Current Eye Research最新文献

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Outcomes of Cataract Surgery Complicated With Zonular Dialysis: A Multicenter Comparative Study. 白内障手术并发瓣膜透析的疗效:一项多中心比较研究
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-03-01 Epub Date: 2024-10-30 DOI: 10.1080/02713683.2024.2421929
Abdelrahman M Elhusseiny, Joseph Toma, Yousef A Fouad, Mohamed K Soliman, S Nazem Ibrahim, Ahmed F Shakarchi, Abdallah A Ellabban, Yit C Yang, Ahmed B Sallam
{"title":"Outcomes of Cataract Surgery Complicated With Zonular Dialysis: A Multicenter Comparative Study.","authors":"Abdelrahman M Elhusseiny, Joseph Toma, Yousef A Fouad, Mohamed K Soliman, S Nazem Ibrahim, Ahmed F Shakarchi, Abdallah A Ellabban, Yit C Yang, Ahmed B Sallam","doi":"10.1080/02713683.2024.2421929","DOIUrl":"10.1080/02713683.2024.2421929","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the visual outcomes, rate of cystoid macular edema (CME), and additional associated complications in eyes that exhibited zonular dialysis (ZD) during phacoemulsification to a reference group of uneventful phacoemulsification eyes.</p><p><strong>Methods: </strong>A retrospective multicenter comparative database study. We pooled data from 8 United Kingdom sites between 2003 and 2015. The main outcome measures were the mean postoperative visual acuity (VA) at 12-24 weeks and the rates of CME and additional associated complications.</p><p><strong>Results: </strong>We included 1074 eyes in the ZD group and 112,479 in the reference group. Logistic regression analysis showed that pseudoexfoliation was the strongest associated factor of ZD (OR: 6.1), followed by previous glaucoma surgery (OR: 4.4). Mean logMAR preoperative VA was 0.8 ± 0.6 in the ZD group vs. 0.6 ± 0.5 in the reference group (<i>p</i> < 0.001). Mean postoperative VA was worse in the ZD group (<i>p</i> < 0.001); 0.4 ± 0.6 vs. 0.2 ± 0.3 and 0.5 ± 0.6 vs. 0.2 ± 0.3 at 4-12 weeks and 12-24 weeks, respectively. At 12-24 weeks, the proportions of eyes that gained ≥0.3 logMAR units were 50% in the ZD group vs. 62% in the reference group (<i>p</i> < 0.001). In the ZD group, the most common intraoperative complication was vitreous loss (34.3%), followed by posterior capsular rupture (PCR) (11.1%). Postoperative CME occurred in 2.3% vs. 1.4% (<i>p</i> = 0.01), and 9.3% of eyes required surgery for correction of aphakia, intraocular lens decentration, or dropped lens figments removal.</p><p><strong>Conclusions: </strong>The occurrence of ZD was associated with worse postoperative vision, an increased rate of vitreous loss and PCR, and a higher risk of CME.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"258-263"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microsecond Pulsing Laser for Choroidal Neovascularization Associated with Central Serous Chorioretinopathy. 微秒脉冲激光治疗与中央浆液性脉络膜视网膜病变相关的脉络膜新生血管。
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-03-01 Epub Date: 2024-10-23 DOI: 10.1080/02713683.2024.2419667
Dmitrii S Maltsev, Alexei N Kulikov, Alexander S Vasiliev, Alina A Kazak, Yana A Kalinicheva, Jay Chhablani
{"title":"Microsecond Pulsing Laser for Choroidal Neovascularization Associated with Central Serous Chorioretinopathy.","authors":"Dmitrii S Maltsev, Alexei N Kulikov, Alexander S Vasiliev, Alina A Kazak, Yana A Kalinicheva, Jay Chhablani","doi":"10.1080/02713683.2024.2419667","DOIUrl":"10.1080/02713683.2024.2419667","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the efficacy and safety of microsecond pulsing laser therapy (MLT) in the management of central serous chorioretinopathy (CSCR) complicated by choroidal neovascularization (CNV).</p><p><strong>Methods: </strong>Patients with CSCR complicated by CNV defined as the presence of characteristic OCT angiography features were randomly assigned to either study or control group. All patients of the study group underwent MLT targeting CNV area using navigated laser system followed by at least 6-month follow-up. Sham treatment was performed in the control group. No other treatment or anti-VEGF therapy was used during the follow-up. Main outcome measure was complete resolution of subretinal fluid at the end of follow-up.</p><p><strong>Results: </strong>Twenty-three eyes (13 males and 10 females, mean age 58.2 ± 8.0 years) with a mean CNV area 0.62 ± 0.77 mm<sup>2</sup> were included in the study group. Fourteen (60.9%) patients achieved complete resolution of SRF, five (21.7%) patients demonstrated some reduction of SRF, and four (17.4%) patients demonstrated no improvement after MLT in the study group. Twelve eyes (8 males and 4 females, mean age 59.8 ± 4.6 years) were included in the control group where none of them demonstrated resolution of SRF at the end of the follow-up (<i>p</i> = 0.0018 compared to the study group). No adverse effects, such as changes of CNV size, deterioration of exudation, or decline in visual acuity were observed in the study group.</p><p><strong>Conclusion: </strong>Microsecond pulsing laser is an effective and safe option for the treatment of CSCR complicated by relatively small CNV and achieves complete resolution of SRF in 61% of cases.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"304-313"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visual Acuity and Refractive Status in Congenital Macular Coloboma. 先天性黄斑部色素瘤的视力和屈光状态。
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-03-01 Epub Date: 2024-11-04 DOI: 10.1080/02713683.2024.2424266
Pingxiao Yang, Yilin Chen, Wentao Li, Ting Yang, Lijun Huo
{"title":"Visual Acuity and Refractive Status in Congenital Macular Coloboma.","authors":"Pingxiao Yang, Yilin Chen, Wentao Li, Ting Yang, Lijun Huo","doi":"10.1080/02713683.2024.2424266","DOIUrl":"10.1080/02713683.2024.2424266","url":null,"abstract":"<p><strong>Purpose: </strong>We analysed the refractive state and the factors that influence the best-corrected visual acuity (BCVA) in congenital macular coloboma (CMC) to provide new ideas for improving and predicting the vision of patients with CMC.</p><p><strong>Methods: </strong>We reported three patients and reviewed 26 cases of CMC reported in the China National Knowledge Infrastructure (CNKI) database. We measured the BCVA, spherical equivalent refraction (SER), the macular coloboma's diameter and area, and the distance from the macular coloboma's nasal edge to the optic disc's temporal edge (DISTANCE). We analyzed the refractive status of CMC and the factors affecting BCVA.</p><p><strong>Result: </strong>The three patients with CMC we reported all had myopia. The study also included 26 patients with CMC reported in the CNKI database (9 unilateral, 17 bilateral) and we analyzed the findings of 26 patients with 43 eyes. The mean age at diagnosis was 22.96 ± 2.32 years. All patients underwent a comprehensive eye examination; 39 eyes (91%) had myopia (44% mild myopia; 28% moderate myopia; 28% high myopia); 23 eyes (53%) had a BCVA ≤6/60 and other 20 eyes (47%)>6/60. No correlation was found between SER or BCVA and the macular coloboma's diameter or area. BCVA correlated positively with DISTANCE (<i>r</i> = 0.603, <i>p</i> < 0.001). No correlation was found between SER and DISTANCE. The study found a significant difference in SER or BCVA between the affected and fellow eyes in patients with unilateral CMC (<i>n</i> = 9, T=-3.259, <i>p</i> = 0.012; Z=-2.521, <i>p</i> = 0.012, respectively).</p><p><strong>Conclusion: </strong>CMC seriously affects visual acuity. The refractive state is mostly myopia. We hypothesize that the DISTANCE is related to the integrity of the papillomacular bundle and affects BCVA.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"314-319"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142566335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exosomes in Corneal Homeostasis and Wound Healing. 角膜稳态和伤口愈合中的外泌体
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-02-12 DOI: 10.1080/02713683.2025.2459335
Belinda J Hernandez, Danielle M Robertson
{"title":"Exosomes in Corneal Homeostasis and Wound Healing.","authors":"Belinda J Hernandez, Danielle M Robertson","doi":"10.1080/02713683.2025.2459335","DOIUrl":"https://doi.org/10.1080/02713683.2025.2459335","url":null,"abstract":"<p><strong>Purpose: </strong>The cornea is a transparent avascular tissue that serves as the first line of defense against opportunistic pathogens and provides a smooth refractive surface for vision. Due to its external location, the cornea is vulnerable to stress from the outer environment. This can lead to corneal epithelial breakdown and subsequent corneal disease. Extracellular vesicles (EVs) are nano-sized vesicles enclosed within a lipid bilayer that are secreted by all cells in the body and play a key role in cell-to-cell communication. Within the cornea field, EVs and exosomes, the latter of which represents a subpopulation of small EVs, have emerged as potential therapies for treating corneal diseases and have increased our understanding of the mechanisms by which EVs, and more specifically, exosomes released by stressed or unhealthy cells, leads to corneal dysfunction and disease.</p><p><strong>Methods: </strong>We conducted a literature search using PubMed and Google Scholar using keywords relevant to exosomes, extracellular vesicles, and cornea. We reviewed the literature focusing on EV studies on corneal wound healing and therapy.</p><p><strong>Results: </strong>This review provides a comprehensive overview of the current state of exosome biology as it relates to corneal disease and wound healing. Studies to date provide compelling data indicating that EVs and exosomes may play an integral role in the maintenance of corneal homeostasis. EVs and exosomes also have exciting potential as therapeutics in corneal wound healing and disease; and their presence in tear fluid may serve as potential diagnostic biomarkers for ocular and systemic diseases.</p><p><strong>Conclusion: </strong>While corneal exosome biology is still in its infancy state, continued progress in this area will improve our understanding of the functional capacity of these small vesicles in the human cornea and may lead to the development of novel regenerative therapies.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Small Extracellular Vesicles in Retinoblastoma Development and Progression. 细胞外小泡在视网膜母细胞瘤发育和发展中的作用
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-02-04 DOI: 10.1080/02713683.2025.2457102
Jyothi Attem, Geeta K Vemuganti
{"title":"The Role of Small Extracellular Vesicles in Retinoblastoma Development and Progression.","authors":"Jyothi Attem, Geeta K Vemuganti","doi":"10.1080/02713683.2025.2457102","DOIUrl":"https://doi.org/10.1080/02713683.2025.2457102","url":null,"abstract":"<p><p>A growing body of research on extracellular vesicles (EVs) in cancer has revealed their novel and crucial activities in the progression of tumors while also paving the way for potential therapeutic interventions. It is now known that EVs are natural delivery vehicles for particular payloads of source cells, enabling them to influence diverse functions of cells both in healthy and malignant cells. In this review, we comprehensively summarize mechanistic insights into sEV roles in RB, the most frequent intraocular malignancy that affects the retina of young children. We also explore the therapeutic potential of sEVs as an emerging area as biomarkers and vehicles for targeted therapy. Additionally, we address the potential challenges and limitations of translating sEVs-based technologies into clinical practice.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extracellular Vesicles and Glaucoma: Opportunities and Challenges. 细胞外囊泡与青光眼:机遇与挑战。
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-02-03 DOI: 10.1080/02713683.2025.2459888
Mofazzal Hossain, Yutao Liu
{"title":"Extracellular Vesicles and Glaucoma: Opportunities and Challenges.","authors":"Mofazzal Hossain, Yutao Liu","doi":"10.1080/02713683.2025.2459888","DOIUrl":"https://doi.org/10.1080/02713683.2025.2459888","url":null,"abstract":"<p><strong>Purpose: </strong>Glaucoma is one of the leading causes of irreversible blindness, characterized by progressive visual field loss. Several risk factors are associated with developing the disease. However, the exact mechanisms or pathological pathways involved are still unknown. There is an urgent need to find the mechanisms and biomarkers for early detection and therapy to halt progression or cure the disease. Extracellular vesicles (EVs), specifically exosomes, have emerged as a crucial player in all aspects of glaucoma, including pathogenesis to therapeutic application with their cell-cell communication properties.</p><p><strong>Methods: </strong>We performed a literature search on PubMed, Google Scholar, and Web of Science using different keywords. Next, we reviewed the literature with studies focusing on the role of EVs as a causative factor in disease progression, biomarker discovery based on their contents, and protection from glaucoma.</p><p><strong>Results: </strong>Studies summarized here provide reports of differential EV miRNA and protein expression alterations when communicating with aqueous humor drainage tissues. We described how EV contents are involved in various pathways, including extracellular matrix remodeling and miRNA-mediated oxidative stress transmission between outflow tissues, thereby contributing to glaucoma. Extracellular vesicles, mainly derived from mesenchymal stem cells protecting the optic nerve from degeneration, have also been discussed as potential therapies for glaucoma.</p><p><strong>Conclusions: </strong>Overall, this review provides a comprehensive discussion of the role of extracellular vesicles in glaucoma. We identified the challenges in finding major signaling molecules of glaucoma etiology. Lastly, we highlighted future directions to improve the treatment of glaucoma by extracellular vesicles.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dysfunction of Endothelial Cell-Mediated Intercellular Communication and Metabolic Pathways in Age-Related Macular Degeneration. 老年性黄斑变性中内皮细胞介导的细胞间通信和代谢途径的功能障碍。
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-02-01 Epub Date: 2024-09-27 DOI: 10.1080/02713683.2024.2407361
Yang Li, Rong Zhang, Jing Li, Lin Wang, Guohong Zhou
{"title":"Dysfunction of Endothelial Cell-Mediated Intercellular Communication and Metabolic Pathways in Age-Related Macular Degeneration.","authors":"Yang Li, Rong Zhang, Jing Li, Lin Wang, Guohong Zhou","doi":"10.1080/02713683.2024.2407361","DOIUrl":"10.1080/02713683.2024.2407361","url":null,"abstract":"<p><strong>Purpose: </strong>Age-related macular degeneration (AMD) is the leading cause of blindness in the elderly, but the therapies are not satisfactory. This study aimed to find AMD specific features through the analysis of high-throughput sequencing.</p><p><strong>Methods: </strong>In this study, we integrated six projects containing single-cell RNA sequencing (scRNA-seq) data to perform a comprehensive analysis for AMD samples in the tissues of retina and retinal pigment epithelium/choroid, and in the positions of macula and periphery. Differentially expressed genes (DEGs) were analyzed and crucial signaling pathways were identified across cell types and between the macula and periphery. The intercellular signaling transduction among cell types were inferred by \"CellChat\" to build cell-cell communication network under normal and AMD conditions, and verified at the transcriptional level. The CD31+ endothelial cells were obtained to evaluate the enrichment of KEGG pathways in atrophic and neovascular AMD, and GSVA was adopted to discover differential metabolic signals in each AMD type.</p><p><strong>Results: </strong>Thirteen major cell types were identified in the integrated scRNA-seq data. Although no disease-specific cell type or differential cell proportion was found, DEGs and enriched pathways were shown in cell-type- and position-dependent manners. Severe impairment of endothelial cell-mediated cell interactions was found in the signaling transduction network of the macula, and compromised cell interactions were observed in the periphery. Furthermore, distinct signaling pathways and metabolic states were uncovered in atrophic and neovascular AMD. Striking reduction in energy metabolism, lipid metabolism, and oxidative stress was indicated in the atrophic AMD.</p><p><strong>Conclusion: </strong>Conclusively, we discover aberrant signals and metabolic pathways in AMD samples, providing insight into mechanisms and potential therapeutic targets for the AMD treatment.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"169-181"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bufalin Regulates STAT3 Signaling Pathway to Inhibit Corneal Neovascularization and Fibrosis After Alkali Burn in Rats. 布法林调控 STAT3 信号通路,抑制大鼠碱烧伤后角膜新生血管形成和纤维化
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-02-01 Epub Date: 2024-10-02 DOI: 10.1080/02713683.2024.2408392
Chao Wu, Lu Shi, Yan Deng, Hongping Chen, Ying Lu, Xiaoyan Xiong, Xiaolong Yin
{"title":"Bufalin Regulates STAT3 Signaling Pathway to Inhibit Corneal Neovascularization and Fibrosis After Alkali Burn in Rats.","authors":"Chao Wu, Lu Shi, Yan Deng, Hongping Chen, Ying Lu, Xiaoyan Xiong, Xiaolong Yin","doi":"10.1080/02713683.2024.2408392","DOIUrl":"10.1080/02713683.2024.2408392","url":null,"abstract":"<p><strong>Purpose: </strong>Bufalin (BU) is a bioactive ingredient extracted from the skin and parotid venom glands of Bufo raddei, which can effectively inhibit angiogenesis. The aim of this study was to investigate whether BU could affect corneal neovascularization (CoNV).</p><p><strong>Methods: </strong>A rat CoNV model (right eye) was constructed by administration of NaOH, and the left eye served as a control. Corneal damage scores of rats were detected. Hematoxylin & eosin, TUNEL, and Masson staining examined pathological changes, apoptosis, and fibrosis of corneal tissues. Immunohistochemistry and western blotting assessed the expression of proteins.</p><p><strong>Results: </strong>BU intervention resulted in a significant reduction in corneal inflammatory cells, repair of corneal epithelial hyperplasia, significant reduction in stromal edema, and reduction in vascular proliferation. BU can inhibit corneal neovascularization.</p><p><strong>Conclusion: </strong>This study demonstrated that BU inhibits CoNV, fibrosis, and inflammation by modulating the STAT3 signaling pathway, elucidating the intrinsic mechanism of its protective effect. BU has great potential in the treatment of CoNV caused by corneal alkali burns.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"139-147"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of Topical Cyclosporine Combined with Punctal Plugs in Treating Dry Eye Disease and Inflammation. 局部环孢素联合眼球结膜塞治疗干眼症和炎症的疗效。
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-02-01 Epub Date: 2024-10-07 DOI: 10.1080/02713683.2024.2411699
Changming Feng, Wushuang Wang, Lan Gong, Tong Lin
{"title":"Efficacy of Topical Cyclosporine Combined with Punctal Plugs in Treating Dry Eye Disease and Inflammation.","authors":"Changming Feng, Wushuang Wang, Lan Gong, Tong Lin","doi":"10.1080/02713683.2024.2411699","DOIUrl":"10.1080/02713683.2024.2411699","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of punctal plugs combined with cyclosporine eye drops on dry eye disease (DED) and ocular surface inflammation.</p><p><strong>Methods: </strong>In a clinical trial, 73 patients were randomly allocated into three groups: punctal plug group, combination therapy group, and cyclosporine group. At the baseline and four weeks after treatment, the Schirmer I test score, fluorescein tear film break-up time (FBUT), ocular surface staining score and dry eye symptoms were assessed. Tear samples were collected to detect the level of inflammatory factors (interleukins, matrix metalloproteinase 9 (MMP-9) and tumor necrosis factor alpha (TNF-α)). In an animal experiment, a New Zealand rabbit dry eye model was induced. The rabbits were randomly divided into control group, punctal plug group, and combination therapy group (<i>n</i> = 6). Conjunctival goblet cell density, protein level of MMP-9 in conjunctiva and mRNA levels of inflammatory factors in conjunctiva and cornea were measured before and after treatment.</p><p><strong>Results: </strong>In combination therapy group of the clinical trial, the following results were observed: significant improvement in Schirmer I test scores and FBUT compared to the cyclosporine group and punctal plug group, respectively; a decrease in the tear levels of IL-6, IL-1, and MMP-9 compared to the punctal plug group; and a decrease in the tear levels of IL-1α, IL-6, and IL-17 compared to the baseline (all <i>p</i> < 0.05). In the animal experiment, rabbits in combination therapy group had a higher goblet cell density (<i>p</i> < 0.01) and lower mRNA levels of IL-16 (<i>p</i> < 0.05), IL-17 (<i>p</i> < 0.05), and MMP-9 (<i>p</i> < 0.01) in conjunctiva and that of MMP-9 (<i>p</i> < 0.01) in cornea compared to punctal plug group.</p><p><strong>Conclusion: </strong>Cyclosporine eye drops combined with degradable punctal plugs is a more optimized clinical treatment strategy for DED compared with degradable punctal plugs or cyclosporine eye drops alone, considering the influence of comprehensive clinical efficacy and ocular surface inflammation.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"148-161"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Different Optical Zone Diameter on Corneal Astigmatism Correction Using Femtosecond Laser Corneal Relaxing Incisions: 8 mm vs 9 mm. 不同光学区直径对使用飞秒激光角膜松弛切口矫正角膜散光的影响:8毫米与9毫米
IF 1.7 4区 医学
Current Eye Research Pub Date : 2025-02-01 Epub Date: 2024-10-04 DOI: 10.1080/02713683.2024.2408395
Zhangliang Li, Yiyi Wang, Ziqi Meng, Yalan Wang, Xicong Lou, Zehui Zhu, Jing Jin, Yun-E Zhao
{"title":"The Impact of Different Optical Zone Diameter on Corneal Astigmatism Correction Using Femtosecond Laser Corneal Relaxing Incisions: 8 mm vs 9 mm.","authors":"Zhangliang Li, Yiyi Wang, Ziqi Meng, Yalan Wang, Xicong Lou, Zehui Zhu, Jing Jin, Yun-E Zhao","doi":"10.1080/02713683.2024.2408395","DOIUrl":"10.1080/02713683.2024.2408395","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the impact of 8 mm versus 9 mm optical zone (OZ) diameters on corneal astigmatism correction and to evaluate the impact of incision depth percentage after femtosecond laser corneal relaxing incisions (CRIs) combined with cataract surgery.</p><p><strong>Methods: </strong>Thirty-nine eyes from 39 patients were enrolled and randomly assigned to two groups based on the OZ diameter: 8 mm and 9 mm. Corneal astigmatism and CRI depth were measured using Pentacam and anterior segment optical coherence tomography. Vector analysis was performed using Alpins method.</p><p><strong>Results: </strong>In the 8 mm group, postoperative corneal astigmatism was reduced by 0.77 ± 0.61 diopters (D), significantly greater than the reduction of 0.42 ± 0.40 D in the 9 mm group (<i>p</i> < 0.05). The 8 mm group exhibited greater surgically induced astigmatism (SIA), net corneal changes, and a smaller angle of error (AE) (<i>p</i> < 0.05). At 3 months postsurgery, the correction index (CI) values were 0.84 ± 0.39 for the 8 mm group, exceeding the 0.52 ± 0.32 observed in the 9 mm group (<i>p</i> < 0.05). The mean incision depth percentage was significantly higher in the 9 mm group (79.30 ± 10.76%) compared to the 8 mm group (72.58 ± 8.73%) (<i>p</i> < 0.05). In the 8 mm group, CI values closer to 1.00 were associated with lower percentages of incision depth.</p><p><strong>Conclusions: </strong>CRIs with an 8 mm OZ diameter demonstrated superior efficacy in correcting corneal astigmatism with shallower incision depths compared to those with a 9 mm diameter.</p>","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"162-168"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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