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Long-Term Incidence And Timing Of Intraocular Hypertension After Intravitreal Triamcinolone Acetonide Injection
Purpose: To describe the long-term incidence and timing of steroid-induced ocular hypertension after intravitreal triamcinolone acetonide (IVTA) therapy. Design: Retrospective case series of 929 eyes of 841 patients. Participants: Patients with a variety of posterior segment disorders in a single group practice. Intervention: Pars plana injection of IVTA. Main Outcome Measures: Intraocular pressure (IOP) and requirement for glaucoma surgery. Results: Overall, 929 eyes received ≥1 injections (mean, 1.6) of 4 mg of IVTA. During a mean follow-up period of 14±6.9 months, the Kaplan-Meier cumulative incidences of IOP elevations \u3e21 mmHg at 6, 12, 18, and 24 months post-injection were 28.2%, 34.6%, 41.2%, and 44.6%, respectively; similarly, the incidences of eyes with IOP measurements \u3e25 mmHg were 14.6%, 19.1%, 24.1%, and 28.2%, respectively. At the same time points, lOP-lowering medications were required byl3.0%, 16.9%, 20.7%, and 24.2% of eyes, respectively. Only 3 eyes (0.3%) required lOP-lowering surgery. Preexisting glaucoma, younger age, and a history of an IOP elevation after a previous IVTA injection were risk factors for IOP elevations after IVTA injection. The minimum and maximum follow-up were 3 weeks and 37 months. The mean rate of attrition in this study was 3% per month. Conclusions: Elevations in IOP after IVTA injection are common. Younger patients and eyes with preexisting glaucoma or a history of a steroid response should be monitored more closely for IOP elevations after IVTA therapy
A low density of 0.8 g/cc for the Trojan binary asteroid 617 Patroclus
The Trojan population consists of two swarms of asteroids following the same
orbit as Jupiter and located at the L4 and L5 Lagrange points of the
Jupiter-Sun system (leading and following Jupiter by 60 degrees). The asteroid
617 Patroclus is the only known binary Trojan (Merline et al. 2001). The orbit
of this double system was hitherto unknown. Here we report that the components,
separated by 680 km, move around the system centre of mass, describing roughly
a circular orbit. Using the orbital parameters, combined with thermal
measurements to estimate the size of the components, we derive a very low
density of 0.8 g/cc. The components of Patroclus are therefore very porous or
composed mostly of water ice, suggesting that they could have been formed in
the outer part of the solar system.Comment: 10 pages, 3 figures, 1 tabl
SN 2009bb: a Peculiar Broad-Lined Type Ic Supernova
Ultraviolet, optical, and near-infrared photometry and optical spectroscopy
of the broad-lined Type Ic supernova (SN) 2009bb are presented, following the
flux evolution from -10 to +285 days past B-band maximum. Thanks to the very
early discovery, it is possible to place tight constraints on the SN explosion
epoch. The expansion velocities measured from near maximum spectra are found to
be only slightly smaller than those measured from spectra of the prototype
broad-lined SN 1998bw associated with GRB 980425. Fitting an analytical model
to the pseudo-bolometric light curve of SN 2009bb suggests that 4.1+-1.9 Msun
of material was ejected with 0.22 +-0.06 Msun of it being 56Ni. The resulting
kinetic energy is 1.8+-0.7x10^52 erg. This, together with an absolute peak
magnitude of MB=-18.36+-0.44, places SN 2009bb on the energetic and luminous
end of the broad-lined Type Ic (SN Ic) sequence. Detection of helium in the
early time optical spectra accompanied with strong radio emission, and high
metallicity of its environment makes SN 2009bb a peculiar object. Similar to
the case for GRBs, we find that the bulk explosion parameters of SN 2009bb
cannot account for the copious energy coupled to relativistic ejecta, and
conclude that another energy reservoir (a central engine) is required to power
the radio emission. Nevertheless, the analysis of the SN 2009bb nebular
spectrum suggests that the failed GRB detection is not imputable to a large
angle between the line-of-sight and the GRB beamed radiation. Therefore, if a
GRB was produced during the SN 2009bb explosion, it was below the threshold of
the current generation of gamma-ray instruments.Comment: Accepted for publication in Ap
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