185 results match your criteria: "Shanghai Eye Disease Prevention and Treatment Center[Affiliation]"

Macular and peripapillary Choroidal Vascularity Index in children with different refractive status.

Eye (Lond)

February 2024

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Center of Eye Shanghai Key Laboratory of Ocular Fundus Diseases, Shanghai Engineering Center for Visual Science and Photomedicine, Shanghai, China.

Objectives: To characterize choroidal vascular changes in children with different refractive status.

Methods: A study including 5864 children aged 6-9 years was performed to investigate the choroidal vascular index (CVI) in myopic, emmetropic and hyperopic eyes. Each participant had a comprehensive ocular examination with cycloplegic autorefraction performed, axial length (AL) measured and Swept Source-Optical Coherence Tomography (SS-OCT) scans acquired.

View Article and Find Full Text PDF

Background: This research aims to generate normative values of hyperopia reserve and refractive progression as effective tools to estimate the risk of myopia.

Methods: A 1-year follow-up study was conducted among Chinese children and adolescents aged 3-16 years selected from schools and kinder gardens using cluster sampling. All participants underwent examinations including visual acuity, axial length and cycloplegic autorefraction (1% cyclopentolate).

View Article and Find Full Text PDF

Cutoff values of axial length/corneal radius ratio for determining myopia vary with age among 3-18 years old children and adolescents.

Graefes Arch Clin Exp Ophthalmol

February 2024

Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, No.380 Kangding Road, Shanghai, 200040, China.

Purpose: To investigate the effectiveness and cutoffs of axial length/corneal radius (AL/CR) ratio for myopia detection in children by age.

Methods: Totally, 21 kindergartens and schools were enrolled. Non-cycloplegic autorefraction (NCAR), axial length (AL), horizontal and vertical meridian of corneal radius (CR1, CR2), and cycloplegic autorefraction were measured.

View Article and Find Full Text PDF

Cylinder power progression associated with axial length in young children: a two-year follow-up study.

Graefes Arch Clin Exp Ophthalmol

January 2024

Department of Clinical Research, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, China.

Purpose: To describe the association of refraction development and axial length (AL) in young children and provide new insights into the progression of cylinder power.

Methods: Children (2-3 grades) were enrolled from primary schools in Shanghai and followed up for two years. Cycloplegic refraction, AL, and corneal curvature radius were measured.

View Article and Find Full Text PDF

Add-On Effect of 0.01% Atropine in Orthokeratology Wearers for Myopia Control in Children: A 2-Year Retrospective Study.

Ophthalmol Ther

October 2023

Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, No. 1440 Hongqiao Road, Shanghai, 201103, China.

Introduction: Orthokeratology (OK) and low-concentration atropine are recommended approaches for controlling myopia. However, children with younger age and lower myopia are more likely to experience rapid axial progression during OK or atropine monotreatment. This study aimed to assess the efficacy of OK combined with low-concentration atropine for myopia control in children over 24 months and to determine whether the effect was sustainable.

View Article and Find Full Text PDF

Combination of iris vessel area density and surgery interval as the predictor of perceived pain during consecutive second-eye cataract surgery.

J Cataract Refract Surg

August 2023

From the Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Shanghai Key Laboratory of Ocular Fundus Diseases, Shanghai Engineering Center for Visual Science and Photomedicine Shanghai Engineering Center for Precise Diagnosis and Treatment of Eye Diseases, Shanghai, China (Cui, Ma, Miao, Sun, Zou, Jin); Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai, China (Wang, Luo, Ding, Ge, Lu, Zou).

Article Synopsis
  • The study investigates factors that could predict pain levels during second-eye cataract surgery in patients who already had the first eye operated on.
  • Conducted at Shanghai General Hospital, it involved a case-control and prospective cohort design that analyzed various clinical indicators before and after surgery.
  • Results indicated that preoperative iris vessel area density (VAD) significantly affected pain scores, suggesting that evaluating VAD and the time between surgeries could help predict and potentially reduce pain during second-eye procedures.
View Article and Find Full Text PDF

Aims: To investigate myopic maculopathy in Chinese children with high myopia and its association with choroidal and retinal changes.

Methods: This cross-sectional study included Chinese children aged 4-18 years with high myopia. Myopic maculopathy was classified by fundus photography and retinal thickness (RT) and choroidal thickness (ChT) in the posterior pole were measured by swept-source optical coherence tomography.

View Article and Find Full Text PDF

Purpose: Surveys in 2015 and 2019 identified a high level of eye care practitioner concern/activity about myopia, but the majority still prescribed single vision interventions to young myopes. This research aimed to provide updated information.

Methods: A self-administered, internet-based questionnaire was distributed in 13 languages, through professional bodies to eye care practitioners globally.

View Article and Find Full Text PDF

Importance: Myopia is a global concern, but effective prevention measures remain limited. Premyopia is a refractive state in which children are at higher risk of myopia, meriting preventive interventions.

Objective: To assess the efficacy and safety of a repeated low-level red-light (RLRL) intervention in preventing incident myopia among children with premyopia.

View Article and Find Full Text PDF

The rate of orthokeratology lens use and associated factors in 33,280 children and adolescents with myopia: a cross-sectional study from Shanghai.

Eye (Lond)

October 2023

Shanghai Eye Disease Prevention and Treatment Center, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai Eye Hospital, Shanghai, 200040, China.

Objectives: To investigate the rate of orthokeratology lens (ortho-k lens) use and its associated factors in children and adolescents with myopia.

Methods: Cross-sectional study. Children from 104 primary and middle schools in Shanghai were enrolled by cluster sampling.

View Article and Find Full Text PDF

Potential Choroidal Mechanisms Underlying Atropine's Antimyopic and Rebound Effects: A Mediation Analysis in a Randomized Clinical Trial.

Invest Ophthalmol Vis Sci

April 2023

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Shanghai Key Laboratory of Ocular Fundus Diseases, Shanghai Engineering Center for Visual Science and Photomedicine, Shanghai Engineering Center for Precise Diagnosis and Treatment of Eye Diseases, Shanghai, China.

Purpose: To investigate whether choroidal vascularity participates in high-dose atropine's antimyopia and rebound mechanisms.

Methods: A mediation analysis was embedded within a randomized controlled trial. In total, 207 myopic children were assigned randomly to group A/B.

View Article and Find Full Text PDF

Background: To explore the relationship between outdoor time and academic performance among school-aged children.

Methods: This study was designed as a cross-sectional study. Data were derived from a school-based prospective children myopia intervention study (STORM).

View Article and Find Full Text PDF

Purpose: To determine how orthokeratology (ortho-k) affects corneal biomechanical properties in myopia control and whether corneal biomechanical parameters can predict clinical efficacy of ortho-k.

Methods: A total of 125 children 7-15 years of age using ortho-k lenses were followed in this clinical practice and data of their right eyes were analysed. Corneal biomechanical parameters and most ocular biometry were measured at baseline, 1 week, and at 1, 3, 6, 12, 18 and 24 months.

View Article and Find Full Text PDF

Purpose: To analyse the topographic characteristics in macular choroidal thickness (mChT) and ocular biometry in myopic maculopathy and to explore the potential cut-off value for prediction of myopic maculopathy (MM).

Methods: All participants underwent detailed ocular examinations. MM was subdivided into thin choroid, Bruch's membrane (BM) defects, choroidal neovascularization (CNV), and myopic tractional maculopathy (MTM) according to OCT-based classification system.

View Article and Find Full Text PDF

Purpose: Long noncoding RNA (lncRNA) is noncoding RNA and have played a key role or be treated as a biomarker in a variety of diseases such as tumors. However, extensive lncRNA analysis for uveitis has not been explored completely. In this study, we analyzed the lncRNAs with altered expression in peripheral blood comprehensively for three major autoimmune diseases (ankylosing spondylitis [AS], Behҫet's disease [BD], and sarcoidosis) to search potential hub gene and molecular mechanism for noninfectious uveitis.

View Article and Find Full Text PDF
Article Synopsis
  • Myopic retinopathy is a significant cause of irreversible vision loss, particularly in children and adolescents, and this study aimed to analyze serum metabolic profiles related to the condition while developing a diagnostic model.
  • Researchers utilized clinical and serum metabolic data from 576 participants and found that 34.2% had retinopathy, with notable differences in 27 metabolites between groups, indicating potential issues with energy metabolism.
  • The study successfully created machine learning models, specifically logistic regression and XGBoost, that accurately predicted myopic retinopathy risk, supporting the idea that combining metabolic and clinical data can lead to more effective interventions for managing myopia in young people.
View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the cost-effectiveness of AI-based vs. manual grading telemedicine screening for diabetic retinopathy (DR) in urban China, aiming to provide insights for policy-making in low- and middle-income countries.
  • - Using decision-analytic Markov models, the analysis, which draws on real-world data, compares costs, effectiveness, and utility, revealing that the AI model is not cost-effective based on the incremental cost-effectiveness ratio (ICER) and incremental cost-utility ratio (ICUR).
  • - Results showed minimal differences in effectiveness between the two methods, with the AI model costing slightly less but not providing enough benefits to justify the expense; however, certain conditions could shift its cost-effectiveness. *
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the relationship between sympathetic nervous system (SNS) activity and choroid thickness (ChT) and axial length (AL) in primary school children over one year.
  • Results show that higher levels of epinephrine and norepinephrine are linked to thinner choroid and faster axial length elongation, suggesting a connection between stress and eye development.
  • The researchers conclude that chronic stress, indicated by increased SNS activity, may lead to significant changes in eye structure, particularly through reduced choroid thickness.
View Article and Find Full Text PDF

[Epidemiology of high myopia among children and adolescents in China].

Zhonghua Yan Ke Za Zhi

February 2023

Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Division of Ophthalmology Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Shanghai 201103, China.

Myopia, especially high myopia, seriously affects the children and adolescents' quality of learning and life relating to a series of eye diseases. More and more studies show that the prevalence of high myopia in children and adolescents in China continues to rise, and gradually increases with age, showing a trend of younger age development. In this review, the existing literature was systematically reviewed to explore the differences in the prevalence of high myopia among people at different times, ages, and regions and understand the epidemiological status of high myopia in children and adolescents, so as to provide theoretical basis for further prevention and control of high myopia.

View Article and Find Full Text PDF

Purpose: To investigate the clinical features of endogenous endophthalmitis (EKPE) and the molecular characteristics of pathogenic .

Methods: A retrospective study was conducted between January 2014 and January 2021. Clinical data were extracted.

View Article and Find Full Text PDF

Introduction: The maculopathy in highly myopic eyes is complex. Its clinical diagnosis is a huge workload and subjective. To simply and quickly classify pathologic myopia (PM), a deep learning algorithm was developed and assessed to screen myopic maculopathy lesions based on color fundus photographs.

View Article and Find Full Text PDF

A moderate dosage of coffee causes acute retinal capillary perfusion decrease in healthy young individuals.

BMC Ophthalmol

November 2022

Department of Preventive Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, No. 380 Kangding Road, 200040, Shanghai, China.

Aim: Caffeinated beverages are very popular across populations and cultures, but quantitative evidence of the acute effects of moderate coffee doses on retinal perfusion is sparse and contradicting. Thus, the aim of this randomized, cross-over and parallel-group design study was to investigate whether moderate consumption of coffee alters macular retinal capillary perfusion in young healthy individuals.

Methods: Twenty-seven young healthy individuals were recruited for this study.

View Article and Find Full Text PDF

Axial length changes in progressive and non-progressive myopic children in China.

Graefes Arch Clin Exp Ophthalmol

May 2023

Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai Vision Health Center & Shanghai Children Myopia Institute, Shanghai, 200030, China.

Purpose: Due to pubertal development and crystalline lens compensation, axial length (AL) continues to increase among non-progressive myopic children (absolute annual spherical equivalent (SE) progression less than 0.25 diopter), but the amount is unknown. This study was to investigate the cutoff of AL change to accurately differentiate between progressive and non-progressive myopes.

View Article and Find Full Text PDF

Congenital cataract is the leading cause of blindness among children worldwide. Patients with posterior subcapsular congenital cataract (PSC) in the central visual axis can result in worsening vision and stimulus deprivation amblyopia. However, the pathogenesis of PSC remains unclear.

View Article and Find Full Text PDF

Introduction: We aimed to detect early retinal microcirculation changes in prediabetic patients and investigate their correlation with clinical examinations.

Methods: Forty-seven prediabetic individuals, 29 controls, and 81 type 2 diabetic mellitus (T2DM) patients were enrolled in this study. A review of clinical data and spectral-domain optical coherence tomography angiography (SD-OCTA) parameters of macular vessel diameter (VD), foveal avascular zone (FAZ), and macular vessel area density (VAD) was performed.

View Article and Find Full Text PDF