Low-Dose Intravitreal Methotrexate for Proliferative Vitreoretinopathy.

BACKGROUND AND OBJECTIVE: Proliferative vitreoretinopathy (PVR) has been mitigated by intravitreal methotrexate (MTX) 400 µg/0.1 mL in several studies. Here, we evaluate the results from a lower dose of MTX, 200 µg/0.05 mL. MATERIALS AND METHODS: We identified and reviewed records of patients with grade ≥C1 PVR who were treated with 200 µg/0.05 mL MTX injections: during PVR surgery and every 2 weeks thereafter. RESULTS: Twenty-four eyes met inclusion criteria with a mean of 5.6 injections and follow-up ranging 6 to 56 months. The retina was reattached in 19 of 24 eyes (79%) after a single surgery and in 5 of 24 eyes (21%) after one additional PVR surgery. Visual acuity improved from baseline logMAR 1.63 to 0.97 at 12 months (P < .001), with 5 of 20 achieving 20/60 or better and 16 of 20 achieving 20/200 or better. One eye developed a transient corneal abrasion that resolved within 1 week. CONCLUSION: Low-dose MTX (200 µg/0.05 mL) during and after PVR surgery resulted in good rates of retinal reattachment and visual acuity recovery. [Ophthalmic Surg Lasers Imaging Retina 2023;54(3):139-146.].

Vibration perception thresholds of human vital and nonvital maxillary incisors.

OBJECTIVE: Vibrations applied to human teeth have been shown to induce vibrotactile sensations although the location of the mechanoreceptors responsible for encoding vibrations is unclear. The aim of this study is to test the hypothesis that vibrotactile tooth sensations depend on afferent input from intradental mechanoreceptors. DESIGN: Vibration perception thresholds were determined for a vital (control) and a contralateral nonvital (endodontically treated) maxillary incisor in 11 healthy human participants using an adaptive psychophysical procedure. An electromechanical vibrator was used to deliver sinusoidal vibrations at 10 frequencies between 40 and 315 Hz. RESULTS: The median force thresholds ranged between 41 and 215 mN for vital and 71 and 507 mN for nonvital incisors. Nonvital median force thresholds were significantly higher than vital thresholds at all frequencies between 40 and 315 Hz. A linear regression analysis revealed a significant increase in vibrotactile thresholds with increasing frequency for only the vital incisors. CONCLUSIONS: The results support the hypothesis that mechanoreceptors located within the tooth contribute to vibrotactile tooth sensations and that mechanosensory information from both periodontal ligament and intradental mechanoreceptors facilitates the accurate assessment of food textures during mastication.

Vibration perception thresholds of human maxillary and mandibular central incisors.

Tactile information from dental mechanoreceptors contributes to the perception of food bolus textures and the control of mastication. While numerous studies have measured the light-touch sensory thresholds of teeth, little information is available about the vibrotactile perception thresholds of teeth. This study uses an adaptive psychophysical procedure to determine thresholds of vibratory stimulation of maxillary and mandibular central incisors in 16 healthy human subjects. An electromechanical vibrator delivered labiolingual forces perpendicular to the long axis of the maxillary and mandibular incisors at 10 stimulation frequencies between 40 and 315 Hz. The median thresholds ranged between 44 and 104 mN. A linear regression analysis revealed a significant increase in the vibrotactile thresholds with increasing frequencies for stimulation of the maxillary and mandibular incisors. No significant differences were found between regression slopes of the thresholds of the maxillary and mandibular incisors. These results indicated that maxillary and mandibular incisors should be able to discriminate effectively among a variety of textures based on their ability to encode a wide range of vibration frequencies.