DOCSLIB.ORG

Idiopathic Macular Telangiectasis Type 2 and Co-Existent Diabetic Retinopathy

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Idiopathic Macular Telangiectasis Type 2 and Co-Existent Diabetic Retinopathy Jhingan et al. Int J Retin Vitr (2017) 3:50 DOI 10.1186/s40942-017-0103-x International Journal of Retina and Vitreous ORIGINAL ARTICLE Open Access Idiopathic macular telangiectasis type 2 and co‑existent diabetic retinopathy Mahima Jhingan1, Kerul Marsonia1, Dhananjay Shukla2, Philip J. Rosenfeld3 and Jay Chhablani1* Abstract Background: To study the interaction between idiopathic macular telangiectasis type 2 (MacTel2) and coexistent diabetic retinopathy (DR) during long term follow up. Methods: A retrospective chart review was done for all eyes with MacTel2 and DR with a minimum 2 years follow up. Eyes with other retinal disorders and poor quality imaging were excluded. Data collected included demographics, presenting visual acuity, systemic evaluation, treatments done, duration of follow up, and fnal visual outcomes. Results: Out of 951 patients with MacTel2, 277 patients had diabetes. Out of 277 patients, 44 eyes of 22 patients had MacTel2 coexisting with DR. Twenty-eight eyes of 14 patients were included in this study. All cases of MacTel2 were bilateral with a preponderance of women (71.42%). Mean follow up was 93.07 84.03 months with a mean random blood sugar level of 135.41 45.47 mg% at presentation. Twenty-fve (89.28%)± eyes presented with mild non-pro- liferative diabetic retinopathy.± Two (7.14%) eyes progressed in their DR staging from baseline. Stage III MacTel2 were noted in 11 (39.28)% eyes at baseline. None of these eyes progressed to stage V during follow up. Mean presenting logMAR BCVA was 0.214 0.227 which dropped to 0.399 0.301 at last visit (p 0.0005). Diabetic macula edema (DME) was not noted in any± eye till last follow up. ± = Conclusions: 12.5% of eyes with MacTel2 in diabetic patients had coexistent DR. MacTel2 led to slowly progressive visual loss irrespective of the presence of DR. Keywords: Idiopathic juxtafoveal retinal telangiectasis, Non-proliferative diabetic retinopathy, Proliferative diabetic retinopathy, IMT, Idiopathic macular telangiectasia, Mac Tel2 Background signifcant association with abnormal glucose tolerance Idiopathic juxtafoveal retinal telangiectasis or idiopathic has been reported by Millay et al. [3]. macular telangiectasia type 2 (MacTel2) is a condition Te MacTel research group [4] found a coexistence of wherein dilated telangiectatic vessels are present juxta- diabetes mellitus in 28% and hypertension in 52% in their foveally, usually temporally, and lead to retinal thinning study, which was suggestive of the fact that the vascular along with photoreceptor damage, and in some instances, stress in these conditions may add to the pathogenesis subretinal neovascularization secondary to Muller cell of MacTel2. Tey excluded all individuals who presented degeneration [1, 2]. Gass [1, 2] frst described the condi- with diabetic retinopathy and MacTel2 from their study. tion in 1968; since then considerable research has been Tere is very limited literature on natural history of done to determine its natural history and pathogen- MacTel2 coexistent with diabetic retinopathy. In a case esis. Pathogenesis of MacTel2 is still not clear; however, study by Green et al. [5], they noted that the retinal capil- lary changes in MacTel2 were similar to those observed in the diabetic and pre-diabetic states although the patient had no history of diabetes mellitus. Similar fnd- *Correspondence: [email protected] 1 Srimati Kanuri Santhamma Retina Vitreous Center, L.V. Prasad Eye ings were also reported by Diaz-Rodriguez [6] in their Institute, Kallam Anji Reddy Campus, L V Prasad Marg, Banjara Hills, study in 2005. Chew et al. [7] compared the Fundus fuo- Hyderabad, Telangana 500 034, India rescein angiography (FFA) features of leakage in MacTel2 Full list of author information is available at the end of the article © The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/ publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Jhingan et al. Int J Retin Vitr (2017) 3:50 Page 2 of 8 with diabetic macular edema and explained for the frst A comprehensive ocular examination was performed time the diference in leakage caused due to each one. in all cases. Ocular investigations included optical coher- Tey underlined the importance of imaging for this dif- ence tomography (OCT) and fuorescein angiography ferentiation for the very frst time. Shukla et al. [8] in a (FFA), wherever indicated. FFA was performed using study on the natural history of MacTel2, noted that diabe- FF450plus Fundus Camera with VISUPAC. OCT was tes was a common association (59%) though retinopathy performed using Stratus OCT (Carl Zeiss Meditec), was initially absent or mild to moderate in 99% patients. RTVue-100 (Optovue) and Cirrus HD-OCT imaging However, they did not describe in detail about the natural systems (Carl Zeiss Meditec). Systemic investigations history of two diseases during the study period. included blood sugars or any relevant blood investiga- Reports from the data obtained in the MacTel database tions. Diabetes was defned as controlled if random blood [9, 10] were described as abstracts at various meetings sugar was 140 mg/dl or less [12]. A one-step change and have yet to make it to print as a full paper for our (documented by fundus photography) in severity of DR better judgement, but they all focused on the association was considered a signifcant change. IJRT 2A or MacTel2 of diabetes mellitus and MacTel2, besides proving that classifcation and staging was done according to Gass and DR progressed at a slower rate in patients with MacTel. Blodi classifcation, [1] using color fundus photographs. Tese did not describe the coexistence of DR and Mac- All images and data were analysed by single observer Tel2 as a separate entity besides showing progression. (MJ) and in the event of a confict were reassessed by the Te aim of this study was to longitudinally study the second observer (JC), who was responsible for taking the evolution of MacTel2 (treated and untreated) in the pres- fnal decision on images. ence of DR; and to assess the efect of presence of Mac- Treatment modalities employed consisted of obser- Tel2 on the progression of DR in the largest series so far. vation, laser photocoagulation of non-central diabetic macular edema (DME) in the pre OCT era, intravitreal Methods anti-VEGF agents in cases of CNVM and pan retinal A retrospective computer-assisted database search and photocoagulation in cases proliferative diabetic retinopa- chart review was carried out on all subjects with a diag- thy as per treating ophthalmologist’s discretion. Patients’ nosis of MacTel2 and diabetic retinopathy who presented follow up was also individualized, as dictated by the dis- to LV Prasad Eye Institute, Kallam Anji Reddy Campus, ease severity. Repeat FFA was advised in cases of doubts Hyderabad, India, between June 1987 and November related to progression of DR or development of DME in 2015 and followed up for a minimum duration of 2 years. patients with MacTel. Inclusion criteria for our retrospective study included Statistical analysis was performed using SPSS soft- all patients who presented to us between June 1987 and ware (version 16.0; SPSS, Chicago, IL, USA), with special November 2015 and were diagnosed to have MacTel2 emphasis on the aforementioned information. p values and DR at any of their visits clinically with the aid of diag- less than 0.05 were considered as statistically signifcant. nostics such as fundus fuorescein angiography or optical coherence tomography. Eyes with presence of any other Results retinal disease or poor quality images were excluded. A total of 951 patients with a diagnosis of MacTel2 in our Eyes with any previous treatment before presentation medical records department database were identifed. for either MacTel2 or DR were excluded from the study. Out of these, 277 patients were noted to have associated Written informed consent had been obtained from all diabetes mellitus. subjects. Te institutional review board approved the Out of 951 patients with MacTel2, 277 patients had study and all the procedures adhered to the tenets of the diabetes. Out of 277 patients, 22 (12.5%) patients had Declaration of Helsinki. Te chart review followed the coexistence of diabetic retinopathy and MacTel2 at previously set out guidelines, described in earlier publi- presentation or during the follow up period, 14 patients cations [11]. among these had a minimum follow up of 2 years and Data collected included demographics, corrected were included in present study. Twenty-eight eyes of 14 distance visual acuity, details of the clinical examina- subjects fulflled the criteria to be included in the pre- tion procedure, additional investigations and systemic sent study. Ten out of the 14 (71.42%) patients in our examination, treatments performed, associated systemic study were female; the mean age at presentation was illnesses, duration of follow up in months, and fnal ana- 52.14. ± 5.52 years (range 41–59 years). Te pathol- tomical and visual outcomes. Visual acuity was measured ogy was bilateral in all the cases. Te median follow up using the Snellen’s chart and the results were subse- was 68 months with an interquartile range of 79 months quently converted to logMAR notations. (XU 120.25–XL 41.25). Te mean duration of diabetes Jhingan et al. Int J Retin Vitr (2017) 3:50 Page 3 of 8 Table 3 Progression of idiopathic macular telangiectasis mellitus in the study patients was 11.64 ± 7.056 years.
Load more

Recommended publications
  • Emily Y. Chew, M.D
    CURRICULUM VITAE Name: Emily Y. Chew Place of Birth: Canton, China Citizenship: United States Marital Status: Married, three children Education 1971-1972 University of British Columbia, Vancouver, B.C., Canada (1st year sciences) 1972-1973 University of Toronto, Canada (2nd year of arts and sciences) 1974-1977 University of Toronto, School of Medicine (6-year program post-high school) 1977-1978 Internship in Internal Medicine, University of Toronto 1978-1981 Residency in Ophthalmology, University of Toronto 1982-1983 Fellowships in Medical Retina & Genetics Johns Hopkins University, Baltimore, (Irene Maumenee, MD, Arnall Patz, MD) University of Nijmegen, Nijmegen, the Netherlands (August Deutman, MD) Brief Chronology of Employment: 1983-1984 Lecturer, University of Toronto, Dept. of Ophthalmology 1985-1986 Assist. Professor, University of Toronto, Dept. of Ophthalmology 1987-1991 Visiting Scientist, Biometry & Epidemiology Program, NEI/NIH 1991-now Medical Officer, Division of Biometry & Epidemiology, NEI/NIH 2000-2017 Deputy Director, Division of Epidemiology and Clinical Applications, NEI. 2008-now Deputy Clinical Director, National Eye Institute 2009-now Chief of Clinical Trials Branch, National Eye Institute 2017-now Director, Division of Epidemiology and Clinical Applications, NEI/NIIH Honors and Other Scientific Recognition: 1981 Research Prize, Ophthalmology, U. of Toronto 1982 E.A. Baker Scholarship for Advanced Training in Ophthalmology 1986 Best Teacher’s Award, Ophthalmology, U. of Toronto 1996 American Academy of Ophthalmology Honors Award 2001 NEI Director’s Award (Achievements in the Age-Related Eye Disease Study) 2001 NEI Director’s Award (Compassion in patient care) 2003 NIH Director’s Award for Excellence in Mentoring 2004 Award of Merit in Retina Research, Schepens Lecture (Retina Society) shared with F.L.
    [Show full text]
  • Copyright and Use of This Thesis This Thesis Must Be Used in Accordance with the Provisions of the Copyright Act 1968
    COPYRIGHT AND USE OF THIS THESIS This thesis must be used in accordance with the provisions of the Copyright Act 1968. Reproduction of material protected by copyright may be an infringement of copyright and copyright owners may be entitled to take legal action against persons who infringe their copyright. Section 51 (2) of the Copyright Act permits an authorized officer of a university library or archives to provide a copy (by communication or otherwise) of an unpublished thesis kept in the library or archives, to a person who satisfies the authorized officer that he or she requires the reproduction for the purposes of research or study. The Copyright Act grants the creator of a work a number of moral rights, specifically the right of attribution, the right against false attribution and the right of integrity. You may infringe the author’s moral rights if you: - fail to acknowledge the author of this thesis if you quote sections from the work - attribute this thesis to another author - subject this thesis to derogatory treatment which may prejudice the author’s reputation For further information contact the University’s Copyright Service. sydney.edu.au/copyright Clinical Studies into the Causes of Idiopathic Macular Telangiectasia Type 2: Sleep Apnoea and Macular Telangiectasia: The SAMTel Project Martin Lee Submitted to the Faculty of Medicine in fulfillment of the requirements of the degree Masters of Philosophy (Medicine) Department of Clinical Ophthalmology & Eye Health University of Sydney January 2015 Acknowledgements: To my family, especially parents, Anne and Russell, and siblings Alison and Frances, thank you for your unbridled support and endless encouragement to enable me to continue to pursue my educational interests.
    [Show full text]
  • Macular Telangiectasia Type 2: Quantitative Analysis of a Novel
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by UCL Discovery Macular telangiectasia type 2: quantitative analysis of a novel phenotype and implications for the pathobiology of the disease Mali Okada, MBBS, MMed*; Catherine A Egan, FRANZCO*†; Tjebo FC Heeren, MD*‡; Adnan Tufail, MD, FRCOphth*; Marcus Fruttiger, PhD‡; Peter M Maloca, MD*§ * Moorfields Eye Hospital NHS Foundation Trust, London, UK † Department of Ophthalmology, University of Bonn, Bonn, Germany ‡ UCL Institute of Ophthalmology, London, United Kingdom § Department of Ophthalmology, University of Basel, Basel, Switzerland Short Title: Retinal microcystoid spaces in MacTel 2 Funding: Supported by the Lowy Medical Research Institute, Sydney, Australia as part of The Macular Telangiectasia Project (MO, CE). AT receives a proportion of funding from the National Institute for Health Research (NIHR) and Biomedical Research Centre at Moorfields Eye Hospital and the University College London Institute of Ophthalmology. The views expressed in the publication are those of the authors and not necessarily those of the Department of Health. Financial Disclosures: AT is on the advisory board for Heidelberg engineering (Heidelberg, Germany) and Optovue (Optovue Inc, USA). PM receives fees for lectures from Heidelberg engineering (Heidelberg, Germany) 1 Address for correspondence: Peter M Maloca, MD Moorfields Eye Hospital 162 City Road, London EC1V 2PD London, United Kingdom Tel: +44 20 72533411 Fax: +44 20 72534696 [email protected] Key words Macular telangiectasia type 2; spectral domain optical coherence tomography; volume rendering; microcystoid spaces; cystoid macular oedema; microcystic macular oedema; inner nuclear layer cysts; microcysts; microcavitations Summary Statement Retinal microcystoid spaces are a novel phenotype of Macular Telangiectasia (MacTel) type 2 on optical coherence tomography.
    [Show full text]
  • Genetic Disruption of Serine Biosynthesis Is a Key Driver Of
    bioRxiv preprint doi: https://doi.org/10.1101/2020.02.04.934356; this version posted February 5, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. 1 Genetic Disruption of Serine Biosynthesis is a Key 2 Driver of Macular Telangiectasia Type 2 Etiology and 3 Progression 4 5 RoBerto Bonelli,1,2 Brendan R E Ansell,1,2 Luca Lotta,3 Thomas Scerri,1,2 Traci E Clemons,4 Irene Leung,5 The 6 MacTel Consortium,6 Tunde Peto,7 Alan C Bird,8 Ferenc Sallo,9 Claudia LangenBerg,3 and Melanie Bahlo*1,2. 7 8 9 1 Department of Medical Biology, The University of Melbourne, 3052, Parkville, Victoria, Australia. 10 2 Population Health and Immunity Division, Walter and Eliza Hall Institute of Medical Research, 3052, Parkville, Victoria, 11 Australia. 12 3 MRC Epidemiology Unit, University of Cambridge, CB2 0SL, Cambridge, UK. 13 4 The EMMES Corporation, Rockville, 20850, Maryland, United States. 14 5 Department of Research and Development, Moorfields Eye Hospital NHS Foundation Trust, EC1V 2PD, London, United 15 Kingdom. 16 6 A list of members and affiliations is provided in Table S8. 17 7 Department of Ophthalmology, Queen’s University, Belfast, BT7 1NN, United Kingdom. 18 8 Inherited Eye Disease, Moorfields Eye Hospital NHS Foundation Trust, EC1V 2PD, London, United Kingdom. 19 9 Department of Ophthalmology, University of Lausanne, Hôpital Ophtalmique Jules-Gonin, Fondation Asile des aveugles, 20 Switzerland.
    [Show full text]
  • Rotational Three-Dimensional OCTA
    www.nature.com/scientificreports OPEN Rotational Three-dimensional OCTA: a Notable New Imaging Tool to Characterize Type 3 Macular Neovascularization Enrico Borrelli 1, Riccardo Sacconi 1, Gerd Klose2, Luis de Sisternes3, Francesco Bandello1 & Giuseppe Querques 1* This study explored whether rotational three-dimensional (3D) visualization of optical coherence tomography angiography (OCTA) volume data may yield valuable information regarding type 3 macular neovascularization (MNV). In this retrospective, cross-sectional study, we collected data from 15 eyes (13 patients) with treatment-naïve type 3 MNV in their post-nascent stage and age-related macular degeneration (AMD). Subjects were imaged with the SS-OCT system (PLEX Elite 9000, Carl Zeiss Meditec Inc., Dublin, CA, USA). The OCTA volume data were processed with a prototype volume projection removal algorithm and then analyzed using volumetric visualization techniques in order to obtain a 3D visualization of the region occupied by type 3 MNV. The two-dimensional and three-dimensional OCTA images were investigated. Mean ± SD age was 75.1 ± 7.4 years. BCVA was 0.42 ± 0.21 LogMAR in the study eyes. Considering the cohort of analyzed eyes, on rotational 3D OCTA images, a total of 35 neovascular lesions (vs 22 lesions detected on 2D OCTA images) rising from the deep vascular complex and variably spanning the outer retinal layers and eventually reaching the RPE/sub-RPE space were detected. Nine of 35 lesions had a saccular shape, while the remaining cases had a fliform shape. On rotational 3D OCTA images, these lesions were inclined on the three planes, instead of perpendicular to the RPE/Bruch’s membrane.
    [Show full text]
  • Improving Anti-VEGF Drugs in the Vitreous by Eda Isil Altiok A
    Improving Anti-VEGF Drugs in the Vitreous By Eda Isil Altiok A dissertation submitted in partial satisfaction of the Requirement for the degree of Joint Doctor of Philosophy with UC San Francisco In Bioengineering In the graduate division Of the University of California, Berkeley Committee in charge: Professor Kevin E. Healy, Chair Professor David Schaffer Professor Tejal Desai Professor Anthony Adams Fall 2015 Improving Anti-VEGF Drugs in the Vitreous © 2015 by Eda Isil Altiok University of California, Berkeley Abstract Improving Anti-VEGF Drugs in the Vitreous By Eda Isil Altiok Doctor of Philosophy in Bioengineering University of California, Berkeley Professor Kevin Healy, Chair The work described in this dissertation present a novel technique utilizing multivalent hyaluronic acid bioconjugates with an anti-VEGF protein for improving the action of drugs in the vitreous. This technology, which has shown efficacy both in vitro and in vivo has the potential to enhance the bioactivity of drugs used for treating patients with diseases including diabetic retinopathy, wet AMD and other neovascular diseases of the retina. Chapter 2 described our initial efforts in creating multivalent conjugates of the anti-VEGF protein, sFlt. Before beginning in vivo studies, we wanted to determine what parameters would maximize the bioactivity of mvsFlt. We investigated the use of several HyA molecular weights and valencies of sFlt molecules to HyA chains. The characterization and in vitro experiments were carried out with 6 mvsFlt conjugates of 300 kDa, 650 kDa and 1 MDa molecular weights with feed ratios of 10 sFlt per 1 HyA chain (termed low conjugation ratio (LCR)) and 30 sFlt per 1 HyA chain (termed high conjugation ratio (HCR)).
    [Show full text]
  • Idiopathic Juxtafoveal Telangiectasis
    RETINA HEALTH SERIES | Facts from the ASRS The Foundation American Society of Retina Specialists Committed to improving the quality of life of all people with retinal disease. Idiopathic Juxtafoveal Telangiectasis (pronounced tell an gee ACT te sis) (JFT), also known as SYMPTOMS perifoveal telangiectasis or mac-tel for macular telangiectasia, Patients with JFT may experience: is a condition in which abnormalities develop in blood vessels • Blurred vision at the center of the retina. This central part of the retina, • Metamorphopsia (pronounced called the fovea, is responsible for the sharp vision needed met a morf OP see ah)—a visual disturbance where straight lines for reading and recognizing faces (see retina diagram). appear wavy; parts of the central vision may also appear blank. • Difficulty reading • Visual field defects in one or both eyes The condition may be diagnosed before it causes any symptoms at all. WHAT IS THE RETINA? Early frames of the fluorescein angiogram show Later frames of the fluorescein angiogram show telangiectatic vessels in temporal macula. staining in the temporal macula. Photo courtesy Image courtesy of John Thompson, MD of John1 Thompson, MD 1 Causes and Risk Factors: There are several classifications of idiopathic (of an unknown cause) juxtafoveal telan- giectasis (JFT), but the most common one divides JFT into Types 1, 2 and 3. Types 1 and 3 are rare—the vast majority of patients with JFT have Type 2. JFT occurs when tiny abnormal blood THE RETINA is a thin layer of vessels (or telangiectasias—pronounced light-sensitive nerve tissue that lines tell an gec TAY shuhs) occur in the fovea.
    [Show full text]
  • KAMAL KISHORE, MD 3602 Marquette Road Peru, IL 61354 Phone: (815)223-7400 E-Mail: [email protected]
    KAMAL KISHORE, MD 3602 Marquette Road Peru, IL 61354 Phone: (815)223-7400 e-mail: [email protected] EDUCATION/EXPERIENCE Aug, 02 – Present President, Illinois Retina Institute, S.C. Aug, 99 – Jul, 02 Retina Surgeon, Bond Eye Associates, Peoria, IL Jul, 97 – Jun, 99 Fellow in Vitreo-Retinal Surgery Louisiana State University, New Orleans, LA Jul, 94 - Jun, 97 Residency in Ophthalmology UMDNJ-New Jersey Medical School, Newark, NJ Chief Resident: Jul, 96 - Jun, 97 Jan, 94 - Jun, 94 Research Fellowship in Ocular Oncology with Dr. Char UCSF, San Francisco, CA Jan, 92 - Dec, 93 SUNY at Stony Brook Program B Resident in Internal Medicine at Nassau County Med Ctr, NY Jan, 89 - Dec, 91 Senior Resident at Dr. R.P.Ctr for Ophth Sci., AIIMS, New Delhi, India Jan, 86 - Dec, 88 Residency in Ophthalmology Dr. R.P. Center for Oph Sci, AIIMS, New Delhi Jan, 85 - Dec, 85 Compulsory Internship (part of MBBS) Aug, 80 - Dec, 84 MBBS (Graduate Medical Education) All India Institute of Medical Sciences, New Delhi BOARD STATUS ABO Certified, October 1998 Recertified, January 1, 2009; January 1, 2019 LICENSURE California License #A 053457, dated 8/24/94, inactive IL Physician and Surgeon License #036-100858, 8/3/99 1 SCHOLARSHIPS AND AWARDS Jul, 77 - Jun, 79 Merit Scholarship Jul, 79 - Dec, 88 National Talent Scholarship Year 1982 Medal for best medical student in Microbiology Merit Award for standing first in Pathology Year 1988 Medal for best graduate in Ophthalmology Aug, 1992 House Officer of the month, Nassau County Med Ctr Jun, 1997 Alfonse Cinotti Award for best graduate at UMDNJ August, 2014 Technovisionary Award, Film Festival, ASRS, San Diego, CA July, 2015 Honor Award, American Society of Retina Specialists, (ASRS) August, 2017 Senior Honor Award, ASRS, Boston, MA PUBLICATIONS Book Chapters Kishore K.
    [Show full text]
  • Ucla Stein Eye Institute Vision-Science Campus
    SPRING 2020 VOLUME 38 NUMBER 1 UCLA STEIN EYE INSTITUTE EYEVISION-SCIENCE CAMPUS LETTER FROM THE CHAIR To have 20/20 vision is to see clearly, and for the UCLA Department of Ophthalmology, the year 2020 heralds in both a new decade and a focus on our mission to preserve sight and end avoidable blindness. Research is core to this aim, and in this issue of EYE Magazine, we highlight basic scientists in the UCLA Stein Eye Institute’s Vision Science Division who are studying the fundamental mechanisms of visual function and using that knowledge to define, identify, and ultimately cure eye disease. Clinical research trials are also underway at Stein Eye and the Doheny Eye Centers UCLA, and include the first in-human trial of autologous cultivated limbal cell therapy to treat limbal stem cell deficiency, a blinding corneal disease; evaluation of an investiga- tional medication to treat graft-versus-host disease, a potentially EYE MAGAZINE is a publication of the serious complication after transplant procedures; comparison of UCLA Stein Eye Institute drug-delivery systems to determine which is most effective for DIRECTOR treatment of diabetic macular edema; and analysis of regenerative Bartly J. Mondino, MD strategies for treatment of age-related macular degeneration. MANAGING EDITOR UCLA Department of Ophthalmology award-winning researchers Tina-Marie Gauthier conduct investigations of depth and magnitude, and the Depart- c/o Stein Eye Institute 100 Stein Plaza, UCLA ment has taken a central role in transforming vision science as a Los Angeles, California 90095–7000 powerful platform for discovery. I thank our faculty and staff for their [email protected] sight-saving endeavors, and I thank you, our donors and friends, for PUBLICATION COMMITTEE supporting our scientific explorations.
    [Show full text]
  • Engelbert CV
    Michael Engelbert, MD PhD 460 Park Avenue, 5th Floor New York, NY 10022 Phone: (212) 861-9797 Fax: (212) 628-0698 Education Ph.D. Oklahoma University Health Sciences Center, Oklahoma, USA – Microbiology and Immunology Thesis presented at “Hot Topics in Microbiology,” ARVO 2004 M.D. Ludwig-Maximilians-Universität, München, Germany – Medical School, magna cum laude Last Year Electives and Final Board Exam, ECFMG certification Technische Universität, München, Germany – Medical School Clinical Semesters Student Government Representative 2001 – 2002 Universität RegensBurg, Germany – Premedicine Baccalaureate Hans-Carossa Preparatory School, Landshut, Germany, amongst top 10 graduates Postgraduate Training • ColumBia University, Dr. Stanley Chang 2008 – 2010 Vitreous Retina Macula Consultants oF New York, Dr. Lawrence A. Yannuzzi New York Eye and Ear InFirmary, Dr. Richard Rosen Clinical and Surgical Fellow in Diseases of the Retina and Vitreous • ColumBia University, Edward S. Harkness Eye Institute 2005 – 2008 Resident and Chief Resident in Ophthalmology • GriFFin Hospital / Yale University School oF Medicine, Vincent A. De 2004 – 2005 Luca Intern of the Year Award Medical Internship Current Employment • Vitreous Retina Macula Consultants oF New York, Associate 2010 – Present • New York University, Research Assistant Professor 2010 – Present • Bellevue Hospital, Assistant Attending 2010 – Present • New York Eye and Ear InFirmary; Manhattan Eye, Ear & Throat 2010 – Present Hospital, Attending Physician Michael Engelbert, MD PhD Page 2 Honors and Awards • Permanent Resident Status awarded as physician-scientist at top of 2009 his particular field • Best Poster Presentation, Euretina Winter Meeting – Rome, Italy 2014 • Macula Foundation Travel Awards o Euretina 2008, 2010 o ARVO 2009, 2011 • Circle of Excellence, Arnold P. Gold Foundation’s Humanism and 2008 Excellence in Teaching Award • AAO Advocacy Day, travel award by New York State 2007 Ophthalmological Society • Travel Award to attend Heed Foundation Residency Retreat 2006 • Vincent A.
    [Show full text]
  • Idiopathic Peripheral Retinal Telangiectasia in Adults: a Case Series and Literature Review
    Journal of Clinical Medicine Article Idiopathic Peripheral Retinal Telangiectasia in Adults: A Case Series and Literature Review Maciej Gaw˛ecki Dobry Wzrok Ophthalmological Clinic, 80-822 Gdansk, Poland; [email protected]; Tel.: +48-501-788-654 Abstract: Idiopathic peripheral retinal telangiectasia (IPT), often termed as Coats disease, can present in a milder form with the onset in adulthood. The goal of this case series study and literature review was to describe and classify different presenting forms and treatment of this entity and to review contemporary methods of its management. Six cases of adult onset IPT were described with the following phenotypes based on fundus ophthalmoscopy, fluorescein angiography, and optical coherence tomography findings: IPT without exudates or foveal involvement, IPT with peripheral exudates without foveal involvement, IPT with peripheral exudates and cystoid macular edema, and IPT with peripheral and macular hard exudates. Treatments applied in this series included observation, laser photocoagulation, and anti-vascular endothelial growth factor (VEGF) treatment with variable outcomes depending upon the extent of IPT, the aggressiveness of laser treatment, and the stringency of follow-up. The accompanying literature review suggests that ablative therapies, especially laser photocoagulation, remain the most effective treatment option in adult-onset IPT, with anti-VEGF therapy serving as an adjuvant procedure. Close follow-up is necessary to achieve and maintain reasonable good visual and morphological results. Keywords: Coats disease; peripheral retinal telangiectasia; laser photocoagulation; anti-VEGF treatment Citation: Gaw˛ecki,M. Idiopathic Peripheral Retinal Telangiectasia in 1. Introduction Adults: A Case Series and Literature Review. J. Clin. Med. 2021, 10, 1767. Idiopathic peripheral retinal telangiectasia (IPT), usually referred to as Coats disease, https://doi.org/10.3390/jcm10081767 has been well-described in the medical literature since its discovery in 1908 [1].
    [Show full text]
  • Art for Macular Holes: Outcomes of the World Study
    s DIVERSITY AND INCLUSION Retina Around the World Experts share the latest research and preferred techniques for macular holes, nonexudative macular neovascularization, myopic traction maculopathy, and more. BY JUDY E. KIM, MD; LIHTEH WU, MD; TAMER H. MAHMOUD, MD, PHD; GIUSEPPE QUERQUES, MD, PHD; KAZUAKI KADONOSONO, MD, PHD; GEMMY CHEUNG, MD; PAUL S. BERNSTEIN, MD, PHD; AND JOSE A. ROCA, MD Despite the pandemic, our colleagues around the world continue to explore ways to improve the diagnosis and management of various retinal conditions. Because of COVID-19, perhaps the world has become smaller, as we share information in virtual settings. During the virtual 2020 annual meeting of the AAO, we gathered an international group of experts to share their knowledge and learn the latest research findings from various corners of the world. We are excited to share with you their summaries of the research they presented. – Judy E. Kim, MD, and Lihteh Wu, MD neurosensory layers (ANL). When the graft is first placed, ART FOR MACULAR HOLES: vertical lines appear on OCT between the graft and sur- OUTCOMES OF THE WORLD STUDY rounding macular tissue. Within weeks, these lines gradually fade, details of the graft layers can be detected, and they By Tamer H. Mahmoud, MD, PhD align with similar layers in the surrounding host macular A multicenter international interventional tissue (ie, plexiform to plexiform, nuclear to nuclear, etc.). study with 33 participating surgeons looked This could suggest that the macular tissue recognizes the at 130 eyes that underwent autologous reti- peripheral retinal tissue and may be trying to connect to nal transplant (ART) for repair of macular corresponding layers, leading to integration of the transplant holes (MH) and MH retinal detachment (MHRD) to deter- and, thus, better visual outcomes.
    [Show full text]