Advances in ophthalmology practice and research最新文献

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Search of inhibitors of aldose reductase for treatment of diabetic cataracts using machine learning 利用机器学习寻找醛糖还原酶抑制剂治疗糖尿病性白内障。
Advances in ophthalmology practice and research Pub Date : 2023-11-01 DOI: 10.1016/j.aopr.2023.09.002
Trevor Chen , Richard Chen , Alvin You , Valentina L. Kouznetsova , Igor F. Tsigelny
{"title":"Search of inhibitors of aldose reductase for treatment of diabetic cataracts using machine learning","authors":"Trevor Chen ,&nbsp;Richard Chen ,&nbsp;Alvin You ,&nbsp;Valentina L. Kouznetsova ,&nbsp;Igor F. Tsigelny","doi":"10.1016/j.aopr.2023.09.002","DOIUrl":"10.1016/j.aopr.2023.09.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Patients with diabetes mellitus have an elevated chance of developing cataracts, a degenerative vision-impairing condition often needing surgery. The process of the reduction of glucose to sorbitol in the lens of the human eye that causes cataracts is managed by the Aldose Reductase Enzyme (AR), and it is been found that AR inhibitors may mitigate the onset of diabetic cataracts. There exists a large pool of natural and synthetic AR inhibitors that can prevent diabetic complications, and the development of a machine-learning (ML) prediction model may bring new AR inhibitors with better characteristics into clinical use.</p></div><div><h3>Methods</h3><p>Using known AR inhibitors and their chemical-physical descriptors we created the ML model for prediction of new AR inhibitors. The predicted inhibitors were tested by computational docking to the binding site of AR.</p></div><div><h3>Results</h3><p>Using cross-validation in order to find the most accurate ML model, we ended with final cross-validation accuracy of 90%. Computational docking testing of the predicted inhibitors gave a high level of correlation between the ML prediction score and binding free energy.</p></div><div><h3>Conclusions</h3><p>Currently known AR inhibitors are not used yet for patients for several reasons. We think that new predicted AR inhibitors have the potential to possess more favorable characteristics to be successfully implemented after clinical testing. Exploring new inhibitors can improve patient well-being and lower surgical complications all while decreasing long-term medical expenses.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 4","pages":"Pages 187-191"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
TOC 技术选择委员会
Advances in ophthalmology practice and research Pub Date : 2023-11-01 DOI: 10.1016/S2667-3762(23)00057-4
{"title":"TOC","authors":"","doi":"10.1016/S2667-3762(23)00057-4","DOIUrl":"https://doi.org/10.1016/S2667-3762(23)00057-4","url":null,"abstract":"","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 4","pages":"Pages iii-iv"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667376223000574/pdfft?md5=96a54c52d1858da822e5abab29c67a25&pid=1-s2.0-S2667376223000574-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138549889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A deep learning model for generating fundus autofluorescence images from color fundus photography 彩色眼底摄影生成眼底自体荧光图像的深度学习模型
Advances in ophthalmology practice and research Pub Date : 2023-11-01 DOI: 10.1016/j.aopr.2023.11.001
Fan Song , Weiyi Zhang , Yingfeng Zheng , Danli Shi , Mingguang He
{"title":"A deep learning model for generating fundus autofluorescence images from color fundus photography","authors":"Fan Song ,&nbsp;Weiyi Zhang ,&nbsp;Yingfeng Zheng ,&nbsp;Danli Shi ,&nbsp;Mingguang He","doi":"10.1016/j.aopr.2023.11.001","DOIUrl":"10.1016/j.aopr.2023.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Fundus Autofluorescence (FAF) is a valuable imaging technique used to assess metabolic alterations in the retinal pigment epithelium (RPE) associated with various age-related and disease-related changes. The practical uses of FAF are ever-growing. This study aimed to evaluate the effectiveness of a generative deep learning (DL) model in translating color fundus (CF) images into synthetic FAF images and explore its potential for enhancing screening of age-related macular degeneration (AMD).</p></div><div><h3>Methods</h3><p>A generative adversarial network (GAN) model was trained on pairs of CF and FAF images to generate synthetic FAF images. The quality of synthesized FAF images was assessed objectively by common generation metrics. Additionally, the clinical effectiveness of the generated FAF images in AMD classification was evaluated by measuring the area under the curve (AUC), using the LabelMe dataset.</p></div><div><h3>Results</h3><p>A total of 8410 FAF images from 2586 patients were analyzed. The synthesized FAF images exhibited an impressive objectively assessed quality, achieving a multi-scale structural similarity index (MS-SSIM) of 0.67. When evaluated on the LabelMe dataset, the combination of generated FAF images and CF images resulted in a noteworthy improvement in AMD classification accuracy, with the AUC increasing from 0.931 to 0.968.</p></div><div><h3>Conclusions</h3><p>This study presents the first attempt to use a generative deep learning model to create authentic and high-quality FAF images from CF images. The incorporation of the translated FAF images on top of CF images improved the accuracy of AMD classification. Overall, this study presents a promising approach to enhance large-scale AMD screening.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 4","pages":"Pages 192-198"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266737622300032X/pdfft?md5=ab962b7e180285dcce3d53b2bce956a7&pid=1-s2.0-S266737622300032X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oxidative stress, epigenetic regulation and pathological processes of lens epithelial cells underlying diabetic cataract 糖尿病性白内障晶状体上皮细胞的氧化应激、表观遗传调控及病理过程
Advances in ophthalmology practice and research Pub Date : 2023-10-05 DOI: 10.1016/j.aopr.2023.10.001
Zaoxia Guo , Xiaopan Ma , Rui Xue Zhang , Hong Yan
{"title":"Oxidative stress, epigenetic regulation and pathological processes of lens epithelial cells underlying diabetic cataract","authors":"Zaoxia Guo ,&nbsp;Xiaopan Ma ,&nbsp;Rui Xue Zhang ,&nbsp;Hong Yan","doi":"10.1016/j.aopr.2023.10.001","DOIUrl":"https://doi.org/10.1016/j.aopr.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Cataract is a blinding disease worldwide. It is an age-related disease that mainly occurs in people over 65 years old. Cataract is also prevalent in patients with diabetes mellites (DM). The pathological mechanisms underlying diabetic cataract (DC) are more complex than that of age-related cataract. Studies have identified that polyol pathway, advanced glycation end products (AGEs) and oxidative stress are the primary pathogenesis of DC. In recent years, molecular-level regulations and pathological processes of lens epithelial cells (LECs) have been confirmed to play roles in the initiation and progression of DC. A comprehensive understanding and elucidation of how chronic hyperglycemia drives molecular-level regulations and cytopathological processes in the lens will shed lights on the prevention, delay and treatment of DC.</p></div><div><h3>Main text</h3><p>Excessive glucose in the lens enhances polyol pathway and AGEs formation. Polyol pathway causes imbalance in the ratio of NADPH/NADP<sup>+</sup> and NADH/NAD<sup>+</sup>. Decrease in NADPH/NADP<sup>+</sup> ratio compromises antioxidant enzymes, while increase in NADH/NAD<sup>+</sup> ratio promotes reactive oxygen species (ROS) overproduction in mitochondria, resulting in oxidative stress. Oxidative stress in the lens causes oxidation of DNA, proteins and lipids, leading to abnormalities in their structure and functions. Glycation of proteins by AGEs decreases solubility of proteins. High glucose triggered epigenetic regulations directly or indirectly affect expressions of genes and proteins in LECs. Changes in autophagic activity, increases in fibrosis and apoptosis of LECs destroy the morphological structure and physiological functions of the lens epithelium, disrupting lens homeostasis.</p></div><div><h3>Conclusions</h3><p>In both diabetic animal models and diabetics, oxidative stress plays crucial roles in the formation of cataract. Epigenetic regulations, include lncRNA, circRNA, microRNA, methylation of RNA and DNA, histone acetylation and pathological processes, include autophagy, fibrosis and apoptosis of LECs also involved in DC.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 4","pages":"Pages 180-186"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49715360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and material characteristics of glaucoma surgical implants 青光眼手术植入物的研制及材料特性
Advances in ophthalmology practice and research Pub Date : 2023-09-23 DOI: 10.1016/j.aopr.2023.09.001
Qiyu Qin , Chengshou Zhang , Naiji Yu , Fan Jia , Xin Liu , Qi Zhang , Min Chen , Kaijun Wang
{"title":"Development and material characteristics of glaucoma surgical implants","authors":"Qiyu Qin ,&nbsp;Chengshou Zhang ,&nbsp;Naiji Yu ,&nbsp;Fan Jia ,&nbsp;Xin Liu ,&nbsp;Qi Zhang ,&nbsp;Min Chen ,&nbsp;Kaijun Wang","doi":"10.1016/j.aopr.2023.09.001","DOIUrl":"https://doi.org/10.1016/j.aopr.2023.09.001","url":null,"abstract":"<div><h3>Background</h3><p>Glaucoma is the leading cause of irreversible blindness worldwide. The reduction of intraocular pressure has proved to be the only factor which can be modified in the treatment, and surgical management is one of the important methods for the treatment of glaucoma patients.</p></div><div><h3>Main text</h3><p>In order to increase aqueous humor outflow and further reduce intraocular pressure, various drainage implants have been designed and applied in clinical practice. From initial Molteno, Baerveldt and Ahmed glaucoma implants to the Ahmed ClearPath device, Paul glaucoma implant, EX-PRESS and the eyeWatch implant, to iStent, Hydrus, XEN, PreserFlo, Cypass, SOLX Gold Shunt, etc., glaucoma surgical implants are currently undergoing a massive transformation on their structures and performances. Multitudinous materials have been used to produce these implants, from original silicone and porous polyethylene, to gelatin, stainless steel, SIBS, titanium, nitinol and even 24-carat gold. Moreover, the material geometry, size, rigidity, biocompatibility and mechanism (valved versus nonvalved) among these implants are markedly different. In this review, we discussed the development and material characteristics of both conventional glaucoma drainage devices and more recent implants, such as the eyeWatch and the new minimally invasive glaucoma surgery (MIGS) devices.</p></div><div><h3>Conclusions</h3><p>Although different in design and materials, these delicate glaucoma surgical implants have widely expanded the glaucoma surgical methods, and improved the success rate and safety of glaucoma surgery significantly. However, all of these glaucoma surgical implants have various limitations and should be used for different glaucoma patients at different conditions.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 4","pages":"Pages 171-179"},"PeriodicalIF":0.0,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49731103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research trends of worldwide ophthalmologic randomized controlled trials in the 21st century: A bibliometric study 21世纪世界眼科随机对照试验的研究趋势:文献计量学研究
Advances in ophthalmology practice and research Pub Date : 2023-08-05 DOI: 10.1016/j.aopr.2023.07.003
Hao Wang , Qiang Ye , Weihe Xu , Jing Wang , Jianhan Liu , Xintong Xu , Wenfang Zhang
{"title":"Research trends of worldwide ophthalmologic randomized controlled trials in the 21st century: A bibliometric study","authors":"Hao Wang ,&nbsp;Qiang Ye ,&nbsp;Weihe Xu ,&nbsp;Jing Wang ,&nbsp;Jianhan Liu ,&nbsp;Xintong Xu ,&nbsp;Wenfang Zhang","doi":"10.1016/j.aopr.2023.07.003","DOIUrl":"10.1016/j.aopr.2023.07.003","url":null,"abstract":"<div><h3>Background</h3><p>Randomized controlled trials (RCTs) are often considered the gold standard and the cornerstone for clinical practice. However, bibliometric studies on worldwide RCTs of ophthalmology published in the 21st century have not been reported in detail yet. This study aims to perform a bibliometric study and visualization analysis of worldwide ophthalmologic RCTs in the 21st century.</p></div><div><h3>Methods</h3><p>Global ophthalmologic RCTs from 2000 to 2022 were searched in the Web of Science Core Collection. The number of publications, country/region, institution, author, journal, and research hotspots of RCTs were analyzed using HistCite, VOSviewer, CiteSpace, and Excel software.</p></div><div><h3>Results</h3><p>2366 institutions and 90 journals from 83 countries/regions participated in the publication of 1769 global ophthalmologic RCTs, with the United States leading in the number of volumes and research field, and the Moorfields Eye Hospital contributing to the most publications. Ophthalmology received the greatest number of publications and co-citations. Jeffrey S. Heier owned the most publications and Jost B. Jonas owned the most co-citations. The knowledge foundations of global ophthalmologic RCTs were mainly retinopathy, glaucoma, dry eye disease (DED), and cataracts, and anti-vascular endothelial growth factor (VEGF) therapy (ranibizumab), topical ocular hypotensive medication, laser trabeculoplasty. Anti-VEGF therapy for age-related macular degeneration (AMD), DME (diabetic macular edema), and DED, the use of new diagnostic tools, and myopia were the hottest research highlights. Anti-VEGF therapy, prompt laser, triamcinolone, and verteporfin photodynamic therapy for AMD, DME, and CNV (choroidal neovascularization), DED, myopia, and open-angle glaucoma were the research hotspots with the longest duration. The future research hotspots might be DED and the prevention and control of myopia.</p></div><div><h3>Conclusions</h3><p>Overall, the number of global ophthalmologic RCTs in the 21st century was keeping growing, there was an imbalance between the regions and institutions, and more efforts are required to raise the quantity, quality, and global impact of high-quality clinical evidence in developing countries/regions.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 4","pages":"Pages 159-170"},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/60/main.PMC10577841.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Genetic and epigenetic regulators of retinal Müller glial cell reprogramming 视网膜Müller神经胶质细胞重编程的遗传和表观遗传学调节因子。
Advances in ophthalmology practice and research Pub Date : 2023-08-01 DOI: 10.1016/j.aopr.2023.05.004
Xueqi Xiao , Zhiyong Liao , Jian Zou
{"title":"Genetic and epigenetic regulators of retinal Müller glial cell reprogramming","authors":"Xueqi Xiao ,&nbsp;Zhiyong Liao ,&nbsp;Jian Zou","doi":"10.1016/j.aopr.2023.05.004","DOIUrl":"10.1016/j.aopr.2023.05.004","url":null,"abstract":"<div><h3>Background</h3><p>Retinal diseases characterized with irreversible loss of retinal nerve cells, such as optic atrophy and retinal degeneration, are the main causes of blindness. Current treatments for these diseases are very limited. An emerging treatment strategy is to induce the reprogramming of Müller glial cells to generate new retinal nerve cells, which could potentially restore vision.</p></div><div><h3>Main text</h3><p>Müller glial cells are the predominant glial cells in retinae and play multiple roles to maintain retinal homeostasis. In lower vertebrates, such as in zebrafish, Müller glial cells can undergo cell reprogramming to regenerate new retinal neurons in response to various damage factors, while in mammals, this ability is limited. Interestingly, with proper treatments, Müller glial cells can display the potential for regeneration of retinal neurons in mammalian retinae. Recent studies have revealed that dozens of genetic and epigenetic regulators play a vital role in inducing the reprogramming of Müller glial cells in vivo. This review summarizes these critical regulators for Müller glial cell reprogramming and highlights their differences between zebrafish and mammals.</p></div><div><h3>Conclusions</h3><p>A number of factors have been identified as the important regulators in Müller glial cell reprogramming. The early response of Müller glial cells upon acute retinal injury, such as the regulation in the exit from quiescent state, the initiation of reactive gliosis, and the re-entry of cell cycle of Müller glial cells, displays significant difference between mouse and zebrafish, which may be mediated by the diverse regulation of Notch and TGFβ (transforming growth factor-β) isoforms and different chromatin accessibility.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 3","pages":"Pages 126-133"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Genomic instability and eye diseases 基因组不稳定和眼病。
Advances in ophthalmology practice and research Pub Date : 2023-08-01 DOI: 10.1016/j.aopr.2023.03.002
Hongyan Liu , Jun Cheng , Xiaoyun Zhuang , Benxiang Qi , Fenfen Li , Bining Zhang
{"title":"Genomic instability and eye diseases","authors":"Hongyan Liu ,&nbsp;Jun Cheng ,&nbsp;Xiaoyun Zhuang ,&nbsp;Benxiang Qi ,&nbsp;Fenfen Li ,&nbsp;Bining Zhang","doi":"10.1016/j.aopr.2023.03.002","DOIUrl":"10.1016/j.aopr.2023.03.002","url":null,"abstract":"<div><h3>Background</h3><p>Genetic information is stored in the bases of double-stranded DNA. However, the integrity of DNA molecules is constantly threatened by various mutagenic agents, including pollutants, ultraviolet light (UV), and medications. To counteract these environmental damages, cells have established multiple mechanisms, such as producing molecules to identify and eliminate damaged DNA, as well as reconstruct the original DNA structures. Failure or insufficiency of these mechanisms can cause genetic instability. However, the role of genome stability in eye diseases is still under-researched, despite extensive study in cancer biology.</p></div><div><h3>Main text</h3><p>As the eye is directly exposed to the external environment, the genetic materials of ocular cells are constantly under threat. Some of the proteins essential for DNA damage repair, such as pRb, p53, and RAD21, are also key during the ocular disease development. In this review, we discuss five ocular diseases that are associated with genomic instability. Retinoblastoma and pterygium are linked to abnormal cell cycles. Fuchs’ corneal endothelial dystrophy and age-related macular degeneration are related to the accumulation of DNA damage caused by oxidative damage and UV. The mutation of the subunit of the cohesin complex during eye development is linked to sclerocornea.</p></div><div><h3>Conclusions</h3><p>Failure of DNA damage detection or repair leads to increased genomic instability. Deciphering the role of genomic instability in ocular diseases can lead to the development of new treatments and strategies, such as protecting vulnerable cells from risk factors or intensifying damage to unwanted cells.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 3","pages":"Pages 103-111"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/42/75/main.PMC10577848.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TOC TOC
Advances in ophthalmology practice and research Pub Date : 2023-08-01 DOI: 10.1016/S2667-3762(23)00025-2
{"title":"TOC","authors":"","doi":"10.1016/S2667-3762(23)00025-2","DOIUrl":"10.1016/S2667-3762(23)00025-2","url":null,"abstract":"","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 3","pages":"Pages iii-iv"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47367769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stereopsis after bilateral implantation of Toric intraocular lenses in high myopic cataract patients with astigmatism 高度近视散光白内障患者双侧托里人工晶状体植入术后的立体视觉。
Advances in ophthalmology practice and research Pub Date : 2023-08-01 DOI: 10.1016/j.aopr.2023.07.001
Wei Fan , Guangbin Zhang
{"title":"Stereopsis after bilateral implantation of Toric intraocular lenses in high myopic cataract patients with astigmatism","authors":"Wei Fan ,&nbsp;Guangbin Zhang","doi":"10.1016/j.aopr.2023.07.001","DOIUrl":"10.1016/j.aopr.2023.07.001","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate near, intermediate, distance visual acuity and stereopsis after bilateral implantation of Toric intraocular lenses (IOLs) in high myopic patients with astigmatism.</p></div><div><h3>Methods</h3><p>Bilateral Toric or non-Toric IOL implantation (n ​= ​40 eyes each) was performed on high myopic cataract eyes with astigmatism. Best-corrected distance visual acuity (BCDVA), uncorrected intermediate visual acuity (UCIVA), uncorrected near visual acuity (UCNVA), residual refractive astigmatism (RRA), and near, intermediate, and distance stereoacuity were measured postoperatively at 7 days, 1 month, and 3 months.</p></div><div><h3>Results</h3><p>The three-month postoperative BCDVA, UCIVA, and UCNVA of the Toric group were 0.08 ​± ​0.07, 0.30 ​± ​0.11, and 0.23 ​± ​0.14 LogMAR. All improved over the preoperative assessments (<em>P</em> ​&lt; ​0.05). The RRA, UCIVA, and UCNVA were significantly better in the Toric group than the non-Toric group at all follow-up examinations (all <em>P</em> ​&lt; ​0.05). At 3 months, the median near and intermediate stereoacuity of the Toric group were 100 (range 40 – 400) and 120 (range 50 – 400) arcsec, which were better than the non-Toric group (both <em>P</em> ​&lt; ​0.05). Fine near stereopsis ≥100 arcsec was present in 65% of the Toric patients, and 50% had good intermediate stereopsis of ≥100 arcsec. However among non-Toric patients, only 15% and 5% achieved fine near and intermediate stereopsis. The postoperative BCDVA and best-corrected distance stereoacuity were similar in the two groups (<em>P</em> ​&gt; ​0.05).</p></div><div><h3>Conclusions</h3><p>In bilateral high myopic cataract patients with astigmatism, Toric IOLs not only improved UCIVA, UCNVA, and RRA, but also enhanced near and intermediate stereopsis acuity.</p></div>","PeriodicalId":72103,"journal":{"name":"Advances in ophthalmology practice and research","volume":"3 3","pages":"Pages 147-152"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/53/main.PMC10577849.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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