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cornea and anterior segment

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https://www.readbyqxmd.com/read/27929720/unclassified-axenfeld-rieger-syndrome-a-case-series-and-review-of-literature
#1
Aparna Rao, Debananda Padhy, Sarada Sarangi, Gopinath Das
PURPOSE: To report anterior segment features in unclassified anterior segment dysgenesis with overlapping features of Axenfeld-Rieger syndrome and other developmental anomalies. METHODS: This retrospective study included those with atypical or overlapping features in one or both eyes, which were identified as unclassified ASD. Typical ARS was defined as the presence of posterior embryotoxon with or without iris changes like stromal hypoplasia, corectopia, polycoria, or ectropion uvea with or without systemic features...
December 8, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27911424/-effectiveness-of-soft-contact-lenses-in-severe-keratoconjunctivitis-sicca-treated-with-local-immunosuppressive-therapy
#2
T N Safonova, O V Gladkova, V I Boev, A A Fedorov
AIM: To study the effectiveness of soft contact lenses in severe keratoconjunctivitis sicca (KCS) treated with local immunosuppressive therapy. MATERIAL AND METHODS: We have examined 41 patients (60 eyes) with severe KCS, including 3 men (4 eyes) and 38 women (56 eyes) aged from 27 to 76 years. Group 1 consisted of 22 persons (30 eyes) who were prescribed cyclosporine А 0.05% instillations 2 times daily, artificial tears, and soft contact lenses. Group 2 consisted of 19 patients (30 eyes) who received instillations of cyclosporine А 0...
2016: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/27896533/characteristics-of-higher-order-aberrations-and-anterior-segment-tomography-in-patients-with-pathologic-myopia
#3
Kaori Kasahara, Naoyuki Maeda, Takashi Fujikado, Makoto Tomita, Muka Moriyama, Mutsumi Fuchihata, Kyoko Ohno-Matsui
PURPOSE: To investigate prospectively the characteristics in the higher-order aberrations and anterior segment tomography in patients with pathologic myopia. METHODS: One hundred and twelve consecutive highly myopic patients (mean age 43.4 ± 9.3 years, spherical equivalent of refractive error ≥8 D and an axial length ≥26.5 mm) were studied. Thirty-seven emmetropic individuals (mean age 37.0 ± 14.5 years, spherical equivalent of refractive error ≤ ±1 D) were analyzed as controls...
November 28, 2016: International Ophthalmology
https://www.readbyqxmd.com/read/27860529/a-comparison-of-central-corneal-thicknesses-measured-with-two-different-methods-in-cases-of-primary-open-angle-glaucoma
#4
Fatih Mehmet Adibelli, Halit Oğuz, Tuğba Göncü, Omer Faruk Yilmaz, Funda Yuksekyayla
Accurate and repeatable measurement of the central cornea thickness (CCT) is important in terms of follow-up of glaucoma patients. The aim of this study was to compare CCT measurements made with an ultrasonic pachymeter (USP) and with the Spectralis Anterior Segment Module optical coherence tomography (OCT) device. The study included 52 eyes of 26 primary open-angle glaucoma patients. CCT measurements were taken with the USP device and then with the OCT by imaging cornea slices. The mean CCT was measured as 555...
November 18, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27793755/topical-ophthalmic-lipid-nanoparticle-formulations-sln-nlc-of-indomethacin-for-delivery-to-the-posterior-segment-ocular-tissues
#5
Sai Prachetan Balguri, Goutham R Adelli, Soumyajit Majumdar
PURPOSE: The objective of the present study was to formulate indomethacin (IN)-loaded solid lipid nanoparticles (SLNs) and nanostructured lipid carriers (NLCs) and to investigate their potential use in topical ocular delivery. METHODS: IN SLNs (0.1% w/v) and NLCs (0.8% w/v) were prepared, characterized and evaluated. Their in vitro release and flux profiles across the cornea and sclera-choroid-RPE (trans-SCR) tissues and in vivo ocular tissue distribution were assessed...
December 2016: European Journal of Pharmaceutics and Biopharmaceutics
https://www.readbyqxmd.com/read/27789975/peters-plus-anomaly-in-a-cameroonian-child-a-case-report
#6
Giles Kagmeni, Yannick Bilong, Cedric Mbogos, Lucienne Bella Assumpta
BACKGROUND: Peters' anomaly (PA) is a rare form of anterior segment dysgenesis characterized by corneal opacity with varied degree of anterior chamber affection with associated defects in the posterior layers of the cornea. CASE PRESENTATION: We report the case of a 3-month-old male infant with bilateral corneal opacity since birth who was transferred from the pediatric unit for further ophthalmic care. He was diagnosed with PA with subsequent systemic-associated malformations including craniofacial defects and skeletal defects...
2016: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/27783270/ocular-drug-delivery
#7
Burcin Yavuz, Uday B Kompella
Although the eye is an accessible organ for direct drug application, ocular drug delivery remains a major challenge due to multiple barriers within the eye. Key barriers include static barriers imposed by the cornea, conjunctiva, and retinal pigment epithelium and dynamic barriers including tear turnover and blood and lymphatic clearance mechanisms. Systemic administration by oral and parenteral routes is limited by static blood-tissue barriers that include epithelial and endothelial layers, in addition to rapid vascular clearance mechanisms...
October 26, 2016: Handbook of Experimental Pharmacology
https://www.readbyqxmd.com/read/27742548/complete-metabolome-and-lipidome-analysis-reveals-novel-biomarkers-in-the-human-diabetic-corneal-stroma
#8
Shrestha Priyadarsini, Tina B McKay, Akhee Sarker-Nag, Jeremy Allegood, Charles Chalfant, Jian-Xing Ma, Dimitrios Karamichos
Prolonged hyperglycemia during diabetes mellitus can cause severe ophthalmic complications affecting both the anterior and posterior ocular segments leading to impaired vision or blindness. Diabetes-induced corneal pathologies are associated with decreased wound healing capacity, corneal edema, and altered epithelial basement membrane. The mechanism by which diabetes modulates structure and function within the corneal stroma are unknown. In our study, we characterized the effects of diabetes on extracellular matrix, lipid transport, and cellular metabolism by defining the entire metabolome and lipidome of Type 1 and Type 2 human diabetic corneal stroma...
October 11, 2016: Experimental Eye Research
https://www.readbyqxmd.com/read/27732724/differential-molecular-expression-of-extracellular-matrix-and-inflammatory-genes-at-the-corneal-cone-apex-drives-focal-weakening-in-keratoconus
#9
Natasha Pahuja, Nimisha R Kumar, Rushad Shroff, Rohit Shetty, Rudy M M A Nuijts, Anuprita Ghosh, Abhijit Sinha-Roy, Shyam S Chaurasia, Rajiv R Mohan, Arkasubhra Ghosh
Purpose: In this study, we elucidated the differential expression of a set of local molecular factors in ectatic cone area of the cornea to uncover a functional cause for focal corneal weakening characteristic of the keratoconus (KC) disease. Methods: All human corneal samples were collected after approval of Institutional Ethics Committee and informed consent. Keratoconus patients were classified based on clinical parameters, topographical features, and structural deformity...
October 1, 2016: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/27721988/applications-of-anterior-segment-optical-coherence-tomography-in-cornea-and-ocular-surface-diseases
#10
Sang Beom Han, Yu-Chi Liu, Karim Mohamed Noriega, Jodhbir S Mehta
Optical coherence tomography (OCT) is a noncontact technology that produces high-resolution cross-sectional images of ocular tissues. Anterior segment OCT (AS-OCT) enables the precise visualization of anterior segment structure; thus, it can be used in various corneal and ocular surface disorders. In this review, the authors will discuss the application of AS-OCT for diagnosis and management of various corneal and ocular surface disorders. Use of AS-OCT for anterior segment surgery and postoperative management will also be discussed...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27676095/design-and-synthesis-of-new-cell-penetrating-peptides-diffusion-and-distribution-inside-the-cornea
#11
Silvia Pescina, Marina Sala, Cristina Padula, Maria Carmina Scala, Antonia Spensiero, Silvana Belletti, Rita Gatti, Ettore Novellino, Pietro Campiglia, Patrizia Santi, Sara Nicoli, Carmine Ostacolo
The role of cell penetrating peptides (CPPs) has been challenged in recent years for drug delivery to ocular tissues for the targeting of both anterior and posterior segments. The enhancement of trans-corneal transport for anterior segment targeting is a very important issue possibly leading to important outcomes on efficacy and to the opportunity of topical administration of molecules with unfavorable penetration properties. The aim of the present work was the design and synthesis of new CPPs, deriving from the structure of PEP-1 peptide...
October 4, 2016: Molecular Pharmaceutics
https://www.readbyqxmd.com/read/27672592/evaluation-of-anterior-and-posterior-surfaces-of-the-cornea-using-a-dual-scheimpflug-analyzer-in-keratoconus-patients-implanted-with-intrastromal-corneal-ring-segments
#12
Leonardo Torquetti, Carlos Arce, Jesús Merayo-Lloves, Guilherme Ferrara, Paulo Ferrara, Brenno Signorelli, Armando Signorelli
AIM: To evaluate corneal parameters measured with a dual Scheimpflug analyzer in keratoconus patients implanted with intrastromal corneal ring segments (ICRS). METHODS: Fifty eyes of 40 keratoconus patients had Ferrara ICRS implantation from November 2010 to April 2014. Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refraction, keratometry, asphericity, elevation, pachymetry, root mean square (RMS), spherical aberration and coma were studied...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/27671494/comparison-of-scheimpflug-and-swept-source-anterior-segment-optical-coherence-tomography-in-normal-and-keratoconus-eyes
#13
Seyed Mohammad Ghoreishi, Seyed Ali Akbar Mortazavi, Zahra-Alsadat Abtahi, Mohammad-Ali Abtahi, Seyed Ali Sonbolestan, Seyed-Hossein Abtahi, Mohadeseh Mohammadinia, Kimia Nekouie Isfahani
PURPOSE: The purpose of the study was to assess the agreement of anterior segment optical coherence tomography with its older well-known opponent i.e., Sheimpflug imaging in evaluation of the cornea in normal and keratoconus subjects. METHODS: 107 normal and 56 keratoconus eyes were evaluated with the anterior segment optical coherence tomography followed by the Scheimpflug imaging. Parameters included axial keratometry data in both of steep and flat meridians, mean keratometry and the astigmatism values in the central 4...
September 26, 2016: International Ophthalmology
https://www.readbyqxmd.com/read/27658681/clinical-characterization-of-posterior-polymorphous-corneal-dystrophy-in-patients-of-indian-ethnicity
#14
Sunita Chaurasia, Rashmi Mittal, G Bichappa, Muralidhar Ramappa, Somasheila I Murthy
PURPOSE: To characterize the clinical presentation of posterior polymorphous corneal dystrophy (PPCD) in eyes of Indian ethnicity. DESIGN: Retrospective cohort study from January 1995 to December 2015. PARTICIPANTS: Patients with the diagnosis of posterior polymorphous corneal dystrophy. METHODS: Medical records of the patients were reviewed for clinical presentation. Histology of corneal specimens of those that underwent keratoplasty was assessed...
September 22, 2016: International Ophthalmology
https://www.readbyqxmd.com/read/27652132/the-role-of-anterior-segment-optical-coherence-tomography-in-the-management-of-an-intra-corneal-foreign-body
#15
Ali Riza Cenk Celebi, Ayse Ebru Kilavuzoglu, Ugur Emrah Altiparmak, C Banu Cosar, Abdullah Ozkiris
INTRODUCTION: Corneal foreign bodies are reported to be the second most common type of ocular injury. Anterior segment optical coherence tomography (AS-OCT) is a valuable tool for the early diagnosis and monitoring the progress of treatment in cases of ocular trauma. Herein we aimed to report on a patient with an intra-corneal foreign body and the role of AS-OCT in management. CASE PRESENTATION: A 34-year-old male presented with foreign body sensation in his left eye...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27646325/scheimpflug-image-based-changes-in-anterior-segment-parameters-during-accommodation-induced-by-short-term-reading
#16
Agnes Lipecz, Alexis Tsorbatzoglou, Ziad Hassan, Andras Berta, Laszlo Modis, Gabor Nemeth
PURPOSE: To analyze the effect of the accommodation on the anterior segment data (corneal and anterior chamber parameters) induced by short-time reading in a healthy, nonpresbyopic adult patient group. METHODS: Images of both eyes of nonpresbyopic volunteers were captured with a Scheimpflug device (Pentacam HR) in a nonaccommodative state. Fifteen minutes of reading followed and through fixation of the built-in target of Pentacam HR further accommodation was achieved and new images were captured by the device...
September 9, 2016: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/27645227/measurement-of-corneal-and-limbal-epithelial-thickness-by-anterior-segment-optical-coherence-tomography-and-in-vivo-confocal-microscopy
#17
Qihua Le, Yan Chen, Yujing Yang, Jianjiang Xu
BACKGROUND: To compare corneal epithelial thickness (CET) and limbal epithelial thickness (LET) measured by anterior segment optical coherence tomography (AS-OCT) and in vivo confocal microscope (IVCM) in normal subjects, and evaluate the consistency between them. METHODS: Thirty-eight normal subjects (17 men and 21 women) were enrolled in this study. AS-OCT was performed at central cornea and the superior, inferior, nasal and temporal limbus. Then followed by IVCM examination performed at the same location...
2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27642539/enhancement-of-corneal-visibility-in-optical-coherence-tomography-images-with-corneal-opacification
#18
Cheuk Wang Chung, Marcus Ang, Mohamed Farook, Nicholas G Strouthidis, Joddhbir S Mehta, Jean Martial Mari, Michaël J A Girard
PURPOSE: To establish and to rank the performance of a corneal adaptive compensation (CAC) algorithm in enhancing corneal images with scars acquired from three commercially available anterior segment optical coherence tomography (ASOCT) devices. METHODS: Horizontal B-scans of the cornea were acquired from 10 patients using three ASOCT devices (Spectralis, RTVue, and Cirrus). We compared ASOCT image quality (with and without CAC) by computing the intralayer contrast (a measure of shadow removal), the interlayer contrast (a measure of tissue boundary visibility), and the tissue/background contrast (a measure of overall corneal visibility)...
September 2016: Translational Vision Science & Technology
https://www.readbyqxmd.com/read/27628587/corneal-thickening-and-central-flattening-induced-by-femtosecond-laser-hyperopic-shaped-intrastromal-lenticule-implantation
#19
Leonardo Mastropasqua, Mario Nubile
PURPOSE: To investigate the feasibility of the procedure and the modifications of the corneal curvature and profile obtained with a novel technique of stromal-lentoid implantation in ex vivo human corneas. DESIGN: Experimental ex vivo study in human corneas. MATERIALS AND METHODS: Twelve stromal lentoids were produced by means of hyperopic femtosecond lenticule extraction (FLEx) with the VisuMax femtosecond laser (Carl Zeiss Meditec, Jena, Germany) with a refractive power of +8...
September 15, 2016: International Ophthalmology
https://www.readbyqxmd.com/read/27590038/new-histopathologic-and-ultrastructural-findings-in-reis-b%C3%A3-cklers-corneal-dystrophy-caused-by-the-arg124leu-mutation-of-tgfbi-gene
#20
Wen-Ya Qiu, Li-Bin Zheng, Fei Pan, Bei-Bei Wang, Yu-Feng Yao
BACKGROUND: Reis-Bücklers corneal dystrophy (RBCD) was consistently reported as a corneal dystrophy only affected Bowman's layer and superficial corneal stroma, and superficial keratectomy was a recommendation surgery for treatment in literatures. The study reported new histopathological and ultrastructural findings in RBCD caused by the Arg124Leu mutation of transforming growth factor induced (TGFBI) gene in a four-generation Chinese pedigree. METHODS: Subjects including eight patients and seven unaffected family members received slit-lamp biomicroscopy and photography...
2016: BMC Ophthalmology
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