Publications by authors named "Tetsuro Oshika"

Purpose: To investigate the incidence of microbial keratitis among Japanese patients wearing orthokeratology (ortho-k) lenses STUDY DESIGN: Retrospective multicenter study METHOD: This study was conducted at 4 hospitals in Japan and involved 1438 patients who had been prescribed ortho-k lenses and had worn them for at least 3 months. Data on patient demographics, lens characteristics, lens care systems, and presence of microbial keratitis were extracted from the medical records. Duration of ortho-k lens wear was calculated from the original fitting date to the patient's last visit, with the total years of lens wear used as person-years of lens wear.

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Article Synopsis
  • Central retinal artery occlusion (CRAO) is a serious eye condition that can lead to sudden vision loss, often with low chances of recovery, as highlighted in a case of a 49-year-old woman diagnosed with non-arteritic CRAO.
  • The patient received a lower-than-standard dose of intravenous rt-PA treatment shortly after the onset of her symptoms, which resulted in significant improvement of her vision and revealed a serious underlying heart condition, a patent foramen ovale (PFO).
  • This case suggests that using a lower dose of tPA may be effective for treating CRAO while reducing bleeding risks, and highlights the need for thorough investigations of potential cardiac issues in younger patients with CRAO.
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Purpose: This study aimed to investigate the choroidal thickness (ChT) distribution in adult myopic eyes, focusing on the macular, nasal midperiphery, and temporal midperiphery regions, and to explore its relationship with axial length (AL) and refractive error.

Study Design: A cross-sectional, observational study.

Methods: Twenty-nine eyes of 29 adult volunteers were examined.

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We investigate the influence of scleral cautery during cataract surgery on limbal vascular density and remodeling using anterior segment optical coherence tomography angiography (AS-OCTA). Twenty eyes of 20 patients who underwent cataract surgery with a sclerocorneal incision were included. Patients were divided into two groups: non-cautery (n = 10) and cautery (n = 10).

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Corneal opacity and deformation, which often require corneal transplantation for treatment, are among the leading causes of monocular blindness. To restore corneal clarity and integrity, there is a need for an artificial stroma that not only matches the transparency of donated human cornea but also effectively integrates to the corneal tissue. In this study, a transparent decellularized cornea was successfully developed using the high hydrostatic pressure method with processing conditions optimized for corneal decellularization.

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Article Synopsis
  • The study examines the long-term results of congenital cataract surgeries conducted within the first 6 months of life across 11 surgical sites in Japan.
  • It found that surgeries performed during critical periods of visual development lead to better final visual acuity compared to those done later, though earlier surgeries had a higher frequency of visual axis opacification.
  • Factors influencing visual outcomes included laterality of cataract, type of surgery (pseudophakia vs. aphakia), and any existing comorbidities, highlighting the potential benefits of using intraocular lenses (IOL) in these procedures.
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Introduction: We compared postoperative metamorphopsia and optical coherence tomography (OCT) findings between eyes that underwent internal limiting membrane (ILM) peeling and the inverted flap (IF) technique for macular hole (MH).

Methods: This retrospective analysis included 64 eyes of 64 patients with idiopathic MH whose MH was closed after initial surgery. Thirty-nine patients were treated with pars plana vitrectomy (PPV) with ILM peeling, and 25 patients were treated with PPV with the IF technique.

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Purpose: To compare stereopsis and foveal microstructure after internal limiting membrane peeling and inverted internal limiting membrane flap technique in patients with macular hole.

Design: Retrospective observational study.

Methods: Sixty-six patients with macular hole were included, of whom 41 underwent 25-gauge pars-plana vitrectomy with complete internal limiting membrane peeling (Peeling group) and 25 with the inverted flap technique (Inverted group).

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Article Synopsis
  • * The AI was trained on a dataset of 6,442 images and demonstrated high accuracy, achieving ROC curve values near perfect for various diseases, indicating its reliability in detecting conditions like cataracts and keratitis.
  • * Results showed that the AI's performance in triaging cases (urgent, semi-urgent, routine, and observation) was also impressive, suggesting its potential for practical use in diagnosing eye diseases based on smartphone imagery.
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Purpose: To establish a robust and objective method to evaluate (SPK) superficial punctate keratopathy in a murine dry eye model by developing a reliable photographic system.

Design: Experimental study.

Subjects: A murine dry eye model was generated by exorbital lacrimal gland excision.

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Purpose: To investigate the 5-year treatment outcomes of retinopathy of prematurity in infants <500 g birth weight and compare laser and anti-vascular endothelial growth factor therapies.

Methods: A multicenter retrospective study comprised 24 eyes of 13 patients treated for Type 1 retinopathy of prematurity, followed for 5 years. Initial treatment was laser and anti-vascular endothelial growth factor in 13 and 11 eyes, respectively.

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Article Synopsis
  • - The study analyzed 10-year outcomes of pediatric cataract surgery in 277 patients who had surgery before age six, finding that the average age at surgery was about 1.3 years and follow-up was roughly 12.8 years.
  • - Results showed that visual acuity was generally better for patients with bilateral cataracts and those who received intraocular lenses, while factors like systemic and ocular comorbidities, and the occurrence of glaucoma also played significant roles.
  • - Additionally, younger age at surgery and aphakic status (absence of the lens) correlated with a higher incidence of secondary glaucoma, indicating that better planning could improve long-term outcomes in these patients.
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Introduction: We investigated the long-term outcomes of pediatric cataract surgeries performed with modern surgical techniques involving in-the-bag implantation of a foldable intraocular lens (IOL).

Methods: Data were retrospectively collected from 42 eyes in 30 patients who underwent surgery at 6 years and younger (average 2.5 ± 2.

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We report on a patient with iridocorneal endothelial (ICE) syndrome in whom intraocular pressure (IOP) elevation during the night was detected using a home tonometer. A 44-year-old woman was diagnosed with ICE syndrome in the left eye. Angle-closure attack-like symptoms, including blurred vision and headache, appeared and spontaneously resolved irregularly at bedtime.

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Purpose: Timolol maleate (timolol), a β-receptor blocker, reduces intraocular pressure by decreasing aqueous humor production. Timolol reportedly also protects ganglion cells, decreases aqueous humor outflow facility, and destroys the extracellular matrix in the trabecular meshwork. In this study, we investigated the effects of timolol on cultured human trabecular endothelial cells purchased from ScienCell using next-generation sequencing.

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Purpose: Plate-haptic rotationally asymmetric multifocal toric intraocular lenses (IOL) (Lentis Comfort Toric) occasionally rotate extensively after surgery. We conducted the current study to investigate the incidence of extensive misalignment of this IOL and its association with clinical parameters.

Study Design: Retrospective case series.

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Objectives: To compare real-world, long-term outcomes of laser and anti-vascular endothelial growth factor (VEGF) therapies in patients with retinopathy of prematurity (ROP).

Methods: This was a multicentre retrospective study. We included 264 eyes of 139 patients treated for type 1 ROP or aggressive ROP (AROP) who were followed for at least 4 years.

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Background: Image-sharpening algorithms with color adjustments enable real-time processing of the surgical field with a delay of 4 msec for heads-up surgery using digital three-dimensional displays. The aim of this study was to investigate the usefulness of the algorithms with the Artevo 800 digital microscope.

Methods: Seven vitreoretinal surgeons evaluated the effects of image-sharpening processing on the clarity of the surgical field with the Artevo 800 system that is used for cataract and vitreous surgeries.

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Purpose: To assess the influence of capsular tension ring (CTR) on surgical outcomes of trifocal intraocular lens (IOL) implantation in femtosecond laser-assisted cataract surgery.

Setting: Sugita Eye Clinic, Tokyo, and University of Tsukuba, Ibaraki, Japan.

Design: Prospective, randomized, paired-eye clinical study and laboratory study.

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Introduction: This study assessed 5-year results of rotationally asymmetric multifocal intraocular lens (IOL) with +1.5 diopters (D) near addition (Lentis Comfort LS-313 MF15, Teleon Surgical B.V.

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Objectives: Previous studies have shown that combined use of orthokeratology and 0.01% atropine (AT) eye drops can strongly prevent axial elongation in myopic children. However, the efficacy of combined use with multifocal contact lens (MFCL) and 0.

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Even after successful surgery, the stereopsis of retinal detachment (RD) patients is inferior to that of normal subjects. However, it is unclear which visual dysfunction in the affected eye is responsible for the postoperative stereopsis impairment. This study included 127 patients after successful surgery for unilateral RD.

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Machine learning (ML) and deep learning (DL) are changing the world and reshaping the medical field. Thus, we conducted a systematic review to determine the status of regulatory-approved ML/DL-based medical devices in Japan, a leading stakeholder in international regulatory harmonization. Information about the medical devices were obtained from the Japan Association for the Advancement of Medical Equipment search service.

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We conducted clinical and experimental studies to investigate the effects of image-sharpening algorithms and color adjustments, which enabled real-time processing of live surgical images with a delay of 0.004 s. The images were processed with image-sharpening intensities of 0%, 12.

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Purpose: To evaluate the vision-related quality of life (VR-QOL) before and after intravitreal ranibizumab injections (IVR) for central retinal vein occlusion (CRVO) and to investigate subscale items of VR-QOL in detail.

Study Design: A multicenter, open-label, prospective and comparative study.

Methods: Twenty-three patients with treatment naïve CRVO and 22 age-matched normal controls were included.

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