Hooded (LH) rats, to high intraocular pressure (IOP) induced by injection of magnetic beads into the anterior chamber.

Methods: Magnetic microsphere suspensions (20 µl of 5-20 mg/ml) were injected into the anterior chamber of BN (n = 9) or LH (N = 15) rats.

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Galectins are carbohydrate binding proteins with high affinity to ß-galactoside containing glycoconjugates. Understanding of the functions of galectins has grown steadily over the past decade, as a result of substantial advancements in the field of glycobiology. Galectins have been shown to be versatile molecules that participate in a range of important biological systems, including inflammation, neovascularisation and fibrosis.

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Purpose: To investigate if previous intravitreal anti vascular endothelial growth factor (VEGF) injections are a predictor for posterior capsule rupture (PCR) during phacoemulsification cataract surgery.

Setting: National Health Service: Whipps Cross University Hospital Eye Treatment Centre. District General, London, United Kingdom DESIGN:: Single centre, retrospective, electronic medical record (EMR) database study with univariate analysis.

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Purpose: To investigate the differences in demographics and clinical characteristics of patients diagnosed with ocular toxoplasmosis according to their IgM status.

Methods: Retrospective case note analysis was carried out on patients who tested positive for serum -specific IgM antibodies (IgM+) as well as a comparator group who tested negative for serum IgM (IgM-), but positive for serum IgG. Patient demographics and clinical features were compared between the two groups to evaluate for any significant differences.

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Purpose: To investigate whether previous intravitreal antivascular endothelial growth factor (VEGF) injections are a predictor for posterior capsular rupture (PCR) during phacoemulsification cataract surgery.

Setting: Whipps Cross University Hospital Eye Treatment Centre, London, United Kingdom.

Design: Single-center, retrospective, electronic medical record (EMR) database study with univariate analysis.

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Müller glia constitute the main glial cells of the retina. They are spatially distributed along this tissue, facilitating their close membrane interactions with all retinal neurons. Müller glia are characterized by their active metabolic functions, which are neuroprotective in nature.

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Purpose: To assess the performance of patient-reported outcome measure questionnaires and determine their appropriateness for routine use in cataract patients.

Setting: Moorfields Eye Hospital, London, United Kingdom.

Design: Prospective cohort study.

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We present a case of a 52-year-old man with sudden, bilateral central loss of vision as a result of inhalation of 'poppers'. He was found to have characteristic changes on optical coherence tomography. With conservative treatment, the patient's vision improved marginally at 3 months follow-up.

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Introduction: Leiomyosarcoma of the small bowel is an extremely rare form of gastrointestinal malignancy. Small bowel tumours are usually asymptomatic at the early stages, and difficult to visualise by upper and lower endoscopy.

Presentation Of Case: An 83-year-old gentleman presented in surgical outpatient clinic with chronic anaemia, abdominal discomfort and a single episode of malaena.

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