1,210 research outputs found

    Effect of recombinant human nerve growth factor eye drops in patients with dry eye: a phase IIa, open label, multiple-dose study

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    Background: Dry eye disease (DED) affects more than 14% of the elderly population causing decrease of quality of life, high costs and vision impairment. Current treatments for DED aim at lubricating and controlling inflammation of the ocular surface. Development of novel therapies targeting different pathogenic mechanisms is sought-after. The aim of this study is to evaluate safety and efficacy of recombinant human nerve growth factor (rhNGF) eye drops in patients with DED. Methods: Forty consecutive patients with moderate to severe DED were included in a phase IIa, prospective, open label, multiple-dose, clinical trial to receive rhNGF eye drops at 20 ÎĽg/mL (Group 1: G1) or at 4 ÎĽg/mL (Group 2: G2) concentrations, two times a day in both eyes for 28 days (NCT02101281). The primary outcomes measures were treatment-emerged adverse events (AE), Symptoms Assessment in Dry Eye (SANDE) scale, ocular surface staining and Schirmer test. Results: Of 40 included patients, 39 completed the trial. Both tested rhNGF eye drop concentrations were safe and well tolerated. Twenty-nine patients experienced at least one AE (14 in G1 and 15 in G2), of which 11 had at least 1 related AE (8 in G1 and 3 in G2). Both frequency and severity of DED symptoms and ocular surface damage showed significant improvement in both groups, while tear function improved only in G1. Conclusions: The data of this study indicate that rhNGF eye drops in both doses is safe and effective in improving symptoms and signs of DED. Randomised clinical trials are ongoing to confirm the therapeutic benefit of rhNGF in DED. Trial registration number: NCT02101281

    Management of patients with Graves' disease and orbital involvement: role of spectral domain optical coherence tomography

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    PURPOSE: To investigate the role of choroidal thickness evaluation with spectral domain optical coherence tomography (SDOCT) and enhanced depth imaging (EDI) technique in the management of patients with Graves' disease and orbitopathy (GO). METHODS: Thirty-six eyes of 18 patients with GO and 36 eyes of 18 age-matched control subjects were included in this retrospective observational study. All the subjects underwent a complete ophthalmological evaluation, including clinical activity score (CAS) and exophthalmometry. The SDOCT images of the choroid were obtained by EDI modality. RESULTS: Choroidal thickness was significantly increased in GO than in control eyes (p < 0.01). A significant correlation was found between choroidal thickness and CAS, proptosis, and the duration of disease (p < 0.05). CONCLUSION: This study shows that choroidal thickness, evaluated with EDI-OCT, is significantly increased in patients with GO and correlates with the activity of the disease, proptosis, and duration of the disease. The choroidal thickening may reflect the ocular hemodynamic changes, and enhanced depth imaging optical coherence tomography may be a useful tool for the evaluation of orbital congestion and management of patients with Graves' disease and orbital involvement

    Ergodicity breaking in strong and network-forming glassy system

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    The temperature dependence of the non-ergodicity factor of vitreous GeO2_2, fq(T)f_{q}(T), as deduced from elastic and quasi-elastic neutron scattering experiments, is analyzed. The data are collected in a wide range of temperatures from the glassy phase, up to the glass transition temperature, and well above into the undercooled liquid state. Notwithstanding the investigated system is classified as prototype of strong glass, it is found that the temperature- and the qq-behavior of fq(T)f_{q}(T) follow some of the predictions of Mode Coupling Theory. The experimental data support the hypothesis of the existence of an ergodic to non-ergodic transition occurring also in network forming glassy systems

    A modified femtosecond laser technique for anterior capsule contraction syndrome

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    Anterior capsule contraction syndrome (ACCS) is a rare, late complication of cataract surgery, associated with impairment of visual function. In this paper, we describe a new surgical technique to treat ACCS by femtosecond laser procedure. The femtosecond laser was used to perform an anterior capsulotomy with a customized size, in order to avoid IOL damage. After ophthalmic viscosurgical device injection in the anterior chamber, the anterior capsule flap was separated from the IOL surface by gentle hydrodissection. This manoeuvre enabled an easy and safe removal of the fibrotic material by vitreal microscissors. Our technique allowed a complete removal of the fibrotic material and opening of the capsule, with immediate complete visual acuity recovery without IOL damage. In conclusion, femtosecond laser appears to be safe and effective for treatment of ACCS with long-lasting efficacy

    Bifurcation and stability for Nonlinear Schroedinger equations with double well potential in the semiclassical limit

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    We consider the stationary solutions for a class of Schroedinger equations with a symmetric double-well potential and a nonlinear perturbation. Here, in the semiclassical limit we prove that the reduction to a finite-mode approximation give the stationary solutions, up to an exponentially small term, and that symmetry-breaking bifurcation occurs at a given value for the strength of the nonlinear term. The kind of bifurcation picture only depends on the non-linearity power. We then discuss the stability/instability properties of each branch of the stationary solutions. Finally, we consider an explicit one-dimensional toy model where the double well potential is given by means of a couple of attractive Dirac's delta pointwise interactions.Comment: 46 pages, 4 figure

    Further evidence of antibunching of two coherent beams of fermions

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    We describe an experiment confirming the evidence of the antibunching effect on a beam of non interacting thermal neutrons. The comparison between the results recorded with a high energy-resolution source of neutrons and those recorded with a broad energy-resolution source enables us to clarify the role played by the beam coherence in the occurrence of the antibunching effect.Comment: 4 pages, 3 figure

    Existence of the Stark-Wannier quantum resonances

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    In this paper we prove the existence of the Stark-Wannier quantum resonances for one-dimensional Schrodinger operators with smooth periodic potential and small external homogeneous electric field. Such a result extends the existence result previously obtained in the case of periodic potentials with a finite number of open gaps.Comment: 30 pages, 1 figur

    Optical properties of the Ce and La di-telluride charge density wave compounds

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    The La and Ce di-tellurides LaTe2_2 and CeTe2_2 are deep in the charge-density-wave (CDW) ground state even at 300 K. We have collected their electrodynamic response over a broad spectral range from the far infrared up to the ultraviolet. We establish the energy scale of the single particle excitation across the CDW gap. Moreover, we find that the CDW collective state gaps a very large portion of the Fermi surface. Similarly to the related rare earth tri-tellurides, we envisage that interactions and Umklapp processes play a role in the onset of the CDW broken symmetry ground state

    Direct experimental evidence of free fermion antibunching

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    Fermion antibunching was observed on a beam of free noninteracting neutrons. A monochromatic beam of thermal neutrons was first split by a graphite single crystal, then fed to two detectors, displaying a reduced coincidence rate. The result is a fermionic complement to the Hanbury Brown and Twiss effect for photons.Comment: 4 pages, 2 figure
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