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Litvin TV, Tse V, Chung L, Zhou Y, Tan B, Han Y, Lin MC. Effect of Scleral Contact Lens Size and Duration of Wear on Intraocular Pressure. Eye Contact Lens 2023; 49:e357-e363. [PMID: 37418306 PMCID: PMC10510754 DOI: 10.1097/icl.0000000000001012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2023] [Indexed: 07/08/2023]
Abstract
OBJECTIVE To evaluate the effects of scleral lens size and the duration of wear on intraocular pressure (IOP) during lens wear. METHODS Healthy adults were recruited for this prospective and randomized study. Intraocular pressure measurements were performed using a pneumotonometer. A block randomization was used to assign the order of scleral lens diameter of either 15.6 mm or 18.0 mm for 5-hr bilateral wear over a course of two visits. Scleral IOP (sIOP) was measured during the predetermined intervals, 1.25 hr apart, during the 5-hr scleral lens wear. Corneal IOP (cIOP) was measured before and after the scleral lens wear. The primary outcome measure was the mean change in sIOP from prelens insertion baseline. RESULTS Corneal IOP unchanged after scleral lens removal compared with the baseline measurements ( P =0.878). Smaller and larger lenses introduced significantly higher sIOP at 2.5 hr after lens insertion with the mean (95% CI) increase of 1.16 (0.54, 1.78) mm Hg and 1.37 (0.76, 1.99) mm Hg, respectively. There was no difference in IOP change between the smaller and larger diameter lenses ( P =0.590). CONCLUSIONS Well-fitted scleral lenses do not result in clinically significant changes in intraocular pressure during 5-hr lens wear in young and healthy individuals.
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Affiliation(s)
- Taras V Litvin
- Herbert Wertheim School of Optometry & Vision Science (T.V.L., V.T., M.C.L.); Clinical Research Center (V.T., L.C., Y.Z., B.T., M.C.L.), Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA; and Department of Ophthalmology (T.V.L., Y.H.), University of California San Francisco, California
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Kim YH, Graham AD, Li W, Dursch TJ, Peng CC, Radke CJ, Lin MC. Tear-film evaporation flux and its relationship to tear properties in symptomatic and asymptomatic soft-contact-lens wearers. Cont Lens Anterior Eye 2023; 46:101850. [PMID: 37137757 DOI: 10.1016/j.clae.2023.101850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Revised: 02/18/2023] [Accepted: 04/17/2023] [Indexed: 05/05/2023]
Abstract
PURPOSE With soft-contact-lens wear, evaporation of the pre-lens tear film affects the osmolarity of the post-lens tear film and this can introduce a hyperosmotic environment at the corneal epithelium, leading to discomfort. The purposes of the study are to ascertain whether there are differences in evaporation flux (i.e., the evaporation rate per unit area) between symptomatic and asymptomatic soft-contact-lens wearers, to assess the repeatability of a flow evaporimeter, and to assess the relationship between evaporation fluxes, tear properties, and environmental conditions. METHODS Closed-chamber evaporimeters commonly used in ocular-surface research do not control relative humidity and airflow, and, therefore, misestimate the actual tear-evaporation flux. A recently developed flow evaporimeter overcomes these limitations and was used to measure accurate in-vivo tear-evaporation fluxes with and without soft-contact-lens wear for symptomatic and asymptomatic habitual contact-lens wearers. Concomitantly, lipid-layer thickness, ocular-surface-temperature decline rate (i.e., °C/s), non-invasive tear break-up time, tear-meniscus height, Schirmer tear test, and environmental conditions were measured in a 5 visit study. RESULTS Twenty-one symptomatic and 21 asymptomatic soft-contact-lens wearers completed the study. A thicker lipid layer was associated with slower evaporation flux (p < 0.001); higher evaporation flux was associated with faster tear breakup irrespective of lens wear (p = 0.006). Higher evaporation flux was also associated with faster ocular-surface-temperature decline rate (p < 0.001). Symptomatic lens wearers exhibited higher evaporation flux than did asymptomatic lens wearers, however, the results did not reach statistical significance (p = 0.053). Evaporation flux with lens wear was higher than without lens wear but was also not statistically significant (p = 0.110). CONCLUSIONS The repeatability of the Berkeley flow evaporimeter, associations between tear characteristics and evaporation flux, sample-size estimates, and near statistical significance in tear-evaporation flux between symptomatic and asymptomatic lens wearers all suggest that with sufficient sample sizes, the flow evaporimeter is a viable research tool to understand soft-contact-lens wear comfort.
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Affiliation(s)
- Young Hyun Kim
- Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Clinical Research Center, Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA 94720, United States
| | - Andrew D Graham
- Clinical Research Center, Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States
| | - Wing Li
- Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Clinical Research Center, Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States
| | - Thomas J Dursch
- Clinical Research Center, Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA 94720, United States
| | - Cheng-Chun Peng
- Clinical Research Center, Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA 94720, United States; CooperVision Inc., Pleasanton, CA 94588, United States
| | - Clayton J Radke
- Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA 94720, United States
| | - Meng C Lin
- Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Clinical Research Center, Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States.
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Sutphin JE, Ying GS, Bunya VY, Yu Y, Lin MC, McWilliams K, Schmucker E, Kuklinski EJ, Asbell PA, Maguire MG. Correlation of Measures From the OCULUS Keratograph and Clinical Assessments of Dry Eye Disease in the Dry Eye Assessment and Management Study. Cornea 2022; 41:845-851. [PMID: 34294637 PMCID: PMC8782916 DOI: 10.1097/ico.0000000000002804] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Accepted: 05/11/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE The purpose of this study was to compare objective, noninvasive assessments of tear function using the OCULUS Keratograph with the corresponding clinical assessments [tear break-up time (TBUT), Schirmer test, and bulbar erythema] among patients with moderate-to-severe dry eye disease. METHODS Participants in the Dry Eye Assessment and Management study at centers having an OCULUS Keratograph were assessed using standardized procedures. Associations between the assessments from the Keratograph [noninvasive keratograph break-up time (NIKBUT), tear meniscus height (TMH), and bulbar redness (BR)] and clinical examination (TBUT, Schirmer test, and bulbar erythema) and between these test results and Ocular Surface Disease Index (OSDI) scores were summarized with Spearman correlation coefficients (r s ); 95% confidence intervals (95% CI) accounted for intereye correlation. RESULTS Among 288 patients (576 eyes), the mean (standard deviation) age was 56.6 (13.8) years, 78.1% were female, and the mean baseline OSDI score was 44.3 (14.0). The mean was 2.9 (1.5) seconds for TBUT and 8.2 (5.7) seconds for NIKBUT (their correlation r s = 0.18, 95% CI = 0.09-0.28). The mean was 10.6 (7.6) mm for the Schirmer test and 0.3 (0.2) mm for TMH (r s = 0.15, 95% CI = 0.04-0.25). The median clinical grade redness was mild, and the mean BR score was 1.1 (0.5) (r s = 0.25, 95% CI = 0.15-0.35). Correlation between results of each of the 6 tests and OSDI scores was low (r s from -0.07 to 0.05). CONCLUSIONS In the Dry Eye Assessment and Management study, NIKBUT, TMH, and BR were weakly correlated with their clinical counterparts. No measurements were correlated with the OSDI score.
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Affiliation(s)
| | | | | | - Yinxi Yu
- Department of Ophthalmology, University of Pennsylvania
| | - Meng C. Lin
- School of Optometry, University of California – Berkeley
| | | | | | - Eric J. Kuklinski
- Department of Ophthalmology, Icahn School of Medicine at Mount Sinai
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Kim YH, Lin MC, Peng CC, Radke CJ. Prevention of localized corneal hyperosmolarity spikes by soft-contact-lens wear. Cont Lens Anterior Eye 2022; 45:101722. [PMID: 35718682 DOI: 10.1016/j.clae.2022.101722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 05/19/2022] [Accepted: 05/24/2022] [Indexed: 11/30/2022]
Abstract
PURPOSE To determine whether localized hyperosmotic spikes on the pre-lens tear film (PrLTF) due to tear break up results in hyperosmotic spikes on the ocular surface during soft-contact-lens (SCL) wear and whether wear of SCLs can protect the cornea against PrLTF osmotic spikes. METHODS Two-dimensional transient diffusion of salt was incorporated into a computationally designed SCL, post-lens tear film (PoLTF), and ocular surface and solved numerically. Time-dependent localized hyperosmolarity spikes were introduced at the anterior surface of the SCL corresponding to those generated in the PrLTF. Salt spikes were followed in time until spikes penetrate through the lens into the PoLTF. Lens-salt diffusivities (Ds) were varied to assess their importance on salt migration from the PrLTF to the ocular surface. SCL and PoLTF initial conditions and the lens anterior-surface boundary condition were varied depending on the value of Ds and on dry-eye symptomatology. Determined corneal surface osmolarities were translated into clinical pain scores. RESULTS For Ds above about 10-7cm2/s, it takes around 5-10 s for the PrLTF hyperosmotic break-up spikes to diffuse across the SCL and reach the corneal surface. Even if localized hyperosmotic spikes penetrate to the ocular surface, salt concentrations there are much lower than those in the progenitor PrLTF spikes. For Ds less than 10-7cm2/s, the SCL protects the cornea from hyperosmotic spikes for both normal and dry eyes. When localized corneal hyperosmolarity is converted into transient pain scores, pain thresholds are significantly lower than those for no-lens wear. CONCLUSIONS A cornea can be protected from localized PrLTF hyperosmolarity spikes with SCL wear. With regular blinking (e.g., less than 10 s), SCL wear shields the cornea from significant hyperosmotic pain. Decreasing Ds increases that protection. Low-Ds soft contact lenses can protect against hyperosmotic spikes and discomfort even during infrequent blinking (e.g., > 10 s).
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Affiliation(s)
- Young Hyun Kim
- Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA 94720, United States; Clinical Research Center, University of California, Berkeley, CA 94720, United States
| | - Meng C Lin
- Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Clinical Research Center, University of California, Berkeley, CA 94720, United States
| | | | - Clayton J Radke
- Herbert Wertheim School of Optometry & Vision Science, University of California, Berkeley, CA 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA 94720, United States.
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Pham TV, Lin MC. Investigation of Product Formation in the O( 1D, 3P) + N 2O Reactions: Comparison of Experimental and Theoretical Kinetics. J Phys Chem A 2022; 126:1103-1113. [PMID: 35156819 DOI: 10.1021/acs.jpca.1c09477] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The spin-forbidden and spin-allowed reactions of the excited and ground electronic state O(1D, 3P) + N2O(X1Σ+) systems have been studied theoretically. Quantum calculations at the UCCSD(T)/CBS(T, Q, 5)//CCSD/aug-cc-pVTZ level have located two crossing points, MSX1 and MSX2, with energies of 11.2 and 22.7 kcal mol-1 above O(3P) + N2O, respectively. The second-order P-independent rate constants for the adiabatic and non-adiabatic thermal reactions predicted by adiabatic TST/VTST and non-adiabatic TST, respectively, agree closely with the available literature results. The second-order rate constant, k2a = 9.55 × 10-11 exp(-26.09 kcal mol-1/RT) cm3 molecule-1 s-1, for the O(3P) + N2O → 2NO reaction, contributed by both the dominant MSX2 and the minor TS1-a channels, is in reasonable accord with prior experiments and recommendations, covering the temperature range of 1200-4100 K. The calculated rate constant, k2b = 4.47 × 10-12 exp(-12.9 kcal mol-1/RT) cm3 molecule-1 s-1, for the O(3P) + N2O → N2 + O2(a1Δg) reaction, occurring exclusively via MSX1, is also in good agreement with the combined experimental data measured in a shock tube study at T = 1940-3340 K (ref 16) and the result measured by Fourier transform infrared spectroscopy in the temperature range of 988-1083 K (ref 17). Moreover, the spin-allowed rate constants predicted for the singlet-state reactions, k1a = (7.06-7.46) × 10-11 cm3 molecule-1 s-1 for O(1D) + N2O → 2NO and k1b = (4.36-4.66) × 10-11 cm3 molecule-1 s-1 for O(1D) + N2O → N2 + O2(a1Δg) in the temperature range of 200-350 K, agree quantitatively with the experimentally measured data, while the total rate constant k1 = k1a + k1b was also found to be in excellent accordance with many reported values.
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Affiliation(s)
- Tien V Pham
- Department of Appl. Chem., National Yang Ming Chiao Tung University, 1001 Ta-Hsueh Rd., Hsinchu 30010, Taiwan.,School of Chemical Engineering, Hanoi University of Science and Technology, Hanoi 100000, Vietnam
| | - M C Lin
- Department of Appl. Chem., National Yang Ming Chiao Tung University, 1001 Ta-Hsueh Rd., Hsinchu 30010, Taiwan.,Center for Emergent Functional Matter Science, National Yang Ming Chiao Tung University, 1001 Ta-Hsueh Rd., Hsinchu 30010, Taiwan
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Abstract
SIGNIFICANCE Quantifying meibomian gland morphology from meibography images is used for the diagnosis, treatment, and management of meibomian gland dysfunction in clinics. A novel and automated method is described for quantifying meibomian gland morphology from meibography images. PURPOSE Meibomian gland morphological abnormality is a common clinical sign of meibomian gland dysfunction, yet there exist no automated methods that provide standard quantifications of morphological features for individual glands. This study introduces an automated artificial intelligence approach to segmenting individual meibomian gland regions in infrared meibography images and analyzing their morphological features. METHODS A total of 1443 meibography images were collected and annotated. The dataset was then divided into development and evaluation sets. The development set was used to train and tune deep learning models for segmenting glands and identifying ghost glands from images, whereas the evaluation set was used to evaluate the performance of the model. The gland segmentations were further used to analyze individual gland features, including gland local contrast, length, width, and tortuosity. RESULTS A total of 1039 meibography images (including 486 upper and 553 lower eyelids) were used for training and tuning the deep learning model, whereas the remaining 404 images (including 203 upper and 201 lower eyelids) were used for evaluations. The algorithm on average achieved 63% mean intersection over union in segmenting glands, and 84.4% sensitivity and 71.7% specificity in identifying ghost glands. Morphological features of each gland were also fed to a support vector machine for analyzing their associations with ghost glands. Analysis of model coefficients indicated that low gland local contrast was the primary indicator for ghost glands. CONCLUSIONS The proposed approach can automatically segment individual meibomian glands in infrared meibography images, identify ghost glands, and quantitatively analyze gland morphological features.
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Affiliation(s)
| | | | | | | | - Andrew D Graham
- Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California
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Ding JE, Kim YH, Yi SM, Graham AD, Li W, Lin MC. Ocular surface cooling rate associated with tear film characteristics and the maximum interblink period. Sci Rep 2021; 11:15030. [PMID: 34294850 PMCID: PMC8298610 DOI: 10.1038/s41598-021-94568-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 07/12/2021] [Indexed: 02/07/2023] Open
Abstract
The surface of the human eye is covered with a protective tear film that refreshes with each blink. Natural blinking occurs involuntarily, but one can also voluntarily blink or refrain from blinking. The maximum time one can refrain from blinking until the onset of discomfort is the maximum interblink period (MIBP). During the interblink period the tear film evaporates and thins from the ocular surface. Infrared thermography provides a non-invasive measure of the ocular surface temperature (OST). Due to evaporation, ocular surface cooling (OSC) generally occurs when the eyes are open and exposed to the environment. The purpose of our study was to investigate the effect of OSC rate on the MIBP, and to investigate the association of the MIBP with tear film characteristics in subjects who do and do not exhibit OSC. The MIBP was measured simultaneously with OST over time. Non-invasive tear breakup time, tear meniscus height, tear lipid layer thickness, and Schirmer I test strip wetted lengths were measured on a day prior to the thermography visit. Subjects were divided into cooling and non-cooling groups based on OSC rate, and demographic and tear film characteristics were tested for inter-group differences. A faster OSC rate was associated with an exponentially shorter duration of the MIBP overall and within the cooling group alone. Faster non-invasive tear breakup time was significantly associated with a shorter MIBP in both groups. These results suggest that tear film evaporation initiates a pathway that results in the onset of ocular discomfort and the stimulus to blinking. The presence of a subset of subjects with no or minimal OSC who nevertheless have a short MIBP indicates that evaporative cooling is not the only mechanism responsible for the onset of ocular discomfort.
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Affiliation(s)
- Jennifer E. Ding
- grid.47840.3f0000 0001 2181 7878Clinical Research Center, School of Optometry, University of California, Berkeley, 360 Minor Hall, Berkeley, CA 94720-2020 USA
| | - Young Hyun Kim
- grid.47840.3f0000 0001 2181 7878Clinical Research Center, School of Optometry, University of California, Berkeley, 360 Minor Hall, Berkeley, CA 94720-2020 USA ,grid.47840.3f0000 0001 2181 7878Vision Science Graduate Group, University of California, Berkeley, CA 94720 USA ,grid.47840.3f0000 0001 2181 7878Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA 94720 USA
| | - Sarah M. Yi
- grid.47840.3f0000 0001 2181 7878Clinical Research Center, School of Optometry, University of California, Berkeley, 360 Minor Hall, Berkeley, CA 94720-2020 USA
| | - Andrew D. Graham
- grid.47840.3f0000 0001 2181 7878Clinical Research Center, School of Optometry, University of California, Berkeley, 360 Minor Hall, Berkeley, CA 94720-2020 USA
| | - Wing Li
- grid.47840.3f0000 0001 2181 7878Clinical Research Center, School of Optometry, University of California, Berkeley, 360 Minor Hall, Berkeley, CA 94720-2020 USA
| | - Meng C. Lin
- grid.47840.3f0000 0001 2181 7878Clinical Research Center, School of Optometry, University of California, Berkeley, 360 Minor Hall, Berkeley, CA 94720-2020 USA ,grid.47840.3f0000 0001 2181 7878Vision Science Graduate Group, University of California, Berkeley, CA 94720 USA
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Abstract
Purpose The purpose of this study was to develop an unsupervised feature learning approach that automatically measures Meibomian gland (MG) atrophy severity from meibography images and discovers subtle relationships between meibography images according to visual similarity. Methods One of the latest unsupervised learning approaches is to apply feature learning based on nonparametric instance discrimination (NPID), a convolutional neural network (CNN) backbone model trained to encode meibography images into 128-dimensional feature vectors. The network aims to learn a similarity metric across all instances (e.g. meibography images) and groups visually similar instances together. A total of 706 meibography images with corresponding meiboscores were collected and annotated for the use of network learning and performance evaluation. Results Four hundred ninety-seven meibography images were used for network learning and tuning, whereas the remaining 209 images were used for network model evaluations. The proposed nonparametric instance discrimination approach achieved 80.9% meiboscore grading accuracy on average, outperforming the clinical team by 25.9%. Additionally, a 3D feature visualization and agglomerative hierarchical clustering algorithms were used to discover the relationship between meibography images. Conclusions The proposed NPID approach automatically analyses MG atrophy severity from meibography images without prior image annotations, and categorizes the gland characteristics through hierarchical clustering. This method provides quantitative information on the MG atrophy severity based on the analysis of phenotypes. Translational Relevance The study presents a Meibomian gland atrophy evaluation method for meibography images based on unsupervised learning. This method may be used to aid diagnosis and management of Meibomian gland dysfunction without prior image annotations, which require time and resources.
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Affiliation(s)
- Chun-Hsiao Yeh
- International Computer Science Institute, Berkeley, CA, USA.,Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | - Stella X Yu
- International Computer Science Institute, Berkeley, CA, USA.,Vision Science Group, University of California, Berkeley, CA, USA
| | - Meng C Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA.,Vision Science Group, University of California, Berkeley, CA, USA
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Abstract
Purpose To examine the relationship between pre-corneal and pre-contact lens tear film stability (TFS), and to determine whether pre-corneal TFS is a reliable predictor of subsequent pre-lens TFS after a contact lens is placed on the eye. Methods 667 records met inclusion criteria and were extracted from a soft contact lens multi-study database. Multivariable linear mixed effects models were fit to examine the association between pre-corneal and pre-lens TFS, adjusting for potential confounders and accounting for repeated measures. Receiver Operating Characteristic (ROC) analysis was employed to assess the predictive performance of pre-corneal TFS for subsequent pre-lens TFS. TFS was quantified for this analysis as the non-invasive tear breakup time (NITBUT). Results Pre-corneal NITBUT was significantly related to the pre-lens NITBUT at both 10 min (p<0.001) and 2–6 hrs (p<0.001) post-lens insertion. However, the sensitivities of pre-corneal NITBUT for predicting symptom-associated thresholds of pre-lens NITBUT ranged from 50–65%, and specificities ranged from 57–72%, suggesting poor-to-moderate diagnostic performance. Conclusions Despite the association of pre-corneal and pre-lens TFS, the inherent lability and sensitivity to environmental exposures of the tear film introduce significant variability into NITBUT measurements. Using pre-corneal NITBUT to identify likely successful contact lens candidates prior to fitting is thus not sufficiently accurate to be relied upon in the clinical setting.
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Affiliation(s)
- Andrew D. Graham
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States of America
| | - Meng C. Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States of America
- Vision Science Group, University of California, Berkeley, California, United States of America
- * E-mail:
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Kim YH, Lin MC, Radke CJ. Central-to-peripheral corneal edema during wear of embedded-component contact lenses. Cont Lens Anterior Eye 2021; 45:101443. [PMID: 33846087 DOI: 10.1016/j.clae.2021.101443] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 03/12/2021] [Accepted: 04/01/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE With active investigation underway for embedded-circuit contact lenses, safe oxygen supply of these novel lenses remains a question. Central-to-peripheral corneal edema for healthy eyes during wear of soft contact (SCL) and scleral lenses (SL) with embedding components is assessed. METHODS Various 2-dimensional (2D) designs of SL and SCL with embedded components are constructed on Comsol Multiphysics 5.5. Local corneal swelling associated with the designed lenses is determined by a recently developed 2D metabolic-swelling model. Settled central post-lens tear-film thicknesses (PoLTFs) are set at 400 μm and 3 μm for SL and SCL designs, respectively. Each lens design has an axisymmetric central and an axisymmetric peripheral embedment. Oxygen permeability (Dk) of the lens and the embedments ranges from 0 to 200 Barrer. Dimensions and location of the embedments are varied to assess optimal-design configurations to minimize central-to-peripheral corneal edema. RESULTS By adjusting oxygen Dk of the central embedment, the peripheral embedment, or the lens matrix polymer, corneal swelling is reduced by up to 2.5 %, 1.5 %, or 1.4 % of the baseline corneal thickness, respectively, while keeping all other parameters constant. A decrease in PoLTF thickness from 400 μm to 3 μm decreases corneal edema by up to 1.8 % of the baseline corneal thickness. Shifting the peripheral embedment farther out towards the periphery and towards the anterior lens surface reduces peak edema by up to 1.3 % and 0.6 % of the baseline corneal thickness, respectively. CONCLUSIONS To minimize central-to-peripheral corneal edema, embedments should be placed anteriorly and far into the periphery to allow maximal limbal metabolic support and oxygen transport in the polar direction (i.e., the θ-direction in spherical coordinates). High-oxygen transmissibility for all components and thinner PoLTF thickness are recommended to minimize corneal edema. Depending on design specifications, less than 1 % swelling over the entire cornea is achievable even with oxygen-impermeable embedments.
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Affiliation(s)
- Young Hyun Kim
- Vision Science Group, University of California, Berkeley, CA, 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, 94720, United States; Clinical Research Center, School of Optometry, University of California, Berkeley, CA, 94720, United States
| | - Meng C Lin
- Vision Science Group, University of California, Berkeley, CA, 94720, United States; Clinical Research Center, School of Optometry, University of California, Berkeley, CA, 94720, United States
| | - Clayton J Radke
- Vision Science Group, University of California, Berkeley, CA, 94720, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, 94720, United States.
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11
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Abstract
SIGNIFICANCE Lipid deficiency due to meibomian gland (MG) dysfunction is believed to account for the vast majority of patients with dry eye compared with aqueous deficiency. Clinicians commonly evaluate MG length to determine a disease, but our research with isotretinoin users suggests that MG contrast is also an important characteristic to consider. PURPOSE This study aimed to determine the sensitivity and specificity of MG contrast for the diagnosis of lipid-deficient dry eye (LDDE). METHODS This case-control study used demographic data, Standard Patient Evaluation of Eye Dryness (SPEED) scores, average tear lipid layer thickness (TLLT), fluorescein tear breakup time (FTBUT), upper eyelid meibography images, and meibum quality and quantity scores for individuals with LDDE (SPEED score ≥10 and TLLT ≤35 interferometric color units) and normal individuals (SPEED ≤2 and TLLT ≥80 interferometric color units). RESULTS Thirty-one eyes of 22 controls (mean ± SD age, 22.7 ± 5.5 years) and 13 eyes of 12 cases (mean ± SD age, 43.9 ± 17.2 years) were included. Normalized MG contrast was significantly correlated with FTBUT (r = 0.35, P = .02), percent MG atrophy (r = -0.50, P < .001), and SPEED scores (r = -0.49, P < .001). The receiver operating characteristic curve for LDDE diagnosis classifiers MG contrast, MG atrophy, and meibum quantity score had areas under the curve of 0.83, 0.64, and 0.73, respectively. Meibomian gland contrast cutoff at 28.3 intensity units yielded optimal correct classification of subjects (84.1%; sensitivity, 0.69; specificity, 0.90). Cases had shorter FTBUT (P < .001), worse meibum quality (P = .02) and quantity (P = .02) scores, and lower MG contrast (P < .001) compared with controls. Subjects with low MG contrast (≤28.3) had 14.9 higher odds of having LDDE (95% confidence interval, 2.84 to 78.4) compared with subjects with high MG contrast (>28.3). CONCLUSIONS Meibomian gland contrast correlates well with clinical parameters and symptoms, shows good sensitivity and excellent specificity for diagnosing LDDE, and can be a useful diagnostic parameter for monitoring MG changes due to age, disease, or intervention.
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Affiliation(s)
- Thao N Yeh
- Clinical Research Center, and Vision Science Group, School of Optometry, University of California, Berkeley, Berkeley, California
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12
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Kuklinski EJ, Hom MM, Ying GS, Lin MC, Chapkin RS, Jones R, Moser A, Kim KY, Maguire MG, Asbell PA. Associations Between Systemic Omega-3 Fatty Acid Levels With Moderate-to-Severe Dry Eye Disease Signs and Symptoms at Baseline in the Dry Eye Assessment and Management Study. Eye Contact Lens 2021; 47:2-7. [PMID: 32097181 PMCID: PMC7483206 DOI: 10.1097/icl.0000000000000687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2019] [Indexed: 11/26/2022]
Abstract
PURPOSE Omega-3 (n-3) fatty acid supplementation is used to treat systemic inflammatory diseases, but the role of n-3 in the pathophysiology and therapy of dry eye disease (DED) is not definitive. We evaluated the relationship of systemic n-3 levels with signs and symptoms at baseline in the Dry Eye Assessment and Management (DREAM) Study. METHODS Blood samples from participants at baseline were analyzed for n-3 and n-6, measured as relative percentage by weight among all fatty acids in erythrocytes. Symptoms were evaluated using the Ocular Surface Disease Index. Signs including conjunctival staining, corneal staining, tear breakup time (TBUT), and Schirmer's test with anesthesia were also evaluated. RESULTS There was no correlation between the systemic n-3 levels and DED symptoms. When the associations with signs of DED were assessed, lower DHA levels were associated with higher conjunctival staining, with mean scores of 3.31, 2.96, and 2.82 for low, medium, and high levels of DHA, respectively (linear trend P=0.007). None of the other signs were associated with DHA or the other measures of n-3. CONCLUSION Previous studies have found varying results on the role of n-3 supplementation with the signs and symptoms of DED. Among patients with DED enrolled in the DREAM Study, lower systemic n-3 levels were not associated with worse symptoms and most signs of DED.
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Affiliation(s)
- Eric J. Kuklinski
- Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | | | - Gui-Shuang Ying
- Ophthalmology, University of Pennsylvania, Philadelphia, PA, United States
| | - Meng C. Lin
- Clinical Research Center, University of California, Berkeley, CA, United States
| | - Robert S. Chapkin
- Program in Integrative Nutrition & Complex Diseases, Texas A&M University, College Station, TX, United States
| | - Richard Jones
- Kennedy Krieger Institute, Baltimore, MD, United States
| | - Ann Moser
- Kennedy Krieger Institute, Baltimore, MD, United States
| | - Ka Yeun Kim
- Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Maureen G. Maguire
- Ophthalmology, University of Pennsylvania, Philadelphia, PA, United States
| | - Penny A. Asbell
- Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, NY, United States
- Ophthalmology, University of Tennessee, Memphis, TN, United States
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13
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Svitova TF, Lin MC. Evaporation retardation by model tear-lipid films: The roles of film aging, compositions and interfacial rheological properties. Colloids Surf B Biointerfaces 2021; 197:111392. [DOI: 10.1016/j.colsurfb.2020.111392] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 09/22/2020] [Accepted: 09/28/2020] [Indexed: 01/07/2023]
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14
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Kim YH, Lin MC, Radke CJ. Limbal Metabolic Support Reduces Peripheral Corneal Edema with Contact-Lens Wear. Transl Vis Sci Technol 2020; 9:44. [PMID: 32832249 PMCID: PMC7414613 DOI: 10.1167/tvst.9.7.44] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 04/14/2020] [Indexed: 11/24/2022] Open
Abstract
Purpose To assess the influence of limbal metabolic support on corneal edema during scleral-lens (SL) and soft-contact-lens (SCL) wear for healthy lens wearers. Methods A two-dimensional (2D) model of the cornea and sclera was designed on Comsol Multiphysics 5.4 along with SL and SCL architectures to mimic lens-wear induced hypoxia. The cornea is suffused with oxygen and metabolites from the limbus and aqueous humor. Air oxygen is supplied from and carbon dioxide is expelled to the atmosphere. Lens-oxygen permeability (Dk) was adjusted to investigate lens-wear safety against edema in different wear conditions. The 2D concentrations of oxygen, carbon dioxide, bicarbonate, lactate, sodium, chloride, glucose, and pH are quantified. Central-to-peripheral swelling of the cornea is determined by the change in stromal hydration caused by changing metabolite concentrations at the endothelium during hypoxia. Results The metabolic model assesses central-to-peripheral corneal swelling with different types of lenses, and oxygen Dks. Limbal metabolic support reduces edema from the periphery to approximately 1 mm away from the central cornea. Despite thicker lens designs, the peripheral cornea exhibits practically zero swelling due to limbal metabolic support. Conclusions The metabolic model accurately predicts central-to-peripheral corneal edema with various contact-lens designs, post-lens tear-film thicknesses, and lens oxygen Dk values. Despite the thicker periphery of most contact-lens designs, lactate and bicarbonate support from the limbus significantly reduces peripheral and mid-peripheral corneal edema, whereas oxygen has a lesser effect. Translational Relevance By utilizing metabolic kinetics, we provide a 2D computational tool to predict oxygenation safety across the entire cornea with various types and designs of contact lenses.
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Affiliation(s)
- Young Hyun Kim
- Vision Science Group, University of California, Berkeley, CA, USA.,Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, USA.,Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | - Meng C Lin
- Vision Science Group, University of California, Berkeley, CA, USA.,Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | - Clayton J Radke
- Vision Science Group, University of California, Berkeley, CA, USA.,Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, USA
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15
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Periman LM, Perez VL, Saban DR, Lin MC, Neri P. The Immunological Basis of Dry Eye Disease and Current Topical Treatment Options. J Ocul Pharmacol Ther 2020; 36:137-146. [PMID: 32175799 PMCID: PMC7175622 DOI: 10.1089/jop.2019.0060] [Citation(s) in RCA: 59] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Accepted: 12/29/2019] [Indexed: 12/13/2022] Open
Abstract
Homeostasis of the lacrimal functional unit is needed to ensure a well-regulated ocular immune response comprising innate and adaptive phases. When the ocular immune system is excessively stimulated and/or immunoregulatory mechanisms are disrupted, the balance between innate and adaptive phases is dysregulated and chronic ocular surface inflammation can result, leading to chronic dry eye disease (DED). According to the Tear Film and Ocular Surface Society Dry Eye Workshop II definition, DED is a multifactorial disorder of the ocular surface characterized by impairment and loss of tear homeostasis (hyperosmolarity), ocular discomfort or pain, and neurosensory abnormalities. Dysregulated ocular immune responses result in ocular surface damage, which is a further contributing factor to DED pathology. Several therapeutics are available to break the vicious circle of DED and prevent chronic disease and progression, including immunosuppressive agents (steroids) and immunomodulators (cyclosporine and lifitegrast). Given the chronic inflammatory nature of DED, each of these agents is commonly used in clinical practice. In this study, we review the immunopathology of DED and the molecular and cellular actions of current topical DED therapeutics to inform clinical decision making.
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Affiliation(s)
| | - Victor L. Perez
- Duke Eye Center, Duke University School of Medicine, Durham, North Carolina
| | - Daniel R. Saban
- Duke Eye Center, Duke University School of Medicine, Durham, North Carolina
| | - Meng C. Lin
- School of Optometry, Clinical Research Center, University of California, Berkeley, California
| | - Piergiorgio Neri
- The Eye Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
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16
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Cheng HW, Raghunath P, Wang KL, Cheng P, Haung T, Wu Q, Yuan J, Lin YC, Wang HC, Zou Y, Wang ZK, Lin MC, Wei KH, Yang Y. Potassium-Presenting Zinc Oxide Surfaces Induce Vertical Phase Separation in Fullerene-Free Organic Photovoltaics. Nano Lett 2020; 20:715-721. [PMID: 31870153 DOI: 10.1021/acs.nanolett.9b04586] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Bulk heterojunction (BHJ) structure based organic photovoltaics (OPVs) have recently showed great potential for achieving high power conversion efficiencies (PCEs). An ideal BHJ structure would feature large donor/acceptor interfacial areas for efficient exciton dissociation and gradient distributions with high donor and acceptor concentrations near the anode and cathode, respectively, for efficient charge extraction. However, the random mixing of donors and acceptors in the BHJ often suffers the severe charge recombination in the interface, resulting in poor charge extraction. Herein, we propose a new approach-treating the surface of the zinc oxide (ZnO) as an electron transport layer with potassium hydroxide-to induce vertical phase separation of an active layer incorporating the nonfullerene acceptor IT-4F. Density functional theory calculations suggested that the binding energy difference between IT-4F and the PBDB-T-2Cl, to the potassium (K)-presenting ZnO interface, is twice as strong as that for IT-4F and PBDB-T-2Cl to the untreated ZnO surface, such that it would induce more IT-4F moving toward the K-presenting ZnO interface than the untreated ZnO interface thermodynamically. Benefiting from efficient charge extraction, the best PCEs increased to 12.8% from 11.8% for PBDB-T-2Cl:IT-4F-based devices, to 12.6% from 11.6% for PBDB-T-2Cl:Y1-4F-based devices, to 13.5% from 12.2% for PBDB-T-2Cl:Y6-based devices, and to 15.7% from 15.1% for PM6:Y6-based devices.
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Affiliation(s)
- Hao-Wen Cheng
- Department of Materials Science and Engineering , California NanoSystems Institute, University of California , Los Angeles , California 90095 , United States
- Department of Materials Science and Engineering , Center for Emergent Functional Matter Science, National Chiao Tung University , Hsinchu 30010 , Taiwan
| | - Putikam Raghunath
- Department of Applied Chemistry and Institute of Molecular Science , Center for Emergent Functional Matter Science, National Chiao Tung University , Hsinchu 30010 , Taiwan
| | - Kai-Li Wang
- Institute of Functional Nano and Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials and Devices Soochow , University Suzhou , Jiangsu 215123 , China
| | - Pei Cheng
- Department of Materials Science and Engineering , California NanoSystems Institute, University of California , Los Angeles , California 90095 , United States
| | - Tianyi Haung
- Department of Materials Science and Engineering , California NanoSystems Institute, University of California , Los Angeles , California 90095 , United States
| | - Quantan Wu
- Department of Materials Science and Engineering , California NanoSystems Institute, University of California , Los Angeles , California 90095 , United States
| | - Jun Yuan
- College of Chemistry and Chemical Engineering , Central South University , Changsha 410083 , China
| | - Yu-Che Lin
- Department of Materials Science and Engineering , California NanoSystems Institute, University of California , Los Angeles , California 90095 , United States
- Department of Materials Science and Engineering , Center for Emergent Functional Matter Science, National Chiao Tung University , Hsinchu 30010 , Taiwan
| | - Hao-Cheng Wang
- Department of Materials Science and Engineering , California NanoSystems Institute, University of California , Los Angeles , California 90095 , United States
- Department of Materials Science and Engineering , Center for Emergent Functional Matter Science, National Chiao Tung University , Hsinchu 30010 , Taiwan
| | - Yingping Zou
- College of Chemistry and Chemical Engineering , Central South University , Changsha 410083 , China
| | - Zhao-Kui Wang
- Institute of Functional Nano and Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials and Devices Soochow , University Suzhou , Jiangsu 215123 , China
| | - M C Lin
- Department of Applied Chemistry and Institute of Molecular Science , Center for Emergent Functional Matter Science, National Chiao Tung University , Hsinchu 30010 , Taiwan
| | - Kung-Hwa Wei
- Department of Materials Science and Engineering , Center for Emergent Functional Matter Science, National Chiao Tung University , Hsinchu 30010 , Taiwan
| | - Yang Yang
- Department of Materials Science and Engineering , California NanoSystems Institute, University of California , Los Angeles , California 90095 , United States
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17
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Wang J, Yeh TN, Chakraborty R, Yu SX, Lin MC. A Deep Learning Approach for Meibomian Gland Atrophy Evaluation in Meibography Images. Transl Vis Sci Technol 2019; 8:37. [PMID: 31867138 PMCID: PMC6922272 DOI: 10.1167/tvst.8.6.37] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Accepted: 10/10/2019] [Indexed: 01/22/2023] Open
Abstract
PURPOSE To develop a deep learning approach to digitally segmenting meibomian gland atrophy area and computing percent atrophy in meibography images. METHODS A total of 706 meibography images with corresponding meiboscores were collected and annotated for each one with eyelid and atrophy regions. The dataset was then divided into the development and evaluation sets. The development set was used to train and tune the deep learning model, while the evaluation set was used to evaluate the performance of the model. RESULTS Four hundred ninety-seven meibography images were used for training and tuning the deep learning model while the remaining 209 images were used for evaluations. The algorithm achieves 95.6% meiboscore grading accuracy on average, largely outperforming the lead clinical investigator (LCI) by 16.0% and the clinical team by 40.6%. Our algorithm also achieves 97.6% and 95.4% accuracy for eyelid and atrophy segmentations, respectively, as well as 95.5% and 66.7% mean intersection over union accuracies (mean IU), respectively. The average root-mean-square deviation (RMSD) of the percent atrophy prediction is 6.7%. CONCLUSIONS The proposed deep learning approach can automatically segment the total eyelid and meibomian gland atrophy regions, as well as compute percent atrophy with high accuracy and consistency. This provides quantitative information of the gland atrophy severity based on meibography images. TRANSLATIONAL RELEVANCE Based on deep neural networks, the study presents an accurate and consistent gland atrophy evaluation method for meibography images, and may contribute to improved understanding of meibomian gland dysfunction.
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Affiliation(s)
- Jiayun Wang
- Vision Science Graduate Group, University of California, Berkley, CA, USA
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
- International Computer Science Institute, Berkeley, CA, USA
| | - Thao N. Yeh
- Vision Science Graduate Group, University of California, Berkley, CA, USA
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | | | - Stella X. Yu
- Vision Science Graduate Group, University of California, Berkley, CA, USA
- International Computer Science Institute, Berkeley, CA, USA
| | - Meng C. Lin
- Vision Science Graduate Group, University of California, Berkley, CA, USA
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
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Abstract
The mechanisms and kinetics of O(3P,1D) + OCS(X1Σ+) reactions have been studied by the high-level G2M(CC2) and CCSD(T)/6-311+G(3df)//B3LYP/6-311+G(3df) methods in conjunction with the transition-state theory and variational Rice-Ramsperger-Kassel-Marcus theory calculations. The result shows that the triplet surface proceeds directly by abstraction and substitution channels to produce SO(3P) + CO(X1Σ+) and S(3P) + CO2(X1 Σg+) by passing the barriers of 7.6 and 9.1 kcal·mol-1 at the G2M(CC2)//B3LYP/6-311+G(3df) level, respectively, while two stable intermediates, LM1 (OSCO1) and LM2 (SC(O)O1), are formed barrierlessly from O(1D) + OCS(X1Σ+) in the singlet surface, which lie at -40.5 and -50.1 kcal·mol-1 relative to O(3P) + OCS(X1Σ+) reactants and decompose to CO(X1Σ+) + SO(a1Δ) and S(1D) + CO2(X1Σg+). LM1 and LM2 may also be produced by singlet-triplet surface crossings via MSX1 and MSX2; the predicted total rate constant for the O(3P) + OCS(X1Σ+) reaction including the crossings, 9.2 × 10-11 exp(-5.18 kcal·mol-1/RT) cm3 molecule-1 s-1, is in good agreement with available experimental data. The branching ratio of the CO2 product channel, 0.22-0.32, between 1200 and 1600 K, is also in excellent agreement with the value of 0.2-0.3 measured by Isshiki et al. (J. Phys. Chem. A. 2003, 107, 2464).
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Affiliation(s)
- Hsin-Tsung Chen
- Department of Chemistry , Chung Yuan Christian University , Chung Li District , Taoyuan City , 32023 , Taiwan
| | - Tien V Pham
- School of Chemical Engineering , Hanoi University of Science and Technology , Hanoi 100000 , Vietnam
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19
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Abstract
SIGNIFICANCE A simple methodology is presented to quantify basal tear production with a modified Schirmer-tear test. PURPOSE We introduce a simple clinical procedure to measure quantitative basal tear-production flowrates, QL, from a modified Schirmer-tear test (STT). METHODS Eight healthy subjects aged at least 18 years underwent modified STTs on both eyes for two visits each. Schirmer strips were sheathed with transparent tape before insertion. Topical anesthetic minimized reflex tearing. Wetting lengths were measured every 30 s for 5 min; QL was calculated from the linear slope of wetting length versus time. Determination of QL requires mass-balance equations on the tear prism and Schirmer strip with strip imbibition kinetics obeying Darcy and Young-Laplace laws. RESULTS Basal tear production rates varied from essentially 0 to about 2 μl/min. With some exceptions, right and left eyes showed similar tear production rates. CONCLUSIONS By following the modified STT, QL is established with minimal additional effort over a standard Schirmer test. We predict and observe four different subtypes of imbibition kinetics depending on how short or long the time is for first appearance of the wetting front and on how fast or slow is tear production. For slow lacrimal production rates, the standard 5-min wetting length does not correlate with basal tear production.
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Affiliation(s)
- Songhao Li
- Chemical and Biomolecular Engineering Department, University of California, Berkeley, Berkeley, California
| | - Young Hyun Kim
- Vision Science Graduate Group, University of California, Berkeley, Berkeley, California.,Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California *
| | - Wing Li
- Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California *
| | - Meng C Lin
- Vision Science Graduate Group, University of California, Berkeley, Berkeley, California.,Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California *
| | - Clayton J Radke
- Chemical and Biomolecular Engineering Department, University of California, Berkeley, Berkeley, California
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20
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Tan B, Tse V, Kim YH, Lin K, Zhou Y, Lin MC. Effects of scleral-lens oxygen transmissibility on corneal thickness: A pilot study. Cont Lens Anterior Eye 2019; 42:366-372. [DOI: 10.1016/j.clae.2019.04.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2018] [Revised: 03/20/2019] [Accepted: 04/03/2019] [Indexed: 11/26/2022]
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21
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Oydanich M, Maguire MG, Pistilli M, Hamrah P, Greiner JV, Lin MC, Asbell PA. Effects of Omega-3 Supplementation on Exploratory Outcomes in the Dry Eye Assessment and Management Study. Ophthalmology 2019; 127:136-138. [PMID: 31445751 DOI: 10.1016/j.ophtha.2019.07.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 07/01/2019] [Accepted: 07/09/2019] [Indexed: 11/18/2022] Open
Affiliation(s)
- Marko Oydanich
- Department of Cell Biology and Molecular Medicine, Rutgers-New Jersey Medical School, Newark, New Jersey
| | - Maureen G Maguire
- Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania.
| | - Maxwell Pistilli
- Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Pedram Hamrah
- Cornea Service, New England Eye Center, Department of Ophthalmology, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts
| | - Jack V Greiner
- Schepens Eye Research Institute, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts
| | - Meng C Lin
- Clinical Research Center, Berkeley Optometry, University of California, Berkeley, Berkeley, California
| | - Penny A Asbell
- Hamilton Eye Institute, University of Tennessee Health Science Center (UTHSC), Memphis Tennessee
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22
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Kim YH, Graham AD, Li W, Radke CJ, Lin MC. Human Lacrimal Production Rate and Wetted Length of Modified Schirmer's Tear Test Strips. Transl Vis Sci Technol 2019; 8:40. [PMID: 31211005 PMCID: PMC6561131 DOI: 10.1167/tvst.8.3.40] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 04/29/2019] [Indexed: 11/30/2022] Open
Abstract
Purpose To assess and compare the wetting kinetics of sheathed and unsheathed Schirmer's tear test (STT) strips, and to determine the repeatability of 5-minute wetted length (WL) and basal tear production rate (BTPR). Methods Seventeen subjects underwent two sheathed and unsheathed STTs each for both eyes on four visits on separate days. After administration of topical anesthetic, WLs were measured every 30 seconds for 5 minutes, and BTPRs were calculated for sheathed strips. Limits of agreement (LoA), difference-versus-mean plots (DVM), and the coefficient of repeatability (CR) assessed WL and BTPR repeatabilities. Variance estimates were used to calculate sample sizes for future study. Results For the unsheathed STT, the mean (SD) difference in WLs between visits was 0.74 (5.05) mm, LoA were [−9.17, 10.64], and CR was 9.17 mm; for the sheathed STT, the mean (SD) intervisit difference was 0.16 (5.94) mm, LoA were [−11.49, 11.8], and CR was 10.53 mm. Eight of 48 sheathed STTs and 20 of 44 unsheathed STTs showed constant WL for the final 90 seconds of the test. The mean (SD) difference between repeated visits for BTPR was approximately 0.0 μL/min, LoA were [−1.82, 1.82], and CR was 1.91 μL/min. Conclusions Repeatability of sheathed and unsheathed 5-minute WL and BTPR is inadequate for measuring within-subject changes, but is sufficient for group studies with moderate sample sizes. Constant WL for the final 90 seconds with the eight sheathed STT measurements suggests varying BTPR, whereas constant WL with the unsheathed STT can be explained by balancing evaporation and BTPR. Translational Relevance Repeatability of the modified STT is evaluated clinically to establish quantitative BTPRs rather than inference from a strip WL.
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Affiliation(s)
- Young Hyun Kim
- Vision Science Group, University of California, Berkeley, CA, USA.,Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA.,Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, USA
| | - Andrew D Graham
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | - Wing Li
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | - Clayton J Radke
- Vision Science Group, University of California, Berkeley, CA, USA.,Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, USA
| | - Meng C Lin
- Vision Science Group, University of California, Berkeley, CA, USA.,Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
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23
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Tse V, Tan B, Kim YH, Zhou Y, Lin MC. Tear dynamics under scleral lenses. Cont Lens Anterior Eye 2018; 42:43-48. [PMID: 30545775 DOI: 10.1016/j.clae.2018.11.016] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2018] [Revised: 11/17/2018] [Accepted: 11/28/2018] [Indexed: 11/29/2022]
Abstract
PURPOSE To evaluate post-lens tear dynamics at two different time points during scleral lens wear in two cohorts with 10 neophytes each. METHODS All subjects wore bilaterally scleral lenses for 5 h on 3 separate visits. Post-lens tear exchange was measured using Out-in method, which required 5 μL of 2% FITC-Dextran instilled on the bulbar conjunctiva during lens wear. Time taken to observe the first sign of fluorescence in post-lens tear reservoir was recorded with a stopwatch. Out-in measurements were collected at 5-hour post-lens insertion in Group 1 and compared with those obtained at 20 min of lens wear in Group 2. Tear dynamics under the lens was observed in Group 2 with fluorogram using a modified slit-lamp technique (Tan et al., 2018) to monitor post-lens fluorescence intensity and with high-resolution spectral domain optical coherence tomography (ENVISU 2300; Bioptigen Inc.) to measure post-lens tear thickness (PoLTT) over 5 h of lens wear. RESULTS 60% of subjects in Group 1 achieved Out-in times less than 5 min at 5-hour post-lens insertion, compared with 67% of subjects at 20-min lens wear (Tan et al., 2018). Using qualitative analysis on 60 series of data in Group 2 to compare the changes in fluorescence intensity and PoLTT with respect to lens-wearing time, 27% was due to lens settling, 13% was due to tear exchange and mixing while 60% indicated tear dynamics under scleral lenses was due to a combination of tear exchange, mixing, and lens settling. CONCLUSION Tear flow into tear reservoir under a scleral lens on subjects with healthy cornea occurred at 20 min and 5 h after lens insertion. After 5 h of lens wear, roughly one third of the subjects had no tear flow into post-lens reservoir, as the observed decline in post-lens tear fluorescence was predominately due to lens settling.
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Affiliation(s)
- Vivien Tse
- Clinical Research Center, School of Optometry, University of California, Berkeley, United States
| | - Bo Tan
- Clinical Research Center, School of Optometry, University of California, Berkeley, United States
| | - Young Hyun Kim
- Clinical Research Center, School of Optometry, University of California, Berkeley, United States; Vision Science Graduate Program, University of California, Berkeley, United States; Chemical and Biomolecular Engineering Department, University of California, Berkeley, United States
| | - Yixiu Zhou
- Clinical Research Center, School of Optometry, University of California, Berkeley, United States
| | - Meng C Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, United States; Vision Science Graduate Program, University of California, Berkeley, United States.
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24
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Dursch TJ, Li W, Taraz B, Lin MC, Radke CJ. Tear-Film Evaporation Rate from Simultaneous Ocular-Surface Temperature and Tear-Breakup Area. Optom Vis Sci 2018; 95:5-12. [PMID: 29252906 DOI: 10.1097/opx.0000000000001156] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
SIGNIFICANCE A corneal heat-transfer model is presented to quantify simultaneous measurements of fluorescein tear-breakup area (TBA) and ocular-surface temperature (OST). By accounting for disruption of the tear-film lipid layer (TFLL), we report evaporation rates through lipid-covered tear. The modified heat-transfer model provides new insights into evaporative dry eye. PURPOSE A quantitative analysis is presented to assess human aqueous tear evaporation rate (TER) through intact TFLLs from simultaneous in vivo measurement of time-dependent infrared OST and fluorescein TBA. METHODS We interpret simultaneous OST and TBA measurements using an extended heat-transfer model. We hypothesize that TBAs are ineffectively insulated by the TFLL and therefore exhibit higher TER than does that for a well-insulting TFLL-covered tear. As time proceeds, TBAs increase in number and size, thereby increasing the cornea area-averaged TER and decreasing OST. Tear-breakup areas were assessed from image analysis of fluorescein tear-film-breakup video recordings and are included in the heat-transfer description of OST. RESULTS Model-predicted OSTs agree well with clinical experiments. Percent reductions in TER of lipid-covered tear range from 50 to 95% of that for pure water, in good agreement with literature. The physical picture of noninsulating or ruptured TFLL spots followed by enhanced evaporation from underlying cooler tear-film ruptures is consistent with the evaporative-driven mechanism for local tear rupture. CONCLUSIONS A quantitative analysis is presented of in vivo TER from simultaneous clinical measurement of transient OST and TBA. The new heat-transfer model accounts for increased TER through expanding TBAs. Tear evaporation rate varies strongly across the cornea because lipid is effectively missing over tear-rupture troughs. The result is local faster evaporation compared with nonruptured, thick lipid-covered tear. Evaporative-driven tear-film ruptures deepen to a thickness where fluorescein quenching commences and local salinity rises to uncomfortable levels. Mitigation of tear-film rupture may therefore reduce dry eye-related symptoms.
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Affiliation(s)
- Thomas J Dursch
- Chemical and Biomolecular Engineering Department, University of California, Berkeley, Berkeley, California.,Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California
| | - Wing Li
- Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California
| | - Baseem Taraz
- Chemical and Biomolecular Engineering Department, University of California, Berkeley, Berkeley, California
| | - Meng C Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California.,Vision Science Group, University of California, Berkeley, Berkeley, California *
| | - Clayton J Radke
- Chemical and Biomolecular Engineering Department, University of California, Berkeley, Berkeley, California.,Clinical Research Center, School of Optometry, University of California, Berkeley, Berkeley, California
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Tan B, Zhou Y, Graham AD, Lin MC. Effects of corneoscleral topography on soft contact lens performance: A pilot study. Cont Lens Anterior Eye 2018; 41:496-500. [PMID: 30115549 DOI: 10.1016/j.clae.2018.08.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 07/19/2018] [Accepted: 08/06/2018] [Indexed: 11/25/2022]
Abstract
To quantify corneoscleral junction (CSJ) topography in soft contact lens (SCL) wearers, and assess the association between the CSJ and SCL performance and subjective comfort, forty-four adapted SCL wearers (16 Asians, 16 Caucasians, 12 Latinos) were recruited for the present study. Corneal topography was taken with a Medmont E300 (Medmont International, Pty Ltd.). CSJ images were taken with a commercial OCT (Bioptigen, Inc.). Our published CSJ image analysis technique was used to describe the geometric properties of the CSJ using the sum of squared orthogonalized residuals (SSRo). Multivariable mixed effects models were employed to examine associations between SSRo and subject demographics, ocular characteristics, SCL fit and performance, and comfort. The SSRo was significantly related to quadrant (p < 0.001), ethnicity (p = 0.014), and horizontal corneal shape factor (p = 0.044). The nasal quadrant had the largest SSRo, indicating the steepest CSJ profile and/or the most irregular CSJ surface, followed by the inferior quadrant. The superior and temporal quadrants had the smallest SSRo, indicating relatively flat and even CSJ topography. Caucasians had the steepest and/or most irregular CSJ compared with Latinos and Asians. Less inferior-superior heterogeneity in the SSRo was associated with greater comfort after 6 h of lens wear. The SSRo was proved to be a useful tool to quantify CSJ geometry in SCL wearers. Significant differences in the SSRo were found among quadrants and ethnic groups. Better subjective comfort after 6 h of SCL wear was associated with a smaller difference in the SSRo between the superior and inferior quadrants.
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Affiliation(s)
- Bo Tan
- Clinical Research Center, School of Optometry, University of California, 110 Minor Addition, Berkeley, CA 94720-2020, USA
| | - Yixiu Zhou
- Clinical Research Center, School of Optometry, University of California, 110 Minor Addition, Berkeley, CA 94720-2020, USA
| | - Andrew D Graham
- Clinical Research Center, School of Optometry, University of California, 110 Minor Addition, Berkeley, CA 94720-2020, USA
| | - Meng C Lin
- Clinical Research Center, School of Optometry, University of California, 110 Minor Addition, Berkeley, CA 94720-2020, USA; Vision Science Graduate Program, University of California, 360 Minor Hall, Berkeley, CA 94720-2020, USA.
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Affiliation(s)
- Young Hyun Kim
- Vision Science Graduate Group, University of California, Berkeley, CA, USA
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
- Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, USA
| | - Bo Tan
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | - Meng C. Lin
- Vision Science Graduate Group, University of California, Berkeley, CA, USA
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
| | - Clayton J. Radke
- Vision Science Graduate Group, University of California, Berkeley, CA, USA
- Chemical and Biomolecular Engineering Department, University of California, Berkeley, CA, USA
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Abstract
Purpose Pain sensitivity has been identified as a factor that affects how individuals answer dry eye questionnaires, but it is unknown how it affects ocular discomfort. This study used the time that individuals could refrain from blinking as an indicator of ocular discomfort and set out to determine whether it was related to pain sensitivity, while adjusting for ocular surface conditions. Methods Subjects first completed the Pain Sensitivity Questionnaire to quantify pain sensitivity levels. Exposed interpalpebral area, tear meniscus height, tear-film lipid layer thickness, ocular surface cooling, and noninvasive tear breakup were assessed. Subjects were then asked to refrain from blinking until the initial onset of discomfort, which was termed "the maximum interblink period" (MIBP), while ocular surface cooling rate was simultaneously measured. Subjects were seen for four visits over a course of 2 days. Results Forty-two subjects (36 females, 6 males) completed the study, with a mean (SD) age of 23.2 (3.8) years. A longer MIBP was associated with decreased pain sensitivity (P = 0.04), lower ocular surface cooling rate (P < 0.001), and Asian ethnicity (P = 0.005). Based on the results from the mixed-effect model, it is estimated that individuals would be able to refrain from blinking for an additional 4 seconds if they had the lowest (0.6) compared to the highest (6.1) pain sensitivity in the study cohort. Conclusions The Pain Sensitivity Questionnaire was associated with the MIBP length even after adjusting for ocular surface conditions, which suggests that pain sensitivity plays a role in influencing how ocular discomfort is perceived.
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Affiliation(s)
- Wing Li
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Meng C Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States.,Vision Science Graduate Program, University of California, Berkeley, California, United States
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Michaud L, Yuen TL, Tan B, Moy A, Graham AD, Lin MC. Peripheral tear mixing under scleral lenses fitted with various clearances. Cont Lens Anterior Eye 2018. [DOI: 10.1016/j.clae.2018.04.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Woods J, McKinnon C, Tran N, Luensmann D, Lin MC. Comparison of silicone hydrogel versus hydrogel daily disposables in an astigmatic population. Cont Lens Anterior Eye 2018. [DOI: 10.1016/j.clae.2018.04.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
BACKGROUND Dry eye disease is a common chronic condition that is characterized by ocular discomfort and visual disturbances that decrease quality of life. Many clinicians recommend the use of supplements of n-3 fatty acids (often called omega-3 fatty acids) to relieve symptoms. METHODS In a multicenter, double-blind clinical trial, we randomly assigned patients with moderate-to-severe dry eye disease to receive a daily oral dose of 3000 mg of fish-derived n-3 eicosapentaenoic and docosahexaenoic acids (active supplement group) or an olive oil placebo (placebo group). The primary outcome was the mean change from baseline in the score on the Ocular Surface Disease Index (OSDI; scores range from 0 to 100, with higher scores indicating greater symptom severity), which was based on the mean of scores obtained at 6 and 12 months. Secondary outcomes included mean changes per eye in the conjunctival staining score (ranging from 0 to 6) and the corneal staining score (ranging from 0 to 15), with higher scores indicating more severe damage to the ocular surface, as well as mean changes in the tear break-up time (seconds between a blink and gaps in the tear film) and the result on Schirmer's test (length of wetting of paper strips placed on the lower eyelid), with lower values indicating more severe signs. RESULTS A total of 349 patients were assigned to the active supplement group and 186 to the placebo group; the primary analysis included 329 and 170 patients, respectively. The mean change in the OSDI score was not significantly different between the active supplement group and the placebo group (-13.9 points and -12.5 points, respectively; mean difference in change after imputation of missing data, -1.9 points; 95% confidence interval [CI], -5.0 to 1.1; P=0.21). This result was consistent across prespecified subgroups. There were no significant differences between the active supplement group and the placebo group in mean changes from baseline in the conjunctival staining score (mean difference in change, 0.0 points; 95% CI, -0.2 to 0.1), corneal staining score (0.1 point; 95% CI, -0.2 to 0.4), tear break-up time (0.2 seconds; 95% CI, -0.1 to 0.5), and result on Schirmer's test (0.0 mm; 95% CI, -0.8 to 0.9). At 12 months, the rate of adherence to treatment in the active supplement group was 85.2%, according to the level of n-3 fatty acids in red cells. Rates of adverse events were similar in the two trial groups. CONCLUSIONS Among patients with dry eye disease, those who were randomly assigned to receive supplements containing 3000 mg of n-3 fatty acids for 12 months did not have significantly better outcomes than those who were assigned to receive placebo. (Funded by the National Eye Institute, National Institutes of Health; DREAM ClinicalTrials.gov number, NCT02128763 .).
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Affiliation(s)
- Penny A Asbell
- Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York
| | - Maureen G Maguire
- Department of Ophthalmology, University of Pennsylvania, Philadelphia
| | - Maxwell Pistilli
- Department of Ophthalmology, University of Pennsylvania, Philadelphia
| | - Gui-shuang Ying
- Department of Ophthalmology, University of Pennsylvania, Philadelphia
| | | | | | - Meng C Lin
- School of Optometry, University of California, Berkeley, Berkeley
| | - Roni M Shtein
- Department of Ophthalmology, University of Michigan, Ann Arbor
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Li W, Yeh TN, Leung T, Yuen T, Lerma M, Lin MC. The Relationship of Lid Wiper Epitheliopathy to Ocular Surface Signs and Symptoms. ACTA ACUST UNITED AC 2018; 59:1878-1887. [DOI: 10.1167/iovs.17-23639] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Wing Li
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Thao N. Yeh
- Vision Science Graduate Program, University of California, Berkeley, California, United States
| | - Tiana Leung
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Tiffany Yuen
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Mariel Lerma
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Meng C. Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
- Vision Science Graduate Program, University of California, Berkeley, California, United States
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Graham AD, Lundgrin EL, Lin MC. The Berkeley Dry Eye Flow Chart: A fast, functional screening instrument for contact lens-induced dryness. PLoS One 2018; 13:e0190752. [PMID: 29364947 PMCID: PMC5783349 DOI: 10.1371/journal.pone.0190752] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Accepted: 12/06/2017] [Indexed: 11/19/2022] Open
Abstract
PURPOSE In this article, we introduce a novel flow chart-based screening tool for the categorization of contact lens-induced dryness (CLIDE) and its impact on daily visual activities: the Berkeley Dry Eye Flow Chart (DEFC). METHODS One hundred thirty (130) experienced soft contact lens wearers discontinued lens wear for 24 hrs, passed a baseline screening and eye health examination, completed the Ocular Surface Disease Index (OSDI) then were dispensed fresh pairs of their habitual lenses. After 6 hrs of wear, subjects were administered a battery of symptom questionnaires, and underwent non-invasive tear breakup time (NITBUT) measurement, grading of distortion in reflected topographer mires, grading of lens surface wettability, and a fluorescein examination of the ocular surface. Subjects returned after at least 48 hrs and repeated all assessments after 6 hrs of wear of a second fresh pair of habitual lenses. RESULTS The repeatability of the DEFC between visits was within 1%, and Limits of Agreement and Coefficient of Repeatability were comparable to those of the other CLIDE assessments. Higher DEFC score was significantly related to shorter pre-lens NITBUT, higher OSDI score, and higher Visual Analog Scale (VAS) ratings of average and end-of-day severity and frequency of dryness (all p < 0.001). For CLIDE as diagnosed based on DEFC score, the highest sensitivities and specificities were achieved by the OSDI and VAS ratings; pre-lens NITBUT exhibited good sensitivity but poor specificity. The optimum pre-lens NITBUT diagnostic threshold was found to be ≤ 2.0 sec for debilitating CLIDE, and the OSDI threshold was ≥ 11.4. CONCLUSIONS The DEFC provides a means of quickly categorizing CLIDE patients based on severity and frequency of symptoms, and on the degree to which symptoms impact daily life. The DEFC has several potential advantages as a CLIDE screening and monitoring tool, has good repeatability, and is significantly related to commonly employed clinical assessments for CLIDE.
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Affiliation(s)
- Andrew D. Graham
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States of America
| | - Erika L. Lundgrin
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States of America
| | - Meng C. Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States of America
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Shown I, Samireddi S, Chang YC, Putikam R, Chang PH, Sabbah A, Fu FY, Chen WF, Wu CI, Yu TY, Chung PW, Lin MC, Chen LC, Chen KH. Carbon-doped SnS 2 nanostructure as a high-efficiency solar fuel catalyst under visible light. Nat Commun 2018; 9:169. [PMID: 29330430 PMCID: PMC5766557 DOI: 10.1038/s41467-017-02547-4] [Citation(s) in RCA: 138] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Accepted: 12/08/2017] [Indexed: 11/09/2022] Open
Abstract
Photocatalytic formation of hydrocarbons using solar energy via artificial photosynthesis is a highly desirable renewable-energy source for replacing conventional fossil fuels. Using an L-cysteine-based hydrothermal process, here we synthesize a carbon-doped SnS2 (SnS2-C) metal dichalcogenide nanostructure, which exhibits a highly active and selective photocatalytic conversion of CO2 to hydrocarbons under visible-light. The interstitial carbon doping induced microstrain in the SnS2 lattice, resulting in different photophysical properties as compared with undoped SnS2. This SnS2-C photocatalyst significantly enhances the CO2 reduction activity under visible light, attaining a photochemical quantum efficiency of above 0.7%. The SnS2-C photocatalyst represents an important contribution towards high quantum efficiency artificial photosynthesis based on gas phase photocatalytic CO2 reduction under visible light, where the in situ carbon-doped SnS2 nanostructure improves the stability and the light harvesting and charge separation efficiency, and significantly enhances the photocatalytic activity.
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Affiliation(s)
- Indrajit Shown
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan
| | - Satyanarayana Samireddi
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan.,Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan
| | - Yu-Chung Chang
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan.,Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei, 10607, Taiwan
| | - Raghunath Putikam
- Department of Applied Chemistry, National Chiao Tung University, Hsinchu, 30010, Taiwan
| | - Po-Han Chang
- Graduate Institute of Photonics and Optoelectronics, National Taiwan University, Taipei, 10617, Taiwan
| | - Amr Sabbah
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan
| | - Fang-Yu Fu
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan.,Graduate Institute of Photonics and Optoelectronics, National Taiwan University, Taipei, 10617, Taiwan
| | - Wei-Fu Chen
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan
| | - Chih-I Wu
- Graduate Institute of Photonics and Optoelectronics, National Taiwan University, Taipei, 10617, Taiwan
| | - Tsyr-Yan Yu
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan
| | - Po-Wen Chung
- Institute of Chemistry, Academia Sinica, Taipei, 11529, Taiwan
| | - M C Lin
- Department of Applied Chemistry, National Chiao Tung University, Hsinchu, 30010, Taiwan
| | - Li-Chyong Chen
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan.
| | - Kuei-Hsien Chen
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan. .,Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan.
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Billo T, Fu FY, Raghunath P, Shown I, Chen WF, Lien HT, Shen TH, Lee JF, Chan TS, Huang KY, Wu CI, Lin MC, Hwang JS, Lee CH, Chen LC, Chen KH. Ni-Nanocluster Modified Black TiO 2 with Dual Active Sites for Selective Photocatalytic CO 2 Reduction. Small 2018; 14:1702928. [PMID: 29134759 DOI: 10.1002/smll.201702928] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 09/18/2017] [Indexed: 05/22/2023]
Abstract
One of the key challenges in artificial photosynthesis is to design a photocatalyst that can bind and activate the CO2 molecule with the smallest possible activation energy and produce selective hydrocarbon products. In this contribution, a combined experimental and computational study on Ni-nanocluster loaded black TiO2 (Ni/TiO2[Vo] ) with built-in dual active sites for selective photocatalytic CO2 conversion is reported. The findings reveal that the synergistic effects of deliberately induced Ni nanoclusters and oxygen vacancies provide (1) energetically stable CO2 binding sites with the lowest activation energy (0.08 eV), (2) highly reactive sites, (3) a fast electron transfer pathway, and (4) enhanced light harvesting by lowering the bandgap. The Ni/TiO2[Vo] photocatalyst has demonstrated highly selective and enhanced photocatalytic activity of more than 18 times higher solar fuel production than the commercial TiO2 (P-25). An insight into the mechanisms of interfacial charge transfer and product formation is explored.
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Affiliation(s)
- Tadesse Billo
- Nano Science and Technology Program, Taiwan International Graduate Program, Academia Sinica, Taipei, 115, Taiwan
- Department of Engineering and System Science, National Tsing Hua University, Hsinchu, 30013, Taiwan
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan
| | - Fang-Yu Fu
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan
- Institute of Optoelectronic Science, National Taiwan Ocean University, Keelung, 202, Taiwan
| | - Putikam Raghunath
- Center for Interdisciplinary Molecular Science, Department of Applied Chemistry, National Chiao Tung University, Hsinchu, 300, Taiwan
| | - Indrajit Shown
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan
| | - Wei-Fu Chen
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan
| | - Hsiang-Ting Lien
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan
| | - Tzu-Hsien Shen
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan
| | - Jyh-Fu Lee
- National Synchrotron Radiation Research Center, Hsinchu, 30076, Taiwan
| | - Ting-Shan Chan
- National Synchrotron Radiation Research Center, Hsinchu, 30076, Taiwan
| | - Kuo-You Huang
- Graduate Institute of Electro-Optical Engineering, National Taiwan University, Taipei, 10617, Taiwan
| | - Chih-I Wu
- Graduate Institute of Electro-Optical Engineering, National Taiwan University, Taipei, 10617, Taiwan
| | - M C Lin
- Center for Interdisciplinary Molecular Science, Department of Applied Chemistry, National Chiao Tung University, Hsinchu, 300, Taiwan
| | - Jih-Shang Hwang
- Institute of Optoelectronic Science, National Taiwan Ocean University, Keelung, 202, Taiwan
| | - Chih-Hao Lee
- National Synchrotron Radiation Research Center, Hsinchu, 30076, Taiwan
- Department of Engineering and System Science, National Tsing Hua University, Hsinchu, 30013, Taiwan
| | - Li-Chyong Chen
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan
| | - Kuei-Hsien Chen
- Institute of Atomic and Molecular Sciences, Academia Sinica, Taipei, 10617, Taiwan
- Center for Condensed Matter Sciences, National Taiwan University, Taipei, 10617, Taiwan
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Abstract
PURPOSE Assess potential risk factors for severe Meibomian gland atrophy (SMGA) in a young adult population. METHODS Cross-sectional study using medical history and ocular surface examination to evaluate relationships with study outcomes: SMGA, tear lipid layer (TLL) thickness, non-invasive (NITBUT) and fluorescein (FTBUT) tear breakup times, and symptoms using the Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire. RESULTS One hundred one participants (101; 202 eyes; Age: mean±SD = 22.3±4.0 years) completed the study. Hormonal birth control (HBC) use was the only significant risk factor for SMGA (p = 0.028). Female HBC users had 4.8 times greater odds of having SMGA compared to female HBC non-users (p = 0.028), but the odds of having SMGA was similar between female HBC non-users and males (p = 0.885). Multivariable analysis suggested that the relationship between SMGA and TLL thickness was dependent on HBC use. Compared to female HBC non-users without SMGA, TLL thickness for HBC users was estimated to be 10 nm thinner if SMGA was absent (p = 0.007) and 21 nm thinner if SMGA was present (p<0.001). SMGA status had no significant impact on TLL thickness among female HBC non-users (p = 0.552). The effect of TLL thickness on FTBUT was small but significant (p = 0.026). TLL thickness was not significantly associated with NITBUT (p = 0.349). Neither FTBUT nor NITBUT was significantly associated with the SPEED score. CONCLUSION HBC use may be associated with SMGA, supporting the hypothesis that SMGA could lead to thinner TLL. However, less evidence was present to support that thin TLL could lead to clinically detectable tear film instability and subsequently to increased ocular dryness symptoms. Further investigation with a larger sample size is warranted to confirm these findings.
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Affiliation(s)
- Thao N. Yeh
- Clinical Research Center, School of Optometry, University of California Berkeley, Berkeley, CA, United States of America
- Vision Science Graduate Group, University of California Berkley, Berkeley, CA, United States of America
| | - Meng C. Lin
- Clinical Research Center, School of Optometry, University of California Berkeley, Berkeley, CA, United States of America
- Vision Science Graduate Group, University of California Berkley, Berkeley, CA, United States of America
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Svitova TF, Lin MC. Dynamic interfacial properties of human tear-lipid films and their interactions with model-tear proteins in vitro. Adv Colloid Interface Sci 2016; 233:4-24. [PMID: 26830077 DOI: 10.1016/j.cis.2015.12.009] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 12/15/2015] [Accepted: 12/15/2015] [Indexed: 11/16/2022]
Abstract
This review summarizes the current state of knowledge regarding interfacial properties of very complex biological colloids, specifically, human meibum and tear lipids, and their interactions with proteins similar to the proteins found in aqueous part of human tears. Tear lipids spread as thin films over the surface of tear-film aqueous and play crucial roles in tear-film stability and overall ocular-surface health. The vast majority of papers published to date report interfacial properties of meibum-lipid monolayers spread on various aqueous sub-phases, often containing model proteins, in Langmuir trough. However, it is well established that natural human ocular tear lipids exist as multilayered films with a thickness between 30 and 100nm, that is very much disparate from 1 to 2nm thick meibum monolayers. We employed sessile-bubble tensiometry to study the dynamic interfacial and rheological properties of reconstituted multilayered human tear-lipid films. Small amounts (0.5-1μg) of human tear lipids were deposited on an air-bubble surface to produce tear-lipid films in thickness range 30-100nm corresponding to ocular lipid films. Thus, we were able to overcome major Langmuir-trough method limitations because ocular tear lipids can be safely harvested only in minute, sub-milligram quantities, insufficient for Langmuir through studies. Sessile-bubble method is demonstrated to be a versatile tool for assessing conventional synthetic surfactants adsorption/desorption dynamics at an air-aqueous solution interface. (Svitova T., Weatherbee M., Radke C.J. Dynamics of surfactant sorption at the air/water interface: continuous-flow tensiometry. J. Colloid Interf. Sci. 2003;261:1170-179). The augmented flow-sessile-bubble setup, with step-strain relaxation module for dynamic interfacial rheological properties and high-precision syringe pump to generate larger and slow interfacial area expansions-contractions, was developed and employed in our studies. We established that this method is uniquely suitable for examination of multilayered lipid-film interfacial properties. Recently it was compellingly proven that chemical composition of human tear lipids extracted from whole tears is substantially different from that of meibum lipids. To be exact, healthy human tear lipids contain 8-16% of polar lipids, similar to lung lipids, and they are mostly double-tailed phospholipids, with C16 and longer alkyl chains. Rationally, one would assume that the results obtained for meibum lipids, devoid of surface-active components such as phospholipids, and, above all, in a form of monolayers, are not pertinent or useful for elucidating behavior and stability of an averaged 60-nm thick ocular tear-lipid films in vivo. The advantage of sessile-bubble technique, specifically, using a small amount of lipids required to attain multilayered films, unlocks the prospect of evaluating and comparing the interfacial properties of human tear lipids collected from a single individual, typically 100-150μg. This is in sharp contrast with several milligrams of lipids that would be required to build equally thick films for Langmuir-trough experiments. The results of our studies provided in-depth understanding of the mechanisms responsible for properties and stability of human tear-lipid films in vivo. Here we summarize recent publications and our latest findings regarding human tear-lipid interfacial properties, their chemical composition, and their interaction with model proteins mimicking the proteins found in human tear-aqueous phase.
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Affiliation(s)
- Tatyana F Svitova
- University of California, Berkeley, School of Optometry, Clinical Research Center, United States
| | - Meng C Lin
- University of California, Berkeley, School of Optometry, Clinical Research Center, United States; University of California, Vision Science Program, United States
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Abstract
PURPOSE To utilize the Pain Sensitivity Questionnaire (PSQ) to assess the influence of pain sensitivity on perceptions of ocular discomfort and dryness. METHODS Subjects completed a battery of questionnaires, including history of ocular and general health, contact lens wear history, the Ocular Surface Disease Index (OSDI) questionnaire, visual analog scale (VAS) 100-point rating scales to assess severity and frequency of average and end of day (EOD) discomfort and dryness, and the PSQ to assess pain sensitivity level. Masked subjects were then instructed to wear one inverted and one normally oriented soft contact lens contralaterally for 30 minutes to induce an inter-eye difference in comfort and dryness sensations. Subjects rated comfort and dryness in each eye on VAS every 5 minutes during contact lens wear. A slit lamp examination was performed to evaluate ocular surface health and to assess contact lens fit. RESULTS One hundred and fifty-three subjects (111 females, 42 males) completed the study. In separate models, a higher PSQ score was significantly associated with higher OSDI score (p = 0.002), lower average and EOD comfort (p = 0.005 and 0.001, respectively), and greater EOD dryness (p = 0.04). The minimum (0.14) and maximum (7.14) PSQ scores observed in our subject cohort (i.e., from the subjects who were the least and most sensitive to pain, respectively) corresponded to an estimated difference of 11 points on the OSDI, 20 points on the VAS scale for average comfort, 31 points for EOD comfort and 17 points for EOD dryness. In a mixed effects model, a higher PSQ score was significantly associated with a greater inter-eye difference in comfort (p = 0.013) and dryness (p = 0.010) during CL wear. CONCLUSIONS Pain sensitivity influences perceptions of ocular discomfort and dryness, and should be taken into account when evaluating subjective assessments of these symptoms.
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Affiliation(s)
- Wing Li
- Vision Science Program, University of California, Berkeley, CA, United States of America
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, United States of America
| | - Andrew D. Graham
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, United States of America
| | - Meng C. Lin
- Vision Science Program, University of California, Berkeley, CA, United States of America
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, United States of America
- * E-mail:
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Srinivasadesikan V, Raghunath P, Lin MC. Quantum chemical investigation on the role of Li adsorbed on anatase (101) surface nano-materials on the storage of molecular hydrogen. J Mol Model 2015; 21:142. [PMID: 25966674 DOI: 10.1007/s00894-015-2686-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Accepted: 04/27/2015] [Indexed: 10/23/2022]
Abstract
Lithiation of TiO2 has been shown to enhance the storage of hydrogen up to 5.6 wt% (Hu et al. J Am Chem Soc 128:11740-11741, 2006). The mechanism for the process is still unknown. In this work we have carried out a study on the adsorption and diffusion of Li atoms on the surface and migration into subsurface layers of anatase (101) by periodic density functional theory calculations implementing on-site Coulomb interactions (DFT+U). The model consists of 24 [TiO2] units with 11.097 × 7.655 Å(2) surface area. Adsorption energies have been calculated for different Li atoms (1-14) on the surface. A maximum of 13 Li atoms can be accommodated on the surface at two bridged O, Ti-O, and Ti atom adsorption sites, with 83 kcal mol(-1) adsorption energy for a single Li atom adsorbed between two bridged O atoms from where it can migrate into the subsurface layer with 27 kcal mol(-1) energy barrier. The predicted adsorption energies for H2 on the lithiated TiO2 (101) surface with 1-10 Li atoms revealed that the highest adsorption energies occurred on 1-Li, 5-Li, and 9-Li surfaces with 3.5, 4.4, and 7.6 kcal mol(-1), respectively. The values decrease rapidly with additional H2 co-adsorbed on the lithiated surfaces; the maximum H2 adsorption on the 9Li-TiO2(a) surface was estimated to be only 0.32 wt% under 100 atm H2 pressure at 77 K. The result of Bader charge analysis indicated that the reduction of Ti occurred depending on the Li atoms covered on the TiO2 surface.
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Affiliation(s)
- V Srinivasadesikan
- Center for Interdisciplinary Molecular Science, Department of Applied Chemistry, National Chiao Tung University, Hsinchu, 300, Taiwan
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Huang SC, Nghia NT, Putikam R, Nguyen HMT, Lin MC, Tsuchiya S, Lee YP. Reaction dynamics of O(¹D) + HCOOD/DCOOH investigated with time-resolved Fourier-transform infrared emission spectroscopy. J Chem Phys 2015; 141:154313. [PMID: 25338902 DOI: 10.1063/1.4897418] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
We investigated the reaction dynamics of O((1)D) towards hydrogen atoms of two types in HCOOH. The reaction was initiated on irradiation of a flowing mixture of O3 and HCOOD or DCOOH at 248 nm. The relative vibration-rotational populations of OH and OD (1 ≦ v ≦ 4, J ≤ 15) states were determined from time-resolved IR emission recorded with a step-scan Fourier-transform spectrometer. In the reaction of O((1)D) + HCOOD, the rotational distribution of product OH is nearly Boltzmann, whereas that of OD is bimodal. The product ratio [OH]/[OD] is 0.16 ± 0.05. In the reaction of O((1)D) + DCOOH, the rotational distribution of product OH is bimodal, but the observed OD lines are too weak to provide reliable intensities. The three observed OH/OD channels agree with three major channels of production predicted with quantum-chemical calculations. In the case of O((1)D) + HCOOD, two intermediates HOC(O)OD and HC(O)OOD are produced in the initial C-H and O-D insertion, respectively. The former undergoes further decomposition of the newly formed OH or the original OD, whereas the latter produces OD via direct decomposition. Decomposition of HOC(O)OD produced OH and OD with similar vibrational excitation, indicating efficient intramolecular vibrational relaxation, IVR. Decomposition of HC(O)OOD produced OD with greater rotational excitation. The predicted [OH]/[OD] ratio is 0.20 for O((1)D) + HCOOD and 4.08 for O((1)D) + DCOOH; the former agrees satisfactorily with experiments. We also observed the v3 emission from the product CO2. This emission band is deconvoluted into two components corresponding to internal energies E = 317 and 96 kJ mol(-1) of CO2, predicted to be produced via direct dehydration of HOC(O)OH and secondary decomposition of HC(O)O that was produced via decomposition of HC(O)OOH, respectively.
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Affiliation(s)
- Shang-Chen Huang
- Department of Applied Chemistry and Institute of Molecular Science, National Chiao Tung University, Hsinchu 30010, Taiwan
| | - N T Nghia
- School of Chemical Engineering - Hanoi University of Science and Technology, Hanoi, Vietnam
| | - Raghunath Putikam
- Department of Applied Chemistry and Institute of Molecular Science, National Chiao Tung University, Hsinchu 30010, Taiwan
| | - Hue M T Nguyen
- Center for Computational Science and Faculty of Chemistry, Hanoi National University of Education, Hanoi, Vietnam
| | - M C Lin
- Department of Applied Chemistry and Institute of Molecular Science, National Chiao Tung University, Hsinchu 30010, Taiwan
| | - Soji Tsuchiya
- Department of Applied Chemistry and Institute of Molecular Science, National Chiao Tung University, Hsinchu 30010, Taiwan
| | - Yuan-Pern Lee
- Department of Applied Chemistry and Institute of Molecular Science, National Chiao Tung University, Hsinchu 30010, Taiwan
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Zhang JX, Mai SJ, Huang XX, Wang FW, Liao YJ, Lin MC, Kung HF, Zeng YX, Xie D. MiR-29c mediates epithelial-to-mesenchymal transition in human colorectal carcinoma metastasis via PTP4A and GNA13 regulation of β-catenin signaling. Ann Oncol 2014; 25:2196-2204. [PMID: 25193986 DOI: 10.1093/annonc/mdu439] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Distant metastasis is the major cause of cancer-related death, and epithelial-to-mesenchymal transition (EMT) has a critical role in this process. Accumulating evidence indicates that EMT can be regulated by microRNAs (miRNAs). miR-29c has been implicated as a tumor suppressor in several human cancers. However, the role of miR-29c in the progression of colorectal cancer (CRC) metastasis remains largely unknown. PATIENTS AND METHODS The expression of miR-29c was examined by qRT-PCR in a cohort of primary CRC (PC) and distant liver metastasis (LM) tissues. A series of in vivo and in vitro assays were carried out in order to elucidate the functions of miR-29c and the molecular mechanisms underlying the pathogenesis of metastatic CRC. RESULTS miR-29c was markedly downregulated in PCs with distant metastasis and determined to be an independent predictor of shortened patient survival. But LM tissues showed higher levels of miR-29c than that in PC tissues. In CRC cells, miR-29c dramatically suppressed cell migration and invasion abilities in vitro and cancer metastasis in vivo. In addition, miR-29c inhibited EMT and negatively regulated Wnt/β-catenin signaling pathway. Guanine nucleotide binding protein alpha13 (GNA13) and protein tyrosine phosphatase type IVA (PTP4A) were identified as direct targets of miR-29c, which acted through ERK/GSK3β/β-catenin and AKT/GSK3β/β-catenin pathways, respectively, to regulate EMT. Furthermore, significant associations between miR-29c, its target genes (GNA13 and PTP4A) and EMT markers were validated in both PC and LM tissues. CONCLUSION Our findings highlight the important role of miR-29c in regulating CRC EMT via GSK-3β/β-catenin signaling by targeting GNA13 and PTP4A and provide new insights into the metastatic basis of CRC.
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Affiliation(s)
- J X Zhang
- The State Key Laboratory of Oncology in South China; Department of Pathology, Sun Yat-Sen University Cancer Center, Guangzhou
| | - S J Mai
- The State Key Laboratory of Oncology in South China
| | - X X Huang
- The State Key Laboratory of Oncology in South China
| | - F W Wang
- The State Key Laboratory of Oncology in South China
| | - Y J Liao
- The State Key Laboratory of Oncology in South China
| | - M C Lin
- The State Key Laboratory of Oncology in South China, The Chinese University of Hong Kong, Hong Kong, China
| | - H F Kung
- The State Key Laboratory of Oncology in South China; The State Key Laboratory of Oncology in South China, The Chinese University of Hong Kong, Hong Kong, China
| | - Y X Zeng
- The State Key Laboratory of Oncology in South China
| | - D Xie
- The State Key Laboratory of Oncology in South China; Department of Pathology, Sun Yat-Sen University Cancer Center, Guangzhou.
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Abstract
PURPOSE To investigate factors of ethnicity, sex, age, and diurnal variation on human corneal epithelial permeability. METHODS Data of corneal epithelial permeability to sodium fluorescein (Pdc) were collected from 374 noncontact lens wearers at various times after awakening throughout the day. Mixed-effect models were developed to investigate the association between Pdc and factors of interest, including time awake (TA), age, sex, ethnicity, and interactions of these factors. RESULTS Two models evaluated the "Pdc recovery period" from awakening to 2 hours (Model 1) and the "Pdc plateau" period after TA of 2 hours (Model 2). In Model 1, Pdc declined significantly with length of awake time (P = 0.000), and showed higher Pdc with males (P = 0.098), although this sex difference was not observed after 2 hours (Model 2). Both models showed significantly higher Pdc in Asians than in non-Asians (P = 0.000) and increased Pdc with age (P = 0.048, P = 0.001). CONCLUSIONS Baseline corneal epithelial barrier function increases after overnight sleep and varies significantly by ethnicity and age.
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Affiliation(s)
- Tiana Leung
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Yixiu Zhou
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Heather M French
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States
| | - Meng C Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, California, United States Vision Science Graduate Program, University of California, Berkeley, United States
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Abstract
OBJECTIVES To determine whether Asian and white subjects differ in clinical signs or subjective symptoms in response to the use of different biguanide-preserved contact lens care solutions. METHODS Forty-two subjects (15 Asian and 27 white) wearing lotrafilcon B silicone hydrogel contact lenses used a preservative-free lens care solution bilaterally for 2 weeks, then used two biguanide-preserved solutions (solution 1: ReNu MPS; solution 2: AQuify MPS) contralaterally in randomly assigned eyes for 4 weeks. Comprehensive ocular surface examinations were performed and symptomatology questionnaires were administered every 2 weeks. Investigators were masked as to solution assignment during examinations, whereas subjects were not to avoid potential difficulties in compliance with the protocol. RESULTS With solution 1, most Asian and white subjects had grade 2 or greater corneal staining after 2 weeks (67% and 59%, respectively) and 4 weeks (60% and 67%, respectively). With solution 2, grade 2 or greater corneal staining occurred in 40% of Asians after 2 weeks and in 13% after 4 weeks, but in only 4% of whites after 2 weeks and 0% after 4 weeks. Whites reported significantly better average comfort (P=0.046) and less dryness (P<0.001) than did Asians. CONCLUSIONS Asians and whites differ in both ocular response to the use of contact lens care solutions and in reporting subjective symptoms. Racial and ethnic differences should be considered when evaluating and treating contact lens patients in a clinical setting.
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Affiliation(s)
- Meng C Lin
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA
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Lin MC, French HM, Graham AD, Sanders TL. Effects of Daily Irrigation on Corneal Epithelial Permeability and Adverse Events With Silicone Hydrogel Contact Lens Continuous Wear. ACTA ACUST UNITED AC 2014; 55:776-83. [DOI: 10.1167/iovs.13-13508] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Tseng CE, Yeh CM, Fang CY, Shay J, Chen PL, Lin MC, Chang D, Wang M. Detection of human JCPyV and BKPyV in diffuse large B-cell lymphoma of the GI tract. Eur J Clin Microbiol Infect Dis 2013. [PMID: 24258263 DOI: 10.1007/s10096-d13-2010-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Previous studies have demonstrated that infection with human polyomavirus, such as JCPyV and BKPyV, might be associated with various human tumors. However, an association between human JCPyV and BKPyV infection and diffuse large B-cell lymphoma (DLBCL) has not been reported. The purpose of this study was to examine DLBCLs of the gastrointestinal tract for evidence of human polyomavirus infection. Nested PCR and DNA sequencing were employed for viral DNA detection and viral genotype identification. In addition, two viral proteins, the large tumor antigen (LT) and the major structural protein (VP1), were detected by immunohistochemistry (IHC). Human JCPyV and BKPyV DNA was detected in 14 out of 16 tissue samples (87.5%), whereby nine cases were infected with JCPyV and five cases were infected with BKPyV. Both archetypal and rearranged genotypes of JCPyV and BKPyV were detected in the tissues. LT was detected in 11 tissue samples (68.75%). However, VP1 was not detected in any of the tissue samples. The presence of human JCPyV and BKPyV DNA and protein in DLBCL tissues of gastrointestinal tract were first reported in this study. The current results provide evidence of a possible association between human JCPyV and BKPyV infection and DLBCL.
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Affiliation(s)
- C E Tseng
- Department of Anatomic Pathology, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
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Tseng CE, Yeh CM, Fang CY, Shay J, Chen PL, Lin MC, Chang D, Wang M. Detection of human JCPyV and BKPyV in diffuse large B-cell lymphoma of the GI tract. Eur J Clin Microbiol Infect Dis 2013; 33:665-72. [PMID: 24258263 DOI: 10.1007/s10096-013-2010-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2013] [Accepted: 10/22/2013] [Indexed: 10/26/2022]
Abstract
Previous studies have demonstrated that infection with human polyomavirus, such as JCPyV and BKPyV, might be associated with various human tumors. However, an association between human JCPyV and BKPyV infection and diffuse large B-cell lymphoma (DLBCL) has not been reported. The purpose of this study was to examine DLBCLs of the gastrointestinal tract for evidence of human polyomavirus infection. Nested PCR and DNA sequencing were employed for viral DNA detection and viral genotype identification. In addition, two viral proteins, the large tumor antigen (LT) and the major structural protein (VP1), were detected by immunohistochemistry (IHC). Human JCPyV and BKPyV DNA was detected in 14 out of 16 tissue samples (87.5%), whereby nine cases were infected with JCPyV and five cases were infected with BKPyV. Both archetypal and rearranged genotypes of JCPyV and BKPyV were detected in the tissues. LT was detected in 11 tissue samples (68.75%). However, VP1 was not detected in any of the tissue samples. The presence of human JCPyV and BKPyV DNA and protein in DLBCL tissues of gastrointestinal tract were first reported in this study. The current results provide evidence of a possible association between human JCPyV and BKPyV infection and DLBCL.
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Affiliation(s)
- C E Tseng
- Department of Anatomic Pathology, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
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Raghunath P, Lin MC. Ab initio chemical kinetics for SiH2 + Si2H6 and SiH3 + Si2H5 reactions and the related unimolecular decomposition of Si3H8 under a-Si/H CVD conditions. J Phys Chem A 2013; 117:10811-23. [PMID: 24059703 DOI: 10.1021/jp407553a] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The kinetics and mechanisms for SiH2 + Si2H6 and SiH3 + Si2H5 reactions and the related unimolecular decomposition of Si3H8 have been investigated by ab initio molecular orbital theory based on the QCISD(T)/CBS//QCISD/6-311++G(d,p) method in conjunction with quantum statistical variational Rice-Ramsperger-Kassel-Marcus (RRKM) calculations. For the barrierless radical association processes, their variational transition states have been characterized by the CASPT2//CASSCF method. The species involved in the study are known to coexist under CVD conditions. The results show that the association reaction of SiH2 and Si2H6 producing Si3H8 occurs by insertion via its lowest-energy path forming a loose hydrogen-bonding molecular complex with 8.3 kcal/mol binding energy; the reaction is exothermic by 55.0 kcal/mol. The chemically activated Si3H8 adduct can fragment by several paths, producing SiH4 + SiH3SiH (-0.7 kcal/mol), Si(SiH3)2 + H2 (-1.4 kcal/mol), and SiH3SiH2SiH + H2 (-1.4 kcal/mol). The predicted enthalpy changes as given agree well with available thermochemical data. Three other decomposition channels of Si3H8 occurring by Si-H or Si-Si breaking were found to be highly endothermic, and the reactions take place without a well-defined barrier. The heats of formation of Si3H8, SiH2SiH, Si2H4, i-Si3H7, n-Si3H7, Si(SiH3)2, and SiH3SiH2SiH have been predicted and found to be in close agreement with those available data in the literature. The product branching rate constants for SiH2 + Si2H6 and SiH3 + Si2H5 reactions and the thermal unimolecular decomposition of Si3H8 for all low-energy paths have been calculated with multichannel variational RRKM theory covering varying P,T conditions typically employed in PECVD and Cat-CVD processes for hydrogenated amorphous silicon (a-Si/H) film growth. The results were also found to be in good agreement with available kinetic data. Our kinetic results may be employed to model and control very large-area a-Si/H film growth for a new generation of solar cell applications.
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Affiliation(s)
- P Raghunath
- Center for Interdisciplinary Molecular Science, Department of Applied Chemistry, National Chiao Tung University , Hsinchu 300, Taiwan
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Tran N, Graham AD, Lin MC. Ethnic differences in dry eye symptoms: effects of corneal staining and length of contact lens wear. Cont Lens Anterior Eye 2013; 36:281-8. [PMID: 23850062 DOI: 10.1016/j.clae.2013.06.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Revised: 05/15/2013] [Accepted: 06/07/2013] [Indexed: 10/26/2022]
Abstract
PURPOSE To explore the relationships among length of contact lens (CL) wear, degree of corneal staining and severity of dryness symptoms, and to determine whether these relationships differ between Asians and non-Asians. METHODS Adapted soft CL wearers (n=395; 180 Asian, 215 non-Asian) were required to discontinue CL wear for at least 24h and report to the University of California, Berkeley Clinical Research Center (UCB-CRC). Fluorescein corneal staining was graded according to Brien Holden Vision Institute scales. Length of CL wear was reported by subjects and subjective dryness ratings were collected using the UCB-CRC Dry Eye Flow Chart (DEFC). RESULTS More Asian CL wearers exhibited corneal staining compared to non-Asians, and Asian CL wearers had a higher mean grade of corneal staining (p<0.001), as well as a higher mean DEFC classification (p<0.001). The difference between Asians and non-Asians in grades of corneal staining extent and depth were significant (p<0.001). Among non-Asian CL wearers, dryness symptoms decreased with more years of CL wear and increased in the presence of corneal staining, which was not the case for Asian CL wearers. CONCLUSIONS Asian soft CL wearers reported more severe dryness symptoms and demonstrated more severe corneal staining overall compared to non-Asians. Among non-Asians, dryness symptoms were less severe on average with increased years of CL wear and more severe in the presence of corneal staining. Dryness severity does not appear to be related to years of CL wear or corneal staining among Asians.
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Affiliation(s)
- Nina Tran
- Clinical Research Center, School of Optometry, University of California at Berkeley, United States
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Yeh TN, Green HM, Zhou Y, Pitts J, Kitamata-Wong B, Lee S, Wang SL, Lin MC. Short-term effects of overnight orthokeratology on corneal epithelial permeability and biomechanical properties. Invest Ophthalmol Vis Sci 2013; 54:3902-11. [PMID: 23652492 DOI: 10.1167/iovs.13-11874] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
PURPOSE To investigate the effects of 30 nights of overnight orthokeratology (OOK) on corneal epithelial permeability (Pdc) and corneal biomechanical properties. METHODS BE Retainer and Paragon CRT lenses were used. Visits were scheduled approximately 4 hours after awakening at baseline and after 1, 5, 10, 14, and 30 days of treatment. Pdc was measured at baseline and at day 30, whereas corneal biomechanical properties and visual acuities (VAs) were measured at all visits. RESULTS Thirty-nine neophytes and soft contact lens wearers completed the study. There was no difference in Pdc between baseline (ln[Pdc] [95% confidence interval (CI)] = -2.65 [-2.80 to -2.50]) and day 30 (ln[Pdc][CI] = -2.68 [-2.85 to -2.50]) (P = 0.88). Corneal hysteresis (CH) and corneal resistance factor (CRF) reduced significantly from baseline (CH [CI] = 10.89 [10.59-11.19] mm Hg and CRF [CI] = 10.35 [9.99-10.72] mm Hg) to day 30 (CH [CI] = 10.59 [10.31-10.87] mm Hg and CRF [CI] = 9.58 [9.26-9.89] mm Hg) (P = 0.001 for CH and P < 0.001 for CRF). Posttreatment VA did not reach baseline targets, and the difference was worse with low-contrast letters. Asian individuals (n = 18) had significantly worse VA than non-Asian individuals (n = 21) under most conditions through day 5, and the difference extended through day 14 with low-contrast letters under mesopic conditions. The percentage of participants who achieved 20/20 uncorrected was 17% Asian and 40% non-Asian individuals after day 1 and reached 69% Asian and 83% non-Asian individuals at day 30. CONCLUSIONS Thirty nights of OOK did not alter Pdc when measured 4 hours after awakening. OOK caused CH and CRF to decrease, but the changes were not clinically significant compared with diseased and postsurgical cases. Asian individuals, who had lower baseline CH in this study, responded slower to OOK based on early uncorrected VA and overrefraction measurements.
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Affiliation(s)
- Thao N Yeh
- Clinical Research Center, School of Optometry, University of California-Berkeley, Berkeley, CA, USA
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Li WY, Hsiao C, Graham AD, Lin MC. Corneal epithelial permeability: ethnic differences between Asians and non-Asians. Cont Lens Anterior Eye 2013; 36:215-8. [PMID: 23507503 DOI: 10.1016/j.clae.2013.02.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2012] [Revised: 01/22/2013] [Accepted: 02/18/2013] [Indexed: 12/17/2022]
Abstract
PURPOSE To ascertain whether a difference in the permeability of the corneal epithelium to fluorescein (Pdc) exists between Asians and non-Asians. METHODS From a multi-study database we extracted 632 records of baseline, open-eye Pdc measurements taken on both eyes of 176 subjects. Subjects were awake for a minimum of 4h before measurement, and were free of ocular disease and central corneal staining. Pdc was transformed by natural logarithm to better approximate normality for statistical tests. RESULTS The mean ln(Pdc) in the Asian group was significantly greater than in the non-Asian group [-2.34 ln(nm/s) vs. -2.58 ln(nm/s); p<0.001]. CONCLUSIONS Compared with non-Asians, Asians exhibited a less negative ln(Pdc), which translates to a higher Pdc and a more permeable corneal epithelium. We speculate that this may be related to anatomic differences responsible for greater eyelid tension in Asians.
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Affiliation(s)
- Wing Y Li
- Clinical Research Center, School of Optometry, University of California, Berkeley, CA, USA
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