Publications by authors named "Shimizu Eisuke"

Systemic administration of Janus kinase (JAK) inhibitors is effective in treating chronic graft-versus-host disease (cGVHD) but is associated with side effects. Topical drug administration effectively minimizes side effects. We aimed to investigate potential trends of the efficacy of topical delgocitinib administration in a mouse model.

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Background/objectives: Limited resources and staffing hinders efforts to reduce preventable blindness, especially in low- to middle-income countries. The slit-lamp examination (SLE), which is essential for ophthalmology practices, is often unavailable in primary and secondary eye care facilities due to the high costs and lengthy training required for operation. We conducted a cross-sectional, multicentre study exploring the potential for a smart eye camera (SEC; a tele-ophthalmology handheld device developed by OUI Inc.

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Article Synopsis
  • - The study evaluated how image enhancement techniques impact the reliability of diagnosing dry eye conditions using a portable device called the Smart Eye Camera (SEC).
  • - Analysis of video recordings from 46 patients revealed that certain levels of enhancement led to better consistency in assessments, particularly for corneal fluorescein staining (CFS) and tear break-up time (TBUT).
  • - While moderate enhancement improved diagnostic accuracy, excessive enhancement negatively affected the reliability of other assessments, suggesting the need for careful calibration of image processing.
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Article Synopsis
  • Ophthalmic diseases, commonly affecting the elderly, often go untreated due to limited resources and decreased daily activities, highlighting the need for better eye care, especially in home settings.
  • A study was conducted on Miyako Island, Japan, using portable equipment to examine 147 home-based patients, revealing various eye conditions, particularly cataracts, with over half of those affected not having undergone surgery.
  • The findings emphasize the importance of improving eye care systems in remote areas to prevent complications like glaucoma and ensure better access to treatment for elderly patients.
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  • Primary angle closure glaucoma (PACG) is a significant cause of vision loss in Asia, and current screening methods are complicated and require expert skills.
  • This study aims to create an AI algorithm that predicts anterior chamber depth (ACD) from smartphone photos taken with a portable slit-lamp microscope, making it a faster screening option for PACG.
  • The developed model shows high accuracy in predicting ACD and effectively estimating the risk of angle closure, laying the foundation for future advancements in PACG screening methods.
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Laser iridotomy (LI) is an effective treatment for patients with pupillary block mechanisms. Here, we report a case of LI performed on a patient with primary angle closure (PAC) and elevated intraocular pressure (IOP), who was unsuitable for other treatments due to specific social circumstances. The patient, a 97-year-old female residing in a private nursing home, had a medical history notable only for mild dementia and was wheelchair-bound.

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Article Synopsis
  • - The study aimed to uncover unique protein markers associated with ocular graft-versus-host disease (GVHD) by analyzing corneal samples from GVHD model mice and control mice four weeks post-bone marrow transplantation.
  • - Researchers conducted proteomic analysis and identified key protein pathways upregulated in GVHD, including necroptosis, MAPK, and neutrophil extracellular trap pathways, along with newly upregulated molecules involved in these processes.
  • - The findings could provide insights into the mechanisms behind ocular GVHD and pave the way for developing new therapies targeting corneal issues in affected patients.
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Chichijima Island, part of the Ogasawara Islands in Tokyo, is a remote island with a population of approximately 2,000, served by a few resident general practitioners (GPs). This case report discusses the application of teleophthalmology in managing pediatric ocular trauma on this remote island. A pediatric patient sustained an ocular injury from a badminton shuttlecock and was initially examined by a resident GP using a recordable slit-lamp microscope.

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Background: Phacoemulsification has proven to be a breakthrough technique in cataract surgery. Its popularity has grown dramatically as procedures and equipment have advanced, improving both safety and efficiency. This study presents long-term outcomes from phacoemulsification surgeries performed at the Evangelical Church Winning All (ECWA) Eye Hospital, a tertiary eye care center.

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Article Synopsis
  • Ophthalmological services are seriously lacking in low- and middle-income countries due to insufficient practitioners and equipment, particularly for addressing corneal opacity, a leading cause of blindness.
  • This study utilized a portable slit lamp microscope with video and cloud storage to improve global access to eye care, focusing on detecting corneal opacities through a two-part AI pipeline.
  • Manual annotation and advanced image processing techniques, including convolutional neural networks (CNN) and contrast enhancement, significantly boosted the accuracy of detecting corneal opacities, achieving impressive scores in both image frame analysis and semantic segmentation.
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Purpose: Aging is a well-established risk factor for meibomian gland dysfunction (MGD). We previously reported an accelerated cellular senescence phenomenon in the lacrimal glands of a murine model of chronic graft-versus-host disease (cGVHD). Herein, we aimed to elucidate the relationship between cellular senescence and MGD in cGVHD mice, utilizing the senolytic agent ABT-263.

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Pheochromocytoma or paraganglioma (PPGL) originating from chromaffin cells can produce diverse hormones in addition to catecholamines, including adrenocorticotropic hormone (ACTH). In pheochromocytoma, high levels of ACTH might not result in pigmentation as typically observed in Addison's disease, and patients might not exhibit the symptoms of Cushing's syndrome, despite ACTH-dependent hypercortisolism. A 63-year-old male patient with hypertension was admitted to our facility, and computed tomography (CT) revealed a large right adrenal tumor.

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Purpose: We aimed to evaluate the feasibility of using a novel device, the Smart Eye Camera (SEC), for assessing tear meniscus height (TMH) after fluorescein staining and the agreement of the results with measurements obtained using standard slit lamp examination.

Methods: TMH was assessed using both SEC and conventional slit lamp examination. The images were analyzed using the software ImageJ 1.

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This study aimed to (1) determine whether the expression of angiotensin-converting enzyme 2 (ACE2) and transmembrane protease serine 2 is increased in tobacco smokers, which potentially increases their susceptibility to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, and (2) assess whether eye rinsing can reduce susceptibility. This prospective study included 20 eyes of 10 smokers and 18 eyes of nine healthy non-smokers (control) for reverse-transcription polymerase chain reaction. This study also included 28 eyes of 14 smokers and 16 eyes of eight healthy non-smokers (control) for enzyme-linked immunosorbent assay.

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In ophthalmology, the availability of many fundus photographs and optical coherence tomography images has spurred consideration of using artificial intelligence (AI) for diagnosing retinal and optic nerve disorders. However, AI application for diagnosing anterior segment eye conditions remains unfeasible due to limited standardized images and analysis models. We addressed this limitation by augmenting the quantity of standardized optical images using a video-recordable slit-lamp device.

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Background: This study presents the clinical pattern of presentation and survival rate of retinoblastoma, which is the most prevalent form of pediatric intraocular cancer. The aim of this study is to provide baseline information about the clinical presentation and management of retinoblastoma at ECWA Eye Hospital. Additionally, the study identifies priority areas for enhancing medical care for children diagnosed with this cancer.

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Article Synopsis
  • * Data from 1200 enrolled patients showed a decline in symptoms over time, from 93.9% during hospitalization to 33.0% at 12 months, with those experience long COVID symptoms reporting lower quality of life and higher anxiety and depression.
  • * Identified risk factors for long COVID included being female, middle-aged, requiring oxygen, and being in critical condition during hospitalization, providing valuable insights for future research in Japan.
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Introduction: Dry eye disease (DED) is a multifactorial disease of tears and ocular surface that results in symptoms of discomfort, visual disturbance, and tear film instability leading to decrease of vision, productivity and quality of life, and blindness. DED diagnosis remains difficult and underdiagnosed regarding inconsistency between subjective symptoms and clinical findings. Tear break-up time (TBUT) is an objective indicator of tear film stability in diagnostic DED.

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Purpose: Dry eye disease (DED) is a major complication of autoimmune disorders, including Sjögren syndrome (SS), ocular graft-versus-host disease, and other rheumatic diseases. DED often affects patients' quality of life, necessitating early detection and treatment. However, no simple screening method for DED has yet been established in ophthalmologic practice.

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Purpose: Diseases affecting the cornea are a major cause of corneal blindness globally. The pressing issue we are facing today is the lack of diagnostic devices in rural areas to diagnose these conditions. The aim of the study is to establish sensitivity and accuracy of smartphone photography using a smart eye camera (SEC) in ophthalmologic community outreach programs.

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Unlabelled: Glaucoma is a group of diseases that damage the optic nerve in the eye, resulting in vision loss and, in severe cases, blindness. The prevalence of glaucoma and glaucoma blindness is highest in West Africans.

Objective: The study presents a 5-year retrospective analysis of intraocular pressure (IOP) and complications after trabeculectomy.

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The use of artificial intelligence (AI) in the diagnosis of dry eye disease (DED) remains limited due to the lack of standardized image formats and analysis models. To overcome these issues, we used the Smart Eye Camera (SEC), a video-recordable slit-lamp device, and collected videos of the anterior segment of the eye. This study aimed to evaluate the accuracy of the AI algorithm in estimating the tear film breakup time and apply this model for the diagnosis of DED according to the Asia Dry Eye Society (ADES) DED diagnostic criteria.

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Pediatric graft-versus-host-disease (GVHD)-related dry eye disease (DED) is often overlooked due to a lack of subjective symptoms and reliable testing, leading to irreversible corneal damage. To study the clinical findings contributing to the accurate detection of pediatric GVHD-related DED, a retrospective study of pediatric patients treated with hematopoietic stem cell transplantation (HSCT) at Keio University Hospital between 2004 and 2017 was conducted. Association and diagnostic values of ophthalmological findings for DED were analyzed.

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