ocular diseases

眼部疾病
  • 文章类型: Journal Article
    目标:这项工作的主要目的是临床评估100名阅读技能差但没有任何特定学习障碍的墨西哥儿童的动眼性。方法:采用D.E.M.心理测验。该比率的性别和年龄分析,type,水平和垂直性能,和错误被执行。结果:我们的数据表明,84%的不良读者表现出动眼困难。性别对结果无显著影响(p>0.05),而年龄与水平(p=0.04)和垂直(p=0.29)表现相关,以及错误的数量(p=0.001)。遗漏是最普遍的错误类型。结论:这项研究为阅读能力较差的儿童提供了有关动眼的作用的见解。我们的结果表明,评估方案中应包括动眼表现,以评估不良读者,以确定视觉系统的任何影响。
    Objectives: The main purpose of this work was to clinically assess the oculomotricity of one hundred Mexican children with poor reading skills but without any specific learning disorder. Methods: The D.E.M. psychometric test was used. Sex and age analyses of the ratio, type, horizontal and vertical performance, and errors were carried out. Results: Our data suggest that 84% of poor readers exhibit oculomotor difficulties. Sex did not significantly influence the results (p > 0.05), whereas age was associated with the horizontal (p = 0.04) and vertical (p = 0.29) performance, as well as the number of errors (p = 0.001). Omissions were the most prevalent error type. Conclusions: This research gives insights into the role of oculomotricity in children with poor reading skills. Our results suggest that oculomotor performance should be included in the evaluation protocol to assess poor readers to identify any influence of the visual system.
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  • 文章类型: Journal Article
    免疫肽毒性低,低免疫原性和靶向性,在药物输送和组装方面具有广阔的应用前景,在应用策略和药物组合方面是多种多样的。免疫肽对于调节眼部免疫稳态尤为重要,因为眼睛是免疫特权器官。免疫肽在适应性免疫和先天免疫中具有优势,通过调节T细胞治疗眼部免疫相关疾病,B细胞,免疫检查点,和细胞因子。本文综述了免疫肽在先天免疫和适应性免疫中的应用策略。包括自身免疫,感染,疫苗策略,和肿瘤。此外,它侧重于免疫肽介导眼部免疫(自身免疫性疾病,炎性风暴,和肿瘤)。此外,它回顾了免疫肽的应用策略和免疫肽在眼睛中的治疗潜力。我们期望免疫肽在治疗眼部疾病中得到重视,并为眼部疾病免疫肽的研究提供方向。
    Immunopeptides have low toxicity, low immunogenicity and targeting, and broad application prospects in drug delivery and assembly, which are diverse in application strategies and drug combinations. Immunopeptides are particularly important for regulating ocular immune homeostasis, as the eye is an immune-privileged organ. Immunopeptides have advantages in adaptive immunity and innate immunity, treating eye immune-related diseases by regulating T cells, B cells, immune checkpoints, and cytokines. This article summarizes the application strategies of immunopeptides in innate immunity and adaptive immunity, including autoimmunity, infection, vaccine strategies, and tumors. Furthermore, it focuses on the mechanisms of immunopeptides in mediating ocular immunity (autoimmune diseases, inflammatory storms, and tumors). Moreover, it reviews immunopeptides\' application strategies and the therapeutic potential of immunopeptides in the eye. We expect the immune peptide to get attention in treating eye diseases and to provide a direction for eye disease immune peptide research.
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  • 文章类型: Journal Article
    这项研究评估了在台湾的远程眼科平台中使用非散瞳眼底相机捕获的视网膜图像的质量。目的是评估非散瞳眼底相机用于远程视网膜筛查的有效性,并确定影响图像质量的因素。从2020年6月到2022年8月,来自五个农村医院的629名患者接受了眼科检查,在没有瞳孔扩张的情况下拍摄眼底图像。这些图像由高级眼科医生审查,并根据质量进行分级。结果表明,大约70%的图像具有令人满意的诊断质量。图像质量差的危险因素包括年龄较大,白内障的存在,假晶状体,和糖尿病。这项研究证明了使用非散瞳眼底相机进行眼科检查的可行性,强调识别和解决影响图像质量的因素的重要性,以提高远程设置中的诊断准确性。
    This study assesses the quality of retinal images captured using a non-mydriatic fundus camera within a teleophthalmologic platform in Taiwan. The objective was to evaluate the effectiveness of non-mydriatic fundus cameras for remote retinal screening and identify factors impacting image quality. From June 2020 to August 2022, 629 patients from five rural infirmaries underwent ophthalmic examinations, with fundus images captured without pupil dilation. These images were reviewed by senior ophthalmologists and graded based on quality. The results indicated that approximately 70% of images were of satisfactory diagnostic quality. Risk factors for poor image quality included older age, the presence of cataracts, pseudophakia, and diabetes mellitus. This study demonstrates the feasibility of using non-mydriatic fundus cameras for teleophthalmology, highlighting the importance of identifying and addressing factors that affect image quality to enhance diagnostic accuracy in remote settings.
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  • 文章类型: Journal Article
    与年龄相关的眼部疾病,如与年龄相关的黄斑变性,青光眼,糖尿病视网膜病变是老年人不可逆性视力障碍的主要原因。常规治疗侧重于症状缓解和疾病减缓,通常涉及手术,但是没有提供治疗,导致严重的视力丧失。再生医学,特别是间充质干细胞(MSC),有希望的眼部疾病的治疗。这项研究调查了胎盘来源的MSCs(PD-MSCs)与牛膝的牛膝提取物(ARE)结合以增强治疗效果的协同潜力。在24小时的治疗中,ARE显著增加PD-MSCs的增殖能力并延迟其衰老(*p<0.05)。ARE还增强了抗氧化能力,并增加了体外损伤模型中再生相关基因的表达,该模型使用了对人视网膜色素上皮细胞系(ARPE-19)的化学损伤(*p<0.05)。这些结果表明,ARE引发的PD-MSC具有通过增加抗氧化特性来增强与受损眼再生相关的基因激活的能力。一起来看,这些发现支持以下结论:ARE引发的PD-MSC可能成为眼部疾病干细胞治疗的增强来源.
    Age-related ocular diseases such as age-related macular degeneration, glaucoma, and diabetic retinopathy are major causes of irreversible vision impairment in the elderly. Conventional treatments focus on symptom relief and disease slowdown, often involving surgery, but fall short of providing a cure, leading to substantial vision loss. Regenerative medicine, particularly mesenchymal stem cells (MSCs), holds promise for ocular disease treatment. This study investigates the synergistic potential of combining placenta-derived MSCs (PD-MSCs) with Achyranthis radix extract (ARE) from Achyranthes japonica to enhance therapeutic outcomes. In a 24-h treatment, ARE significantly increased the proliferative capacity of PD-MSCs and delayed their senescence (* p < 0.05). ARE also enhanced antioxidant capabilities and increased the expression of regeneration-associated genes in an in vitro injured model using chemical damages on human retinal pigment epithelial cell line (ARPE-19) (* p < 0.05). These results suggest that ARE-primed PD-MSC have the capability to enhance the activation of genes associated with regeneration in the injured eye via increasing antioxidant properties. Taken together, these findings support the conclusion that ARE-primed PD-MSC may serve as an enhanced source for stem cell-based therapy in ocular diseases.
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  • 文章类型: Journal Article
    全世界数百万人患有遗传性遗传病,创伤,传染病,或者眼睛的癌症,许多眼病会导致不可逆转的失明,这是一个重大的公共卫生负担。眼睛是一个相对较小的免疫特权器官。使用基于核酸的药物来操纵靶向眼部疾病根源的功能不良的基因被认为是具有巨大前景的治疗方法。然而,由于某些不利的特征,在体内利用核酸疗法仍然存在一些挑战,比如不稳定,生物载体依赖性细胞摄取,体内短药代动力学曲线(RNA),以及中靶和脱靶副作用(DNA)。脂质纳米颗粒(LNP)作为基因载体的开发是革命性的进步,为核酸疗法的临床应用做出了贡献。LNP具有捕获和转运各种遗传物质的能力,如小干扰RNA,mRNADNA,和基因编辑复合物。这为通过抑制致病基因来解决眼部疾病开辟了途径,治疗性蛋白质的表达,或纠正遗传缺陷。这里,我们深入研究了眼科基因治疗的尖端LNP技术,涵盖配方设计,临床前发展,和临床翻译。
    Millions of people worldwide have hereditary genetic disorders, trauma, infectious diseases, or cancer of the eyes, and many of these eye diseases lead to irreversible blindness, which is a major public health burden. The eye is a relatively small and immune-privileged organ. The use of nucleic acid-based drugs to manipulate malfunctioning genes that target the root of ocular diseases is regarded as a therapeutic approach with great promise. However, there are still some challenges for utilizing nucleic acid therapeutics in vivo because of certain unfavorable characteristics, such as instability, biological carrier-dependent cellular uptake, short pharmacokinetic profiles in vivo (RNA), and on-target and off-target side effects (DNA). The development of lipid nanoparticles (LNPs) as gene vehicles is revolutionary progress that has contributed the clinical application of nucleic acid therapeutics. LNPs have the capability to entrap and transport various genetic materials such as small interfering RNA, mRNA, DNA, and gene editing complexes. This opens up avenues for addressing ocular diseases through the suppression of pathogenic genes, the expression of therapeutic proteins, or the correction of genetic defects. Here, we delve into the cutting-edge LNP technology for ocular gene therapy, encompassing formulation designs, preclinical development, and clinical translation.
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  • 文章类型: Journal Article
    眼部疾病对及时诊断和有效治疗提出了重大挑战。深度学习已经成为医学图像分析中一种有前途的技术,为准确检测和分类眼部疾病提供潜在的解决方案。在这项研究中,我们提出了眼网,一种用于检测和分类眼部疾病的新型深度学习模型,包括白内障,糖尿病,葡萄膜炎,和青光眼,使用大型眼部图像数据集。该研究利用了包括患者双眼的6200张图像的图像数据集。具体来说,这些图像中的70%(4000张图像)被分配用于模型训练,而其余30%(2200张图片)被指定用于测试目的。该数据集包含五个类别的图像,其中包括四种疾病,一个正常的类别。所提出的模型使用迁移学习,平均池化层,夹着的Relu,泄漏Relu和各种其他层从图像中准确检测眼部疾病。我们的方法涉及在不同的眼部图像上训练一种新颖的眼部网络模型,并评估其用于疾病检测的准确性和性能指标。我们还采用数据增强技术来提高模型性能并减轻过拟合。在不同参数的不同训练和测试比率下对所提出的模型进行了测试。此外,我们将OcularNet的性能与基于各种评估参数的以前的方法进行比较,评估其提高眼部疾病诊断准确性和效率的潜力。结果表明,通过优于现有方法,OcularNet在检测和分类眼部疾病方面达到98.89%的准确性和0.12%的损失值。
    Ocular diseases pose significant challenges in timely diagnosis and effective treatment. Deep learning has emerged as a promising technique in medical image analysis, offering potential solutions for accurately detecting and classifying ocular diseases. In this research, we propose Ocular Net, a novel deep learning model for detecting and classifying ocular diseases, including Cataracts, Diabetic, Uveitis, and Glaucoma, using a large dataset of ocular images. The study utilized an image dataset comprising 6200 images of both eyes of patients. Specifically, 70% of these images (4000 images) were allocated for model training, while the remaining 30% (2200 images) were designated for testing purposes. The dataset contains images of five categories that include four diseases, and one normal category. The proposed model uses transfer learning, average pooling layers, Clipped Relu, Leaky Relu and various other layers to accurately detect the ocular diseases from images. Our approach involves training a novel Ocular Net model on diverse ocular images and evaluating its accuracy and performance metrics for disease detection. We also employ data augmentation techniques to improve model performance and mitigate overfitting. The proposed model is tested on different training and testing ratios with varied parameters. Additionally, we compare the performance of the Ocular Net with previous methods based on various evaluation parameters, assessing its potential for enhancing the accuracy and efficiency of ocular disease diagnosis. The results demonstrate that Ocular Net achieves 98.89% accuracy and 0.12% loss value in detecting and classifying ocular diseases by outperforming existing methods.
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  • 文章类型: Journal Article
    TRPA1是一种非选择性钙通道,瞬时受体电位(TRP)超家族的成员,也称为“刺激物”受体,被刺激性和有害的外源性化学物质以及内源性的藻类刺激激活,引发疼痛,瘙痒和炎症条件。出于这个原因,它被认为是一个有吸引力的治疗目标,以治疗广泛的疾病,包括急性和慢性疼痛,痒,和炎症性气道疾病。
    本综述涵盖了从2020年至今公开的TRPA1拮抗剂的专利,属于以下主要类别:i)已知或已经公开的拮抗剂的新治疗应用,ii)来自天然来源的TRPA1拮抗剂的鉴定和表征,和iii)新化合物的合成和评价。
    尽管临床试验中TRPA1拮抗剂的数量有限,人们对这种受体通道作为治疗靶标的兴趣越来越大,主要是由于基础研究的相关成果,揭示了新的生理病理机制的鉴定,其中TRPA1被认为起着关键作用,例如阿尔茨海默病或眼病,扩大TRPA1调节剂的潜在治疗应用小组。
    UNASSIGNED: TRPA1 is a nonselective calcium channel, a member of the transient receptor potential (TRP) superfamily, also referred to as the \'irritant\' receptor, being activated by pungent and noxious exogenous chemicals as well as by endogenous algogenic stimuli, to elicit pain, itching, and inflammatory conditions. For this reason, it is considered an attractive therapeutic target to treat a wide range of diseases including acute and chronic pain, itching, and inflammatory airway diseases.
    UNASSIGNED: The present review covers patents on TRPA1 antagonists disclosed from 2020 to present, falling in the following main classes: i) novel therapeutic applications for known or already disclosed antagonists, ii) identification and characterization of TRPA1 antagonists from natural sources, and iii) synthesis and evaluation of novel compounds.
    UNASSIGNED: Despite the limited number of TRPA1 antagonists in clinical trials, there is an ever-growing interest on this receptor-channel as therapeutic target, mainly due to the relevant outcomes from basic research, which unveiled novel physio-pathological mechanisms where TRPA1 is believed to play a pivotal role, for example the Alzheimer\'s disease or ocular diseases, expanding the panel of potential therapeutic applications for TRPA1 modulators.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fmed.2024.1353624。].
    [This corrects the article DOI: 10.3389/fmed.2024.1353624.].
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  • 文章类型: Journal Article
    肠道微生物群和眼部健康之间复杂的相互作用已经超越了传统的医学观念。从根本上重塑了我们对器官互联性的理解。这篇综述研究了肠道菌群衍生的代谢产物之间的复杂关系及其对眼部健康和疾病发病机理的影响。通过检查特定代谢物的作用,如短链脂肪酸(SCFA),如丁酸和胆汁酸(BA),在这里,我们阐明了他们对眼病的重要贡献,发人深省传统的器官不育观念,特别是在眼科领域。强调肠道微生物群的动态性质及其对眼部健康的深远影响,这篇评论强调了理解肠眼轴复杂工作原理的必要性,一个新兴的科学领域,准备进一步探索和审查。在承认操纵肠道微生物组及其代谢物的治疗前景的同时,现有的文献提倡有针对性的,精确的方法。而不是广泛的干预,它强调了利用特定微生物组相关代谢物作为重点策略的潜力.这种有针对性的方法与精密工具而不是广谱解决方案相比,目的探讨微生物组相关代谢物在各种视网膜疾病中的治疗应用。通过提出针对特定微生物代谢物的细致入微的策略,这篇综述表明,通过微生物组相关代谢物解决特定缺陷或失衡可能会在全身健康中产生加速和显著的结果。延伸到眼睛。这种专注的策略具有绕过与操纵微生物本身相关的不规则性的潜力,在优化肠道健康及其对视网膜疾病的影响方面,为期望的结果铺平了一条更有效的途径。
    The intricate interplay between the gut microbiota and ocular health has surpassed conventional medical beliefs, fundamentally reshaping our understanding of organ interconnectivity. This review investigates into the intricate relationship between gut microbiota-derived metabolites and their consequential impact on ocular health and disease pathogenesis. By examining the role of specific metabolites, such as short-chain fatty acids (SCFAs) like butyrate and bile acids (BAs), herein we elucidate their significant contributions to ocular pathologies, thought-provoking the traditional belief of organ sterility, particularly in the field of ophthalmology. Highlighting the dynamic nature of the gut microbiota and its profound influence on ocular health, this review underlines the necessity of comprehending the complex workings of the gut-eye axis, an emerging field of science ready for further exploration and scrutiny. While acknowledging the therapeutic promise in manipulating the gut microbiome and its metabolites, the available literature advocates for a targeted, precise approach. Instead of broad interventions, it emphasizes the potential of exploiting specific microbiome-related metabolites as a focused strategy. This targeted approach compared to a precision tool rather than a broad-spectrum solution, aims to explore the therapeutic applications of microbiome-related metabolites in the context of various retinal diseases. By proposing a nuanced strategy targeted at specific microbial metabolites, this review suggests that addressing specific deficiencies or imbalances through microbiome-related metabolites might yield expedited and pronounced outcomes in systemic health, extending to the eye. This focused strategy holds the potential in bypassing the irregularity associated with manipulating microbes themselves, paving a more efficient pathway toward desired outcomes in optimizing gut health and its implications for retinal diseases.
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  • 文章类型: Journal Article
    泪液是一种容易接近的,疾病生物标志物的潜在来源,可用于监测眼睛对隐形眼镜(CL)佩戴或治疗性CL治疗的眼科病变的反应。然而,泪液作为基于RNA的分子分析的生物标志物来源仍未被探索.用兔子模型,这项研究旨在确定是否可以从商业CL中收集RNA,以及CL磨损的持续时间是否会影响RNA恢复。结果参考了标准的过滤纸条(例如,ShirmerStrips)放置在下穹窿中。通过进行总RNA分离,降水,用商业试剂盒和RT-PCR方法扩增,发现CLs与Schirmer条带相比在RNA浓度和纯度方面没有显著差异。该研究还确定了可用于标准化泪液样品之间RNA水平的基因。在潜在的控制基因或管家基因中,GAPDH最为稳定。这项研究,据我们所知,这是以前从未做过的,提供了一种检测泪液中RNA和基因表达变化的方法,可用于监测或研究眼部疾病。
    The tear fluid is a readily accessible, potential source for biomarkers of disease and could be used to monitor the ocular response to contact lens (CL) wear or ophthalmic pathologies treated by therapeutic CLs. However, the tear fluid remains largely unexplored as a biomarker source for RNA-based molecular analyses. Using a rabbit model, this study sought to determine whether RNA could be collected from commercial CLs and whether the duration of CL wear would impact RNA recovery. The results were referenced to standardized strips of filtered paper (e.g., Shirmer Strips) placed in the inferior fornix. By performing total RNA isolation, precipitation, and amplification with commercial kits and RT-PCR methods, CLs were found to have no significant differences in RNA concentration and purity compared to Schirmer Strips. The study also identified genes that could be used to normalize RNA levels between tear samples. Of the potential control genes or housekeeping genes, GAPDH was the most stable. This study, which to our knowledge has never been done before, provides a methodology for the detection of RNA and gene expression changes from tear fluid that could be used to monitor or study eye diseases.
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