Investigative ophthalmology & visual science最新文献

{"title":"Access to Myopia Care in the United States-A Narrative Review.","authors":"Joy Harewood, Melissa Contreras, Kristine Huang, Shelby Johnson, Jingyun Wang","doi":"10.1167/iovs.66.7.5","DOIUrl":"10.1167/iovs.66.7.5","url":null,"abstract":"<p><p>This review describes the evidence related to the burden of myopia and the status of access to myopia care, including detection, treatment, and management, in the United States. It examines the societal impact of myopia, vision screening guidelines from professional organizations, and state mandates on vision screening. Using the Anderson-Newman framework, the review evaluates access to and utilization of myopia care. It identifies knowledge gaps and barriers, offering strategies to improve access to myopia care and management. Improving access to comprehensive myopia management will require collaboration among stakeholders to address research gaps and develop policies that promote equitable access to the detection, treatment, and management of myopia, particularly for populations at high risk of adverse outcomes.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 7","pages":"5"},"PeriodicalIF":5.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PRMT5 Regulates Senescence in Retinal Ganglion Cells by Targeting the Wnt/β-Catenin Signaling Cascade.","authors":"Yumeng Zhang, Hanwen Huang, Huimin Zhong, Yang Zhang, Siqi He, Yanzhi Guo, Yiwei Wang, Ping Huang, Shouyue Huang, Yisheng Zhong","doi":"10.1167/iovs.66.6.8","DOIUrl":"10.1167/iovs.66.6.8","url":null,"abstract":"<p><strong>Purpose: </strong>In patients with glaucoma, progressive degeneration of retinal ganglion cells (RGCs) leads to irreversible visual impairments. Despite recent studies indicating that senescence is associated with RGC death, the underlying molecular mechanisms remain unclear.</p><p><strong>Methods: </strong>The chronic ocular hypertension (COH) mouse model was established by infusing a crosslinking hydrogel into the anterior chamber. Cellular senescence was evaluated using Western blot analysis, cell cycle, senescence-associated β-galactosidase (SA-β-gal) staining, enzyme-linked immunosorbent assay, and immunofluorescence. Functional experiments were conducted in retinal precursor (R28) cells through small interfering RNA-mediated knockdown and plasmid-mediated overexpression. Additionally, the role of the protein arginine methyltransferase 5 (PRMT5)-regulated Wnt/β-catenin pathway in RGC senescence was investigated via intravitreal injection of GSK3326595 and CHIR99021 in mice.</p><p><strong>Results: </strong>We demonstrate that PRMT5 is markedly downregulated in RGC in a COH mouse model, correlating with increased RGC senescence induced by elevated intraocular pressure. Silencing PRMT5 significantly accelerated senescence, as evidenced by increased SA-β-gal activity, cell cycle arrest, and senescence marker upregulation. Cotreatment with GSK3β inhibitor CHIR99021 alleviated hypoxia-induced senescence and reactivated the Wnt/β-catenin pathway, while the antagonist FH535 negated the neuroprotective effects of PRMT5 overexpression. In vivo, the PRMT5 inhibitor GSK3326595 reduced RGC survival and heightened senescence markers, whereas CHIR99021 mitigated RGC loss and restored Wnt/β-catenin signaling.</p><p><strong>Conclusions: </strong>Taken together, these findings highlight the critical role of the PRMT5-regulated Wnt/β-catenin pathway in RGC senescence and neurodegeneration. Targeting this pathway represents a promising therapeutic strategy for glaucoma.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"8"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of Bruch's Membrane Formation in Human Fetal Retina and De Novo Membrane Synthesis by hPSC-Derived Retinal Pigment Epithelium.","authors":"Emily P Lanning, Matthew J Branch, Philippa Harding, Miriam Margari, Alexander J Smith, Robin R Ali, Rachael A Pearson","doi":"10.1167/iovs.66.6.40","DOIUrl":"10.1167/iovs.66.6.40","url":null,"abstract":"<p><strong>Purpose: </strong>Little is known about the development of Bruch's membrane (BrM), the structure separating and supporting the retina and choroid, nor whether differentiation of human pluripotent stem cell (hPSC)-derived retinal pigment epithelium (RPE) accurately replicates BrM. This has relevance for tissue engineering strategies, both in the development of accurate in vitro models, and effective RPE transplant strategies. Here, we investigated BrM-associated protein production in human fetal tissue and hPSC-derived RPE.</p><p><strong>Methods: </strong>The presence of laminin, elastin, fibronectin, and types I/III/IV collagen was examined in human fetal eyes at 6 to 21 post-conception weeks (PCWs) and hPSC-derived RPE cultures at 1 to 6 weeks in culture using immunohistochemistry/immunocytochemistry and quantitative PCR (qPCR).</p><p><strong>Results: </strong>In human fetal retina, laminin and fibronectin were present from 6 PCW, type IV collagen from 8 PCW, elastin from 12 PCW, type I collagen by 17 PCW, and type III collagen from 21 PCW. BrM layering was discernible from 12 PCW, becoming distinct by 17 PCW. In hPSC-derived RPE cultures, basement membranes containing laminin and fibronectin were present from week 1, type IV collagen from week 2, and type I collagen from week 4. Type III collagen was present at all timepoints, although not localized as a basement membrane. Elastin was absent at all timepoints.</p><p><strong>Conclusions: </strong>BrM-like membrane synthesis in hPSC-derived RPE largely recapitulates the temporal sequence seen in human development, excluding elastin. These support the utility of hPSC-derived RPE in in vitro systems to model RPE/retina interactions in health and disease, and inform cell therapy approaches, as de novo BrM-like membrane has the potential to support transplanted donor RPE.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"40"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum in: Ocular Surface Involvements in the Development of Sjögren's Syndrome-Associated Dry Eye in the IL14α Transgenic Mouse.","authors":"","doi":"10.1167/iovs.66.6.39","DOIUrl":"10.1167/iovs.66.6.39","url":null,"abstract":"","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"39"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alterations of the Enteric Virome in Vogt-Koyanagi-Harada Disease.","authors":"Mingzhu Liu, Jiawei Geng, Siyan Jin, Ping Hu, Xia Wang, Xiaoli Liu","doi":"10.1167/iovs.66.6.15","DOIUrl":"10.1167/iovs.66.6.15","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to explore the enteric virome characteristics of Vogt Koyanagi Harada (VKH) disease and its potential role in this disease.</p><p><strong>Methods: </strong>Shotgun metagenomic sequencing was used to detect the enteric virome and 16S rRNA to detect the bacteriome in new-onset, untreated patients with VKH (n = 25) and age- and sex-matched healthy controls without autoimmune diseases (n = 25).</p><p><strong>Results: </strong>Patients with VKH exhibited different enteric viral communities from healthy controls, characterized by decreased richness of core viral communities (present in > 80% of samples) and increased richness of common viral communities (present in 50%-80% of samples). Notably, within the core virus community, bacteriophage richness was markedly reduced, whereas eukaryotic virus richness significantly increased in patients with VKH. The case-control analysis identified 42 differentially abundant viruses, including a decrease in crAss-like phages, the eukaryotic virus Moumouvirus_moumou, and an enrichment of the Chlamydiamicrovirus_CPG1. Most of the differential phages predominantly targeted bacteria from the phyla Pseudomonadota and Firmicutes. The gut virome-bacteria community correlation analysis revealed a shift in the interactions between the core viruses and bacterial communities. Additionally, Wroclawvirus PA5oct (a Pseudomonas phage) correlated with leukotrichia, a clinically relevant symptom of VKH (P = 0.042). The impact of multiple Pseudomonas phages on the host folate biosynthesis was significantly enhanced in patients with VKH. Moreover, the protein (Earp361-372) encoded by VKH-enriched Pseudomonas was identified to share homology with the melanin antigen gp10044-59.</p><p><strong>Conclusions: </strong>The gut virome of patients with VKH differs significantly from healthy controls, suggesting its disturbance may contribute to gut microbiome imbalance and VKH development.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"15"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Retinal Vasculature Phenotype and Choroidal Blood Flow at High Altitude in Healthy Lowlanders.","authors":"Jérémy De Abreu, Aymeric Paillisser, Florence Berquet, Stephen Hogg, Emanuele Trucco, Martial H Geiser, Aurélien Pichon, Michael Furian, Emeric Stauffer, Benoit Champigneulle, Julien Vincent Brugniaux, Thomas J Macgillivray, Samuel Vergès, Christophe Chiquet","doi":"10.1167/iovs.66.6.50","DOIUrl":"10.1167/iovs.66.6.50","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to characterize changes in retinal vessel diameters and choroidal blood flow in healthy lowlanders during a high-altitude expedition.</p><p><strong>Methods: </strong>Ocular examination, fundus images acquired using a handheld camera, and laser Doppler flowmetry (LDF) measurements within the subfoveal choroid (blood flow = ChBF, blood velocity = ChVel, and blood volume = ChVol) were carried out at 200 m and after 9 days at 5100 m in 11 healthy participants. Fundus images were analyzed with the semi-automatic software Vessel Assessment and Measurement Platform for Images of the Retina (VAMPIRE) version 3.2 to quantify retinal vessel parameters: the central retinal artery equivalent (CRAE), the central retinal vein equivalent (CRVE), and arterial and venular tortuosity. Hematocrit and hemoglobin concentrations were also measured at both altitudes.</p><p><strong>Results: </strong>Corneal thickness increased slightly at altitude (median = 536 µm, interquartile range = 25-75%: [521-571] at 200 m vs. 561 µm [540-574] at 5100 m, P = 0.004). No participant was affected by high-altitude retinopathy. From 200 m to 5100 m, ChVol and ChBF decreased significantly (-31% [43-22], P = 0.003 and -13% [22-8], P = 0.01, respectively), ChVel increased (+17% [10-44], P = 0.003), and CRVE (+10% [3-14], P = 0.04) and venular tortuosity (+142% [71-168], P = 0.04) increased significantly. The altitude-induced increase in hematocrit correlated negatively with the decrease in ChBF (r = -0.88, P < 0.001) and positively with the increase in CRVE (r = 0.88, P = 0.01).</p><p><strong>Conclusions: </strong>Acute high-altitude exposure leads to a decrease of ChBF (partly related to a decrease in blood volume) and an increase in retinal vein diameter and tortuosity. The physiological consequences of these changes on retinal blood flow and retinal function remain to be explored.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"50"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myopia Development During Transition From Kindergarten to Early Grades in Elementary School: Population-Based Evidence From an Epidemic Area in Taiwan.","authors":"Yu-Chieh Yang, Der-Chong Tsai, Shao-You Fang, Hsin-Yu Yang, Chiao-Yu Wang, Chia-Wei Lee, Pei-Wei Huang, Mong-Ping Shyong, Yen-Lin Chen, Nai-Wei Hsu","doi":"10.1167/iovs.66.6.48","DOIUrl":"10.1167/iovs.66.6.48","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the incidence of myopia, its association, and refractive progression among kindergarten non-myopic children after entering elementary schools in Yilan, Taiwan.</p><p><strong>Methods: </strong>A cohort study was conducted on first- and second-grade elementary school students. Ocular examinations and caregiver-administered questionnaires were performed between December 2023 and March 2024, with data linked to kindergarten records from Yilan Myopia Vision Improvement Program (YMVIP). Myopia was defined as spherical equivalent (SE) ≤ -0.5 diopters (D), and premyopia as -0.5 D < SE ≤ 0.75 D.</p><p><strong>Results: </strong>Of 1754 enrolled students, 1680 (95.73%) underwent ocular examinations, and 1554 (88.55%) were linked to kindergarten data. Among 1428 non-myopic preschoolers, the incidence density of myopia was 8.70% per person-year (95% confidence interval [CI] = 7.60%-9.80%). Children with incident myopia had a more negative baseline SE (0.33 ± 0.50 D vs. 1.02 ± 0.80 D, P < 0.001) and greater annual myopic progression (-0.60 ± 0.42 D/year vs. -0.20 ± 0.34 D/year). A multiple logistic regression model identified risk factors for incident myopia as premyopia in preschool (odds ratio [OR] = 9.641, 95% CI = 5.936-15.660, P < 0.001), having two myopic parents (OR = 1.819, 95% CI = 1.003-3.297, P = 0.049), and older age at the time of the elementary school examination (OR = 1.635, 95% CI = 1.224-2.183, P = 0.001). Spending more than 30 minutes/day outdoors on weekdays in preschool was protective against myopia (OR = 0.528, 95% CI = 0.366-0.762, P = 0.001).</p><p><strong>Conclusions: </strong>The incidence density of myopia in Yilan County was 8.70% per person-year. Risk factors included premyopia, having myopic parents, and less outdoor time in kindergarten.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"48"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alteration of Tear Metabolomics Profiling in Infants With Retinopathy of Prematurity.","authors":"Zixin Fan, Shuo Yang, Xiaofeng Lu, Sifan Zhang, Xianlu Zeng, Lin Lin, Duo Yuan, Jian Zeng, Guoming Zhang","doi":"10.1167/iovs.66.6.61","DOIUrl":"10.1167/iovs.66.6.61","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the characteristics of metabolomic profile in the tears from infants with retinopathy of prematurity (ROP) and further define noninvasive biomarkers.</p><p><strong>Methods: </strong>This prospective study included 94 eyes from 47 premature infants. Tear samples from 23 infants with ROP (15 treatment-requiring ones [ROP (t)] and 8 non-treatment-requiring ones [ROP (nt)]) and 24 infants without ROP were collected with Schirmer strips after topical anesthesia. Detailed fundus examination upon pupil dilation were conducted, with data on demographics and birth history recorded. Untargeted tear metabolomic analysis based on ultra-performance liquid chromatography-mass spectrometry was performed.</p><p><strong>Results: </strong>Adjusted by sex, postmenstrual age, gestational age, and birth weight, among 145 metabolites quantified, 3,5-di-tert-butyl-4-hydroxybenzaldehyde, caffeine, and trehalose were identified to be upregulated in the tears from infants with ROP when compared to those from premature infants with non-ROP, whereas uric acid, dihomo-γ-linolenic acid, nootkatone, pyridoxal, ornithine, 6-keto-prostaglandin F1 alpha, adenosine, and tetrahydrocortisol were downregulated (all adjusted false discovery rate [FDR adj] < 0.05). Nine and one dysregulated metabolites were further found in the ROP (t) and ROP (nt) subgroups, respectively. Some of these metabolites exhibited expression levels correlated with postmenstrual age, gestational age, birth weight, and ROP severity in varying degrees. The dysregulated tear metabolites were fundamentally related to vitamin B6, purine, caffeine, arginine, and starch and sucrose metabolism pathways. The 6-keto-prostaglandin F1 alpha obtained the best performance in classifying premature infants with and without ROP (area under the curve [AUC] of 0.893 [range = 0.800-0.986], P < 0.001).</p><p><strong>Conclusions: </strong>Dysregulated tear metabolites in ROP exhibited abundance correlated with severity of the disease and might be noninvasive biomarkers that potentially serve as complementary screening tools.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"61"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Tissue Transcriptome-Wide Association Study Identifies Novel Genes Associated With POAG.","authors":"Jianqi Chen, Xiaohua Zhuo, Yangjiani Li, Yingting Zhu, Zhidong Li, Xinyue Shen, Yehong Zhuo, Hongmei Tan, Lei Lei","doi":"10.1167/iovs.66.6.7","DOIUrl":"10.1167/iovs.66.6.7","url":null,"abstract":"<p><strong>Purpose: </strong>Genome-wide association studies have identified numerous loci associated with POAG. However, functional insights remain limited owing to challenges from noncoding regions and complex linkage disequilibrium. We aimed to bridge these gaps in POAG by integrating genomic and multitissue transcriptomic data and identifying novel systemic regulatory genes.</p><p><strong>Methods: </strong>We analyzed POAG genomic data from FinnGen and expression quantitative trait loci data from GTEx v8 for cross-tissue transcriptome-wide association studies. The Unified Test for Molecular Signature identified cross-tissue associations, complemented by single-tissue Transcriptome-wide association studies using Functional Summary-based Imputation for tissue-specific insights, and the Multi-marker Analysis of Genomic Annotation validated and refined results. Significant findings from the Unified Test for Molecular Signature, Functional Summary-based Imputation, and Multi-marker Analysis of Genomic Annotation were intersected to identify robust candidate genes, followed by summary data-based Mendelian randomization and colocalization analyses to explore their functional implications.</p><p><strong>Results: </strong>Six candidate genes (AFAP1, CALCRL, KREMEN1, MTMR3, GFPT1, and TRIOBP) were identified with intersection evidence. Among these, CALCRL, MTMR3, and GFPT1 were novel. Summary data-based Mendelian randomization confirmed that AFAP1 (odds ratio [OR], 0.83; 95% confidence interval [CI], 0.78-0.88), CALCRL (OR, 0.86; 95% CI, 0.79-0.94), KREMEN1 (OR, 0.86; 95% CI, 0.77-0.97), and MTMR3 (OR, 0.77; 95% CI, 0.63-0.93) exhibited protective effects, and GFPT1 (OR, 1.34; 95% CI, 1.13-1.59) was identified as a risk role for POAG.</p><p><strong>Conclusions: </strong>This study identified six genes associated with POAG, three of which were novel, offering novel insights into its genetic architecture and systemic regulatory mechanisms.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"7"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Efficiency and Safety of Oxygen-Supplemented Accelerated Scleral Cross-Linking in Rabbits.","authors":"Lingling Yan, Ce Wu, Xiaona Liu, Pengfei Han, Jie Zhang, Zhipeng Gao, Xiaona Li, Weiyi Chen","doi":"10.1167/iovs.66.6.10","DOIUrl":"10.1167/iovs.66.6.10","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the efficacy and safety of accelerated scleral collagen cross-linking (SXL) with supplemental oxygen.</p><p><strong>Methods: </strong>The rabbit scleral tissues were randomly divided into seven different SXL protocols, including traditional (T)-SXL (3 mW/cm2 for 30 minutes, 3*30) and accelerated (A)-SXL (30 mW/cm2 for 3, 5, or 8 minutes, respectively, with or without supplemental oxygen). The control group received no ultraviolet-A (UVA) radiation. The tangent modulus of scleral strip was determined by uniaxial tensile test. The protocol with better mechanical property and shorter cross-linking time in vitro was selected for immediate safety assessment using electroretinogram (ERG) in vivo, hematoxylin and eosin (H&E) staining and TUNEL assay in vitro.</p><p><strong>Results: </strong>The tangent modulus was significantly greater in all SXL groups compared to the control group. The equatorial sclera showed a larger stiffening effect than the posterior. In the equatorial sclera, extending the irradiation time in normoxic A-SXL can result in a further enhancement of the stiffening effect. The tangent modulus was enhanced by 92% in the hyperoxic A-SXL group (30*3) compared with the normoxic A-SXL (30*3) group, and achieved the same mechanical performance as the T-SXL group. The oxygen supplementation did not play a role in further improving he stiffening effect at the posterior sclera. The ERG and H&E staining indicated no abnormalities in the sclera and retina. Apoptosis was only observed in the outer layer of the sclera in the A-SXL groups.</p><p><strong>Conclusions: </strong>A-SXL protocol of 30 mW/cm2 can improve the mechanical properties of the sclera. In particular, the protocol of 30 mW/cm2 for 3 minutes with supplemental oxygen showed excellent cross-linking efficacy with shorter surgical time and was relatively safe.</p>","PeriodicalId":14620,"journal":{"name":"Investigative ophthalmology & visual science","volume":"66 6","pages":"10"},"PeriodicalIF":5.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}