6 research outputs found
Visual outcome of ranibizumab therapy for neovascular age related macular degeneration in the black population: a report of five cases
No full textRoopa Vemala, Bhaskar Gupta, Sobha SivaprasadLaser and Retinal Research Unit, King’s College Hospital, London SE5 9RS, UKIntroduction: Neovascular age related macular degeneration (AMD) is relatively uncommon in the black population. We report the 12-month outcome of ranibizumab therapy in five black patients with choroidal neovascular membrane (CNV) secondary to AMD.Material and methods: Retrospective analysis of a prospective audit database maintained for all patients on ranibizumab therapy in a retinal specialist unit that caters to a multi-ethnic cohort in London, United Kingdom.Results: At 12 months, all the 5 patients maintained stable vision (loss of less than 15 ETDRS letters). However, none of them gained more than 15 ETDRS letters. All eyes showed early subretinal fibrosis while 2 patients showed extended areas of retinal pigment atrophy.Conclusion: Our case studies indicate that ranibizumab stabilizes the vision in black patients with CNV secondary to AMD but they tend to develop early subretinal fibrosis and retinal pigment atrophy.Keywords: choroidal neovascular membrane, Afro-Caribbean, black
Detection of Early Loss of Color Vision in Age-Related Macular Degeneration - With Emphasis on Drusen and Reticular Pseudodrusen
No full textPurpose: To evaluate chromatic sensitivity in patients with age-related macular degeneration (AMD) characterized by drusen and reticular pseudodrusen. To investigate whether the severity of color vision loss can distinguish between various stages of AMD and hence be used as an index of progression toward advanced AMD.
Methods: Chromatic sensitivity was measured by using the Color Assessment and Diagnosis (CAD) test in asymptomatic individuals with early and intermediate AMD and compared to normative data. All study participants had logMAR visual acuity of 0.3 or better. The CAD thresholds measured in eyes with and without reticular pseudodrusen were also compared and related to central macular thickness (CMT). Student's t-test P values < 0.05 were considered significant.
Results: All early- and intermediate-AMD eyes (n = 90) had chromatic sensitivity loss in either RG (red/green) or YB (yellow/blue), or both (P < 0.0001) as compared to age-matched normal subjects. The eyes exhibited a range of CAD thresholds affecting both color mechanisms, but YB color thresholds were in general higher than RG thresholds (P < 0.001). Intermediate-AMD patients exhibited large intersubject variability. In general, eyes with reticular pseudodrusen and eyes with CMT < 200 μm had significantly higher CAD thresholds.
Conclusions: The anatomic integrity of cone photoreceptors remains relatively unaffected in early and intermediate stages of AMD. The processing of cone signals in the retina can, however, be heavily disrupted with subsequent loss of both YB and RG chromatic sensitivity. The greatest losses were observed in eyes with reticular pseudodrusen
Visual acuity outcomes in ranibizumab-treated neovascular age-related macular degeneration; stratified by baseline vision
No full textOcclusive retinal vasculitis associated with intravitreal Faricimab injections
No full textPurpose: We describe a case of occlusive vasculitis associated with intravitreal Faricimab (Vabysmo) injections. Methods: A retrospective case report. Results: A 52-year old man treated with monthly Faricimab injections for diabetic macula oedema presented with sudden reduced vision, new retinal hemorrhages, significant retinal vascular occlusions and ischemia. After screening for differential diagnoses was unremarkable, the patient was treated with oral and intravitreal steroid therapy under which the occlusive vasculitis was stabilized. Conclusion: Occlusive vasculitis, though rare, is a potential complication of Faricimab therapy. Comprehensive reporting and large-scale analyses are essential to better understand and manage this adverse event
Agricultural nutrient loading under alternative climate, societal and manure recycling scenarios
No full textThis paper introduces a framework for extending global climate and socioeconomic scenarios in order to study agricultural nutrient pollution on an individual catchment scale. Our framework builds on and extends Representative Concentration Pathways (RCPs) and Shared Socioeconomic Pathways (SSPs) at the spatial and temporal scales that are relevant for the drivers of animal husbandry, manure recycling and the application of inorganic fertilisers in crop production. Our case study area is the Aura river catchment in South-West Finland, which discharges into the heavily eutrophic Baltic Sea. The Aura river catchment has intensive agriculture - both livestock and crop production. Locally adjusted and interpreted climate and socioeconomic scenarios were used as inputs to a field-level economic optimisation in order to study how farmers might react to the changing markets and climate conditions under different SSPs. The results on economically optimal fertilisation levels were then used as inputs to the spatially and temporally explicit nutrient loading model (VEMALA). Alternative manure recycling strategies that matched with SSP narratives were studied as means to reduce the phosphorus (P) overfertilisation in areas with high livestock density. According to our simulations, on average the P loads increased by 18% during 2071-2100 from the current level and the variation in P loads between scenarios was large (from & minus;14% to +50%). By contrast, the nitrogen (N) loads had decreased on average by & minus;9% (with variation from & minus;20% to +3%) by the end of the current century. Phosphorus loading was most sensitive to manure recycling strategies and the speed of climate change. Nitrogen loading was less sensitive to changes in climate and socioeconomic drivers. (c) 2021 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).Peer reviewe
Corrigendum to ‘An international genome-wide meta-analysis of primary biliary cholangitis: Novel risk loci and candidate drugs’ [J Hepatol 2021;75(3):572–581]
No full text\ua9 2021It has come to our attention that the name of one of the authors in our manuscript was incorrectly spelled ‘Jinyoung Byan’; the correct spelling is ‘Jinyoung Byun’ as in the author list above. In addition, the excel files of the supplementary tables were not included during the online publication of our article. These have now been made available online. We apologize for any inconvenience caused
