Publications by authors named "Makoto Nakamura"

Purpose: To report the 3-year outcomes of surgical bleb revision (SBR) with mitomycin C (MMC) for early scarring bleb after trabeculectomy (TLE).

Study Design: Retrospective observational study.

Methods: We included glaucoma patients aged ≧ 18 who underwent SBR with MMC within 6 months of their first TLE at Kobe University Hospital and were followed for at least 6 months.

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  • This study investigates the role of fibrinogen, a protein elevated in diabetic retinopathy (DR), in contributing to vision impairment among diabetes patients.* -
  • Experimental results showed that high fibrinogen levels decreased the neuronal marker TUBB3 and negatively affected retinal responses, suggesting damage to retinal cells.* -
  • The study concludes that the fibrinogen/ICAM-1 pathway is crucial in DR's pathology, offering potential new treatment strategies for patients with difficult-to-treat conditions.*
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This study aimed to identify the factors affecting the gripping force and stiffness of 25-gauge and 27-gauge (25G and 27G, respectively) internal limiting membrane (ILM) forceps and to compare the effect of these factors on various ILM forceps manufactured by different companies. This study evaluated 25G and 27G ILM forceps with two different types of tip shapes, Eckardt and Maxgrip, manufactured by Alcon (A), DORC (B), VitreQ (C), and Katalyst (D). The gripping force was defined as the force required to move the ILM forceps away from a thin paper by pulling the paper.

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Purpose: To investigate the usage status of biologics for the chronic treatment of optic neuritis including neuromyelitis optica spectrum disorders in Japan.

Design: Multicenter retrospective case series.

Methods: Patients diagnosed with anti-aquaporin 4 antibody (AQP4-Ab) positive optic neuritis and had been initiated on biologics (satralizumab, eculizumab, and inebilizumab) between January 2020 and August 2022 were identified at 30 facilities in Japan.

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Purpose: Steroid-induced ocular hypertension (SIOH) is a significant ocular complication of pediatric steroid administration. In this study, we analyzed the risk factors associated with pediatric SIOH.

Methods: We retrospectively collected data from 78 children under 20 years of age who received systemic steroids during hospitalization.

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  • The study examined the relationship between age and surgical outcomes after trabeculectomy, considering various confounding factors.
  • It analyzed data from 305 patients and defined surgical success through specific criteria related to intraocular pressure and the need for additional surgery.
  • Results indicated that while older patients had a higher incidence of exfoliation glaucoma, age itself wasn't a key factor in surgical failure; rather, exfoliation glaucoma was more significant in determining outcomes.
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Background: Previous research has suggested a correlation between postnatal maximum weight loss (MWL) and both neonatal mortality and morbidities in extremely preterm infants. However, the relationship between MWL and neurodevelopmental outcomes remains underexplored.

Methods: In a single-center, retrospective cohort study at Okayama Medical Center, we evaluated data from extremely preterm infants admitted to the neonatal intensive care unit from 2010 to 2020.

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Postoperative intraocular lens (IOL) tilt is a risk associated with IOL scleral fixation. However, the cause of IOL tilt during IOL suturing remains unclear. Therefore, this study aimed to evaluate the surgical outcomes of a modified IOL suturing technique and investigate the factors contributing to postoperative IOL tilt and decentration.

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  • The study explores the mTEIER-A surgical technique for accessing the jugular fossa (JF), considering the complex anatomy and the proximity of vital structures like the sigmoid sinus (SS).
  • Researchers conducted dissections on human head specimens, measuring SS position, horizontal angle of attack, and size using high-resolution CT scans to evaluate surgical access before and after the procedure.
  • Results indicate that certain positions of the SS and horizontal angles enhance access to the JF, suggesting that this technique may reduce the need for more invasive surgeries, highlighting the importance of careful preoperative planning.
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Background: Retinopathy of prematurity (ROP) is a significant cause of blindness in infants. Appropriate therapeutic intervention is essential because retinal detachment due to the progression of ROP is critical to visual function. The intravitreal injection of anti-vascular endothelial growth factor (VEGF) agents has been increasingly applied to inhibit the development and progression of ROP.

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  • * In a specific case, a 48-year-old woman had trouble seeing because of this bleeding, but doctors used a special surgery to remove the blood without damaging a part of the eye called the fovea.
  • * After the surgery, her vision improved significantly, showing that this method can be a good way to treat this type of eye bleeding.
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Purpose: To explore the frequency and positions of genetic mutations in CYP1B1 and FOXC1 in a Japanese population.

Study Design: Molecular genetic analysis.

Methods: Genomic DNA was extracted from 31 Japanese patients with childhood glaucoma (CG) from 29 families.

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We evaluated the clinical impacts of the concurrent modification of post-transplant cyclophosphamide (PTCy) dose and tacrolimus (Tac)-initiation timing in 61 patients with human leukocyte antigen-haploidentical transplantation. Reduced-dose PTCy (80 mg/kg) was associated with a higher incidence of moderate-to-severe chronic graft-versus-host disease (GVHD) than standard-dose PTCy (100 mg/kg) (35.0% vs.

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: Obesity poses known risks in surgery, including a prolonged operation time and postoperative complications. Given the rising obesity rates and frequent lumbar disc surgeries, understanding these risks is crucial. This study aims to assess the impact of obesity on operation duration and postoperative complications in lumbar disc prolapse surgery.

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  • The study investigates the effectiveness of retinal pigment epithelium replacement therapy for patients with Bietti crystalline dystrophy (BCD) by examining the relationship between fundus autofluorescence abnormalities and visual field defects.
  • It includes data from 16 BCD patients and 16 patients with RHO-associated retinitis pigmentosa, analyzing their fundus autofluorescence and visual field test results.
  • Findings reveal that in BCD patients, the area of FAF abnormalities does not correlate with visual field loss, highlighting the potential for therapy to help preserve remaining vision, unlike in RHO-associated cases where correlations were stronger.
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Background And Objectives: Cavernous sinus meningiomas (CSM) pose one of the most difficult to treat subgroup of skull base meningiomas. The purpose of this study was to evaluate the efficacy of an interdisciplinary treatment approach for symptomatic CSM which incorporated conservative function preserving microsurgery and routine adjuvant fractionated stereotactic radiotherapy (FSRT).

Methods: A homogenous group of patients with symptomatic primary CSM with extracavernous extension was treated between 2005 and 2012.

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Objective: Although the challenging prognosis of functional single ventricles with common atrioventricular valves due to complex morphology and uncontrollable regurgitation by valvuloplasty has been highlighted, reports on when and how these extremely complicated atrioventricular valves should be repaired are few. This study investigated the timing and risk factors for valve intervention in these patients.

Methods: Between April 2006 and March 2023, 40 patients with heterotaxy syndrome associated with functional single ventricles underwent surgery.

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(1) Background: In this study, the intraoperative fluorescence behavior of brain metastases after the administration of 5-aminolevulinic acid (5-ALA) was analyzed. The aim was to investigate whether the resection of brain metastases using 5-ALA fluorescence also leads to a more complete resections and thus to a prolongation of survival; (2) Methods: The following variables have been considered: age, sex, number of metastases, localization, involvement of eloquent area, correlation between fluorescence and primary tumor/subtype, resection, and survival time. The influence on the degree of resection was determined with a control MRI within the first three postoperative days; (3) Results: Brain metastases fluoresced in 57.

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  • The text discusses the potential risks associated with the timing of intravitreal anti-VEGF injections and COVID-19 vaccinations, particularly concerning ocular inflammation.
  • A case study is presented involving a 74-year-old man who developed acute noninfectious anterior ocular inflammation after receiving a COVID-19 vaccine and an anti-VEGF injection.
  • The patient experienced blurred vision and inflammation in his left eye, but further exams ruled out serious complications, indicating that more awareness about the interaction between these procedures is necessary.
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Background: While positive pressure ventilation has been considered an important contributing factor associated with pulmonary air leaks, studies examining the association between specific ventilatory settings during acute-phase high-frequency oscillatory ventilation (HFOV) and pulmonary air leaks among extremely preterm infants are limited.

Methods: This was a single-center retrospective cohort study conducted at an institution that primarily used HFOV after intubation in extremely preterm infants. We analyzed data from extremely preterm infants born between 2010 and 2021.

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Background: Immune checkpoint inhibitors (ICIs) have become key agents in the treatment of non-small cell lung cancer worldwide. However, immune-related adverse events (irAEs) must be addressed to maximize the efficacy of ICIs. Mycobacterium tuberculosis (Mtb) infection is considered as a type of irAE associated with ICIs, but the underlying mechanism is not completely understood.

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  • This study investigates the combination of upadacitinib (UPA) and intensive granulocyte and monocyte adsorptive apheresis (GMA) as a treatment for patients with intractable ulcerative colitis (UC) who have not responded to standard therapies.
  • Among the eight patients treated, 50% achieved clinical remission within 10 weeks, with notable histological and endoscopic improvements seen in a majority.
  • The treatment was generally safe, though some adverse effects occurred, including herpes zoster and temporary taste changes, indicating that this combination therapy could be a promising option for difficult cases of UC.
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Endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) has emerged as an alternative drainage technique for patients with malignant biliary obstruction. However, few reports have discussed the occurrence of late-onset rupture of hepatic artery pseudoaneurysms following EUS-HGS. A recently available drill dilator equipped with a long screw segment was used in the dilation step of EUS-HGS.

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Purpose: Occupational musculoskeletal disorders are prevalent in ophthalmic surgeons and can impact surgeons' well-being and productivity. Heads-up displays may reduce ergonomic stress compared to conventional microscopes. This cross-sectional, non-interventional study compared ergonomic experience between heads-up display and conventional ocular microscopes.

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