JAPANESE JOURNAL OF OPHTHALMOLOGY

First-year real-world experience of intravitreal brolucizumab injection for refractory neovascular age-related macular degeneration
Lee JH, Shin JY and Ahn J
To investigate the first-year real-world anatomical and functional outcomes of intravitreal brolucizumab injection in eyes with refractory neovascular age-related macular degeneration (nAMD).
Clinical and pathologic characteristics of inflamed juvenile conjunctival nevus and its treatment with immunosuppressant eye drops
Tomoda A, Araki-Sasaki K, Obata H, Ideta S, Kuroda M, Fujita K, Osakabe Y and Takahashi K
To clarify the clinical and pathologic findings of 7 patients with inflamed juvenile conjunctival nevus (IJCN) treated with tacrolimus.
Choroidal thickness in macular, nasal midperiphery, and temporal midperiphery regions and its relationship with axial length and refractive error
Hiraoka T, Tamura M, Mino T, Moriguchi Y, Akiba M, Sugiura Y, Mihashi T and Oshika T
This study aimed to investigate the choroidal thickness (ChT) distribution in adult myopic eyes, focusing on the macular, nasal midperiphery, and temporal midperiphery regions, and to explore its relationship with axial length (AL) and refractive error.
Effects of trabeculectomy on the postoperative central visual field as revealed by refraction values
Nakajima K, Sakata R, Shirato S and Aihara M
To evaluate the effects of trabeculectomy on the rate of deterioration of the central visual field (VF) in patients with normal-tension glaucoma (NTG), as revealed by refraction values.
Outcomes, efficacy and risk factors of 27-Gauge vitrectomy for diabetic tractional retinal detachment in Japanese patients
Nishigushi R, Usui-Ouchi A, Sakanishi Y, Tamaki K, Mashimo K, Ito R, Sakuma T, Ebihara N and Nakao S
Diabetic retinopathy leads to vision-threatening complications, such as proliferative diabetic retinopathy and tractional retinal detachment (TRD) and is a major global health concern. Despite advancements in vitrectomy techniques, challenges exist in managing postoperative complications and long-term visual acuity. This study aimed to evaluate postoperative outcomes of 27-gauge pars plana vitrectomy (27 g PPV) for diabetic TRD and identify associated risk factors.
Relationships among eye dimensions in magnetic resonance images by sex, age, and strabismus type in Japanese patients with acquired strabismus and high myopia
Kono R, Hamasaki I, Kishimoto F, Shimizu T, Kindo H, Shibata K, Morisawa S and Morizane Y
To investigate the relationships among eye dimensions in magnetic resonance imaging (MRI) scans by sex, age, and strabismus type in Japanese patients with acquired strabismus and high myopia.
Comparison of choroidal detachment with and without hypotony after Ahmed valve implantation
Jin SW, Heo JW and Ahn HB
To compare the clinical manifestations of and risk factors for choroidal detachment (CD) with or without hypotony after Ahmed valve implantation (AVI).
Incidence of microbial keratitis associated with overnight orthokeratology: a multicenter collaborative study
Hiraoka T, Matsumura S, Hori Y, Kamiya K, Miyata K and Oshika T
To investigate the incidence of microbial keratitis among Japanese patients wearing orthokeratology (ortho-k) lenses STUDY DESIGN: Retrospective multicenter study METHOD: This study was conducted at 4 hospitals in Japan and involved 1438 patients who had been prescribed ortho-k lenses and had worn them for at least 3 months. Data on patient demographics, lens characteristics, lens care systems, and presence of microbial keratitis were extracted from the medical records. Duration of ortho-k lens wear was calculated from the original fitting date to the patient's last visit, with the total years of lens wear used as person-years of lens wear. The incidence of microbial keratitis was calculated by dividing the number of infected cases by the total person-years of lens wear for all enrolled participants.
Three-year outcomes of surgical bleb revision with mitomycin C for early scarring bleb after trabeculectomy
Caraher-Masuda R, Sakamoto M, Okuda M, Takano F, Mori S, Ueda K, Kanamori A, Yamada-Nakanishi Y and Nakamura M
To report the 3-year outcomes of surgical bleb revision (SBR) with mitomycin C (MMC) for early scarring bleb after trabeculectomy (TLE).
Comprehensive combined analysis of physician-initiated phase II and III clinical trials on a cultured human corneal endothelial cell product for treating bullous keratopathy
Ueno M, Imai K, Tomioka Y, Horiguchi G, Kameda T, Teramukai S, Tsujikawa A, Inatomi T, Sotozono C and Kinoshita S
To evaluate the efficacy and safety of a cultured human corneal endothelial cell (cHCEC) product in eyes with bullous keratopathy (BK). Combined analysis of multicenter phase II and III clinical trials. This analysis involved 15 BK eyes in the phase II trial and 12 BK eyes in the phase III trial that underwent cHCEC transplant therapy. Safety was assessed in all the cases. Efficacy was assessed in 17 cases with exclusion of the low- and medium-dose groups in the phase II trial. The primary endpoint was a corneal endothelial cell density of 1000 cells/mm or more at 24 weeks post-transplant, which was attained in 94.1% of the eyes (16 of 17), with a 95% CI of 71.3-99.9%. Additionally, 82.4% of the eyes (14 of 17) met the secondary endpoint of reduction in corneal thickness to less than 630 µm without corneal epithelial edema within the same time frame, with a 95% CI of 56.6-96.2%. The mean decrease in corneal thickness from baseline to 24 weeks post-transplant was -187.4 µm (95% CI, -240.2 µm to -134.5 µm). Furthermore, all the eyes exhibited improvement in best-corrected visual acuity from baseline to 24 weeks post-transplant (95% CI, 80.5-100.0%). By 24 weeks post-transplant, 88.9% of the patients (24 of 27) had experienced adverse events, which were mostly local, mild, and transient. The cHCEC product of this study reconstitutes the corneal endothelial layer with high cellular density and restores corneal thickness and improves visual acuity.
Analysis of clinical features and outcomes in patients with ocular myasthenia gravis according to anti-acetylcholine receptor antibody-seropositivity
Lee BJ, Park J, Ahn H and Lim HT
To comparatively analyze the clinical characteristics of patients with ocular myasthenia gravis (OMG) referred to an ophthalmology clinic, according to anti-acetylcholine receptor antibody (AchR Ab)-seropositivity.
Associations of ocular anterior segment structures with sex and age: the Yamagata study (Funagata)
Namba H, Maeda N, Tsukamoto M, Utsunomiya H, Kaneko Y, Nishitsuka K, Yamashita H, Ohta Y, Usui T and Sugimoto M
To investigate the associations of tomographic parameters in anterior segment optical coherence tomography (AS-OCT) with sex and age in a cohort study.
One-year results of trabeculectomy with emphasis on the effect of patients' age
Iwaki Y, Mori S, Okuda-Arai M, Takano F, Ueda K, Sakamoto M, Yamada-Nakanishi Y and Nakamura M
This study investigated the association between one-year surgical outcomes following trabeculectomy and age, accounting for confounding factors.
Improvements in visual function early after cataract surgery in eyes implanted with multifocal intraocular lenses
Hayashi K, Yoshida M, Manabe SI and Hirata A
To compare the improvements in all-distance visual acuity (VA) and contrast sensitivity early after cataract surgery among eyes implanted with multifocal and monofocal intraocular lenses (IOLs).
Usage status of biologics for the chronic treatment of optic neuritis in neuromyelitis optica spectrum disorders in Japan
Takahashi Y, Kezuka T, Shikishima K, Yamagami A, Chuman H, Nakamura M, Ueki S, Kimura A, Hashimoto M, Tatsui S, Mashimo K and Ishikawa H
To investigate the usage status of biologics for the chronic treatment of optic neuritis including neuromyelitis optica spectrum disorders in Japan.
Excision combined with ocular surface reconstruction followed by topical chemotherapy for ocular surface squamous neoplasia
Nakai H, Ueda K, Kitazawa K, Fukuoka H, Inatomi T, Yokoi N, Kinoshita S, Horiguchi G, Teramukai S and Sotozono C
To investigate the visual prognosis of ocular surface squamous neoplasia (OSSN) after tumor resection and ocular surface reconstruction, and clarify factors that influence recurrence.
Epiretinal membrane: an overview and update
Matoba R and Morizane Y
Epiretinal membrane (ERM) is a frequently diagnosed macular disease associated with aging, characterized by a fibrous membrane forming on the internal limiting membrane (ILM) and leading to visual dysfunctions such as metamorphopsia. Various hypotheses regarding the pathology of metamorphopsia have been proposed; however, the complete pathophysiologic mechanism underlying ERM remains unclear. Optical coherence tomography (OCT) provides detailed images enabling precise diagnosis and characterization of ERM, with several recent studies using the latest OCT imaging techniques. Surgical removal of ERM is the only treatment option; however, criteria for surgical intervention are not established, complicating the decision-making processes. Furthermore, the debate on whether simultaneous peeling of the ILM during ERM surgery enhances outcomes or poses unnecessary risks is ongoing, with no definite conclusion having yet been reached. This review also focuses on epiretinal proliferation, which is different from ERM and is characteristic of lamellar macular hole (LMH). Recently, diagnostic criteria for LMH and related diseases were proposed. Reports on effective surgical procedures for LMH exist, although more research is needed to confirm the long-term outcomes. Thus, this review article aims to provide an overview and updated knowledge of ERM, LMH, and related diseases.
Visual activities of daily living survey for retinitis pigmentosa
Sugawara T, Pak K, Miura G and Baba T
To gauge the value of low-vision-specific function and activities of daily living measures (LVFAM) in the assessment of Patient Reported Outcomes (PRO) of Retinitis Pigmentosa (RP).
Outcomes of five cases of retinoblastoma with optic nerve invasion on imaging
Onishi T, Nishina S, Yokoi T, Yoshida T, Hayashi S, Morikawa-Anzai H, Azuma N, Kiyotani C, Terashima K, Yoshioka T, Ogiwara H, Fuji H, Kitamura M and Tsutsumi Y
To investigate the timing of enucleation, treatment course, and outcome for retinoblastoma (RB) with optic nerve (ON) invasion on imaging.
Clinical features and multimodal imaging of primary choroidal lymphoma
Goto H, Umazume K, Usui Y and Nishikawa N
To clarify the clinical features including multimodal imaging of primary choroidal lymphoma.
Management of preoperative hypertension and anxiety based on early monitoring of pulse rate before cataract surgery
Ono T, Iwasaki T, Tomari R, Sakisaka T, Mori Y, Nejima R and Miyata K
Few studies have addressed the clinical impact of fluctuation in pulse rate before cataract surgery. This study aimed to determine the effectiveness of prior pulse monitoring and intervention to prevent blood pressure changes in patients undergoing cataract surgery under local anesthesia.