Long-term surgical outcomes of primary congenital glaucoma in China

OBJECTIVE: To evaluate the long-term outcomes of three surgical procedures for the treatment of primary congenital glaucoma (PCG). INTRODUCTION: PCG is one of the main causes of blindness in children. There is a paucity of contemporary data on PCG in China. METHODS: A retrospective study of 48 patients (81 eyes) with PCG who underwent primary trabeculectomy, trabeculotomy, or combined trabeculotomy and trabeculectomy (CTT). RESULTS: All patients were less than 4 years (yrs) of age, with a mean age of 2.08 ± 1.23 yrs. The mean duration of follow-up was 5.49 ± 3.09 yrs. The difference in success rates among the three surgical procedures at 1, 3, 6 and 9 yrs was not statistically significant (p = 0.492). However, in patients with over 4 yrs of follow-up, Kaplan-Meier survival analysis revealed that the success rates of trabeculectomy and CTT declined more slowly than that of trabeculotomy. Among the patients, 66.22% acquired good vision (VA >; 0.4), 17.57% acquired fair vision (VA = 0.1 - 0.3), and 16.22% acquired poor vision (VA < 0.1). The patients with good vision were mostly in the successful surgery group. Myopia was more prevalent postoperatively (p = 0.009). Reductions in the cup-disc ratio and corneal diameter were only seen in the successful surgery group (p = 0.000). In addition, the successful surgery group contained more patients that complied with a regular follow-up routine (p = 0.002). DISCUSSION: Our cases were all primary surgeries. Primary trabeculectomy was performed in many cases because no treatment was sought until an advanced stage of disease had been reached. CONCLUSIONS: In contrast to most reports, in the present study, trabeculectomy and CTT achieved higher long-term success rates than trabeculotomy. The patients with successful surgical results had better vision. Compliance with a routine of regular follow-up may increase the chances of a successful surgical outcome

Intraocular pressure and diurnal fluctuation of open-angle glaucoma and ocular hypertension: a baseline report from the LiGHT China trial cohort

AIMS: To report the baseline intraocular pressure (IOP) characteristics and its diurnal fluctuation in the Laser in Glaucoma and Ocular Hypertension China cohort. METHODS: 622 primary open-angle glaucoma (POAG) patients and 149 ocular hypertension (OHT) patients were recruited at Zhongshan Ophthalmic Center from 2015 to 2019. Standardised ocular examinations were performed including IOP measurement using the Goldmann applanation tonometer. Daytime phasing IOP was recorded at 8:00, 10:00, 11:30, 14:30, 17:00 hour. RESULTS: The mean baseline IOP was 20.2 mm Hg for POAG patients and 24.4 mm Hg for OHT. Multiple regression analysis revealed that thicker central corneal thickness (CCT) was correlated with higher IOP in both POAG and OHT. Male gender and younger age were correlated with higher IOP only for POAG. As for diurnal IOP fluctuation, mean IOP fluctuation was 3.4 mm Hg in POAG eyes and 4.4 mm Hg in OHT. The peak and trough IOP occurred at 8:00 and 14:30 hour in both POAG and OHT eyes. CONCLUSIONS: Younger age, male gender and thicker CCT are correlated to higher IOP in POAG patients while only thicker CCT is related to higher IOP in OHT patients. Peak IOP appears mostly at early morning or late afternoon and trough value occurs mostly at early afternoon

Laser in Glaucoma and Ocular Hypertension Trial (LIGHT) in China - A Randomized Controlled Trial: Design and Baseline Characteristics

PURPOSE: To describe the baseline characteristics of a trial to evaluate whether selective laser trabeculoplasty (SLT), as a first-line treatment, provides superior economic and health-related quality of life outcomes to medical treatment in China. DESIGN: The LiGHT China trial is an unmasked, single-center, pragmatic, randomized controlled trial. METHODS: A total of 771 previously undiagnosed patients with primary open angle glaucoma (POAG, 622 patients) or ocular hypertension (OHT, 149 patients) at Zhongshan Ophthalmic Center were recruited from March 2015 to January 2019. Subjects were randomized to SLT-1st (followed by medication then surgery when required) or Medicine-1st (medication followed by surgery when required). The primary outcome was health-related quality of life (HRQL). The secondary outcomes were clinical outcomes, cost, cost-effectiveness, Glaucoma Utility Index, Glaucoma Symptom Scale, visual function, and safety. RESULTS: The mean age of POAG patients was 49.8 years and 38.8 years for OHT. The median intraocular pressure was 20 mm Hg for the 1,105 POAG eyes and 24 mm Hg for the 271 OHT eyes. POAG eyes had thinner central cornea thickness (CCT, 536 µm) than OHT eyes (545 µm). Median mean deviation of the visual field in POAG eyes was -4.2 dB. Median refractive error was -1.5 D for OHT eyes and -1.25 D for POAG eyes. There was no difference between POAG and OHT patients on baseline scores of GUI, GSS and VF-14. The difference between OHT and POAG on the EQ-5D-5L was 0.024. CONCLUSIONS: Compared with participants in the LiGHT UK trial, participants in this trial were younger, more myopic and had more severe visual field defects

Villából kórházat? A József Attiláról elnevezett kórház története

<p>Preoperative difficulty, expected and actual postoperative improvement on the Catquest-9SF items by functional characteristics (N = 174)^{<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0169844#t004fn001" target="_blank">*</a>}.</p

Clinical and Epidemiologic Research Prevalence of and Risk Factors for Pterygium in Rural Adult Chinese Populations of the Bai Nationality in Dali: The Yunnan Minority Eye Study

PURPOSE. The purpose of the study was to describe the prevalence, severity, and associated risk factors for pterygium in a population-based sample of rural residents of the Bai minority population in rural Dali, China. METHODS. A population-based survey of Chinese Bai Nationality aged ‡50 years from randomly selected block groups in southwestern China was conducted. A clinical examination by experienced ophthalmologists was carried out, and the presence of pterygium was diagnosed at the examination. Pterygium was graded clinically by slit lamp examination. Questionnaires were conducted on risk factors. RESULTS. From a total of 2742 eligible subjects, 2133 (77.8%) were examined. CONCLUSIONS. The prevalence of pterygium in Dali is 39.0% among Chinese Bai aged 50 years and older. Independent associations with increasing age (&gt;59 years), female sex, lack of education, and occupations linked to outdoor work suggest a multifactorial cause of this condition. (Invest Ophthalmol Vis Sci. 2012;53:6617-6621

Asynchrony Detection in Amblyopes

Amblyopia is a developmental abnormality of visual cortex. Although amblyopes experience perceptual deficits in spatial vision tasks, they have less temporal sensitivity loss. We investigated whether their temporal synchrony sensitivity is impaired. In experiment 1, four Gaussian blobs, located at the top, bottom, left, and right of a presentation screen, were flickering in 3 Hz and one of them was flickering in out-of-phase fashion in time. Participants needed to tell which blob was different from the other three and contrast threshold of the blobs was measured to determine the synchrony detection threshold. We found the thresholds were not correlated with the contrast thresholds for detecting the flickering blobs, suggesting synchrony detection and temporal detection threshold are processed by different mechanisms. In experiment 2, synchrony thresholds were measured as participants' ability to tell if one of the four high contrast Gaussian blobs was flickering asynchronously in time. Three temporal frequencies (1, 2, and 3 Hz) and two element separations (1.25 and 5 deg) were compared. We found that the amblyopic group exhibited a deficit only for the 1.25 deg element separation in amblyopic eye but was normal for the other configurations compared to controlled participants. It suggests amblyopes have deficits in temporal processing but only for foveal vision. We also found the sensitivity for the non-strabismic anismetropia group is reduced for all three temporal frequencies whereas for the strabismic anisometropia group it was reduced at 3Hz only, suggesting the impairment in temporal synchrony might be different for different types of amblyopia

Inhibitory effect of pirfenidone on TGF-β2-induced fibroblastic phenotypes in SRA01/04 cells.

<p>There was no apparent morphological change in SRA01/04 cells after 24 hours’ treatment with 0.5 mg/ml PFD only (B) compared with control cells(A). In the presence of 12.5 ng/ml TGF-β2, the TGF-β2-induced morphological changes in SRA01/04 cells (C) were detected, including elongated and spindle-like shapes, which were noticeably suppressed by co-treatment with 0.5 mg/ml PFD (D).</p