13,965 results match your criteria: "Institute of Ophthalmology.[Affiliation]"

Microphthalmia, anophthalmia and coloboma (MAC) comprise a highly heterogeneous spectrum of congenital ocular malformations with an estimated incidence of 1 in 5000 to 1 in 30 000 live births. Although there is likely to be a genetic component in the majority of cases, many remain without a molecular diagnosis. Netrin-1 was previously identified as a mediator of optic fissure closure from transcriptome analyses of chick and zebrafish and was shown to cause ocular coloboma when knocked out in both mouse and zebrafish.

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  • The text discusses the importance of forecasting future health issues in the USA for effective planning and public awareness regarding disease and injury burdens.
  • It describes the methodology for predicting life expectancy, cause-specific mortality, and disability-adjusted life-years (DALYs) from 2022 to 2050 using the Global Burden of Diseases framework.
  • The forecasting includes various scenarios to assess the potential impacts of health risks and improvements across the country, focusing on demographic trends and health-related risk factors.
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Purpose: Description of retinal phenotype by structural and functional testing, ornithine plasma levels and mutational data of OAT gene in patients with Gyrate Atrophy (GA).

Methods: Ophthalmologic examination, fundus photography (CFP), autofluorescence (FAF), spectral-domain optical coherence tomography (SD-OCT), Goldmann perimetry (GP), full-field electroretinogram (ffERG) and chromatic perimetry (CP) testing were performed. Ornithine plasma levels were measured.

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  • The study evaluated how well community-based optometrists (CBOs) can assess limbal anterior chamber depth (LACD) for suspected primary angle closure in comparison to consultant ophthalmologists, noting moderate accuracy.
  • After implementing an educational intervention, CBOs showed improved agreement and specificity in their assessments, although sensitivity decreased slightly.
  • The researchers concluded that a simpler 4-point grading scale would be better for identifying cases and suggested that the educational program could help reduce false positive referrals in real-world settings.
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Purpose: To examine the 5-year incidence of age-related macular degeneration (AMD) and its associated factors in an adult Chinese population.

Methods: The Tongren Health Care Study included individuals attending regular health care check-up examinations in the Beijing Tongren Hospital. Baseline examinations were performed from 2014 to 2015, with 5-year follow-up examinations conducted between 2019 and 2020.

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Purpose: Inherited retinal disorders (IRD) are a complex group of conditions. By developing the first patient-reported experience measurement (PREM) questionnaire tailored for individuals with IRD participating in natural history studies, we gathered information on individuals' views of their experience while they are involved in research.

Methods: Adults with IRD who (i) were enrolled in a natural history study taking place at Moorfields Eye Hospital (London, UK), (ii) had attended at least two study visits, (iii) the most recent one being less than two weeks before the questionnaire, and (iv) who were not involved in interventional research, were considered for participation.

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Aim: This study aims to compare the effects of intravitreal triamcinolone acetonide (IVTA) and bevacizumab (IVB) in diabetic macular edema (DME) management.

Methodology: A prospective interventional study was conducted at a tertiary eye care hospital in Tamil Nadu, India. The study received approval from the institutional ethics committee, and informed consent was obtained from all participants.

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Purpose: To evaluate the 6-month progression of retinal capillary perfusion in eyes with advanced stages of nonproliferative diabetic retinopathy (NPDR).

Design: RICHARD (NCT05112445), 2-year prospective longitudinal study.

Participants: Sixty eyes with Diabetic Retinopathy Severity Scale (DRSS) levels 43, 47, and 53 from 60 patients with type 2 diabetes.

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Purpose: To examine intraretinally migrated retinal pigment epithelium cells (iRPECs) in enucleated human eyes with various retinal conditions and corresponding intraretinal hyperreflective bodies (iHRBs) in a large cohort of patients with age-related macular degeneration (AMD) in China.

Design: Population-based study and histomorphometric investigation.

Participants: Participants of the population-based Beijing Eye Study and enucleated human eyes.

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This article provides a comprehensive overview of clinical trial design and regulatory pathways essential for drug development, specifically in the context of retinal diseases. Key concepts include trial structure, efficacy and safety endpoints, and regulatory expectations from agencies like the FDA. It delves into recent regulatory advancements, such as the inclusion of low-luminance vision as a secondary endpoint and analyses case studies from age-related macular degeneration (AMD) trials.

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Background: Variants in CRX are associated with dominantly inherited retinopathy with considerable phenotypic variability. Many patients have central retinal degeneration; in some patients, we have observed an additional focus of degeneration in the nasal retina. This study explores this phenotypic association amongst patients with CRX-associated disease.

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Introduction: Chronic ocular hypotony (low intraocular pressure (IOP)) is a potentially sight-threatening condition. Although there is some controversy as to what constitutes non-physiological IOP, generally it is accepted as an IOP of 6.5 mm Hg or less, measured on three separate occasions and lasting for at least 3 months.

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During embryonic development, muscle tissues, skin, and a subset of vascular endothelial cells arise from Pax3-expressing embryonic progenitors defined as paraxial mesoderm. By contrast, haemogenic potential is well established for extra-embryonic mesoderm and intra-embryonic lateral plate mesoderm, which do not express Pax3. To date, it is not known whether the haematopoietic system also contains Pax3 lineage cells.

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  • This study aimed to explore how changes in systemic medication relate to intraocular pressure (IOP) in a large population in Germany.
  • Researchers analyzed data from the Gutenberg Health Study, measuring IOP and recording medication changes over a five-year period in thousands of participants.
  • Results showed that starting selective beta-blockers reduced IOP, while stopping them increased it; other medications' effects on IOP appeared linked to accompanying drugs or blood pressure changes.
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  • A study evaluated the correlation between the optic nerve sheath diameter (ONSD) measured via ultrasound and the opening pressure (OP) of cerebrospinal fluid (CSF) in patients diagnosed with idiopathic intracranial hypertension (IIH), highlighting ONSD as a non-invasive alternative to traditional lumbar puncture.
  • Conducted from June 2021 to May 2023, the study included 50 participants (25 with IIH and 25 controls), comparing their ONSD and OP measurements to establish a relationship.
  • Results showed that a mean ONSD of 5.60 mm can effectively indicate raised intracranial pressure with high sensitivity and specificity, suggesting its use as a reliable, non-invasive assessment tool
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Unexpected extraocular muscle hypoplasia during strabismus surgery: case series.

BMC Ophthalmol

December 2024

Department of Ophthalmology and Visual Science, Eye and ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, 200031, China.

Article Synopsis
  • Congenital hypoplasia of the medial rectus muscle is a rare condition that typically goes undetected during clinical exams and imaging until surgery is performed.* -
  • A case study presented four patients with this condition who all showed exotropia, but three out of four had normal MRI results despite having abnormalities found during surgery.* -
  • The findings suggest that surgeons need to be aware of these rare muscle issues and should be prepared to modify surgical plans based on what they find during the operation.*
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  • * By analyzing data from the Million Veteran Program and other cohorts, the study identifies 63 genetic loci linked to AMD, including 30 that were previously unknown, highlighting significant differences in risk among various ancestries.
  • * The findings reveal that certain genetic risk factors, like those found in the CFH locus, have varying effects based on ancestry, suggesting that targeted therapies could be developed by considering these genetic differences.
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Intravitreal chlorhexidine for sterilizing the vitreous cavity in an animal model of bacterial endophthalmitis.

Cutan Ocul Toxicol

December 2024

Edward Harkness Institute of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University Medical Center, New York, USA.

Article Synopsis
  • The study assesses how effective and safe intravitreal chlorhexidine (CHX) is in sterilizing the vitreous cavity for bacterial endophthalmitis.
  • In vitro, CHX concentrations above 6.25 µg/mL effectively killed bacteria, and doses below 200 µg/mL did not harm retinal cells.
  • Animal testing showed that CHX concentrations of 20-100 µg/mL could sterilize the vitreous without causing harmful effects, suggesting potential for clinical application.*
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OPA1 and disease-causing mutants perturb mitochondrial nucleoid distribution.

Cell Death Dis

November 2024

Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, Chile.

Optic atrophy protein 1 (OPA1) mediates inner mitochondrial membrane (IMM) fusion and cristae organization. Mutations in OPA1 cause autosomal dominant optic atrophy (ADOA), a leading cause of blindness. Cells from ADOA patients show impaired mitochondrial fusion, cristae structure, bioenergetic function, and mitochondrial DNA (mtDNA) integrity.

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The Effects of Pregnancy on Disease Progression of Retinitis Pigmentosa.

Am J Ophthalmol

November 2024

From the Moorfields Eye Hospital (M.D.V. and M.M.), London, UK; UCL Institute of Ophthalmology (M.D.V. and M.M.), University College London, London, UK. Electronic address:

Purpose: Retinitis pigmentosa (RP) is the most common diagnosis in the ophthalmic genetics clinic. Women with RP are often diagnosed during their reproductive years, posing significant challenges for family planning. The effects of pregnancy on RP progression is a frequently unanswered concern for these patients.

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A topological-aware automatic grading model corneal epithelial damage evaluation from full Corneal Fluorescence Staining images.

Comput Biol Med

January 2025

School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, China. Electronic address:

Article Synopsis
  • Corneal Fluorescence Staining (CFS) imaging is used to assess damage to the corneal epithelium, and automating the grading of these images can improve diagnostic accuracy by reducing subjectivity.
  • Existing methods often overlook the spatial relationships between stained areas, which can hinder the assessment of corneal injuries.
  • This study presents a three-stage automatic model that integrates topological features and multi-scale analysis to improve the grading process, resulting in better accuracy and insights into corneal epithelial damage.
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Safety and Efficacy of Posterior Chamber Phakic Implantable Collamer Lenses in Patients with Keratoconus: A Systematic Review and Meta-Analysis.

Am J Ophthalmol

November 2024

Department of Ophthalmology and Visual Sciences (M.H.K., S.N., T.H.A.L., and S.J.), McGill University, Montréal, QC, Canada; Département de Ophtalmologie (A.S.P. and S.J.), Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada. Electronic address:

Article Synopsis
  • The study aimed to evaluate the safety and effectiveness of implantable collamer lenses (ICLs) for patients with keratoconus through a systematic review and meta-analysis of existing research.
  • A total of 16 observational studies involving 397 eyes were analyzed, showing significant improvements in uncorrected distance visual acuity (UDVA) and various refractive measures, but no substantial changes in corrected distance visual acuity (CDVA).
  • Overall, the findings suggest that ICLs are safe and beneficial for vision correction in keratoconus patients, though limitations such as study design and follow-up duration were noted.
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Macular Edema Ranibizumab v. Intravitreal anti-inflammatory Therapy (MERIT) Trial-24-week Outcomes of Uveitic Macular Edema Retreatment.

Ophthalmology

November 2024

Center for Clinical Trials and Evidence Synthesis, Departments of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Department of Ophthalmology, The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Purpose: Evaluation of longer-term effectiveness of three intravitreal therapies (methotrexate, ranibizumab, or dexamethasone implant) for participants enrolled in the randomized comparative effectiveness trial the Macular Edema Ranibizumab versus Intravitreal anti-inflammatory Therapy (MERIT) Trial followed for24 weeks.

Design: Multicenter randomized controlled clinical trial with masked evaluation of retinal thickness and visual acuity.

Participants: Patients with persistent or recurrent uveitic macular edema.

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