Publications by authors named "Shirato S"

Purpose: To assess the efficacy and safety of PreserFlo MicroShunt (PMS) combined with mitomycin C in patients with medically treated primary open-angle glaucoma (POAG).

Study Design: A retrospective observational study.

Methods: The study examined 83 eyes from 83 patients with medically treated glaucoma surgery naive POAG.

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  • A study was conducted to evaluate the occurrence of hyphema (bleeding in the anterior chamber) after PRESERFLO MicroShunt surgery in glaucoma patients and its connection to the tube insertion position.
  • Out of 66 eyes reviewed, 23 experienced hyphema, equating to a 35% occurrence rate, with bleeding observed during surgery in 8 cases.
  • Despite the high frequency of hyphema, all cases resolved within weeks with stable intraocular pressure and visual acuity, highlighting the need to inform patients about this risk before surgery.
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Purpose: To evaluate the effects of trabeculectomy on the rate of deterioration of the central visual field (VF) in patients with normal-tension glaucoma (NTG), as revealed by refraction values.

Study Design: Retrospective case series.

Methods: We retrospectively analyzed 28 eyes, including 12 high myopic (spherical equivalent [SE] < - 6 diopters without pathological myopia) and 16 non-high myopic (SE ≥ - 6 diopters) eyes.

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  • * In a study using CD4Il9ra mice lacking IL-9 receptors in Tfh cells, results showed lower levels of SRBC-specific IgG antibodies and reduced GC B cells and plasma cells after immunization, indicating the importance of IL-9 in antibody production.
  • * Additionally, in allergic asthma models, CD4Il9ra mice showed reduced Tfh cells and specific IgE and IgG responses to house dust mites, suggesting that IL-
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  • This study examined how magnification errors and axial length (AL) impact the density of capillaries and the thickness of the retinal nerve fiber layer in healthy eyes.
  • Seventy-two eyes from different subjects were analyzed using optical coherence tomography, revealing that longer AL increases measurement discrepancies (ΔcpCD and ΔcpRNFLT) in specific areas of the eye.
  • Results showed that while corrected capillary density (cpCD) wasn't affected by AL, the corrected retinal nerve fiber layer thickness (cpRNFLT) positively correlated with AL, indicating that longer eyes tend to have a more significant underestimation of cpCD and a stronger relationship with cpRNFLT changes.
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Extramedullary (EM) relapse after allogeneic hematopoietic stem cell transplantation (allo-HSCT) for acute myeloid leukemia (AML) is rare and causes systemic relapse. Consequently, the prognosis is very poor because limited treatment is feasible in post-transplant patients. The efficacy and safety of venetoclax (VEN), a newly developed oral inhibitor of B-cell leukemia/lymphoma-2, plus azacytidine (AZA) in patients newly diagnosed with AML who are ineligible for intensive chemotherapy have been reported.

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  • - The study aimed to evaluate how well the Ex-PRESS surgical procedure controlled intraocular pressure (IOP) in patients with open-angle glaucoma over three years, looking at factors affecting its success.
  • - After the surgery, the average IOP significantly dropped, with cumulative success rates of 58%, 48%, and 30% depending on different IOP criteria.
  • - One major finding was that needing additional bleb needling surgery after six months increased the risk of poor IOP control, indicating its importance in the postoperative care process.
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  • The study aimed to assess the relationship between circumpapillary vessel density (cpVD) and visual field sensitivity (VFS) in early glaucomatous (EG) and normal eyes, particularly in those with high myopia (HM).
  • It involved 75 EG eyes and 7 normal eyes with HM, as well as 111 EG and 11 normal eyes without HM, using advanced optical imaging techniques to analyze the data.
  • Results indicated that cpVD had a weaker correlation with axial length (AL) compared to cpRNFLT, and in HM eyes, cpVD showed significant correlations with VFS across multiple sectors, outperforming cpRNFLT in certain areas.
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Prostaglandin-associated periorbitopathy in patients with glaucoma is reportedly not caused by EP2 agonist, but it has been a cosmetic problem with prostaglandin F receptor (FP) agonists. In this study, patients with prostaglandin-associated periorbitopathy on FP agonists were switched to EP2 agonist and changes were investigated. Patients complaining of prostaglandin-associated periorbitopathy were included.

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  • The study aimed to assess the effectiveness of omidenepag isopropyl (OMDI) in lowering intraocular pressure (IOP) and any side effects in Japanese patients with open-angle glaucoma (OAG) over three months.
  • It included three groups: untreated OAG patients received OMDI, patients already on FP receptor agonists switched to OMDI, and those on multi-drug therapy continued other medications but switched FP receptor agonists to OMDI.
  • Results showed that OMDI significantly decreased IOP in untreated patients but did not change IOP in those who switched from FP receptor agonists; some patients experienced mild side effects.
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This study aimed to evaluate the diagnostic ability and sectoral structure function relationship of circumpapillary vessel density (cpVD) and macular vessel density (mVD) with optical coherence tomography angiography (OCTA) in early glaucomatous (EG) eyes. 224 EG eyes of 167 patients (mean deviation (MD) > - 6 dB) and 70 normal eyes of 70 subjects were enrolled in this retrospective cross-sectional study. All patients underwent OCT and OCTA scanning.

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  • - The study examined changes in corneal endothelial cell density (CECD) over 36 months post-Ex-PRESS surgery in Japanese patients with open-angle glaucoma, using corneal specular microscopy to track preoperative and postoperative CECD levels.
  • - Results showed a significant decrease in CECD from a preoperative average of 2521 cells/mm² to 2387 cells/mm² at 36 months, with a 50% rate of patients maintaining CECD at a healthy level after three years.
  • - The findings indicate that while CECD reduction may not be clinically concerning after 36 months, ongoing monitoring is essential, especially for patients with initially low CECD.
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  • The study aimed to assess the long-term safety and effectiveness of the Preserflo MicroShunt in treating primary open-angle glaucoma (POAG) among Japanese patients.
  • Involved 8 eyes of 7 patients and tracked their intraocular pressure, medication usage, visual acuity, and surgical complications over an average follow-up of nearly 69 months.
  • Results showed significant reductions in intraocular pressure and the number of medications required, with only minor complications reported, indicating that the microshunt procedure is a safe and effective treatment option for this patient group.
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  • The study aimed to analyze the impact of switching from prostanoid FP receptor agonists to omidenepag isopropyl on deepening of the upper eyelid sulcus (DUES) and intraocular pressure (IOP) in Japanese glaucoma patients over three months.
  • A prospective observational approach was used, involving 23 patients who had experienced quality of life issues due to DUES; assessments were made at baseline, 1 month, and 3 months post-treatment switch.
  • Results showed an improvement in DUES for over 70% of patients, with IOP remaining stable and no adverse effects noted.
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Introduction: We aimed to evaluate the additional effects and safety of a Rho-associated protein kinase (ROCK) inhibitor, ripasudil hydrochloride hydrate, in Japanese patients with primary open-angle glaucoma (POAG) with an intraocular pressure (IOP) of at most 15 mmHg undergoing prostaglandin F (FP) receptor agonist monotherapy (FP monotherapy).

Methods: In this prospective observational study, 30 Japanese patients with POAG and IOP of at most 15 mmHg (mean age 59.4 years; 10 men) who were undergoing FP monotherapy in both eyes were administered an additional dose of ripasudil hydrochloride hydrate (GLANATEC ophthalmic solution 0.

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Purpose: To investigate how the central visual field would be changed after fornix-based trabeculectomy with mitomycin C in Japanese normal-tension glaucoma (NTG) patients monitored for more than 10 years including before surgery.

Methods: This is a retrospective cohort study. We identified twenty-eight eyes of 28 NTG cases regularly monitored for more than 5 years and examined static visual field (VF) tests for more than five times before and after fornix-based trabeculectomy (including combined surgery).

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Purpose: To investigate the outcomes of fornix-based trabeculectomy in Japanese patients with glaucoma based on more than five years of preoperative data.

Study Design: Retrospective case series METHODS: This study consisted of 35 eyes of 35 Japanese glaucoma patients (mean age: 60.6, standard deviation (SD) 11.

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Purpose: To assess the efficacy and safety of filtration surgery using the EX-PRESS glaucoma filtration device in patients with normal-tension glaucoma (NTG).

Study Design: Prospective, single-arm, multicenter interventional case series.

Methods: Eyes with NTG underwent EX-PRESS implantation with or without cataract surgery.

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Primary open-angle glaucoma (POAG) is the leading cause of irreversible blindness worldwide for which 15 disease-associated loci had been discovered. Among them, only 5 loci have been associated with POAG in Asians. We carried out a genome-wide association study and a replication study that included a total of 7378 POAG cases and 36 385 controls from a Japanese population.

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It is known that biotin prevents the development of diabetes by increasing the functions of pancreatic beta-cells and improving insulin sensitivity in the periphery. However, its anti-obesity effects such as anorectic effects remain to be clarified. Acetyl CoA carboxylase (ACC), a biotin-dependent enzyme, has two isoforms (ACC1 and ACC2) and serves to catalyze the reaction of acetyl CoA to malonyl CoA.

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Purpose: To determine whether there are significant correlations between the N2 amplitude of the multifocal electroretinograms (mfERGs) and the retinal sensitivity and retinal nerve fiber layer (RNFL) thickness in glaucomatous and normal eyes.

Methods: Thirty-eight glaucomatous and 11 normal eyes were studied. The mfERGs were elicited by red stimuli presented on a blue background.

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Many algal groups acquired complex plastids by the uptake of green and red algae through multiple secondary endosymbioses. As a result of gene loss and transfer during the endosymbiotic processes, algal endosymbiont nuclei disappeared in most cases. However, chlorarachniophytes and cryptophytes still possess a relict nucleus, so-called the nucleomorph, of the green and red algal endosymbiont, respectively.

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Continuous ambient air monitoring systems have been introduced worldwide. However, such monitoring forces autonomous communities to bear a significant financial burden. Thus, it is important to identify pollutant-monitoring stations that are less efficient, while minimizing loss of data quality and mitigating effects on the determination of spatiotemporal trends of pollutants.

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Purpose: Among some local side effects of prostaglandin-associated periorbitopathy (PAP), deepening of the upper eyelid sulcus (DUES) is the most prominent clinical feature, and is one of the most significant adverse cosmetic events. Here, we prospectively investigated the incidence of DUES in Japanese open-angle glaucoma patients initially treated with latanoprost (Xalatan 0.005%) ophthalmic solution.

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This study demonstrates an application of cluster analysis to constant ambient air monitoring data of four pollutants in the Kanto region: NOx, photochemical oxidant (Ox), suspended particulate matter, and non-methane hydrocarbons. Constant ambient air monitoring can provide important information about the surrounding atmospheric pollution. However, at the same time, ambient air monitoring can place a significant financial burden on some autonomous communities.

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