Publications by authors named "Nora Szentmary"

Purpose: To investigate different measures for corneal astigmatism in the context of reconstructed corneal astigmatism (recCP) as required to correct the pseudophakic eye, and to derive prediction models to map measured corneal astigmatism to recCP.

Methods: Retrospective single centre study of 509 eyes of 509 cataract patients with monofocal (MX60P) IOL. Corneal power measured with the IOLMaster 700 keratometry (IOLMK), and Galilei G4 keratometry (GK), total corneal power (TCP2), and Alpin's integrated front (CorT) and total corneal power (CorTTP).

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Introduction: Congenital aniridia is increasingly recognized as part of a complex syndrome with numerous ocular developmental anomalies and non-ocular systemic manifestations. This requires comprehensive care and treatment of affected patients. Our purpose was to analyze systemic diseases in patients with congenital aniridia within the Homburg Aniridia Registry.

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Introduction: Congenital aniridia is a rare panocular disorder that is associated with varying degrees of impairment of visual acuity. The COST Action (CA18116) developed a survey (aniridia-net.eu) to assess patient-reported experiences with congenital aniridia and its impacts on vision and daily life.

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Purpose: The potential risks and benefits of cataract surgery, in context of congenital aniridia (CA), are not widely understood, yet. Our purpose was to investigate the effect of lens properties on visual acuity (VA), aniridia-associated keratopathy (AAK) stage and presence of glaucoma at the Homburg Aniridia Center.

Methods: CA subjects, examined at the Department of Ophthalmology of Saarland University between June 2003 and January 2022, were included.

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Purpose: In PAX6 syndrome, it is still not clear, whether prenatally, parallel to the iris tissue developmental anomaly, there is neural ectodermal, neural crest, or mesodermal cell deposition at the corneal endothelium, affecting endothelial structure and function. In addition, because of the postnatal corneal inflammation and commonly appearing secondary glaucoma, progressive endothelial changes are expected. Our purpose was to study the corneal endothelium in subjects with PAX6 aniridia, using in vivo confocal laser scanning microscopy.

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Article Synopsis
  • The study investigates how increasing glucose levels affect gene expression in two types of human limbal fibroblasts: primary healthy (LFCs) and congenital aniridia (AN-LFCs).
  • LFCs and AN-LFCs were cultured in either normal glucose (17.5 mM) or high glucose (70 mM) for 48 or 72 hours, and various mRNA and protein expressions related to growth factors, oxidative stress, and hypoxia were analyzed.
  • Results showed that higher glucose significantly altered the expression of key markers like TGF-β1, Nrf2, and NFκB, with differing effects between LFCs and AN-LFCs, indicating a complex response to glucose
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  • Congenital aniridia causes significant vision loss due to the absence of PAX6 protein, leading to related eye issues.
  • The study investigates the role of miR-204-5p in regulating PAX6 function, showing that while it effectively suppresses specific gene expressions in lab models, results vary in different cell types.
  • In animal models, topical treatment with miR-204-5p did not achieve expected outcomes regarding PAX6 levels or inflammatory gene suppression, indicating the need for more research on long-term effects.
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Purpose: To measure the retinal oxygen metabolic function with retinal oximetry (RO) in patients with choroideremia (CHM) and compare these findings with retinitis pigmentosa (RP) patients and controls.

Methods: Prospective observational study including 18 eyes of 9 molecularly confirmed CHM patients (9♂; 40.2 ± 21.

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Background: The purpose of this study was to simulate the impact of biometric measure uncertainties, lens equivalent and toric power labelling tolerances and axis alignment errors on the refractive outcome after cataract surgery with toric lens implantation.

Methods: In this retrospective non-randomised cross sectional Monte-Carlo simulation study we evaluated a dataset containing 7458 LenStar 900 preoperative biometric measurements. The biometric uncertainties from literature, lens power labelling according to ISO 11979, and axis alignment tolerances of a modern toric lens (Hoya Vivinex) were taken to be normally distributed and used in a Monte-Carlo simulation with 100 000 samples per eye.

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Background: Early therapeutic penetrating keratoplasty (TKP) for Acanthamoeba keratitis (AK) is thought to have a worse visual prognosis than the delayed optical penetrating keratoplasty (OKP) after successful conservative treatment of AK. This has led to a tendency to prolong conservative therapy and delay penetrating keratoplasty in patients with AK. This retrospective series presents the results of patients with AK that underwent early penetrating keratoplasty after reducing the corneal amoeba load through intensive conservative therapy, so-called "" (LLKP).

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Introduction: In congenital aniridia caused by mutations in paired box 6 (PAX6), PAX6 influences the migration and differentiation of limbal epithelial cells (LECs), thereby playing a pivotal role in aniridia-associated keratopathy. The antidepressants ritanserin and duloxetine affect PAX6 expression in LECs. Limbal stromal cells, which support limbal epithelial stem cells, are crucial in the limbal stem cell niche.

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Article Synopsis
  • - Aniridia-associated keratopathy is linked to a shortage of the PAX6 transcription factor, leading to increased oxidative stress and damaged proteins in the corneal epithelium of affected individuals.
  • - In a study comparing normal limbal fibroblast cells (LFCs) and LFCs from congenital aniridia patients, it was found that an increase in oxidative stress significantly affected gene and protein expression of antioxidant enzymes in aniridia LFCs.
  • - The results showed that aniridia LFCs have a heightened vulnerability to oxidative stress, with changes in expression levels of key enzymes, such as decreased Nrf2 and antioxidant enzymes like CAT, SOD1, and GPX1, in
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Purpose: To investigate the performance of a simple prediction scheme for the formula constants optimized for a mean (MPE), standard deviation (SDPE) or root-mean-squared refractive prediction error (RMSPE).

Design: Retrospective cross-sectional study.

Methods: Using IOLMaster 700 biometric data from 888 eyes treated with the Hoya Vivinex lens and 821 eyes treated with the Alcon SA60AT lens, plus the power of the implanted lens and postoperative spherical equivalent refraction, optimized constants for SRKT, Hoffer Q, Holladay 1, Haigis, and K6 formulae were calculated using an iterative nonlinear optimization for zero MPE and minimal SDPE and RMSPE.

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  • - The study investigates the expression of matrix metalloproteinases (MMPs) and tissue inhibitors (TIMPs) in corneal cells, focusing on differences between healthy corneas and those affected by keratoconus (KC).
  • - Researchers isolated stromal cells from both healthy and KC corneas, culturing them in different media to analyze gene and protein expression of MMPs and TIMPs.
  • - Findings reveal that KC cells show lower levels of certain MMPs and TIMPs compared to healthy cells, suggesting an imbalance that may contribute to the progression of keratoconus.
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Purpose: The purpose of this study is to compare the reconstructed corneal power (RCP) by working backwards from the post-implantation spectacle refraction and toric intraocular lens power and to develop the models for mapping preoperative keratometry and total corneal power to RCP.

Methods: Retrospective single-centre study involving 442 eyes treated with a monofocal and trifocal toric IOL (Zeiss TORBI and LISA). Keratometry and total corneal power were measured preoperatively and postoperatively using IOLMaster 700.

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Purpose: Our study aimed to evaluate the indications and outcomes of intraocular lens (IOL) explantation surgeries in a tertiary eyecare center in Hungary.

Materials And Methods: This retrospective study included all IOL explantation surgeries performed between 2006 and 2020 at the Department of Ophthalmology of Semmelweis University, Budapest, Hungary. There were no exclusion criteria for this study.

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Background: To compare results from different corneal astigmatism measurement instruments; to reconstruct corneal astigmatism from the postimplantation spectacle refraction and toric intraocular lens (IOL) power; and to derive models for mapping measured corneal astigmatism to reconstructed corneal astigmatism.

Methods: Retrospective single centre study involving 150 eyes treated with a toric IOL (Alcon SN6AT, DFT or TFNT). Measurements included IOLMaster 700 keratometry (IOLMK) and total keratometry (IOLMTK), Pentacam keratometry (PK) and total corneal refractive power in 3 and 4 mm zones (PTCRP3 and PTCRP4), and Aladdin keratometry (AK).

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Purpose: To investigate the performance of a simple prediction scheme for the formula constants optimised for a mean refractive prediction error.

Methods: Analysis based on a dataset of 888 eyes before and after cataract surgery with IOL implantation (Hoya Vivinex). IOLMaster 700 biometric data, power of the implanted lens and postoperative spherical equivalent refraction were used to calculate the optimised constants (.

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Purpose: To investigate the effect of rose bengal photodynamic therapy on lipopolysaccharide-induced inflammation in human corneal fibroblasts. Furthermore, to analyze potential involvement of the mitogen-activated protein kinase and nuclear factor kappa B signaling pathways in this process.

Methods: Human corneal fibroblast cultures underwent 0-2.

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Purpose: The purpose of this study was to investigate the effect of the corneal back surface by comparing the keratometric astigmatism (K, derived from the corneal front surface) of a modern optical biometer against astigmatism of Total Keratometry (TK, derived from both corneal surfaces) in a large population with cataractous eyes. The results were then used to define linear prediction models to map K to TK.

Methods: From a large dataset containing bilateral biometric measurements (IOLMaster 700) in 9736 patients prior to cataract surgery, the total corneal astigmatism was decomposed into vectors for K, corneal back surface (BS), and TK.

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Article Synopsis
  • * A majority of cases were linked to medications, with nonsteroidal anti-inflammatory drugs (NSAIDs) being the most common culprit, and many patients experienced chronic eye issues such as conjunctival hyperemia and corneal scarring.
  • * Treatment included topical antibiotics, artificial tears, and various surgeries, with procedures like epilation for trichiasis and cataract surgery being common for managing long-term ocular complications.
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