{"title":"Silicone Oil Migration into the Graft Interface after Descemet Stripping Automated Endothelial Keratoplasty in a Patient with a Past Surgical History of Silicone Oil Tamponade: A Case Report.","authors":"Sepehr Feizi, Javad Rezaei, Fatemeh Hosseini, Mohammadreza Tahavvori, Mohammad Reza Simkesh","doi":"10.1159/000550878","DOIUrl":"10.1159/000550878","url":null,"abstract":"<p><strong>Introduction: </strong>Descemet stripping automated endothelial keratoplasty (DSAEK) is widely accepted as an alternative to penetrating keratoplasty for the treatment of corneal endothelial failure. Surgical outcomes, however, may be compromised in eyes with complex surgical histories, particularly following vitreoretinal procedures. We describe a case of silicone oil deposition at the donor-recipient interface after DSAEK in a patient with prior silicone oil tamponade.</p><p><strong>Case presentation: </strong>A 42-year-old man with pseudophakic bullous keratopathy previously underwent traumatic cataract surgery, pars plana vitrectomy with silicone oil injection, subsequent oil removal, and implantation of an angle-supported anterior chamber intraocular lens. He later underwent anterior chamber lens explantation, Artisan iris-claw lens implantation, and DSAEK. By postoperative day 9, multiple silicone oil droplets were observed at the donor-recipient interface, with a further increase in size and number by day 14. An anterior chamber washout was performed; however, droplets persisted at the surgical interface.</p><p><strong>Conclusion: </strong>This case highlights the risk of silicone oil entrapment at the DSAEK donor-recipient interface in eyes with prior vitreoretinal surgery and silicone oil tamponade. Thorough removal of residual silicone oil before donor lenticule insertion is essential to minimize interface-related complications.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"380-386"},"PeriodicalIF":0.6,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763514","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}
{"title":"Presumed Capsular-Bag-Origin Endophthalmitis following Anterior Vitrectomy for Posterior Capsule Opacification in a Patient with Proliferative Diabetic Retinopathy: A Case Report.","authors":"Akira Saitoh, Ayumi Kondo Saitoh, Yukiko Nagahara, Yusuke Tatara","doi":"10.1159/000550879","DOIUrl":"10.1159/000550879","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic postoperative endophthalmitis is a rare but serious complication following intraocular surgery. We report a unique case of presumed capsular-bag-origin endophthalmitis that developed after anterior vitrectomy for posterior capsule opacification in a patient with proliferative diabetic retinopathy.</p><p><strong>Case presentation: </strong>A patient with proliferative diabetic retinopathy underwent uncomplicated cataract surgery, followed by anterior vitrectomy for posterior capsule opacification. One month later, the patient experienced a marked decrease in visual acuity accompanied by dense vitreous opacity, despite minimal anterior chamber inflammation. Vitrectomy revealed inflammatory changes predominantly localized to the capsular bag. Based on the delayed onset, clinical course, and intraoperative findings, capsular-bag-origin endophthalmitis was suspected. Surgical intervention combined with appropriate antimicrobial therapy resulted in clinical improvement.</p><p><strong>Conclusion: </strong>Capsular-bag-origin endophthalmitis may present with limited anterior segment inflammation and delayed onset after anterior vitrectomy. This rare entity should be considered in patients with unexplained vitreous opacity following intraocular surgery, particularly in those with proliferative diabetic retinopathy.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"289-299"},"PeriodicalIF":0.6,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147607945","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}
{"title":"A 27-Gauge Light Pipe-Assisted Modified Kebab Technique for Safe Retrieval of a Dropped Lens Nucleus: A Case Report.","authors":"Sho Yokoyama","doi":"10.1159/000550900","DOIUrl":"10.1159/000550900","url":null,"abstract":"<p><strong>Introduction: </strong>Management of dropped lens nuclei can be challenging, and several approaches have been reported, including perfluorocarbon liquid (PFCL) flotation and the kebab technique with intraocular diathermy. However, these approaches require dedicated instruments and may involve risks such as residual PFCL retention, thermal injury, or increased cost. This study presents a case of modified kebab technique using a 27-gauge illuminated light pipe to safely retrieve a dropped lens nucleus, without requiring the use of PFCL or diathermy.</p><p><strong>Case presentation: </strong>A patient who experienced a posterior capsule rupture with a dropped nucleus during cataract surgery subsequently underwent pars plana vitrectomy using a 27-gauge three-port system on the following day. After core vitrectomy and removal of the vitreous surrounding the dropped nucleus, the nucleus was gently brought closer using suction from the vitreous cutter. The tip of the 27-gauge light pipe was inserted into the nucleus, advanced to fully penetrate it, and used to establish firm fixation. The nucleus was then elevated into the anterior chamber and removed via phacoemulsification while being rotated. Postoperatively, no complications were observed, and the patient's visual acuity improved from 20/100 (logMAR 0.7) to 20/20 (logMAR 0.0) at 1 month after surgery.</p><p><strong>Conclusion: </strong>This modified kebab technique using a 27-gauge illuminated light pipe allows nucleus fixation and retrieval in selected cases, without the routine use of PFCL or diathermy. This simple technique may serve as a practical salvage option, particularly when dedicated instruments are unavailable.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"248-253"},"PeriodicalIF":0.6,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497747","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}
Veshesh Patel, Anny M S Cheng, Joby Tsai, Muhammad Shabbir Ijaz, Arash Maleki, Shailesh Gupta
{"title":"A Rare Case of Concurrent Carotid Cavernous Fistula and Orbital Cellulitis: Challenging Diagnosis and Divergent Management.","authors":"Veshesh Patel, Anny M S Cheng, Joby Tsai, Muhammad Shabbir Ijaz, Arash Maleki, Shailesh Gupta","doi":"10.1159/000550431","DOIUrl":"10.1159/000550431","url":null,"abstract":"<p><strong>Introduction: </strong>Carotid cavernous fistula (CCF) is abnormal vascular connections between the cavernous sinus and the carotid artery or its branches, leading to orbital signs. This rare case report illustrates the diagnostic complexities posed by orbital cellulitis and concomitant CCF.</p><p><strong>Case presentation: </strong>A 52-year-old male with a recent trauma of dehiscent internal carotid artery (ICA) presented initially with bacteremia, fever, tachycardia, and leukocytosis. Based on the orbital symptoms, including proptosis, chemosis, and restricted extraocular in the right eye, the patient was diagnosed with orbital cellulitis. His ocular manifestations deteriorated despite the improvement of systemic symptoms, signs, and laboratory results during systemic antibiotic treatment. A faint bruit and pulsatile proptosis were found in the right eye; thus, neuroimaging was performed. Magnetic resonance venography and computed tomography angiogram demonstrated a direct CCF with arterialized flow in the cavernous sinus, and superior ophthalmic vein dilation. Endovascular coil embolization successfully resolved the CCF, yet the patient experienced permanent vision loss in the affected eye due to an afferent pupillary defect, a neurological sequelae attributed to either orbital cellulitis, CCF or both.</p><p><strong>Conclusion: </strong>The significant overlap in symptoms of orbital cellulitis and CCF complicates diagnosis. When two diseases coexist, the diagnosis becomes more complex. This rare case report highlights that CCF should be considered a potential concurrent pathology in patients with head and neck trauma presenting with orbital cellulitis. In addition, CCF can be considered in trauma patients exhibiting dehiscent ICA, irrespective of orbital symptoms, and prior to performing neuroimaging.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"188-194"},"PeriodicalIF":0.6,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431051","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}
Ellen Nollet, Nicolas Vandenbussche, Sara Van de Veire
{"title":"When Headache Is Not Just Headache: Two Years of Symptoms and the Value of Ophthalmic Awareness in Undiagnosed Idiopathic Intracranial Hypertension - A Case Report.","authors":"Ellen Nollet, Nicolas Vandenbussche, Sara Van de Veire","doi":"10.1159/000550828","DOIUrl":"10.1159/000550828","url":null,"abstract":"<p><strong>Introduction: </strong>Idiopathic intracranial hypertension (IIH) can present with nonspecific symptoms such as chronic headache and dizziness, making diagnosis challenging and often delayed. Ophthalmologic evaluation plays a crucial role in identifying IIH and preventing irreversible visual damage.</p><p><strong>Case presentation: </strong>We report a case of a young woman with a 2-year history of persistent headache and dizziness of unknown origin. She was subsequently diagnosed with previously unrecognized IIH following ophthalmic evaluation, including optical coherence tomography, fundus examination, and visual field testing. These findings prompted timely shunt placement, which resulted in marked recovery of the visual fields.</p><p><strong>Conclusion: </strong>This case highlights the educational value of ophthalmologic awareness and the importance of integrating ocular findings into clinical decision-making, particularly in patients with chronic unexplained headache. It underscores the relevance of prompt initiation of therapy and, when necessary, invasive surgical intervention to prevent lifelong optic nerve damage and poor visual outcomes in a young population.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"333-344"},"PeriodicalIF":0.6,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721704","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}
Ludovica Gargiulo, Francesco Cutrupi, Francisco Esoin, Lisa Melzi, Benedetta Storti, Nicola Rifino, Anna Bersano, Stefania Bianchi Marzoli
{"title":"Retinal Vasculopathy in Inflammatory Cerebral Amyloid Angiopathy: A Case Report of Peripheral Marker of Treatment Response.","authors":"Ludovica Gargiulo, Francesco Cutrupi, Francisco Esoin, Lisa Melzi, Benedetta Storti, Nicola Rifino, Anna Bersano, Stefania Bianchi Marzoli","doi":"10.1159/000550627","DOIUrl":"10.1159/000550627","url":null,"abstract":"<p><strong>Introduction: </strong>Inflammatory cerebral amyloid angiopathy (CAA-ri) is a rare immune response to vascular amyloid-β. Ocular involvement is exceptional, and the retina may represent an accessible biomarker of disease activity.</p><p><strong>Case presentation: </strong>A 67-year-old woman with probable CAA-ri developed recurrent floaters and transient visual obscurations during steroid tapering, with bilateral optic disc edema and peripapillary hemorrhages. Multimodal retinal imaging supported an inflammatory hemorrhagic retinal arteriolar microangiopathy (normal CSF opening pressure; TREX1 negative). Retinal findings resolved after intensified immunosuppression (steroids plus mycophenolate), recurred during tapering, and resolved again after switching to cyclophosphamide with steroid escalation; brain MRI remained largely unchanged and brain biopsy later confirmed inflammatory CAA.</p><p><strong>Conclusion: </strong>Multimodal retinal imaging may provide a dynamic, sensitive peripheral biomarker to monitor disease activity and treatment response in CAA-ri, even when cerebral MRI appears stable.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"254-262"},"PeriodicalIF":0.6,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497681","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}
{"title":"Gonococcal Dacryoadenitis: A Case Report.","authors":"Lewis Hains, Clare Quigley, Dinesh Selva","doi":"10.1159/000550844","DOIUrl":"10.1159/000550844","url":null,"abstract":"<p><strong>Introduction: </strong><i>Neisseria gonorrhoeae</i> (NG) causes sexually transmitted hyperacute bacterial conjunctivitis. Involvement of the lacrimal gland is exceedingly rare and has been previously reported in two case reports.</p><p><strong>Case presentation: </strong>This report discusses a 71-year-old male who presented with a painful red left eye. There was notable swelling of the upper eyelid, which was confirmed on CT to be due to lacrimal gland inflammation. Clinical features of dacryoadenitis associated with scleritis were found on ophthalmologic assessment. Conjunctival swabs were sent for culture and returned positive for NG, following which the patient reported a new sexual encounter previously unknown to the treating clinicians. Following IV ceftriaxone and flucloxacillin, topical steroid and chloramphenicol eye drops, the patient saw marked clinical improvement.</p><p><strong>Conclusion: </strong>This case demonstrates that NG may present with unusual features, and clinicians should have a low threshold for conjunctival cultures and promptly explore the sexual and social histories of patients presenting with similar symptomology.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"275-280"},"PeriodicalIF":0.6,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13012776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147509769","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}
{"title":"A Case of Refractory Panuveitis with Coexisting Spondyloarthritis Successfully Treated with Tofacitinib.","authors":"Ayano Wakabayashi, Kenichi Namba, Daiju Iwata, Kazuomi Mizuuchi, Keitaro Hase, Kayo Suzuki, Yo Ogino, Miki Hiraoka, Nobuyoshi Kitaichi, Shuhei Takeyama, Tatsuya Atsumi, Susumu Ishida","doi":"10.1159/000550660","DOIUrl":"10.1159/000550660","url":null,"abstract":"<p><strong>Introduction: </strong>Non-infectious uveitis is commonly treated with corticosteroids, immunosuppressants, and, recently, TNF inhibitors. However, some patients do not achieve adequate control of uveitis with these drugs. This report presents a case of panuveitis with coexisting spondyloarthritis (SpA) in which both TNF and interleukin-17 (IL-17) inhibitors failed to control uveitis, but tofacitinib, a Janus kinase (JAK) inhibitor, was effective in treating uveitis.</p><p><strong>Case presentation: </strong>A 54-year-old woman visited our hospital with a complaint of blurred vision in her left eye. A small retinal exudate in the inferonasal region in the right eye and 2+ vitreous haze in the left eye were seen. Systemic examinations were performed, but no abnormal findings were detected. The patient subsequently had frequent ocular inflammatory recurrences; thus, Behçet's disease was suspected, although no characteristic extraocular symptoms were noted. In addition to colchicine, adalimumab was administered, but the patient still showed frequent ocular inflammatory attacks. The patient subsequently developed arthritis and was diagnosed with axial SpA. Despite treatment with infliximab (TNF alpha inhibitor) or secukinumab (IL-17 inhibitor), ocular inflammatory attacks persisted, resulting in decreased visual acuity attributed to complicated cataracts. After cataract surgery, oral tofacitinib, a JAK inhibitor, was initiated. Afterward, ocular attacks did not occur for more than 3 years, and her visual acuity remained at 1.0 in both eyes.</p><p><strong>Conclusion: </strong>We examined a case of panuveitis with coexisting SpA refractory to TNF inhibitor and IL-17 inhibitor, in which JAK inhibitor was successfully effective. JAK inhibitors may be useful for some patients with refractory uveitis.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"281-288"},"PeriodicalIF":0.6,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13019177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147572279","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}
Ram Cohen, Etti Katzburg, Muhammad Abumanhal, Avi Ohayon, Michaella Goldstein, Adiel Barak, Igal Leibovitch, Efrat Fleissig
{"title":"High-Pressure Water Jet Ocular Injuries during Riot Control: A Case Series.","authors":"Ram Cohen, Etti Katzburg, Muhammad Abumanhal, Avi Ohayon, Michaella Goldstein, Adiel Barak, Igal Leibovitch, Efrat Fleissig","doi":"10.1159/000550815","DOIUrl":"10.1159/000550815","url":null,"abstract":"<p><strong>Introduction: </strong>Eye injuries caused by a high-pressure water jet are rarely reported and mostly occur in sporadic trauma. This study aimed to describe various ocular injuries caused by water jets, with a particular emphasis on injuries inflicted by water cannon vehicles used during riots.</p><p><strong>Case presentations: </strong>This case series presents eleven eyes of 9 patients injured from a direct high-pressure water jet used by the police in Israel as a riot control measure during a demonstration. All patients admitted to the emergency room with blunt ocular trauma had undergone clinical examination by an ophthalmologist. Of which, hyphema was the most common ocular injury observed, affecting 8 out of the 11 eyes examined, followed by traumatic mydriasis and vitreous hemorrhage in 54% and 36% of patients, respectively. In this series, 2 of 9 patients required ocular surgery. Injuries requiring surgical intervention were retinal detachment, lens dislocation, and vitreous hemorrhage.</p><p><strong>Conclusion: </strong>Water jet injuries may inflict severe damage to the globe and orbital structures. Care should be taken in preventing such injuries inflicted by water cannon vehicles used during riots.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"239-247"},"PeriodicalIF":0.6,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497740","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}
Androniki Syrrou, Maide Gözde İnam, Onur İnam, Sarah Pilson, Tongalp H Tezel
{"title":"A Case of Branch Retinal Arteriole Occlusion and Paracentral Acute Middle Maculopathy after COVID-19 Infection.","authors":"Androniki Syrrou, Maide Gözde İnam, Onur İnam, Sarah Pilson, Tongalp H Tezel","doi":"10.1159/000550630","DOIUrl":"10.1159/000550630","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to report a case of segmental deep capillary plexus ischemic injury after COVID-19 infection in a vaccinated otherwise healthy male.</p><p><strong>Case presentation: </strong>A healthy 38-year-old male presented with a complaint of not being able to see above his fixation point in the left eye. He had developed a positive scotoma 2 weeks after a COVID-19 infection. Examination showed a branch retinal arteriole occlusion in the inferotemporal quadrant with an area of subtle arcuate retinal whitening inferior to the fovea. Systemic workup was unremarkable. His vision remained 20/20, with a persistent scotoma over 2 months. Severe thinning of the inner nuclear layer and marked attenuation of the outer plexiform layer in an arcuate segment inferior to the fovea were detected with optical coherence tomography (OCT). OCTA revealed a flow void in the deep capillary plexus inferior to the fovea and cessation of the blood flow distal to the occluded retinal arteriole.</p><p><strong>Conclusion: </strong>This case highlights the deep capillary plexus's unique vulnerability to COVID-19-related occlusion, likely due to its high autoregulatory demand and dense vascular architecture. It emphasizes the need for further investigation into retinal microvascular complications of the disease.</p>","PeriodicalId":9635,"journal":{"name":"Case Reports in Ophthalmology","volume":"17 1","pages":"217-223"},"PeriodicalIF":0.6,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479591","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}