Real-World Data on Faricimab Switching in Treatment-Refractory Neovascular Age-Related Macular Degeneration.

Faricimab is a newly approved bispecific antibody for neovascular age-related macular degeneration (nAMD). Our study aims to evaluate clinical outcomes of faricimab switching in patients with treatment-refractory nAMD; determine parameters that predict these outcomes; and obtain patient subjective experience on this new injection. This is a retrospective case review with clinical and imaging data from a tertiary referral unit (Birmingham and Midland Eye Centre, UK), involving patients who were switched to faricimab between 1 January and 1 December 2023. In all, 63 eyes (54 patients) with a mean age of 79.2 ± 7.8 and mean of 41.5 ± 22.4 previous anti-VEGF injections were analysed. With a mean of 4.81 ± 1.16 faricimab injections over 6.98 ± 1.75 months, post-treatment visual acuity was logMAR 0.49 ± 0.36 and central macular thickness (CMT) was 320.3 ± 97.9 µm. After first dose, 39.1% achieved complete dryness and 89.1% had anatomical improvement. Presence of subretinal fluid was a predictor of better functional outcomes (p = 0.001, ß = -0.182), while initial CMT predicted better anatomical outcomes (p = 0.001, ß = 0.688). Compared to their experiences of previous anti-VEGF injections, 89% of patients reported no more discomfort and 87.0% experienced no more floaters, photopsia, or bubbles post-injection. Faricimab switching has anatomical efficacy but limited functional improvement in treatment-refractory AMD. Patient experiences of faricimab compared to previous injections were overall positive.

Inter-observer Variability of Clinical Activity Score: Assessments in Patients With Thyroid Eye Disease.

PURPOSE: Thyroid eye disease (TED) can be difficult to manage. The range of available treatments is expanding rapidly; however, cost is a concern and some patients do not respond. The Clinical Activity Score (CAS) was devised as a measure of disease activity and a potential predictor of response to anti-inflammatory treatment. Despite the widespread use of the CAS, inter-observer variability has not been investigated. The aim of the study was to determine the inter-observer variability of the CAS in patients with TED. DESIGN: Prospective reliability analysis. METHODS: Nine patients with a spectrum of clinical features of TED were assessed by 6 experienced observers on the same day. Agreement among the observers was analyzed using the Krippendorff alpha. RESULTS: The Krippendorff alpha for the total CAS was 0.532 (95% CI = 0.199-0.665), whereas alpha values for the individual components of the CAS varied between 0.171 (CI = 0.000-0.334) for lid redness and 0.671 (CI = 0.294-1.000) for spontaneous pain. Assuming that a CAS value ≥3 implies suitability of the patient for anti-inflammatory treatment, the calculated Krippendorff alpha for agreement among assessors on whether treatment should be given or not given was 0.332 (95% CI = 0.0011-0.5862). CONCLUSIONS: This study has shown unreliable inter-observer variability in total CAS and most individual CAS components, thus highlighting the need for improving the performance of the CAS or seeking other methods to assess activity.

Single Crystals of α-MoO3-Intercalated {Ni(H2O)6}2+ and Electrocatalytic Water Reduction: Toward a Class of Molybdenum Bronzes.

We have successfully intercalated {NiII(H2O)6}2+ into the α-MoO3 layer, leading to the isolation of green single crystals of [MoVI2O6(CH3COO){NiII(H2O)6}0.5]·H2O (1). The homogeneous electrochemistry of 1 in its aqueous solution exhibits electrocatalytic hydrogen evolution reaction (HER) with concomitant electrochemical deposition of [HMo3VIMoVO12(CH3COO){NiII(H2O)5(OH)}] (2). Compound 2, a new molybdenum bronze, acts as an efficient and stable heterogeneous electrocatalyst for water reduction to molecular hydrogen. This work represents the first paradigm of a molybdenum bronze intercalating a transition metal-aqua ion.

Efficient homogeneous electrocatalytic hydrogen evolution using a Ni-containing polyoxometalate catalyst.

NiCl2·6H2O ([Ni(H2O)6]2Cl2) per se does not show electrocatalytic hydrogen evolution reaction activity (HER) in an acidic aqueous medium as well as in neutral water. Interestingly, when [Ni(H2O)6]2+ is present in a polyoxovanadate matrix, for example, in the compound K2[Ni(H2O)6]2[V10O28]·4H2O (1), it exhibits homogeneous electrocatalytic HER activity in an acidic aqueous solution with a turn over frequency of 2.1 s-1 and an effective low overpotential of 127 mV at pH 2.3. Compound 1 is the first nickel-containing polyoxometalate catalyst for hydrogen production via homogeneous electrocatalytic proton reduction without its decomposition under electrochemical conditions of HER.

Nanoblackberries of {W72Fe33} and {Mo72Fe30}: Electrocatalytic Water Reduction.

The reversible self-assembly of a {Mo72Fe30} cluster into nanoblackberries in a dilute solution of the relevant crystalline compound [Mo72Fe30O252(CH3COO)12{Mo2O7(H2O)}2{H2Mo2O8(H2O)}(H2O)91]·150H2O ({Mo72Fe30}cryst) was demonstrated by Liu, Müller, and their co-workers as a landmark discovery in the area of polyoxometalate chemistry. We have described, in the present work, how these ∼2.5 nm nano-objects, {M72Fe30} (M = W, Mo) can be self-assembled into nanoblackberries irreversibly, leading to their solid-state isolation as the nanomaterials Fe3[W72Fe30O252(CH3COO)2(OH)25(H2O)103]·180H2O ({W72Fe33}NM) and Na2[Mo72Fe30O252(CH3COO)4(OH)16(H2O)108]·180H2O ({Mo72Fe30}NM), respectively (NM stands for nanomaterial). The formulations of these one-pot-synthesized nanoblackberries of {W72Fe33}NM and {Mo72Fe30}NM have been established by spectral analysis including Raman spectroscopy, elemental analysis including ICP metal analysis, volumetric analysis (for iron), microscopy techniques, and DLS studies. The thermal stability of the tungsten nanoblackberries {W72Fe33}NM is much higher than that of its molybdenum analogue {Mo72Fe30}NM. This might due to the extra three ferric (Fe3+) ions per {W72Fe30} cluster in {W72Fe33}NM, which are not part of the {W72Fe30} cluster cage but are placed between two adjacent clusters (i.e., each cluster has six surrounding 0.5Fe3+) to form this self-assembly. The isolated blackberries behave like an inorganic acid, a water suspension of which shows pH values of 3.9 for {W72Fe33}NM and 3.7 for {Mo72Fe30}NM because of the deprotonation of the hydroxyl groups in them. We have demonstrated, for the first time, a meaningful application of these inexpensive and easily synthesized nanoblackberries by showing that they can act as electrocatalysts for the hydrogen evolution reaction (HER) by reducing water. We have performed detailed kinetic studies for the electrocatalytic water reduction catalyzed by {W72Fe33}NM and {Mo72Fe30}NM in a comparative study. The relevant turnover frequencies (TOFs) of {W72Fe33}NM and {Mo72Fe30}NM (∼0.72 and ∼0.45 s-1, respectively), the overpotential values of {W72Fe33}NM and {Mo72Fe30}NM (527 and 767 mV, respectively at 1 mA cm-2), and the relative stability issues of the catalysts indicate that {W72Fe33}NM is reasonably superior to {Mo72Fe30}NM. We have described a rationale of why {W72Fe33}NM performs better than {Mo72Fe30}NM in terms of catalytic activity and stability.

Nd:YAG Laser Posterior Capsulotomy in Adult Patients with Uveitis.

Purpose: To study the complication rate of Nd:YAG laser posterior capsulotomy in patients with uveitis.Method: Retrospective case note analysis of pseudophakic uveitis patients having undergone Nd:YAG laser posterior capsulotomy between January 2016 and December 2018. Complications documented included uveitis flare, raised intraocular pressure, intraocular lens damage/displacement, cystoid macular edema, and retinal detachment.Results: There were 39 eyes of 38 patients (20M, 18F; age 27-89 years). Mean interval between cataract surgery and laser was 55 months (range 8-286 months). Mean laser energy was 79 mJ (range 33-207 mJ). At 3 months 62% of eyes achieved a 2-5 Snellen line improvement that was maintained at 12 months. Vision was unchanged in 21% of eyes due to preexisting pathology, with no eyes having worse vision. No post-laser complications were documented.Conclusions: Nd:YAG laser posterior capsulotomy is a safe procedure in uveitis patients, resulting in a good improvement in vision.

Deciphering the Ultrafast Nonlinear Optical Properties and Dynamics of Pristine and Ni-Doped CsPbBr3 Colloidal Two-Dimensional Nanocrystals.

While the unabated race persists in achieving record efficiencies in solar cells and other photonic/optoelectronic devices using lead halide perovskite absorbers, a comprehensive picture of the correlated third-order nonlinear optical (NLO) properties is yet to be established. The present study is aimed at deciphering the role of dopants in multiphoton absorption properties of intentionally engineered CsPbBr3 colloidal nanocrystals (NCs). The charge separation of the plasmon-semiconductor conduction band owing to the hot electron transfer at the interface was demystified using the dynamics of the bleached spectral data from femtosecond (fs) transient absorption spectroscopy with broadband capabilities. The NLO properties studied through the fs Z-scan technique revealed that Ni-doped CsPbBr3 NCs exhibited strong third-order NLO susceptibility of ∼10-10 esu. The exotic photophysical phenomena in these pristine and Ni-doped CsPbBr3 colloidal two-dimensional (2D) NCs reported herein are believed to provide the avenues to address the critical variables involved in the structural differences and their correlated optoelectronic properties.