Prediction of refractive outcome after cataract surgery using partial coherence interferometry: comparison of SRK/T and Haigis formulae.

To compare the accuracy of the predictions of SRK/T and Haigis formulae, incorporating all the parameters calculated using Zeiss IOLMaster Scan, based on partial coherence interferometry, and to analyse the effect of updating or optimisation of the constants on the post-operative result. A retrospective study was done on 51 consecutive patients, who underwent phacoemulsification by a single surgeon with a temporal corneal incision and a standard Alcon Acrysof MA30 implant in the bag. The pre-operative data were measured using Zeiss IOLMaster scan, and the IOL power calculations were done using both SRK/T and Haigis formulae. The final implant power selection was based on SRK/T predictions. The patients were divided into three groups depending on the axial length, and the post-operative results were analysed at 4 weeks. The difference between the predicted value and the post-operative spherical equivalent was calculated for both the formulae, and a paired t test used for significance. The axial length ranged from 20.93 to 25.16 mm. The error for Haigis was less compared to SRK/T overall and SRK/T resulted in an average hypermetropia 0.69 D and Haigis resulted in an average myopia of 0.16 D. The comparison between SRK/T and Haigis and the updated version of both using the paired t test shows a statistically significant difference, the p values being <0.03 and <0.01, respectively. The updated Haigis Formula with the optimised constants was significantly more accurate than SRK/T formula.

Driving ability after pupillary dilatation.

BACKGROUND: The Royal College of Ophthalmologists' guidelines and Driver and Vehicle Licensing Agency (DVLA) recommend that a patient should not drive with dilated pupils based on the rationale that vision may be compromised in acuity and ability to tolerate glare. Arguments exist against these recommendations suggesting that pupillary dilatation does not have any real bearings on driving ability. Aim To determine the effects of pupillary dilatation on the ability to drive. METHODS: The study was randomised and prospective. A total of 28 patients had their visual parameters (distance vision, near vision, licence plate reading at 20 m or shorter, and glare) measured and analysed pre- and post-tropicamide 1% dilatation. Paired two-tailed Student's t-test and chi(2)-test were used in the analysis. RESULTS: At 20 min, following instillation of one drop of tropicamide 1% there is a significant reduction in visual acuity (VA), for distance Snellen and near. There is a significant reduction in the number of people who could read the licence plate at 20 m. Subjective glare assessment changed from 'none' (average score) in the undilated state to 'mild' in the dilated states. The overall patient feedback indicated that a significant 14% believed they would find it difficult to drive postdilatation. CONCLUSION: This study demonstrates the rationale behind disallowing driving following pupillary dilatation. The risks to safe driving are proved significant as a result of significant reduction in visual quality and quantity after dilatation.

The weaver mutant mouse: a model to study the ontogeny of dopamine transmission systems and their role in drug addiction.

Dopaminergic neurons and their projection-systems are important in some fundamental human activities like locomotion, feeding and sex, essential for survival and procreation, and are relevant to pathologies like Parkinson's disease and drug abuse. Three main dopaminergic projection-systems, namely the nigrostriatal, mesocortical and mesolimbic pathways are the major targets of the neuropharmacological actions of psychomotor stimulants such as cocaine and amphetamine. Studies on knockout mice for dopamine or its receptors provide substantial information but fail to reveal the role of individual dopaminergic projection-systems. Mutant animals with defects specific to one or more projection-systems might be useful for studying the role of individual dopaminergic projection-systems. We propose the weaver mutant mouse, with a defective nigrostriatal dopaminergic projection-system and dopamine depletion in the dorsal striatum but with intact mesocorticolimbic projection-systems, as a suitable model to study the role of individual dopaminergic systems in diverse biological processes including Parkinson's disease and drug abuse.

Maternal morphine alters parvalbumin immunoreactivity patterns in neonatal mouse brain.

The influence of chronic maternal morphine on the parvalbumin immunoreactive patterns in developing mouse brain was studied. Female Swiss mice were administered daily saline or morphine (30 or 60 mg/kg) for a period of 7 days before mating, gestation, and 21 days postpartum. Their pups were sacrificed on postnatal day 18 and the brains were examined histologically and immunohistochemically for parvalbumin-positive neurons. Histological observations revealed no significant changes in the cell number of the morphine-exposed neonatal forebrain, whereas the number of parvalbumin-positive neurons increased in layers II-IV of the parietal cortex I. Moreover, the number of parvalbumin-positive dendrites increased remarkably in the cingulate and parietal I cortices of the morphine-exposed neonates, indicating the region-specific increase in the PV immunoreactive profiles. These results are consistent with the key roles played by the above brain regions in the altered behavioral patterns of the maternally addicted neonates, such as impaired somatosensory and cognitive performances. The mechanism of morphine action on parvalbumin expression in neonatal mouse brain is not evident, but alterations in the expression patterns of parvalbumin in specific regions of the developing brain might be one of the cellular mechanisms by which addictive drugs modify the functional aspects of the developing CNS.

Chronic morphine alters calbindin D-28k immunostaining patterns in mouse forebrain.

The influence of chronic morphine treatment on the brain of adult mouse has been studied. Female Swiss mice were daily administered saline or morphine (30 or 60 mg/kg body weight) for a period comprising 7 days before mating, during gestation and until 21 days post-partum. Their brains were then perfusion-fixed and examined for histology and calbindin D-28k protein-immunoreactivity. Histological observations revealed no significant changes in the various brain regions; whereas a reduced number of calbindin-positive cells was encountered in the cingulate and parietal cortices and the lateral septal regions of morphine-treated brains compared with those of controls. The alteration in the expression-patterns of this neuroprotective calcium-binding protein in specific regions of the adult brain might be one of the mechanisms by which the addictive drugs modify the functional aspects of the CNS.

Basic fibroblast growth factor (FGF-2) in mouse tooth morphogenesis.

This study describes the spatio-temporal expression of basic Fibroblast growth factor (FGF-2) during odontogenesis of mouse as revealed by immunohistology. Parasagittal sections of mouse embryo head (13-18 day of gestation) containing various stages of developing tooth were incubated with a polyclonal anti-FGF-2 antibody and positive binding was evidentiated by using Streptavidin-Biotin complex-HRP system and AEC staining. We observed no FGF-2 staining at the dental lamina stage. At the bud stage slight staining is seen, limited to some epithelial cells. The intensity of the staining increases at the cap stage. In the bell stage, the stellate reticulum cells stain intensely. Later, odontoblasts and the dentin matrix stain deeply; but the epithelial cells stain faint. The extra cellular matrix of the dentin and dental papilla stain very intense but the enamel matrix is found negative. These results indicate the participation of FGF-2 in differentiation rather than in proliferation of tooth-forming cells. In particular, it appears that FGF-2 participates in odontoblast differentiation and in dentin matrix deposition. The spatio-temporally specific distribution pattern of FGF-2 in developing mouse tooth reported here emphasizes the importance of FGF-2 in mammalian odontogenesis.

Nitric oxide, a neuronal messenger. Its role in the hippocampus neuronal plasticity.

Nitric oxide (NO), a free radical gas, has recently been recognized as an important messenger molecule having a neurotransmitter-like function. Studies on the localization of the enzyme synthesizing NO (NO synthase-NOS) have indicated its presence in almost all parts of the brain with a prevalence in the cerebellum. From recent experimental investigations it is apparent that NO might meet the essential criteria to function as a retrograde messenger for Long-term potentiation in hippocampal cells, a process known to be involved in mammalian learning and memory. However, within the hippocampus NO is present in a few cell types which probably form the local neuronal circuit. Thus NO might function as a paracrine factor rather than a retrograde messenger in the hippocampal neurons.

Growth hormone signal transduction.

Growth hormone (GH) promotes animal growth by stimulating bone and cartilage cell proliferation, and influences carbohydrate and lipid metabolism. Some of these effects are brought about indirectly via somatomedin induction in hepatocytes, others by acting directly on the target cells. In either case, GH first binds to specific receptors on cells to trigger a sequence of biochemical events culminating in a biological response. Recently much has been learnt about the molecular structure of GH receptor, its binding to ligand, and the ensuing signal transduction events.

Recent progress in vertebrate limb morphogenesis.

Morphogenesis of vertebrate limb, specifically that of the chick wing, has been recognized as a suitable model to study the cellular and molecular mechanisms of pattern formation. The importance of cellular inductive phenomena and the relevance of the processes such as cell division and cell death in the above model are discussed. These studies have revealed the retinoic acid (RA) and retinols as convincing candidates for vertebrate morphogens. The recent discovery that the RA receptors belong to the steroid hormone receptor superfamily might indicate the universality of the RA morphogen and might enlighten the possible mode of its action. Identification and characterization of the 1d locus genes associated with the mouse limb morphogenesis and the possible involvement of the homeobox proteins in chick wing development have opened new prospects in understanding the molecular mechanisms of vertebrate morphogenesis.

Transplantation of Lewis lung carcinoma in mouse uterus.

Earlier studies have shown that pregnant and nonpregnant mammalian uteri respond differently to tumor cell invasion, colonization and metastasis, but the biological basis of such differential uterine response has not been clarified. In the present study we have investigated the role of the metastatic potential of the tumor in the differential response of different stages of mouse uteri, using a highly metastatic tumor. The results obtained were compared with earlier data obtained using low metastatic or nonmetastatic tumors. Lewis lung carcinoma (LLC) cells were infused nonsurgically into nonpregnant uteri of various estrus stages and into pregnant uteri on day 3 postcoitum. Response of the uteri and embryos was studied histologically on days 2, 5 and 18 posttreatment (p.t.). The embryonic development was severely inhibited resulting in extensive resorption. In the tumor cell-treated animals, despite an early and uniform invasion the patterns of tumor cell colonization and metastasis differed remarkably from the pregnant to nonpregnant uteri. On day 5 p.t. 66% of nonpregnant animals showed tumor cells in the endometrium and 40% had tumor metastasis in other organs. Though 40% of the pregnant animals had tumor cells in the uteri, none had metastasis in other organs. By day 18 p.t., despite the absence of tumor cells in the uteri, 75% of nonpregnant animals showed metastasis in lung and liver. In pregnant animals, tumor cells were seen neither in uteri nor in other organs studied. These results indicate the refractory nature of both the pregnant and nonpregnant mouse uteri to the survival and colonization of LLC cells, but the mechanisms by which the tumor cells are eliminated differ between these two types of uteri.

Invasion and metastasis of Lewis lung carcinoma in the mouse uterus.

Patterns of Lewis lung carcinoma (LLC) cell invasion, colonization and metastasis were studied in C57 mouse uteri. LLC cells (5 X 10(4) in 0.05 ml) were infused nonsurgically into nonpregnant and pregnant uteri, 3 days postcoitum. The fate of cells was studied histologically on days 2, 5 and 18 posttreatment (PT). Despite a large degeneration of LLC cells in the lumina of both the pregnant and nonpregnant mice, in 38% of these uteri, tumor cells had invaded the endometrium by day 2 PT. However, subsequent distribution of tumor cells differed remarkably between the pregnant and the nonpregnant uteri. By day 5 PT, in 66% of the nonpregnant mice, tumor cells were common in the endometrium and metastases in other organs were seen in 40% of the animals. But in the pregnant mice only 40% uteri showed tumor cells and no metastasis was recorded. On day 18 PT tumor cells were rare in the nonpregnant uteri, but significantly, 75% of those animals showed lung and liver metastases. In pregnant mice, tumor cells neither survived in the uteri nor metastasized to other organs. LLC cells, infused into nonpregnant uteri, promptly metastasized to lungs without colonizing the uteri: this unique system may provide insight into the effects of organ-specific host factors on the growth and metastatic potential of tumor cells.

Influence of mouse uterus on the metastatic patterns of tumour cells.

Metastatic patterns of fibrosarcoma (FS) and Lewis lung carcinoma (LLC) cells transplanted into mouse uteri of various reproductive stages, were investigated. Tumour cells were infused non-surgically into the lumen of 3-day post coitum pregnant uterus or into non-pregnant uterus of known estrus stage. The fate of these tumour cells was studied histologically on days 2, 5 and 10 post treatment. No significant difference in the metastatic patterns of the FS or the LLC cells was seen between the non-pregnant uteri of various estrus stages. FS cells in few cases of non-pregnant uteri displayed the tendency to migrate and grow outside the myometrium without colonizing in the endometrium, but in pregnant uteri they colonized within the endometrium. LLC cells in the non-pregnant uteri promptly metastasized to distant organs like liver and lung; but those in the pregnant uteri rarely metastasized to other organs. These observations imply that the metastatic patterns of uterine tumour might depend on both the physiological state of the uterus and the tumour cell type.

Response of mouse embryos and uterus to tumour extract treatment.

The influence of cell-free extract of mouse fibrosarcoma and normal fibroblast on the early development and organogenesis of mouse embryos, and on the histology of non-pregnant and pregnant uteri was studied in vivo. Both normal and tumour cell extracts inhibited normal mouse embryogenesis. However, the effects of tumour extract on mouse embryogenesis was far more drastic and significant. Despite such changes, no basic alteration of the morphology of the embryonic cells was seen. Observations on the uterine histology indicated extensive deciduation. Pyknosis followed by degeneration of the endometrium was the main effect of tumour extract on the pregnant mouse uterus. Such inhibition of embryogenesis and degenerative effect on the mouse uterus by tumour cell extract might be due to general degradative effects of the tumour constituents.

Effects of 5 azacytidine on DNA methylation and early development of sea urchins and ascidia.

5-azacytidine (5-azaCR), an analogue of cytidine, inhibits nuclear DNA methylation in early sea urchin embryos. This inhibition is specific and dose-dependent. Exposure of sea urchin embryos at any stage between one-cell and blastula, to micromolar quantities of 5-azaCR invariably inhibits development beyond the blastula stage. In a substantial number of embryos arrested at the blastula stage, spicule formation proceeds although other morphological differentiation is lacking. No significant effect on development is seen if sea urchin embryos are exposed to 5-azaCR at post-blastula stages. 5-azaCR also inhibits the development of a mosaic egg such as the ascidian Phallusia mammilata at the blastula stage, indicating that both regulative (sea urchin) and mosaic (ascidian) embryos respond more or less similarly to 5-azaCR treatment.

Behavioural pattern of tumour cells in mouse uterus.

The behavioural pattern of transplantable mouse fibrosarcoma (MFS) cells infused into the pregnant, pseudopregnant and nonpregnant mouse uteri was studied histologically. In some nonpregnant and pseudopregnant uteri, the tumour cells, without colonizing inside the uterus, traverse the endometrium and within 5 days of treatment form tumour nodules outside the myometrium, indicating the presence of an initial and temporary tumour rejection mechanism in these uteri. In later stages MFS cells form large necrotic tumours in these uteri. In the pregnant uterus no tumour nodules are formed outside the myometrium even after 20 days of treatment. Furthermore, the size of the tumour formed in the endometrium of the pregnant uterus is quite small and the tumour cell growth rate is lower than that of the tumour cells in the nonpregnant and pseudopregnant uteri. These results indicate that, in the pregnant mouse uterus, fibrosarcoma cells display an altered pattern of invasion and decreased growth rate compared to those in nonpregnant and pseudopregnant uteri.