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Sun W, Gu S, Zhang F, Xu M, Chang P, Zhao Y. Congenital cataracts affect the retinal visual cycle and mitochondrial function: A multi-omics study of GJA8 knockout rabbits. J Proteomics 2023; 287:104972. [PMID: 37467890 DOI: 10.1016/j.jprot.2023.104972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 06/30/2023] [Accepted: 07/08/2023] [Indexed: 07/21/2023]
Abstract
Congenital cataracts are a threat to visual development in children, and the visual impairment persists after surgical treatment; however, the mechanisms involved remain unclear. Previous clinical studies have identified the effect of congenital cataracts on retinal morphology and function. To further understand the molecular mechanisms by which congenital cataracts affect retinal development, we analyzed retina samples from 7-week-old GJA8-knockout rabbits with congenital cataracts and controls by four-dimensional label-free quantification proteomics and untargeted metabolomics. Bioinformatics analysis of proteomic data showed that retinol metabolism, oxidative phosphorylation, and fatty acid degradation pathways were downregulated in the retinas of rabbits with congenital cataracts, indicating that their visual cycle and mitochondrial function were affected. Additional validation of differentially abundant proteins related to the visual cycle and mitochondrial function was performed using Parallel reaction monitoring and western blot experiments. Untargeted metabolome analysis showed significant upregulation of the antioxidant glutathione and ascorbic acid in the retinas of rabbits with congenital cataracts, indicating that their oxidative stress balance was not dysregulated. SIGNIFICANCE: Congenital cataracts in children can alter retinal structure and function, yet the mechanisms are uncertain. Here is the first study to use proteomics and metabolomics approaches to investigate the effects of congenital cataracts on retinal development in the early postnatal period. Our findings suggest that congenital cataracts have an impact on the retinal visual cycle and mitochondrial function. These findings give insight on the molecular pathways behind congenital cataract-induced visual function impairment in the early postnatal period.
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Affiliation(s)
- Weijie Sun
- Wenzhou Medical University School of Optometry and Ophthalmology, Eye Hospital, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; The State Key Laboratory of Optometry, Ophthalmology and Vision Science, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; National Center for Clinical and Medical Research, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China
| | - Siyi Gu
- Wenzhou Medical University School of Optometry and Ophthalmology, Eye Hospital, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; The State Key Laboratory of Optometry, Ophthalmology and Vision Science, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; National Center for Clinical and Medical Research, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China
| | - Fan Zhang
- Wenzhou Medical University School of Optometry and Ophthalmology, Eye Hospital, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; The State Key Laboratory of Optometry, Ophthalmology and Vision Science, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; National Center for Clinical and Medical Research, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China
| | - Mengxiang Xu
- Wenzhou Medical University School of Optometry and Ophthalmology, Eye Hospital, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; The State Key Laboratory of Optometry, Ophthalmology and Vision Science, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; National Center for Clinical and Medical Research, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China
| | - Pingjun Chang
- Wenzhou Medical University School of Optometry and Ophthalmology, Eye Hospital, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; The State Key Laboratory of Optometry, Ophthalmology and Vision Science, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; National Center for Clinical and Medical Research, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China.
| | - Yune Zhao
- Wenzhou Medical University School of Optometry and Ophthalmology, Eye Hospital, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; The State Key Laboratory of Optometry, Ophthalmology and Vision Science, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China; National Center for Clinical and Medical Research, 270 Xueyuan Road, Wenzhou, Zhejiang 325003, China.
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Li H, Lin X, Liu X, Zhou X, Yang T, Fan F, Luo Y. Surgical Outcomes of Lensectomy-Vitrectomy with Primary Intraocular Lens Implantation in Children with Bilateral Congenital Cataracts. J Pers Med 2023; 13:jpm13020189. [PMID: 36836423 PMCID: PMC9961743 DOI: 10.3390/jpm13020189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 01/07/2023] [Accepted: 01/18/2023] [Indexed: 01/24/2023] Open
Abstract
In this study, we evaluated the long-term surgical outcomes of lensectomy-vitrectomy with primary intraocular lens (IOL) implantation in children with bilateral congenital cataracts (CCs) and investigated the potential risk factors for low vision. A total of 148 eyes in 74 children who underwent lensectomy-vitrectomy with primary IOL implantation were enrolled in this study. The surgery age was 44.04 ± 14.60 months, with a follow-up period of 46.66 ± 14.34 months. The final BCVA was 0.24 ± 0.32 logMAR, and low vision was found in 22 eyes (14.9%). Postoperative complications requiring additional surgeries included VAO (4 eyes, 5.4%), IOL pupillary captures (2 eyes, 2.0%), iris incarceration (1 eye, 0.7%), and glaucoma (1 eye, 0.7%). A higher incidence of VAO and larger postoperative refractive error was observed in younger children (≤2 years old) than in elder children (>2 years old) (p = 0.003, p = 0.047, respectively). Final BCVA was affected by preexisting comorbidity (p < 0.001), cataract density (p < 0.001), cataract size (p = 0.020), occurrence of postoperative complications (p = 0.011), and ASE (p = 0.008). Multivariate analysis showed that denser cataracts (OR = 9.303, p = 0.035) and preexisting comorbidity (OR = 4.712, p = 0.004) were the significant predictors of low vision. In conclusion, lensectomy-vitrectomy with primary IOL implantation is an effective and safe treatment for CC. The long-term visual outcome is encouraging in children with bilateral CC undergoing this procedure with a low rate of postoperative complications requiring surgeries. Moreover, eyes with denser cataracts and preexisting comorbidity may have a high risk of low vision.
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Affiliation(s)
- Hongzhe Li
- Department of Ophthalmology, Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou 325027, China
- Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China
| | - Xiaolei Lin
- Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China
- Department of Ophthalmology, Shanghai Eye Disease Prevention, and Treatment Center, Shanghai Eye Hospital, Shanghai 200040, China
| | - Xin Liu
- Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China
| | - Xiyue Zhou
- Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China
| | - Tianke Yang
- Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China
| | - Fan Fan
- Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China
| | - Yi Luo
- Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China
- Correspondence: ; Tel.: +86-(0)21-64377134
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Magli A, Esposito Veneruso P, Rinaldi M, Caputo R, Tranfa F, Costagliola C. Long-term effects of early/late-onset visual deprivation on macular and retinal nerve fibers layer structure: A pilot study. PLoS One 2023; 18:e0283423. [PMID: 36952524 PMCID: PMC10035877 DOI: 10.1371/journal.pone.0283423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Accepted: 03/08/2023] [Indexed: 03/25/2023] Open
Abstract
BACKGROUND/AIMS Tomographic analysis of macular and peripapillary retinal nerve fibers layer (RNFL) thickness in patients with history of congenital (CC) and developmental cataract (DC). METHODS Analysis of macular and RNFL thickness using a spectral-domain optical coherence tomography was performed. Retinal layers thickness was measured using the internal segmentation software. Measurements of affected (unilateral and bilateral), contralateral eyes and control eyes were compared. RESULTS Patients with history of CC or DC (n = 13 and 11 respectively) and 35 healthy control subjects were enrolled. Thicker inner and outer nuclear layers (INL, ONL) and thicker ONL were found when CC and DC group when compared to controls respectively. Bilateral CC showed the most relevant differences. Slight thickening of CC inner retinal layers were found when compared to DC. Increased superonasal RNFL thickness was found in CC group when compared to DC and controls. Thickening of RNFL of contralateral unaffected eyes of unilateral CC were found when compared to controls. CONCLUSION Significant macular and RNFL thickness changes between CC, DC patients and controls that partially involve also contralateral unaffected eyes of unilateral congenital cataract were found. CC and DC groups show significant differences only in inner retinal layers thickness. Our data suggest that early visual deprivation may influence retinal arrangements occurring during development involving predominantly the outer nuclear layer and para/perifoveal inner retinal layers, and confirm that early treatment of CC allow to achieve better long-term visual outcome. Moreover functional and structural data support the hypothesis that unilateral amblyopia is not exclusively an unilateral issue.
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Affiliation(s)
- Adriano Magli
- Department of Ophthalmology, Orthoptic and Pediatric Ophthalmology, University of Salerno, Salerno, Italy
| | | | - Michele Rinaldi
- Pediatric Ophthalmology Unit, A. Meyer Children's Hospital, Florence, Italy
| | - Roberto Caputo
- Eye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Fausto Tranfa
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy
| | - Ciro Costagliola
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy
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Barbano L, Ziccardi L, Antonelli G, Nicoletti CG, Landi D, Mataluni G, Falsini B, Marfia GA, Centonze D, Parisi V. Multifocal Electroretinogram Photopic Negative Response: A Reliable Paradigm to Detect Localized Retinal Ganglion Cells' Impairment in Retrobulbar Optic Neuritis Due to Multiple Sclerosis as a Model of Retinal Neurodegeneration. Diagnostics (Basel) 2022; 12:diagnostics12051156. [PMID: 35626311 PMCID: PMC9139610 DOI: 10.3390/diagnostics12051156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 04/28/2022] [Accepted: 05/05/2022] [Indexed: 11/28/2022] Open
Abstract
The measure of the full-field photopic negative response (ff-PhNR) of light-adapted full-field electroretinogram (ff-ERG) allows to evaluate the function of the innermost retinal layers (IRL) containing primarily retinal ganglion cells (RGCs) and other non-neuronal elements of the entire retina. The aim of this study was to acquire functional information of localized IRL by measuring the PhNR in response to multifocal stimuli (mfPhNR). In this case-control observational and retrospective study, we assessed mfPhNR responses from 25 healthy controls and from 20 patients with multiple sclerosis with previous history of optic neuritis (MS-ON), with full recovery of visual acuity, IRL morphological impairment, and absence of morpho-functional involvement of outer retinal layers (ORL). MfPhNR response amplitude densities (RADs) were measured from concentric rings (R) with increasing foveal eccentricity: 0−5° (R1), 5−10° (R2), 10−15° (R3), 15−20° (R4), and 20−25° (R5) from retinal sectors (superior-temporal (ST), superior-nasal (SN), inferior-nasal (IN), and inferior-temporal (IT)); between 5° and 20° and from retinal sectors (superior (S), temporal (T), inferior (I), and nasal (N)); and within 5° to 10° and within 10° and 20° from the fovea. The mfPhNR RAD values observed in all rings or sectors in MS-ON eyes were significantly reduced (p < 0.01) with respect to control ones. Our results suggest that mfPhNR recordings may detect localized IRL dysfunction in the pathologic condition of selective RGCs neurodegeneration.
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Affiliation(s)
- Lucilla Barbano
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
| | - Lucia Ziccardi
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
- Correspondence: ; Tel.: +39-06-85356727; Fax: +39-06-84242333
| | - Giulio Antonelli
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
| | - Carolina Gabri Nicoletti
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Doriana Landi
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Giorgia Mataluni
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Benedetto Falsini
- Ophthalmology Department, IRCCS—Fondazione Policlinico Universitario A. Gemelli, Catholic University, Largo F. Vito 1, 00168 Rome, Italy;
| | - Girolama Alessandra Marfia
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
| | - Diego Centonze
- Multiple Sclerosis Clinical and Research Unit, Department of Systems Medicine, Tor Vergata University, Via Montpellier 1, 00133 Rome, Italy; (C.G.N.); (D.L.); (G.M.); (G.A.M.); (D.C.)
- Unit of Neurology and Neurorehabilitation, IRCCS—Neuromed, Via Atinense 18, 86077 Pozzilli, Italy
| | - Vincenzo Parisi
- IRCCS—Fondazione Bietti, Via Livenza 1, 00198 Rome, Italy; (L.B.); (G.A.); (V.P.)
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Xiao W, Song Z, Wang M. Outcomes of Bilateral Congenital and Developmental Cataracts Following IOL Implantation in Preschool Children. J Pediatr Ophthalmol Strabismus 2021; 58:180-187. [PMID: 34039155 DOI: 10.3928/01913913-20210108-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
PURPOSE To evaluate the different ocular outcomes and the potential factors affecting visual acuity in bilateral congenital cataracts and developmental cataracts after intraocular lens implantation in preschool children. METHODS In a retrospective study, 86 eyes (51 congenital and 35 developmental cataract cases) of 43 children aged 6 years and younger who were diagnosed as having bilateral cataracts and underwent cataract aspiration combined with primary or secondary foldable intraocular lens implantation between 2003 and 2018 were reviewed. A minimum of 1 year of follow-up was required. The best corrected visual acuity (BCVA) and the factors associated with visual results were explored. RESULTS The postoperative BCVA in the developmental cataract group (0.20 ± 0.19 logarithm of the minimum angle of resolution [logMAR]) was significantly better than that in the congenital cataract group (0.57 ± 0.31 logMAR) (P < .001). The mean refractive error was 3.61 ± 3.03 diopters in the congenital cataract group and 2.15 ± 1.82 diopters in the developmental cataract group. All cases of strabismus and nystagmus were found in the congenital cataract group. In the congenital cataract group, the variables age at cataract extraction and refractive error were significantly associated with BCVA (P < .001, P = .001, respectively). These variables had little effect on the developmental cataract group (P = .971, P = .576, respectively). Postoperative complications were recorded in 18 eyes: 4 in the developmental cataract group and 14 in the congenital cataract group. CONCLUSIONS The BCVA in the developmental cataract group was significantly better than that in the congenital cataract group. The therapeutic effects of patients with congenital cataracts and developmental cataracts should be evaluated separately. [J Pediatr Ophthalmol Strabismus. 2021;58(3):180-187.].
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Beneish R, Dorfman AL, Khan A, Polomeno RC, Lachapelle P. Organic visual loss measured by kinetic perimetry and retinal electrophysiology in children with functional amblyopia. Doc Ophthalmol 2021; 143:1-16. [PMID: 33515394 DOI: 10.1007/s10633-020-09811-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 11/30/2020] [Indexed: 11/27/2022]
Abstract
PURPOSE To demonstrate an organic (retinal) amblyogenic defect in functional amblyopes not responding to treatment. METHODS Twenty-four children (Mean age: 5.9 ± 1.8 years; range: 4-10 years) with functional amblyopia were recruited for this study. All these children underwent complete ophthalmic and orthoptic evaluation. In addition, Kinetic Goldman Visual Fields (KGVF), Spectral Domain Optical Coherence Tomography (SD-OCT), full field flash electroretinograms (ffERG) and multifocal electroretinograms (mfERG) were also performed. Ratios were subsequently derived by comparing the amplitudes obtained from the amblyopic eye (AE) to the good eye (GE) for the a- and b-waves of the ffERG, as well as for the ring analysis of the mfERG. RESULTS KGVF showed a central scotoma of varying size (3°-7°) and density (absolute to relative), with increasing target size in 14/24 patients whose best post-treatment vision in the AE ranged from 20/100 to 20/40. The scotoma decreased in size and density with improving vision until a plateau of recovery was reached. The remaining 10/24 patients with a vision ≥ 20/30 showed no scotoma. SD-OCT showed no significant difference between the AE and GE. ffERG and mfERG were obtained in 18/24 patients. The ffERG AE/GE ratio was abnormal in 7 patients, 5 of which had large scotomas on KGVF. The mfERG ring 1 AE/GE ratio was significantly (p < .05) attenuated in 9/18 patients out of which 3 were no longer amblyopic. However, there was no significant difference (p > .05) in ring 1 AE/GE amplitude ratio between those who achieved 20/50-20/40 (.81 ± .26) and those with ≥ 20/25(.86 ± .25). CONCLUSIONS The combined findings of central scotoma on KGVF and mfERG anomalies in patients who did not achieve optimal vision with treatment suggest an underlying organic defect impairing macular function.
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Affiliation(s)
- Raquel Beneish
- Department of Ophthalmology & Visual Sciences, McGill University-Montreal Children's Hospital Research Institute, Montreal, QC, Canada
| | - Allison L Dorfman
- Department of Ophthalmology & Visual Sciences, McGill University-Montreal Children's Hospital Research Institute, Montreal, QC, Canada
- Department of Ophthalmology, Centre Hospitalier Universitaire Sainte-Justine Research Center, Montreal, QC, Canada
| | - Ayesha Khan
- Department of Ophthalmology & Visual Sciences, McGill University-Montreal Children's Hospital Research Institute, Montreal, QC, Canada
| | - Robert C Polomeno
- Department of Ophthalmology & Visual Sciences, McGill University-Montreal Children's Hospital Research Institute, Montreal, QC, Canada
| | - Pierre Lachapelle
- Department of Ophthalmology & Visual Sciences, McGill University-Montreal Children's Hospital Research Institute, Montreal, QC, Canada.
- Research Institute of the McGill University Health Centre, 1001 Decarie Boulevard, Glen Site, Block E, Room EM03238, Montreal, QC, Canada.
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