Interleukin-1beta tear concentration in glaucomatous and ocular hypertensive patients treated with preservative-free nonselective beta-blockers

PURPOSE: To evaluate the ocular surface inflammatory response to the presence of preservatives in nonselective beta-blocker eyedrops. DESIGN: Prospective, crossover, single-masked, randomized clinical study. METHODS: STUDY POPULATION: Twenty primary open angle glaucoma or ocular hypertensive patients were divided in two groups, one treated with preservative-free timolol 0.5% (group 1) and the other with preserved timolol 0.5% (group 2) eyedrops. After 60 days of therapy and 3 more weeks of washout, the two groups switched to the other therapy. PROCEDURE: At each visit,basal tear samples were collected from the inferior conjunctival fornix for the determination of interleukin (IL)-1 tear concentrations by an enzyme-linked immunosorbent assay. Intraocular pressure measurement, conjunctival hyperemia, superficial punctate keratitis, and tear film breakup time were evaluated. MAIN OUTCOME MEASURE: IL-1 concentration in tears following the use of preserved eyedrops. RESULTS: IL-1 tear concentrations increased significantly in both groups, compared with baseline values,during preserved timolol therapy. There were no statistically significant changes in hyperemia and superficial punctate keratitis throughout the study in either group.A statistically significant breakup time reduction was observed in both groups after 30 days and after 60 days of preserved therapy. CONCLUSION: The use of preservatives in timolol 0.5% eyedrops leads to tear film instability and ocular surface inflammatory changes documented by a reduction of breakup time and an increase of IL-1 tear concentrations.Preservative-free beta-blockers are preferable for long-term hypotensive therapy to prevent ocular surface inflammation

Interleukin-1beta tear concentration in glaucomatous and ocular hypertensive patients treated with preservative-free nonselective beta-blockers

PURPOSE: To evaluate the ocular surface inflammatory response to the presence of preservatives in nonselective beta-blocker eyedrops. DESIGN: Prospective, crossover, single-masked, randomized clinical study. METHODS: STUDY POPULATION: Twenty primary open angle glaucoma or ocular hypertensive patients were divided in two groups, one treated with preservative-free timolol 0.5% (group 1) and the other with preserved timolol 0.5% (group 2) eyedrops. After 60 days of therapy and 3 more weeks of washout, the two groups switched to the other therapy. PROCEDURE: At each visit,basal tear samples were collected from the inferior conjunctival fornix for the determination of interleukin (IL)-1 tear concentrations by an enzyme-linked immunosorbent assay. Intraocular pressure measurement, conjunctival hyperemia, superficial punctate keratitis, and tear film breakup time were evaluated. MAIN OUTCOME MEASURE: IL-1 concentration in tears following the use of preserved eyedrops. RESULTS: IL-1 tear concentrations increased significantly in both groups, compared with baseline values,during preserved timolol therapy. There were no statistically significant changes in hyperemia and superficial punctate keratitis throughout the study in either group.A statistically significant breakup time reduction was observed in both groups after 30 days and after 60 days of preserved therapy. CONCLUSION: The use of preservatives in timolol 0.5% eyedrops leads to tear film instability and ocular surface inflammatory changes documented by a reduction of breakup time and an increase of IL-1 tear concentrations.Preservative-free beta-blockers are preferable for long-term hypotensive therapy to prevent ocular surface inflammation

Dexamethasone downregulates autophagy through accelerated turn-over of the ulk-1 complex in a trabecular meshwork cells strain: Insights on steroid-induced glaucoma pathogenesis

Steroid-induced glaucoma is a severe pathological condition, sustained by a rapidly progressive increase in intraocular pressure (IOP), which is diagnosed in a subset of subjects who adhere to a glucocorticoid (GC)-based therapy. Molecular and clinical studies suggest that either natural or synthetic GCs induce a severe metabolic dysregulation of Trabecular Meshwork Cells (TMCs), an endothelial-derived histotype with phagocytic and secretive functions which lay at the iridocorneal angle in the anterior segment of the eye. Since TMCs physiologically regulate the composition and architecture of trabecular meshwork (TM), which is the main outflow pathway of aqueous humor, a fluid which shapes the eye globe and nourishes the lining cell types, GCs are supposed to trigger a pathological remodeling of the TM, inducing an IOP increase and retina mechanical compression. The metabolic dysregulation of TMCs induced by GCs exposure has never been characterized at the molecular detail. Herein, we report that, upon dexamethasone exposure, a TMCs strain develops a marked inhibition of the autophagosome biogenesis pathway through an enhanced turnover of two members of the Ulk-1 complex, the main platform for autophagy induction, through the Ubiquitin Proteasome System (UPS)

Seksualni razvoj i reproduktivni ciklus raže okatice Atlantoraja cyclophora (Regan, 1903), (Chondrichthyes: Rajidae: Arhynchobatinae) u južnom Brazilu

Specimens of Atlantoraja cyclophora were collected monthly from commercial fishing landings at Guarujá, São Paulo State, Brazil, from March 2005 to April 2006 at depths between 10 and 146 m. Males ranged from 13.3 to 58.5 cm TL (n = 396). Both the smallest mature male and the largest immature male were 47.0 cm long. Males’ size-at-50% maturity was calculated to be 46.3 cm. Females ranged from 11.5 to 68.0 cm (n = 401). The smallest mature and the largest immature female were 51.6 and 53.0 cm long respectively. For the females, size-at-50% maturity was calculated to be 53.2 cm. In the males the hepatosomatic and gonadosomatic indices varied between 0.48 (August) and 3.54 (November) and between 0.15 (November) and 1.45 (June) respectively, with no significant variation for the fourteen-month period. In the females the hepatosomatic and gonadosomatic indices varied from 1.55 and 6.30 3.54 (both for April 2006) and from 0.08 (December) to 4.41 (October) respectively, with no significant difference among months. Egg-bearing females were found in all months with proportions varying from 0.03 (March) to 0.67 (April). Both males and females undergo an annual cycle, with slight seasonal variations in reproductive activity and a peak in the proportion of egg bearing females between April and July.Jedinke raže okatice, Atlantoraja cyclophora prikupljene su mjesečno iz gospodarskih lovina u Guarujáu, država São Paulo, Brazil, od ožujka 2005. do travnja 2006. na dubinama od 10 do 146 metara. Duljina mužjaka kolebala je od 13.3 do 58.5 cm TL (n=396). Najmanji spolno zreli mužjak i najveća spolno nezrela ženka bili su dugi 47.0 centimetara. Izračunata dužina mužjaka pri stadiju 50% zrelosti populacije je iznosila 46.3 cm. Dužina ženki se kretala u rasponu od 11.5 do 68.0 cm (n=401). Najmanja spolno zrela i najveća nezrela ženka su bile dugačke 51.6 cm, odnosno 53.0 cm. Izračunata dužina ženki pri stadiju 50% zrelosti populacije je iznosila 53.2 cm.Kod mužjaka su hepatosomatski i gonadosomatski indeks kolebali od 0.48 (kolovoz) i 3.54 (studeni) i između 0.15 (studeni) i 1.45 (lipanj) bez značajnih kolebanja tijekom razdoblja od četrnaest mjeseci. Kod ženki su hepatosomatski i gonadosomatski indeks kolebali od 1.55 do 3.54 (oba u travnju 2006.) i između 0.08 (prosinac) i 4.41 (listopad), bez značajnijih mjesečnih kolebanja. Ženke s jajima su bile nazočne tijekom svih mjeseci u razmjerima koji su kolebali od 0.03 (ožujak) do 0.67 (travanj). I mužjaci i ženke prolaze kroz svoj godišnji ciklus, sa neznatnim sezonskim kolebanjima u reproduktivnoj aktivnosti i maksimumom u proporciji ženki s jajima između travnja i srpnja

Prevention of Dermatologic Side Effects of Bimatoprost 0.03% Topical Therapy

PURPOSE: To investigate the efficacy of reducing the drop-skin contact to prevent dermatologic side effects of bimatoprost 0.03% topical therapy. DESIGN: Prospective, randomized, single-blinded, internally controlled study. METHODS: Enrolled subjects started bimatoprost 0.03% therapy once at night in both eyes and were instructed to wipe selectively only one eye (eye 1) with an adsorbent pad during and after drops administration for four months. The fellow eye acted as the internal control. Eyelash growth, regional skin hypertrichosis, and pigmentation on the periocular skin were assessed at baseline and during the four months of follow-up. RESULTS: A lower incidence of eyelash growth and skin pigmentation in the inferonasal pericanthal region were observed in eye 1. The incidence of pigmentation in the inferotemporal skin region and skin hypertrichosis were similar in the two eyes. CONCLUSION: The reduction of the drop,skin contact affects the regional incidence and the extent of dermatologic skin changes that are related to bimatoprost 0.03% topical therapy

Exploring the Heidelberg Retinal Tomograph 3 diagnostic accuracy across disc sizes and glaucoma stages: a multicenter study

To investigate and compare the diagnostic accuracy of the Heidelberg Retinal Tomograph 3 (HRT3) diagnostic algorithms and establish whether they are affected by optic disc size and glaucoma severity

Learning effect of humphrey matrix frequency doubling technology perimetry in patients with ocular hypertension

Aim: To evaluate the learning effect of Frequency Doubling Technology (FDT) perimetry using the Humphrey Matrix-FDT perimetry (Matrix) 24-2 full-threshold program on patients with 7 ocular hypertension experienced with standard automated perimetry. Methods: Twenty-four patients with Ocular hypertension underwent 5 full-threshold Matrix tests at intervals of 5 2 days. Learning effect was defined as an improvement at results for duration, perimetric indices, foveal sensitivity, Glaucoma Hemifield Test, and the number of points with a P < 5% and < 1% in the total and pattern deviation maps. Eccentricity, hemifield, and quadrant sensitivities were also addressed as Sources of differences in learning effect. Test-retest variability was also calculated for each repetition as the mean of the point-to-point interindividual standard deviations. Results: A learning effect was demonstrated for mean defect (P = 0.031, analysis of variance) and foveal sensitivity (P = 0.009) and it only affected the first test for both parameters. All the other parameters did not show any significant learning effect. The effect was independent From eccentricity and quadrant or hemifield sensitivities. Conclusions: The results of this study demonstrate that the learning effect for Matrix-FDT is mild and it may affect only the first test. Caution is needed in the analysis of the first Matrix-FDT examination and retest may be advisable in the presence of low mean defect

Mode and tempo of the Paleocene-Eocene thermal maximum in an expanded section from the Venetian pre-Alps.

The central part of the Piave River valley in the Venetian pre-Alps of NE Italy exposes an expanded and continuous marine sediment succession that encompasses the Paleocene series and the Paleocene to Eocene transition. The Paleocene through lowermost Eocenemsuccession is >100 m thick and was depositednat middle to lower bathyal depths in a hemipelagic, near-continental setting in the central western Tethys. In the Forada section, the Paleocene succession of limestone-marl couplets is sharply interrupted by an ~3.30- m-thick unit of clays and marls (clay marl unit). The very base of this unit represents the biostratigraphic Paleocene-Eocene boundary, and the entire unit coincides with the main carbon isotope excursion of the Paleocene-Eocene thermal maximum event. Concentrations of hematite and biogenic carbonate, δ13C measurements, and abundance of radiolarians, all oscillate in a cyclical fashion and are interpreted to represent precession cycles. The main excursion interval spans fi ve complete cycles, that is, 105 ± 10 k.y. The overlying carbon isotope recovery interval, which is composed of six distinct limestone-marl couplets, is interpreted to represent six precessional cycles with a duration of 126 ± 12 k.y. The entire carbon isotope excursion interval in Forada has a total duration of ~231 ± 22 k.y., which is 5%–10% longer than previous estimates derived from open ocean sites (210–220 k.y.). Geochemical proxies for redox conditions indicate oxygenated conditions before, during, and after the carbon isotope excursion event. The Forada section exhibits a nonstepped sharp decrease in δ13C (−2.35‰) at the base of the clay marl unit. The hemipelagic, near-continental depositional setting of Forada and the sharply elevated sedimentation rates throughout the clay marl unit argue for continuous rather than interrupted deposition and show that the initial nonstepped carbon isotope shift was not caused by a hiatus. A single sample at the base of the unit lacks biogenic carbonate. Preservation of carbonate thereafter improves progressively up-section in the clay marl unit, which is consistent with a prodigiously abrupt and rapid acidifi cation of the oceans followed by a slower, successive deepening of the carbonate compensation depth. Increased sedimentation rates through the clay marl unit (approximately the main interval of the carbon isotope excursion) are consistent with an intensifi ed hydrological cycle driven by supergreenhouse conditions and enhanced weathering and transport of terrigenous material to this near-continental, hemipelagic environment in the central western Tethys. The sharp transition in lithology from the clay marl unit to the overlying limestonemarl couplets in the recovery interval and the coincident shift toward heavier δ13C values suggest that the silicate pump and continental weathering, the cause of the enhanced terrigenous fl ux to Forada, stopped abruptly. This implies that the source of the light CO2 ceased to be added to the ocean-atmosphere system at the top of the clay marl unit

Levels of plasma homocysteine in pseudoexfoliation glaucoma.

BACKGROUND: To examine levels of serum homocysteine (Hcy), vitamin B12 and folic acid in patients with pseudoexfoliation glaucoma (PEXG), primary open-angle glaucoma (POAG), and healthy control subjects. METHODS: This study included 36 patients with PEXG, 40 with POAG, and 40 age-matched healthy subjects. Fasting plasma Hcy concentrations and levels of serum vitamin B12 and folic acid were measured using competitive chemiluminescent enzyme immunoassay; values exceeding 14 μm/l were considered elevated. RESULTS: Mean plasma Hcy was significantly higher in PEXG (16.55 ± 7.23 μm/l) compared with POAG (13.91 ± 3.61 μm/l) and controls (13.12 ± 5.13 μm/l) (p = 0.03 and p = 0.0007 respectively). There were no statistical differences in serum vitamin B12 and folic acid levels among PEXG, POAG and control subjects (p > 0.05). A moderate, although statistically significant, relationship between Hcy and folic acid levels was found in the PEXG group (R(2) = 0.23, p = 0.003). Hcy levels were found not to be related with folic acid or vitamin B12 in either POAG or control subjects. CONCLUSIONS: In this study, plasma Hcy is significantly higher in PEXG group than the POAG and control groups. Hyper-Hcy might play a role in the pathogenesis of PEXG. Hyper-Hcy may be an independent factor stressing vasculopathy in addition to pseudoexfoliation, so might be a modifiable risk factor for PEXG