Publications by authors named "Roger Wolfs"

Article Synopsis
  • * A significant reduction in mean IOP and IOP-lowering medications was observed, with the average IOP dropping from 21.72 mmHg to 15.92 mmHg after one year, and medications decreasing by about 73%.
  • * Though generally safe, secondary surgeries were needed in about 19.4% of cases, with hypotony being the most common complication reported (2−39%).
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Background: Early studies have shown that micropulse transscleral cyclophotocoagulation (MP-TSCPC) might be an effective and safe treatment option for lowering intraocular pressure (IOP). These studies were, however, somewhat limited, in particular by their retrospective nature and the length of follow-up. Therefore, we assessed the efficacy and safety of this novel treatment in a large cohort for up to 4 years.

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Background: To assess the efficacy of XEN-implant surgery in patients with glaucoma, and to perform a meta-analysis of previously published results and compare these to our data.

Methods: Prospective case-control study, in which all eyes that underwent XEN-implant surgery were included from 2015 onwards. Sub-analyses were performed for eyes that underwent XEN-implant as standalone procedure and as cataract-combined procedure.

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Objective: This review summarizes published findings concerning the Baerveldt-350 glaucoma drainage device (GDD). Most studies focus on the comparison between different treatments; in this review, the primary focus is efficacy, safety, and place in therapy for the Baerveldt implant.

Methods: A systematic review was performed using the PubMed database for literature on March 13th, 2020.

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Background: To assess the relationship between different indications for trans pars plana vitrectomies (PPV's) and the intraocular pressure (IOP), and the effect of multiple PPV's on the IOP. We also examined whether there were differences in the number of IOP-lowering medications or surgeries before and after PPV.

Methods: A retrospective study including all patients that underwent at least one PPV in the period from 2001 till 2014 at our clinic.

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Article Synopsis
  • The study aimed to analyze the genetic connections between common myopia and primary open-angle glaucoma (POAG) using two different research groups.
  • Researchers tested various polygenic risk scores (PRSs) derived from large genetic studies but found no significant associations between myopia PRS and POAG or its measured traits such as intraocular pressure.
  • While no genetic overlap between myopia and POAG was established, a noteworthy connection was found between myopia and the size of the optic disc, affirming the effectiveness of the research methods used.
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Aim: To investigate the changes in intraocular pressure (IOP) before and after intraocular surgery measured with Goldmann applanation tonometry (GAT) and pascal dynamic contour tonometry (PDCT), and assessed their agreement.

Methods: Patients who underwent trans pars plana vitrectomy (TPPV) with or without cataract extraction (CE) were included. The IOP was measured in both eyes with GAT and PDCT pre- and postoperatively, where the non-operated eyes functioned as control.

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Purpose: To assess the efficacy of glaucoma drainage devices (GDD) in uveitic glaucoma and non-uveitic glaucoma, and to perform a meta-analysis of previously published results to compare with our data.

Methods: Retrospective case-control study, in which all eyes that underwent GDD surgery were included from 2015 onwards. Cases were defined as patients with uveitic glaucoma.

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Purpose: To analyse intraocular cytokine levels and prevalence of intraocular antiretinal antibodies (ARAs) in patients with retinitis pigmentosa (RP), age-related macular degeneration (AMD), glaucoma and cataract, and correlate the results to clinical manifestations.

Methods: We collected intraocular fluid samples from patients with RP (n = 25), AMD (n = 12), glaucoma (n = 28) and cataract (n = 22), and serum samples paired with the intraocular fluids from patients with RP (N = 7) and cataract (n = 10). Interleukin (IL)-1β, IL-1ra, IL-2, IL-6, IL-6rα, IL-7, IL-8, IL-10, IL-17A, IL-23, thymus- and activation-regulated chemokine (TARC), monocyte chemoattractant protein-1 (MCP-1), tumour necrosis factor-alpha (TNF-α), placental growth factor (PlGF) and vascular endothelial growth factor (VEGF) were measured using a multiplex assay.

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To determine the incidence of glaucomatous visual field loss (GVFL) two decades after the start of the Rotterdam Study, and to compare known risk factors for open-angle glaucoma (OAG) between different clinical manifestations of OAG. Of 6806 participants aged 55 years and older from the population-based Rotterdam Study, 3939 underwent visual field testing at baseline and at least one follow-up round. The ophthalmic examinations included optic disc assessment and measurements of intraocular pressure (IOP), refractive error, diastolic blood pressure (DBP), and height and weight.

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Primary open-angle glaucoma (POAG), the most common optic neuropathy, is a heritable disease. Siblings of POAG cases have a ten-fold increased risk of developing the disease. Intraocular pressure (IOP) and optic nerve head characteristics are used clinically to predict POAG risk.

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Raised intraocular pressure (IOP) is the most important risk factor for developing glaucoma, the second commonest cause of blindness globally. Understanding associations with IOP and variations in IOP between countries may teach us about mechanisms underlying glaucoma. We examined cross-sectional associations with IOP in 43,500 European adults from 12 cohort studies belonging to the European Eye Epidemiology (E) consortium.

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Article Synopsis
  • * Central corneal thickness (CCT) is highly influenced by genetics, with studies identifying common genetic variants, but often overlooking rare exonic variants.
  • * This study discovered a significant genetic variant (rs121908120) linked to CCT and keratoconus in a large sample, showing that it doubles the risk of developing keratoconus compared to controls.
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Article Synopsis
  • - Primary open-angle glaucoma (POAG) is a serious eye disease linked to genetics and factors like family history and high intraocular pressure (IOP), with certain genes identified as contributing to its risk, although they only explain a small fraction of the heritability.
  • - A genome-wide association study in the Rotterdam populations uncovered a new genetic locus related to IOP, specifically the SNP rs58073046 located in the ARHGEF12 gene, which was validated in additional studies showing a significant association with both IOP and POAG.
  • - ARHGEF12 is crucial for regulating IOP through the RhoA/RhoA kinase pathway and connects with other known POAG-related genes, highlighting its potential
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Article Synopsis
  • Primary open-angle glaucoma is a leading cause of permanent blindness and involves changes in the optic nerve structure, particularly the optic disc and neuroretinal rim.
  • The International Glaucoma Genetics Consortium analyzed genetic data from over 24,000 individuals to explore relationships between specific genetic locations (loci) and optic nerve measurements called disc area and cup area.
  • They discovered 20 new genetic loci linked to these measurements, which may enhance understanding of glaucoma mechanisms and lead to new research on treatment and prevention.
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Purpose: We determined the glaucoma screening performance of regional optical coherence tomography (OCT) layer thickness measurements in the peripapillary and macular region, in a population-based setting.

Methods: Subjects (n = 1224) in the Rotterdam Study underwent visual field testing (Humphrey Field Analyzer) and OCT of the macula and optic nerve head (Topcon 3-D OCT-1000). We determined the mean thicknesses of the retinal nerve fiber layer (RNFL), retinal ganglion cell layer (RGCL), and inner plexiform layer for regions-of-interest; thus, defining a series of OCT parameters, using the Iowa Reference Algorithms.

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Article Synopsis
  • Glaucoma causes irreversible blindness and is primarily linked to optic nerve degeneration, with a focus on the vertical cup-disc ratio (VCDR) as a key indicator.
  • A meta-analysis by the International Glaucoma Genetics Consortium revealed 10 new genetic loci tied to VCDR variation among large groups of individuals from European and Asian backgrounds.
  • The findings indicate that Caucasian individuals in the highest risk group have a 2.5-fold greater chance of developing primary open-angle glaucoma, significantly enhancing the understanding of the genetic factors involved in this eye condition.
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Elevated intraocular pressure (IOP) is an important risk factor in developing glaucoma, and variability in IOP might herald glaucomatous development or progression. We report the results of a genome-wide association study meta-analysis of 18 population cohorts from the International Glaucoma Genetics Consortium (IGGC), comprising 35,296 multi-ancestry participants for IOP. We confirm genetic association of known loci for IOP and primary open-angle glaucoma (POAG) and identify four new IOP-associated loci located on chromosome 3q25.

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Article Synopsis
  • * A meta-analysis of over 20,000 people found 16 new genetic locations associated with CCT, including two key loci (FOXO1 and FNDC3B) that significantly increase the risk for keratoconus.
  • * FNDC3B was also linked to primary open-angle glaucoma, suggesting that collagen and extracellular matrix pathways are important in regulating CCT.
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Background: It is largely unknown if corticosteroid-induced open-angle glaucoma (OAG) is an entity that is limited to a few susceptible individuals or whether it contributes significantly to the overall population burden of OAG.

Objective: The aim of this study was to determine whether there is an association between corticosteroid use and the incidence of OAG in the general elderly population.

Methods: A prospective population-based cohort study was conducted in a general community setting.

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Central corneal thickness (CCT) has become an endophenotype of major interest for the genetically complex disorder glaucoma. CCT has a high heritability, and thin CCT is an independent risk factor for the diagnosis and progression of open-angle glaucoma. Genome-wide association studies thus provide genetic loci associated with CCT and potentially related to open-angle glaucoma.

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Purpose: To determine the associations between the use of antithrombotic drugs and incident open-angle glaucoma (OAG).

Methods: Ophthalmic examinations including measurements of the IOP and perimetry were performed at baseline and follow-up in 3939 participants of the prospective population-based Rotterdam Study who did not have OAG at baseline. The use of antithrombotic drugs was monitored continuously during follow-up.

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Intraocular pressure (IOP) is a highly heritable risk factor for primary open-angle glaucoma and is the only target for current glaucoma therapy. The genetic factors which determine IOP are largely unknown. We performed a genome-wide association study for IOP in 11,972 participants from 4 independent population-based studies in The Netherlands.

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Open-angle glaucoma (OAG) is the commonest cause of irreversible blindness worldwide. Apart from an increased intraocular pressure (IOP), oxidative stress and an impaired ocular blood flow are supposed to contribute to OAG. The aim of this study was to determine whether the dietary intake of nutrients that either have anti-oxidative properties (carotenoids, vitamins, and flavonoids) or influence the blood flow (omega fatty acids and magnesium) is associated with incident OAG.

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Purpose: The size of the optic nerve head, referred to as disc area (DA), and the vertical cup-disc ratio (VCDR), are clinically relevant parameters for glaucomatous optic neuropathy. Although these measures have a high heritability, little is known about the underlying genes. Previously, the genes SALL1 and SIX1 were found to be genome-wide significantly associated with DA and VCDR.

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