Isolated cotton-wool spots of unknown etiology: management and sequential spectral domain optical coherence tomography documentation

Cotton-wool spots (CWSs) are common retinal manifestations of many diseases including diabetes mellitus, systemic hypertension, and acquired immunodeficiency syndrome. Clinically they appear as whitish, fluffy patches on the retina and eventually fade with time. In this study, spectral domain optical coherence tomography (SD-OCT) with mapping was used to demonstrate in vivo the characteristics of an isolated CWS in a 59-year-old patient as well as its appearance immediately after ophthalmoscopic resolution. Presented here is the work-up and management of this clinical problem for the ophthalmologist. The authors propose that SD-OCT could be a valuable research tool in characterizing and following the dynamic CWS changes at individual retinal layer level, with potential clinical applications as a screening or diagnostic tool in CWS-related diseases

Comparative evaluation of Comfilcon A and Senofilcon A bandage contact lenses after transepithelial photorefractive keratectomy

Purpose: To evaluate and compare Comfilcon A and Senofilcon A silicone hydrogel contact lenses used as a therapeutic bandage following transepithelial excimer laser photorefractive keratectomy (PRK). Methods: Patients undergoing transepithelial PRK for myopia were prospectively recruited. Included patients had a Comfilcon A silicone hydrogel lens inserted in one eye, with a Senofilcon A lens in the contralateral eye. Postoperative assessment of subjective pain, epithelial healing and visual recovery was at day 1, 3 and 7. Contact lens factors including centration, movement and deposits were assessed. Results: 48 eyes of 24 patients were included in the study. Mean age was 31 years (SD 11) and mean refractive error −4.5 D (SD 1.8). Mean pain score at day 1 was significantly higher in the Comfilcon group at 4.6 (SD 2.7) vs. 1.5 (SD2.5) in the Senofilcon group (P < 0.005). Mean time to healing was 3.17 days (SD 0.37) in the Comfilcon group, and 3.21 days (SD 0.4) in the Senofilcon group, with no difference in defect size. There was a pronounced central raphe in 1 eye in the Comfilcon group vs. 5 eyes in the Senofilcon group (P = 0.19). Significantly more eyes demonstrated no lens movement in the Senofilcon group (18 vs. 4, P = 0.0001). Conclusion: The variation in material characteristics and lens geometry of different silicone hydrogel lenses affects their clinical characteristics in therapeutic roles. Other factors than oxygen permeability may affect pain and epithelial healing, with superior pain relief from the less permeable Senofilcon lens in this study

LCA of Barley Production: A Case Study from Cyprus

Greenhouse gas emissions (i.e., carbon dioxide, methane, nitrous oxide) produced by agriculture contribute to global warming and climate change. Various practices followed by farmers in different environmental conditions contribute to the increase in the phenomena, and there is a need for immediate measures. The current study examines the environmental impact of barley production under rain-fed conditions in Cyprus. For this, four different nutrient management scenarios were investigated in order to evaluate the environmental performance of crop production, namely: (1) Nitrogen (20%), Phosphorous (20%), Potassium (10%); (2) Nitrogen (20%), Phosphorous (20%), Potassium (10%) and manure; (3) Nitrogen (25%), Phosphorous (10%), Potassium (0%); and (4) Nitrogen (25%), Phosphorous (10%), Potassium (0%) and manure. Data were collected from two different areas of Cyprus (Nicosia and Larnaca) through on-site visits and questionnaires. Life Cycle Assessment (LCA) was used as a method to quantify environmental impacts which were categorized into six impact categories: (i) acidification potential (AP), (ii) eutrophication potential (EP), (iii) global warming potential (GWP), (iv) ozone depletion potential (ODP), (v) photochemical, ozone creation potential (POCP), and (vi) terrestrial ecotoxicity (TAETP). LCA was used with system boundaries from field to harvest and a functional unit (FU) of one bale of hay. Research results showed that the addition of manure increased values in all impact categories. Comparing scenarios without manure (1 and 3) and with manure (2 and 4), the main process which contributed to GWP was field preparation, which resulted in 3 t CO2-Eq&#8729;FU&minus;1 and 46.96 t CO2-Eq&#8729;FU&minus;1, respectively. Furthermore, the highest contribution of sub-processes to GWP (kg CO2-Eq&#8729;FU&minus;1) was machinery maintenance (scenarios 2 and 4). The potential to reduce environmental impacts from barley and moreover, to mitigate the footprint of the agriculture sector in Cyprus is proposed by changing existing practices such as decreasing fuel consumption by agricultural machinery, and monitoring fertilizing and seeding. Conclusively, the carbon footprint of barley can be decreased through the improvement of nutrient management and cropping practices