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Komatsu K, Masuda Y, Iwauchi A, Kubota H, Iida M, Ichihara K, Iwamoto M, Kawai K, Yamamoto N, Shimoda M, Nakano T. Lens capsule pathological characteristics in cases of intraocular lens dislocation with atopic dermatitis. J Cataract Refract Surg 2024; 50:611-617. [PMID: 38350154 PMCID: PMC11146175 DOI: 10.1097/j.jcrs.0000000000001413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 01/26/2024] [Accepted: 01/29/2024] [Indexed: 02/15/2024]
Abstract
PURPOSE To explore lens capsule pathological characteristics in intraocular lens (IOL) dislocation after cataract surgery in patients with atopic dermatitis (AD). SETTING University hospital department of ophthalmology. DESIGN Case series with clinicopathological correlations. METHODS Lens capsules and surrounding tissues excised during surgery from eyes with AD (AD group) and eyes without AD (non-AD group) with IOL dislocation were histologically evaluated. Hematoxylin and eosin staining was used to assess abnormal changes in lens epithelial cells (LECs). Masson trichrome staining distinguished the fibrous metaplasia around the lens capsule into high-density and low-density fibrosis. Capsular splitting (thinning) was identified in both stained preparations. RESULTS The IOL dislocation morphology in the AD group (10 eyes of 10 patients) included 7 cases of capsular bag dislocation (CBD) and 3 cases of dead bag syndrome (DBS), with an average duration to IOL dislocation of 11.5 ± 5.6 years. All patients in the non-AD group (12 eyes of 12 patients) had CBD, averaging 10.2 ± 5.7 years to dislocation. Abnormal LECs, low-density fibrosis, and capsular splitting were observed in 9 (90), 9 (90), and 6 (60) of the patients in the AD group compared with 6 (50), 3 (25), and 2 (18), respectively, in the non-AD group (total n [%]). CONCLUSIONS Compared with the non-AD group, the AD group exhibited higher frequencies of morphological changes in LECs, low-density fibrosis around the lens capsule, and capsular splitting characteristics of DBS. These results suggest LEC degeneration and increased lens capsule fragility occurred in patients with AD.
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Affiliation(s)
- Koji Komatsu
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Yoichiro Masuda
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Ai Iwauchi
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Hoshiho Kubota
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Masanobu Iida
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Kosuke Ichihara
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Masami Iwamoto
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Kenji Kawai
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Naoki Yamamoto
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Masayuki Shimoda
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
| | - Tadashi Nakano
- From the Department of Ophthalmology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan (Komatsu, Masuda, Iida, Ichihara, Nakano); Department of Pathology, TheJikei University School of Medicine, Minato-ku, Tokyo, Japan (Iwauchi, Kubota, Iwamoto, Shimoda); Department of Ophthalmology, Tokai University School of Medicine, Isehara, Kanagawa, Japan (Kawai); Support Office for Bioresource Research, Center for Translational Research, Translational Research Headquarters, Fujita Health University, Toyoake, Aichi, Japan (Yamamoto)
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Zdonczyk A, Tychsen L, Constantino JN, Culican SM, Badawi AA, Reynolds M. Impact of Ocular Conditions and Improvements After Refractive Surgery in Quality of Life for Children With Neurodevelopmental Disorders. Am J Ophthalmol 2023; 247:9-17. [PMID: 36343699 DOI: 10.1016/j.ajo.2022.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 10/21/2022] [Accepted: 10/24/2022] [Indexed: 11/06/2022]
Abstract
PURPOSE This study aims to characterize the eye-related quality of life of children with neurodevelopmental and ocular disorders at baseline and after refractive surgery. DESIGN Prospective interventional case series. METHODS We enrolled children and adolescents 5 to 18 of age with neurodevelopmental disorders undergoing refractive surgery (6 for pre-/postsurgical assessment and 14 for baseline analysis). Eye-related quality of life was measured using the Pediatric Eye Questionnaire (PedEyeQ). Baseline levels of adaptive functioning and social behaviors were measured using the Adaptive Behavioral Assessment System (ABAS-3) and Social Responsiveness Scale (SRS-2). We assessed the correlation between baseline PedEyeQ scores, number of ocular comorbidities, magnitude of refractive error, and ABAS-3 and SRS-2 scores. RESULTS At baseline, 14 patients demonstrated decreased median eye-related quality of life (<60/100) in 5 of 9 PedEyeQ domains, moderate deficiencies in social behaviors (SRS-2 median 71, range 49-90), and low adaptive functioning (ABAS-3 median percentile for age of 0.100). Baseline PedEyeQ scores did not correlate with magnitude of refractive error or adaptive functioning scores but did correlate with number of ocular comorbidities and social behavior scores. Six patients have undergone refractive surgery without complication. Postoperatively, 11 of 11 eyes were within ±1.5 diopters spherical equivalent. Four of 6 patients exhibited clinically significant improvements in PedEyeQ scores after surgery. CONCLUSIONS Even in the presence of significant social and adaptive impairments, quality of life in children with neurodevelopmental disorders is decreased by ocular disorders. Refractive surgery is associated with clinically significant improvements in eye-related quality of life.
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Affiliation(s)
- Alexandra Zdonczyk
- From the Department of Ophthalmology & Visual Sciences (A.Z., L.T., A.A.B., M.R.), Washington University School of Medicine, St. Louis, Missouri, USA
| | - Lawrence Tychsen
- From the Department of Ophthalmology & Visual Sciences (A.Z., L.T., A.A.B., M.R.), Washington University School of Medicine, St. Louis, Missouri, USA
| | - John N Constantino
- Department of Psychiatry (J.N.C.), Washington University School of Medicine, St. Louis, Missouri, USA
| | - Susan M Culican
- Department of Ophthalmology and Visual Neurosciences (S.M.C.), University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Amer Al Badawi
- From the Department of Ophthalmology & Visual Sciences (A.Z., L.T., A.A.B., M.R.), Washington University School of Medicine, St. Louis, Missouri, USA
| | - Margaret Reynolds
- From the Department of Ophthalmology & Visual Sciences (A.Z., L.T., A.A.B., M.R.), Washington University School of Medicine, St. Louis, Missouri, USA.
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Hage A, Knoeri J, Leveziel L, Majoulet A, Buffault J, Labbé A, Baudouin C. [From ocular itching to eye rubbing: a review of the literature]. J Fr Ophtalmol 2023; 46:173-184. [PMID: 36635208 DOI: 10.1016/j.jfo.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 09/20/2022] [Accepted: 09/22/2022] [Indexed: 01/11/2023]
Abstract
Ocular itching and eye rubbing are frequent complaints in an ophthalmology practice. Numerous studies address the consequences of eye rubbing, such as keratoconus. However, there are few studies concerning the pathophysiology of itching, its transmission pathways, or its interactions with eye rubbing. Through this literature review, we will address the various clinical, physiological and therapeutic aspects of this pair of symptoms with a variety of ocular consequences. We will then describe the state of the art in itching and scratching in dermatology, in order to draw a parallel between these two vicious cycles. A better understanding of the pathophysiology of ocular itching and eye rubbing, as well as new studies based on dermatological data, might allow more appropriate clinical management of our patients and their symptoms.
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Affiliation(s)
- A Hage
- Department of Ophthalmology III, National Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, Service 3-Pr Christophe Baudouin, 28, rue de Charenton, 75012, Paris, France.
| | - J Knoeri
- Department of Ophthalmology V, NATIONAL Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, 28, rue de Charenton, 75012, Paris, France
| | - L Leveziel
- Department of Ophthalmology V, NATIONAL Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, 28, rue de Charenton, 75012, Paris, France
| | - A Majoulet
- Department of Ophthalmology III, National Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, Service 3-Pr Christophe Baudouin, 28, rue de Charenton, 75012, Paris, France
| | - J Buffault
- Department of Ophthalmology III, National Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, Service 3-Pr Christophe Baudouin, 28, rue de Charenton, 75012, Paris, France
| | - A Labbé
- Department of Ophthalmology III, National Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, Service 3-Pr Christophe Baudouin, 28, rue de Charenton, 75012, Paris, France; Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, Université de Versailles Saint-Quentin en Yvellines, 9, avenue Charles de Gaulle, 92100, Boulogne-Billancourt, France; Sorbonne Université, inserm, CNRS, Institut de la Vision, 17, rue Moreau, 75012, Paris, France
| | - C Baudouin
- Department of Ophthalmology III, National Hospital Centre for Ophthalmology Quinze-Vingts, IHU FOReSIGHT, Service 3-Pr Christophe Baudouin, 28, rue de Charenton, 75012, Paris, France; Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, Université de Versailles Saint-Quentin en Yvellines, 9, avenue Charles de Gaulle, 92100, Boulogne-Billancourt, France; Sorbonne Université, inserm, CNRS, Institut de la Vision, 17, rue Moreau, 75012, Paris, France
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