Incomplete fluid-air exchange technique for idiopathic macular hole surgery.

AIM: To explore an improved procedure involving incomplete fluid-air exchange for idiopathic macular hole (IMH), and the closure rate, visual function, and the visual field of macular holes (MHs) were evaluated. METHODS: This prospective randomized controlled study, included 40 eyes of 40 patients with IMH who were treated with pars plana vitrectomy and peeling of the internal limiting membrane. They were grouped by random digital table. Twenty-one eyes underwent incomplete fluid-air exchange (IFA) and 19 eyes underwent traditional complete fluid-air exchange (CFA) as the control group. Outcomes included best-corrected visual acuity (BCVA), intraocular pressure, and optical coherence tomography, light adaptive electroretinography, and visual field evaluations. RESULTS: All MHs <400 µm were successfully closed. BCVAs before and 6mo after surgery were 0.82±0.41 logMAR and 0.28±0.17 logMAR in IFA group and 0.86±0.34 logMAR and 0.34±0.23 logMAR in CFA group, respectively. The electroretinogram analysis of patients in IFA group revealed increases in b-wave amplitudes at 1, 3, and 6mo after surgery. Additionally, patients in IFA group showed an amplitude increase of 28.6% from baseline at 6mo (P<0.05), while no obvious improvements were noted in CFA group. Although there were no statistically significant improvements in either group, the IFA group showed a slight increase in mean sensitivity (P>0.05). CONCLUSION: IFA is a reliable method that offers comparable closure rate to CFA and facilitates improvements in visual function.

Research progress on the role of connective tissue growth factor in fibrosis of diabetic retinopathy.

Diabetic retinopathy (DR) is one of the most important types of diabetic microangiopathy, which is a specific change of fundus lesions and is one of the most serious complications of diabetes. When DR develops to proliferative DR, the main factors of decreasing vision, and even blindness, include retinal detachment and vitreous hemorrhage caused by contraction of blood vessels by fiber membrane. Recent studies reported that the formation of fiber vascular membrane is closely related to retinal fibrosis. The connective tissue growth factor (CTGF) is a cytokine that is closely related to DR fibrosis. However, its mechanism is poorly understood. This paper summarizes the recent studies about CTGF on DR fibrosis for a comprehensive understanding of the role and mechanism of CTGF in PDR.

Application of artificial intelligence in ophthalmology.

Artificial intelligence is a general term that means to accomplish a task mainly by a computer, with the least human beings participation, and it is widely accepted as the invention of robots. With the development of this new technology, artificial intelligence has been one of the most influential information technology revolutions. We searched these English-language studies relative to ophthalmology published on PubMed and Springer databases. The application of artificial intelligence in ophthalmology mainly concentrates on the diseases with a high incidence, such as diabetic retinopathy, age-related macular degeneration, glaucoma, retinopathy of prematurity, age-related or congenital cataract and few with retinal vein occlusion. According to the above studies, we conclude that the sensitivity of detection and accuracy for proliferative diabetic retinopathy ranged from 75% to 91.7%, for non-proliferative diabetic retinopathy ranged from 75% to 94.7%, for age-related macular degeneration it ranged from 75% to 100%, for retinopathy of prematurity ranged over 95%, for retinal vein occlusion just one study reported ranged over 97%, for glaucoma ranged 63.7% to 93.1%, and for cataract it achieved a more than 70% similarity against clinical grading.

Porous Coconut Shell Carbon Offering High Retention and Deep Lithiation of Sulfur for Lithium-Sulfur Batteries.

Retaining soluble polysulfides in the sulfur cathodes and allowing for deep redox are essential to develop high-performance lithium-sulfur batteries. The versatile textures and physicochemical characteristics of abundant biomass offer a great opportunity to prepare biochar materials that can enhance the performance of Li-S batteries in sustainable mode. Here, we exploit micro-/mesoporous coconut shell carbon (CSC) with high specific surface areas as a sulfur host for Li-S batteries. The sulfur-infiltrated CSC materials show superior discharge-charge capacity, cycling stability, and high rate capability. High discharge capacities of 1599 and 1500 mA h g-1 were achieved at current rates of 0.5 and 2.0 C, respectively. A high reversible capacity of 517 mA h g-1 was retained at 2.0 C even after 400 cycles. The results demonstrate a high retention and a deep lithiation of the CSC-confined sulfur. The success of this strategy provides insights into seeking high-performance biochar materials for Li-S batteries from abundant bioresources.

Conductive Carbon Network inside a Sulfur-Impregnated Carbon Sponge: A Bioinspired High-Performance Cathode for Li-S Battery.

A highly conductive sulfur cathode is crucial for improving the kinetic performance of a Li-S battery. The encapsulation of sulfur in porous nanocarbons is expected to benefit the Li(+) migration, yet the e(-) conduction is still to be improved due to a low graphitization degree of a conventional carbon substrate, especially that pyrolyzed from carbohydrates or polymers. Aiming at facilitating the e(-) conduction in the cathode, here we propose to use ketjen black, a highly graphitized nanocarbon building block to form a conductive network for electrons in a biomass-derived, hierarchically porous carbon sponge by a easily scaled-up approach at a low cost. The specifically designed carbon host ensures a high loading and good retention of active sulfur, while also provides a faster electron transmission to benefit the lithiation/delithiation kinetics of sulfur. The sulfur cathode prepared from the carbon network shows excellent cycling and rate performance in a Li-S battery, rendering its practicality for emerging energy storage opportunities such as grids or automobiles.

The Electrochemistry with Lithium versus Sodium of Selenium Confined To Slit Micropores in Carbon.

Substitution of selenium for sulfur in the cathode of a rechargeable battery containing Sx molecules in microporous slits in carbon allows a better characterization of the electrochemical reactions that occur. Paired with a metallic lithium anode, the Sex chains are converted to Li2Se in a single-step reaction. With a sodium anode, a sequential chemical reaction is characterized by a continuous chain shortening of Sex upon initial discharge before completing the reduction to Na2Se; on charge, the reconstituted Sex molecules retain a smaller x value than the original Sex chain molecule. In both cases, the Se molecules remain almost completely confined to the micropore slits to give a long cycle life.

[Development of multiplex microbead immunoassay for detection of specific antibodies against Cryptosporidium parvum].

OBJECTIVE: To develop a multiplex microbead immunoassay for detection of specific antibodies against Cryptosporidium parvum using recombinant proteins CP23, SA35 and SA40. METHODS: By using purified recombinant proteins CP23, SA35 and SA40 as detected antigens, and bovine serum albumin (BSA) as internal control, the four proteins aforementioned were coupled with micro beads and MIA was developed. Then, the efficiency of the coupled proteins was tested, the difference between the single MIA method and the multiple MIA method was compared, and the difference between plates was also compared. RESULTS: The purified proteins and BSA were coupled with microbeads successfully, and the MIA method was developed. Finally, the sensitivity and specificity of MIA method were confirmed. CONCLUSIONS: The multiplicate MIA method could be used to detect multiple antibodies after Cryptosporidium parvum infection, and the specificity and sensitivity of MIA are very high. The multiplicate MIA method can be one of the tools used in epidemiological survey.

Simultaneous detection of serum immunoglobulin G antibodies to Cryptosporidium parvum by multiplex microbead immunoassay using 3 recognized specific recombinant C. parvum antigens.

Cryptosporidiosis is a significant diarrheal disease in both humans and other mammals worldwide. In the present study, we established and validated a multiplex microbead immunoassay (MIA) for surveillance of Cryptosporidium parvum infections. In the multiplex MIA, 3 specific recombinant proteins, CP23, SA35, and SA40, were used as the capture antigens simultaneously. The antibody directed against CP23 is an index of historic infection, and those against SA35 and SA40 are indices of recent infection. The multiplex MIA yielded essentially identical results with that of monoplex MIA using these 3 recombinant proteins, and the reproducibility of the multiplex MIA results was high when standardized with a calibration curve. With multiplex MIA, we detected that the pediatric population showed a higher percentage of recent infections (seropositive rates of antibodies directed against CP23, SA35, and SA40 were 6.28%, 23.19%, and 22.71%, respectively, n = 207), whereas the adult population showed a higher percentage of historic infections (seropositive rates of antibodies directed against CP23, SA35, and SA40 were 24.40%, 11.48%, and 16.75%, respectively, n = 209).