Publications by authors named "Wm Smith"

Article Synopsis
  • A study investigated the incidence and characteristics of traumatic iritis in Olmsted County, Minnesota, over a decade, identifying 156 cases with an adjusted rate of 10.7 per 100,000 per year.
  • The majority of affected individuals were young males, particularly from the Black community, with the average age at diagnosis being 33 years.
  • Common causes of traumatic iritis included sports injuries, assaults, scratches, and work-related incidents, with most patients experiencing unilateral symptoms and varying follow-up durations.
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Background: Vitreoretinal lymphoma (VRL) is a rare intraocular malignancy that poses a diagnostic challenge due to the non-specific clinical presentation that resembles uveitis. The use of spectral domain optical coherence tomography (SD-OCT) has emerged as a valuable imaging tool to characterize VRL. Therefore, we sought to determine the specific OCT features in VRL compared to the uveitides.

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Objective: To determine the appropriateness of ophthalmology recommendations from an online chat-based artificial intelligence model to ophthalmology questions.

Patients And Methods: Cross-sectional qualitative study from April 1, 2023, to April 30, 2023. A total of 192 questions were generated spanning all ophthalmic subspecialties.

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Background: Optic disc edema is a feature of many ophthalmic and neurologic conditions. It remains an underappreciated feature of birdshot chorioretinitis (BSCR), leading to delay in diagnosis and treatment. The purpose of our study was to identify clinical features that are concomitant with optic disc edema and suggest a diagnosis of BSCR.

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Objective: To investigate the frequency and clinical features of intraocular paraneoplastic sarcoid-like reaction (SLR) in patients with chronic lymphocytic leukemia (CLL).

Methods: Retrospective review of patients with CLL from January 1, 1980, to December 31, 2020. Eye examinations were searched for 22 keywords suggestive of SLR, and charts were manually reviewed.

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Purpose: To describe ocular involvement in subjects with Whipple's disease (WD).

Methods: Retrospective review of documented WD cases seen at Mayo Clinic between 1980 and 2021 with ocular involvement.

Results: Of 217 patients with WD, 30 had eye exams and four (two female, median age 58.

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Acquiring computational modeling and simulation skills has become ever more critical for students in life sciences courses at the secondary and tertiary levels. Many modeling and simulation tools have been created to help instructors nurture those skills in their classrooms. Understanding the factors that may motivate instructors to use such tools is crucial to improve students' learning, especially for having authentic modeling and simulation learning experiences.

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To determine the frequency, characteristics, and clinical course of ophthalmic side effects associated with systemic BRAF inhibitor therapy. Medical records of patients taking BRAF inhibitors for the treatment of systemic malignances at Mayo Clinic, Rochester from 01/01/2010 to 08/30/2021, were retrospectively reviewed. Of 901 patients, 14 (1.

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Background: Since the outbreak of COVID-19 pandemic the interindividual variability in the course of the disease has been reported, indicating a wide range of factors influencing it. Factors which were the most often associated with increased COVID-19 severity include higher age, obesity and diabetes. The influence of cytokine storm is complex, reflecting the complexity of the immunological processes triggered by SARS-CoV-2 infection.

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Purpose: To examine the impact of physician face mask use on the rates and outcomes of postinjection endophthalmitis.

Methods: A multicenter retrospective, comparative cohort study comparing endophthalmitis rate and visual acuity of eyes that developed endophthalmitis after antivascular endothelial growth factor injections at Mayo Clinic Rochester (MCR) and at Mayo Clinic Health System sites depending on physician masking.

Results: A total of 164,824 injections were performed at MCR and Mayo Clinic Health System sites.

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Targeting Apoptosis in ALL.

Curr Hematol Malig Rep

April 2022

Purpose Of Review: While the treatment of acute lymphoblastic leukemia (ALL) has improved significantly over the last 30 years, the majority of adult patients will have their disease relapse. The BCL-2 gene was initially discovered from follicular lymphoma research; however, the BH3 family of proteins has is emerging to be crucial in patients with ALL due to their reliance on the balance of these pro-apoptotic and anti-apoptotic proteins in the BH3 family. We discuss apoptosis in ALL, the reliance mechanisms, drug development in this space, and areas for future research.

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Purpose: The purpose of this study was to describe an exceedingly rare presentation of secondary vitreoretinal involvement by the uncommon entity "indolent T-cell lymphoproliferative disorder of the gastrointestinal tract" and illustrate the utility of fluorescence in situ hybridization for diagnosis.

Methods: This is a case report.

Results: A 57-year-old woman with presumed iritis on chronic topical prednisolone acetate presented with increased vitreous opacities in the right eye.

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Purpose: To update the incidence of uveitis in a Midwestern U.S. county population.

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Objectives: We aimed to estimate the risk of HCQ retinopathy and its risk factors among incident users in the community.

Methods: Using the Rochester Epidemiology Project, a record-linkage system, a cohort of incident users of HCQ was identified from 27 counties in the American upper Midwest. HCQ retinopathy was defined based on characteristic paracentral automated 10-2 visual field (10-2 AVF) defects and parafoveal retinal photoreceptor layer changes on spectral domain optical coherence tomography.

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Article Synopsis
  • Trauma is the main cause of death in young individuals, often leading to kidney injury that raises mortality risk; valproic acid (VPA) has shown promise in improving survival in trauma cases.* -
  • Two experimental models on swine demonstrated that VPA significantly improved survival rates and reduced serum creatinine levels, which indicate kidney injury, compared to controls.* -
  • The study concludes that a single dose of VPA (150 mg/kg) effectively protects against acute kidney injury in swine models experiencing severe trauma and blood loss.*
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Article Synopsis
  • Most current testing for antiretinal antibodies lacks clear clinical utility, even though they are part of autoimmune retinopathy diagnosis criteria.
  • In a study involving 14 patients without autoimmune retinopathy, 93% tested positive for retinal antibodies, but this result shows a low specificity of only 7%.
  • The findings suggest that the presence of retinal antibodies in patients without autoimmune conditions may not be clinically relevant, highlighting the need for more reliable testing methods.
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Purpose: To investigate the outcomes of cataract surgery in patients with active diabetic macular edema (DME) who are receiving active treatment with intravitreal anti-vascular endothelial growth factor (VEGF) injections in the perioperative period.

Design: Retrospective clinical cohort study.

Methods: We reviewed all patients who underwent cataract surgery and were receiving intravitreal anti-VEGF injections from January 1, 2012 through December 31, 2017.

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Purpose: To describe the incidence, prevalence, and clinical characteristics of presumed ocular histoplasmosis syndrome (POHS) in a endemic region.

Methods: The International Classification of Diseases, 9 and 10 Revision codes were used to search the Rochester Epidemiology Project, a record-linkage system for medical care provided in Olmsted County, MN. Medical records were reviewed to confirm POHS diagnoses in county residents from January 1, 2006, to December 31, 2015.

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Prone positioning is an appealing therapeutic strategy for nonintubated hypoxic patients with coronavirus disease (COVID-19), but its effectiveness remains to be established in randomized controlled trials. To identify contextual factors relevant to the conduct of a definitive clinical trial evaluating a prone positioning strategy for nonintubated hypoxic patients with COVID-19. We conducted a cluster randomized pilot trial at a quaternary care teaching hospital.

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Objectives: Cytokine release syndrome (CRS) is a potentially severe complication of COVID-19 most commonly resulting in respiratory failure. This ten-patient study was designed to determine the efficacy of therapeutic plasma exchange (TPE) in improving oxygenation and in reducing the cytokine load in a critically ill subset of patients.

Methods: Five single volume plasma exchanges over eight days within a 14-day study period.

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