1,588 results match your criteria: "Scheie Eye Institute; and.[Affiliation]"

Observational Characterization of the Retreatment Course of Patients With Thyroid Eye Disease.

J Neuroophthalmol

January 2025

Scheie Eye Institute (YC, TL, SW, TP, PAA, G-sY, CAB, MAT), University of Pennsylvania, Philadelphia, Pennsylvania; Divisions of Neuro-ophthalmology (MAT), Oculoplastics (CAB), and Biostatistics (PAA, G-sY), Kansas Health Science Center, Kansas College of Osteopathic Medicine; and Kansas Health Science Center (GM), Kansas College of Osteopathic Medicine, Kansas, Missouri.

Background: To characterize the retreatment course of patients with thyroid eye disease (TED), who had reactivation after initial therapy with teprotumumab.

Methods: This was a single-center longitudinal cohort study of patients who received an initial course of teprotumumab for active TED and were followed for at least 6 months. Reactivation was defined as the increase of proptosis of 2 mm or more or an increase in Clinical Activity Score (CAS) of two points or more, as adapted from the Optic-X study.

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Testosterone promotes photoreceptor degeneration in the sodium iodate model.

Exp Eye Res

December 2024

FM Kirby Center for Molecular Ophthalmology, Scheie Eye Institute, Department of Ophthalmology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 19104, USA. Electronic address:

Previously, we found that retinas of young male mice were more damaged than those of young female mice in the sodium iodate (NaIO) model. The purpose of this study was to test whether reducing testosterone levels would be retina-protective. Male C57Bl/6J mice underwent surgical castration or sham surgery, then were given an intraperitoneal injection of NaIO at 25 mg/kg.

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Purpose: To investigate the association between blepharoptosis (ptosis) and psychosocial stress levels, depression, and anxiety in a diverse population of American adults.

Methods: Utilizing data from the National Institutes of Health's All of Us Research Program, we analyzed responses from 104,456 participants who completed psychosocial assessments. Participants with a history of a ptosis diagnosis were 1:3 matched with controls using propensity score calculated based on demographics and comorbidities.

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Retinal Degeneration Associated With Biallelic RDH12 Variants: Longitudinal Evaluation of Retinal Structure and Visual Function in Pediatric Patients.

Invest Ophthalmol Vis Sci

December 2024

Scheie Eye Institute, Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States.

Purpose: The purpose of this study was to determine the natural history of the photoreceptor disease in a large group of pediatric patients with RHD12-associated Leber congenital amaurosis (RDH12-LCA), to estimate the changes expected over the duration of a clinical trial, and to define the relationship between the photoreceptor loss and visual dysfunction.

Methods: Forty-six patients representing 36 families were included. The great majority of patients were under the age of 18 years.

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Purpose: To report the design of FLuorometholone as Adjunctive MEdical therapy for TT surgery (FLAME) trial.

Design: Parallel design, double-masked, placebo-controlled clinical trial with 1:1 randomization to fluorometholone 0.1% eye drops twice daily or placebo twice daily for 4 weeks in eyes undergoing trachomatous trichiasis (TT) surgery for assessing the efficacy, safety, and cost-effectiveness of fluorometholone 0.

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Background/objectives: Glaucoma is the leading cause of irreversible blindness, disproportionately affecting individuals of African ancestry. Limited research has examined the impact of neighbourhood quality and socioeconomic factors on primary open-angle glaucoma (POAG) risk in this population. This study aims to address these gaps by evaluating associations between ocular health and neighbourhood characteristics using geospatial data.

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Retinal Sensitivity in Comparison to Cone Density in Choroideremia.

Invest Ophthalmol Vis Sci

December 2024

Scheie Eye Institute, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, United States.

Purpose: Choroideremia (CHM) is an X-linked inherited retinal degeneration causing loss of photoreceptors, retinal pigment epithelium, and choriocapillaris. Structural abnormalities of the cone photoreceptor mosaic have been reported even within the retained island of functioning retina. Here, we describe the relationship between cone density and visual sensitivity within the retained central retina in CHM.

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Purpose: The aim of this study was to identify successful recruitment strategies and obstacles reported by principal investigators (PIs) of the Zoster Eye Disease Study (ZEDS).

Methods: A web-based survey was created by a subset of ZEDS PIs and distributed to ZEDS PIs after study enrollment was closed. The survey queried investigators about recruitment strategies and obstacles, use of prophylactic oral antiviral medication, electronic medical records, telemedicine, COVID-19 effect, turnover of research staff, and recruitment outreach to minority and underserved populations.

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Mapping rare protein-coding variants on multi-organ imaging traits.

medRxiv

November 2024

Graduate Group in Applied Mathematics and Computational Science, University of Pennsylvania, Philadelphia, PA 19104, USA.

Human organ structure and function are important endophenotypes for clinical outcomes. Genome-wide association studies (GWAS) have identified numerous common variants associated with phenotypes derived from magnetic resonance imaging (MRI) of the brain and body. However, the role of rare protein-coding variations affecting organ size and function is largely unknown.

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Complement C3 knockout protects photoreceptors in the sodium iodate model.

Exp Eye Res

January 2025

FM Kirby Center for Molecular Ophthalmology, Scheie Eye Institute, Department of Ophthalmology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 19104, USA. Electronic address:

Complement factor 3 (C3) has emerged as a primary therapeutic target in age-related macular degeneration (AMD) supported by genetic, histologic, and clinical trial evidence. Yet, the site(s) of action are unclear. The purpose of this study was to test the effect of C3 knockout on photoreceptors and retinal pigment epithelial cells (RPE) in the sodium iodate (NaIO) model, which mirrors some features of AMD.

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Purpose: To evaluate the risk of incidence rates of uveitis among patients starting topical glaucoma therapy.

Design: Retrospective database study utilizing the Sight Outcomes Research Collaborative (SOURCE) Ophthalmology Data Repository.

Participants: Adult glaucoma patients who were recently started on topical glaucoma therapy.

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Purpose: To report a case of a large foveal sub-internal limiting membrane hemorrhage from sickle cell retinopathy in a pediatric patient.

Observations: A five-year-old boy with sickle cell disease (SCD) type SS (HbSS) and numerous complications was referred after a failed vision screening and was found to have a large yellow subacute sub-internal limiting membrane hemorrhage overlying the fovea in his right eye. There were several other peripheral salmon patches noted.

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Nationwide Prevalence and Geographic Variation of Idiopathic Intracranial Hypertension among Women in the United States.

Ophthalmology

November 2024

Departments of Neurology and Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:

Purpose: To determine the nationwide prevalence and geographic distribution of idiopathic intracranial hypertension (IIH) among women in the United States.

Design: Retrospective cross-sectional study using Medicaid claims and electronic health record data from the IRIS® Registry (Intelligent Research in Sight) and Sight Outcomes Research Collaborative (SOURCE).

Participants: Female Medicaid beneficiaries 18 to 55 years of age with IIH diagnoses and prescriptions for acetazolamide or methazolamide in 2018 were identified, excluding those with other causes of intracranial hypertension.

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Low Body Mass Index Poses Greater Risk of Primary Open-Angle Glaucoma in African Ancestry Individuals.

Am J Ophthalmol

October 2024

From the Center for Genetics of Complex Disease, Scheie Eye Institute, Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address:

Article Synopsis
  • The study investigates the connection between body mass index (BMI) and primary open-angle glaucoma (POAG) in individuals of African ancestry, emphasizing the importance of identifying risk factors for this prevalent eye condition.
  • A retrospective, case-control analysis was conducted with 6,634 participants from the POAAGG study, collecting data on BMI and its association with POAG risk and progression.
  • Results revealed that lower BMI was linked to a higher risk of POAG, worse visual acuity, and faster disease progression, suggesting that individuals with low BMI may experience more severe glaucoma symptoms.
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Associations Between Dry Eye Disease and Mental Health Conditions in the All of Us Research Program.

Am J Ophthalmol

October 2024

Department of Ophthalmology, Perelman School of Medicine, Scheie Eye Institute, The University of Pennsylvania (A.T.Z., J.H., G.-S.Y.), Philadelphia, Pennsylvania, USA; Center for Preventive Ophthalmology and Biostatistics, Department of Ophthalmology, Perelman School of Medicine, The University of Pennsylvania (J.H., G.-S.Y.), Philadelphia, Pennsylvania, USA. Electronic address:

Purpose: To determine the association between dry eye disease (DED) and mental health conditions in a sociodemographically diverse nationwide population of Americans.

Design: Cross-sectional study.

Methods: We used the National Institute of Health's All of Us Research Program database to identify 18257 participants with DED who were propensity score matched in a 1:3 ratio to participants without DED.

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Article Synopsis
  • The study explores gene therapy targeting L-cone opsin expression as a treatment for blue cone monochromacy (BCM), a condition caused by the lack of long- and middle-wavelength-sensitive cone function.
  • Eight patients with BCM underwent various assessments, including optical coherence tomography and chromatic perimetry, revealing outer retinal changes and significant deficiencies in color vision and visual acuity.
  • The research emphasizes the need for specialized outcome measures, such as dark-adapted microperimetry and specific visual acuity tests, to evaluate the efficacy and safety of potential future treatments in clinical trials.
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Article Synopsis
  • GLP-1 receptor agonists (GLP-1RA) are used to treat type 2 diabetes by enhancing insulin benefits, and this study evaluates their impact on severe eye diseases related to diabetes.
  • Researchers compared a group of patients starting GLP-1RA with those using other diabetes medications, focusing on the risk of developing vision-threatening diabetic retinopathy (VTDR), proliferative diabetic retinopathy (PDR), and diabetic macular edema (DME).
  • The study found that the rates of progression to VTDR, PDR, or DME were similar between GLP-1RA users and those on other treatments, indicating no increased risk associated with GLP-1RA use.
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Article Synopsis
  • Androgenetic alopecia is a common hair loss condition, and understanding how social media influences the dissemination of related medical literature is crucial for researchers.
  • A study analyzed the top 100 most cited articles on the topic, revealing that those with higher Altmetric Attention Scores were cited more and that open-access articles were less likely to attract healthcare professionals’ readership.
  • The findings suggest that the general public might struggle to find trustworthy sources of information, while Altmetrics can effectively track trends in readership and interest in dermatology research.
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Adaptive optics ophthalmoscopy has enabled visualization of the in vivo human photoreceptor mosaic in health, disease and its treatment. Despite this, the clinical utility of the imaging technology has been limited by a lack of automated analysis techniques capable of accurately quantifying photoreceptor structure and a lack of an available normative image database. Here, we present a fully automated algorithm for estimating cone spacing and density over a complete adaptive optics montage along with a database of normative images and cone densities.

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Article Synopsis
  • Suprachoroidal hemorrhage (SCH) is a serious complication of eye surgery, with a meta-analysis showing an overall incidence of 0.12% (or about 1 in 800 surgeries) among a large population of over 3 million surgeries from 1990 to 2023.
  • Factors like smaller study size and the type of surgery (cataract vs. vitreoretinal) significantly influenced the reported incidence rates of SCH, while the study year did not show a decrease in incidence over 30 years despite advances in surgical techniques.
  • The authors recommend that future studies on SCH should include at least 1,000 surgeries in their population to yield more accurate incidence figures.
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Trigeminal Trophic Syndrome With Herpetic Keratitis.

Cornea

February 2025

John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO.

Article Synopsis
  • This study reports a unique case of trigeminal trophic syndrome occurring alongside herpetic keratitis in a 42-year-old male with a history of severe facial injuries and nerve damage.
  • The patient was found to have significant facial sensitivity loss and corneal issues linked to herpes, leading to a diagnosis of herpetic keratitis and ulceration due to trigeminal trophic syndrome.
  • Treatment involved antibiotics, antiviral medication, and topical steroids, resulting in improved vision and the use of a custom facial mask to prevent self-harm.
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