Injection pressure levels for creating blebs during subretinal gene therapy

Retinal damage has been associated with increased injection pressure during subretinal gene therapy delivery in various animal models, yet there are no human clinical data regarding the pressures required to initiate and propagate subretinal blebs. This study characterized the intraoperative pressure levels for subretinal gene therapy delivery across eight retinal conditions. A total of 116 patients with retinal degenerative diseases have been treated with subretinal gene therapy at OHSU-Casey Eye Institute as of June 2020; seventy patients (60.3%) were treated using a pneumatic-assisted subretinal delivery system. All retinal blebs were performed using a 41-gauge injection cannula, and use of a balanced salt solution (BSS) "pre-bleb" prior to gene therapy delivery was performed at the discretion of the surgeon. Patient age and intraoperative data for BSS and vector injections were analyzed in a masked fashion for all patients who received pneumatic-assisted subretinal gene therapy. The median age of the patients was 35 years (range 4-70). No significant differences in injection pressures were found across the eight retinal conditions. In this study, patient age was shown to affect maximum injection pressures required for bleb propagation, and the relationship between age and pressure varied based on retinal condition. These data have important implications in optimizing surgical protocols for subretinal injections.

All-optical generation of states for "Encoding a qubit in an oscillator"

Most quantum computation schemes propose encoding qubits in two-level systems. Others exploit the use of an infinite-dimensional system. In "Encoding a qubit in an oscillator" [Phys. Rev. A 64, 012310 (2001)], Gottesman, Kitaev, and Preskill (GKP) combined these approaches when they proposed a fault-tolerant quantum computation scheme in which a qubit is encoded in the continuous position and momentum degrees of freedom of an oscillator. One advantage of this scheme is that it can be performed by use of relatively simple linear optical devices, squeezing, and homodyne detection. However, we lack a practical method to prepare the initial GKP states. Here we propose the generation of an approximate GKP state by using superpositions of optical coherent states (sometimes called "Schrödinger cat states"), squeezing, linear optical devices, and homodyne detection.