Publications by authors named "Ronald A Schachar"

How the human eye focuses for near; i.e. accommodates, is still being evaluated after more than 165 years.

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To determine the effect of zonular forces on lens capsule topography, a finite element (FE) analyses of lens capsules with no lens stroma and constant and variable thickness with anterior capsulotomies of 1.5 mm-6.5 mm were evaluated when subjected to equatorial (Ez), anterior (Az) and posterior (Pz) zonular forces.

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Aim: To compare the results of human high resolution image registration studies of the eye during accommodation to the predictions of mathematical and finite element models of accommodation.

Methods: Data from published high quality image registration studies of pilocarpine induced accommodative changes of equatorial lens radius (ELR) and central lens thickness (CLT) were statistically analyzed.

Results: The mean changes in ELR and CLT were 6.

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Purpose: The objective was to assess the long-term effect of treatment with latanoprost on ocular development and safety in pediatric patients with glaucoma and ocular hypertension.

Design: Prospective cohort study.

Methods: This was a prospective 3-year cohort study conducted in 14 countries in Europe and South America.

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Purpose: Ligands for the proinflammatory C-C chemokine receptor types 2 and 5 (CCR2 and CCR5) are elevated in the eyes of patients with diabetic macular edema (DME). We evaluated the efficacy and safety of PF-04634817, an oral CCR2/5 dual antagonist, versus intravitreal ranibizumab, in adult subjects with DME.

Methods: In this phase II, randomized, placebo-controlled, double-masked study, eligible subjects (≥18 years of age) had type 1 or 2 diabetes and DME with best-corrected visual acuity (BCVA) of 20/32 or worse (letter score ≤ 78), and up to 20/320 or better (≥24 letter score), in the study eye.

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Purpose: To measure the maximum, objectively measured, accommodative amplitude, produced by pharmacologic stimulation.

Methods: Thirty-seven healthy subjects were enrolled, with a mean age of 20.2±1.

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Purpose: Our purpose was to determine the changes in anterior chamber depth (ACD) and central lens thickness (CLT) during pharmacologically induced accommodation.

Methods: Following pupillary dilation with phenylephrine 10%, baseline auto-refractions and swept-source optical coherence tomographic biometric images (Zeiss IOLMaster 700) were obtained from the right eyes of 25 subjects aged 19 to 24 years. Pilocarpine 4% and phenylephrine 10% were then instilled into these right eyes.

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Purpose: To evaluate anterior chamber depth, central crystalline lens thickness and lens curvature during accommodation.

Setting: California Retina Associates, El Centro, CA, USA.

Design: Healthy volunteer, prospective, clinical research swept-source optical coherence biometric image registration study of accommodation.

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Article Synopsis
  • Age-related Macular Degeneration (AMD) is a major cause of blindness in older adults, particularly in developed nations, with the wet (neovascular) type being especially severe.
  • Anti-VEGF treatments currently used for wet-AMD are only fully effective for about 40% of patients and require invasive injections.
  • Axitinib, an oral medication that inhibits both VEGF and PDGF pathways, shows promise in improving treatment outcomes for wet-AMD, demonstrating greater effectiveness in certain models compared to traditional therapies.
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Purpose: To evaluate the safety and efficacy of three doses of PF-04523655, a 19-nucleotide methylated double stranded siRNA targeting the RTP801 gene, for the treatment of diabetic macular edema (DME) compared to focal/grid laser photocoagulation.

Methods: This multicenter, prospective, masked, randomized, active-controlled, phase 2 interventional clinical trial enrolled 184 DME patients with best corrected visual acuity (BCVA) of 20/40 to 20/320 inclusive in the study eye. Patients were randomly assigned to 0.

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Objective: To evaluate the efficacy of different dosing paradigms of PF-04523655 (PF) versus ranibizumab (comparator) in subjects with neovascular age-related macular degeneration (AMD).

Design: Multicenter, open-label, prospective, randomized, comparator-controlled exploratory study.

Participants: A total of 151 patients with subfoveal choroidal neovascularization (CNV) secondary to neovascular AMD who were naive to AMD therapy.

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