902 results match your criteria: "Centre for Ophthalmology and Visual Science[Affiliation]"

Purpose: Orbital inflammatory myofibroblastic tumors (IMTs) are a rare tumor with intermediate biological potential. We analyzed a series of orbital IMTs to determine their unique features.

Methods: Records from patients with pathologically confirmed IMT at Beijing Tongren Hospital, Capital Medical University, between January 2004 and August 2022, were reviewed for their ocular presentation and treatment outcomes.

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In adults, the limbal stem cells (LSC) reside in the limbal region of the eye, at the junction of the cornea and the sclera where they renew the outer epithelial layer of the cornea assuring transparency. LSC deficiencies (LSCD) due to disease or injury account for one of the major causes of blindness. Among current treatments for LSCD, cornea transparency can be restored by providing new LSC to the damaged eye and induced pluripotent stem cells (iPSC) holds great promise as a new advanced cell source.

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Article Synopsis
  • Genetic information is becoming more integrated into eye care, especially for conditions like retinoblastoma that stem from single gene mutations, while most eye diseases involve multiple genetic variants and environmental influences.
  • The article introduces three genetic epidemiology methods for studying complex eye diseases: genome-wide association studies (GWAS), Polygenic Risk Scores (PRS), and Mendelian randomisation (MR).
  • GWAS identifies associations between traits and numerous genetic variants, PRS quantifies an individual's genetic risk based on GWAS findings, and MR examines potential causal relationships between traits using genetic variants as proxies.
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The carotid-femoral pulse wave velocity (PWV) method is used clinically to determine degrees of stiffness and other indices of disease. It is believed PWV measurement in retinal vessels may allow early detection of diseases. In this paper we present a new non-invasive method for estimating PWVs in retinal vein segments close to the optic disc centre, based on the measurement of blood column pulsation in retinal veins (reflective of vessel wall pulsation), using modified photoplethysmography (PPG).

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Importance: Early detection of glaucoma is essential to timely monitoring and treatment, and primary open-angle glaucoma risk can be assessed by measuring intraocular pressure (IOP) or optic nerve head vertical cup-disc ratio (VCDR). Polygenic risk scores (PRSs) could provide a link between genetic effects estimated from genome-wide association studies (GWASs) and clinical applications to provide estimates of an individual's genetic risk by combining many identified variants into a score.

Objective: To construct IOP and VCDR PRSs with clinically relevant predictive power.

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Study Design: Case series.

Objective: To describe the assessment and surgical approach to dacryocystorhinostomy (DCR) for patients with nasolacrimal duct obstruction (NLDO) in the presence of orbital wall hardware.

Methods: The pre-operative assessment, management and outcomes of two patients with secondary acquired NLDO following medial orbital wall fracture repair treated by nasal endoscopic DCR.

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Article Synopsis
  • * A multi-ethnic meta-analysis revealed 22 risk loci linked to NTG, with 17 of these not previously identified, including significant new associations with BMP4 and TBKBP1.
  • * Findings suggest there’s a genetic overlap in risk factors between NTG and HTG, but NTG shows a generally lower risk effect, pointing to the potential for immunomodulatory treatments as neuroprotective options for glaucoma.
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Polypoidal choroidal vasculopathy (PCV) is an aneurismal type of macular neovascularization that show similarities with age-related macular degeneration and diseases that are part of the pachychoroid disease spectrum. Exudative changes in PCV can be treated with intravitreal anti-vascular endothelial growth factor monotherapy; however, a combination therapy with photodynamic therapy may be required. In this systematic review and meta-analysis, we evaluated the efficacy of faricimab for PCV.

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Purpose: Pericyte-to-pericyte communication via interpericyte tunneling nanotubes (IP-TNTs) is an important mechanism by which spatial and temporal precision in neurovascular coupling is achieved. This study quantifies the distribution and morphologic characteristics of IP-TNTs in the normal human macula.

Methods: Ultra high-resolution, three-dimensional microscopic imaging of 11 perfusion-labeled normal human donor eyes was performed.

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The Benefit of Nocturnal IOP Reduction in Glaucoma, Including Normal Tension Glaucoma.

Clin Ophthalmol

November 2024

Hamilton Glaucoma Center, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA.

Nocturnal intraocular pressure (IOP) profiling has shown that the peak IOP usually occurs at night, particularly in patients with glaucoma. Multiple studies have demonstrated that these nocturnal IOP elevations drive glaucomatous progression, often despite stable daytime IOP. Existing vascular dysregulation and decreased nighttime blood pressure compound the damage via low ocular perfusion pressure while elevated nocturnal IOP disrupts axonal transport.

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Article Synopsis
  • This study aimed to create and validate a polygenic risk score (PRS) for keratoconus to improve how well we can identify people at higher risk for the condition, which can lead to serious vision problems after procedures like LASIK.
  • Researchers used multi-trait analysis and data from large biobanks to build and assess the PRS models' accuracy in predicting keratoconus risk.
  • The results showed that the new PRS models significantly improved the prediction of keratoconus risk, suggesting they could be useful in clinical settings to identify individuals at risk and potentially prevent complications after LASIK surgery.
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Background: Indigenous people in high-income countries have worse eye health outcomes when compared to non-Indigenous people, contributing to ongoing socioeconomic disadvantage. Although services have been designed to address these disparities, it is unclear if they have undergone comprehensive economic evaluation. Our scoping review aimed to identify the number, type, quality, and main findings of such evaluations.

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Introduction: Autosomal dominant retinitis pigmentosa type 17 (adRP, type RP17) is caused by complex structural variants (SVs) affecting a locus on chromosome 17 (chr17q22). The SVs disrupt the 3D regulatory landscape by altering the topologically associating domain (TAD) structure of the locus, creating novel TAD structures (neo-TADs) and ectopic enhancer-gene contacts. Currently, screening for RP17-associated SVs is not included in routine diagnostics given the complexity of the variants and a lack of cost-effective detection methods.

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Electron Microscopy to Confirm Rhegmatogenous Cause of Retinal Detachments.

Ophthalmol Retina

November 2024

Retina Service, Department of Ophthalmology, Sir Charles Gairdner Hospital, Nedlands, Australia; Centre for Ophthalmology and Visual Science, University of Western Australia, Perth, Australia; Lions Eye Institute, Nedlands, Australia.

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Article Synopsis
  • CRISPR-Cas13 nucleases are advanced tools that can temporarily silence genes by targeting RNA, and recent versions are designed for safe and effective delivery using adeno-associated viruses (AAV).
  • This study highlights the successful use of the Cas13bt3 nuclease in retinal cells, demonstrating its ability to significantly reduce mRNA levels in both human retinal organoids and a specialized mouse model.
  • The findings suggest that Cas13bt3 can function as a promising anti-VEGF agent to help control the growth of blood vessels in the retina, which is crucial for treating conditions like retinal neovascularization.
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Paediatric visual impairment in Western Australia: Results and lessons from a registry analysis.

J Paediatr Child Health

October 2024

Centre for Ophthalmology and Visual Science (incorporating Lions Eye Institute), The University of Western Australia, Perth, Western Australia, Australia.

Article Synopsis
  • This study examines the trends and causes of visual impairment and blindness in children aged 0-16 in Western Australia from 1996 to 2015 using clinical registry data.
  • Out of 11,800 certificates issued, 728 (6.2%) were for 710 children, with 74.5% classified as visually impaired and 25.5% as blind, primarily due to inherited retinal diseases, cortical visual impairment, and albinism.
  • While the registration rates for visual impairment have significantly increased, caution is advised in interpreting these trends due to limitations in the data; potential improvements to data collection processes include digitization and better engagement from healthcare practitioners.
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Age-related cataracts is a highly prevalent eye disorder that results in the clouding of the crystalline lens and is one of the leading causes of visual impairment and blindness. The disease is influenced by multiple factors including genetics, prolonged exposure to ultraviolet radiation, and a history of diabetes. However, the extent to which each of these factors contributes to the development of cataracts remains unclear.

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Practice Patterns and Challenges in Managing Inherited Retinal Diseases Across Asia-Pacific: A Survey from the APIED Network.

Asia Pac J Ophthalmol (Phila)

October 2024

Centre for Innovation & Precision Eye Health, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Ophthalmology, National University Hospital, National University Health System, Singapore; Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address:

Article Synopsis
  • The paper looks at how inherited retinal diseases (IRD) are diagnosed and treated in the Asia-Pacific region.
  • They surveyed 36 centers about their practices, including how they collect patient information and provide help for low vision.
  • The results showed there are important gaps, like many centers not having a database for patients, not enough genetic counselors, and a need for better support for low-vision rehabilitation.
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A Comparison between Demyelinating and Omicron Variant Infection-Associated Optic Neuritis.

Discov Med

September 2024

Centre for Ophthalmology and Visual Science (Lions Eye Institute), The University of Western Australia, Nedlands, WA 6009, Australia.

Article Synopsis
  • The study investigates the differences between optic neuritis (ON) caused by the Omicron variant of SARS-CoV-2 and spontaneous demyelinating ON, focusing on clinical features and cerebrospinal fluid (CSF) characteristics.
  • Fifteen patients with Omicron-related ON and fifteen control patients with demyelinating ON were compared, revealing higher ocular pain and peripapillary hemorrhages in the Omicron group, along with elevated white cell counts in CSF.
  • The findings suggest Omicron-related ON presents with more severe symptoms and distinct CSF profiles, supporting steroid treatment while highlighting the need for tailored approaches in managing these conditions.
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Striking Vitreoschisis in Proliferative Diabetic Retinopathy.

Ophthalmol Retina

September 2024

Retina Service, Department of Ophthalmology, Sir Charles Gairdner Hospital, Western Australia, Australia; Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.

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Article Synopsis
  • Mitochondrial donation is now legally allowed in Australia to help prevent the passing of mitochondrial diseases from mothers to their children as part of a clinical trial.
  • A systematic literature review analyzed five cohort studies and 19 case reports on how mitochondrial disease affects pregnancy.
  • While many women with mitochondrial disease experience no negative health effects during pregnancy, there is a risk of serious complications, leading to proposed guidelines for preconception counseling and antenatal care.
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Tracing ocular biometry and their heritability in twins in a hospital-based cohort in South India.

Indian J Ophthalmol

September 2024

Centre for Ophthalmology and Visual Science, University of Western Australia, Lions Eye Institute, Perth, Australia.

Purpose: Twin studies, in the background of lack of twin registry in India, are a challenge. We report the response rates in tracing a hospital birth register-based cohort of twins using mail and door to door survey, ocular parameters influencing refractive errors, and their heritability.

Methods: Twins born from 1991 to 1995 in a tertiary hospital in the Vellore District of South India from a database were traced by mail and home survey from March 2011 to September 2013.

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Exploring the Effects of Age at Menarche and Pregnancy on Myopia.

Ophthalmic Epidemiol

September 2024

Centre for Ophthalmology and Visual Science (incorporating the Lions Eye Institute), University of Western Australia, Perth, Western Australia, Australia.

Purpose: Associations between age at menarche and myopia have been observed in studies that included older women. Furthermore, pregnancy-related hormone surges in young women are associated with short-term changes in refractive error, although the long-term effects are less known. This study explored associations of age at menarche and parity with refractive error and ocular biometry in young women, and the relationship between age at menarche and refractive error in middle-aged adults for comparison.

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Purpose: Few studies have explored choroidal changes after cessation of myopia control. This study evaluated the choroidal thickness (ChT) and choroidal vascularity index (CVI) during and after discontinuing long-term low-concentration atropine eye drops use for myopia control.

Methods: Children with progressive myopia (6-16 years; n = 153) were randomized to receive 0.

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