Search Results (479)

Background: Fulminant idiopathic intracranial hypertension (IIH) is a rare and vision-threatening variant of IIH, characterized by rapid visual deterioration and a high risk of irreversible blindness. Urgent intervention is required to prevent permanent optic nerve damage. Cerebral transverse venous stenting (CTVS) has emerged as an effective treatment for medically refractory IIH, but data on its use in fulminant cases remain limited. Methods: A retrospective consecutive cohort study was conducted at a tertiary center and included all patients with fulminant IIH diagnosed by modified Dandy criteria, with bilateral transverse sinus stenosis > 50% and a trans-stenotic pressure gradient ≥ 8 mmHg on venography. Before stenting, patients received high-dose acetazolamide (up to 3000 mg/day) and IV methylprednisolone (1000 mg/day × 3). Neuro-ophthalmic assessment included BCVA, Ishihara color vision, pupillary exam, disc edema grading, Humphrey visual fields, and optical coherence tomography (OCT). Follow-up occurred at baseline (admission), 1 week, 1 month, 3 months, and 12 months. Results: Five young female patients underwent successful CTVS without peri- or post-procedural complications. Significant improvement in headache and stabilization or recovery of visual function were observed in all patients. OCT revealed early retinal nerve fiber layer thinning within one week, preceding clinical resolution of papilledema. Conclusions: Emergent CTVS appears to be a safe and effective vision-preserving procedure in fulminant IIH, offering rapid intracranial pressure reduction and early neuro-ophthalmologic improvement. OCT may serve as a useful early predictor of treatment success, supporting its role in post-procedural monitoring. Larger prospective studies are warranted. Full article

This study investigates the structure–property–performance (SPP) relationships of two thermoplastic polyurethanes (TPUs), FILAFLEX FOAMY 70A and SMARTFIL^® FLEX 98A, manufactured by fused filament fabrication (FFF). Disc specimens were produced with varying gyroid infill densities (10–100%) and Archimedean surface textures, and their tribological and surface characteristics were analyzed through Ball-on-Disc tests, profilometry, and optical microscopy. SMARTFIL^® FLEX 98A exhibited a sharp reduction in the coefficient of friction (μ) with increasing infill, from 1.174 at 10% to 0.371 at 100%, linked to improved structural stability at higher densities. In contrast, FILAFLEX FOAMY 70A maintained a stable but generally higher coefficient of friction (0.585–0.729) across densities, reflecting its foamed microstructure and bulk yielding behavior. Surface analysis revealed significantly higher roughness in SMARTFIL^® FLEX 98A, while FILAFLEX FOAMY 70A showed consistent roughness across infill levels. Both TPUs resisted inducing abrasive wear on the steel counterpart, but their stress-accommodation mechanisms diverged. These findings highlight distinct application profiles: SMARTFIL^® FLEX 98A for energy-absorbing, deformable components, and FILAFLEX FOAMY 70A for applications requiring stable surface finish and low adhesive wear. The results advance the design of functionally graded TPU materials through the controlled tuning of infill and surface features. Full article

Background: Optical coherence tomography (OCT) is the main diagnostic technology used to detect damage to the retinal ganglion cells (RGCs) in glaucoma. However, it remains unclear which OCT parameter demonstrates the best diagnostic performance for eyes with early, especially preperimetric glaucoma (PPG). We determined the diagnostic performance of ganglion cell–inner plexiform layer (GCIPL) parameters using spectral-domain OCT (SD-OCT) in primary open-angle preperimetric and early perimetric glaucoma and compared them with optic nerve head (ONH) and peripapillary retinal nerve fiber layer (pRNFL) parameters. Methods: We analyzed 101 eyes: 36 normal eyes, 33 with PPG, and 32 with early perimetric glaucoma. All patients underwent Topcon SD–OCT imaging using the Optic Disc and Macular Vertical protocols. The diagnostic abilities of the GCIPL, rim area, vertical cup-to-disc ratio (CDR), and pRNFL were assessed using the area under the receiver operating characteristic curve (AUC). Results: For PPG, the AUCs ranged from 0.60 to 0.63 (GCIPL), 0.82 to 0.86 (ONH), and 0.49 to 0.75 (pRNFL). For early perimetric glaucoma, the AUCs for GCIPL and pRNFL ranged from 0.81 to 0.88 and 0.57 to 0.91, respectively, whereas both ONH parameters demonstrated an AUC of 0.89. The GCIPL parameters were significantly lower than both ONH parameters in detecting preperimetric glaucoma (p < 0.05). For early perimetric glaucoma, comparisons between the AUCs of the best-performing mGCIPL parameters and those of the best-performing pRNFL and ONH parameters revealed no significant differences in their diagnostic abilities (p > 0.05). Conclusions: GCIPL parameters exhibited a diagnostic performance comparable to that of ONH and pRNFL parameters for early perimetric glaucoma. However, their ability to detect preperimetric glaucoma was significantly lower than the ONH parameters. Full article

Background: This study aimed to evaluate the influence of scleral contact lens (SCL) wear on optical coherence tomography (OCT) scan quality and structural measurements in patients with keratoconus. Methods: This retrospective observational study included 28 eyes of 28 keratoconus patients. All participants underwent a comprehensive ophthalmologic evaluation, including corneal topography and spectral-domain OCT (Optopol REVO 60). Two OCT measurement sessions were performed on the same day: one without SCLs and one after a 30–75 min adaptation period with Mini Misa^® scleral lenses. Recorded parameters included corneal and epithelial thicknesses, ganglion cell–inner plexiform layer (GCIPL) thickness, retinal nerve fiber layer (RNFL) thickness, and device-reported quality index (QI). Correlation analyses between topographic values, age, and OCT parameters were also conducted. Results: The mean age of participants was 32.96 ± 13.72 years. SCL wear significantly decreased anterior segment QI (6.76 ± 1.73 vs. 5.57 ± 2.34, p = 0.019) but improved posterior segment QI in both the ganglion (2.52 ± 1.03 vs. 5.76 ± 2.17, p < 0.001) and disc (2.82 ± 0.94 vs. 4.39 ± 1.87, p < 0.001) modules. Central corneal thickness remained stable, while central epithelial thickness decreased slightly (50.53 ± 6.66 µm vs. 47.59 ± 7.20 µm, p = 0.007). RNFL and GCIPL thicknesses showed no significant changes, except for minor sectoral variations. Steeper keratometry values correlated with lower QI in both conditions. Conclusions: SCLs enhanced posterior OCT scan quality while reducing anterior segment image clarity. These findings suggest that SCLs not only provide visual rehabilitation but also facilitate more reliable posterior segment imaging in keratoconus patients, despite mild interference with anterior segment OCT metrics. Further prospective studies are warranted to validate these results. Full article

This study investigates the shear strength of lotus-type unidirectional porous copper bonded to alumina substrates using the Direct Bonded Copper (DBC) process. Porous copper specimens with various porosities (38.7–50.9%) and pore sizes (150–800 μm) were fabricated and joined to alumina discs. Shear testing revealed that both porosity and pore size significantly affect the interfacial strength. While higher porosity led to reduced shear strength, larger pore sizes enhanced the maximum shear strength owing to increased local contact areas and crack coalescence in the alumina substrate. Fractographic analysis using optical microscopy and SEM-EDS confirmed that failure mainly occurred in the alumina, with local fracture associated with pore distribution and size. To improve strength prediction, a modified model was proposed, reducing the error from 12.3% to 7.5% and increasing the coefficient of determination (R²) from 0.43 to 0.74. These findings highlight the necessity of considering both porosity and pore size when predicting the shear strength of porous copper/alumina DBC joints, and they provide important insights for optimizing metal structures in metal–ceramic bonding for high-performance applications. Full article

Myopia is a common refractive error with a rising prevalence worldwide, and its early diagnosis is crucial to prevent long-term visual impairment. This study presents an accessible, automated approach for detecting myopia from fundus photographs by analyzing the optic disc, using a deep learning model based on the YOLO (You Only Look Once) architecture, version 8 and 11. The pipeline was designed to be usable by eye care practitioners (ECPs) with no expertise in computer science. Fundus images were processed to extract the optic disc region using a custom-trained YOLOv8 model, and a subsequent classification algorithm determined the presence or absence of myopia based on features from the extracted region. The system was trained on a single-clinic dataset of 730 augmented images, with 98 images reserved for internal validation, and tested on 50 independent optic disc images. It achieved a high diagnostic accuracy, with strong sensitivity and F1 scores. Lightweight models such as YOLOv11-nano performed comparably to larger variants in the testing dataset (AUC 97.5% vs. 97.3%), effectively supporting myopia detection. This work highlights the feasibility of integrating AI-based screening tools into clinical practice without requiring advanced technical skills, offering a scalable and cost-effective solution to support early diagnosis of myopia in diverse healthcare settings. Full article

Background and Objectives: Optic disc drusen (ODD) can mimic papilledema and are linked to structural crowding, microvascular change, and visual-field loss. We synthesized structural/microvascular differences, functional status and change, diagnostic performance, and ODD–NAION co-occurrence. Methods: This study used PRISMA-aligned searches of PubMed, Embase, and Web of Science (inception–15 July 2025). Eligible designs included cross-sectional, cohort, and diagnostic accuracy studies with numeric outcomes (OCT/OCTA, visual fields, test accuracy, NAION prevalence). Two reviewers independently screened, extracted, and appraised bias. Heterogeneity precluded meta-analysis; narrative synthesis was used. Bias risk was moderate. Results: From 359 records, 6 studies met the criteria. ODD eyes showed thicker RNFL than controls (117.54 ± 18.75 vs. 105.81 ± 14.45 µm; 101 ± 12 vs. 97 ± 10 µm) and worse baseline mean deviation (−1.78 ± 3.87 dB). OCTA demonstrated sectoral peripapillary vessel-area density reduction (inferior 0.30 vs. 0.34; temporal 0.44 vs. 0.48; superonasal 0.44 vs. 0.49). Visual-field phenotypes were normal (44–52%), enlarged blind spot (19–29%), and other localized defects (24–29%); the longitudinal decline averaged −0.23 ± 0.26 dB/year with 88% slow progressors. In pseudopapilledema, single-test yields were ultrasound at 87.2%, OCT at 80.2%, and FAF at 62.8%; OCT alone distinguished buried ODD from mild papilledema with 50–64% accuracy (κ ≈ 0.35). Among young NAION, ODD affected 56.7% of patients and 53.3% of eyes; bilaterality was 95.2%, and only 35.9% were ophthalmoscopically visible. Conclusions: Multimodal imaging shows structural thickening, microvascular rarefaction, and modest functional loss in ODD, with slow average progression. In suspected papilledema, protocolized multimodal workflows outperform OCT alone. ODD are common in young NAION, supporting risk stratification and longitudinal monitoring. Full article

Background/Objectives: The purpose of this study was to investigate corneal biomechanical properties assessed with Corvis ST, structural features of myopia, and vessel density (VD) measured by optical coherence tomography angiography (OCT-A) and their associations with central visual function in myopic glaucoma patients. Methods: Forty-two eyes of 42 glaucoma patients with myopia without retinal lesions were subjected to analysis. Corvis ST was performed to measure the biomechanical properties of the eyeball. Superficial (retinal) and deep (choroidal) VDs in the peripapillary and macular regions were assessed using OCT-A, and retinal nerve fiber layer (RNFL) thickness was measured with OCT. The disc–foveal angle, disc torsion, and β-zone peripapillary atrophy (PPA) area were obtained from disc and retinal photography. Swedish interactive thresholding algorithm (SITA) 24-2 visual field (VF) testing was used to evaluate the function within the central 12 points. Results: A worse mean deviation (MD) from SITA 24-2 and higher whole-eye movement maximum from Corvis ST, representing deformable corneas, were associated with lower superficial peripapillary VD. A lower A1 deflection amplitude from Corvis ST, representing stiffer corneas, was associated with lower deep peripapillary VD. The sensitivity of the central 12 VF points was significantly associated with a larger disc–foveal angle, lower superficial peripapillary VD, and lower HC deformation amplitude from Corvis ST. Conclusions: Our preliminary findings suggest that more compliant corneas were associated with lower superficial VD, whereas stiffer corneas were associated with lower deep VD and central scotoma. Full article

Background/Objectives: Neoadjuvant systemic therapy may enhance ocular and visual preservation, also prolonging life in patients with choroidal melanoma. We investigated how many choroidal melanomas would be eligible for such treatment to enable Ruthenium-106 brachytherapy. Methods: The cohort comprised 5859 patients treated for choroidal melanoma at the Liverpool Ocular Oncology Centre between 1993 and 2023. Results: If the objective is ocular conservation, then, after excluding tumors > 16 mm in diameter, involving disc and/or more than two clock hours of angle or iris, and/or extending extraocularly, approximately 60.5%, 65.1%, and 67.6% of patients would remain eligible for neoadjuvant systemic therapy, according to whether the maximum allowable tumor thickness is 8 mm, 10 mm or 12 mm, respectively. If the objective is preservation of 20/80 vision, and if exclusion criteria also include vision worse than 20/80 and tumor extension to within 3 mm of optic disc and/or fovea, then 31.0%, 33.2% and 34.1% of tumors would remain in the three tumor-thickness groups, respectively. Chromosome 3 loss would be found in approximately 33%, 52% and 56% of tumors measuring 11–12 mm, 13–14 mm and >14 mm, respectively. Conclusions: Based on the provided data and with effective neoadjuvant treatment, approximately two thirds of subjects with choroidal melanoma requiring enucleation could potentially become candidates for ruthenium-106 brachytherapy and as many as one third could also have the potential for preservation of useful vision. Full article

Background and Clinical Significance: Purtscher-like retinopathy is a rare occlusive microangiopathy that causes sudden vision loss of varying severity. It presents with diverse retinal findings, such as cotton-wool spots, haemorrhages, and optic disc and macular edema, among others. A key characteristic is the absence of trauma. This condition has been observed in patients with acute pancreatitis, renal failure, preeclampsia, HELLP syndrome, childbirth, and other systemic disorders. Case Presentation: A 35-year-old male presented with complaints of seeing spots in front of both eyes, with a duration of ten days following the initiation of treatment for acute alcoholic pancreatitis. On examination, best-corrected visual acuity (BCVA) in both eyes was 5/6. Fundus examination revealed multiple cotton-wool spots and haemorrhages located in the posterior pole and around the optic disc, more pronounced in the left eye, where the optic disc had blurred margins and the macular reflex was absent. Perimetry showed paracentral scotomas, and optical coherence tomography (OCT) revealed thickening and disruption of the inner retinal layers in the papillomacular region of both eyes. Fundus fluorescein angiography demonstrated adequate perfusion of the vascular network, with hypofluorescent areas in the arteriovenous phase, peripapillary and in the papillomacular zone, due to masking by cotton-wool spots and haemorrhages. Treatment included systemic antiplatelet agents, anticoagulants, and vitamins, along with topical non-steroidal anti-inflammatory drugs. Two months after the initial presentation visual acuity improved to 6/6 in both eyes. Follow-up OCT scans showed atrophy of the inner retinal layers corresponding to the previous cotton-wool spot and the areas of reduced light sensitivity on perimetry had decreased in size. Conclusions: Acute pancreatitis is the most common systemic condition associated with the development of Purtscher-like retinopathy. Timely diagnosis and management of the underlying systemic disease are essential for preventing ocular complications. Ophthalmological evaluation is necessary in patients with acute pancreatitis who present with visual symptoms in order to detect this often-overlooked rare condition. Full article

Rhodomelaceae is the largest red algae family, with 158 genera and more than 1000 described nominal species. In particular, Acanthophora (Rhodomelaceae) is a red alga with erect thalli that arises from stoloniferous branches or holdfast discs, with cylindrical main axes and spine-like branchlets. The life cycle of members of this genus has been partially described; however, the female gamete (carpogonium) has not been described. Here, we present a complete description of each stage in the life cycle of Acanthophora. Thalli of this species were collected from 27 localities in the Gulf of Mexico between 2021 and 2024 and placed in a 5% formaldehyde solution in seawater. Reproductive structures were measured and characterized under stereo and optical microscopes. A total of 62 thalli were collected, of which 10 were carposporophytes, 12 male gametophytes, 1 female gametophyte, 16 vegetative thalli, and 23 tetrasporophytic thalli. A detailed description of the shape and size of the reproductive structures is presented. We documented carpogonium for the first time. The evidence here presented contributes to the description of the life cycle of the genus Acanthophora, in which structures forgotten in current works are recovered, which is of great help in the comparative phycology of the Rhodomelaceae family and Ceramiales order. Full article

Glaucoma is an eye disease caused by increased intraocular pressure (IOP) that affects the optic nerve head (ONH), leading to vision problems and irreversible blindness. Background/Objectives: Glaucoma is the second leading cause of blindness worldwide, and the number of people affected is increasing each year, with the number expected to reach 111.8 million by 2040. This escalating trend is alarming due to the lack of ophthalmology specialists relative to the population. This study proposes an explainable end-to-end pipeline for automated glaucoma diagnosis from fundus images. It also evaluates the performance of Vision Transformers (ViTs) relative to traditional CNN-based models. Methods: The proposed system uses three datasets: REFUGE, ORIGA, and G1020. It begins with YOLOv11 for object detection of the optic disc. Then, the optic disc (OD) and optic cup (OC) are segmented using U-Net with ResNet50, VGG16, and MobileNetV2 backbones, as well as MaskFormer with a Swin-Base backbone. Glaucoma is classified based on the vertical cup-to-disc ratio (vCDR). Results: MaskFormer outperforms all models in segmentation in all aspects, including IoU OD, IoU OC, DSC OD, and DSC OC, with scores of 88.29%, 91.09%, 93.83%, and 93.71%. For classification, it achieved accuracy and F1-scores of 84.03% and 84.56%. Conclusions: By relying on the interpretable features of the vCDR, the proposed framework enhances transparency and aligns well with the principles of explainable AI, thus offering a trustworthy solution for glaucoma screening. Our findings show that Vision Transformers offer a promising approach for achieving high segmentation performance with explainable, biomarker-driven diagnosis. Full article

Blue-light stimulation of the optic disc has been suggested as a means of myopia prevention by activating dopaminergic amacrine cells via intrinsically photosensitive retinal ganglion cells. This prospective, adequately powered study investigated this approach by examining its effects on pattern electroretinogram (PERG) N95 amplitude and choroidal thickness (ChT), established biomarkers associated with retinal ganglion cell function and myopia progression, respectively. Forty-six healthy adults received one minute of 450 nm blue-light stimulation to either the optic disc or central retina of the right eye, with the fellow left eye serving as control. PERG responses were measured before and 20 min after stimulation (N = 15 per stimulation location), while ChT, using swept-source optical coherence tomography images, was measured before, 20, and 60 min after stimulation (N = 8 per stimulation location). Only retinal stimulation significantly increased PERG N95 amplitude (baseline 16.16 µV, post-stimulation 17.61 µV [p = 0.01]), whereas optic disc stimulation did not (baseline 18.71 µV, post-stimulation 18.81 µV [p = 0.76]). Neither optic disc nor retinal stimulation significantly changed ChT at any time point. No significant differences were observed between myopic and non-myopic participants. Our findings do not support the hypothesis that short-duration blue-light stimulation of the optic disc is a viable strategy to activate retinal dopaminergic pathways for myopia prevention. Full article

Introduction: Congenital hypertrophy of the retinal pigment epithelium (CHRPE) is a benign proliferation of the melanin-producing retinal pigment epithelium (RPE). Although often a benign and incidental finding, multifocal CHRPE may mimic lesions associated with familial adenomatous polyposis (FAP). Case Description: We describe an 8-year-old girl presenting with optic disc pallor and widespread multifocal bear track CHRPE observed bilaterally on dilated fundoscopy. Fundus autofluorescence (FAF) imaging showed uniform areas of hypoautofluorescence corresponding to the bear track lesions. Spectral domain optical coherence tomography (SD-OCT) demonstrated normal lamination without atrophy. The full-field electroretinogram (ffERG) was within normal limits. Whole-genome sequencing (WGS) revealed a likely pathogenic heterozygous variant in the STAG2 gene (c.3222dup, p.Ser1075IlefsTer12). Conclusions: We present a rare case of bilateral, panretinal bear track CHRPE in a child with a likely pathogenic variant in STAG2. Using multimodal imaging, we contrast bear track lesions of the retina with FAP-associated CHRPE. We also present possible ophthalmic manifestations in carriers of pathogenic STAG2 variants. Full article

Welsh onion (Allium fistulosum L.), a globally significant vegetable, flavoring agent, and phytomedicine resource, has remained unavailable with established transient expression platforms for functional genomic investigations. To address this critical methodological limitation, we present systematically optimized protocols for both Agrobacterium-mediated hairy root transformation and protoplast transient expression systems, achieving significant advances in transformation efficiency for this species. Through systematic optimization of key parameters, including Agrobacterium rhizogenes (A. rhizogenes) strain selection (with Ar.Qual demonstrating superior performance), explant type efficacy, bacterial suspension optical density (OD₆₀₀ = 0.3), and acetosyringone induction concentration (100 μM), we established a highly efficient stem disc infection methodology, achieving 88.75% hairy root induction efficiency. Subsequent optimization of protoplast isolation protocols identified the optimal enzymatic digestion conditions: 6-h dark digestion of young leaves using 1.0% (w/v) Cellulase R-10, 0.7% (w/v) Macerozyme R-10, and 0.4 M mannitol, yielding 3.3 × 10⁶ viable protoplasts g⁻¹ FW with 90% viability. System functionality validation through PEG-mediated transient transformation demonstrated successful green fluorescent protein (GFP) reporter gene expression, confirmed by fluorescence microscopy. As the first documented transient expression platforms for Welsh onion, these protocols enable essential molecular investigations, including in planta promoter activity profiling, subcellular protein localization, and CRISPR-based genome-editing validation. This methodological breakthrough overcomes previous technical constraints in Welsh onion molecular biology, providing critical tools for accelerated gene functional characterization in this agriculturally important species. Full article