Cup Depth Research Articles

Effect of Nest Characteristics on Thermal Properties, Clutch Size, and Reproductive Performance for an Open-Cup Nesting Songbird

Maintaining avian eggs and young at optimum temperatures for development can increase hatching success and nestling condition, but this maintenance requires parental energetic demands. Bird nests, which often provide a structure to safely hold the eggs and nestlings and protect them from predators, can additionally be designed to help maintain eggs’ optimum temperatures by minimising heat loss, especially in climates where eggs cool rapidly when unattended. We collected and measured Prairie Warbler ( Setophaga discolor) nests in western Massachusetts, U.S. in 2009 and conducted a climate-controlled, nest-cooling experiment to determine how nest characteristics affect thermal properties for small, open-cup nesting birds. We then assessed if nests with better insulation properties resulted in any fitness benefits, and also tested if nest structural characteristics affected birds’ fitness. We found that nest characteristics influenced their thermal properties, with thicker, heavier, and larger nests having slower cooling rates and higher predicted equilibrium egg temperatures. Both nest cup depth and clutch size significantly declined over the breeding season, and we observed a trend, although non-significant, that nests with shallower cups had smaller clutches. Contrary to studies on cavity-nesting birds, we found no significant effects of nest thermal properties or nest structure on hatching and fledging success, nestling condition, brood parasitism, or nest survival. Prairie Warblers in our study site may already be adapted to build nests within a range that maximises their fitness. Furthermore, studies have shown that open-cup nests of other species are relatively thicker and more insulated in colder environments at higher latitudes than our study. Instead of building nests to solely minimise heat loss, open-cup nesting birds in temperate climates may also be driven by opposing selection pressures when building their nests, such as to prevent nestlings from overheating during hot days.

Postharvest life of different cultivars of Narcissus (daffodil) as influ-enced by various preservative solutions

Post harvest life has always being of critical importance in high value flower crops. Our investigation was concerned in evaluating the varietal response of different preservative soloutions on post harvest life of Narcissus (daffodil). The effects of the application of citric acid, aluminium sulphate, silver thiosulphate and calcium chloride at three different levels 0, 100 ppm, 200 ppm along with carbohydrate source sucrose 4% on different floral attributes of Narcissus (daffodil) cultivars California, Pheasants eye and Acetea were stud-ied. The recorded traits included water loss/water uptake ratio, scape length, cup depth, cup diameter, relative water content and membrane stability index. Results of this study showed that within all treatments aluminium sulphate + sucrose 4% showed the best effect. Among the cultivars evaluated California proves best in term of parameters studied (overall post harvest life). The minimum values for these traits were recorded in the untreated control.

Differentiation of glaucomatous optic discs with different appearances using optic disc topography parameters: The Glaucoma Stereo Analysis Study.

The Glaucoma Stereo Analysis Study (GSAS) is a multicenter collaborative study of the characteristics of glaucomatous optic disc morphology using a stereo fundus camera. Using GSAS dataset, the formulas for predicting different glaucomatous optic disc appearances were established. The GSAS dataset containing three-dimensionally-analyzed optic disc topographic parameters from 187 eyes with primary open-angle glaucoma was assessed with discrimination analyses to obtain formulas predictive of glaucomatous optic disc appearances: focal ischemic (FI); generalized enlargement (GE), myopic glaucomatous (MY), and senile sclerotic (SS). Using 38 optic disc parameters-substituted discrimination analyses with a stepwise forward-selection method, six parameters (temporal and nasal rim-disc ratios, mean cup depth, height variation contour, disc tilt angle, and rim decentering absolute) were selected into the formulas. The area under the receiver operating characteristic curves for predicting the four disc types with established formulas were 0.88, 0.91, 0.93, and 0.86 for FI, MY, SS, and GE, respectively. Age, visual acuity, refractive error, glaucoma (normal or high-tension glaucoma), and baseline intraocular pressure differed significantly among the four optic disc types, suggesting the appearances represent different clinical glaucoma phenotypes. Using six optic disc topographic parameters obtained by stereo fundus camera, the GSAS classification formulas predicted and quantified each component of different optic disc appearances in each eye and provided a novel parameter to describe glaucomatous optic disc characteristics.

A numerical analysis on forming limits during spiral and concentric single point incremental forming

Sheet metal forming is one of the major manufacturing industries, which are building numerous parts for aerospace, automotive and medical industry. Due to the high demand in vehicle industry and environmental regulations on less fuel consumption on other hand, researchers are innovating new methods to build these parts with energy efficient sheet metal forming process instead of conventionally used punch and die to form the parts to achieve the lightweight parts. One of the most recognized manufacturing process in this category is Single Point Incremental Forming (SPIF). SPIF is the die-less sheet metal forming process in which the single point tool incrementally forces any single point of sheet metal at any process time to plastic deformation zone. In the present work, finite element method (FEM) is applied to analyze the forming limits of high strength low alloy steel formed by single point incremental forming (SPIF) by spiral and concentric tool path. SPIF numerical simulations were model with 24 and 29 mm cup depth, and the results were compare with Nakajima results obtained by experiments and FEM. It was found that the cup formed with Nakajima tool failed at 24 mm while cups formed by SPIF surpassed the limit for both depths with both profiles. It was also notice that the strain achieved in concentric profile are lower than that in spiral profile.

Relationship between anterior segment and optic nerve head parameters in healthy subjects.

To determine the relationship between anterior segment and optic nerve head (ONH) parameters. Two hundred healthy subjects were enrolled in this study. The par-ticipants underwent measurement of anterior segment parameters with a Pentacam Scheimpflug system and imaging of the optic disc with confocal scanning laser ophthalmoscopy. Pearson's correlation coefficient was calculated to assess the associations between ONH and anterior segment parameters. Multivariate regression analyses controlling for age and disc area as confounding factors were also conducted. There were significant negative relationships between optic disc area and corneal thickness (p=0.03, r=-0.217) and volume (p=0.017, r=-0.239). Corneal refractive power was significantly correlated with cup area, rim area, rim volume, and cup/disc ratio (p<0.05 for all). An increase of 1 diopter in anterior corneal refractive power corresponded to a decrease of 0.022 in cup/disc ratio. Rim volume was negatively correlated with anterior chamber depth and anterior chamber volume (p<0.05 for both). A 1-mm3 increase in anterior chamber depth corresponded to a 0.154-mm3 decrease in rim volume. Mean and maximum cup depth measurements were not associated with any of the anterior segment parameters. In nonglaucomatous eyes, the dimensions and shape of the ONH may be related to anterior segment morphology. Therefore, it may be helpful to take anterior segment parameters into consideration in evaluating the OHN.

Baseline characteristics predictive of structural and functional progression in open-angle glaucoma patients with different demographic characteristics

Purpose: The aim of this study was to examine ocular blood flow parameters that may predict structural and functional disease progression in open-angle glaucoma (OAG) patients of different diabetic status, gender, ethnicity, and body mass index (BMI).Methods: One hundred twelve patients with OAG were assessed for systemic blood pressure (BP), ocular perfusion pressure (OPP), retrobulbar blood flow, capillary blood flow, and optic nerve head morphology at baseline and every six months for a five-year period. Structural progression was monitored with optical coherence tomography and Heidelberg retinal tomography-III. Functional disease progression was monitored with automated perimetry using Humphrey visual fields. Factors associated with OAG structural and functional progression were analyzed using Cox proportional hazards models.Results: The following were associated with shorter time to structural progression: In diabetic patients, larger area of avascular space; in males, lower central retinal artery peak systolic velocity and end diastolic velocity; in patients of African descent, higher systolic BP and OPP; in obese patients, lower ophthalmic artery end diastolic velocity. The following were associated with shorter time to functional progression: In diabetic patients, cup area, cup volume, cup/disc area ratio, linear cup/disc ratio, mean cup depth, cup shape; in males, systolic BP, diastolic BP, mean arterial pressure, systolic PP, diastolic PP, OPP, mean PP; in overweight patients, higher ophthalmic artery and central retinal artery resistive indices; in obese patients, lower central retinal artery resistive index.Conclusions: Structural and functional OAG disease progression may be influenced differently in patients based on diabetic status, gender, ethnicity, and BMI. Mathematical modeling of risk variables that takes into account demographic characteristics may assist in better identifying OAG progression risk.

Optic Nerve Head Biomechanic and IOP Changes Before and After the Injection of Aflibercept for Neovascular Age-Related Macular Degeneration.

We investigated the early effects of intravitreal aflibercept injection (IAI) on optic nerve head (ONH) morphology. All of the participants underwent applanation tonometry and enhanced depth imaging by spectral-domain optical coherence tomography immediately before injection, and within 5 and 30 minutes after IAI. Changes in the anterior lamina cribrosa surface depth, prelaminar tissue thickness (PTT), optic cup width, optic cup depth, and Bruch's membrane opening (BMO) were assessed. The study included 30 eyes of 30 subjects with a mean age of 77.4 ± 6.8 years (range, 65-89 years) following IAI (2 mg in 0.05 ml). Within 5 minutes after injection, the mean cup depth, mean cup width, and BMO were significantly increased (P = 0.013, P = 0.000, and P = 0.004, respectively), whereas the mean PTT was thinned (P = 0.009). These morphologic changes returned to near baseline values 30 minutes after injection. Cup widening and BMO expansion (P = 0.000; r, 0.668), as well as cup deepening and prelaminar thinning (P = 0.000; r, -0.838), were significantly correlated. The magnitude of cup deepening and prelaminar tissue thinning correlated with the IOP change in the opposite direction than expected (P = 0.039; r, -0.379 and P = 0.377; r, 0.040). A significant widening and deepening of the optic cup, BMO expansion, and prelaminar tissue thinning occurred following IAI for neovascular AMD. Eyes having greater optic disc cup deepening and prelaminar tissue condensation after IAI, associated with a lower IOP increase after injection, suggesting that ONH compliance might buffer the effect of additional intravitreal fluid injection on IOP values.

Improvement in Material Flow During Nonisothermal Warm Deep Drawing of Nonheat Treatable Aluminum Alloy Sheets

Automotive industries are very much interested in implementing warm forming technology for fabrication of light weight auto-body panels using aluminum alloys without localized thinning or splitting. A nonheat treatable and low formable AA5754-H22 aluminum alloy sheet was selected in the present work, and a laboratory scale warm deep drawing test set-up and process sequences were designed to improve material flow through independent heating of punch and dies. Significant enhancement in cup depth was observed when the temperature of punch and dies were set to 30 °C and 200 °C, respectively. Thermo-mechanical finite-element (FE) model of the nonisothermal deep drawing test was developed successfully to study the improvement in material flow incorporating Barlat-89 yield theory using temperature dependent anisotropy coefficients and Cowper–Symonds hardening model. It was found that a nonisothermal temperature gradient of approximately 93 °C was established within the blank from the center to flange at the start of deformation, and subsequent evolution of temperature gradient helped in improving material flow into the die cavity. The effect of temperature gradient on forming behavior in terms of cup height, ear profile, and thinning development across flange, cup wall, and blank center were predicted and validated with experimental results.

Paper #10 - The effect of neck-shaft angle, glenosphere size, and cup depth on contact mechanics in reverse shoulder arthroplasty

Paper #10 - The effect of neck-shaft angle, glenosphere size, and cup depth on contact mechanics in reverse shoulder arthroplasty

Factors determining the prelaminar tissue thickness in glaucoma

PurposeTo identify demographic, anatomic and functional factors associated withthe prelaminar tissue thickness (PTT) and LC (thickness and depth) in primaryopen angle glaucoma (POAG).MethodsCross‐sectional study including 60 patients with POAG.The optic nerve head was imaged usingthe enhanced depth imaging (EDI) technology of Spectralis optical coherencetomography (OCT). The vertical distances from three equidistant points on thereference line (Bruch's membrane opening) to the anterior prelaminar tissuesurface and the anterior and posterior surfaces of the LC were manually measured.Analyzed factors associated with the PTT and LC thickness and depth includedage, central corneal thickness, axial length (AL), intraocular pressure (IOP),rim and disc areas (OCT‐Cirrus), retinal nerve fiber layer (RNFL) averagethickness (OCT‐Spectralis), ganglion cell layer and inner plexiform layer (GCIPL) average thickness (OCT‐Cirrus) and meandeviation (MD) in visual field.ResultsSignificantassociations were found between the PTT and age (−0.317; p = 0.014), disc and rim areas (−0.544; p = 0.005 and 0.772; p &lt; 0.001respectively), BMO diameter (−0.332; p = 0.01), RNFL and GCIPL average thickness (0.642; p &lt; 0.001 and 0.663; p &lt; 0.001, respectively) and MD (0.584; p &lt; 0.001). LC depth correlated with age (−0.267; p = 0.041), rim area (−0.466; p = 0.019) and cup depth (0.849; p &lt; 0.001). A negative association wasalso demonstrated between AL and LC thickness (−0.53; p = 0.01). As expected, MDwas significantly correlated with cup depth.ConclusionsTheprelaminar tissue thickness was inversely correlated with age, anatomic (RNFL, CGIPL, disc and rim areas, BMO) and functional parameters (MD) in patients withPOAG, so that it can be considered together the LC a relevant structure in thepathophysiology of glaucoma.

Comparison of optic nerve head topography in normal eyes using confocal laser scanning tomograph and retinal thickness analyzer

Background: To compare optic nerve head topography measurements by Heidelberg retina tomograph I (HRT) and retinal thickness analyser (RTA) and thereby to determine clinical agreement between the devices. To investigate reproducibility of measurements for HRT and RTA. To obtain our own HRT and RTA database for comparison of healthy and glaucomatous eyes. Methods: The study included 100 normal eyes of 50 white adults of both sexes (mean age of 55.5 [SD 9.5] years). Ophthalmologic examination, fundus photography, HRT and RTA examinations were performed. To determine reproducibility 10 volunteers repeated the examination after a week. For HRT and RTA measurements mean (SD), median, 5th and 95th percentile, range and coefficient of variation were calculated. Differences in topographic parameters between HRT and RTA were tested for significance. Clinical agreement was assessed with »limits of agreement« and reproducibility expressed by repeatability coefficient and intraclass correlation coefficient (ICC). Results: Significant differences (p 0.10 for RTA parameters cup area (0.15), rim area (0.19), maximum cup depth (0.13), height variation contour (0.11) and RNFL cross-sectional area (0.14). ICC was good (> 90%) for all parameters, except for mean RNFL thickness (89%) for HRT and height variation contour (84%) for RTA. Conclusions: The two devices cannot be used interchangeably. At present, clinical usefulness of HRT is superior to RTA due to better reproducibility of measurements, better software support, shorter duration of the examination and good comparability of our HRT database with the database included in the latest HRT software version. At the moment RTA is using the same database as HRT. Therefore, our RTA database provides a new basis for comparison of optic disc characteristics between healthy and glaucomatous eyes.

In Vivo Morphology of the Optic Nerve and Retina in Patients With Parkinson's Disease.

To investigate optic nerve (ON) and macular morphology in patients with Parkinson's disease (PD) using spectral-domain optical coherence tomography (SD-OCT). Twenty-five participants with PD (19 males and 6 females; mean age 60.79; SD ± 9.24) and 25 sex-, age-, ethnicity-, and refraction-matched healthy controls. A high-resolution SD-OCT device was used to acquire scans in 25 participants with PD (mean age 60.79; ± SD 9.24) and 25 sex-, age-, ethnicity-, and refraction-matched healthy controls. Main outcome measures included optic nerve head parameters (disc/cup diameters/areas, cup/rim volumes, cup depth, cup/disc ratio; peripapillary retinal nerve fiber layer [ppRNFL] thickness), retinal thickness (in inner and outer annuli around the foveal center) and thickness of individual retinal layers. Our study showed significant ppRNFL thinning in PD patients in all quadrants (P < 0.05) associated with a shallower optic cup (P = 0.03) as compared with controls. Foveal remodelling with retinal thinning (nasal and temporal segments in both annuli; and superior segment in outer annulus; P < 0.05), foveal pit widening (P = 0.05), central outer plexiform layer (OPL) thickening (P < 0.001), and nasal RPE thinning (P < 0.001) was also found in PD. The differences were more obvious in hemiretinae related to the predominantly affected cerebral hemisphere. Changes were more pronounced in advanced stages and longer PD duration. Optic nerve changes in PD are likely to be caused by primary neurodegeneration. Central retinal thinning, pit widening, central OPL thickening, and RPE thinning indicate foveal remodelling. Specific changes of the fovea and thinning of individual retinal layers, correlating with disease severity and duration, indicate that ON and retinal changes have potential to be used as biomarkers for PD.

OCT-Based Quantification and Classification of Optic Disc Structure in Glaucoma Patients.

PurposeTo objectively classify the optic discs of open-angle glaucoma (OAG) patients into Nicolela's four disc types, i.e., focal ischemic (FI), myopic (MY), senile sclerotic (SS), and generalized enlargement (GE), with swept-source optical coherence tomography (SS-OCT).MethodsThis study enrolled 113 eyes of 113 OAG patients (mean age: 62.5 ± 12.6; Humphrey field analyzer-measured mean deviation: -9.4 ± 7.3 dB). Newly developed software was used to quantify a total of 20 optic disc parameters in SS-OCT (DRI OCT-1, TOPCON) images of the optic disc. The most suitable reference plane (RP) above the plane of Bruch’s membrane opening was determined by comparing, at various RP heights, the SS-OCT-measured rim parameters and spectral-domain OCT-measured circumpapillary retinal nerve fiber layer thickness (cpRNFLT), with Pearson's correlation analysis. To obtain a discriminant formula for disc type classification, a training group of 72 eyes of 72 OAG patients and a validation group of 60 eyes of 60 OAG patients were set up.ResultsCorrelation with cpRNFLT differed with disc type and RP height, but overall, a height of 120 μm minimized the influence of disc type. Six parameters were most significant for disc type discrimination: disc angle (horizontal), average cup depth, cup/disc ratio, rim-decentering ratio, average rim/disc ratio (upper and lower nasal). Classifying the validation group with these parameters returned an identification rate of 80.0% and a Cohen’s Kappa of 0.73.ConclusionOur new, objective SS-OCT-based method enabled us to classify glaucomatous optic discs with high reproducibility and accuracy.

Optic Nerve Head Development in Healthy Infants and Children Using Handheld Spectral-Domain Optical Coherence Tomography

PurposeTo determine feasibility of optic nerve head (ONH) imaging and to characterize ONH development in full-term infants without sedation using handheld spectral-domain optical coherence tomography (SD OCT).DesignProspective cross-sectional study.ParticipantsThree hundred fifty-two children aged between 1 day and 13 years.MethodsAll participants were imaged using handheld SD OCT without sedation during a single scan session. The percentage of successful scans was calculated. Interexaminer reproducibility and differences between right and left eyes were assessed using intraclass correlation coefficients (ICCs). Images were analyzed using ImageJ software. The developmental trajectories over time for ONH parameters were calculated using fractional polynomial modelling.Main Outcome MeasuresDisc and cup diameter (expressed as distance in micrometers and visual angle in degrees), cup depth, Bruch's membrane opening–minimum rim width (BMO-MRW), retinal thickness, and retinal nerve fiber layer (RNFL; 1700 μm and 6° from the disc center).ResultsOn average, 70% of participants were imaged successfully. Interexaminer reliability was excellent (ICC, >0.89) for diametric and retinal thickness parameters. Right and left eyes were similar for diametric measurements (ICC, >0.79), but more variable for nasal BMO-MRW, RNFL, and retinal thickness. The mean disc and cup diameter increase by 30% and 40%, respectively, between birth and 13 years of age when expressed as a distance measure, but remained constant (at 5°–5.5° and 2°, respectively) when expressed as a visual angle with reference to the eye nodal point. The peripapillary temporal RNFL demonstrated a marked initial decrease of nearly 35% between birth and approximately 18 months of age. This was followed by a slow increase up to 12 years of age when measured at 1700 μm from the disc center, although there was little change when measured at 6° from the disc center.ConclusionsWe demonstrated feasibility of handheld SD OCT imaging of the ONH in full-term infants and children without anaesthesia or sedation. This is the first in vivo handheld SD OCT study to describe the development of ONH parameters during the critical early years of visual maturation. Our results provide a normative database for use in routine practice and further studies of ONH pathologic features.

12 mm Thick Circular Blanks of Al-killed AISI 1020 Steel -Applied for Cylindrical Cup Manufacturing by Multistage Deep Drawing with Simultaneous Ironing

In this paper a new modified processing route has been proposed for producing long cylindrical cups from 12 mm thick circular blanks of AISI 1020 steel (Aluminium (Al) -killed). In this route, flat blanks were made to preformed shape by stamping operation, followed by multistage deep drawing processes(without blank-holder and with inter-stage stress relief annealing) to increase cup depth. Wall ironing was also purposefully included in each draw step to reduce wall thickness and earing tendency on cup edges. Thus, evolution of wall thickness distribution, Drawability and Ironability, punch force history, and strain distribution profiles on outer cup surfaces were obtained as the effects of interaction between processes, tools and material. The overall draw stages showed: LDR 2.06; overall draw reduction >50% with a drawing efficiency ~72%; LIR 3.55; overall ironing reduction >70% with an ironing efficiency ~68%, which were achieved in the experimental works.

Measuring Mean Cup Depth in the Optic Nerve Head.

Since the deformation of structures in the optic nerve head (ONH) is associated with glaucoma and other diseases of the optic nerve, measurement of this deformation is of current research interest. This paper considers the computation of cup depth, a measurement of the depth of the internal limiting membrane (ILM). The computation of cup depth requires a reference structure against which to measure the ILM, and the construction of two reference structures is discussed, one based on Bruch's membrane opening (BMO) and the other based on the anterior surface of the peripapillary sclera (AS). A main focus of the paper is the robust computation of mean cup depth, which requires a good sampling of a reconstruction of the ILM surface. To evaluate our algorithm, the construction of synthetic datasets is considered.

Effect of Photorefractive Keratectomy on Optic Nerve Head Topography and Retinal Nerve Fiber Layer Thickness Measured by Heidelberg Retina Tomograph 3.

Purpose:To determine whether photorefractive keratectomy (PRK) has a significant effect on optic nerve head (ONH) parameters and peripapillary retinal nerve fiber layer (RNFL) thickness measured by the Heidelberg Retina Tomograph 3 (Heidelberg Engineering GmbH, Heidelberg, Germany) in eyes with low to moderate myopia.Methods:This prospective, interventional case series, includes 43 consecutive myopic eyes which were assessed on the day of PRK and 3 months postoperatively using the HRT3. Among the stereometric parameters, we compared disc area, linear cup disc ratio, cup shape measure, global rim area, global rim volume, RNFL height variation contour and mean RNFL thickness; out of the Glaucoma Probability Score (GPS) we assessed changes in global value, rim steepness temporal/superior, and temporal/inferior, as well as cup size and cup depth before and after PRK.Results:Mean refractive error before and after PRK were −3.24 ± 1.31 and −0.20 ± 0.42 diopters, respectively. No significant change occurred in disc area, linear cup disc ratio, cup shape measure, rim area and rim volume among the stereometric parameters; and in rim steepness temporal/superior and rim steepness temporal/inferior in the GPS before and after PRK using the default average keratometry. However, RNFL height variation contour, mean RNFL thickness, and cup size and depth were significantly altered after PRK (P < 0.05).Conclusion:PRK can affect some HRT3 parameters. Although the most important stereometric parameters for differentiating normal, suspect or glaucomatous patients such as rim and cup measurements in stereometric parameters were not changed.

Age, Maximum Cup Depth, Central Corneal Thickness, Disc Area and Mean Defect in Patients with Open Angle Glaucoma and Ocular Hypertension

Purpose: The main objective was to analyze the relationship between maximum cup depth (MCD), mean defect (MD), central corneal thickness (CCT), age and disc area, in patients with ocular hypertension (OHT) and primary open angle glaucoma (POAG). Methods: Cross-sectional study of patients diagnosed with OHT and POAG. Visual fields were obtained using an Octopus 300 analyzer, TOP strategy. MCD and disc area were obtained using a Heidelberg Retina Tomograph. Results: The study sample comprised 234 eyes of 143 patients, 91 women and 52 men, mean age 63.55 years (SD 10.49). Mean values were: MCD 0.52 mm (SD 0.27), MD 2.78 dB (SD 5.02), CCT 543.5 μm (SD 36.63), IOP 16.73 mmHg (SD 2.93), and disc area 2.01 mm2 (SD 0.39). A significant correlation was observed between MCD and age in patients under 60 years, between MCD and disc area, and between MD and disc area. Conclusions: Our study showed a correlation between MCD and age which was significant in patients under 60 years of age, between MCD and disc area and between MD and disc area, suggesting that the larger the disc area, the greater the MCD and the MD in patients with OHT and POAG.

Morphometric Optic Nerve Head Analysis in Glaucoma Patients: A Comparison between the Simultaneous Nonmydriatic Stereoscopic Fundus Camera (Kowa Nonmyd WX3D) and the Heidelberg Scanning Laser Ophthalmoscope (HRT III).

Purpose. To investigate the agreement between morphometric optic nerve head parameters assessed with the confocal laser ophthalmoscope HRT III and the stereoscopic fundus camera Kowa nonmyd WX3D retrospectively. Methods. Morphometric optic nerve head parameters of 40 eyes of 40 patients with primary open angle glaucoma were analyzed regarding their vertical cup-to-disc-ratio (CDR). Vertical CDR, disc area, cup volume, rim volume, and maximum cup depth were assessed with both devices by one examiner. Mean bias and limits of agreement (95% CI) were obtained using scatter plots and Bland-Altman analysis. Results. Overall vertical CDR comparison between HRT III and Kowa nonmyd WX3D measurements showed a mean difference (limits of agreement) of −0.06 (−0.36 to 0.24). For the CDR < 0.5 group (n = 24) mean difference in vertical CDR was −0.14 (−0.34 to 0.06) and for the CDR ≥ 0.5 group (n = 16) 0.06 (−0.21 to 0.34). Conclusion. This study showed a good agreement between Kowa nonmyd WX3D and HRT III with regard to widely used optic nerve head parameters in patients with glaucomatous optic neuropathy. However, data from Kowa nonmyd WX3D exhibited the tendency to measure larger CDR values than HRT III in the group with CDR < 0.5 group and lower CDR values in the group with CDR ≥ 0.5.

Contact mechanics of reverse total shoulder arthroplasty during abduction: the effect of neck-shaft angle, humeral cup depth, and glenosphere diameter

Implant design parameters can be changed during reverse shoulder arthroplasty (RSA) to improve range of motion and stability; however, little is known regarding their impact on articular contact mechanics. The purpose of this finite element study was to investigate RSA contact mechanics during abduction for different neck-shaft angles, glenosphere sizes, and polyethylene cup depths. Finite element RSA models with varying neck-shaft angles (155°, 145°, 135°), sizes (38mm, 42mm), and cup depths (deep, normal, shallow) were loaded with 400 N at physiological abduction angles. The contact area and maximum contact stress were computed. The contact patch and the location of maximum contact stress were typically located inferomedially in the polyethylene cup. On average for all abduction angles investigated, reducing the neck-shaft angle reduced the contact area by 29% for 155° to 145° and by 59% for 155° to 135° and increased maximum contact stress by 71% for 155° to 145° and by 286% for 155° to 135°. Increasing the glenosphere size increased the contact area by 12% but only decreased maximum contact stress by 2%. Decreasing the cup depth reduced the contact area by 40% and increased maximum contact stress by 81%, whereas increasing the depth produced the opposite effect (+52% and -36%, respectively). The location of the contact patch and maximum contact stress in this study matches the area of damage seen frequently on clinical retrievals. This finding suggests that damage to the inferior cup due to notching may be potentiated by contact stresses. Increasing the glenosphere diameter improved the joint contact area and did not affect maximum contact stress. However, although reducing the neck-shaft angle and cup depth can improve range of motion, our study shows that this also has some negative effects on RSA contact mechanics, particularly when combined.