Outcomes of gonioscopy-assisted transluminal trabeculotomy in primary congenital glaucoma treatment: a retrospective study.

BACKGROUND: This retrospective study aimed to evaluate the efficacy and safety of gonioscopy-assisted transluminal trabeculotomy (GATT) in Chinese patients with primary congenital glaucoma (PCG) and identify factors influencing surgical success. METHODS: Fourteen patients (24 eyes) diagnosed with PCG who underwent gonioscopy-assisted transluminal trabeculotomy were recruited, and data on intraocular pressure (IOP), antiglaucoma medication, surgery-related complications, and additional treatments were collected during preoperative and postoperative visits. Surgical success was defined as IOP ≤ 21 mmHg and a reduction of > 30% from baseline, with (partial success) or without (complete success) antiglaucoma medication. RESULTS: Mean preoperative IOP was 30.41 ± 6.09 mmHg. At the final visit, mean IOP reduction was 16.1 ± 9.1 mmHg (52%), and 19 of 24 eyes were topical medication-free. IOP was significantly decreased at each postoperative visit compared with baseline (P < 0.05 for all time points). Cumulative proportions of complete and partial success were 79.2% and 95.8%, respectively, at three years postsurgery. Patients without prior antiglaucoma procedures, without postoperative IOP spikes, and those undergoing complete trabeculotomy exhibited improved surgical prognosis. No permanent vision-threatening complications occurred in the 24 eyes by the end of the respective follow-ups. CONCLUSION: Gonioscopy-assisted transluminal trabeculotomy emerged as a safe and effective procedure for PCG treatment, characterized by outstanding IOP reduction efficacy and high surgical success rates.

Intracameral Injection of AAV-DJ.COMP-ANG1 Reduces the IOP of Mice by Reshaping the Trabecular Outflow Pathway.

Purpose: The angiopoietin-1 (ANG1)-TIE signaling pathway orchestrates the development and maintenance of the Schlemm's canal (SC). In this study, we investigated the impact of adeno-associated virus (AAV)-mediated gene therapy with cartilage oligomeric matrix protein-ANG1 (COMP-ANG1) on trabecular outflow pathway. Methods: Different serotypes of AAVs were compared for transduction specificity and efficiency in the anterior segment. The selected AAVs encoding COMP-ANG1 or ZsGreen1 (control) were delivered into the anterior chambers of wild-type C57BL/6J mice. The IOP and ocular surface were monitored regularly. Ocular perfusion was performed to measure the outflow facility and label flow patterns of the trabecular drainage pathway. Structural features of SC as well as limbal, retinal, and skin vessels were visualized by immunostaining. Ultrastructural changes in the SC and trabecular meshwork were observed under transmission electron microscopy. Results: AAV-DJ could effectively infect the anterior segment. Intracameral injection of AAV-DJ.COMP-ANG1 lowered IOP in wild-type C57BL/6J mice. No signs of inflammation or angiogenesis were noticed. Four weeks after AAV injection, the conventional outflow facility and effective filtration area were increased significantly (P = 0.005 and P = 0.04, respectively). Consistently, the area of the SC was enlarged (P < 0.001) with increased density of giant vacuoles in the inner wall (P = 0.006). In addition, the SC endothelia lay on a more discontinuous basement membrane (P = 0.046) and a more porous juxtacanalicular tissue (P = 0.005) in the COMP-ANG1 group. Conclusions: Intracamerally injected AAV-DJ.COMP-ANG1 offers a significant IOP-lowering effect by remodeling the trabecular outflow pathway of mouse eyes.

[Emission Inventory and Emission Factors of Volatile Organic Compounds (VOCs) from Architectural Adhesives].

Architectural decoration is an important anthropogenic emission source of VOCs in China, and there are few studies on the emission of VOCs from architectural adhesives. In this study, the VOCs content level and emission factors of various architectural adhesives were measured and then, a VOC emission inventory of architectural adhesives in China from 2013 to 2017 was established by a top-down emission factor method. Results showed that the comprehensive VOCs emission factor of architectural adhesives was 97.0 kg·t-1, of which 543 kg·t-1 was from solvent-based architectural adhesives, 45 kg·t-1 was from water-based architectural adhesives, and 63 kg·t-1 was from bulk architectural adhesives. The VOCs emissions from architectural adhesives were 165 kt, 181 kt, 188 kt, 201 kt, and 219 kt from 2013 to 2017 in China. The contribution of VOCs emission of various disparate architectural adhesives was 25.5%, 23.6%, and 50.9% for water-based, bulk, and solvent-based types, respectively. Shandong, Jiangsu, Zhejiang, Sichuan, Guangdong, Henan, Yunnan, and Fujian provinces contributed significant amounts, with a total emission of 120 kt in 2017, accounting for nearly 55% of the total VOCs emission for architectural adhesives.

I2/TBHP Mediated C-N and C-H Bond Cleavage of Tertiary Amines toward Selective Synthesis of Sulfonamides and ß-Arylsulfonyl Enamines: The Solvent Effect on Reaction.

A novel method toward synthesis of sulfonamides and ß-arylsulfonyl enamines has been developed via I2/TBHP mediated C-N and C-H bond cleavage of tertiary amines, which features highly selective formation of two different target products depending on the reaction solvent. The experimental results reveal that H2O as the solvent could effectively achieve the C-N bond cleavage to produce sulfonamides due to H2O participating in the reaction process where H2O plays a dual role. Differing from H2O, organic solvents (such as dimethyl sulfoxide) could promote the C-H bond cleavage of tertiary amines to yield ß-arylsulfonyl enamines.

Reducing the vulnerability of network by inserting modular topologies.

In this paper, we present a strategy whose purpose is to reduce the vulnerability of a network via inserting modular topologies. The modular topologies are generated as WS small-world random network, which is relatively highly robust. Using betweenness and betweenness centrality as the vulnerability measurement, the strategy searches for remote nodes with low betweenness in the network and sets these nodes to be connected to the modular topologies. We test our strategy on some basis networks and the results show sufficient availability of our strategy. And by comparing with other methods of adding topologies into the network, we show that our strategy is especially efficient in reducing the vulnerability of the critical network components.