Preoperative factors predictive of postoperative decimal visual acuity ≥ 1.0 following surgical treatment for idiopathic epiretinal membrane

Hiroshi Kunikata1, Toshiaki Abe2, Jiro Kinukawa1, Kohji Nishida1,31Department of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, Sendai, Japan; 2Division of Clinical Cell Therapy, Tohoku University Graduate School of Medicine, Sendai, Japan; 3Department of Ophthalmology, Osaka University Medical School, Suita, JapanPurpose: To report the preoperative best-corrected visual acuity (BCVA) and foveal thickness (FT) values that lead to a postoperative decimal BCVA of ≥ 1.0 after surgical removal of an idiopathic epiretinal membrane (ERM).Methods: This is a retrospective case series of 73 eyes that underwent surgery for removal of an idiopathic ERM. All eyes had been treated by a single surgeon using a 25-gauge transconjunctival sutureless vitrectomy and indocyanine green-assisted internal limiting membrane peel. The BCVA and FT were measured at baseline and 6 months postoperatively.Results: A postoperative decimal BCVA ≥ 1.0 was obtained in eyes with a preoperative decimal BCVA ≥ 0.3 but not in those with a preoperative decimal BCVA ≤ 0.2. The incidence of obtaining a postoperative decimal BCVA ≥ 1.0 was significantly (P = 0.002) higher in eyes with a preoperative decimal BCVA ≥ 0.5 (50%) than in eyes with a preoperative decimal BCVA < 0.5 (11%). Additionally, a postoperative decimal BCVA of ≥ 1.0 was obtained in 51% of the eyes that had a preoperative FT < 400 µm, compared with only 21% of eyes with a preoperative FT ≥ 400 µm (P = 0.01). The incidence of obtaining a postoperative decimal BCVA ≥ 1.0 was significantly higher in eyes with preoperative decimal BCVA ≥ 0.5 and FT < 400 µm (60%) than in eyes with preoperative decimal BCVA ≥ 0.5 and FT ≥ 400 µm (20%; P = 0.03 ) or preoperative BCVA < 0.5 and FT ≥ 400 µm (7%; P < 0.001).Conclusions: These findings indicate that eyes with both preoperative BCVA ≥ 0.5 and FT < 400 µm have a significantly better chance of obtaining a postoperative decimal BCVA ≥ 1.0 following idiopathic ERM removal.Keywords: 25-gauge vitrectomy, optical coherence tomography, epimacular membrane, epiretinal membrane, visual acuity, foveal thicknes

Noncontact Monitoring of Vital Signs with RGB and Infrared Camera and Its Application to Screening of Potential Infection

In recent years, much attention is being paid to research and development of technology that provides noncontact measurement of vital signs, i.e., heart rate, respiration, and body temperature, which are important for understanding the state of a person’s health. As technology for sensing biological information has progressed, new biological measurement sensors have been developed successively. There have also been reports regarding methods for measuring respiration or heart rate using pressure sensors, microwave radar, air mattresses, or high-polymer piezoelectric film. The methods have wide-ranging applications, including systems for monitoring of elderly people, identification of sleep apnea, detection of patients suspected to have an infectious disease, and noncontact measurement of stress levels. In this chapter, the principles behind noncontact measurement of respiration and heartbeat using infrared/RGB facial-image analysis are discussed, along with the applications for such measurement in the detection of patients suspected to be suffering from infectious diseases

A Mathematical Problem for Security Analysis of Hash Functions and Pseudorandom Generators

In this paper, we specify a class of mathematical problems, which we refer to as "Function Density Problems" (FDPs, in short), and point out novel connections of FDPs to the following two cryptographic topics; theoretical security evaluations of keyless hash functions (such as SHA-1.), and constructions of provably secure pseudorandom generators (PRGs) with some enhanced security property introduced by Dubrov and Ishai (STOC 2006). Our argument aims at proposing new theoretical frameworks for these topics (especially for the former) based on FDPs, rather than providing some concrete and practical results on the topics. We also give some examples of mathematical discussions on FDFs, which would be of independent interest from mathematical viewpoints. Finally, we discuss possible directions of future research on other cryptographic applications of FDPs and on mathematical studies on FDPs themselves.ArticleINTERNATIONAL JOURNAL OF FOUNDATIONS OF COMPUTER SCIENCE. 26(2):169-194 (2015)journal articl

25-Gauge Microincision Vitrectomy to Treat Vitreoretinal Disease in Glaucomatous Eyes after Trabeculectomy

Purpose. To determine the feasibility of using 25-gauge microincision vitrectomy surgery (25GMIVS) to treat vitreoretinal disease in glaucomatous eyes which have previously undergone trabeculectomy (TLE). Methods. A consecutive, interventional case series. We performed 25GMIVS in 15 glaucomatous eyes that had undergone TLE. Follow-up period was 11.5 months. Results. 25GMIVS was successfully used and led to improvement in visual acuity (P<0.01). We performed 25GMIVS for proliferative diabetic retinopathy with neovascular glaucoma in 53% of eyes (8 of 15). Although 3 eyes needed further TLE following 25GMIVS, final IOP was below 21 mmHg in all eyes except one eye (93%) and was comparable to pre-25GMIVS IOP (P=0.20) without an increase in the number of glaucoma medications (P=0.14). Conclusions. 25GMIVS is a feasible treatment for vitreoretinal disease in eyes with preexisting TLE, effective in both significantly improving BCVA and preserving the filtering bleb, while not excluding further glaucoma surgery