Increase In Thickness Research Articles

Competing Charge Transfer and Screening Effects in Two-Dimensional Ferroelectric Capacitors.

Two-dimensional (2D) ferroelectrics promise ultrathin flexible nanoelectronics, typically utilizing a metal-ferroelectric-metal sandwich structure. Electrodes can either contribute free carriers to screen the depolarization field, enhancing nanoscale ferroelectricity, or induce charge doping, disrupting the long-range crystalline order. We explore electrodes' dual roles in 2D ferroelectric capacitors, supported by first-principles calculations covering a range of electrode work functions. Our results reveal volcano-type relationships between ferroelectric-electrode binding affinity and work function, which are further unified by a quadratic scaling between the binding energy and the transferred interfacial charge. At the monolayer limit, charge transfer dictates the ferroelectric stability and switching properties. This general characteristic is confirmed in various 2D ferroelectrics including α-In2Se3, CuInP2S6, and SnTe. As the ferroelectric layer's thickness increases, the capacitor stability evolves from a charge-transfer-dominated state to a screening-dominated state. The delicate interplay between these two effects has important implications for 2D ferroelectric capacitor applications.

Influence of electrophoretic deposition of micro- or nanosized silica particles on the microstructure of carbon fibers and their bond behavior with cementitious matrices

The application of carbon fiber (CF) reinforced cementitious composites is often restricted by the poor load transfer between the components. In this study, two reactive coating materials—nano-silica and micro-silica—are utilized to modify the CF surfaces via an electrophoretic deposition approach. These negatively charged particles are able to be electrosorbed onto the fiber surfaces under a constant electrical field according to the zeta and cyclic voltammetry measurements. After surface treatment, XRD analysis of CFs showed an increase in graphite crystallite thickness and decrement in interlayer spacing d002\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$${d}_{002}$$\\end{document}, significantly affecting the fiber diameters. Additionally, the lengths of crystallites were reduced, which can impair the fiber strength and their temperature stability. Single fiber pullout tests exhibited that the interfacial bonding can be clearly enhanced by both reactive coatings. Microscopic observation revealed that C–S–H gel and calcite structures can be formed near the fiber surfaces after immersion in cement pore solution owing to pozzolanic reaction and nucleation effect, tremendously heightening both chemical and mechanical interaction between fiber and cement. Finally, based on a detailed micromechanical analysis, the reinforcing mechanisms between the differently modified fibers and the cementitious matrix were elaborated and discussed.Graphical abstract

Effect of ten different physical parameters on solar still productivity: Theoretical modeling

AbstractSolar distillation using solar stills is widely recognized as a clean and cost‐effective method for producing freshwater. However, due to its straightforward design, solar still performance is greatly influenced by various physical characteristics. Many researches have evaluated solar still parameters, while only a few articles have concerned physical ones. Therefore, this article aims to investigate the effect of different physical parameters on solar still productivity through thermal modeling. The theoretical results were validated with those of a previous experimental model, showing a good agreement with each other. The results reveal that daily productivity experiences significant improvement with an increase in plate emissivity or insulation thickness. Conversely, an increase in water mass, glass absorptivity or insulation thermal conductivity leads to a substantial reduction in productivity. Notably, water transmissivity and plate absorptivity do not affect productivity. Modest enhancements in productivity can be achieved by reducing the effective emissivity between water and glass. While the initial temperature of water has a minor impact on productivity at low water mass, it exhibits a substantial improvement effect at high water mass. These results can be a good guidance for the designers and manufacturers to develop more efficient designs that maximize the production of clean water.

Seismic performance of external diaphragm joints of steel beam-to-CFST column encasing fiber reinforced polymer confined UHPC core

A novel composite column was introduced by integrating a concrete-filled steel tube column encasing a Fiber Reinforced Polymer (FRP) confined ultra high performance concrete (UHPC) core. In this paper, the seismic performance of four SCF-UHPC composite column-to-steel beam connections using external diaphragm joints was experimentally investigated under the quasi-static test. All specimens failed due to the formation of plastic hinges at the beams and the tearing failure on the beam flanges at the plastic hinge zone. The local buckling at the column end and the panel zone was observed for the specimens receiving the higher axial compression ratio. The increase of FRP tube thickness is more effective in improving the ductility and energy dissipation capacity of the joints than increasing the UHPC core diameter. On the contrary, increasing the UHPC core diameter led to better resistance to the shear deformation of the panel zone. The proportion of shear deformation to the total deformation of the panel zone and the strain distributions were investigated to determine the effect of each component. The composite column in the panel zone mainly carried the compression-bending effort, and the external diaphragm mainly took the shear effort. All joints were eventually classified as semi-rigid type joints, according to the initial rotational stiffness.

Peripapillary pachychoroid syndrome treated with dexamethasone implant: A case report.

To describe a case of peripapillary pachychoroid syndrome (PPS) in a diabetic patient with cystoid macular edema (CME), treated with intravitreal dexamethasone implant (IDI) injection. This report also illustrates the history of the disease after repeated IDI and dexamethasone topical treatment. A case report. A 77-year old male patient with PPS and good diabetic control was treated with dexamethasone implant for CME. After an initial morphofunctional improvement associated with a first IDI, the disease relapsed after the second dexamethasone implant injection. This was associated with a significant increase in both intraretinal fluid and choroidal thickness, with subsequent visual acuity (VA) decrease. At this point, a topical dexamethasone treatment was performed and, despite a morphological improvement, VA worsened compared with baseline, likely because of anatomical damage. In this report, the importance of the recognition of PPS is underlined and the possible occurrence of a "rebound" effect due to repeated IDI is described.

Ultrahigh field diffusion magnetic resonance imaging uncovers intriguing microstructural changes in the adult zebrafish brain caused by Toll-like receptor 2 genomic deletion.

Toll-like receptor 2 (TLR2) belongs to the TLR protein family that plays an important role in the immune and inflammation response system. While TLR2 is predominantly expressed in immune cells, its expression has also been detected in the brain, specifically in microglia and astrocytes. Recent studies indicate that genomic deletion of TLR2 can result in impaired neurobehavioural function. It is currently not clear if the genomic deletion of TLR2 leads to any alterations in the microstructural features of the brain. In the current study, we noninvasively assess microstructural changes in the brain of TLR2-deficient (tlr2-/-) zebrafish using state-of-the art magnetic resonance imaging (MRI) methods at ultrahigh magnetic field strength (17.6 T). A significant increase in cortical thickness and an overall trend towards increased brain volumes were observed in young tlr2-/- zebrafish. An elevated T2 relaxation time and significantly reduced apparent diffusion coefficient (ADC) unveil brain-wide microstructural alterations, potentially indicative of cytotoxic oedema and astrogliosis in the tlr2-/- zebrafish. Multicomponent analysis of the ADC diffusivity signal by the phasor approach shows an increase in the slow ADC component associated with restricted diffusion. Diffusion tensor imaging and diffusion kurtosis imaging analysis revealed diminished diffusivity and enhanced kurtosis in various white matter tracks in tlr2-/- compared with control zebrafish, identifying the microstructural underpinnings associated with compromised white matter integrity and axonal degeneration. Taken together, our findings demonstrate that the genomic deletion of TLR2 results in severe alterations to the microstructural features of the zebrafish brain. This study also highlights the potential of ultrahigh field diffusion MRI techniques in discerning exceptionally fine microstructural details within the small zebrafish brain, offering potential for investigating microstructural changes in zebrafish models of various brain diseases.

Identifying the Quantitative Trait Locus and Candidate Genes of Traits Related to Milling Quality in Rice via a Genome-Wide Association Study

Milling quality directly affects production efficiency in rice, which is closely related to the brown rice recovery (BRR), the milled rice recovery (MRR) and the head milled rice recovery (HMRR). The present study investigated these three traits in 173 germplasms in two environments, finding abundant phenotypic variation. Three QTLs for BRR, two for MRR, and three for HMRR were identified in a genome-wide association study, five of these were identified in previously reported QTLs and three were newly identified. By combining the linkage disequilibrium (LD) analyses, the candidate gene LOC_Os05g08350 was identified. It had two haplotypes with significant differences and Hap 2 increased the BRR by 4.40%. The results of the qRT-PCR showed that the expression of LOC_Os05g08350 in small-BRR accessions was significantly higher than that in large-BRR accessions at Stages 4–5 of young panicle development, reaching the maximum value at Stage 5. The increase in thickness of the spikelet hulls of the accession carrying LOC_Os05g08350TT occurred due to an increase in the cell width and the cell numbers in cross-sections of spikelet hulls. These results help to further clarify the molecular genetic mechanism of milling-quality-related traits and provide genetic germplasm materials for high-quality breeding in rice.

Photocurrent Ambipolar Behavior in Phase Junction of a Ga2O3 Porous Nanostructure for Solar-Blind Light Control Logic Devices.

Photoelectrochemical (PEC) devices are the most similar artificial devices to the nervous system, which is expected to solve the problem of complex computer/nervous system interface (solid-liquid interface) and multifunctional integration (photoelectric fusion) required in the post-Moore era. Based on the different photocurrent ambipolar behavior and different deep ultraviolet solar-blind spectral photoresponse characteristics of α-Ga2O3 and β-Ga2O3, we designed and constructed the Ga2O3 porous nanostructure PEC device with an adjustable photocurrent bipolar behavior through constructing an α/β phase junction core-shell structure by adjusting the thickness and the surface state of the shell layer. The switching point of the α/β-Ga2O3 ambipolar photocurrent shifts toward negative values with the increase of β-Ga2O3 shell layer thicknesses, and adjustable Boolean logic gates are prepared using the voltage as the input source with a high accuracy manipulated by solar-blind deep ultraviolet light. The controllable solar-blind logic gates based on the ambipolar photocurrent behavior of α/β-Ga2O3 presented in this study offer a new path for the photoelectric device multifunctional integration needed in the post-Moore era, which can be used in the creation of Ga2O3 half adders and full adders, as well as in the construction of four-input OR gates.

Study on thermal runaway propagation inhibition of battery module by flame-retardant phase change material combined with aerogel felt

Phase change materials (PCMs) are susceptible to fire and may accelerate heat transfer when thermal runaway propagation (TRP) in lithium-ion battery (LIB) modules, requiring the design and safe use of insulation structures with excellent flame-retardant properties. In this work, the sandwich structure composed of flame-retardant phase change material (FRPCM) combined with aerogel felt (AEGF) is used to study the inhibitory effect on TRP of pouch battery modules (BMs). The structural materials are applied between cells, and the changes of temperature, voltage, mass and other parameters in the TRP process are analyzed by changing the thickness of FRPCMs and AEGFs, and the changes of heat flux of materials were also qualitatively analyzed. The results show that the increase of FRPCM and AEGF thickness can increase the interval time of TRP and reduce the overall thermal risk of the BMs. Compared to Test-1, the increase in TRP time between cells 1 and 2 in Test-2 to Test-5 ranged from 52.7% to 358.7%, and the longest thermal runaway interval reached 844 s. Both the structural materials in Test-6 and Test-7 block the TRP. Combining the thermal conductivity of PCMs and the thermal insulation properties of AEGFs, this work can effectively conduct heat to the environment and block the TRP when applied to BMs, which provides a valuable reference for efficient inhibition and blocking of TRP.

Performance of multi-ribbed composite wall incorporating reactive powder concrete-filled steel tubular columns under axial compression

In this study, axial compression researches of an innovative composite shear wall, named multi-ribbed composite wall incorporating reactive powder concrete-filled steel tubular columns, were conducted using theoretical analyses as well as experimental and numerical investigations. This precast hybrid system embedded reactive powder concrete-filled steel tubular columns as boundary elements of multi-ribbed composite wall. A novel approach, namely the unified strength theory, was adopted in consideration of various materials diversity. The outcomes of unified strength theory were utilized to predict the ultimate compressive capacity of multi-ribbed composite wall equipped with reactive powder concrete-filled steel tubular columns. The proposed theoretical formulas were validated against the experimental results reported in this paper. Despite the fact that the calculated formula with b= 0 was obtained to predict the closest capacity value of the test specimen infilling ordinary concrete. The calculations with different values of b clearly indicated that the intermediate principal stress effect should be rationally considered. Experimental observations suggested that the frame column significantly contributed to improving the compressive performance throughout the entire process and maintained the wall integrity. Meanwhile, finite element models were developed using the ABAQUS program, followed by the elaboration of its numerical implementation. The numerical predictions of ten shear wall specimens infilling reactive powder concrete were found to be reasonably in agreement with the calculated results corresponding to b= 0.5. These findings revealed the characteristics of multiple defensive lines of "block-ribbed column-frame column" under axial compression. Following the successful validation of finite element models, parametric studies were carried out to evaluate the influences of the filled block compressive strength, steel tube wall thickness and height-width ratio. The results show that the axial compression capacity of multi-ribbed composite wall incorporating reactive powder concrete-filled steel tubular columns can be noticeably improved with an increase in block strength and tube thickness. The proposed composite wall demonstrates favorable cooperative working performance and desirable displacement ductility. Subsequently, the primary objective of this pilot study aimed at developing a reliable theoretical calculation formula and conducting numerical simulation verification of the innovative composite wall. The aforementioned conclusions are intended to provide insights for the guidance and optimization of engineering structures.

Alterations in the Anatomy and Ultrastructure of Leaf Blade in Norway Maple (Acer platanoides L.) Growing on Mining Sludge: Prospects of Using This Tree Species for Phytoremediation

Alterations in leaf architecture can be used as an indicator of the substrate toxicity level as well as the potential of a given plant species in the phytoremediation of polluted areas, e.g., mining sludge. In this work, we demonstrated, for the first time, the nature and scale of alterations in leaf architecture at the tissue and cellular levels occurring in Norway maple growing on mining sludge originating from a copper mine in Lubin (Poland). The substrate differs from other mine wastes, e.g., calamine or serpentine soils, due to an extremely high level of arsenic (As). Alterations in leaf anatomy predominantly included the following: (1) a significant increase in upper epidermis thickness; (2) a significant decrease in palisade parenchyma width; (3) more compact leaf tissue organization; (4) the occurrence of two to three cell layers in palisade parenchyma in contrast to one in the control; (5) a significantly smaller size of cells building palisade parenchyma. At the cellular level, the alterations included mainly the occurrence of local cell wall thickenings—predominantly in the upper and lower epidermis—and the symptoms of accelerated leaf senescence. Nevertheless, many chloroplasts showed almost intact chloroplast ultrastructure. Modifications in leaf anatomy could be a symptom of alterations in morphogenesis but may also be related to plant adaptation to water deficit stress. The occurrence of local cell wall thickenings can be considered as a symptom of a defence strategy involved in the enlargement of apoplast volume for toxic elements (TE) sequestration and the alleviation of oxidative stress. Importantly, the ultrastructure of leaf cells was not markedly disturbed. The results suggested that Norway maple may have good phytoremediation potential. However, the general shape of the plant, the significantly smaller size of leaves, and accelerated senescence indicated the high toxicity of the mining sludge used in this experiment. Hence, the phytoremediation of such a substrate, specifically including use of Norway maple, should be preceded by some amendments—which are highly recommended.

Comparison of Corneal Endothelial Cell Loss in Femtosecond Laser-assisted Cataract Surgery: Impact on Endothelial Cells in Different Regions.

To compare changes in corneal endothelial parameters following femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification (CPS) in different corneal regions. Chang Gung Memorial Hospital, Linkou, Taiwan, 2018- 2022. Single-center, retrospective. Before and 1, 3, and 6 months post-op, specular microscopy was performed to measure endothelial cell density (ECD), corneal thickness, hexagonal cell rate (Hex), and coefficient of variation (CoV). Position 1 referred to the central cornea, Position 2 was nearest to the main wound, and Position 3 was at the peripheral zone diagonal to the main wound. This study analyzed 96 eyes in the FLACS group and 110 eyes in the CPS group. Preoperatively, Position 1 had lower ECD and CoV and higher Hex compared to the peripheral regions. FLACS patients had a significantly less phaco time and cumulative dissipated energy. At one month, FLACS patients showed a significantly smaller increase in corneal thickness at Positions 1 and 2. At 3 months, FLACS patients had lower endothelial cell loss (ECL) at Positions 1 and 3. ECL remained lower in FLACS patients at 6 months. The highest ECL was observed at Position 2 in both groups and was progressive up to 6 months. Following phacoemulcification, ECL varied in different corneal regions. At 3 months, the FLACS group exhibited significantly less ECL at the central cornea; however, the continued ECL at 6 months near the main wound suggested ongoing endothelial remodeling in the region.

Numerical modelling of CuBi2O4 thin film solar cells with SCAPS-1D: Bridging the gap ideal and non-ideal conditions

Several simulation studies have been conducted in copper bismuth oxide (CuBi2O4) based solar cells (SCs) using SCAPS-1D simulator, demonstrating a high photoconversion efficiency (PCE) of up to 33 % under ideal conditions. The introduction of non-ideal conditions such as resistive losses, optical, and recombination losses could provide the actual performance of the SCs. In this letter, we applied all nonideal conditions to the SCs structure consisting of Mo/CuBi2O4/TiO2/ITO/Al with varied thicknesses of absorber layer of CuBi2O4 from 50 nm to 2 µm and evaluated the photovoltaic (PV) parameters and PCE of SCs. Under ideal conditions, cells exhibited a PCE of 31.23 % and 3.55 % with an absorber layer thickness of 2000 nm and 50 nm, respectively. The introduction of nonideal conditions with an absorber layer thickness of 50 nm, exhibited a drastic reduction of PCE from 3.55 to 0.46 % and other PV parameters such as open circuit voltage (Voc) from 1.19 to 1.04 V, short circuit current density (Jsc) from 4.27 to 0.77 mA/cm2, and fill factor (FF) from 69.40 to 56.42 %. The increase in thickness of the absorber layer further to 2000 nm did not improve the PCE of SCs.

Impact of treat and extend criteria on proportions that can be extended after loading phase of 2 mg aflibercept therapy for neovascular age related macular degeneration: PRECISE Report 5.

To study the impact of definitions of various treatment extension criteria on the proportion of patients who could be extended at their first visit after the loading phase of 2 mg aflibercept therapy for neovascular age related macular degeneration (nAMD). Patients with nAMD initiated on the loading phase of three intravitreal doses of 2 mg aflibercept in routine clinical practice were recruited from December 2019 to August 2021. The response to the loading phase was assessed at approximately 8 weeks post-loading (up to 140 days from first injection) based on different definitions of response. The proportion of patients that qualify for interval extension based on different clinical trial criteria was also evaluated. A total of 722 patients with visual acuity (VA) and optical coherence tomography (OCT) scans done at all 4 visits were included. Of these 32.4% of eyes responded with complete macular fluid resolution after the first injection with no recurrence through the loading phase (super-responders) while 26.9% had persistent macular fluid in all 4 visits (true non-responders). The rest were considered suboptimal responders. Change in VA showed marked variations within each of these categories of fluid resolution. For extension of next treatment interval, if presence of any macular fluid at the post-loading visit is the only criteria considered, about 50% could be extended to 8 weeks. If both VA worsening by ≥5 letters and a > 25 μm increase in central sub-field thickness (CST)are considered, 90% will be eligible for interval extension. Clinical trial designs and pre-defined treatment extension/shortening criteria determine the proportion of patients requiring treatment in the post-loading visit. The short and long-term impact of interval extension immediate post-loading on visual outcome in clinical practice is unknown.

Optimize Electron Beam Energy toward In Situ Imaging of Thick Frozen Bio-Samples with Nanometer Resolution Using MeV-STEM.

To optimize electron energy for in situ imaging of large biological samples up to 10 μm in thickness with nanoscale resolutions, we implemented an analytical model based on elastic and inelastic characteristic angles. This model has been benchmarked by Monte Carlo simulations and can be used to predict the transverse beam size broadening as a function of electron energy while the probe beam traverses through the sample. As a result, the optimal choice of the electron beam energy can be realized. In addition, the impact of the dose-limited resolution was analysed. While the sample thickness is less than 10 μm, there exists an optimal electron beam energy below 10 MeV regarding a specific sample thickness. However, for samples thicker than 10 μm, the optimal beam energy is 10 MeV or higher depending on the sample thickness, and the ultimate resolution could become worse with the increase in the sample thickness. Moreover, a MeV-STEM column based on a two-stage lens system can be applied to reduce the beam size from one micron at aperture to one nanometre at the sample with the energy tuning range from 3 to 10 MeV. In conjunction with the state-of-the-art ultralow emittance electron source that we recently implemented, the maximum size of an electron beam when it traverses through an up to 10 μm thick bio-sample can be kept less than 10 nm. This is a critical step toward the in situ imaging of large, thick biological samples with nanometer resolution.

Withaferin A as a Potential Therapeutic Target for the Treatment of Angiotensin II-Induced Cardiac Cachexia.

In our previous studies, we showed that the generation of ovarian tumors in NSG mice (immune-compromised) resulted in the induction of muscle and cardiac cachexia, and treatment with withaferin A (WFA; a steroidal lactone) attenuated both muscle and cardiac cachexia. However, our studies could not address if these restorations by WFA were mediated by its anti-tumorigenic properties that might, in turn, reduce the tumor burden or WFA's direct, inherent anti-cachectic properties. To address this important issue, in our present study, we used a cachectic model induced by the continuous infusion of Ang II by implanting osmotic pumps in immunocompetent C57BL/6 mice. The continuous infusion of Ang II resulted in the loss of the normal functions of the left ventricle (LV) (both systolic and diastolic), including a significant reduction in fractional shortening, an increase in heart weight and LV wall thickness, and the development of cardiac hypertrophy. The infusion of Ang II also resulted in the development of cardiac fibrosis, and significant increases in the expression levels of genes (ANP, BNP, and MHCβ) associated with cardiac hypertrophy and the chemical staining of the collagen abundance as an indication of fibrosis. In addition, Ang II caused a significant increase in expression levels of inflammatory cytokines (IL-6, IL-17, MIP-2, and IFNγ), NLRP3 inflammasomes, AT1 receptor, and a decrease in AT2 receptor. Treatment with WFA rescued the LV functions and heart hypertrophy and fibrosis. Our results demonstrated, for the first time, that, while WFA has anti-tumorigenic properties, it also ameliorates the cardiac dysfunction induced by Ang II, suggesting that it could be an anticachectic agent that induces direct effects on cardiac muscles.

A comparative analytical study for the different water pools present in alginate hydrogels: Qualitative vs. quantitative approaches

Alginate hydrogels have garnered significant attention due to their promising applications in the food, biomedical, and pharmaceutical industries. The detection and quantification of distinct water phases within these hydrogels offer valuable insights into their dynamic, absorptive, and mechanical properties. Despite being comprised solely of 2 wt % polymeric materials, the alginate hydrogels exhibit a highly porous morphology, characterized by distinct water pools exhibiting varying mobility and dynamic behaviors. These phases can be delineated as largely free water phase with high mobility, which occupies the macropores, and bound water with restricted mobility, which interacts with the fibrous polymeric structure. Water pools interacting with their surrounding environments possess variable crystal structures on variable freezing points, this could be easily detected using X-ray scattering techniques. A comparative study was conducted based on the information derived from each technique, with differential scanning calorimetry (DSC) yielding quantitative information for the water phases in alginate hydrogels (i.e., 58 % free and 42 % bound water in 0.75 wt % - 6 h aging sample), whereas cryogenic scanning electron microscopy (Cryo-SEM), wide and small-angle X-ray scattering (WAXS and SAXS), Fourier Transform Infrared (FT-IR), and rheology provided valuable qualitative insights. In this study, deep insights into the molecular structure of alginates were obtained including the alteration in morphology and macropore distribution, increase in the wall thickness, density, and mechanical properties upon increasing the Ca2+ concentration and aging period.

Abstract PO2-12-11: Ocular Toxicity of Tamoxifen in Patients with Breast Cancer

Abstract Background: The latest recommendations in breast cancer treatment protocols with tamoxifen indicate that it should be used from five to 10 years. It depends mainly on the cumulative dose of the drug in the body. Despite its multiplicity, the various studies conducted on this subject did not reach conclusive results. Objectives: This research aims to study retinopathy associated with hormonal treatment of breast cancer using tamoxifen. Methods: A cross-sectional study was conducted at Al-Mouwasat University Hospital on a sample of 130 eyes according to (G-Power) with a statistical power of 95%. The participants were briefed on the research and consented on the ethical considerations. Then, the patients who entered the study were interrogated, clinically examined, and were asked about their medical history, the time of breast cancer diagnosis along with the details about the treatment protocols they underwent or currently undergoing. The refractive errors were measured with an automatic refractive device, then they were examined on the slit lamp to investigate the refractory media, then the corrected and uncorrected visual acuity were taken. Finally, after ensuring that the inclusion criteria were met and excluding those who fulfil one or more of the exclusion criteria, optical coherence tomography was performed using SD-OCT technique to measure and review the retinal thickness map in circles of 1-3-6 mm, respectively, to notice possible changes on it. Results: We found that the use of tamoxifen irrespective to cumulative dose leads to increase in the macula thickness values in the upper and lower sectors within the 3 mm circle, and to significant decrease in the macula thickness values in the upper and lower sectors within the 6 mm circle, in addition to decrease in nasal sector thickness within the circles of 3 and 6 mm. Conclusion: We conclude that the difference between people treated with tamoxifen and those not treated with it is not limited to the occurrence of crystals deposition in the macular area or the presence of a cavity in the central macula (with or without typical cystic macular edema), but rather to existence of macula thickness differences unrelated to the cumulative dose of the drug, whether by increase or decrease in thickness of the upper, lower and nasal segments. Citation Format: Husain Alhouz, Arwa Azmeh, Maher Saifo. Ocular Toxicity of Tamoxifen in Patients with Breast Cancer [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO2-12-11.

Recurrence Characteristics on Optical Coherence Tomography and Treatments of Reis-Bücklers Corneal Dystrophy after Phototherapeutic Keratectomy or Penetrating Keratoplasty: Recurrence characteristics and treatments of RBCD

PurposeTo evaluate the recurrence characteristics on optical coherence tomography and clinical outcomes after phototherapeutic keratectomy (PTK) or penetrating keratoplasty (PKP) in patients with Reis-Bücklers corneal dystrophy (RBCD). DesignRetrospective interventional case series. MethodsSeventeen patients with RBCD (31 eyes, including six surgery-naïve eyes and 25 surgical eyes) received 44 surgical interventions from 1996 through 2022. PTK or PKP was performed as the initial surgical procedure. Significant recurrence was determined when best spectacle-corrected visual acuity decreased at least two lines with increased opacity in the superficial cornea. Repeated PTK or PTK on the corneal graft (CG-PTK) was considered if patients could not endure poor vision due to significant recurrence. Recurrence depth and annual increase in thickness of the central cornea and subepithelial deposits were assessed by anterior segment optical coherence tomography. ResultsThe mean follow-up time was 12.8±8.5 years (range, 2.0–25.5 years). The mean logMAR best spectacle-corrected visual acuity improved from 1.24±0.48 preoperatively to 0.27±0.09 postoperatively in the initial PTK group (13 eyes, P<0.001), from 1.84±0.69 to 0.40±0.13 in the PKP group (12 eyes, P<0.001), from 1.04±0.46 to 0.30±0.07 in the repeated PTK group (12 times in 7 eyes, P<0.001), and from 1.29±0.43 to 0.39±0.11 in the CG-PTK group (7 times in 5 eyes, P=0.001). The median significant recurrence time was 27 months (95% confidence interval 23.9-30.1), 96 months (84.1-107.9), 31 months (28.8-33.1), and 24 months (19.8-28.2), respectively (P<0.001). The depth of superficial deposits located between the epithelium and the anterior stroma was approximately 115μm (85-159μm). The annual thickening of subepithelial deposits was 14±2μm after initial PTK, 7±3μm after PKP, 14±3μm after repeated PTK, and 30±11μm after CG-PTK, compared to 4±2μm in surgery-naïve eyes (P=0.002, 0.515, 0.002, <0.001). The thickness of the central cornea increased by 15±2μm, 7±2μm, 15±3μm, and 31±10μm per year in the four surgery groups, respectively, compared to 5±2μm in surgery-naïve eyes (P=0.001, 0.469, 0.001, <0.001). ConclusionsBetter visual acuity can be achieved after PTK than PKP for treatment of RBCD. The annual thickening of subepithelial deposits may approximate an increase in central corneal thickness. The superficial distribution of subepithelial deposits makes it feasible to perform repeated PTK, even on the corneal allograft, for recurrent RBCD.

Association Between Corneal Changes and Retinal Oximetry in Diabetes Mellitus.

Diabetes mellitus (DM) causes different corneal changes that are associated with the severity of diabetic retinopathy. To identify the pathophysiological reasons for this, corneal tomography and optical densitometry (COD) were combined with retinal oximetry. Patients with DM and healthy subjects were included in this pilot study. Spatially resolved corneal thickness and COD were assessed using the Pentacam HR (Oculus). The pachymetry difference (PACDiff) was calculated as an indicator of an increase in the peripheral corneal thickness. Oxygen saturation (SO2) of the retinal vessels was measured using the Retinal Vessel Analyzer (Imedos Systems UG). Subsequently, the associations between corneal and retinal parameters were analyzed. Data from 30 patients with DM were compared with those from 30 age-matched healthy subjects. In DM, arterial (P = 0.048) and venous (P < 0.001) SO2 levels were increased, and arteriovenous SO2 difference was decreased (P < 0.001). In patients, PACDiff was higher than that in healthy subjects (P < 0.05), indicating a stronger increase in peripheral corneal thickness. The COD was reduced in DM (P = 0.004). The PACDiff of concentric rings with a diameter of 4 mm (r = -0.404; P = 0.033) to 8 mm (r = -0.522; P = 0.004) was inversely correlated with the arteriovenous SO2 difference. Furthermore, PACDiff 4 mm was negatively associated with arterial SO2 (r = -0.389; P = 0.041), and the COD of the peripheral corneal areas correlated positive with arterial SO2 (COD total 10-12 mm: r = 0.408; P = 0.025). These associations might indicate a common pathogenesis of corneal and retinal changes in DM, which could be caused by reduced oxygen supply, mitochondrial dysfunction, oxidative stress, and cytokine effects.