An international collaborative evaluation of central serous chorioretinopathy: different therapeutic approaches and review of literature. The European Vitreoretinal Society central serous chorioretinopathy study

Purpose: To study and compare the efficacy of different therapeutic options for the treatment of central serous chorioretinopathy (CSCR). Methods: This is a nonrandomized, international multicentre study on 1719 patients (1861 eyes) diagnosed with CSCR, from 63 centres (24 countries). Reported data included different methods of treatment and both results of diagnostic examinations [fluorescein angiography and/or optical coherent tomography (OCT)] and best-corrected visual acuity (BCVA) before and after therapy. The duration of observation had a mean of 11 months but was extended in a minority of cases up to 7 years. The aim of this study is to evaluate the efficacy of the different therapeutic options of CSCR in terms of both visual (BCVA) and anatomic (OCT) improvement. Results: One thousand seven hundred nineteen patients (1861 eyes) diagnosed with CSCR were included. Treatments performed were nonsteroidal anti-inflammatory eye drops, laser photocoagulation, micropulse diode laser photocoagulation, photodynamic therapy (PDT; Standard PDT, Reduced-dose PDT, Reduced-fluence PDT), intravitreal (IVT) antivascular endothelial growth factor injection (VEGF), observation and other treatments. The list of the OTHERS included both combinations of the main proposed treatments or a variety of other treatments such as eplerenone, spironolactone, acetazolamide, beta-blockers, anti-anxiety drugs, aspirin, folic acid, methotrexate, statins, vitis vinifera extract medication and pars plana vitrectomy. The majority of the patients were men with a prevalence of 77%. The odds ratio (OR) showed a partial or complete resolution of fluid on OCT with any treatment as compared with observation. In univariate analysis, the anatomical result (improvement in subretinal fluid using OCT at 1 month) was favoured by age <60 years (p < 0.005), no previous observation (p < 0.0002), duration less than 3 months (p < 0.0001), absence of CSCR in the fellow eye (p = 0.04), leakage outside of the arcade (p = 0.05) and fluid height >500 \u3bcm (p = 0.03). The OR for obtaining partial or complete resolution showed that anti-VEGF and eyedrops were not statistically significant; whereas PDT (8.5), thermal laser (11.3) and micropulse laser (8.9) lead to better anatomical results with less variability. In univariate analysis, the functional result at 1 month was favoured by first episode (p = 0.04), height of subretinal fluid >500 \u3bcm (p < 0.0001) and short duration of observation (p = 0.02). Finally, there was no statistically significant difference among the treatments at 12 months. Conclusion: Spontaneous resolution has been described in a high percentage of patients. Laser (micropulse and thermal) and PDT seem to lead to significant early anatomical improvement; however, there is little change beyond the first month of treatment. The real visual benefit needs further clarification

Fast Water Diffusion and Long-Term Polymer Reorganization during Nafion Membrane Hydration Evidenced by Time-Resolved Small-Angle Neutron Scattering

International audienceWe report a small,angle neutron scattering study of liquid water sorption hi Nafion membranes. The swelling of hydrophilic domains was measured on the nanoscale by Combining in situ time-resolved and long-term static experiments, yielding kinetic Curves recorded over an At low water content, typically below 5 water molecules per ionic group, a limited subdiffusive regime was observed and ascribed to nanoconfinement a and local interactions between charged species;And water molecules. Further ultrafast and thermally activated swelling due to massive liquid water sorption was observed and analyzed by using-Pick's equation. The extracted mutual water diffusion coefficients are in good agreement with pulsed field gradient NMR self-diffusion coefficient values, evidencing a water diffusion-driven process due to concentration gradients within the Nafion membrane. after completion, of the ultrafast regime, the kinetic swelling,curves exhibit a remarkable long term behavior scaling as the logarithm of time, showing that the polymer membrane can continuously accommodate additional water molecules upon hydration stress. The present nanoscale kinetics results provide insights into the vapor-versus-liquid sorption mechanisms the, nanostructure of Nafion, and the role of polymer reorganization modes, highlighting that the membrane can never reach a steady state

Perfluorinated surfactants as model charged systems for understanding the effect of confinement on proton transport and water mobility in fuel cell membranes. A study by QENS

International audienceWe have investigated the dynamical properties of water confined in mesomorphous phases of perfluorinated sulfonic surfactants. These systems mimic the physico-chemical properties of the perfluorinated Nafion membranes which are used as electrolyte in fuel cells. As the surfactants offer the advantage to self-assemble in well defined organized phases (such as hexagonal and lamellar phases), they could be used as model charged systems to understand the structure-transport relationship in complex real materials. Indeed, the geometry as well as the typical confinement size can be easily controlled and tuned through water concentration and temperature. A QENS study of hexagonal and lamellar phases has been performed on both time-of-flight and backscattering spectrometers to cover a dynamic range from picoseconds to nanoseconds. Analysis of the data with localized translational diffusion models shows the existence of a strong confinement effect that depends on the geometry. Typical confinement sizes and diffusion coefficients can be extracted from the QENS analysis and compared to the Nafion membrane

Evidence for an electromagnon in GdMn2O5 : A multiferroic with a large electric polarization

International audienceWe report in this paper the dynamical properties of GdMn2O5 studied by inelastic neutron scattering and infrared spectroscopy assisted by ab initio calculations. Our work sheds light on the electromagnon, a magnetic mode that can be excited by an electric field. Combining spin-wave measurements, simulations, and ab initio calculations of the single-ion anisotropies and the superexchange interactions, we describe in detail themagnetic contribution to this mode. An exhaustive study of the temperature and polarization dependence of its electroactivity completes this comprehensive study of the complex GdMn2O5 system

Generation of thermal scattering laws with the CINEL code

The thermal scattering laws (TSL) take into account the crystalline structure and atomic motions of isotopes bound in materials. This paper presents the CINEL code, which was developed to generate temperature-dependent TSL for solid, liquid and free gas materials of interest for nuclear reactors. CINEL is able to calculate TSL from the phonon density of states (PDOS) of materials under the Gaussian-Incoherent approximations. The PDOS can be obtained by using theoretical approaches (e.g., ab initio density functional theory and molecular dynamics) or experimental results. In this work, the PDOS presented in the ENDF/BVIII.0 and NJOY-NCrystal libraries were used for numerical validation purposes. The CINEL results are in good agreement with those reported in these databases, even in the specific cases of TSL with the newly mixed elastic format. The coding flexibility offered by Python using the JupyterLab interface allowed to investigate limits of physical models reported in the literature, such as a four-site model for UO2, anharmonic behaviors of oxygen atoms bound in a Fm3m structure, texture in Zry4 samples and jump corrections in a roto-translational diffusion model for liquid water. The use of graphic processing units (GPU) is a necessity to perform calculations in a few minutes. The performances of the CINEL code is illustrated with the results obtained on actinide oxides having a Fm3m structure (UO2, ThO2, NpO2 and PuO2), low enriched fuel (UMo), cladding (Zry4) and moderators (H2O with a specific emphasis on ice)