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https://www.readbyqxmd.com/read/27911450/uveal-melanoma-relatively-rare-but-deadly-cancer
#1
REVIEW
S Kaliki, C L Shields
Although it is a relatively rare disease, primarily found in the Caucasian population, uveal melanoma is the most common primary intraocular tumor in adults with a mean age-adjusted incidence of 5.1 cases per million per year. Tumors are located either in iris (4%), ciliary body (6%), or choroid (90%). The host susceptibility factors for uveal melanoma include fair skin, light eye color, inability to tan, ocular or oculodermal melanocytosis, cutaneous or iris or choroidal nevus, and BRCA1-associated protein 1 mutation...
December 2, 2016: Eye
https://www.readbyqxmd.com/read/27893592/coughing-induced-suprachoroidal-hemorrhage-simulating-melanoma-in-two-cases
#2
Charlotte L Marous, Kareem Sioufi, Carol L Shields, Arman Mashayekhi, Jerry A Shields
PURPOSE: To describe two cases of coughing-induced suprachoroidal hemorrhage referred as choroidal melanoma. METHODS: Observational case reports. RESULTS: Two female patients (ages 54 and 60 years) were referred with possible choroidal melanoma. Both gave a history of 1 day of heavy coughing with Valsalva maneuver within 2 weeks before discovery of the tumor. In one case, the patient used anticoagulants for aortic valve replacement and the other patient used antiasthma medications...
November 23, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27778456/parinaud-syndrome-a-25-year-1991-2016-review-of-40-consecutive-adult-cases
#3
Melissa Shields, Swati Sinkar, WengOnn Chan, John Crompton
PURPOSE: To characterize the clinical features, aetiology and management of ophthalmic symptoms in adult patients with Parinaud syndrome. METHODS: This is a retrospective, non-comparative observational case series. We reviewed 40 consecutive charts of adult patients with the clinical diagnosis of Parinaud syndrome at the Royal Adelaide Hospital Department of Ophthalmology in Adelaide, South Australia, between 1991 and 2016. Charts were reviewed for the following: (1) demographic information, (2) clinical presentation, (3) neuro-ophthalmology signs, (4) aetiology of Parinaud syndrome, and (5) management...
October 24, 2016: Acta Ophthalmologica
https://www.readbyqxmd.com/read/27749461/diagnostic-accuracy-of-single-fiber-electromyography-for-myasthenia-gravis-in-patients-followed-longitudinally
#4
John A Morren, Kerry H Levin, Robert W Shields
INTRODUCTION: The literature lacks data on accuracy of single fiber electromyography (SFEMG) for myasthenia gravis (MG) patients followed longitudinally. METHODS: We included patients with a clinical suspicion of MG who received SFEMG and follow-up at our institution between 2003 and 2013. Data collected included demographics, symptom details, clinical deficits, other diagnostic testing results, MG medication regimen, duration on treatment, response to therapy, and ultimate diagnosis after follow-up...
October 2016: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/27725148/conjunctival-tumors-in-5002-cases-comparative-analysis-of-benign-versus-malignant-counterparts-the-2016-james-d-allen-lecture
#5
Carol L Shields, Adel E Alset, Nina S Boal, Mairghread G Casey, Austen N Knapp, Jordan A Sugarman, Marisa A Schoen, Phillip S Gordon, Alexzandra M Douglass, Kareem Sioufi, Emil A T Say, Jerry A Shields
PURPOSE: To evaluate frequency of conjunctival tumors in all ages and compare benign versus (vs) malignant counterparts. DESIGN: Retrospective series. METHODS: Setting: Tertiary referral center STUDY POPULATION: 5002 patients OBSERVATION: Clinical features MAIN OUTCOME MEASURE: Differentiation benign from malignant counterparts RESULTS: The tumor was benign (52%), premalignant (18%), or malignant (30%). Malignant tumors included melanoma (12%), squamous cell carcinoma (9%), lymphoma (7%), and others...
October 7, 2016: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/27648598/diagnostic-accuracy-of-single-fiber-emg-for-myasthenia-gravis-in-patients-followed-longitudinally
#6
John A Morren, Kerry H Levin, Robert W Shields
INTRODUCTION: The literature lacks data on accuracy of single fiber electromyography (SFEMG) for myasthenia gravis (MG) patients followed longitudinally. METHODS: We included patients with a clinical suspicion of MG who received SFEMG and follow-up at our institution between 2003-2013. Data collected included demographics, symptom details, clinical deficits, other diagnostic testing results, MG medication regimen, duration on treatment, response to therapy and ultimate diagnosis after follow-up...
March 31, 2016: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/27488156/intralesional-and-topical-interferon-therapy-following-incomplete-primary-excision-of-ocular-surface-squamous-neoplasia
#7
Pukhraj Rishi, Carol L Shields
No abstract text is available yet for this article.
June 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27437791/repeat-conjunctival-biopsy-after-immunomodulatory-therapy-for-ocular-mucous-membrane-pemphigoid
#8
Paul A Gaudio, John Sinard, David R Shield, John J Huang, Brett A King
PURPOSE: To evaluate whether conjunctival biopsy findings in patients with ocular mucous membrane pemphigoid (MMP) persist as positive or revert to negative following treatment with immunomodulatory therapy (IMT). METHODS: Patients with biopsy-proven MMP were treated with IMT for at least 2 years before undergoing repeat conjunctival biopsy for immunofluorescence microscopy. Their records were reviewed and findings evaluated to ascertain which patients' biopsies showed antibody deposition on the conjunctival basement membrane...
July 20, 2016: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/27420339/cataracts-after-low-dose-radiotherapy-for-lymphoproliferative-disease-of-the-ocular-adnexa
#9
Sawako Hashimoto, Hiroshi Yoshikawa, Michiko Miyagi, Yoko Onishi, Saiji Ohga, Kaori Asai, Tatsuro Ishibashi
PURPOSE: To investigate the interval between low-dose radiotherapy and radiation-induced cataracts, and the factors affecting this interval, in patients with lymphoproliferative disease of the ocular adnexa. METHODS: A retrospective case series of 73 eyes of 59 patients who underwent radiotherapy from 1996 to 2005 with total doses ranging from 24 to 30 Gy was conducted. We investigated the relationships between the radiation-associated cataract formation intervals and age, gender, diabetes, and the use of corticosteroids...
July 15, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27031528/external-beam-radiation-for-choroidal-lymphoma-efficacy-and-complications
#10
Arman Mashayekhi, Murat Hasanreisoglu, Carol L Shields, Jerry A Shields
PURPOSE: To determine the efficacy and safety of external beam radiation for treatment of choroidal lymphoma (CL). DESIGN: Retrospective case series. PARTICIPANTS: Twenty-five eyes of 24 patients with CL treated with external beam radiation. METHOD: Review of medical records. MAIN OUTCOME MEASURES: Tumor control, visual acuity, and radiation complications. RESULTS: The mean age of the patients was 62 years (median, 65; range, 32-89 years)...
October 2016: Retina
https://www.readbyqxmd.com/read/26979720/citicoline-retards-myopia-progression-following-form-deprivation-in-guinea-pigs
#11
Junfeng Mao, Shuangzhen Liu, Chunyan Fu
The retinal dopaminergic system is involved in the myopic shift following form deprivation. Citicoline has been demonstrated to stimulate the dopaminergic system in the brain and retina. Furthermore, citicoline has been used in many neurogenic diseases, such as senile cognitive impairment, stroke and Parkinson's disease as well as in amblyopia and glaucoma. Our aim was to investigate the effect of citicoline on the refractive state and retinal dopamine level in form deprivation myopia of guinea pigs. Guinea pigs, at an age of four weeks, were randomly divided into normal control, deprivation, deprived + citicoline and deprived + vehicle groups...
June 2016: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/26937189/preliminary-report-of-improved-sleep-quality-in-patients-with-dry-eye-disease-after-initiation-of-topical-therapy
#12
Masahiko Ayaki, Ikuko Toda, Naoko Tachi, Kazuno Negishi, Kazuo Tsubota
PURPOSE: Dry eye disease (DED) is potentially associated with sleep and mood disorders. This study evaluated sleep quality in patients with DED using a questionnaire-based survey before and after topical eyedrop treatment. The effectiveness of sleep and ophthalmic services in assisting with sleep problems in patients with eye disease was also assessed. METHODS: Seventy-one consecutive patients with DED visiting eight general eye clinics in various locations answered a questionnaire containing the Pittsburgh Sleep Quality Index and Hospital Anxiety and Depression Scale...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/26857822/comparison-of-the-corneal-biomechanical-properties-optic-nerve-head-topographic-parameters-and-retinal-nerve-fiber-layer-thickness-measurements-in-diabetic-and-non-diabetic-primary-open-angle-glaucoma
#13
Serkan Akkaya, Ertuğrul Can, Faruk Öztürk
The purpose of this study is to investigate the corneal biomechanical properties, optic nerve head (ONH) topographic parameters, and retinal nerve fiber layer (RNFL) thickness changes in primary open-angle glaucoma (POAG) patients with and without diabetes, as well as to evaluate the effect of the metabolic control of diabetes on corneal biomechanical properties, ONH topography, and RNFL thickness. A total of 101 eyes of 101 POAG patients (60 with diabetes and 41 without diabetes) were recruited in this prospective study...
October 2016: International Ophthalmology
https://www.readbyqxmd.com/read/26842687/treatment-of-dry-eye-disease
#14
REVIEW
Leisa L Marshall, J Michael Roach
OBJECTIVE: Review of the etiology, clinical manifestations, and treatment of dry eye disease (DED). DATA SOURCES: Articles indexed in PubMed (National Library of Medicine), Iowa Drug Information Service (IDIS), and the Cochrane Reviews and Trials in the last 10 years using the key words "dry eye disease," "dry eye syndrome," "dry eye and treatment." Primary sources were used to locate additional resources. STUDY SELECTION AND DATA EXTRACTION: Sixty-eight publications were reviewed, and criteria supporting the primary objective were used to identify useful resources...
February 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/26828672/nanoparticle-cross-linked-collagen-shields-for-sustained-delivery-of-pilocarpine-hydrochloride
#15
Yosra Agban, Jiaxin Lian, Sujay Prabakar, Ali Seyfoddin, Ilva D Rupenthal
Glaucoma is a common progressive eye disorder which remains the second leading cause of blindness worldwide. Current therapy involves frequent administration of eye drops which often results in poor patient adherence and therapeutic outcomes. The aim of this study was to overcome these limitations by developing a novel nanoparticle cross-linked collagen shield for sustained delivery of pilocarpine hydrochloride (PHCl). Three metal oxide nanoparticles (NPs); titanium dioxide (TiO2), zinc oxide (ZnO) and polyvinylpyrrolidone (PVP) capped zinc oxide (ZnO/PVP), were evaluated for their cytotoxicity as well as shield transparency before selecting ZnO/PVP NPs as the ideal candidate...
March 30, 2016: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/26456916/pegylation-as-a-strategy-for-improving-nanoparticle-based-drug-and-gene-delivery
#16
REVIEW
Jung Soo Suk, Qingguo Xu, Namho Kim, Justin Hanes, Laura M Ensign
Coating the surface of nanoparticles with polyethylene glycol (PEG), or "PEGylation", is a commonly used approach for improving the efficiency of drug and gene delivery to target cells and tissues. Building from the success of PEGylating proteins to improve systemic circulation time and decrease immunogenicity, the impact of PEG coatings on the fate of systemically administered nanoparticle formulations has, and continues to be, widely studied. PEG coatings on nanoparticles shield the surface from aggregation, opsonization, and phagocytosis, prolonging systemic circulation time...
April 1, 2016: Advanced Drug Delivery Reviews
https://www.readbyqxmd.com/read/26378883/ocular-surface-squamous-neoplasia-from-blue-skies-to-blue-dyes-we-still-need-our-ophthalmic-pathologists
#17
COMMENT
Carol L Shields, Jerry A Shields
No abstract text is available yet for this article.
November 2015: JAMA Ophthalmology
https://www.readbyqxmd.com/read/26258926/corneal-complications-of-vernal-keratoconjunctivitis
#18
REVIEW
Abraham Solomon
PURPOSE OF REVIEW: Vernal keratoconjunctivitis (VKC) is a severe bilateral chronic allergic inflammatory disease of the ocular surface. In most of the cases, the disease is limited to the tarsal conjunctiva and to the limbus. However, in the more severe cases, the cornea may be involved, leading to potentially sight threatening complications. Prompt recognition of these complications is crucial in the management of VKC, which is one of the most severe ocular allergic diseases. RECENT FINDINGS: A vicious cycle of inflammation occurs as a result of a set of reciprocal interactions between the conjunctiva and the cornea, which results in damage to the corneal epithelium and corneal stoma, and to the formation of shield ulcers and plaques, infectious keratitis, keratoconus, scarring, and limbal stem cell deficiency...
October 2015: Current Opinion in Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/26228592/-eye-lens-radiation-exposure-during-ureteroscopy-with-and-without-a-face-protection-shield-investigations-on-a-phantom-model
#19
G Zöller, M Figel, J Denk, K Schulz, A Sabo
BACKGROUND AND OBJECTIVES: Eye lens radiation exposure during radiologically-guided endoscopic procedures may result in radiation-induced cataracts; therefore, we investigated the ocular radiation exposure during ureteroscopy on a phantom model. MATERIALS AND METHODS: Using an Alderson phantom model and eye lens dosimeters, we measured the ocular radiation exposure depending on the number of X-ray images and on the duration of fluoroscopic imaging. The measurements were done with and without using a face protection shield...
March 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/26189188/juvenile-xanthogranuloma-involving-the-eye-and-ocular-adnexa-tumor-control-visual-outcomes-and-globe-salvage-in-30-patients
#20
Wasim A Samara, Chloe T L Khoo, Emil Anthony T Say, Jarin Saktanasate, Ralph C Eagle, Jerry A Shields, Carol L Shields
PURPOSE: To report clinical features and treatment outcomes of ocular juvenile xanthogranuloma (JXG). DESIGN: Retrospective case series. PARTICIPANTS: There were 32 tumors in 31 eyes of 30 patients with ocular JXG. METHODS: Review of medical records. MAIN OUTCOME MEASURES: Tumor control, intraocular pressure (IOP), and visual acuity. RESULTS: The mean patient age at presentation was 51 months (median, 15 months; range, 1-443 months)...
October 2015: Ophthalmology
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