Singletonford9100
43, 95%CI 0.20-0.92,
= 0.03), whereas no significant differences were identified in the female subjects (OR = 1.07, 95%CI 0.52-2.20,
= 0.85). The rs2228557, T allele was associated with KC (OR = 0.69, 95% CI 0.50-0.97,
= 0.035).
In the rs2228557 variant, T allele acts as a protective factor from the disease and decreases the risk of KC compared with the C allele. Also, in our investigation about rs4898, we found that TY genotype or T allele decreased the risk of KC compared with the C allele in males and was a protective factor for KC in our population.
In the rs2228557 variant, T allele acts as a protective factor from the disease and decreases the risk of KC compared with the C allele. Also, in our investigation about rs4898, we found that TY genotype or T allele decreased the risk of KC compared with the C allele in males and was a protective factor for KC in our population.
Ozone is a trioxygen molecule that spontaneously degrades into oxygen and oxygen free radicals. This study was designed to assess the effects of topical ozone application on outcomes after corneal collagen cross-linking (CXL).
Enucleated fresh cadaver yearling sheep eyes (
= 28) were divided into five groups control (C,
= 6), sham (S,
= 6), ozone only (Z,
= 6), CXL only (X,
= 5), and Ozone + CXL (ZX,
= 5). In all groups, except C, the epithelial layer was removed. In group Z, 20 μg/mL liquid ozone was topically applied. read more In group X, CXL was performed in the accelerated pulse mode. In group ZX, both CXL and ozone were applied. Post-interventional oxygen levels were determined and corneal confocal microscopy and optical coherence tomography were performed. Corneas were evaluated using light and electron microscopy.
Pre-interventional central corneal thickness (CCT) was highest in the control group and considerably similar in the remaining groups (
= 0.006). Pre- and post-interventional CCT were significantly different in the ozonated groups (Z and ZX) (
= 0.028;
= 0.043). Demarcation line depths were similar in groups Z, X, and ZX (
= 0.343). Increased stromal tissue reflectivity was observed in groups Z, X, and ZX. Oxygen levels were higher in the ozonated groups (Z and ZX) (
= 0.006), and caspase activity was higher in the CXL groups (X and ZX) (
= 0.028) as compared to the other groups. Group ZX showed tighter, more regular, and parallel fibrils.
Ozone increases corneal stromal oxygenation which can probably augment the effect of CXL. Future studies should investigate the safety and feasibility of ozone application during CXL.
Ozone increases corneal stromal oxygenation which can probably augment the effect of CXL. Future studies should investigate the safety and feasibility of ozone application during CXL.
To describe and analyze the microstructural changes in herpetic stromal keratitis (HSK) observed
by spectral-domain ocular coherence tomography (SD-OCT) at different stages of the disease.
A prospective, cross-sectional, observational, and comparative SD-OCT analysis of corneas with active and inactive keratitis was performed, and the pathologic differences between the necrotizing and non-necrotizing forms of the disease were analyzed.
Fifty-three corneas belonging to 43 (81.1%) women and 10 (18.8%) men with a mean age of 41.0 years were included for analysis. Twenty-four (45.3%) eyes had active keratitis, and 29 (54.7%) had inactive keratitis; the majority (83.0%) had the non-necrotizing form. Most corneas (79.1%) with active keratitis showed stromal edema and inflammatory infiltrates. Almost half of the active lesions affected the visual axis, were found at mid-stromal depth, and had a medium density. By contrast, corneas with inactive keratitis were characterized by stromal scarring (89.6%), epithal stromal inflammatory infiltration, and thinning. In vivo SD-OCT analysis permitted a better understanding of the inflammatory and repair mechanisms occurring in this blinding corneal disease.A pseudoaneurysm of the splenic artery (SAP) is a rare entity which is associated with pancreatitis in 52% of cases. In the presence of pancreatitis, the enzymatic damage to the wall of splenic artery results in pseudoaneurysm formation. The clinical presentation is variable and ranges from asymptomatic to hemodynamic instability. The diagnosis of SAP is challenging in the presence of peripancreatic fluid collection or pseudocyst, where CT abdomen can miss small pseudoaneurysms. Angiography is a useful modality to establish a definitive diagnosis. We present a 49-year-old male with a history of recurrent pancreatitis due to alcoholism who presented with acute abdominal pain and was found to have acute pancreatitis. Abdominal CT scan showed a peripancreatic fluid collection and hyperdense lesion at the splenic hilum, which was diagnosed as SAP on angiography. A transcatheter embolization was performed with complete resolution of symptoms thereafter.Methanol bears semblance to ethanol in smell and taste, thus, individuals who indulge in alcohol may fall back on it in societies where alcohol consumption is illegal or difficult to come by despite the life-threatening neurologic sequelae of methanol toxicity. Stroke is an uncommon outcome of methanol poisoning. We presented two cases of methanol-induced infarctive and hemorrhagic stroke in biological brothers who were simultaneously involved in an illicit ingestion of methanol. One of them developed infarctive stroke while the other had infarctive stroke with hemorrhagic transformation. We have highlighted the differences and similarity in the course of their illnesses.Anti-synthetase syndrome (ASS) is characterized by myositis that is associated with progressive interstitial lung disease (ILD). The prognosis of the disease is affected by the type and degree of pulmonary involvement. We report a rare case of ASS with positive Anti-EJ antibody presenting with a combination of recurrent deep vein thrombosis/pulmonary embolism (DVT/PE) and progressive ILD. This case demonstrates the delayed diagnosis of ASS and the association of thromboembolic disease and ASS. Physicians should have a high index of suspicion for ASS, as early diagnosis and management alters the morbidity and prognosis of patients with ASS.
ASS Anti-synthetase syndrome; Ab Antibody; Ag Antigen; ANA Anti-nuclear antibodies; CK Creatine kinase; CRP C-reactive protein; DVT Deep Vein Thrombosis; ESR Erythrocyte Sedimentation Rate; ILD Interstitial lung disease; PE Pulmonary Embolism; CTA CT Angiography.
ASS Anti-synthetase syndrome; Ab Antibody; Ag Antigen; ANA Anti-nuclear antibodies; CK Creatine kinase; CRP C-reactive protein; DVT Deep Vein Thrombosis; ESR Erythrocyte Sedimentation Rate; ILD Interstitial lung disease; PE Pulmonary Embolism; CTA CT Angiography.