7,856 results match your criteria: "Massachusetts Eye and Ear Infirmary & Harvard Medical School[Affiliation]"

Article Synopsis
  • The study focused on the safe use of radiofrequency ablation for thyroid nodules while protecting the recurrent laryngeal nerve from thermal damage using a porcine animal model.
  • Twelve piglets were tested at various radiofrequency power levels, with monitoring of real-time signal changes to assess safety distances and cooling durations related to the nerve.
  • Results showed that at set power levels, there were significant signal reductions near the nerve, with no recovery in a 20-minute window, indicating careful management is necessary during procedures to prevent nerve injury.
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Objective: To evaluate the published literature on the efficacy of amniotic membrane grafting (AMG) in the management of acute chemical and thermal ocular surface burns with respect to the rate of corneal re-epithelialization and improvement of visual acuity or corneal clarity.

Methods: Literature searches were conducted in the PubMed database in May 2023 and updated in January 2024 and were limited to the English language without date restrictions. The searches yielded 474 citations; 58 were reviewed in full text, and 9 met the inclusion criteria.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of new protocols for using speaking valves (SV) in patients with tracheostomies at a major medical center, focusing on increasing usage and reducing wait times for trials.
  • A retrospective analysis of 421 patients showed that after implementing these protocols, the percentage of eligible patients trying SV increased from 75% to 95%, and those succeeding on their first attempt rose from 60% to 75%.
  • The findings suggest that the new protocols led to an 80% reduction in the time required for SV placement, highlighting the need for continued improvements in tracheostomy care practices.
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Background: In the absence of direct evidence supporting how to use nasal endoscopy findings to judge chronic rhinosinusitis (CRS) disease control, experts' practice patterns could provide guidance.

Methodology: Participants consisted of a diverse group of twenty-nine rhinologists. Participants were presented with every possible combination of bilateral nasal endoscopy findings represented by the modified Lund-Kennedy (MLK; range: 0-12) endoscopic scoring system and Nasal Polyp Score (NPS; range: 0-8).

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Implication of surgical loupes on complications following thyroidectomy: a meta-analysis.

Eur Arch Otorhinolaryngol

October 2024

Coordinator of the International Head and Neck Scientific Group, 35100, Padua, Italy.

Article Synopsis
  • - The study aimed to evaluate how effective surgical loupes are in preventing complications like recurrent laryngeal nerve (RLN) palsy and hypocalcemia after thyroid surgery.
  • - A total of 813 patients from six studies were analyzed, showing that using loupes significantly reduced the incidence of temporary RLN palsy by about 41.8%.
  • - Although trends suggested lower rates of permanent RLN palsy and hypocalcemia with loupes, these results were not statistically significant, indicating potential benefits that need further research.
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Article Synopsis
  • Intermediate uveitis involves inflammation of the vitreous and pars planitis, which can stem from various causes including infections, systemic diseases, or may be idiopathic (unknown origin).
  • The specific term "pars planitis" refers to the idiopathic form characterized by distinctive findings like snowballs and snowbanks in the eye.
  • Diagnosis relies on recognizing symptoms (like floaters) and conducting a thorough eye examination, while advanced techniques like PCR testing help identify underlying infectious or neoplastic causes.
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Anatomic-Based Technique for Sensing Lead Placement in Hypoglossal Stimulator Implantation.

Laryngoscope

February 2025

Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.

Placement of the sensing lead can be challenging in obese and Down syndrome patients. This article presents an alteration in technique for its placement for these patient populations. Laryngoscope, 135:948-951, 2025.

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Article Synopsis
  • - The study investigates the effectiveness of a 14-day treatment using topical dexamethasone and artificial tears for patients with dry eyes, measuring clinical response using various eye assessments before and after treatment.
  • - A total of 167 patients (mostly women, average age 54) showed significant improvement in symptoms and objective measures like Ocular Surface Disease Index (OSDI) and Dry Eye Questionnaire (DEQ-5) one month post-treatment.
  • - The findings indicate that changes in symptoms correlate with baseline measurements of dry eye disease severity, while intraocular pressure slightly decreased, showing potential effectiveness of the corticosteroid regimen in a real-world clinical context.
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The identification of specific markers for microglia has been a long-standing challenge. Recently, markers such as P2ry12, TMEM119, and Fcrls have been proposed as microglia-specific and widely used to explore microglial functions within various central nervous system (CNS) contexts. The specificity of these markers was based on the assumption that circulating monocytes retain their distinct signatures even after infiltrating the CNS.

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Purpose: Although the mechanisms underlying glaucomatous neurodegeneration are not yet well understood, cellular and small animal models suggest that LC astrocytes undergo early morphologic and functional changes, indicating their role as early responders to glaucomatous stress. These models, however, lack the LC found in larger animals and humans, leaving the morphology of LC astrocytes and their role in glaucoma initiation underexplored. In this work, we aimed to characterize the morphology of LC astrocytes and determine differences and similarities with astrocytes in the mouse glial lamina (GL), the analogous structure in a prominent glaucoma model.

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Characteristics, associations, and outcomes of children with posterior segment coloboma.

J AAPOS

October 2024

Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:

Purpose: To describe the clinical characteristics and outcomes of children with posterior segment coloboma (PSC).

Methods: The medical records of children (age <18 years) with PSC examined at Boston Children's Hospital from May 1997 to May 2023 were reviewed retrospectively. The following data were collected: demographics, ocular and systemic conditions, coloboma type according to the Ida Mann (IM) classification, and best-corrected visual acuity.

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Article Synopsis
  • This study investigates the microstructure of the lamina cribrosa (LC) in nonhuman primates with glaucoma, focusing on how it differs in those with naturally occurring disease compared to controls.
  • Researchers used advanced imaging (OCT scans) to analyze the optic nerve head and select specific eyes based on retinal nerve fiber layer thickness (RNFL-T).
  • Key findings show that glaucoma-affected eyes had thinner RNFL-T and smaller pore diameters in the LC, indicating potential structural changes associated with the disease.
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Objective: Antimicrobial resistance is a global pandemic that poses a major threat to vision health as ocular bacteria, especially methicillin-resistant Staphylococcus aureus (MRSA), are becoming increasingly resistant to first-line therapies. Here we evaluated the antimicrobial activity of new synthetic lincosamides in comparison to currently used antibiotics against clinical ocular MRSA isolates.

Methods: Antimicrobial susceptibility testing was performed by broth microdilution for two novel synthetic lincosamides (iboxamycin and cresomycin) and eight comparator antibiotics against a collection of 50 genomically characterised ocular MRSA isolates, including isolates harbouring erm genes (n = 25).

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Background: Labeling color fundus photos (CFP) is an important step in the development of artificial intelligence screening algorithms for the detection of diabetic retinopathy (DR). Most studies use the International Classification of Diabetic Retinopathy (ICDR) to assign labels to CFP, plus the presence or absence of macular edema (ME). Images can be grouped as referrable or nonreferrable according to these classifications.

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Article Synopsis
  • * Among 49 patients examined, a significant percentage (80%) experienced post-surgical epiretinal proliferation, with a notably lower success rate (51%) in eyes with a micropyon compared to a control group (91%).
  • * The meniscus micropyon can be distinguished from similar post-surgical conditions due to its delayed onset, unique autofluorescent properties, and histological composition primarily of white blood cells, suggesting it may serve as a biomarker for post-operative complications.
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The role of Perifoveal Arteriolar Tortuosity in Optical Coherence Tomography Angiography (OCTA) images as an early indicator of hypertensive retinopathy.

Graefes Arch Clin Exp Ophthalmol

September 2024

Department of Ophthalmology, Vagelos College of Physicians and Surgeons, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York, NY, USA.

Purpose: To assess the value of increased perifoveal retinal vascular tortuosity in optical coherence tomography angiography (OCTA) images as a biomarker of early hypertensive retinopathy and compare its clinical sensitivity and accuracy with traditional morphological changes used for Scheie classification.

Methods: OCTA images of 81 eyes (40 eyes from 20 hypertensive subjects and 41 eyes from 21 control subjects) were obtained retrospectively. Hypertensive retinopathy changes in randomized eyes were graded according to the Scheie classification, and perifoveal vessels were traced in a masked fashion.

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Anti-Inflammatory and Anti-(Lymph)angiogenic Properties of an ABCB5+ Limbal Mesenchymal Stem Cell Population.

Int J Mol Sci

September 2024

Department of Ophthalmology, Faculty of Medicine, University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.

Article Synopsis
  • Corneal transparency and avascularity are crucial for clear vision, with a transition to vascularized conjunctiva at the limbus.
  • This study identifies a specific sub-population of limbal stromal cells expressing ABCB5, which exhibit mesenchymal stem cell traits and show potential for pluripotency and multi-lineage differentiation.
  • ABCB5+ cells demonstrate lower levels of pro-inflammatory and pro-angiogenic factors, suggesting they could help reduce inflammation and neovascularization in the cornea, with potential implications for therapeutic applications elsewhere in the body.
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Hypothesis: This study investigates the impact of different diffusion magnetic imaging (dMRI) acquisition settings and mathematical fiber models on tractography performance for depicting cranial nerve (CN) VII in healthy young adults.

Background: The aim of this study is to optimize visualization of CN VII for preoperative assessment in surgeries near the nerve in the cerebellopontine angle, reducing surgery-associated complications. The study analyzes 100 CN VII in dMRI images from the Human Connectome Project, using three separate sets with different b values ( b = 1,000 s/mm 2 , b =2,000 s/mm 2 , b =3,000 s/mm 2 ) and four different tractography methods, resulting in 1,200 tractographies analyzed.

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Analysis of Neuroradiologic Findings in Idiopathic Intracranial Hypertension-A Population-Based Study.

J Neuroophthalmol

September 2024

Albert Einstein College of Medicine Training Program (YNS), Bronx, New York; Department of Ophthalmology (YNS), Boston University, Boston, Massachusetts; Department of Radiology (GJP), Jacobi Medical Center, Bronx, New York; Department of Radiology (GJP), Albert Einstein College of Medicine, Bronx, New York; Department of Ophthalmology and Visual Sciences (NKR), Montefiore Medical Center, Bronx, New York; Department of Ophthalmology (NR), New York Eye and Ear Infirmary of Mt Sinai, New York, New York; Department of Medicine (FMPS), Jacobi Medical Center, Bronx, New York; Department of Ophthalmology (FMPS), Indiana University School of Medicine, Indianapolis, Indiana; Department of Research Studies (AP), University of Pennsylvania, Philadelphia, Pennsylvania; Department of Surgery (Ophthalmology) (JNM), Jacobi Medical Center, Bronx, New York; and Department of Ophthalmology and Visual Sciences (JNM), Albert Einstein College of Medicine, Bronx, New York.

Background: Idiopathic intracranial hypertension (IIH) has been associated with several MRI features. We assessed types of MRI findings and clinical-radiologic correlations in patients with IIH from one hospital system.

Methods: A retrospective chart review of IIH and control patients was conducted.

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Background: Gracilis free muscle transfer (GFMT) remains the standard for smile restoration in patients with long-standing facial palsy. Resting oral commissure lateralization (ROCL) following GFMT is aesthetically unappealing and can cause functional problems including dysarthria and oral incompetence. The risk factors for ROCL following GFMT are poorly understood.

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ATP, the P Spectral Modulus, and Metabolism.

Metabolites

August 2024

Clinical Eye Research of Boston, Boston, MA 02114, USA.

Adenosine triphosphate (ATP) has a high intracellular millimolar concentration (. 2.4 mM) throughout the phylogenetic spectrum of eukaryotes, archaea, and prokaryotes.

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Genome analysis of individuals affected by retinitis pigmentosa (RP) identified two rare nucleotide substitutions at the same genomic location on chromosome 11 (g.61392563 [GRCh38]), 69 base pairs upstream of the start codon of the ciliopathy gene TMEM216 (c.-69G>A, c.

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