Publications by authors named "Rui-hua Wei"

Article Synopsis
  • This study investigates the prevalence and risk factors of refractive errors (myopia, hyperopia, etc.) among youth in urban and rural Tianjin, China, highlighting the importance of understanding these differences for public health initiatives.
  • Conducted in 2022, the study involved over 346,000 students aged 6-18 from both environments who underwent visual testing and filled out questionnaires.
  • Findings indicate that urban students are more likely to have myopia but less likely to have hyperopia compared to their rural peers, with factors such as age, near-work activities, and outdoor time contributing to these differences.
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Background: myopia is associated with sight-threatening potential complications, and it becoming increasingly common globally. However, the association between serum 25-hydroxyvitamin D [25(OH)D] concentrations and myopia remains unclear and the evidence is controversial. Thus, this study aimed to investigate the association between serum 25(OH)D concentrations and myopia in the U.

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Aim: To analyze and compare the differences among ocular biometric parameters in Han and Uyghur populations undergoing cataract surgery.

Methods: In this hospital-based prospective study, 410 patients undergoing cataract surgery (226 Han patients in Tianjin and 184 Uyghur patients in Xinjiang) were enrolled. The differences in axial length (AL), anterior chamber depth (ACD), keratometry [steep K (Ks) and flat K (Kf)], and corneal astigmatism (CA) measured using IOL Master 700 were compared between Han and Uyghur patients.

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Article Synopsis
  • The study aimed to analyze trends in myopia and high myopia prevalence among young university students in China over six years (2016-2021).
  • A total of 4,910 freshmen participated by completing a questionnaire and underwent eye examinations to assess their refractive status and ocular parameters.
  • Results showed that while the overall prevalence of myopia remained stable, there was a significant increase in high myopia cases, highlighting the need for early intervention and continued efforts to manage high myopia in young adults.
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Article Synopsis
  • A study assessed 3,573 freshman students at Tianjin Medical University over four years to determine the prevalence of refractive errors, finding an alarming rise in myopia from 93.5% in 2017 to 96.2% in 2020.
  • High myopia rates reached 28.6%, with males exhibiting higher levels of astigmatism, mostly classified as "with-the-rule."
  • Ocular measurements indicated significant differences between genders, with females generally having shorter eye lengths and distinct biometrical characteristics compared to males; overall, high myopia was linked to longer axial lengths.
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Aim: To compare the changes in the objective visual quality of patients with low and moderate myopia postoperatively after transepithelial photorefractive keratectomy using the smart pulse technology (SMART) and femtosecond laser keratomileusis (FS-LASIK).

Methods: Corneal higher-order aberrations (HOAs), horizontal coma, vertical coma and spherical aberration were measured using Pentacam, and cutoff for modulation transfer function (MTF cutoff), objective scatter index (OSI) and Strehl ratio (SR) was measured using an optical quality analysis system (OQAS-II), before and after operation at 1, 3, and 6mo, and data were analyzed by repeated measurement two-way analysis of variance.

Results: The difference in uncorrected distance visual acuity between SMART and FS-LASIK was statistically significant only 1wk postoperatively.

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Atropine, a non-selective muscarinic antagonist, effectively slows down myopia progression in human adolescents and several animal models. However, the underlying molecular mechanism is unclear. The current study investigated retinal protein changes of form-deprived myopic (FDM) guinea pigs in response to topical administration of 1% atropine gel (10 g/L).

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Aim: To evaluate related factors with the change of spherical equivalents (ΔSE) and determine the suitable predictor of clinically significant ΔSE (≥0.50 D) with cyclopentolate hydrochloride on Chinese children.

Methods: A total of 145 right eyes of 145 children aged 4 to 15y were enrolled.

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Article Synopsis
  • * Diagnosing OAG in patients with high myopia is difficult due to complications like optic disc tilt and extensive tissue atrophy.
  • * Advances in imaging technologies, particularly optical coherence tomography (OCT) and OCT angiography (OCTA), show potential for better detection of highly myopic OAG, leading to new diagnostic and treatment approaches.
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Aim: To evaluate the effect of posterior sclera collagen cross-linking induced by riboflavin-ultraviolet A (UVA) on form-deprived myopia in guinea pigs.

Methodes: Twenty-five pigmented guinea pigs of 3-week-old were randomly assigned into 4 groups that included normal control (NOR, =7), form-deprived (FDM, =7), normal with riboflavin-UVA cross-linking (NOR+CL, =5) and form-deprived with cross-linking (FDM+CL, =6). The NOR+CL group and the FDM+CL group received the riboflavin-UVA induced cross-linking at day 0.

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Aim: To evaluate the effectiveness of Grand Seiko Ref/Keratometer WAM-5500 compared to Topcon KR800 autorefractor in detecting refractive error in large scale vision screening for Chinese school age children with the WHO criteria.

Methods: A total of 886 participants were enrolled with mean age of 9.49±1.

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Aim: To determine the prevalence of vision impairment (VI) and refractive error in first year university students at the Tianjin Medical University.

Methods: This is a cross-sectional observational cohort study of VI and refractive error among first year university students at the Tianjin Medical University. The first year university students were involved in this study and were given a detailed questionnaire including age, birth date, and spectacle wearing history.

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Aim: To evaluate corneal astigmatism after phacoemulsification using 2.2 mm or 1.8 mm clear corneal micro-incisions and its effects on visual function.

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Dry eye is a highly prevalent, chronic, and multifactorial disease that compromises quality of life and generates socioeconomic burdens. The pathogenic factors of dry eye disease (DED) include tear secretion abnormalities, tear film instability, and ocular surface inflammation. An effective intervention targeting the pathogenic factors is needed to control this disease.

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Glutamate excitotoxicity is a common pathology to blinding ischemic retinopathies, such as diabetic retinopathy, glaucoma, and central retinal vein or artery occlusion. The development of an effective interventional modality to glutamate excitotoxicity is hence important to preventing blindness. Herein we showed that α-melanocyte-stimulating hormone (α-MSH) time-dependently protected against glutamate-induced cell death and tissue damage in an improved embryonic chicken retinal explant culture system.

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Choroidal neovascularization (CNV) secondary to pathologic myopia has a very high incidence in global, especially in Asian, populations. It is a common cause of irreversible central vision loss, and severely affects the quality of life in the patients with pathologic myopia. The traditional therapeutic modalities for CNV secondary to pathologic myopia include thermal laser photocoagulation, surgical management, transpupillary thermotherapy, and photodynamic therapy with verteporfin.

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Purpose: To determine whether changes in cornea nerve growth factor (NGF) protein and gene expression correlate with corneal nerve regeneration after LASIK in rhesus monkeys.

Methods: Ten rhesus monkeys underwent randomly assigned LASIK procedures to correct -8.0 diopters of myopia in both eyes and two additional monkeys (with no surgery) served as controls.

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The keratoprosthesis (KPro; artificial cornea) is a special refractive device to replace human cornea by using heterogeneous forming materials for the implantation into the damaged eyes in order to obtain a certain vision. The main problems of artificial cornea are the biocompatibility and stability of the tissue particularly in penetrating keratoplasty. The current studies of tissue-engineered scaffold materials through comprising composites of natural and synthetic biopolymers together have developed a new way to artificial cornea.

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Objective: To assess the safety, efficacy, predictability and stability of the phakic foldable angle-supported intraocular lens (IOL) (CACHET IOL, Alcon Inc., USA.) for correction of high-to-extremely high myopia in adults.

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Pathological corneal neovascularization is an important reason of visual impairment. Research outcomes showed that angiogenesis mechanism is similar in all the tissues of the body and photodynamic therapy demonstrate a useful effect in blocking tumor and choroidal neovascularization. This method is currently being tried for the treatment of corneal neovascularization.

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Objective: To estimate the prevalence of cataract and its surgical coverage rate together with the burden related to bilateral cataract-blindness, among adults aged 40 or above in Gongshan county of Yunnan province and to evaluate the current cataract status and the efficacy of local cataract prevention program.

Methods: Cluster sampling was used. The protocol consisted of personal interview, pilot study, visual acuity checking, measuring the intraocular pressure; slit lamp microscopy and the fundus of the eye examination etc.

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In recent years, zebrafish has become ideal animal models of human disease with its unique characteristics, such as small body, fecundity, fast development and growth, embryo transparency, and so on. Furthermore, the structure and gene of zebrafish eye are highly conservative with human eye, which make ophthalmologists to pay close attention to zebrafish. This review focus on the studies and applications on zebrafish embryonic development of anterior segment, including the morphogenesis of cornea, lens and anterior chamber, and diseases of anterior segment (corneal diseases, cataract, glaucoma).

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