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Sample records for buckling retinal detachment

  1. Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

    PubMed Central

    Ghasemi Falavarjani, K; Alemzadeh, S A; Modarres, M; Parvaresh, M M; Hashemi, M; Naseripour, M; Nazari Khanamiri, H; Askari, S

    2015-01-01

    Purpose To evaluate the outcome of scleral buckling surgery in patients with rhegmatogenous retinal detachment (RRD) with subretinal proliferation. Methods In this retrospective study, a chart review of all patients with RRD associated with subretinal proliferation who were primarily treated with scleral buckling procedure, from April 2007 to April 2014, was undertaken. Main outcome measures were anatomical retinal reattachment and visual acuity. Results Forty-four eyes of 43 patients including 24 males and 19 females with a mean age of 26.5±13.1 years were evaluated. Immediately after the surgery, retina was reattached in all eyes. However, five eyes (11.3%) needed additional surgery for retinal redetachment. Single surgery anatomical success rate was 88.7%. Four eyes (9.1%), needed pars plana vitrectomy for the treatment of redetachment associated with proliferative vitreoretinopathy and scleral buckle revision surgery was successfully performed in the other eye. Best corrected visual acuity improved from 1.5±0.9 logMAR before surgery to 1.1±0.7 logMAR after surgery (P<0.001). An improvement in BCVA of >2 lines was found in 23 eyes (52.2%) and worsening of best corrected visual acuity of >2 lines was observed in 2 eyes (4.5%). Conclusions Scleral buckling surgery is highly successful in eyes with RRD associated with subretinal proliferation. PMID:25613841

  2. Macular Hole Formation in Rhegmatogenous Retinal Detachment after Scleral Buckling

    PubMed Central

    Byon, Ik Soo; Kwon, Han Jo; Park, Gun Hyung; Park, Sung Who

    2014-01-01

    Purpose To describe early macular hole (MH) development in rhegmatogenous retinal detachment (RRD) after scleral buckling (SB) based on optical coherence tomography (OCT) findings. Methods The medical records and spectral domain OCT images of patients in whom MH developed after RRD repair were evaluated retrospectively. Results A postoperative MH was detected in five eyes that underwent SB during a 6-year period. All had fovea-off RRD without MH at the time of surgery. OCT showed partial loss of the inner retina with a preserved photoreceptor layer in early postoperative days. On average, 7 days (range,5 to 8 days) after surgery, outer retinal tissues disappeared, resulting in the full-thickness MH. Conclusions Serial OCT findings revealed that partial-thickness lamellar holes progressed to full-thickness MHs, which were formed by the degeneration of the outer retina in eyes with preceding loss of the glial cone in the fovea. PMID:25276077

  3. Retinal detachment repair

    MedlinePlus

    Scleral buckling; Vitrectomy; Pneumatic retinopexy; Laser retinopexy; Rhegmatogenous retinal detachment repair ... it meets the hole in the retina. Scleral buckling can be done using numbing medicine while you ...

  4. Scleral Buckling for Rhegmatogenous Retinal Detachment Associated with Pars Planitis

    PubMed Central

    Ahn, Jae Kyoun

    2016-01-01

    Purpose. To evaluate the surgical outcome of scleral buckling (SB) in rhegmatogenous retinal detachment (RRD) patients associated with pars planitis. Methods. Retrospective review of RRD patients (32 eyes of pars planitis RRD and 180 eyes of primary RRD) who underwent SB. We compared primary and final anatomical success rates and visual outcomes between two groups. Results. Primary and final anatomical success were achieved in 25 (78.1%) and 31 (96.8%) eyes in the pars planitis RRD group and in 167 eyes (92.7%) and 176 eyes (97.7%) in primary RRD group, respectively. Both groups showed significant visual improvement (p < 0.001) and there were no significant differences in final visual acuity. Pars planitis RRD group was associated with higher rate of postoperative proliferative vitreoretinopathy (PVR) development (12.5% versus 2.8%, p = 0.031). Pars planitis and high myopia were significant preoperative risk factors and pseudophakia was borderline risk for primary anatomical failure after adjusting for various clinical factors. Conclusions. Pars planitis associated RRD showed inferior primary anatomical outcome after SB due to postoperative PVR development. However, final anatomical and visual outcomes were favorable. RRD cases associated with pars planitis, high myopia, and pseudophakia might benefit from different surgical approaches, such as combined vitrectomy and SB. PMID:27688907

  5. Endoillumination (chandelier) assisted scleral buckling for a complex case of retinal detachment.

    PubMed

    Temkar, Shreyas; Takkar, Brijesh; Azad, Shorya Vardhan; Venkatesh, Pradeep

    2016-11-01

    Endoilluminator-assisted scleral buckling combines the advantages of scleral buckling for its external approach and pars plana vitrectomy for its better visual visualization in the management of retinal detachment (RD). It has recently been proven to be safe and efficacious in simple cases. This report discusses successful management of a complex case of RD in a patient with the single functioning eye, where vitrectomy was expected to have a complicated course.

  6. Endoillumination (chandelier) assisted scleral buckling for a complex case of retinal detachment

    PubMed Central

    Temkar, Shreyas; Takkar, Brijesh; Azad, Shorya Vardhan; Venkatesh, Pradeep

    2016-01-01

    Endoilluminator-assisted scleral buckling combines the advantages of scleral buckling for its external approach and pars plana vitrectomy for its better visual visualization in the management of retinal detachment (RD). It has recently been proven to be safe and efficacious in simple cases. This report discusses successful management of a complex case of RD in a patient with the single functioning eye, where vitrectomy was expected to have a complicated course. PMID:27958210

  7. Risk factors influencing the outcome of strabismus surgery following retinal detachment surgery with scleral buckle

    PubMed Central

    Rabinowitz, Ronen; Velez, Federico G.; Pineles, Stacy L.

    2013-01-01

    Purpose To determine factors associated with surgical success in patients undergoing strabismus surgery after retinal detachment repair with scleral buckle. Methods The medical records of consecutive patients who underwent strabismus surgery after repair of retinal detachment with scleral buckle were retrospectively reviewed. A successful “motor” outcome was defined as horizontal deviation <10Δ and vertical deviation <4Δ in the primary position; successful “sensory” outcome was no diplopia in the primary position. Various factors such as removing the scleral buckle at the time of strabismus surgery, the macula structural status, size of the preoperative deviation, presence of restriction to passive movement, and whether the eye with the scleral buckle was the operated eye were compared among groups based on motor success. Results A total of 25 patients were included. The overall motor success rate was 72% after 1.8 ± 0.9 operations, with 62% of patients diplopia free in the primary position. Horizontal deviation <10Δ (P = 0.005) and minimal restriction on forced duction test were associated with motor success after the first surgery (P = 0.05). Partial or entire scleral buckle removal (n = 15) and fellow-eye surgery were not significantly correlated with motor success in our cohort. There were no retinal redetachments after scleral buckle removal. Conclusions A small preoperative horizontal deviation, and minimally restricted ocular rotations were associated with better results. Removing the scleral buckle did not improve results. PMID:24215808

  8. Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome

    PubMed Central

    Oluleye, TS; Ibrahim, OA; Olusanya, BA

    2013-01-01

    Background Scleral buckle surgery is not a commonly performed surgical procedure in Sub-Saharan Africa due to a paucity of trained vitreo retinal surgeons. The aim of the study was to review sclera buckle procedures with a view to evaluating the anatomical and visual outcomes. Methods Case records of patients that had scleral buckle surgery at the Retina Unit of the University College Hospital, Ibadan, Nigeria, between 2007 and 2010 were reviewed. Information retrieved included patients’ demographics, duration of symptoms, and presenting vision. Other information included site of retinal break, extent of retinal detachment, involvement of the fellow eye, and macular involvement. Postoperative retina reattachment and postoperative visual acuity were also recorded. Proportions and percentages were used to analyze data. Results Forty five eyes of 42 patients were studied with a male to female ratio of 1.6:1. The mean age was 47.7 years (±17.6 years). The median duration before presentation was 3 months (range: 5 days – 156 months). Subtotal retinal detachment was found in 35 eyes (77.8%) while total retinal detachment occurred in ten eyes (22.2%). Thirty four eyes (75.6%) had “macular off ” detachments. At 6 weeks, there was an improvement in visual acuity in 23 eyes (51.1%), while visual acuity remained the same in nine eyes (20%) and was worse in 13 eyes (28.9%). Anatomical attachment was seen in 43 eyes (95.6%) on the operation table, in 40 eyes (90.9%) at first day postoperatively and in 32 eyes (86.5%) at 6 weeks after surgery. Conclusion Outcome of sclera buckle surgery for rhegmatogenous retinal detachment may be improved in developing countries of Sub Sahara Africa if adequate awareness is created to educate the populace on early presentation. PMID:23754869

  9. Scleral buckling with a noncontact wide-angle viewing system in the management of retinal detachment with undetected retinal break: a case report

    PubMed Central

    Kita, Mihori; Fujii, Yukiko; Kawagoe, Naoaki; Hama, Sachiyo

    2013-01-01

    A young patient who showed rhegmatogenous retinal detachment with preoperatively undetected retinal break was successfully treated by scleral buckling using a noncontact wide-angle viewing system. PMID:23569352

  10. Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment

    PubMed Central

    Yokoyama, Toshiyuki; Kanbayashi, Koki; Yamaguchi, Tamaki

    2015-01-01

    Purpose To assess the treatment of pediatric patients with rhegmatogenous retinal detachment (RRD) by scleral buckling with chandelier illumination. Methods Three eyes were treated in three patients, healthy boys aged 7 years, 12 years, and 11 years, with RRD, macular involvement, and small retinal holes, of which two were preoperatively undetectable. Conventional scleral buckling with cryoretinopexy was performed under the contact lens for vitreous surgery or noncontact wide-angle viewing system using 27-gauge twin chandelier illumination. Results The only known predisposing factor for retinal detachment was myopia stronger than 3 D with lattice retinal degeneration in two of the three patients. Retinal reattachment was achieved in all cases without intra- or postoperative complications. However, visual recovery was limited in one of the three patients. Conclusion Scleral buckling with chandelier illumination is effective for pediatric RRD, especially if the retinal hole is difficult to detect preoperatively. However, visual recovery was sometimes limited because of macular involvement due to late diagnosis, which is one of the characteristic features of pediatric RRD. PMID:25657577

  11. The changes of ocular axial length and corneal curvatures after scleral buckling for retinal detachment.

    PubMed

    Wang, H Z; Chen, M T; Chang, C H; Tsai, M C; Wu, W C; Chung, C B

    1994-02-01

    As myopia plays an important role in the pathogenesis of retinal detachment, alterations of refractive components after scleral buckling procedures for retinal detachment may be an important factor for retinal redetachment. To find out the refractive change following retinal detachment surgery, we prospectively followed up the alterations of corneal curvature, and axial components (axial length, anterior chamber depth, lens thickness, and vitreous length) of 44 eyes of rhegmatogenous retinal detachment before and after operations. The procedures consisted of encircling scleral buckling (12 eyes) and segmental scleral buckling (32 eyes). All patients were followed for 6 months postoperatively. The corneal curvatures were measured with a keratometer, the axial length and axial components were measured with an A-scan ultrasonography. The methods and materials used in operation were recorded in detail to correlate with the refractive changes. The corneal curvature showed a trend to flatten early after operation (the 1st week), and gradually reversed to steepening. But, the difference was statistically significant only at the K2 (vertical meridian) in the 1st postoperative week and the K1 (horizontal meridian) in the 4th postoperative week. Lengthening of eyeballs were noted in the encircling group (12 eyes), but only the elongation in the 1st postoperative week was statistically significant. While in segmental buckling group, the axial length of the eyeballs was transiently shortened. The shortening was significant in the 2nd, 4th, and 6th week after operation. The reduction of eyeball's axial length was related to the shortening of vitreous length and shallowing of anterior chamber.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. Retinal Detachment

    MedlinePlus

    ... men more than women and whites more than African Americans. A retinal detachment is also more likely to occur in people who Are extremely nearsighted Have had a retinal detachment in the other eye Have a family history of retinal detachment Have had cataract surgery Have ...

  13. Drainage of subretinal fluidduring scleral buckling surgery for rhegmatogenous retinal detachment

    PubMed Central

    MALAGOLA, R.; PANNARALE, L.; TORTORELLA, P.; ARRICO, L.

    2015-01-01

    Background and objective The purpose of the study is to compare the drainage of subretinal fluid (SRF) in a scleral pocket (SP) with incision parallel to the limbus to drainage through a simple radial scleral thinning (ST), during scleral buckling surgery for rhegmatogenous retinal detachment (RRD). Patients and methods Retrospective cohort study of one hundred sixty-nine consecutive buckling surgery for RRD, where a drainage puncture was performed through SP in eighty-five cases and through previous radial ST in eighty-four cases. Results PT shows significant lower complication rate. The incidence of retinal incarceration or formation of a retinal hole at the first drainage site is lower in PT group (p=0.0285). During surgery choroidal detachment have been observed in a higher percentage of cases in the SP group (p=0.0379). At the end of the surgery a certain amount of SRF behind the buckling was significant in ST group (p=0.0026). Conclusion The SP drainage technique appears to be a useful, effective and safe method to drain SRF. PMID:26188754

  14. Using surgical microscope for sclera buckling and transscleral cryopexy: an alternative procedure of treatment for rhegmatogenous retinal detachment.

    PubMed

    Zhong, Liu-xue-ying; Du, Yi; Liu, Wen; Huang, Su-Ying; Zhang, Shao-chong

    2014-01-01

    Purpose. To observe the long-term effectiveness of scleral buckling and transscleral cryopexy conducted under a surgical microscope in the treatment of uncomplicated rhegmatogenous retinal detachment. Methods. This was a retrospective analysis in a total of 227 consecutive patients (244 eyes) with uncomplicated rhegmatogenous retinal detachment (proliferative vitreoretinopathy ≤ C2). All patients underwent scleral buckling and transscleral cryopexy under a surgical microscope without using a binocular indirect ophthalmoscope or a contact lens. Results. After initial surgery, complete retinal reattachment was achieved in 226 eyes (92.6%), and retinal redetachment developed in 18 eyes (7.4%). The causes of retinal redetachment included presence of new breaks in eight eyes (44%), failure to completely seal the breaks in five eyes (28%), missed retinal breaks in four eyes (22%), and iatrogenic retinal breaks in one eye (6%). Scleral buckling surgery was performed again in 12 eyes (66%). Four eyes (22%) developed proliferative vitreoretinopathy and then were treated by vitrectomy. The sealing of retinal breaks and complete retinal reattachment were achieved in 241 eyes (98.8%). Conclusion. Probably because of clear visualization of retinal breaks and being controllable under a surgical microscope, the microsurgery of scleral buckling and transscleral cryopexy for uncomplicated retinal detachment exhibits advisable effectiveness.

  15. Using Surgical Microscope for Sclera Buckling and Transscleral Cryopexy: An Alternative Procedure of Treatment for Rhegmatogenous Retinal Detachment

    PubMed Central

    Zhong, Liu-xue-ying; Liu, Wen; Huang, Su-Ying; Zhang, Shao-chong

    2014-01-01

    Purpose. To observe the long-term effectiveness of scleral buckling and transscleral cryopexy conducted under a surgical microscope in the treatment of uncomplicated rhegmatogenous retinal detachment. Methods. This was a retrospective analysis in a total of 227 consecutive patients (244 eyes) with uncomplicated rhegmatogenous retinal detachment (proliferative vitreoretinopathy ≤ C2). All patients underwent scleral buckling and transscleral cryopexy under a surgical microscope without using a binocular indirect ophthalmoscope or a contact lens. Results. After initial surgery, complete retinal reattachment was achieved in 226 eyes (92.6%), and retinal redetachment developed in 18 eyes (7.4%). The causes of retinal redetachment included presence of new breaks in eight eyes (44%), failure to completely seal the breaks in five eyes (28%), missed retinal breaks in four eyes (22%), and iatrogenic retinal breaks in one eye (6%). Scleral buckling surgery was performed again in 12 eyes (66%). Four eyes (22%) developed proliferative vitreoretinopathy and then were treated by vitrectomy. The sealing of retinal breaks and complete retinal reattachment were achieved in 241 eyes (98.8%). Conclusion. Probably because of clear visualization of retinal breaks and being controllable under a surgical microscope, the microsurgery of scleral buckling and transscleral cryopexy for uncomplicated retinal detachment exhibits advisable effectiveness. PMID:24790997

  16. A New Sutureless Illuminated Macular Buckle Designed for Myopic Macular Hole Retinal Detachment

    PubMed Central

    Bedda, Ahmed M.; Lolah, Mohamed; Abd Al Shafy, Muhammad S.

    2017-01-01

    Purpose. To report the anatomic and visual results of a new sutureless illuminated macular buckle designed for patients with macular hole retinal detachment related to high myopia (MMHRD). Design. Prospective nonrandomized comparative interventional trial. Methods. Twenty myopic eyes of 20 patients (mean age, 51.4 years; range, 35–65 years) presenting with MMHRD with a posterior staphyloma, in whom the new buckle was used, were evaluated. The buckle used was assembled from a 5 mm wide sponge and a 7 mm wide silicone tire; it was fixed utilizing the sterile topical adhesive Histoacryl Blue (B Braun, TS1050044FP) which polymerizes in seconds upon being exposed to water-containing substances. The primary outcomes measured included aided visual acuity (BCVA) and optical coherence tomography (OCT) findings. The mean follow-up period was 6 months. Results. Postoperatively, the MH closure was identified by OCT in 8 (40%) eyes. The mean BCVA increased from 0.11 to 0.21 (p < 0.005). The axial length of the eyes included decreased from 30.5 mm preoperatively to 29.8 mm (p = 0.002) postoperatively. Conclusion. Preparation of the new sutureless macular buckle is simple and easy. Illumination of the terminal part of the buckle ensures proper placement. Histoacryl Blue is effective in fixing the buckle in its place for at least 6 months with no reported intra- or postoperative complications.

  17. Anatomical and functional outcomes of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment

    PubMed Central

    Cankurtaran, Veysel; Citirik, Mehmet; Simsek, Mert; Tekin, Kemal; Teke, Mehmet Yasin

    2017-01-01

    Retinal detachment is the separation of the sensory retina from the retinal pigment epithelium by subretinal fluid. There are several types of retinal re-attachment surgery, including scleral buckling (SB), pneumatic retinopexy, and vitrectomy (with or without SB). The objective of this study was to compare anatomical and visual outcomes between patients with pseudophakic rhegmatogenous retinal detachment (RRD) who underwent pars plana vitrectomy (PPV) with silicone oil (SO) or perfluoropropane (C3F8) gas tamponade and pseudophakic RRD patients who underwent SB surgery. We evaluated retrospectively 101 pseudophakic RRD patients from a single center. The patients were classified into three groups according to the surgical procedure performed: PPV + Silicone - patients who underwent PPV with SO tamponade; PPV + Gas - patients who underwent PPV with perfluoropropane gas tamponade; and SB group - patients who underwent SB surgery. The groups were compared with regard to primary and final anatomical and visual outcomes. The number of patients in PPV + Silicone, PPV + Gas, and SB group was 39 (38.6%), 32 (31.7%), and 30 (29.7%), respectively. The mean follow-up period in PPV + Silicone, PPV + Gas, and SB group was 33.95 ± 23.58, 32.62 ± 10.95, and 33.76 ± 16.62 months, respectively. No significant difference was observed between the groups neither with regard to primary and final anatomical and visual success rates nor in relation to the recurrence rate of retinal detachment. According to our anatomical and visual outcome results, either of the three methods (i.e. PPV + Silicone, PPV + Gas, or SB) can be used in the treatment of pseudophakic retinal detachment. PMID:28135566

  18. Anatomical and functional outcomes of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment.

    PubMed

    Cankurtaran, Veysel; Citirik, Mehmet; Simsek, Mert; Tekin, Kemal; Teke, Mehmet Yasin

    2017-02-21

    Retinal detachment is the separation of the sensory retina from the retinal pigment epithelium by subretinal fluid. There are several types of retinal re-attachment surgery, including scleral buckling (SB), pneumatic retinopexy, and vitrectomy (with or without SB). The objective of this study was to compare anatomical and visual outcomes between patients with pseudophakic rhegmatogenous retinal detachment (RRD) who underwent pars plana vitrectomy (PPV) with silicone oil (SO) or perfluoropropane (C3F8) gas tamponade and pseudophakic RRD patients who underwent SB surgery. We evaluated retrospectively 101 pseudophakic RRD patients from a single center. The patients were classified into three groups according to the surgical procedure performed: PPV + Silicone - patients who underwent PPV with SO tamponade; PPV + Gas - patients who underwent PPV with perfluoropropane gas tamponade; and SB group - patients who underwent SB surgery. The groups were compared with regard to primary and final anatomical and visual outcomes. The number of patients in PPV + Silicone, PPV + Gas, and SB group was 39 (38.6%), 32 (31.7%), and 30 (29.7%), respectively. The mean follow-up period in PPV + Silicone, PPV + Gas, and SB group was 33.95 ± 23.58, 32.62 ± 10.95, and 33.76 ± 16.62 months, respectively. No significant difference was observed between the groups neither with regard to primary and final anatomical and visual success rates nor in relation to the recurrence rate of retinal detachment. According to our anatomical and visual outcome results, either of the three methods (i.e., PPV + Silicone, PPV + Gas, or SB) can be used in the treatment of pseudophakic retinal detachment.

  19. Retinal Detachment

    MedlinePlus

    ... immediately. Treatment How is retinal detachment treated? Small holes and tears are treated with laser surgery or ... laser surgery tiny burns are made around the hole to “weld” the retina back into place. Cryopexy ...

  20. Foveal Structure in Macula-off Rhegmatogenous Retinal Detachment after Scleral Buckling or Vitrectomy

    PubMed Central

    Roohipoor, Ramak; Mohammadi, Naseh; Ghassemi, Fariba; Karkhaneh, Reza; Rezaei, Mansour; Nili-Ahmadabadi, Mehdi; Ebrahimiadib, Nazanin

    2015-01-01

    Purpose: To evaluate foveal microstructural changes and to determine its association with visual outcomes after reattachment of rhegmatogenous retinal detachments (RRDs) by scleral buckling (SB) or pars plana vitrectomy (PPV). Methods: Using spectral domain optical coherence tomography (SD-OCT), foveal microstructure in eyes with macula-off RRD were studied 1, 3, 6, 9, 12 and 15 months after PPV or SB and correlated with visual outcomes. Results: Forty-two eyes were included in the final analysis. Even with improved microstructural changes and normalization of retinal structures on OCT, final visual acuity was not correlated with microstructural changes in eyes undergoing PPV. In the SB group, final visual acuity was significantly correlated with an intact inner segment/outer segment (IS/OS) junction (P = 0.013). There was no significant correlation between final visual acuity and presence of subretinal fluid (SRF) in either group. Conclusion: After SB, eyes with an intact IS/OS junction had better final visual acuity. In the PPV group, there was no significant correlation between microstructural changes and visual acuity. The presence of SRF did not influence final visual acuity in both groups. PMID:26425321

  1. Pharmacotherapies for Retinal Detachment.

    PubMed

    Wubben, Thomas J; Besirli, Cagri G; Zacks, David N

    2016-07-01

    Retinal detachment is an important cause of visual loss. Currently, surgical techniques, including vitrectomy, scleral buckle, and pneumatic retinopexy, are the only means to repair retinal detachment and restore vision. However, surgical failure rates may be as high as 20%, and visual outcomes continue to vary secondary to multiple processes, including postoperative cystoid macular edema, epiretinal membrane formation, macular folds, and, ultimately, photoreceptor death. Therefore, pharmacotherapies are being sought to aid the success rates of modern surgical techniques and reduce or slow the degeneration of photoreceptors during retinal detachment. This review discusses potential therapeutic avenues that aid in retinal reattachment, reduce the rate of retinal redetachment by limiting proliferative vitreoretinopathy, and protect against photoreceptor cell death.

  2. Predictive factors for postoperative visual function of primary chronic rhegmatogenous retinal detachment after scleral buckling

    PubMed Central

    Fang, Wei; Li, Jiu-Ke; Jin, Xiao-Hong; Dai, Yuan-Min; Li, Yu-Min

    2016-01-01

    AIM To evaluate predictive factors for postoperative visual function of primary chronic rhegmatgenous retinal detachment (RRD) after sclera buckling (SB). METHODS Totally 48 patients (51 eyes) with primary chronic RRD were included in this prospective interventional clinical cases study, which underwent SB alone from June 2008 to December 2014. Age, sex, symptoms duration, detached extension, retinal hole position, size, type, fovea on/off, proliferative vitreoretinopathy (PVR), posterior vitreous detachment (PVD), baseline best corrected visual acuity (BCVA), operative duration, follow up duration, final BCVA were measured. Pearson correlation analysis, Spearman correlation analysis and multivariate linear stepwise regression were used to confirm predictive factors for better final visual acuity. Student's t-test, Wilcoxon two-sample test, Chi-square test and logistic stepwise regression were used to confirm predictive factors for better vision improvement. RESULTS Baseline BCVA was 0.8313±0.6911 logMAR and final BCVA was 0.4761±0.4956 logMAR. Primary surgical success rate was 92.16% (47/51). Correlation analyses revealed shorter symptoms duration (r=0.3850, P=0.0053), less detached area (r=0.5489, P<0.0001), fovea (r=0.4605, P=0.0007), no PVR (r=0.3138, P=0.0250), better baseline BCVA (r=0.7291, P<0.0001), shorter operative duration (r=0.3233, P=0.0207) and longer follow up (r=-0.3358, P=0.0160) were related with better final BCVA, while independent predictive factors were better baseline BCVA [partial R-square (PR2)=0.5316, P<0.0001], shorter symptoms duration (PR2=0.0609, P=0.0101), longer follow up duration (PR2=0.0278, P=0.0477) and shorter operative duration (PR2=0.0338, P=0.0350). Patients with vision improvement took up 49.02% (25/51). Univariate and multivariate analyses both revealed predictive factors for better vision improvement were better baseline vision [odds ratio (OR) =50.369, P=0.0041] and longer follow up duration (OR=1.144, P=0

  3. Episcleral macular buckling for posterior retinal detachment in silicone oil filled eyes associated with myopic macular hole

    PubMed Central

    Tian, Jiao; Tang, Luo-Sheng; Guo, Xiao-Jian; Luo, Yong-Heng

    2013-01-01

    AIM To evaluate anatomical and visual outcomes of episcleral macular buckling (EMB) for posterior retinal detachment in silicone oil filled eyes associated with myopic macular hole. METHODS Five cases of EMB for initial failure of retinal reattachment after internal limiting membrane (ILM) peeling and silicone oil tamponade caused by myopic macular hole were retrospectively reviewed. A silicone sponge sutured directly across the macular region was performed on the silicone oil filled eyes. Silicone oil was removed no sooner than 1 month post-EMB. The duration of follow-up time after removal of silicone oil was more than 3 months. RESULTS Retinas of five eyes were all reattached at the last follow-up. The postoperative vision ranged from counting fingers to 0.08. CONCLUSION Anatomical results improved after EBM for posterior retinal detachment in silicone oil filled eyes associated with myopic macular hole, which was not evident for visual outcome. PMID:23638417

  4. Comparison of scleral buckling using wide-angle viewing systems and indirect ophthalmoscope for rhegmatogenous retinal detachment

    PubMed Central

    Li, Xiu-Juan; Yang, Xiao-Peng; Lyu, Xiao-Bei

    2016-01-01

    AIM To compare the effects of scleral buckling using wide-angle viewing systems (WAVS) with that using indirect ophthalmoscope for the treatment of rhegmatogenous retinal detachment. METHODS The study was a retrospective analyses of the medical records of 94 eyes (94 patients) with rhegmatogenous retinal detachment. Among them, 47 eyes underwent scleral buckling using WAVS with endoilluminator (Group W), and 47 eyes underwent scleral buckling using indirect ophthalmoscope (Group I). Surgical durations, primary success rate, best-corrected visual acuities (BCVA), delayed subretinal fluid absorptions and surgical complications were compared between the two groups. RESULTS At baseline, there were no statistical differences between the two groups in patient's age (P=0.997), gender (P=0.853), symptom duration (P=0.216), BCVA (P=0.389), refractive error (P=0.167), intraocular pressure (P=0.595), the number of retinal breaks (P=0.832), the extent of retinal detachment (P=0.246), subretinal demarcation line (P=0.801), and macular detachment (P=0.811). The follow-up period was 12mo. The surgical durations in Group W (with or without encircling buckling) were significant shorter than those in Group I (P<0.001 respectively). The primary success rate was 94.27% in Group W, which was similar to that in Group I (92.38%, P = 0.931). The BCVA in Group W was better than that in Group I (P<0.001) at 1-month follow-up visit. However, there were no significant differences between the two groups at 3-month (P=0.221), 6-month (P=0.674), and 12-month (P=0.363) follow-up visits respectively. Delayed subretinal fluid absorptions were more common in Group I than in Group W at 1-month (P=0.045) follow-up visit, but there were no significant differences between the two groups at 3-month (P=0.111), 6-month (P=1.000) and 12-month follow-up visits respectively. CONCLUSION Scleral buckling using WAVS can be an alternative choose for rhegmatogenous retinal detachment. PMID:27672597

  5. One "8"-shaped scleral suture to treat rhegmatogenous retinal detachment: a refined procedure of minimal scleral buckling.

    PubMed

    Min, H Y; Chen, D; Chen, Y; Dong, F T

    2014-08-28

    The aim of this study was to investigate the outcomes of one "8"-shaped scleral suture of minimal scleral buckling (MSB) surgery without sub-retinal drainage for rhegmatogenous retinal detachment (RRD) treatment. Thirty patients (30 eyes) with RRD were recruited. Thirty eyes with RRD were repaired by one "8"-shaped scleral suture of minimal buckling without subretinal drainage by one surgeon. The refined MSB procedure is described. Reattachment time and best-corrected visual acuity (BCVA) were observed. The age of the 30 patients ranged from 17 to 65 years (mean, 43.1 ± 8.6 years). The retinas of 19 eyes (63.3%) reattached within 12 h of the operations, and those of 11 eyes (67%) reattached within 72 h. The average time of follow-up was 10.4 ± 2.8 months. BCVAs were increased in 27 eyes (90%), whereas those of 3 eyes did not change. The mean preoperative BCVA was 0.738 ± 0.368 log minimal angle of resolution (MAR), and mean postoperative BCVA was 0.422 ± 0.278 logMAR, and the difference was statistically significant (P < 0.05). The sponge for buckling in only one eye exposed from the conjunctiva was taken out, and the retina remained attached. In conclusion, an "8"-shaped scleral suture of MSB without sub-retinal drainage is an efficient procedure to treat selected RRD cases.

  6. A novel episcleral macular buckling: wire-strengthened sponge exoplant for recurrent macular hole and retinal detachment in high myopic eyes.

    PubMed

    Mortada, Hassan A

    2013-01-01

    The purpose would be to describe and evaluate a novel technique of episcleral macular buckling in postvitrectomy recurrent macular hole retinal detachment in highly myopic eyes. A 7mm silicone sponge strengthened with a U-shaped 0.5mm orthodontics stainless steel wire fed along its length and hand-bent to produce L-shaped buckle of appropriate shape and length, is used. The episcleral macular buckling has performed on 15 highly myopic eyes (axial length > 30mm) with recurrent macular hole retinal detachment following silicone oil removal. Buckle localization has been performed by manipulating the long arm of the exoplant, under direct internal visualization, scleral marking and suturing. Successful retinal reattachment with improvement in visual acuity achieved in all 15 eyes. Closure of the macular holes was confirmed by Optical Coherence Tomography. The anatomical and functional outcomes of this new technique of macular buckling appears to provide an effective and feasible means of retinal reattachment and hole closure in postvitrectomy recurrent macular hole detachment in highly myopic eyes.

  7. A Novel Episcleral Macular Buckling: Wire-Strengthened Sponge Exoplant for Recurrent Macular Hole and Retinal Detachment in High Myopic Eyes

    PubMed Central

    Mortada, Hassan A.

    2013-01-01

    The purpose would be to describe and evaluate a novel technique of episcleral macular buckling in postvitrectomy recurrent macular hole retinal detachment in highly myopic eyes. A 7mm silicone sponge strengthened with a U-shaped 0.5mm orthodontics stainless steel wire fed along its length and hand-bent to produce L-shaped buckle of appropriate shape and length, is used. The episcleral macular buckling has performed on 15 highly myopic eyes (axial length > 30mm) with recurrent macular hole retinal detachment following silicone oil removal. Buckle localization has been performed by manipulating the long arm of the exoplant, under direct internal visualization, scleral marking and suturing. Successful retinal reattachment with improvement in visual acuity achieved in all 15 eyes. Closure of the macular holes was confirmed by Optical Coherence Tomography. The anatomical and functional outcomes of this new technique of macular buckling appears to provide an effective and feasible means of retinal reattachment and hole closure in postvitrectomy recurrent macular hole detachment in highly myopic eyes. PMID:24600635

  8. Outcome of rhegmatogenous retinal detachment repair by scleral buckling: The experience of a tertiary referral center in Scotland

    PubMed Central

    Shankar, Vikas; Lim, Lik Thai; Ah-Kee, Elliott Yann; Hammer, Harold

    2014-01-01

    Purpose: The primary aim of this study is to report the outcome of patients with rhegmatogenous retinal detachment (RRD) who underwent scleral buckling (SB) surgery. Methods: This is a retrospective noncomparative case series study of all patients who underwent RRD repair by primary SB between March 2008 and February 2009. Patient demographics, visual outcome, complications, and failure rates were identified and recorded. Results: A total of 65 patients underwent RRD repair by SB, with a mean age of 44.44 years. Results showed that the primary outcome (primary anatomical success following index surgery) was 90.77%, while the secondary outcome (anatomical success following repeat surgery) was 98.46%. Conclusion: The study showed a high-success rate of SB in phakic eyes both in terms of postoperative best-corrected visual acuity and complication rates. We recommend the continued use of this technique in selected cases of RRD. PMID:25378877

  9. A retrospective study comparing outcomes of primary rhegmatogenous retinal detachment repair by scleral buckling and pars plana vitrectomy in Finland

    PubMed Central

    Sahanne, Sari; Tuuminen, Raimo; Haukka, Jari; Loukovaara, Sirpa

    2017-01-01

    Background Rhegmatogenous retinal detachment (RRD) is the most common form of retinal detachment and an ophthalmic emergency. Here, we compared outcomes of primary RRD eyes operated with conventional scleral buckling (SB) with cryoretinopexy to those operated with standard pars plana vitrectomy (PPV). Methods This is an institutional, retrospective, register-based, observational, comparative study. Based on the surgical procedure, 319 eyes of 319 patients were divided into two groups: SB plus cryotherapy (n=50) and PPV (n=269). Changes in intraocular pressure (IOP) and best-corrected visual acuity (BCVA) were recorded at 30 days and reoperation rates within 180 days postoperatively. Results Eyes operated with PPV had less reoperations within the first 180 days as compared with SB eyes (P=0.001, log-rank test); however, changes in IOP were more prominent (mean ± standard deviation: +8.1±8.8 vs. +4.4±7.0 mmHg, respectively; P=0.006). Changes in BCVA did not differ between the surgical procedures. Conclusion PPV was associated with higher primary anatomic success rates and lower risk of reoperation but significant IOP elevation when compared to SB. These factors should be case-specifically considered when choosing treatment modality for primary RRD. PMID:28331284

  10. Silicone Oil Reinjection without Macular Buckling for Treatment of Recurrent Myopic Macular Hole Retinal Detachment after Silicone Oil Removal

    PubMed Central

    Ghoraba, Hammouda Hamdy; Elgouhary, Sameh Mohamed; Mansour, Hosam Osman

    2014-01-01

    Purpose. To evaluate the efficacy of silicone oil (S.O) reinjection without macular buckling for treatment of recurrent myopic macular hole retinal detachment (MHRD) after silicone oil removal. Methods. A retrospective consecutive interventional study from medical reports on cases of myopic MHRD. Fifty-three eyes of 51 patients underwent silicone oil removal after successful repair of MHRD were reviewed. The main outcomes were the retinal status after silicone oil removal and management of recurrent cases. Results. The rate of recurrent RD (Re RD) after silicone oil removal was 11.3% (6 out of 53 eyes). One case refused any other interference. In the remaining 5 eyes, 4 eyes (80%) could be reattached by S.O re-injection and one eye (20%) developed Re RD after S.O re-injection. Range of followup after management of recurrence was 5–53 months (mean 18.7 months). Conclusions. This case series concluded that the risk factors for recurrent RD after silicone oil removal from cases of myopic MHRD were high myopia, open flat MH, and large posterior staphyloma. Revision of vitrectomy and S.O re-injection can reattach most of recurrent cases. PMID:24672706

  11. Computational Simulation of Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment: On the Effect of the Band Size on the Myopization.

    PubMed

    Lanchares, Elena; Del Buey, María A; Cristóbal, José A; Calvo, Begoña; Ascaso, Francisco J; Malvè, Mauro

    2016-01-01

    A finite element model (FE) of the eye including cornea, sclera, crystalline lens, and ciliary body was created to analyze the influence of the silicone encircling bandwidth and the tightness degree on the myopia induced by scleral buckling (SB) procedure for rhegmatogenous retinal detachment. Intraocular pressure (IOP) was applied to the reference geometry of the FE model and then SB surgery was simulated with encircling bandwidths of 1, 2, and 2.5 mm. Different levels of tightening and three values of IOP were applied. The anterior segment resulted as unaffected by the surgery. The highest value of Cauchy stress appeared in the surroundings of the implant, whereas no increment of stress was observed either in anterior segment or in the optic nerve head. The initial IOP did not appear to play any role in the induced myopia. The wider the band, the greater the induced myopia: 0.44, 0.88, and 1.07 diopters (D) for the 1, 2, and 2.5 mm bandwidth, respectively. Therefore, patients become more myopic with a wider encircling element. The proposed simulations allow determining the effect of the bandwidth or the tightness degree on the axial lengthening, thus predicting the myopic increment caused by the encircling surgery.

  12. Computational Simulation of Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment: On the Effect of the Band Size on the Myopization

    PubMed Central

    Lanchares, Elena; del Buey, María A.; Cristóbal, José A.; Ascaso, Francisco J.

    2016-01-01

    A finite element model (FE) of the eye including cornea, sclera, crystalline lens, and ciliary body was created to analyze the influence of the silicone encircling bandwidth and the tightness degree on the myopia induced by scleral buckling (SB) procedure for rhegmatogenous retinal detachment. Intraocular pressure (IOP) was applied to the reference geometry of the FE model and then SB surgery was simulated with encircling bandwidths of 1, 2, and 2.5 mm. Different levels of tightening and three values of IOP were applied. The anterior segment resulted as unaffected by the surgery. The highest value of Cauchy stress appeared in the surroundings of the implant, whereas no increment of stress was observed either in anterior segment or in the optic nerve head. The initial IOP did not appear to play any role in the induced myopia. The wider the band, the greater the induced myopia: 0.44, 0.88, and 1.07 diopters (D) for the 1, 2, and 2.5 mm bandwidth, respectively. Therefore, patients become more myopic with a wider encircling element. The proposed simulations allow determining the effect of the bandwidth or the tightness degree on the axial lengthening, thus predicting the myopic increment caused by the encircling surgery. PMID:27413542

  13. Integrating Scleral Buckling, Transscleral Drainage of Subretinal Fluid, Intravitreal Anti-Vascular Endothelial Growth Factor, and Laser Photocoagulation in Stage 3B Coats' Total Retinal Detachment.

    PubMed

    Huang, Ying-Chen; Lai, Chi-Chun; Wu, Wei-Chi

    2016-09-01

    The integration of quadruple therapy in a 13-year-old boy with stage 3B Coats' disease achieved retinal reattachment and visual improvement. Scleral buckling might play a role in retinal detachment in Coats' disease, although it has previously been considered insignificant. Instead of performing vitrectomy and internal drainage with a drainage hole in the retina, less-invasive procedures that do not require retinotomy appear to be beneficial in cases of advanced Coats' disease. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:865-868.].

  14. Long-term follow-up of vitrectomy, with or without 360° encircling buckle, for rhegmatogenous retinal detachment due to inferior retinal breaks

    PubMed Central

    Ghoraba, Hamouda Hamdy; Zaky, Adel Galal; Ellakwa, Amin Faisal

    2016-01-01

    Objective The aim of this study was to report and compare the anatomic and functional results of primary vitrectomy with and without 360° encircling scleral buckle (SB) for the treatment of rhegmatogenous retinal detachment (RRD) due to inferior retinal break(s). Background A variety of options, including SB, pars plana vitrectomy (PPV) with or without SB, and pneumatic retinopexy have been described as methods to repair RRDs. The use of additional SB with vitrectomy for RRD associated with inferior breaks has been a recent controversy after the introduction of transconjunctival cannula systems. Patients and methods A retrospective, interventional, comparative case study was performed. In this study, we reviewed 105 consecutive patients who underwent vitrectomy for primary RRD with inferior retinal break(s) at the vitreoretinal center, performed by a single surgeon. Ninety four patients (94 eyes) were followed up for at least 4 months after silicon oil removal (SOR), and were analyzed. They were divided into two groups: group I included 50 patients who underwent PPV alone + silicon oil (SO); and group II included 44 patients who underwent PPV with 360° SB + SO. The essential parameters were single-operation success rate (SOSR) before SOR, incidence of retinal redetachment after SOR, and final visual acuity. Results SOSR was obtained in 89 eyes (47 [94%] in group I and 42 [95.5%] in group II). From overall 59 phakic retinal detachments (RDs), SOSR was obtained in 56 eyes (30 in group I [93.8%] and 26 in group II [96.3%]) while from overall 35 aphakic or pseudophakic RDs, SOSR was obtained in 33 eyes (17 in group I [94.4%] and 16 in group II [94.1%]). Retinal redetachments after SOR occurred in three patients in group I and two patients in group II. Visual acuity improvement was greater in group I than in group II before SOR. Conclusion Both surgical procedures had similar reattachment rates. The addition of 360° SB to PPV + SO might not have additional benefits

  15. Scleral buckling versus vitrectomy for macula-off rhegmatogenous retinal detachment as accessed with spectral-domain optical coherence tomography: a retrospective observational case series

    PubMed Central

    2013-01-01

    Background Scleral buckling surgery and pars plana vitrectomy are competing methods in the treatment of retinal detachment. The recent development of spectral-domain optical coherence tomography (SD-OCT) has dramatically improved the visualization of the photoreceptor layer relative to conventional OCT, and offers new opportunities to investigate the discordances between anatomic and functional outcomes after retinal detachment surgery. Hence, the study aim was to use SD-OCT to compare the postoperative macular recovery between scleral buckling and vitrectomy for macular-off rhegmatogenous retinal detachment. Methods In this retrospective observational case series, we observed 32 patients who underwent scleral buckling surgery (group 1) and 26 patients who underwent pars plana vitrectomy (group 2) as the primary surgery for macula-off rhegmatogenous retinal detachment. OCT was used to examine microstructural changes in the macular area. Results The mean visual acuity improvement was 0.4 ± 0.8 logMAR in group 1 and 0.7 ± 0.9 logMAR in group 2. As detected by SD-OCT, subretinal fluid was present in 26 of the group 1 eyes (81.3%) and 5 of the group 2 eyes (19.2%) at 8 weeks postoperatively. This difference was statistically significant (Fisher’s exact test, P < 0.05). Moreover, detection by SD-OCT revealed epiretinal membranes in 5 of the group 1 eyes (15.6%) and 11 of the group 2 eyes (42.3%), a difference that was statistically significant (Fisher’s exact test, P < 0.05). Conclusions Macular recovery and the mean visual acuity differed between the 2 groups of patients. With the help of SD-OCT, we observed that subretinal fluids could persist for a relatively longer period after scleral buckling. Based on our results, we conclude that primary vitrectomy surgery is a better choice for macular recovery of the macula-off rhegmatogenous retinal detachment. PMID:23587195

  16. Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment

    PubMed Central

    Lindsell, Luke B; Sisk, Robert A; Miller, Daniel M; Foster, Robert E; Petersen, Michael R; Riemann, Christopher D; Hutchins, Robert K

    2017-01-01

    Objective To assess the combination of scleral buckling (SB) and pars plana vitrectomy (PPV) versus PPV alone in the primary repair of rhegmatogenous retinal detachments (RRDs). Methods The current study was a retrospective, comparative, interventional, consecutive case series of 179 eyes of 174 patients who underwent primary RRD repair by five surgeons between January 1, 2008 and December 31, 2010, utilizing SB with PPV or PPV. Univariate and multivariate analyses were used to compare the efficacy of the two surgical strategies and assess for risk factors of proliferative vitreoretinopathy (PVR). Results Single surgery anatomic success (SSAS) was similar (P=0.76) between the PPV group (112 of 132 eyes, 85%) and SB with PPV group (39 of 47 eyes, 83%). Final anatomic success was 100% in each group. There was no difference in rates of PVR formation (PPV 16% vs SB with PPV 19%, P=0.70). Final logarithm of the minimum angle of resolution acuity was 0.33 (20/43) in the PPV group and 0.37 (20/47) in the SB with PPV group (P=0.62). Postoperative anterior chamber fibrin was highly correlated with PVR formation (PVR 13% vs no PVR 0.7%, P=0.003; odds ratio =68.37, P=0.007). Separate analysis of medium- to high-complexity cases showed similar SSAS (PPV 86% vs SB with PPV 83%, P=0.45). Conclusion SB with PPV versus PPV alone were similarly efficacious for repair of primary RRDs of varying complexity. SSAS rates, PVR incidence, and final visual acuities were not significantly different. PMID:28053500

  17. Retinal detachment in pseudophakia.

    PubMed

    Galin, M A; Poole, T A; Obstbaum, S A

    1979-07-01

    In a series of cataract patients excluding myopic individuals, under age 60 years, and cases in which vitreous loss occurred, retinal detachment was no less frequent after intracapsular cataract extraction and Sputnik iris supported lenses than in controls. Both groups were followed up for a minimum of two years. The detachments predominantly occurred from retinal breaks in areas of the retina that looked normal preoperatively.

  18. Scleral buckling for primary rhegmatogenous retinal detachment using noncontact wide-angle viewing system with a cannula-based 25 G chandelier endoilluminator

    PubMed Central

    Imai, Hisanori; Tagami, Mizuki; Azumi, Atsushi

    2015-01-01

    Purpose The aim of this study is to report the result of scleral buckling (SB) using a combination of a noncontact wide-angle viewing system and a cannula-based 25 G chandelier endoilluminator. Methods Retrospective analyses of the medical records of 79 eyes of 79 patients with primary uncomplicated rhegmatogenous retinal detachments who had underwent SB using a combination of a noncontact wide-angle viewing system and a chandelier endoilluminator were performed. Results There were 50 men and 29 women. The mean ± standard deviation age was 43.7±16.0 years. Their preoperative best-corrected visual acuity (BCVA) was 0.31±0.65 logMAR units. The final BCVA was 0.10±0.31 logMAR units, which was significantly better than the preoperative BCVA (P<0.01). The initial and final anatomical success rates were 92.4% and 100%, respectively. Backward logistic multiple regression analysis revealed no relationship between explanatory variables and the primary anatomic success (P=0.104). Conclusion SB using a combination of a noncontact wide-angle viewing system and a chandelier endoilluminator is a modified new technique and may be a valid option for the management of rhegmatogenous retinal detachments. PMID:26635466

  19. Retinal detachment repair - series (image)

    MedlinePlus

    ... scleral buckle is applied. This consists of a silicone patch wrapped around the eye, compressing the globe ... of the eye, and sealing the detachment. The silicone patch is usually left in place permanently, unless ...

  20. PIMASERTIB AND SEROUS RETINAL DETACHMENTS

    PubMed Central

    AlAli, Alaa; Bushehri, Ahmad; Park, Jonathan C.; Krema, Hatem

    2016-01-01

    Purpose: To report a case of multifocal serous retinal detachments associated with pimasertib. Methods: The authors report a 26-year-old patient who developed bilateral multifocal serous retinal detachments appearing 2 days after starting pimasertib (as part of a clinical trial investigating its use in low-grade metastatic ovarian cancer) and rapidly resolving 3 days after stopping it. Conclusion: The mechanism of MEK inhibitor induced visual toxicity remains unclear. The pathophysiology of multifocal serous retinal detachments as a complication of pimasertib is still poorly understood. PMID:26444523

  1. Spectral-domain optical coherence tomography analysis of persistent subretinal fluid after scleral buckling surgery for macula-off retinal detachment

    PubMed Central

    Gharbiya, M; Malagola, R; Mariotti, C; Parisi, F; De Vico, U; Ganino, C; Grandinetti, F

    2015-01-01

    Purpose To determine the predictive value of markers for persistent subretinal fluid (SRF) absorption and the influence of subfoveal fluid on visual outcome after scleral buckle (SB) surgery for rhegmatogenous retinal detachment (RRD). Patients and methods This was a retrospective, observational study. We reviewed the medical records of 64 eyes of 64 patients who underwent SB surgery for macula-off RRD. Patients underwent clinical examination and spectral-domain optical coherence tomography before surgery, at 1 month and every 3 months postoperatively. The height and width of SRF bleb(s) were measured over time. Results Persistent SRF at 1 month was observed in 40 eyes (62.5%). SRF blebs were first detected 1.7±2.2 months postoperatively. In 29 cases that could be fully followed up, SRF blebs were completely absorbed 7.8±4.4 months postoperatively. Resolution of fluid was associated with an improvement of VA (P=0.003). Serial measurements of SRF bleb size showed that bleb width decreased significantly at all time points during the 12-month follow-up period (P<0.05), while significant bleb height decrease occurred from postoperative sixth month only (P<0.05). There was no correlation between VA outcomes and subfoveal bleb height or width (P>0.05). The cut-off value of the bleb width-to-height ratio level for predicting bleb absorption at 6 months was 7, with 89% sensitivity and 83% specificity. Conclusions Visual improvement may occur with late resolution of residual subfoveal fluid. A bleb width-to-height ratio >7 indicates a higher risk of SRF to persist beyond 6 months after surgery. PMID:26139048

  2. Management of Giant Retinal Tear Detachments

    PubMed Central

    Berrocal, Maria H.; Chenworth, Megan L.; Acaba, Luis A.

    2017-01-01

    Giant retinal tears (GRTs) are full-thickness circumferential tears of more than 90 degrees of the retina that are associated with vitreous detachment. They are related to ocular trauma, high myopia, aphakia, pseudophakia, genetic mutations involving collagen and young age. GRTs comprise 1.5% of all rhegmatogenous retinal detachments and the average age of incidence is 42 years. GRTs are more common in males, as 72% of all cases occur in males. The incidence of GRTs in the general population is estimated to be 0.05 per 100,000 individuals. Common techniques used in the management of GRTs include fluid-air exchange, pneumatic retinopexy, scleral buckling, primary vitrectomy with gas or silicone oil tamponade, and combined scleral buckle-vitrectomies. However, management of GRTs poses a great challenge to physicians due to the high risk of intra- and post-operative complications and the many technical difficulties involved. The advent of perfluorocarbon liquids (PFCL) and the use of micro-incisional surgery for the treatment of GRTs has provided new opportunities for the management of GTRs. Today, retinal reattachment can be achieved in 94-100% of cases. PMID:28299011

  3. Missed retinal breaks in rhegmatogenous retinal detachment

    PubMed Central

    Takkar, Brijesh; Azad, Shorya; Shashni, Adarsh; Pujari, Amar; Bhatia, Indrish; Azad, Rajvardhan

    2016-01-01

    AIM To evaluate the causes and associations of missed retinal breaks (MRBs) and posterior vitreous detachment (PVD) in patients with rhegmatogenous retinal detachment (RRD). METHODS Case sheets of patients undergoing vitreo retinal surgery for RRD at a tertiary eye care centre were evaluated retrospectively. Out of the 378 records screened, 253 were included for analysis of MRBs and 191 patients were included for analysis of PVD, depending on the inclusion criteria. Features of RRD and retinal breaks noted on examination were compared to the status of MRBs and PVD detected during surgery for possible associations. RESULTS Overall, 27% patients had MRBs. Retinal holes were commonly missed in patients with lattice degeneration while missed retinal tears were associated with presence of complete PVD. Patients operated for cataract surgery were significantly associated with MRBs (P=0.033) with the odds of missing a retinal break being 1.91 as compared to patients with natural lens. Advanced proliferative vitreo retinopathy (PVR) and retinal bullae were the most common reasons for missing a retinal break during examination. PVD was present in 52% of the cases and was wrongly assessed in 16%. Retinal bullae, pseudophakia/aphakia, myopia, and horse shoe retinal tears were strongly associated with presence of PVD. Traumatic RRDs were rarely associated with PVD. CONCLUSION Pseudophakic patients, and patients with retinal bullae or advanced PVR should be carefully screened for MRBs. Though Weiss ring is a good indicator of PVD, it may still be over diagnosed in some cases. PVD is associated with retinal bullae and pseudophakia, and inversely with traumatic RRD. PMID:27990367

  4. Rhegmatogenous retinal detachment treatment guidelines.

    PubMed

    García-Arumí, J; Martínez-Castillo, V; Boixadera, A; Blasco, H; Marticorena, J; Zapata, M Á; Macià, C; Badal, J; Distéfano, L; Rafart, J M; Berrocal, M; Zambrano, A; Ruíz-Moreno, J M; Figueroa, M S

    2013-01-01

    This paper outlines general guidelines following the initial diagnosis of rhegmatogenous retinal detachment. These include preoperative evaluation, treatment, possible intra- and post-operative complications, retinal re-detachment, and all therapeutic options available for each case. Treatment of the traumatic retinal detachment is also described, due to its importance and peculiarities. Treatment or prophylactic guidelines are suggested for the different types of retinal detachment described. These are based on both the experience of the ophthalmologists that have participated in preparing the guidelines, and also on evidence-based grading linked to bibliographical sources. However, these guidelines should not be interpreted as being mandatory. Given that there is a wide spectrum of options for treatment of retinal detachment, the surgeons' experience with one or other surgical technique will be of utmost importance in obtaining the best surgical result. As guidelines, they are intended as an additional aid to the surgeon during the decision-making process, with the expectation that the final choice will still be left to the surgeon's judgment and past experience.

  5. Axial eye length after retinal detachment surgery.

    PubMed

    Vukojević, Nenad; Sikić, Jakov; Curković, Tihomir; Juratovac, Zlatko; Katusić, Damir; Sarić, Borna; Jukić, Tomislav

    2005-01-01

    Changes in the eye axial diameter were studied to assess the eye globe impact of conventional operation for retinal detachment. The study included 69 eyes in 69 patients operated on for rhegmatogenous retinal detachment. There were 46.4% of men and 53.6% of women, mean age 52.7 (+/- 15.21) years. Results of preoperative and postoperative ultrasonographic measurement of axial diameter are presented. The mean preoperative and postoperative eye axial diameter was 23.69 (+/- 1.84) mm and 24.43 (+/- 1.91) mm, respectively. Postoperative results showed the axial eye length to increase by a mean of 0.74 (+/- 0.44) mm, yielding a statistically significant difference from the preoperative measurement (p < 0.001). The mean myopia induced by this eyeball elongation was 1.77 D. The encircling band with and without segmental buckling used in surgical repair of retinal detachment creates circular and segmental indentation of the eyeball, thus increasing its axial length. The myopia induced by elongation of the eyeball results in considerable myopia, which requires appropriate correction in the early postoperative period to achieve favorable vision rehabilitation.

  6. [Vitreo-retinal surgery for complicated retinal detachment].

    PubMed

    Wang, J Z

    1993-07-01

    93 eyes (93 patients) of complicated retinal detachment were treated with vitreo-retinal surgery. Among the series, 75 eyes were rhegmatogenous with PVR C3-D3 in 66 eyes (88.0%), while the remaining 18 eyes were traction induced. None of the cases had giant tears or complicating diabetes. On discharge from the hospital, the operation was effective in 62 cases (66.7%), in whom the retina was totally reattached or only a small amount of subretinal fluid remained. In a group of 40 eyes where the inert gas SF6 was used, the operation was effective in 30 cases (75.0%). 41 cases were followed up postoperatively for over 3 months, averaging 13.7 months, to find the operative results stable in 33 eyes (80.5%), with the visual acuity improved in 22 cases (66.7%), unchanged in 9 cases (27.3%), and decreased in 2 cases (6.0%). The operative procedures, the peeling of pre-retinal membrane, the effect of PVR severity on the operative results, and the promotion of operative efficacy by application of wide encircling buckle and inert gas tamponade were discussed.

  7. [Ocular hypertension after surgery for retinal detachment].

    PubMed

    Muşat, O; Cristescu, R; Coman, Corina; Asandi, R

    2012-01-01

    This papers presents a case of a patient with retinal detachement, 3 days ago operated (posterior vitrectomy internal tamponament with silicon oil 1000) who develop increased ocular pressure following silicon oil output in the anterior chamber.

  8. [Binocular vision after treatment of retinal detachment].

    PubMed

    Maksymowicz, Małgorzata; Raczyńska, Krystyna; Maksymowicz, Jarosław

    2003-01-01

    The study covered 79 patients after treatment of retinal detachment. Double vision, strabismus and disturbances of eyeballs motility were found. Up to 12 months after intervention, the deterioration of binocular vision was observed in 48.28 to 89.66% of patients, depending on the method used. The majority of disturbances were observed during the first 3 months with tendency to gradual subsidence during consecutive 9 months. A patient, after treatment of retinal detachment, can be qualified to return to work where stereopsis is needed under condition that ophthalmologic examination is done every three months during the first year after operation and than once a year.

  9. [Retinal detachment in various myopic refractions].

    PubMed

    Alimanović-Halilović, Emina

    2009-01-01

    The basic aim of this study was to find the group of "critical" myopic refraction with the highest occurrence of retinal detachment. In the study, 180 myopic eyes were analyzed. Upon the targeted ophthalmological anamnesis, definition of the objective refraction, and indirect binocular ophthalmoscopy, we analyzed the distribution of retinal detachment and the area affected in relation to refraction. All the eyes were divided into groups according to the refraction height. Average age of our patients ranged from 48.43 to 51.60 years with SD from 13.88 to 18.45. We did not find a statistically significant difference for a certain age. The study covered 102 (56.6%) male and 78 (43.3%) female patients. The highest occurrence of retinal detachment was found in Refraction Group from 3.5 to 7.49 dsph, total 21 (11.6%). The retinal detachments usually affected 2/4 or 3/4 of the eye fundus surface respectively.

  10. [Retinal detachment with retinoschisis--case report].

    PubMed

    Cristescu, R; Muşat, O; Toma, Oana; Coma, Corina; Gabej, Ioana; Burcea, M

    2013-01-01

    We present the case of a 43 year old patient diagnosed with rhegmatogenous retinal detachment and retinoschizis, a rare case of disease association. Surgery is recommended and we practice 23 gauge vitrectomy, laser retinopexy, criopexy in the periphery and internal heavy oil tamponade. Postoperatory evolution was favorable.

  11. Retinal detachment: is reparative surgery always mandatory?

    PubMed Central

    Jarrett, W H

    1988-01-01

    The author reports 16 cases of rhegmatogenous retinal detachment in which, for a variety of reasons, immediate reparative surgery was not carried out. To date, one-half of these cases have not been operated, and four have been followed for 6 years or longer. No case suffered visual loss because of the delay in surgery, nor has chronic inflammation, glaucoma, or rubeosis been a problem. The clinical characteristics of this group of cases is defined. PMID:2979020

  12. Surgical challenges and outcomes of rhegmatogenous retinal detachment in albinism

    PubMed Central

    Sinha, M K; Chhablani, J; Shah, B S; Narayanan, R; Jalali, S

    2016-01-01

    Purpose To report the outcomes and surgical difficulties during rhegmatogenous retinal detachment (RRD) repair in patients with albinism. Methods Retrospective analysis of 10 eyes of 9 patients with albinism that underwent RRD repair was performed. Collected data included demographic details, preoperative examination details, surgical procedure, surgical difficulties, anatomical, and visual outcomes. Outcome measures were retinal reattachment and visual acuity at the last follow-up. Results Mean preoperative best-corrected visual acuity (BCVA) was logMAR (Logarithm of the Minimum Angle of Resolution) 2.15 (range 0.9–3.0) with preoperative localization of causative break in six eyes. One eye had proliferative vitreoretinopathy grade C1 preoperatively. Four eyes underwent scleral buckling (SB) and six underwent 20G pars plana vitrectomy (PPV) with silicone oil injection. Intraoperative complication as iatrogenic retinal break occurred in four eyes. For retinopexy during vitrectomy, endolaser delivery was possible in three out of six eyes, whereas three eyes had cryopexy. The mean follow-up was 12 months in SB group (range 1–12; median 12 months) and 5.33 months (range 1–12; median 3 months) in PPV group. Among vitrectomized eye, two eyes had recurrence at 3 months with oil in situ. Rest of the eyes had attached retina at last follow-up. Mean BCVA at last follow-up was logMAR −1.46 (range 0.7–2.0) with mean improvement of −0.57 logMAR. Conclusions Identification of break, induction of posterior vitreous detachment, and endolaser delivery may be difficult during RRD repair in patients with albinism. The incidence of PVR appeared less in these eyes. Both SB and PPV were efficacious and appear to be good surgical techniques for use in this patient population. PMID:26611845

  13. Rhegmatogenous retinal detachments associated to Stickler syndrome in a tertiary eye care center in Saudi Arabia

    PubMed Central

    Alshahrani, Saeed T; Ghazi, Nicola G; Al-Rashaed, Saba

    2016-01-01

    Purpose To investigate the clinical findings and outcomes of rhegmatogenous retinal detachment (RRD) in Stickler syndrome on affected and fellow eyes that underwent prophylactic retinopexy. Patients and methods Chart review of 70 eyes (62 patients). Incidence of RRD, postoperative visual acuity, and risk factors were evaluated. Results Twenty-two patients (35%) had RRD in the fellow eye, 37% of the eyes had cataract, 93% had macular detachment, 50% had proliferative vitreoretinopathy, and 41% had posterior vitreous detachment. Success rates were: 60% of patients after scleral buckling; 57.1% after pars plana vitrectomy; and 75% after combined scleral buckling and pars plana vitrectomy. Sixty-one (93.8%) of patients had successful surgery (including second surgery). Silicone oil tamponade was significantly associated with final anatomic outcome, with a protective odds ratio of 0.11 (P=0.027). Visual acuity improved in 54% of eyes and decreased in 5%. Statistically significant associations were present for eyes with final visual acuity ≥20/200, and total retinal detachment (P<0.001); preoperative cataract (P=0.023); and proliferative vitreoretinopathy (P<0.001). RRD developed in 16/44 eyes despite laser prophylaxis. Conclusion Prophylactic retinopexy was not beneficial for Stickler syndrome patients. Success of primary surgery for RRD remains low. The primary surgery should be vitrectomy combined with scleral buckling and silicone oil tamponade. PMID:26730175

  14. Retinal Detachment due to CrossFit Training Injury

    PubMed Central

    Joondeph, Stephanie A.; Joondeph, Brian C.

    2013-01-01

    The purpose of this paper is to describe a traumatic retinal detachment occurring as a result of CrossFit training using an elastic exercise band. The patient sustained an ocular injury from an elastic band during CrossFit training, resulting in a giant retinal dialysis and retinal detachment, which were successfully repaired. Trainers and athletes need to be aware of the potential for ocular injury from elastic exercise bands and take appropriate precautions. PMID:24106626

  15. Retinal Detachment due to CrossFit Training Injury.

    PubMed

    Joondeph, Stephanie A; Joondeph, Brian C

    2013-01-01

    The purpose of this paper is to describe a traumatic retinal detachment occurring as a result of CrossFit training using an elastic exercise band. The patient sustained an ocular injury from an elastic band during CrossFit training, resulting in a giant retinal dialysis and retinal detachment, which were successfully repaired. Trainers and athletes need to be aware of the potential for ocular injury from elastic exercise bands and take appropriate precautions.

  16. Elastic stability of silicone ferrofluid internal tamponade (SFIT) in retinal detachment surgery

    NASA Astrophysics Data System (ADS)

    Voltairas, P. A.; Fotiadis, D. I.; Massalas, C. V.

    2001-01-01

    It has been argued that silicone ferrofluid internal tamponade (SFIT) can provide (360°) tamponade of the retina in retinal detachment surgery. Provided that the produced SFIT is biocompatible, exact knowledge is needed of its elastic stability in the magnetic field produced by the semi-solid magnetic silicon band (MSB) used as a scleral buckle. We propose a quantitative, phenomenological model to estimate the critical magnetic field produced by the MSB that 'closes' retinal tears and results in the reattachment of the retina. The magnetic 'deformation' of SFIT is modeled in accordance with the deformation of a ferrofluid droplet in an external magnetic field.

  17. Advantages of diabetic tractional retinal detachment repair

    PubMed Central

    Sternfeld, Amir; Axer-Siegel, Ruth; Stiebel-Kalish, Hadas; Weinberger, Dov; Ehrlich, Rita

    2015-01-01

    Purpose To evaluate the outcomes and complications of patients with diabetic tractional retinal detachment (TRD) treated with pars plana vitrectomy (PPV). Patients and methods We retrospectively studied a case series of 24 eyes of 21 patients at a single tertiary, university-affiliated medical center. A review was carried out on patients who underwent PPV for the management of TRD due to proliferative diabetic retinopathy from October 2011 to November 2013. Preoperative and final visual outcomes, intraoperative and postoperative complications, and medical background were evaluated. Results A 23 G instrumentation was used in 23 eyes (95.8%), and a 25 G instrumentation in one (4.2%). Mean postoperative follow-up time was 13.3 months (4–30 months). Visual acuity significantly improved from logarithm of the minimum angle of resolution (LogMAR) 1.48 to LogMAR 1.05 (P<0.05). Visual acuity improved by ≥3 lines in 75% of patients. Intraoperative complications included iatrogenic retinal breaks in seven eyes (22.9%) and vitreal hemorrhage in nine eyes (37.5%). In two eyes, one sclerotomy was enlarged to 20 G (8.3%). Postoperative complications included reoperation in five eyes (20.8%) due to persistent subretinal fluid (n=3), vitreous hemorrhage (n=1), and dislocated intraocular lens (n=1). Thirteen patients (54.2%) had postoperative vitreous hemorrhage that cleared spontaneously, five patients (20.8%) required antiglaucoma medications for increased intraocular pressure, seven patients (29.2%) developed an epiretinal membrane, and two patients (8.3%) developed a macular hole. Conclusion Patients with diabetic TRD can benefit from PPV surgery. Intraoperative and postoperative complications can be attributed to the complexity of this disease. PMID:26604667

  18. Visual Recovery after Primary Retinal Detachment Surgery: Biofeedback Rehabilitative Strategy

    PubMed Central

    Vingolo, Enzo M.; Fragiotta, Serena; Domanico, Daniela; Limoli, Paolo G.; Nebbioso, Marcella; Spadea, Leopoldo

    2016-01-01

    Purpose. To evaluate possible speeding up recovery time after retinal detachment (RD) surgery using biofeedback strategy. Methods. A total of 52 eyes were selected. After surgery, patients were divided into two groups: group A, including patients submitted to biofeedback with MP-1 strategy; group B, patients who received common care strategy. Biofeedback strategy was started 15 days after the suspension of cycloplegic eye drops in buckling procedure or after silicone oil removal in the vitrectomized eyes. Controls were scheduled at baseline and 6, 12, and 18 weeks. Results. At baseline, there was no significant difference in BCVA between groups (P = 0.4230). At the end of biofeedback treatment (WK 6) BCVA of group A was significantly better (P < 0.001) than group B and BCVA was still better in group A than group B at WK 12 (P = 0.028) and at WK 18 (P = 0.041). Conclusions. Visual recovery after RD surgery is still unclear, and it does not depend on entity of the RD. Our data demonstrate that in biofeedback group there was a significant recovery in visual performances that still remains evident after 3 months from the baseline. PMID:26998353

  19. Retinal detachment in a patient with extensive myelinated retinal nerve fibers.

    PubMed

    Chen, Muh-Shy; Ho, Tzyy-Chang; Chang, Ching-Chung; Hou, Ping-Kang

    2007-01-01

    We report extensive myelinated retinal nerve fibers in a 42-year-old patient with retinal detachment. Fundus examination revealed a horseshoe-shaped tear near the temporal edge. Pars plana vitrectomy was performed and firm vitreo-retinal adhesion was noticed in the area of extensive myelinated retinal nerve fibers. Following vitrectomy with silicone oil tamponade, the retina was reattached successfully. In conclusion, retinal detachment may develop in patients with extensive myelinated retinal nerve fibers. Vitrectomy may be performed to treat this condition.

  20. Detachments of the retinal pigment epithelium at the posterior pole.

    PubMed

    Noble, K G; Levitzky, M J; Carr, R E

    1976-08-01

    Multiple vitelliform cysts of the retina, a disorder of unknown cause in which there are multiple detachments of the retinal pigment epithelium at the posterior pole, occurred in five patients. In four patients all lesions were located outside the parafoveal area while one patient showed bilateral foveal elevations associated with more eccentric detachments. Several patients showed slow resolution of some of the detachments with mild disturbances of the pigment epithelium.

  1. The comparison of retinal blood flow after scleral buckling surgery with or without encircling procedure

    PubMed Central

    Dehghani, Alireza; Razmjoo, Hassan; Fazel, Farhad; Karami, Mehdi; Etesampour, Akbar; Ghanbari, Heshmatolah; Kianersi, Farzan; Akhlaghi, Mohammadreza; Fesharaki, Hamid

    2013-01-01

    Aim: We aimed to compare peak systolic velocity of central retinal artery (PSV.CRA) and peak systolic velocity of ophthalmic artery (PSV.OA) between patients with retinal detachment who were treated with segmental scleral bucking and scleral buckling with encircling procedure. Materials and Methods: This study was a descriptive-analytic cross sectional study that was performed in Isfahan university referral centers since April 2010 to April 2011. Of the patients who have undergone scleral buckling surgery, 20 patients belonging to two groups were randomly selected to enroll in the study. Study groups were, patients who have undergone segmental scleral buckling and the other group were patients who have undergone scleral buckling with encircling procedure. Patients were invited to perform color Doppler imaging. PSV-RA and PSV-OA were measured and documented in both operated and unoperated eyes. All of the Doppler's performed at least three months after ophthalmic surgery. Results: We found significant decrease in PSV.CRA among patients in both groups. In patients who had undergone scleral buckling with encircling procedure PSV.CRA was 11.03 ± 3.04 (cm/sec) and 14.83 ± 4.80 in operated and unoperated eye respectively (P = 0.03). In other hand, who treated with segmental scleral buckling these parameters were 11.02 ± 2.48 and 14.45 ± 4.69 (P = 0.03). PSV.OA did not change significantly in each method. The difference between mean PSV.CRA and PSV.OA in operated eye between two study groups was not significant. Conclusion: PSV.CRA reduced significantly in both surgery methods and PSV.OA changes was not significant. However, the mean PSV.CRA and PSV.OA changes did not show statistically significant difference between surgery methods. PMID:23930119

  2. Rhegmatogenous retinal detachment in morning glory syndrome pathogenesis and treatment.

    PubMed

    Ho, C L; Wei, L C

    2001-01-01

    We report a case of morning glory syndrome with retinal detachment. A slit-like retinal break at the edge of the excavated disc anomaly provided a direct communication between the subretinal space and the vitreous cavity. Retinal reattachment and useful vision was achieved after a single procedure of vitrectomy and gas tamponade. We believe that identification of the retinal break, removal of epipapillary fibroglial tissue and its traction force, the avoidance of perfluorocarbon liquid and the appropriate use of long-acting gas as endotamponade, all contributed to the favorable outcome. This is more evidence supporting the rhegmatogenous theory of retinal detachment in morning glory syndrome. A literature review of the clinical presentations and treatments of similar cases is included.

  3. Treatment of retinal tears and lattice degenerations in fellow eyes in high risk patients suffering retinal detachment: a prospective study

    PubMed Central

    Mastropasqua, L.; Carpineto, P.; Ciancaglini, M.; Falconio, G.; Gallenga, P.

    1999-01-01

    BACKGROUND/AIMS—Fellow eye prophylaxis for retinal detachment (RD) is still a controversial issue since opinions are not unanimous regarding the kind of lesions to be treated or the method of treatment. This prospective clinical study aimed to follow the course of vitreoretinal conditions in 150 high risk fellow eyes.
METHODS—150 consecutive patients with unilateral rhegmatogenous RD were included in this study. Inclusion criteria were good explorability of fellow eye retinal periphery and one of the following conditions in the fellow eye—aphakia, pseudophakia with capsulotomy, high myopia (>−6D), contralateral eye to a giant retinal tear. Prophylactic treatment (photocoagulation or scleral buckling) was performed in the presence of retinal tears and lattice degenerations. The state of the vitreous body was determined at the beginning of the study and at the end, when RD occurred.
RESULTS—Follow up ranged from 36 to 132 months. 95 fellow eyes were subjected to laser treatment; five eyes underwent prophylactic surgical treatment. Initially, in the treated group posterior vitreous detachment (PVD) was present in 100 eyes (100% of cases), but as a complete PVD only in 42 of them (42%). 10 eyes in the treated group developed RD during the follow up period. In five of these cases the partial PVD had progressed and a retinal tear in a previously healthy area was the cause of the retinal detachment. In the other five eyes RD apparently developed from previously treated lesions. Progression of PVD was evident in four out of these five eyes. The untreated eyes had no visible degenerative lesions. During follow up eight eyes developed RD. These eyes had no PVD at the beginning of the study, but showed a partial PVD at the time of the diagnosis of RD.
CONCLUSION—Fellow eyes with pre-existing retinal tears and PVDs can go on to retinal detachment in spite of laser prophylactic treatment. When PVD is not detectable or a partial PVD is present, the

  4. Risk factors of rhegmatogenous retinal detachment associated with choroidal detachment in Chinese patients

    PubMed Central

    Gu, Yong-Hao; Ke, Gen-Jie; Wang, Lin; Gu, Qi-Hong; Zhou, En-Liang; Pan, Hong-Biao; Wang, Shi-Ying

    2016-01-01

    AIM To comprehensively analyze the risk factors of rhegmatogenous retinal detachment (RRD) associated with choroidal detachment (CD). METHODS A total of 265 eyes of 265 consecutive cases of RRD were retrospectively analyzed. All patients had systemic and ophthalmologic examination. CD was diagnosed by indirect ophthalmoscopy, B-scan ultrasonography, and ultrasound biomicroscope (UBM). Each parameter was compared between patients of RRD and rhegmatogenous retinal detachment associated with choroidal detachment (RRDCD). Logistic regression analysis was used to determine the independent risk factors of CD. RESULTS There were 52 eyes (19.62%) with CD. Pseudophakia was more commonly seen in RRDCD (21.15% vs 6.10%, P=0.002). Intraocular pressure (IOP) was lower (8.60±3.62 vs 12.96±3.55, P<0.001), best-corrected visual acuity was worse [3.00 (2.00 to 3.00) vs 1.92 (1.22 to 3.00), P=0.001], and refractive error was more myopic [-4 (-9 to -2) vs -2 (-6 to 0), P=0.007] in RRDCD. Eyes with RRDCD had larger extent of retinal detachment (P=0.007). In RRDCD, 34.62% of eyes presented with multiple holes (P=0.044) and 25.00% with macular holes (P=0.012), compared with 20.66% and 14.08% in RRD. High myopia (P=0.039), low IOP (P=0.017), and larger extent of retinal detachment (P<0.001) were significant and independent risk factors for developing CD. CONCLUSION For CD in RRD, related factors include BCVA, IOP, lens status, refractive error, extent of retinal detachment, number of holes, and macular hole. Larger extent of retinal detachment, high myopia, and low IOP are significant and independent risk factors. PMID:27500106

  5. Primary Repair of Moderate Severity Rhegmatogenous Retinal Detachment: A Critical Decision-Making Algorithm

    PubMed Central

    VELEZ-MONTOYA, Raul; JACOBO-OCEGUERA, Paola; FLORES-PRECIADO, Javier; DALMA-WEISZHAUSZ, Jose; GUERRERO-NARANJO, Jose; SALCEDO-VILLANUEVA, Guillermo; GARCIA-AGUIRRE, Gerardo; FROMOW-GUERRA, Jans; MORALES-CANTON, Virgilio

    2016-01-01

    We reviewed all the available data regarding the current management of non-complex rhegmatogenous retinal detachment and aimed to propose a new decision-making algorithm aimed to improve the single surgery success rate for mid-severity rhegmatogenous retinal detachment. An online review of the Pubmed database was performed. We searched for all available manuscripts about the anatomical and functional outcomes after the surgical management, by either scleral buckle or primary pars plana vitrectomy, of retinal detachment. The search was limited to articles published from January 1995 to December 2015. All articles obtained from the search were carefully screened and their references were manually reviewed for additional relevant data. Our search specifically focused on preoperative clinical data that were associated with the surgical outcomes. After categorizing the available data according to their level of evidence, with randomized-controlled clinical trials as the highest possible level of evidence, followed by retrospective studies, and retrospective case series as the lowest level of evidence, we proceeded to design a logical decision-making algorithm, enhanced by our experiences as retinal surgeons. A total of 7 randomized-controlled clinical trials, 19 retrospective studies, and 9 case series were considered. Additional articles were also included in order to support the observations further. Rhegmatogenous retinal detachment is a potentially blinding disorder. Its surgical management seems to depend more on a surgeon´s preference than solid scientific data or is based on a good clinical history and examination. The algorithms proposed herein strive to offer a more rational approach to improve both anatomical and functional outcomes after the first surgery. PMID:28289689

  6. Interventions for asymptomatic retinal breaks and lattice degeneration for preventing retinal detachment

    PubMed Central

    Wilkinson, Charles P

    2016-01-01

    Background Asymptomatic retinal breaks and lattice degeneration are visible lesions that are risk factors for later retinal detachment. Retinal detachments occur when fluid in the vitreous cavity passes through tears or holes in the retina and separates the retina from the underlying retinal pigment epithelium. Creation of an adhesion surrounding retinal breaks and lattice degeneration, with laser photocoagulation or cryotherapy, has been recommended as an effective means of preventing retinal detachment. This therapy is of value in the management of retinal tears associated with the symptoms of flashes and floaters and persistent vitreous traction upon the retina in the region of the retinal break, because such symptomatic retinal tears are associated with a high rate of progression to retinal detachment. Retinal tears and holes unassociated with acute symptoms and lattice degeneration are significantly less likely to be the sites of retinal breaks that are responsible for later retinal detachment. Nevertheless, treatment of these problems is frequently recommended, in spite of the fact that the effectiveness of this therapy is unproven. Objectives The purpose of this review was to evaluate the effectiveness of interventions for asymptomatic retinal breaks and lattice degeneration. Search methods We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library 2012, Issue 1), MEDLINE (January 1950 to January 2012), EMBASE (January 1980 to January 2012), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrials.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). There were no date or language restrictions in the electronic searches for trials. The electronic databases were last searched on 28 January 2012. Textbooks regarding retinal detachment and the reference lists of relevant reports were reviewed for additional

  7. Syphilis presenting as retinal detachment and orchitis in a young man with HIV.

    PubMed

    Yogo, Norihiro; Nichol, Aran Cunningham; Campbell, Thomas B; Erlandson, Kristine M

    2014-02-01

    Retinal detachment and testicular lesions are 2 rare presentations of syphilis. We describe a man with bilateral retinal detachment from ocular syphilis and syphilitic orchitis as a manifestation of syphilis and HIV coinfection.

  8. Spontaneous resolution of optic nerve coloboma-associated retinal detachment.

    PubMed

    Ying, Michelle S; Fuller, Jeff; Young, Joshua; Marcus, Dennis M

    2004-01-01

    We report a congenital neurosensory retinal detachment associated with an optic nerve coloboma with subsequent spontaneous reattachment. This represents the earliest reported case of such a clinical situation. An observation period is recommended for infants with this clinical course to allow for the opportunity of spontaneous reattachment.

  9. Pneumoretinopexy in the treatment of retinal detachment with macular hole.

    PubMed

    Menchini, U; Scialdone, A; Visconti, C; Brancato, R

    1988-01-01

    Nine eyes of nine patients affected by retinal detachment with macular hole were treated with pneumoretinopexy and postoperative positioning. All the eyes were myopic (mean 13.3 d., sd 3.3), two were amblyopic and one was aphakic. The operative technique included eye softening and intravitreal SF6 gas injection only. Barrage laser photocoagulation was carried out after retinal reattachment. In seven eyes (77.8%) the retina reattached in a mean of three days and the visual acuity improved. No recurrences were observed after a mean of 11.6 months. No severe complications occurred. Vitreous flare was present in 44% and increase of floaters in 55% of the eyes. We believe that pneumoretinopexy can be employed as the first treatment in case of myopic retinal detachment with macular hole.

  10. Spectral domain optical coherence tomography imaging of subretinal bands associated with chronic retinal detachments

    PubMed Central

    Kothari, Nikisha; Kuriyan, Ajay E; Flynn, Harry W

    2016-01-01

    We report three patients with subretinal bands associated with retinal detachment in chronic retinal detachments who underwent successful retinal reattachment. Subretinal bands before and after surgery can be identified on clinical examination and spectral domain optical coherence tomography. Removal of subretinal bands is not mandatory to achieve retinal reattachment. PMID:27099457

  11. Scleral Buckling with Chandelier Illumination.

    PubMed

    Seider, Michael I; Nomides, Riikka E K; Hahn, Paul; Mruthyunjaya, Prithvi; Mahmoud, Tamer H

    2016-01-01

    Scleral buckling is a highly successful technique for the repair of rhegmatogenous retinal detachment that requires intra-operative examination of the retina and treatment of retinal breaks via indirect ophthalmoscopy. Data suggest that scleral buckling likely results in improved outcomes for many patients but is declining in popularity, perhaps because of significant advances in vitrectomy instrumentation and visualization systems. Emerging data suggest that chandelier-assisted scleral buckling is safe and has many potential advantages over traditional buckling techniques. By combining traditional scleral buckling with contemporary vitreoretinal visualization techniques, chandelier-assistance may increase the popularity of scleral buckling to treat primary rhegmatogenous retinal detachment for surgeons of the next generation, maintaining buckling as an option for appropriate patients in the future.

  12. Scleral Buckling with Chandelier Illumination

    PubMed Central

    Seider, Michael I.; Nomides, Riikka E. K.; Hahn, Paul; Mruthyunjaya, Prithvi; Mahmoud, Tamer H.

    2016-01-01

    Scleral buckling is a highly successful technique for the repair of rhegmatogenous retinal detachment that requires intra-operative examination of the retina and treatment of retinal breaks via indirect ophthalmoscopy. Data suggest that scleral buckling likely results in improved outcomes for many patients but is declining in popularity, perhaps because of significant advances in vitrectomy instrumentation and visualization systems. Emerging data suggest that chandelier-assisted scleral buckling is safe and has many potential advantages over traditional buckling techniques. By combining traditional scleral buckling with contemporary vitreoretinal visualization techniques, chandelier-assistance may increase the popularity of scleral buckling to treat primary rhegmatogenous retinal detachment for surgeons of the next generation, maintaining buckling as an option for appropriate patients in the future. PMID:27621789

  13. Corneal Complications During and After Vitrectomy for Retinal Detachment in Photorefractive Keratectomy Treated Eyes

    PubMed Central

    Tosi, Gian Marco; Baiocchi, Stefano; Balestrazzi, Angelo; Martone, Gianluca; Marigliani, Davide; Neri, Giovanni; Caporossi, Tomaso

    2015-01-01

    Abstract To evaluate the occurrence of late-onset corneal haze (LOCH) after vitrectomy for rhegmatogenous retinal detachment (RRD) in photorefractive keratectomy (PRK)-treated eyes. This observational cohort study comprised 13 eyes of 13 patients who underwent vitrectomy for RRD and who had been subjected to PRK years earlier. The occurrence of LOCH was evaluated together with all the preoperative, intraoperative, and postoperative factors that could affect final corneal status. LOCH developed in 2 eyes. Both patients had undergone PRK for high myopia—one 3 years and the other 9 years prior to RRD. Both patients presented with RRD due to giant retinal tear and were subjected to scleral buckle, 20-gauge vitrectomy, and silicone oil tamponade. Three months after vitrectomy and 1 month after silicone oil removal they both developed LOCH. During vitreoretinal surgery neither of the 2 patients needed mechanical epithelial debridement. Intraoperative epithelial debridement was performed in 2 of the other patients of the series, who had undergone previous PRK for high myopia and had clear corneas at presentation; in 1 of them this manoeuvre hampered intraoperative visualization. Follow-up after retinal detachment surgery ranged from 6 to 156 months (mean, 37.5 months). Subepithelial corneal scarring may be reactivated many years after PRK. In our series this happened after vitrectomy. PMID:26683931

  14. Retinal Detachment in Down Syndrome: Characteristics and Surgical Outcomes

    PubMed Central

    AlAhmadi, Badr O.; Alsulaiman, Sulaiman M.; Arevalo, J. Fernando

    2016-01-01

    Purpose. To determine the functional and anatomic outcomes of rhegmatogenous retinal detachment (RRD) surgery in patients with Down syndrome. Methods. A retrospective chart review was performed of patients with Down syndrome who had undergone surgery for RRD at King Khalid Eye Specialist Hospital between 1995 and 2014. Results. A total of 245 patients with Down syndrome were evaluated during the study period. Eighteen eyes of 15 patients (6.1%) with RRD were identified. Three out of 15 patients (20%) presented with bilateral retinal detachment. All eyes presented with macula off retinal detachment. The retina was successfully reattached in 16/18 (88.8%) eyes after a mean follow-up of 48 months. The final postoperative visual acuity ranged from light perception to 20/125 (median: hand motion) (11/18 eyes). Conclusions. The anatomic success rate of retinal reattachment surgery in patients with Down syndrome is comparable to the general population. Patients with Down syndrome should undergo regular ophthalmic examinations for early diagnosis. Despite late diagnosis and the presence of proliferative vitreoretinopathy (PVR) in some patients, favorable anatomical outcomes can be achieved. PMID:27123341

  15. Pseudophakic flat anterior chamber following retinal detachment repair.

    PubMed

    Taylor, B C; Winslow, R L

    1981-09-01

    Flat anterior chambers were caused by varying mechanisms in 10 of 70 consecutive pseudophakic eyes operated on for retinal detachment. With iris or capsular implant fixation, three of 46 (7%) developed flat anterior chambers, and with anterior chamber lenses, the occurrence was seven of 24 (29%). Events initiating flat chambers included wound leak, pupillary block, and choroidal detachment. In eyes with flat anterior chambers, the retina could not be reattached in one case, extensive peripheral anterior synechia with persistent intraocular pressure elevation occurred in another case, and bullous keratopathy remained in two additional instances. Endothelial cell densities were obtained in eight eyes and were low on an age-related basis.

  16. Retinal dialysis and detachment in a child after airbag deployment.

    PubMed

    Eliott, Dean; Hauch, Adam; Kim, Rubin W; Fawzi, Amani

    2011-04-01

    A variety of airbag-associated ocular injuries have been reported in children sitting in the front passenger seat during automobile collisions. These injuries range from corneal abrasions to traumatic hyphema with secondary glaucoma and cataract. We report the case of a 5-year-old boy who experienced retinal dialysis and detachment associated with airbag deployment. The patient recovered 20/20 visual acuity after cryopexy and placement of a radial sponge.

  17. Timing and Outcomes of Vitreoretinal Surgery after Traumatic Retinal Detachment

    PubMed Central

    Orban, Molly

    2016-01-01

    Traumatic retinal detachments are a significant cause of morbidity. There are currently no evidence-based guidelines on the appropriate time to perform vitreoretinal surgery to repair a traumatic retinal detachment. Early intervention, within seven days of the inciting trauma, may decrease proliferative vitreoretinopathy and postoperative endophthalmitis. Later intervention may yield a reduced risk of inflammation and hemorrhage, particularly in cases of concomitant open globe injuries. This article reviews the literature on the management of retinal detachments associated with ocular trauma from the years 2006 to 2016. Particular focus was placed on the timing of surgery, concomitant open globe injury, anatomical success rates, visual acuity, and complication rates. In this review, anatomical success was not significantly related to timing of intervention when compared between early and delayed intervention in eyes with and without concomitant open globe injuries. Visual acuities postoperatively varied widely despite timing of intervention due to the large variation in mechanism and extent of ocular injuries. Proliferative vitreoretinopathy was a common complication. Preliminary data indicate that endophthalmitis rates may be lower when early vitreoretinal surgery is performed. There is insufficient data to conclude whether early or delayed surgery leads to improved outcomes, highlighting the need for further research in this domain. PMID:27999681

  18. Progressive keratoconus, retinal detachment, and intracorneal silicone oil with obsessive–compulsive eye rubbing

    PubMed Central

    Panikkar, Kartik; Manayath, George; Rajaraman, Revathi; Saravanan, Veerappan

    2016-01-01

    An 18-year-old boy with an obsessive–compulsive disorder of eye rubbing presented with forme fruste keratoconus (KC) and posterior subcapsular cataracts. After evaluation, he underwent phacoemulsification in his left eye with intraocular lens implantation. The aggressive eye rubbing, however, aggravated the rapid progression to established KC, and further acute corneal hydrops within 3 months. Within the next 3 months, the eye rubbing precipitated rhegmatogenous retinal detachments (RDs) in both eyes. Furthermore, after undergoing a combined cataract and RD surgery with belt buckling and silicone oil endotamponade in his right eye, the repeated eye rubbing caused extrusion of the implanted silicone oil into the subconjunctival space and within the corneal stroma. This is the first report to our knowledge describing this unique complication associated with eye rubbing. It also highlights the need for increased vigilance and care that needs to be directed toward patients predisposed to such complications. PMID:27843234

  19. [C3F8 in the treatment of retinal detachment associated with vitreoretinal proliferation].

    PubMed

    Fleury, J; Bonnet, M

    1989-01-01

    The perfluoropropane gas was used as an adjunct to vitreoretinal microsurgery in 60 eyes of 60 patients with rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy. 0.3 ml to 1.8 ml (average 0.9 ml) of pure perfluoropropane gas was used. The surgical procedure included vitrectomy and scleral buckling in all patients. The follow-up after complete gas absorption ranged from 6 months to 3 years in the successful eyes. Total retinal reattachment was achieved in 41 eyes (68.3%). The anatomical success rate was 88% (22/25 eyes) in grade C1-C2 PVR cases, 68.7% (11/15 eyes) in grade C3-D1 PVR cases, and 42% (8/19 eyes) in grade D2-D3 PVR cases. Visual acuity of 0.1 or better was achieved in 80% of eyes with grade C PVR and 61% of eyes with grade D PVR. Visual acuity of 0.4 or better was achieved in 26.9% of eyes with grade C PVR. Macular changes were revealed by fluorescein angiography in 53% of successful eyes. We recommend the use of C3F8 rather than SF6 in the management of rhegmatogenous retinal detachment complicated by PVR. In our experience the anatomical success rate achieved with C3F8 is approximately the same as that achieved with SF6. However permanent retinal reattachment was achieved with a single operation in 87.8% of successful eyes of the present series of patients managed with C3F8 as compared to only 12% of successful eyes of a previous series of patients managed with SF6. The anatomical results achieved with a single operation in the C3F8 series are probably related to the greater longevity of C3F8 as compared to that of SF6.(ABSTRACT TRUNCATED AT 250 WORDS)

  20. Choroidal melanoma with massive retinal fibrosis and spontaneous regression of retinal detachment.

    PubMed

    Pitts, R E; Awan, K J; Yanoff, M

    1976-01-01

    An unusual case of choroidal malignant melanoma with heterochromia iridis, massive subretinal hemorrhage and fibrosis, spontaneously resolving retinal detachment, and subretinal seeding is reported. Clinical and pathological findings are presented and discussed. The unusual aspects of the case are further considered by Drs. Andrew Ferry and Mark Tso.

  1. Perfluorocarbon liquids in the management of complicated retinal detachments.

    PubMed

    Comaratta, M R; Chang, S

    1991-06-01

    Low viscosity perfluorocarbon liquids have unique physical properties making them ideal for the temporary tamponade, mechanical fixation, and manipulation of the retina. These substances are optically clear, have a specific gravity greater than that of water, and have interfacial tension properties similar to those of silicone oil. The temporary mechanical fixation of the retina by perfluorocarbon liquids facilitates the removal of epiretinal membranes and release of tractional forces. Intraoperative flattening of the retina under perfluorocarbon liquid eliminates the need for a posterior retinotomy. Perfluorocarbon liquids are being used intraoperatively for hydrokinetic manipulation of the retina during vitrectomy for complicated retinal detachments secondary to proliferative vitreoretinopathy, giant retinal tears, and trauma. Additional indications for the intraoperative utilization of perfluorocarbon liquids in vitreous surgery are discussed.

  2. Tamponade in the surgical management of retinal detachment.

    PubMed

    Vaziri, Kamyar; Schwartz, Stephen G; Kishor, Krishna S; Flynn, Harry W

    2016-01-01

    Despite treatment advances, rhegmatogenous retinal detachment (RD) can have poor visual outcomes even with prompt and appropriate therapy. Pars plana vitrectomy is a leading management modality for the treatment of RD. This procedure is generally accompanied by the use of internal tamponade. Various gases and silicone oils may yield beneficial outcomes. Heavy silicone oils have been approved in some European nations but are not available in the USA. Different tamponade agents have unique benefits and risks, and choice of the agent should be individualized according to the characteristics of the patient and RD, as well as perioperative and postoperative factors.

  3. Tamponade in the surgical management of retinal detachment

    PubMed Central

    Vaziri, Kamyar; Schwartz, Stephen G; Kishor, Krishna S; Flynn, Harry W

    2016-01-01

    Despite treatment advances, rhegmatogenous retinal detachment (RD) can have poor visual outcomes even with prompt and appropriate therapy. Pars plana vitrectomy is a leading management modality for the treatment of RD. This procedure is generally accompanied by the use of internal tamponade. Various gases and silicone oils may yield beneficial outcomes. Heavy silicone oils have been approved in some European nations but are not available in the USA. Different tamponade agents have unique benefits and risks, and choice of the agent should be individualized according to the characteristics of the patient and RD, as well as perioperative and postoperative factors. PMID:27041988

  4. Chorioretinal Coloboma Complications: Retinal Detachment and Choroidal Neovascular Membrane

    PubMed Central

    Hussain, Rehan M.; Abbey, Ashkan M.; Shah, Ankoor R.; Drenser, Kimberly A.; Trese, Michael T.; Capone, Antonio

    2017-01-01

    Purpose: To report the chorioretinal coloboma, and its association with increased risk of retinal detachment (RD) and choroidal neovascularization (CNV). Methods: This retrospective case series included eyes with chorioretinal coloboma diagnosed between 1995 and 2014 with a focus on RD and CNV as related complications. Cases of CNV were managed with laser photocoagulation or intravitreal injection of bevacizumab. For eyes with CNV, therapeutic success was defined as resolution of the subretinal hemorrhage on fundus examination and resolution of the subretinal and intraretinal fluid on optical coherence tomography (OCT). For eyes with RD, anatomic success following surgical intervention was defined as attachment of the retina at the last follow-up visit. Results: Fifty-one eyes of 31 patients with chorioretinal coloboma were identified for review. Bilateral chorioretinal coloboma was present in 64.5% of subjects. RD developed in 15 eyes (29.4%). Among 15 eyes with RD, 4 eyes (27%) had retinal breaks identified within the coloboma, 5 eyes (33%) had retinal breaks outside the coloboma, 2 eyes (13%) showed retinal breaks both inside and outside the coloboma, and in 4 eyes (27%) the causative retinal break was not localized. The overall rate of anatomic success after RD repair was 85.7%. CNV developed in 7 eyes (13.7%) and was located along the margin of the coloboma in all cases. CNV was bilateral in 2 of the 5 affected individuals (40%). Conclusion: RD and CNV were present in a high percentage of eyes with chorioretinal coloboma in these series. The frequent finding of retinal breaks outside the coloboma bed suggests that vitreoretinal interface abnormalities may play a role in development of RD in these eyes. PMID:28299000

  5. Photoreceptor cell death and rescue in retinal detachment and degenerations

    PubMed Central

    Murakami, Yusuke; Notomi, Shoji; Hisatomi, Toshio; Nakazawa, Toru; Ishibashi, Tatsuro; Miller, Joan W.; Vavvas, Demetrios G.

    2013-01-01

    Photoreceptor cell death is the ultimate cause of vision loss in various retinal disorders, including retinal detachment (RD). Photoreceptor cell death has been thought to occur mainly through apoptosis, which is the most characterized form of programmed cell death. The caspase family of cysteine proteases plays a central role for inducing apoptosis, and in experimental models of RD, dying photoreceptor cells exhibit caspase activation; however, there is a paradox that caspase inhibition alone does not provide a sufficient protection against photoreceptor cell loss, suggesting that other mechanisms of cell death are involved. Recent accumulating evidence demonstrates that non-apoptotic forms of cell death, such as autophagy and necrosis, are also regulated by specific molecular machinery, such as those mediated by autophagy-related proteins and receptor-interacting protein kinases, respectively. Here we summarize the current knowledge of cell death signaling and its roles in photoreceptor cell death after RD and other retinal degenerative diseases. A body of studies indicate that not only apoptotic but also autophagic and necrotic signaling are involved in photoreceptor cell death, and that combined targeting of these pathways may be an effective neuroprotective strategy for retinal diseases associated with photoreceptor cell loss. PMID:23994436

  6. Experimental retinal detachment causes widespread and multilayered degeneration in rabbit retina.

    PubMed

    Faude, F; Francke, M; Makarov, F; Schuck, J; Gärtner, U; Reichelt, W; Wiedemann, P; Wolburg, H; Reichenbach, A

    2001-05-01

    Retinal detachment remains one of the most frequent causes of visual impairment in humans, even after ophthalmoscopically successful retinal reattachment. This study was aimed at monitoring (ultra-) structural alterations of retinae of rabbits after experimental detachment. A surgical procedure was used to produce local retinal detachments in rabbit eyes similar to the typical lesions in human patients. At various periods after detachment, the detached retinal area as well as neighbouring attached regions were studied by light and electron microscopy. In addition to the well-known degeneration of photoreceptor cells in the detached retina, the following progressive alterations were observed, (i) in both the detached and the attached regions, an incomplete but severe loss of ganglion cell axons occurs; (ii) there is considerable ganglion cell death, particularly in the detached area; (iii) even in the attached retina distant from the detachment, small adherent groups of photoreceptor cells degenerate; (iv) these photoreceptor cells degenerate in an atypical sequence, with severely destructed somata and inner segments but well-maintained outer segments; and (v) the severe loss of retinal neurons is not accompanied by any significant loss of Müller (glial) cells. It is noteworthy that the described progressive (and probably irreparable) retinal destructions occur also in the attached retina, and may account for visual impairment in strikingly large areas of the visual field, even after retinal reattachment.

  7. Success Rates of Vitrectomy in Treatment of Rhegmatogenous Retinal Detachment.

    PubMed

    Mohamed, Yasser Helmy; Ono, Kozue; Kinoshita, Hirofumi; Uematsu, Masafumi; Tsuiki, Eiko; Fujikawa, Azusa; Kitaoka, Takashi

    2016-01-01

    Aim. To investigate the anatomical success rates of pars plana vitrectomy (PPV) after primary rhegmatogenous retinal detachment (RRD). Methods. This retrospective study was conducted between December 2008 and October 2014 at Nagasaki University Hospital. The preoperative data recorded included the lens status, location of the retinal tear, whether a tear was visualized, presence of multiple tears, macula status, presence of peripheral lattice retinal degeneration, and best-corrected visual acuity (BCVA). The primary outcome measures were anatomical (primary and final) and functional success (visual acuity better than 6/60). Results. This study evaluated 422 eyes of 411 patients with a mean age of 57.7 ± 11.2 years. The single-operation reattachment rate (primary anatomical success) was 89.8%. The final anatomical success rate was 100% after 2-6 operations (mean = 3.14 ± 1.03). Functional success rate after the primary reattachment operation was 96.7%, while it was 97.2% at the end of the follow-up. Multiple logistic regression analysis of the possible risk factors for the primary anatomical failure showed a significant relation with the 25 G instruments (P = 0.002) and the presence of multiple tears (P = 0.01). Conclusion. The primary anatomical success of PPV for primary uncomplicated RRD was 89.8% and the final anatomical success rate was 100%.

  8. Success Rates of Vitrectomy in Treatment of Rhegmatogenous Retinal Detachment

    PubMed Central

    Ono, Kozue; Kinoshita, Hirofumi; Uematsu, Masafumi; Tsuiki, Eiko; Fujikawa, Azusa; Kitaoka, Takashi

    2016-01-01

    Aim. To investigate the anatomical success rates of pars plana vitrectomy (PPV) after primary rhegmatogenous retinal detachment (RRD). Methods. This retrospective study was conducted between December 2008 and October 2014 at Nagasaki University Hospital. The preoperative data recorded included the lens status, location of the retinal tear, whether a tear was visualized, presence of multiple tears, macula status, presence of peripheral lattice retinal degeneration, and best-corrected visual acuity (BCVA). The primary outcome measures were anatomical (primary and final) and functional success (visual acuity better than 6/60). Results. This study evaluated 422 eyes of 411 patients with a mean age of 57.7 ± 11.2 years. The single-operation reattachment rate (primary anatomical success) was 89.8%. The final anatomical success rate was 100% after 2–6 operations (mean = 3.14 ± 1.03). Functional success rate after the primary reattachment operation was 96.7%, while it was 97.2% at the end of the follow-up. Multiple logistic regression analysis of the possible risk factors for the primary anatomical failure showed a significant relation with the 25 G instruments (P = 0.002) and the presence of multiple tears (P = 0.01). Conclusion. The primary anatomical success of PPV for primary uncomplicated RRD was 89.8% and the final anatomical success rate was 100%. PMID:27478632

  9. Bietti crystalline retinal dystrophy with subfoveal neurosensory detachment and congenital tortuosity of retinal vessels: case report.

    PubMed

    Padhi, Tapas Ranjan; Kesarwani, Siddharth; Jalali, Subhadra

    2011-06-01

    A 34-year-old man presented with reduction and distortion of vision in both the eyes. The best-corrected vision was 20/20 parts, N6 in either eye. The external and slit lamp examination of both the eyes was unremarkable. The fundus examination showed multiple intraretinal crystalline deposits at the posterior pole, extending up to midperiphery, tortuous retinal blood vessels with S-shaped deflections, and absent foveal reflex in both the eyes. There were no corneal crystals, and the color vision was defective in both the eyes. Fundus autofluorescence and fundus fluorescein angiogram (FFA) were suggestive of geographic areas of retinal pigment epithelium (RPE) and choriocapillary (CC) loss. OCT revealed subfoveal neurosensory detachment. Flash ERG and EOG were normal except for a slight decrease in amplitude and delay in latency of pattern ERG waveforms. The Humphrey's visual field showed paracentral scotoma with reduction in the amplitude of waveforms from the corresponding area in the multifocal ERG in both the eyes. Systemic evaluation for crystalline retinopathy was unremarkable. He was diagnosed to be a case of Bietti crystalline retinopathy (local/regional variant). The subfoveal neurosensory detachment could represent early RPE dysfunction caused by these crystals and could account for the mild visual disturbance in both the eyes. Retinal vascular tortuosity and neurosensory detachment seen in this case is the first time to be reported in literature.

  10. Peripheral Retinal Vascular Patterns in Patients with Rhegmatogenous Retinal Detachment in Taiwan

    PubMed Central

    Chen, San-Ni; Hwang, Jiunn-Feng; Wu, Wen-Chuan

    2016-01-01

    This is an observational study of fluorescein angiography (FA) in consecutive patients with rhegmatogenous retinal detachment (RRD) in Changhua Christian Hospital to investigate the peripheral retinal vascular patterns in those patients. All patients had their age, sex, axial length (AXL), and refraction status (RF) recorded. According to the findings in FA of the peripheral retina, the eyes were divided into 4 groups: in group 1, there was a ramified pattern of peripheral retinal vasculature with gradual tapering; in group 2, there was an abrupt ending of peripheral vasculature with peripheral non-perfusion; in group 3, there was a curving route of peripheral vasculature forming vascular arcades or anastomosis; and in group 4, the same as in group 3, but with one or more wedge-shaped avascular notches. Comparisons of age, sex, AXL, and RF, association of breaks with lattice degeneration and retinal non-perfusion, surgical procedures utilized, and mean numbers of operations were made among the four groups. Of the 73 eyes studied, there were 13 eyes (17.8%) in group 1, 3 eyes (4.1%) in group 2, 40 eyes (54.8%) in group 3 and 17 eyes (23.3%) in group 4. Significant differences in age, AXL and RF, and association of retinal breaks to non-perfusion were noted among the four groups. Patients in group 1 had older ages, while younger ages were noted in groups 3 and 4. Eyes in group 1 had the shortest average AXL and were least myopic in contrast to the eyes in groups 3 and 4. Association of retinal breaks and retinal non-perfusion was significantly higher in groups 2, 3 and 4 than in group 1. In conclusion, peripheral vascular anomalies are common in cases with RRD. Patients with peripheral non-perfusion tend to be younger, with longer axial length and have the breaks associated with retinal non-perfusion. PMID:26909812

  11. Macula-Sparing Rhegmatogenous Retinal Detachment: Is Emergent Surgery Necessary?

    PubMed Central

    Mahmoudi, Sasan; Almony, Arghavan

    2016-01-01

    The status of the macula is a significant factor in determining final visual outcomes in rhegmatogenous retinal detachment (RRD) and should be considered in the timing of surgical repair. Several studies have shown that macula-involving RRDs attain similar visual and anatomic outcomes when surgery is performed within seven days as compared to emergent surgery (within 24 hours). In contrast, surgery prior to macular detachment in macula-sparing RRDs generally yields the best visual outcomes. In the case of macula-sparing RRDs, it is not clear how long the macula may remain attached, therefore, standard practice dictates emergent surgery. Timing of presentation, examination findings, case complexity, co-existing medical conditions, surgeon expertise, and timing and quality of access to operating facilities and staff, however, should all be considered in determining whether a macula-sparing RRD requires immediate intervention or if equivalent visual and possibly better overall outcomes can be achieved with scheduled surgery within an appropriate time frame. PMID:27195093

  12. Aniseikonia and Foveal Microstructure after Retinal Detachment Surgery.

    PubMed

    Okamoto, Fumiki; Sugiura, Yoshimi; Okamoto, Yoshifumi; Hiraoka, Takahiro; Oshika, Tetsuro

    2014-07-17

    Purpose:To quantify aniseikonia after successful surgical repair of rhegmatogenous retinal detachment (RD), and to investigate the relationship between the severity of postoperative aniseikonia and retinal microstructures as well as clinical parameters. Methods:The study included 106 eyes of 106 patients, without any history of ocular disease/surgery and less than 2 diopters of anisometropia, who had undergone successful retinal reattachment surgery. Aniseikonia was measured with New Aniseikonia Test and foveal microstructure was assessed with the spectral-domain optical coherence tomography at 6 months postoperatively. Results:Twenty-eight of 106 patients (26%) had micropsia, 17 patients (16%) had macropsia, and 61 patients (58%) had no aniseikonia. The mean absolute value of aniseikonia was 2.3 ± 2.9% (range; -12.5% - +12.0%). Of 57 eyes with macula-on RD, 3 had micropsia and 12 had macropsia. Of 49 eyes with macula-off RD, 25 had micropsia and 5 had macropsia. Eyes with micropsia mostly exhibited persistent or transient cystoid macular edema, subretinal fluid, hyperreflective or disruption of IS/OS line, while most of the eyes with macropsia presented epiretinal membrane. Stepwise multiple regression analysis revealed that postoperative best-corrected visual acuity and the area of RD were significantly relevant to the mean absolute value of aniseikonia. Conclusions:These results suggested that about half of patients with successful repair of RD had aniseikonia. Eyes with macula-off RD tended to show micropsia, while those with macula-on RD mostly presented macropsia. Micropsia and macropsia were primarily caused by respective specific abnormal structures at the foveal region.

  13. The Development of a Cat Model of Retinal Detachment and Re-attachment.

    PubMed

    Wassmer, Sarah; Leonard, Brian C; Coupland, Stuart G; Baker, Adam; Hamilton, John; Torlone, Renée; Zacks, David N; Tsilfidis, Catherine

    2016-01-01

    We present an optimized surgical technique for feline retinal detachment which allows for natural re-attachment, reduces retinal scarring and vitreal bands, and allows central placement of the detachment in close proximity to the optic nerve. This enables imaging via Optical Coherence Tomography (OCT) and multifocal electroretinography (mfERG) analysis. Ideal detachment conditions involve a lensectomy followed by a three-port pars plana vitrectomy. A 16-20 % retinal detachment is induced by injecting 8 % C3F8 gas into the subretinal space in the central retina with a 42G cannula. The retinal detachment resolves approximately 6 weeks post-surgery. Imaging is enhanced by using a 7.5 and 20 diopter lens for OCT and mfERG fundus imaging, respectively, to compensate for the removed lens.

  14. Massive Bilateral Serous Retinal Detachment in a Case of Hypertensive Chorioretinopathy

    PubMed Central

    Villalba-Pinto, Luis; Hernández-Ortega, M. Ángeles; de los Mozos, F. Javier Lavid; Pascual-Camps, Isabel; Dolz-Marco, Rosa; Arevalo, J. Fernando; Gallego-Pinazo, Roberto

    2014-01-01

    Introduction Systemic high blood pressure is related to a variety of retinal manifestations. We present an atypical case of hypertensive chorioretinopathy with massive bilateral serous retinal detachment. Case Report A 26-year-old male with a genitourinary malformation and secondary grade IV chronic kidney failure as well as high blood pressure complained of acute vision loss. Dilated fundus examination evidenced a bilateral serous retinal detachment with macular involvement. The patient was unresponsive to oral antihypertensive therapy and dialysis treatment. The serous retinal detachment progressively decreased after the restoration of dialysis and antihypertensive therapy. The final visual acuity was 0.50 in both eyes. Discussion In cases of serous macular detachment, it is mandatory to rule out different systemic and ocular diseases. The presence of uncontrolled high blood pressure may produce aggressive bilateral retinal changes, thus hypertension must be under early and strict control in order to improve the visual outcomes. PMID:25120474

  15. Fibulin 2, a Tyrosine O-Sulfated Protein, Is Up-regulated Following Retinal Detachment*

    PubMed Central

    Kanan, Yogita; Brobst, Daniel; Han, Zongchao; Naash, Muna I.; Al-Ubaidi, Muayyad R.

    2014-01-01

    Retinal detachment is the physical separation of the retina from the retinal pigment epithelium. It occurs during aging, trauma, or during a variety of retinal disorders such as age-related macular degeneration, diabetic retinopathy, retinopathy of prematurity, or as a complication following cataract surgery. This report investigates the role of fibulin 2, an extracellular component, in retinal detachment. A major mechanism for detachment resolution is enhancement of cellular adhesion between the retina and the retinal pigment epithelium and prevention of its cellular migration. This report shows that fibulin 2 is mainly present in the retinal pigment epithelium, Bruch membrane, choriocapillary, and to a lesser degree in the retina. In vitro studies revealed the presence of two isoforms for fibulin 2. The small isoform is located inside the cell, and the large isoform is present inside and outside the cells. Furthermore, fibulin 2 is post-translationally modified by tyrosine sulfation, and the sulfated isoform is present outside the cell, whereas the unsulfated pool is internally located. Interestingly, sulfated fibulin 2 significantly reduced the rate of cellular growth and migration. Finally, levels of fibulin 2 dramatically increased in the retinal pigment epithelium following retinal detachment, suggesting a direct role for fibulin 2 in the re-attachment of the retina to the retinal pigment epithelium. Understanding the role of fibulin 2 in enhancing retinal attachment is likely to help improve the current therapies or allow the development of new strategies for the treatment of this sight-threatening condition. PMID:24692557

  16. [Buckling Surgery: Old Fashioned or Cutting Edge?

    PubMed

    Feltgen, N; Hoerauf, H

    2017-01-13

    For many decades, scleral buckling surgery was the only reasonable surgical procedure in eyes with primary rhegmatogenous retinal detachment. In recent years, primary vitrectomy has apparently become the treatment of choice, although evidence from comparative clinical trials is missing. In this article, data from clinical trials and indications for buckling surgery are presented.

  17. Mental health measures of anxiety and depression in patients with retinal detachment.

    PubMed

    Mozaffarieh, Maneli; Sacu, Stefan; Benesch, Thomas; Wedrich, Andreas

    2007-07-19

    In this study, the researchers examined anxious and depressive symptoms of patients with rhegmatogenous retinal detachment (RRD) prior to and up to year after retinal detachment surgery. One hundred and thirteen (113) patients with RRD took part in this prospective longitudinal study. Anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale (HADS). Visual acuity (VA) results and HADS scores of all participants were recorded prior to and 3, 6 and 12 months after retinal detachment surgery. Pearson correlation analysis showed a significant association between the patients' VA and HADS psychological scores both prior to and three months after surgery, regardless of the type of surgery performed. Psychological distress is a significant problem associated with retinal detachments that requires more attention.

  18. [Rhegmatogenous retinal detachment in a patient with previous penetrating keratoplasty (clinical case)].

    PubMed

    Burcea, M; Muşat, O; Gheorghe, Andreea; Mahdi, Labib; Colta, Diana; Cernat, Corina; Mansour, Agajani

    2014-01-01

    We present the case of a 54 year old patient diagnosed with rhegmatogenous retinal detachment and perforating keratoplasty. Surgery is recommended and we performed posterior vitrectomy, endolaser, and internal heavy oil tamponade. The post-operative course was favorable.

  19. Anomalous posterior vitreous detachment: a unifying concept in vitreo-retinal disease.

    PubMed

    Sebag, J

    2004-08-01

    Posterior vitreous detachment (PVD) is the consequence of changes in the macromolecular structure of gel vitreous that result in liquefaction, concurrent with alterations in the extracellular matrix at the vitro-retinal interface that allow the posterior vitreous cortex to detach from the internal limiting lamina of the retina. Gel liquefaction that exceeds the degree of vitro-retinal dehiscence results in anomalous PVD (APVD). APVD varies in its clinical manifestations depending upon where in the fundus vitreo-retinal adhesion is strongest. At the periphery, APVD results in retinal tears and detachments. In the macula, APVD causes vitreo-macular traction syndrome, results in vitreoeschisis with macular pucker or macular holes, or contributes to some cases of diabetic macular edema. At the optic disc and retina, APVD causes vitreo-papillary traction and promotes retinal and optic disc neovascularization. Unifying the spectrum of vitreo-retinal diseases into the conceptual frame-work of APVD underscores that to more effectively treat, and ultimately prevent, these disorders it is necessary to replicate the two components of an innocuous PVD, i.e., gel liquefaction and vitreo-retinal dehiscence. Pharmacologic vitreolysis is designed to mitigate against APVD by chemically breaking down vitreous macromolecules and weakening vitro-retinal adhesion to safely detach the posterior vitreous cortex. This would not only facilitate surgery, but if performed early in the natural history of disease, it should prevent progressive disease.

  20. Retinectomy vs vitrectomy combined with scleral buckling in repair of posterior segment open-globe injuries with retinal incarceration.

    PubMed

    Wei, Y; Zhou, R; Xu, K; Wang, J; Zu, Z

    2016-05-01

    PurposeTo evaluate the anatomic and functional outcome of pars plana vitrectomy (PPV) combined with scleral buckling (SB) vs retinectomy in treating posterior segment open-globe injuries with retinal incarceration.MethodsPatients (38 eyes) with posterior segment open-globe injuries and retinal incarceration were identified, and they underwent either PPV combined with SB (PPV+SB, n=19) or retinectomy (n=19). The two groups were matched in the following categories: the severity of injury (including wound length), the location of the incarceration site and the presence of retinal detachment. Anatomic reattachment of the retina and best-corrected visual acuity (BCVA) were measured at the time of 12 months after operation.ResultsAt 12 months after operation, the PPV+SB group demonstrated a better anatomic retinal attachment rate (84.2% vs 68.4%, P=0.252) and BCVA (73.7% vs 47.4%, P=0.247) compared with the retinectomy group, however, the differences failed to reach statistical significance. Compared with the PPV+SB group, the rectinectomy group had significantly higher rates of hemorrhage (47.4% vs 15.8%, P=0.036), inflammation (42.1% vs 10.5%, P=0.027), and a lower intraocular pressure (IOP, 9.8±3.1 vs 13.6±4.1 mmHg, P=0.002) after silicone oil (SO) removal.ConclusionsFor patients with posterior segment open-globe injuries and retinal incarceration, PPV and SB treatments resulted in a better anatomic and functional outcome and less post-operation complications compared with the retinectomy.

  1. Suprachoroidal Buckling: Technique and Indications

    PubMed Central

    El Rayes, Ehab N; Elborgy, Ebrahim

    2013-01-01

    The authors herein report the feasibility of suprachoroidal buckling (SCB) procedure as a new approach for treating different forms of retinal detachment (RD) by creating suprachoroidal indentation (buckling effect). With this technique, specially designed devices, i.e. a catheter or cannula, are guided in the suprachoroidal space to reach the target area. Then, a suprachoroidal filler (long lasting hyaluronic acid) is injected to indent the choroid creating SCB, thereby closing retinal tears and supporting the overlying retina. This procedure was performed to treat both myopic tractional maculopathy (MTM), including myopic macular holes, as well as peripheral retinal breaks. SCB may be used alone or in conjunction with vitrectomy. In myopic patients, restoration of retinal layers was achieved in all eyes with myopic foveoschisis. Most eyes with macular hole detachments demonstrated closure of the holes. All peripheral retinal breaks were adequately buckled and closed in a single procedure. The buckling effect was long enough in duration to seal the tears and promote adequate chorioretinal scarring. The procedure was safe and relatively simple in terms of reaching the treatment area and injecting the filler. SCB adds to our surgical options for treating selected cases of peripheral retinal tears and rhegmatogenous RD, and avoids potential problems of episcleral buckles. Moreover it may avoid vitrectomy in selected cases of rhegmatogenous RD. PMID:24653830

  2. Outcome of primary rhegmatogenous retinal detachment surgery in a tertiary referral centre in Northern Ireland – A regional study

    PubMed Central

    Mikhail, Michael A; Mangioris, George; Casalino, Giuseepe; McGimpsey, Stuart; Sharkey, James; Best, Richard

    2017-01-01

    Purpose To report the primary and final success, functional outcome and complication rates of patients with primary rhegmatogenous retinal detachment (RRD) who underwent retinal detachment surgery in a tertiary referral centre in Northern Ireland. Venue Vitreoretinal service, Royal Victoria Hospital, Belfast, Northern Ireland. Methods This is a retrospective case series of all patients who underwent primary RRD repair between 1st of January 2013 and 31st of December 2013. Charts were reviewed. Patients’ demographics, overall primary and final success, functional outcome, complication rates were identified and recorded. Subgroup analysis according to lens status and foveal attachment was also performed. Results A total of 212 cases of primary RRD were included. Mean age at time of surgery was 56.6 years (range 9-90 years); 175(82.5%) had pars plana vitrectomy (PPV), 27 (12.5%), scleral buckle (SB) repair and 10 (5%) pneumatic retinopexy (PR). Overall primary and final success rate were 86% and 95.6% respectively. Overall mean visual acuity improved from 1.1 to 0.4 LogMAR postoperatively after a mean follow-up of 9 months. There was no significant difference in the primary success rate in relation to the baseline lens status (χ2 = 3.4, P = 0.2) and to the baseline macular status (χ2 = 0.6, P = 0.7). Presence of proliferative vitreoretinopathy (PVR) negatively affected the primary success rate (χ2=7.2, P = 0.03). Poor prognostic factors for success were PVR at presentation, inferior breaks and increasing number of detached quadrants. Conclusions This study demonstrates a success rate comparable with other centres with a low rate of final failure. Despite sub-specialism and the great advances in VR surgery, the biology of RRD dictates a failure rate. New therapies may improve results in the future. PMID:28298707

  3. Management of retinal detachment in block related globe perforation with pneumatic retinopexy.

    PubMed

    Rishi, Karandeep; Venkatesh, Pradeep; Garg, Satpal P

    2013-03-01

    Retinal detachment after ocular perforation related to local anesthesia is a common complication, which is usually associated with a poor prognosis despite complex vitreoretinal surgical procedures. We report a case of 62-year-old male with cataract surgery done 4 weeks back with nasal retinal detachment with a posterior break. Pneumatic retinopexy was performed and laser barrage of the breaks was done the next day when the retina got attached. A vision of 20/30 was achieved at the end of 2 months. To the best of our knowledge, this is a first case report in literature where pneumatic retinopexy was used to manage a retinal detachment caused by block-related perforation.

  4. Repair of retinal detachment associated with proliferative vitreoretinopathy using perfluoroperhydrophenanthrene (Vitreon). Vitreon Study Group.

    PubMed

    Carroll, B F; Peyman, G A; Mehta, N J; Millsap, C M; Greve, M D; Dunlap, W A; Lee, K J; Ma, P E

    1994-04-01

    A total of 140 consecutive patients underwent repair of retinal detachment associated with grade C2 to D3 proliferative vitreoretinopathy with perfluoroperhydrophenanthrene (Vitreon) as an intraoperative hydrokinetic tool. In seven patients the Vitreon was left in the eye for extended tamponade. Intraoperative reattachment was obtained in 98% of patients. At the final follow-up examination (mean 7 months) 84% of retinas remained attached, and 92% of patients had stable or improved visual acuity. Vitreon was found to be safe and effective in the repair of complicated retinal detachments. No complications were directly related to Vitreon when used intraoperatively or when left in the eye for extended tamponade.

  5. Recovery of visual acuity following the repair of pseudophakic retinal detachment.

    PubMed Central

    Isernhagen, R D; Wilkinson, C P

    1988-01-01

    Postoperative visual acuities were evaluated in a series of 100 pseudophakic eyes in which rhegmatogenous retinal detachments involved the macula and in which reattachment surgery was successful. Preoperative visual acuity and duration of macular detachment were directly and indirectly related to visual outcome, respectively. Eyes in which extracapsular surgery had been followed by posterior chamber lens implantation had significantly better postoperative visual acuities than cases in which older iris-fixation IOLs were placed following intracapsular procedures. PMID:2979019

  6. Macrophage- and RIP3-dependent inflammasome activation exacerbates retinal detachment-induced photoreceptor cell death

    PubMed Central

    Kataoka, K; Matsumoto, H; Kaneko, H; Notomi, S; Takeuchi, K; Sweigard, J H; Atik, A; Murakami, Y; Connor, K M; Terasaki, H; Miller, J W; Vavvas, D G

    2015-01-01

    Detachment of photoreceptors from the retinal pigment epithelium is seen in various retinal disorders, resulting in photoreceptor death and subsequent vision loss. Cell death results in the release of endogenous molecules that activate molecular platforms containing caspase-1, termed inflammasomes. Inflammasome activation in retinal diseases has been reported in some cases to be protective and in others to be detrimental, causing neuronal cell death. Moreover, the cellular source of inflammasomes in retinal disorders is not clear. Here, we demonstrate that patients with photoreceptor injury by retinal detachment (RD) have increased levels of cleaved IL-1β, an end product of inflammasome activation. In an animal model of RD, photoreceptor cell death led to activation of endogenous inflammasomes, and this activation was diminished by Rip3 deletion. The major source of Il1b expression was found to be infiltrating macrophages in the subretinal space, rather than dying photoreceptors. Inflammasome inhibition attenuated photoreceptor death after RD. Our data implicate the infiltrating macrophages as a source of damaging inflammasomes after photoreceptor detachment in a RIP3-dependent manner and suggest a novel therapeutic target for treatment of retinal diseases. PMID:25906154

  7. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study

    PubMed Central

    Di Lauro, Salvatore; Castrejón, Melissa; Fernández, Itziar; Rojas, Jimena; Coco, Rosa M.; Sanabria, María R.; Rodríguez de la Rua, Enrique; Pastor, J. Carlos

    2015-01-01

    Purpose. To quantify the frequency of visual loss after successful retinal detachment (RD) surgery in macula-on patients in a multicentric, prospective series of RD. Methods. Clinical variables from consecutive macula-on RD patients were collected in a prospective multicentric study. Visual loss was defined as at least a reduction in one line in best corrected visual acuity (VA) with Snellen chart. The series were divided into 4 subgroups: (1) all macula-on eyes (n = 357); (2) macula-on patients with visual loss at the third month of follow-up (n = 53) which were further subdivided in (3) phakic eyes (n = 39); and (4) pseudophakic eyes (n = 14). Results. Fifty-three eyes (14.9%) had visual loss three months after surgery (n = 39 phakic eyes; n = 14 pseudophakic eyes). There were no statistically significant differences between them regarding their clinical characteristics. Pars plana vitrectomy (PPV) was used in 67.2% of cases, scleral buckle in 57.7%, and scleral explant in 11.9% (36.1% were combined procedures). Conclusions. Around 15% of macula-on RD eyes lose VA after successful surgery. Development of cataracts may be one cause in phakic eyes, but vision loss in pseudophakic eyes could have other explanations such as the effect of released factors produced by retinal ischemia on the macula area. Further investigations are necessary to elucidate this hypothesis. PMID:26640704

  8. Identification of Potential Biomarkers for Rhegmatogenous Retinal Detachment Associated with Choroidal Detachment by Vitreous iTRAQ-Based Proteomic Profiling

    PubMed Central

    Wu, Zhifeng; Ding, Nannan; Yu, Mengxi; Wang, Ke; Luo, Shasha; Zou, Wenjun; Zhou, Ying; Yan, Biao; Jiang, Qin

    2016-01-01

    Rhegmatogenous retinal detachment associated with choroidal detachment (RRDCD) is a complicated and serious type of rhegmatogenous retinal detachment (RRD). In this study, we identified differentially expressed proteins in the vitreous humors of RRDCD and RRD using isobaric tags for relative and absolute quantitation (iTRAQ) combined with nano-liquid chromatography-electrospray ion trap-mass spectrometry-mass spectrometry (nano-LC-ESI-MS/MS) and bioinformatic analysis. Our result shows that 103 differentially expressed proteins, including 54 up-regulated and 49 down-regulated proteins were identified in RRDCD. Gene ontology (GO) analysis suggested that most of the differentially expressed proteins were extracellular.The Kyoto encyclopedia of genes and genomes (KEGG) pathway analysis suggested that proteins related to complement and coagulation cascades were significantly enriched. iTRAQ-based proteomic profiling reveals that complement and coagulation cascades and inflammation may play important roles in the pathogenesis of RRDCD. This study may provide novel insights into the pathogenesis of RRDCD and offer potential opportunities for the diagnosis and treatment of RRDCD. PMID:27941623

  9. The Genetic Causes of Nonsyndromic Congenital Retinal Detachment: A Genetic and Phenotypic Study of Pakistani Families

    PubMed Central

    Keser, Vafa; Khan, Ayesha; Siddiqui, Sorath; Lopez, Irma; Ren, Huanan; Qamar, Raheel; Nadaf, Javad; Majewski, Jacek; Chen, Rui; Koenekoop, Robert K.

    2017-01-01

    Purpose To evaluate consanguineous pedigrees from Pakistan with a clinical diagnosis of nonsyndromic congenital retinal nonattachment (NCRNA) and identify genes responsible for the disease as currently only one NCRNA gene is known (atonal basic helix-loop-helix transcription factor 7: ATOH7). Methods We implemented a three-step genotyping platform: single nucleotide polymorphism genotyping to identify loss of heterozygosity regions in patients, Retinal Information Network panel screening for mutations in currently known retinal genes. Negative patients were then subjected to whole exome sequencing. Results We evaluated 21 consanguineous NCRNA pedigrees and identified the causal mutations in known retinal genes in 13 out of our 21 families. We found mutations in ATOH7 in three families. Surprisingly, we then found mutations in familial exudative vitreoretinopathy (FEVR) genes; low-density lipoprotein receptor-related protein 5 mutations (six families), tetraspanin 12 mutations (two families), and NDP mutations (two families). Thus, 62% of the patients were successfully genotyped in our study with seven novel and six previously reported mutations in known retinal genes. Conclusions Although the clinical diagnosis of all children was NCRNA with severe congenital fibrotic retinal detachments, the molecular diagnosis determined that the disease process was in fact a very severe form of FEVR in 10 families. Because severe congenital retinal detachment has not been previously associated with all the FEVR genes, we have thus expanded the phenotypic spectrum of FEVR, a highly variable retinal detachment phenotype that has clinical overlap with NCRNA. We identified seven novel mutations. We also established for the first time genetic overlap between the Iranian and Pakistani populations. We identified eight NCRNA families that do not harbor mutations in any known retinal genes, suggesting novel causal genes in these families. PMID:28192794

  10. Visual outcome after removal of silicone oil in patients undergoing retinectomy for complex retinal detachment

    PubMed Central

    Wong, Roger; De Luca, Marco; Shunmugam, Manoharan; Williamson, Tom; Laidlaw, Alistair; Vaccaro, Valeria

    2016-01-01

    AIM To evaluate the functional outcome after removal of silicone oil (ROSO) in patients undergoing retinectomy for complex retinal detachment. METHODS We performed a retrospective case note review of patients who underwent ROSO after retinectomy for complex retinal detachment. Patients with less than 6mo follow up and recurrent retinal detachment following ROSO were excluded. RESULTS Thirty-six patients were included. The mean best corrected visual acuity (BCVA) pre-ROSO was 1.13 logMAR (SD 0.5). The mean BCVA 3mo following ROSO was 1.16 logMAR (SD 0.53), 6mo following ROSO 1.13 (SD 0.63), and 12mo following ROSO 1.18 (SD 0.69). At 12mo after ROSO, the BCVA improved in 38.9% of patients, remained unchanged in 25%, and deteriorated in 36.1%, although there was no statistical significant difference in BCVA after ROSO at 3, 6 and 12mo (P=0.93). The size of retinectomy ranged from 15° to 270° (SD 53) and did not influence the visual outcome (P=0.11). CONCLUSION There was no statistically significanT difference in BCVA between pre- and post- ROSO following retinectomy for complex retinal detachment. There was no statistical difference in visual outcome related to the size of the retinectomy. PMID:26949619

  11. Long-term follow-up of patients after retinal detachment surgery.

    PubMed

    Coakes, R L; Ramsay, J H; Tarbuck, D T

    1978-04-01

    The value of long-term follow-up of patients after retinal detachment surgery depends on the number of further detachments prevented. This in turn depends on the frequency with which predisposing lesions are found and treated and also the risk of leaving them untreated. In a retrospective study of 128 patients who had attended the Retina Clinic at Moorfields, High Holborn, for at least 10 years, the frequency with which asymptomatic retinal breaks were detected was less than two per hundred patients per year of follow-up. The risk of such lesions progressing to detachment if left untreated is estimated to be no more than 12 per cent and on this basis it is likely that no more than four or five detachments were prevented in our series. During the same period 66 new or re-detachments occurred, in spite of regular examination and treatment of predisposing lesions found, and it is concluded that long-term follow-up is of doubtful value in the prevention of further detachments.

  12. Early ultrasonographic diagnosis of retinal detachment: multidisciplinary approach and benefit.

    PubMed

    Cabric, Emir; Salihefendic, Nizama; Zildzic, Muharem; Licanin, Zoran; Smajlovic, Fahrudin

    2010-01-01

    Patients with eye problems are often present in family medicine and emergency wards, whether it is isolated disturbances of vision, or as part of other diseases. A large number of pathological entities of the eye require prompt and accurate diagnosis and appropriate therapy before they get to specialized ophthalmological institutions. Ultrasonography of the eye is a simple, non-invasive, painless method that can be done at the first contact with patients and can provide very important information for accurate diagnosis of pathological changes. Early detection of retinal ablation, intra ocular bleeding and tumors by this method can save sight and lives of patients. Sonography of the eye in 667 patients over two years revealed 27 retinal ablation and hemophthalmos in 36 patients. Every fifth patient with retinal ablation was referred by a doctor of family medicine. Knowing the possibilities of ultrasonography in ophthalmology, teamwork at the level of primary health care can open access to ultrasonography of the eye for other specialty physicians which can improve population health and provide a new quality in the prevention of vision loss.

  13. Results of surgical treatment of retinal detachments complicated with proliferative vitreoretinopathies with the use of perfluropropane (C3F8) gas.

    PubMed

    Vardanyan, A H; Hovakimyan, A V; Hambartsumyan, A V

    2000-01-01

    The aim of the current study is the efficiency assessment of C3F8 gas usage in posterior vitrectomies in patients having retinal detachment of different etiologies with presence of proliferative vitreoretinopathies and retinal tears. 34 patients have undergone posterior vitrectomy with the usage of perfluoropropane C3F8 gas for providing internal tamponade. Total attachment of retina has been attached in all 34 cases and C3F8 gas has been injected in each eye. The most frequent complications that have been revealed after the usage of C3F8 gas and their management are reflected in the article. Thus, we came to a conclusion that vitrectomy in combination with episcleral buckling, transvitreal drainage of subretinal liquid, diode endolaser coagulation of retina and internal tamponade with C3F8 gas is effective and pathogenetikally proved method for treatment of rhegmatogenous retinal detachments complicated with severe vitreoretinopathies. The achievement of perfect anatomical results depends on manifestation degree of proliferative vitreoretinopathy. This study was supported by grant of the Ministry of Health of Armenia.

  14. Progression to macula-off tractional retinal detachment after a contralateral intraoperative intravitreal bevacizumab injection for proliferative diabetic retinopathy.

    PubMed

    Zlotcavitch, Leonid; Flynn, Harry W; Avery, Robert L; Rachitskaya, Aleksandra

    2015-01-01

    We report a patient with progression to a macula-off tractional retinal detachment in a fellow eye after a contralateral intraoperative intravitreal bevacizumab injection. A 32-year-old diabetic man noted decreased vision in his left eye 1 week following 25 gauge pars plana vitrectomy, gas tamponade, and intraoperative injection of bevacizumab in his right eye. Left eye visual acuity decreased from 20/80 to 20/200, and macula-off tractional retinal detachment was seen on clinical exam and imaging. Progression of tractional retinal detachment associated with proliferative diabetic retinopathy in a fellow eye after a contralateral intraoperative intravitreal bevacizumab injection may occur.

  15. [Perfluorodecalin as a hydrokinetic substance in complicated retinal detachment].

    PubMed

    Greber, H

    1991-01-01

    Perfluorodecalin is a clear colourless fluid with high specific gravity. It is immiscible with gas, blood, water, or any other fluid used in vitrectomy. The low viscosity permits easy injection and removal with microsurgical equipment. The high weight displaces subretinal fluid anteriorly through retinal breaks back into the vitreous space. Posterior retinotomies can be avoided. A large bubble of perfluorodecalin in the vitreous cavity stabilizes the retina mechanically during dissection and peeling of epiretinal membranes. Before the procedure is ended the fluid must be completely removed from the eye and replaced by BSS, air, gas, or silicon oil. We present the surgical technique and preliminary results.

  16. [Laser instrument surgery in preventing and treating retinal detachment (communication II)].

    PubMed

    Ivanov, A N

    2002-01-01

    The paper is devoted to the actual problem of ophthalmology--removal of cysts and retinal detachments caused by cystoid retinal lesions. 3 stages of treatment are identified: stage 1 used YAG-laser dissection of the external wall of the retinal cyst with drainage of its contents. Stage 2 involved extrascleral filling reinforced by argon coagulation of the zone of the emptied cyst or by endolaser coagulation. Laser intervention was performed by the laser combine "Visulas-YAG II" produced by the firm "Karl Zeiss" (Germany) and fitted up by endolaser output. Coagulation energy was 0.2-0.7 W, the power of YAG-laser was 0.1-5.7 mJ with impulses of 120. Almost in all of the cases laser action was realized during one session. The laser's action was associated with hemorrhage in 11 cases (57.9%), and within 1 year of observations 2 relapses were noted (10.5%). YAG perforation of the external wall of a retinal cyst brings on its drainage and evacuation that is a perspective factor in subsequent surgical interventions during operations for retinal detachment due to cystoid degeneration.

  17. Considerations in Management of Rhegmatogenous Retinal Detachment in One Eyed Pregnant Females: A Report of Two Cases

    PubMed Central

    Ashish, M; Alok, S; Elesh, J; Shubhi, T

    2015-01-01

    The aim of this case report is to discuss issues related to management of one eyed pregnant female. A 26-year-old female (Patient A) and 28-year-old female (Patient B) both in second trimester and one eyed presented to our outpatient department with diminution of vision due to rhegmatogenous retinal detachment (RRD). Retina was attached in Patient A following scleral buckling surgery but Patient B required pars plana vitrectomy with silicon oil tamponade. Best corrected visual acuity in both patients did improve from 1/60 to 6/24 and 6/18, respectively at 6 months follow-up. Exudative RDs are known to occur in pregnancy as a complication of preeclampsia, but RRD in pregnancy although co-incidental poses certain challenge with regard to management of such cases especially if the patient is one-eyed. Things to consider for management include (1) type of anesthesia (2) surgical positioning (3) positioning after surgery (4) anti-glaucoma medication if required (5) corticosteroid treatment in pregnancy (6) to provide them ambulatory vision as early as possible. With proper management and monitoring it is possible to provide them with early ambulatory vision without offering any harm to her pregnancy and fetus. PMID:27057392

  18. Correlation between miR-148 Expression in Vitreous and Severity of Rhegmatogenous Retinal Detachment

    PubMed Central

    Tsunekawa, Taichi; Hwang, Shiang-Jyi; Oishi, Akio; Nagasaka, Yosuke; Iwase, Takeshi; Nonobe, Norie; Ueno, Shinji; Ito, Yasuki; Yasuda, Shunsuke; Shimizu, Hideyuki; Suzumura, Ayana; Kataoka, Keiko; Terasaki, Hiroko

    2017-01-01

    Purpose. We had earlier reported positive hsa-miR-148a-3p expression in eyes with rhegmatogenous retinal detachment (RRD) and its involvement in the epithelial-mesenchymal transition of retinal pigment epithelium in vitro. Here we investigated the association of hsa-miR-148a-3p expression levels in the vitreous fluid of patients with RRD with severity of RRD. Methods. The hsa-miR-148a-3p expression levels in the vitreous fluid, range (degree) of retinal detachment (RD), and pixels of retinal break were measured in 27 eyes with RRD. The association of hsa-miR-148a-3p expression levels with other factors was evaluated by multiple regression analysis. Results. The hsa-miR-148a-3p expression levels, time from onset of RRD to vitrectomy, range of RD, and pixels of retinal breaks were 23.68 ± 43.00, 12.07 ± 15.36 days, 155.85 ± 86.67 degrees, and 37000 ± 67100 pixels, respectively. Five eyes with RRD had vitreous hemorrhage preoperatively. The hsa-miR-148a-3p expression levels were significantly associated with pixels of retinal breaks (β = 0.699) and the time from onset of RRD to vitrectomy (β = 0.358) but not with the range of RD or presence of vitreous hemorrhage. Conclusion. The hsa-miR-148a-3p expression levels in the vitreous fluid were significantly associated with the size of retinal break and disease duration. PMID:28261609

  19. 23-gauge vitrectomy and silicone oil tamponade with and without phacoemulsification in rhegmatogenous retinal detachment.

    PubMed

    Ozkan, Seyhan Sonar; Citirik, Mehmet; Beyazyildiz, Emrullah; Beyazyildiz, Ozlem

    2015-01-01

    The aim of this study is to assess clinical outcomes of 23-gauge vitrectomy and silicone oil (SO) tamponade combined with and without phacoemulsification (PE) in rhegmatogenous retinal detachment (RRD). The study included forty eyes of 40 patients that underwent 23-gauge vitrectomy and SO tamponade combined with and without PE. Twenty eyes of 20 cases, of whom underwent 23-gauge vitrectomy and SO tamponade combined with PE were allocated to the group 1. Likewise, 20 eyes of 20 cases that underwent 23-gauge vitrectomy and SO tamponade alone were allocated to the group 2. Best corrected visual acuity (BCVA) between two groups was compared. There was no significant difference in BCVA between the two groups during the 6 months (P = 0.3). Recurrent retinal detachments were observed in 2 cases (10%) in both groups. There was no statistically significant difference between two groups as a point of recurrent retinal detachments (P = 1). We have found higher rates of post-vitrectomy cataract progression (45%) in the eyes with RRD who underwent 23-gauge vitrectomy and SO tamponade. Combined vitrectomy and PE is safe and effective for the patients with RRD.

  20. Comparison of lesions predisposing to rhegmatogenous retinal detachment by race of subjects.

    PubMed

    Foos, R Y; Simons, K B; Wheeler, N C

    1983-11-01

    Because rhegmatogenous retinal detachments are thought to be much less common in blacks than in whites, we compared the incidence of various lesions known to cause or predispose to this condition (synchysis senilis, posterior vitreous detachment, breaks, tears, and holes of the peripheral fundus, and lattice degeneration of the retina) in a series of postmortem eyes on the basis of race. Our statistical analysis also included trauma, myopia, and chorioretinitis. The series included 322 black subjects and 2,012 white subjects. The subjects ranged in age from 20 to 93 years at the time of death. Although the initial data showed a racial difference in the incidence of synchysis senilis of grade 3 (50% destruction) or higher and posterior vitreous detachment (P = .033 and P = .021, respectively), we found no difference when the data were age-corrected.

  1. Posterior Vitreous Detachment With Microplasmin Alters the Retinal Penetration of Intravitreal Bevacizumab (Avastin) in Rabbit Eyes

    PubMed Central

    Goldenberg, David T.; Giblin, Frank J.; Cheng, Mei; Chintala, Shravan K.; Trese, Michael T.; Drenser, Kimberly A.; Ruby, Alan J.

    2010-01-01

    Purpose Intravitreal bevacizumab (Avastin) is frequently used for the treatment of age-related macular degeneration. Previous studies have demonstrated full thickness retinal penetration. Intravitreal recombinant microplasmin (MP) has been shown to successfully induce a posterior vitreous detachment (PVD) and vitreous liquefaction in animals. It has been suggested that a PVD may alter the retinal penetration of molecules in the vitreous cavity. The aim of this study was to compare bevacizumab (BV) retinal penetration in rabbit eyes with and without a MP-induced PVD. Methods Twelve adult rabbits were injected with 0.1 ml (0.4 mg) of MP into the vitreous cavity of one eye. One week later, the rabbits were injected with 0.05 ml (1.25 mg) of BV into both eyes. Both eyes of three rabbits each were harvested at 6, 12, 24, and 72 hours after the BV injection. Frozen retinal cross sections were prepared, and BV retinal penetration was evaluated with immunohistochemistry using a fluorescence-labeled antibody against BV. Two eyes from one rabbit were not injected with either agent and used as controls to compare the background autofluorescence. Peripapillary retinal sections were recorded with a digital camera, and intra-retinal BV fluorescence-labeled antibody was measured by qualitative photographic interpretation. Two additional rabbits received an intravitreal injection of 0.1 ml of MP in one eye. One week later, both eyes from each rabbit were enucleated and frozen retinal sections were prepared and analyzed with light microscopy to evaluate for histologic damage. Results Full thickness BV retinal penetration was observed throughout the retina in both eyes of each rabbit. All of the MP-injected eyes exhibited increased antibody labeling in retinas evaluated 6, 12, and 24 hours after BV injection when compared with the contralateral non-MP-injected eyes. By three days after BV injection, all eyes demonstrated decreased antibody labeling compared to earlier time periods

  2. Evaluation of Intravitreal Ranibizumab on the Surgical Outcome for Diabetic Retinopathy With Tractional Retinal Detachment

    PubMed Central

    Dong, Feng; Yu, Chenying; Ding, Haiyuan; Shen, Liping; Lou, Dinghua

    2016-01-01

    Abstract This study aims to investigate intravitreal injection of Ranibizumab on the surgical outcome for diabetic patients who had tractional retinal detachment but did not receive any preoperative retinal photocoagulation. Ninety-seven patients (97 eyes) who had diabetic retinopathy with tractional retinal detachment were enrolled to receive 23-G pars plana vitrectomy (PPV). They were assigned to an experimental group (Group I, n = 47 eyes) and a control group (Group II, n = 50 eyes). The patients in Group I were given 1 injection of intravitreal Ranibizumab (Lucentis 0.5 mg/0.05 mL) 1 week before surgery, whereas those in Group II went down to surgery directly. Follow-ups were performed for 6 months to 3 years (16 ± 6 months), and indicators observed included postoperative best-corrected visual acuity, complications, and retinal thickness in the macula measured by optical coherence tomography. In Group I, BCVA improved from logMAR 1.92 ± 0.49 to logMAR 0.81 ± 0.39 following surgery, whereas in Group II, BCVA improved from logMAR 1.91 ± 0.49 to logMAR 0.85 ± 0.41. There was significant postoperative gain in vision, but there was no significant difference between the 2 groups at postoperative follow-up visits. The mean duration of vitrectomy in Group I and Group II was (40 ± 7) minutes and (53 ± 9) minutes, respectively, with significant difference. Iatrogenic breaks were noted in 5 eyes (11%) in the experimental group and 17 eyes (34%) in the control group; the difference was significant. The retinal thickness in the macula measured by OCT was (256 ± 44) μm and (299 ± 84) μm in Group I and Group II respectively with significant difference. Besides, there were significantly more eyes in Group II that required silicone oil tamponade and postoperative retinal photocoagulation. 23-G PPV combined with intravitreal tamponade and panretinal photocoagulation still remains an effective regimen for the

  3. The pathogenesis of retinal detachment with morning glory disc and optic pit.

    PubMed

    Irvine, A R; Crawford, J B; Sullivan, J H

    1986-01-01

    A child with nonrhegmatogenous retinal detachment associated with morning glory disc underwent first a vitrectomy and then, some months later, an optic nerve sheath fenestration. The latter procedure led to retinal reattachment. It also produced a biopsy specimen that confirmed the perineural herniation of poorly differentiated retinal tissue in this condition, similar to that in congenital pit of the optic nerve. It demonstrated continuity of the vitreous cavity with the perineural space, both histologically and by the fact that gas injected through the pars plana into the vitreous cavity bubbled out the window in the optic nerve sheath. The authors suggest that morning glory disc and optic pit share similar anatomic features, differing more in degree than in kind, and that the porous nature of the poorly differentiated tissue herniated around the optic nerve into the subarachnoid space in these conditions makes several sources of subretinal fluid possible.

  4. Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment

    PubMed Central

    Cohen, Eyal; Zerach, Amir; Mimouni, Michael; Barak, Adiel

    2015-01-01

    Background Pneumatic retinopexy (PR) remains a popular technique for the treatment of rhegmatogenous retinal detachment (RRD). Objective To evaluate the single operation and final success rate of PR for primary treatment of RRD and to determine factors associated with anatomical and visual outcomes. Methods This retrospective case review study analyzed the data of patients who underwent PR for primary treatment of RRD. Patients with a follow-up period of <2 months were excluded. Single operation success was defined as successful retinal reattachment following a single PR throughout 2 months of follow-up. Results Eighty-four eyes met the inclusion criteria. Single operation success was achieved in 50 eyes (59.5%), while 82 obtained anatomical success at the final follow-up visit (97.6%). An average of 0.702±1.095 additional retinal detachment operations was necessary to achieve final anatomical success in the entire cohort (n=84) and 1.4±1.3 in the single operation failure group (n=34). Both groups (single operation success vs failure) did not differ significantly in any of the preoperative variables. Multivariate analysis of pseudophakic patients (n=22) revealed that 52.65% of the variation in single operation outcome was explained by the number of clock-hours detached (partial R2=43.76%, P=0.001). The final best-corrected visual acuity was significantly better in the single operation success group (logarithm of minimum angle [logMAR] 0.229±0.249 vs logMAR 0.747±0.567, P<0.001). Conclusion Careful patient selection is warranted before performing PR in RRD, particularly in pseudophakic patients with large detachments. Ultimately 60% of the cases will attach after the procedure with the rest requiring on average 1.4 additional procedures to achieve final anatomical success. PMID:26586932

  5. Surgical audit of outcome of rhegmatogenous retinal detachment repair at Vitreoretinal unit JPMC in year 2014

    PubMed Central

    Tareen, Saifullah; Tahir, Muhammad Ali; Cheema, Alyscia Miriam

    2016-01-01

    Objective: To investigate the outcome of rhegmatogenous retinal detachment repair at Vitreoretinal unit of Jinnah Post Graduate Medical Centre Karachi in year 2014. Methods: One hundred and three eyes of one hundred and three patients, who underwent three ports parsplana vitrectomy + band + silicone oil, three ports pars plana vitrectomy + silicone oil, three ports pars plana vitrectomy + C3F8 for rhegmatogenous retinal detachment (RRD) repair, at Jinnah Post Graduate Medical Centre, were included in this observational prospective study. Parsplana vitrectomy was done using 23G vitrectomy system. Duration of study was one year. Removal of silicone oil (ROSO) was done on the basis of completely flat retina at least for eight weeks or because of complications due to silicone oil. Patients were followed up post operatively on day one and after one week and then at four weekly interval till the end of the study. Results: Anatomical success was achieved in 91 eyes (88.3%). However in 12 eyes (11.7%) retina redetached after removal of silicone oil. Functional success achievement of visual acuity of 3/60 or better was achieved in 85 (82.5%) of eyes post operatively after removal of silicone oil or absorption of gas C3F8 as the case may be. Conclusion: Re-detachment is common after removal of silicone oil and incidence of re-detachment is related to the degree of preoperative PVR and location of breaks. Re-detachment occurs more commonly if the breaks are inferiorly located as compared to the superior ones. PMID:27022354

  6. Hypoxia inducible factor 1α contributes to regulation of autophagy in retinal detachment.

    PubMed

    Shelby, Shameka J; Angadi, Pavan S; Zheng, Qiong-Duon; Yao, Jingyu; Jia, Lin; Zacks, David N

    2015-08-01

    Photoreceptor (PR) cells receive oxygen and nutritional support from the underlying retinal pigment epithelium (RPE). Retinal detachment results in PR hypoxia and their time-dependent death. Detachment also activates autophagy within the PR, which serves to reduce the rate of PR apoptosis. In this study, we test the hypothesis that autophagy activation in the PR results, at least in part, from the detachment-induced activation of hypoxia-inducible factors (HIF). Retina-RPE separation was created in Brown-Norway rats and C57BL/6J mice by injection of 1% hyaluronic acid into the subretinal space. Retinas were harvested and assayed for HIF protein levels. Cultured 661W photoreceptor cells were subjected to hypoxic conditions and assayed for induction of HIF and autophagy. The requirement of HIF-1α and HIF-2α in regulating photoreceptor autophagy was tested using siRNA in vitro and in vivo. We observed increased levels of HIF-1α and HIF-2α within 1 day post-detachment, as well as increased levels of BNIP3, a downstream target of HIF-1α that contributes to autophagy activation. Exposing 661W cells to hypoxia resulted in increased HIF-1α and HIF-2α levels and increase in conversion of LC3-I to LC3-II. Silencing of HIF-1α, but not HIF-2α, reduced the hypoxia-induced increase in LC3-II formation and increased cell death in 661W cells. Silencing of HIF-1α in rat retinas prevented the detachment-induced increase in BNIP3 and LC3-II, resulting in increased PR cell death. Our data support the hypothesis that HIF-1α, but not HIF-2α, serves as an early response signal to induce autophagy and reduce photoreceptor cell death.

  7. The Safety and Efficacy of Adjustable Postoperative Position after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

    PubMed Central

    Lin, Zhong; Sun, Jin Tao; Moonasar, Nived; Zhou, Ye Hui

    2017-01-01

    Purpose. To report the safety and efficacy of adjustable postoperative position for rhegmatogenous retinal detachment (RRD). Methods. Retrospective review of 536 consecutive RRD eyes that underwent vitrectomy surgery for retina repair from year 2008 to 2014. The retinal breaks were divided into superior, lateral (nasal, temporal, and macular), and inferior locations, according to the clock of breaks. Patients with superior and lateral break location were allowed to have facedown position or lateral decubitus position postoperatively, while patients with inferior break location were allowed to have facedown position. Results. 403 eyes of 400 patients were included. The mean follow-up interval was 22.7 ± 21.3 months. The overall primary retinal reattachment rate was 93.3%. There were 24 (6.0%), 273 (67.7%), and 106 (26.3%) patients with superior, lateral, and inferior break location, respectively. The primary reattachment rate was 95.8%, 92.3%, and 95.3% accordingly. After further divided the break location into subgroups as a function of duration of symptom, postoperative lens situation, number of retinal breaks, and different vitreous tamponade, the primary reattachment rates were all higher than 82%. Conclusion. Adjustable postoperative positioning is effective and safe for RRD repair with different break locations. Choosing postoperative position appropriately according to retinal break locations could be recommended.

  8. Perfluorocarbon-perfused 23 gauge three-dimensional vitrectomy for complicated diabetic tractional retinal detachment

    PubMed Central

    Velez-Montoya, Raul; Guerrero-Naranjo, Jose Luis; Garcia-Aguirre, Gerardo; Morales-Cantón, Virgilio; Fromow-Guerra, Jans; Quiroz-Mercado, Hugo

    2011-01-01

    Background Perfluorocarbon liquid (PCL)-perfused vitrectomy has been shown in previous studies to be feasible, safe, and to have advantages in managing complicated cases of tractional retinal detachment. The present study had the objectives of describing the anatomical results and measuring surgical time and PCL consumption when combining PCL-perfused techniques with modern vitrectomy equipment. Methods A prospective, interventional consecutive case series was investigated. We enrolled patients with diabetic tractional retinal detachment, complicated by proliferative vitreoretinopathy and poor vision. A 23 gauge PCL-perfused vitrectomy was done with three-dimensional settings. During the procedure, we assessed the degree of surgical bleeding, visualization quality, and difficulty of membrane dissections. Visual acuity, intraocular pressure, and anatomical success were assessed at one and 3 months of follow-up. Results Twelve patients were enrolled in this study. There were no statistical significant changes in intraocular pressure and visual acuity throughout the follow-up period. Surgery was performed in a hemorrhage-free environment in almost all cases, with good visualization and low technical difficulty. The mean complete surgical time was 94.92 ± 25.03 minutes. The mean effective vitrectomy time was 22.50 ± 19.04 minutes and the mean PCL consumption was 25.08 ± 9.76 mL, with a speed of 1.11 mL/minute. Anatomical success was 67% at 3 months. Conclusion Although the technique proved to have some advantages in managing complicated cases of diabetic tractional retinal detachment, there was a high consumption of PCL. A redesign of the entire system is needed in order to decrease the amount of PCL needed for the technique. PMID:22267907

  9. Use of Internal Limiting Membrane Autograft in Primary Vitrectomy for Rhegmatogenous Retinal Detachment

    PubMed Central

    Hernández-Da Mota, Sergio Eustolio; Béjar-Cornejo, Jorge Francisco

    2016-01-01

    During a pars plana vitrectomy, an unplanned retinotomy in the raphe was performed in a 55-year-old female patient with rhegmatogenous retinal detachment and proliferative vitreoretinopathy. Since diathermy and laser therapy were not available at that moment, it was decided to peel off a small graft of the internal limiting membrane adjacent to the retinotomy site which had been previously stained with Brilliant Blue G. The graft was displaced under perfluorocarbon fluids and placed inside the retinotomy. Three weeks after surgery, the apparent closure of the retinotomy was observed clinically. PMID:28101042

  10. Expression Profiling after Retinal Detachment and Reattachment: A Possible Role for Aquaporin-0

    PubMed Central

    Farjo, Rafal; Peterson, Ward M.; Naash, Muna I.

    2009-01-01

    Purpose Retinal detachment (RD) is associated with acute visual loss caused by anatomic displacement of the photoreceptors and with chronic visual loss/disturbance caused by retinal remodeling and photoreceptor cell death, which may occur even after successful reattachment. The P2Y2 receptor agonist INS37217 improves the rate of retinal reattachment in animal models of induced RD, and has been shown to also significantly enhance the rate of ERG recovery in a mouse model of RD. The identification of genes modulated by INS37217 may allow further drug discovery for treating RD and edema. Methods To identify genes involved in RD and subsequent reattachment, a retinal microarray screen was performed using a mouse model of RD in the presence or absence of INS37217. Results Ninety-two genes were identified as differentially expressed across three time points, most of which were upregulated in the presence of this agonist. Furthermore, it was shown that RD alters the expression of aquaporin-0 (AQP-0), and this modulation is prevented by treatment with INS37217. The presence of AQP-0 in retinal bipolar cells was also demonstrated, whereas it was previously thought to be specific to the lens. Mice lacking functional alleles of AQP-0 had a photo-transduction deficit as assessed by electroretinography; however, their photoreceptor structure was normal, indicative of a problem with signal transmission between neurons. Conclusions This study establishes the genes involved in RD and reattachment, and also demonstrates for the first time a physiologically significant role for AQP-0 in retinal function. PMID:18234993

  11. Biocompatibility of a Synthetic Biopolymer for the Treatment of Rhegmatogenous Retinal Detachment

    PubMed Central

    Sarfare, Shanta; Dacquay, Yann; Askari, Syed; Nusinowitz, Steven; Hubschman, Jean-Pierre

    2015-01-01

    Objective The aim of this study is to evaluate the retinal safety and toxicity of a novel synthetic biopolymer to be used as a patch to treat rhegmatogenous retinal detachment. Methods Thirty one adult wild type albino mice were divided in 2 groups. In Group A (n=9) 0.2 μl balanced salt solution (BSS) and in Group B (n=22), 0.2 μl biopolymer was injected in the subretinal space. Trans-scleral subretinal injection was performed in one eye and the fellow eye was used as control. In both groups, in vivo color fundus photography, electroretinogram (ERG), spectral domain optical coherence tomography (SD-OCT) were performed before injection and at days 7 and 14 post-intervention. Histological analysis was performed following euthanization at days 1, 7 and 21 post-injection. Results The biopolymer was visualized in the subretinal space in vivo by SD-OCT and post-life by histology up to 1 week after the injection. There were no significant differences in ERG parameters between the two groups at 1 and 2 weeks post-injection. Minimal inflammatory response and loss of photoreceptor cells was only observed in the immediate proximity of the site of scleral perforation, which was similar in both groups. Overall integrity of the outer, inner retina and retinal pigment epithelial (RPE) layers was unaffected by the presence of the biopolymer in the subretinal space. Conclusions Functional and histological evaluation suggests that the synthetic biopolymer is non-inflammatory and non-toxic to the eye. It may represent a safe therapeutic agent in the future, for the treatment of rhegmatogenous retinal detachment. PMID:26744635

  12. Retinal detachment

    MedlinePlus

    ... gas bubble in the eye. This is called pneumatic retinopexy. It helps the retina float back into ... requires medical attention within 24 hours of the first symptoms of new flashes of light and floaters. ...

  13. Surgical Management of a Patient with Anterior Megalophthalmos, Lens Subluxation, and a High Risk of Retinal Detachment

    PubMed Central

    Guixeres Esteve, María Carmen; Pardo Saiz, Augusto Octavio; Martínez-Costa, Lucía; González-Ocampo Dorta, Samuel; Sanz Solana, Pedro

    2017-01-01

    The early development of lens opacities and lens subluxation are the most common causes of vision loss in patients with anterior megalophthalmos (AM). Cataract surgery in such patients is challenging, however, because of anatomical abnormalities. Intraocular lens dislocation is the most common postoperative complication. Patients with AM also seem to be affected by a type of vitreoretinopathy that predisposes them to retinal detachment. We here present the case of a 36-year-old man with bilateral AM misdiagnosed as simple megalocornea. He had a history of amaurosis in the right eye due to retinal detachment. He presented with vision loss in the left eye due to lens subluxation. Following the removal of the subluxated lens, it was deemed necessary to perform a vitrectomy in order to prevent retinal detachment. Seven months after surgery, an Artisan® Aphakia iris-claw lens was implanted in the anterior chamber. Fifteen months of follow-up data are provided. PMID:28203198

  14. Vitrectomy with or without encircling band for pseudophakic retinal detachment: a multi-centre, three-arm, randomised clinical trial. VIPER Study Report No. 1—design and enrolment

    PubMed Central

    Mazinani, B; Baumgarten, S; Schiller, P; Agostini, H; Helbig, H; Limburg, E; Hellmich, M; Walter, P

    2016-01-01

    Purpose Scleral buckling is currently used in addition to vitrectomy for the treatment of pseudophakic retinal detachment (PRD) to better support the vitreous base and better visualisation of the periphery. Aims The aims of this study are to evaluate (1) whether the combination of 20 G vitrectomy and scleral buckling is superior to 20 G vitrectomy alone (control) (confirmatory), and (2) whether transconjunctival 23/25 G vitrectomy is non-inferior to 20 G vitrectomy (both without scleral buckling) regarding operation success (exploratory). Methods The VIPER (Vitrectomy Plus Encircling Band Vs. Vitrectomy Alone For The Treatment Of Pseudophakic Retinal Detachment) study is an unmasked, multi-centre, three-arm randomised trial. Patients with PRD were eligible, excluding complicated retinal detachment or otherwise severe ophthalmologic impairment. Patients were randomised to one of three interventions: 20 G vitrectomy alone (control C), combination of 20 G vitrectomy and circumferential scleral buckling (experimental treatment E1) or 23/25 G vitrectomy alone (experimental treatment E2). The primary endpoint is the absence of any indication for a retina re-attaching procedure during 6 months of follow-up. Secondary endpoints include best corrected visual acuity, retina re-attaching procedures, complications and adverse events. Results From June 2011 to August 2013, 257 patients were enrolled in the study. The internet randomisation service assigned 100 patients each to the treatment arms C and E1, and 57 patients to treatment E2. The imbalance is due to the fact that several retinal surgeons did not qualify for performing E2. The random assignment was stratified and balanced (ie, 1:1 or 1:1:1 ratio) by surgeon. Conclusions The described study represents a methodologically rigorous protocol evaluating the benefits of three different vitrectomy approaches to PRD. The projected results will help to establish their overall efficacy and will permit

  15. Choroidal Vasculopathy and Retinal Detachment in a Bald Eagle ( Haliaeetus leucocephalus ) With Lead Toxicosis.

    PubMed

    Eid, Ramzi; Guzman, David Sanchez-Migallon; Keller, Krista A; Wiggans, K Tomo; Murphy, Christopher J; LaDouceur, Elise E B; Keel, M Kevin; Reilly, Christopher M

    2016-12-01

    A subadult male bald eagle ( Haliaeetus leucocephalus ) was presented for severe depression and weakness. Physical examination findings included depressed mentation, dehydration, sternal recumbency, poor body condition, and bilateral, whole-head, horizontal nystagmus. A heavy-metal panel was performed, and blood lead levels were 6.1 ppm. Treatment for lead poisoning was initiated, including subcutaneous fluids and parenteral calcium-disodium ethylenediaminetetraacetic acid, ceftiofur, and meloxicam. Ophthalmic examination findings included absent menace response, absent dazzle reflex, slow and incomplete direct pupillary light reflex, mild anterior uveitis, incipient cataracts, multifocal retinal tears, and retinal separation in both eyes. Because of poor prognosis for vision and release to the wild, the eagle was euthanatized. No lesions were observed on gross postmortem examination. Histologically, extensive myocardial necrosis and multisystemic arteriolar vasculopathy were identified. The eyes were examined after tissue processing, and the vasculopathy extended into the choriocapillaris and was associated with a secondary, bilateral, exudative, retinal detachment. This is the first report in avian species characterizing the histopathologic ocular lesions of lead poisoning.

  16. Anatomical and Gene Expression Changes in the Retinal Pigmented Epithelium Atrophy 1 (rpea1) Mouse: A Potential Model of Serous Retinal Detachment

    PubMed Central

    Luna, Gabriel; Lewis, Geoffrey P.; Linberg, Kenneth A.; Chang, Bo; Hu, Quiri; Munson, Peter J.; Maminishkis, Arvydas; Miller, Sheldon S.; Fisher, Steven K.

    2016-01-01

    Purpose The purpose of this study was to examine the rpea1 mouse whose retina spontaneously detaches from the underlying RPE as a potential model for studying the cellular effects of serous retinal detachment (SRD). Methods Optical coherence tomography (OCT) was performed immediately prior to euthanasia; retinal tissue was subsequently prepared for Western blotting, microarray analysis, immunocytochemistry, and light and electron microscopy (LM, EM). Results By postnatal day (P) 30, OCT, LM, and EM revealed the presence of small shallow detachments that increased in number and size over time. By P60 in regions of detachment, there was a dramatic loss of PNA binding around cones in the interphotoreceptor matrix and a concomitant increase in labeling of the outer nuclear layer and rod synaptic terminals. Retinal pigment epithelium wholemounts revealed a patchy loss in immunolabeling for both ezrin and aquaporin 1. Anti-ezrin labeling was lost from small regions of the RPE apical surface underlying detachments at P30. Labeling for tight-junction proteins provided a regular array of profiles outlining the periphery of RPE cells in wild-type tissue, however, this pattern was disrupted in the mutant as early as P30. Microarray analysis revealed a broad range of changes in genes involved in metabolism, signaling, cell polarity, and tight-junction organization. Conclusions These data indicate changes in this mutant mouse that may provide clues to the underlying mechanisms of SRD in humans. Importantly, these changes include the production of multiple spontaneous detachments without the presence of a retinal tear or significant degeneration of outer segments, changes in the expression of proteins involved in adhesion and fluid transport, and a disrupted organization of RPE tight junctions that may contribute to the formation of focal detachments. PMID:27603725

  17. Retinal detachment in hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome: Color vision abnormality as the first and predominant manifestation.

    PubMed

    Morisawa, Hiroyuki; Makino, Shinji; Takahashi, Hironori; Sorita, Mari; Matsubara, Shigeki

    2015-11-01

    Serous retinal detachment is sometimes caused by hypertensive disorders in pregnancy and its associated conditions, in which the predominant eye symptoms are blurred vision, distorted vision, and reduced visual acuity. To our best knowledge, this is the first report of a puerperal woman with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in whom color vision abnormality was the first and predominant manifestation of serous retinal detachment. At 32 weeks of gestation, the 34-year-old Japanese woman underwent cesarean section due to HELLP syndrome. She complained of color vision abnormality on day 1 post-partum and ophthalmological examination revealed serous retinal detachment of both eyes. The visual acuity was preserved. With supportive therapy, her color vision abnormality gradually ameliorated and retinal detachment completely resolved on day 34 post-partum without any sequelae. Obstetricians should be aware that color vision abnormality can be the first and predominant symptom of HELLP-related serous retinal detachment.

  18. Inhibition of retinal detachment-induced apoptosis in photoreceptors by a small peptide inhibitor of the fas receptor.

    PubMed

    Besirli, Cagri G; Chinskey, Nicholas D; Zheng, Qiong-Duan; Zacks, David N

    2010-04-01

    Purpose. To test the effect of a small peptide inhibitor (Met12) of the Fas receptor on the activation of extrinsic and intrinsic apoptosis pathways after retinal detachment. Methods. Retinal-RPE separation was created in Brown Norway rats by subretinal injection of 1% hyaluronic acid. Met12, derived from the Fas-binding extracellular domain of the oncoprotein Met, was injected into the subretinal space at the time of separation. A mutant peptide and vehicle administered in a similar fashion acted as inactive controls. The extrinsic apoptotic pathway was induced in 661W cells using a Fas-activating antibody in the presence or absence of Met12. Caspase 3, caspase 8, and caspase 9 activities were measured with calorimetric and luminescent assays in retinal extracts and cell lysates. Terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) was performed in retinal sections 3 days after separation. Histology was performed in retinal sections 2 months after retinal detachment. Results. Met12 inhibited Fas-induced caspase 8 activation in 661W cells. Similarly, administration of Met12 into the subretinal space inhibited the activation of caspase 3, caspase 8, and caspase 9 after retinal detachment. This corresponded to a decreased level of TUNEL-positive staining of photoreceptors after retinal-RPE separation in animals that received Met12, but not inactive mutant, peptide treatment. After 2 months, the outer nuclear layer was significantly thicker, and the photoreceptor count was higher in animals treated with subretinal Met12. Conclusions. The small peptide Met12 may serve as a photoreceptor-protective agent in the setting of retinal-RPE separation.

  19. Scleral buckling surgery using multiple radial buckles: A valid option?

    PubMed Central

    Sudhalkar, Aditya; Sudhalkar, Anand

    2014-01-01

    Purpose To determine whether radial buckling surgery using two or more radial buckles with or without circumferential silicone tires is still a treatment option for rhegmatogenous retinal detachment (RRD) in the current scenario. Methods Retrospective chart review. Patients with RRD with two or more horse-shoe tears with/without proliferative vitreoretinopathy up to grade C1 who underwent buckling surgery using at least two radial buckle segments without encircling bands or drainage and with at least a 3 year follow up were included in the study. Data collected included demographics, corrected distance visual acuity (CDVA) at baseline and final follow up, details of the examination, surgical procedure(s) and complications noted, if any. Appropriate statistical analysis was done. Statistical significance was set at p < 0.05. Outcome measures Proportion of patients who had an attached retina at final follow up, improvement in CDVA and complications. Results 25 patients (25 eyes; 12 males and 13 females; 9 pseudophakic) were included. Median age 35.15 ± 8.32 years. Median baseline CDVA: 1.97 ± 1.12 log MAR. Median final CDVA: 0.65 ± 0.37 log MAR (significant improvement). Most common presenting complaint was decreased vision (87.5%). Number of radial buckle segments placed varied between 2 and 4 per eye. One patient required vitrectomy for persistent retinal detachment. One required buckle removal for infection 5 years after the primary procedure. One patient required strabismus surgery. Median follow up 12.25 years ± 2.14 years. None of the other patients had any complications. Conclusion Radial buckling surgery (two or more segments) is a reasonably safe and valid alternative to vitrectomy for RDs with multiple breaks in different planes. PMID:26155077

  20. RhoA Signaling and Synaptic Damage Occur Within Hours in a Live Pig Model of CNS Injury, Retinal Detachment

    PubMed Central

    Wang, Jianfeng; Zarbin, Marco; Sugino, Ilene; Whitehead, Ian; Townes-Anderson, Ellen

    2016-01-01

    Purpose The RhoA pathway is activated after retinal injury. However, the time of onset and consequences of activation are unknown in vivo. Based on in vitro studies we focused on a period 2 hours after retinal detachment, in pig, an animal whose retina is holangiotic and contains cones. Methods Under anesthesia, retinal detachments were created by subretinal injection of a balanced salt solution. Two hours later, animals were sacrificed and enucleated for GTPase activity assays and quantitative Western blot and confocal microscopy analyses. Results RhoA activity with detachment was increased 1.5-fold compared to that in normal eyes or in eyes that had undergone vitrectomy only. Increased phosphorylation of myosin light chain, a RhoA effector, also occurred. By 2 hours, rod cells had retracted their terminals toward their cell bodies, disrupting the photoreceptor-to-bipolar synapse and producing significant numbers of spherules with SV2 immunolabel in the outer nuclear layer of the retina. In eyes with detachment, distant retina that remained attached also showed significant increases in RhoA activity and synaptic disjunction. Increases in RAC1 activity and glial fibrillary acidic protein (GFAP) were not specific for detachment, and sprouting of bipolar dendrites, reported for longer detachments, was not seen. The RhoA kinase inhibitor Y27632 significantly reduced axonal retraction by rod cells. Conclusions Activation of the RhoA pathway occurs quickly after injury and promotes synaptic damage that can be controlled by RhoA kinase inhibition. We suggest that retinal detachment joins the list of central nervous system injuries, such as stroke and spinal cord injury, that should be considered for rapid therapeutic intervention. PMID:27472075

  1. Intraoperative optical coherence tomography in macula involving rhegmatogenous retinal detachment repair with pars plana vitrectomy and perfluoron

    PubMed Central

    Toygar, O; Riemann, C D

    2016-01-01

    Purpose To investigate microanatomical relationships during surgical repair of macula involving retinal detachment with pars plana vitrectomy (PPV) and perfluoron (PFO) with a microscope-integrated intraoperative optical coherence tomography (iOCT) device. Patients and methods This consecutive case series included nine eyes of nine patients with macula involving retinal detachment operated by a single surgeon at the Cincinnati Eye Institute. All patients underwent PPV, PFO injection, endolaser, and air–fluid exchange. The macula was imaged with iOCT before PFO injection, after PFO injection, and after air–fluid exchange in all eyes. Results iOCT imaging was ergonomically easy to obtain in all eyes. iOCT clearly demonstrated submacular fluid (SMF) at the beginning of the surgery, macular flattening under PFO in all eyes, small residual SMF under PFO in six of nine eyes, and increased occult SMF following air–fluid exchange in all eyes. Conclusion Microscope-integrated iOCT is a versatile and powerful imaging modality that holds a great deal of promise in the future. Its confirmation of persistent occult SMF in this small series of macular involving retinal detachment repair with PFO, may inform surgical decision making, and demonstrates a pathophysiological rationale for initial face-down positioning after retinal detachment repair. PMID:26656086

  2. Toxic effects of extracellular histones and their neutralization by vitreous in retinal detachment.

    PubMed

    Kawano, Hiroki; Ito, Takashi; Yamada, Shingo; Hashiguchi, Teruto; Maruyama, Ikuro; Hisatomi, Toshio; Nakamura, Makoto; Sakamoto, Taiji

    2014-05-01

    Histones are DNA-binding proteins and are involved in chromatin remodeling and regulation of gene expression. Histones can be released after tissue injuries, and the extracellular histones cause cellular damage and organ dysfunction. Regardless of their clinical significance, the role and relevance of histones in ocular diseases are unknown. We studied the role of histones in eyes with retinal detachment (RD). Vitreous samples were collected during vitrectomy, and the concentration of histone H3 was measured by enzyme-linked immunosorbent assay. The location of the histones and related molecules was examined in a rat RD model. The release of histones and their effects on rat retinal progenitor cells R28 and ARPE-19 were evaluated in vitro. In addition, the protective role of the vitreous body against histones was tested. The intravitreal concentration of histones was higher in eyes with RD (mean, 30.9 ± 9.8 ng/ml) than in control eyes (below the limit of detection, P<0.05). In the rat RD model, histone H3 was observed on the outer side of the detached retina and was associated with photoreceptor death. Histone H3 was released from cultured R28 by oxidative stress. Histones at a concentration 10 μg/ml induced the production of interleukin-8 in ARPE-19 cells (2.5-fold increase, P<0.05) that was mediated through the ERK1/2- and p38 MAPK-dependent pathways and Toll-like receptor 4. Histones were toxic to cells at concentrations of ≥ 20 μg/ml. Vitreous body or hyaluronan decreased toxicity of histones by inhibiting diffusion of histones. These results indicate that histones are released from retinas with RD and may modulate the subretinal microenvironment by functioning as damage-associated molecular pattern molecules, thereby inducing proinflammatory cytokines or cell toxicity. In addition, the important role of the vitreous body and hyaluronan in protecting the retina from these toxic effects is suggested.

  3. Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients.

    PubMed

    Nowomiejska, Katarzyna; Choragiewicz, Tomasz; Borowicz, Dorota; Brzozowska, Agnieszka; Moneta-Wielgos, Joanna; Maciejewski, Ryszard; Jünemann, Anselm G; Rejdak, Robert

    2017-01-01

    Purpose. To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma. Methods. Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing of PPV, visual acuity, and presence of intraocular foreign body (IOFB) and proliferative vitreoretinopathy (PVR) were included in the analysis. Results. Mean age of patients was 47 years; the majority of patients were men (88%). Closed globe injury was present in 21 eyes and open globe injury in 20 eyes (IOFB in 13 eyes, penetration injury in 4 eyes, and eye rupture in 3 eyes). Mean follow-up period was 14 months; mean timing of PPV was 67 days. Twenty-seven (66%) eyes had a functional success; 32 eyes (78%) had anatomical success. As a tamponade silicone oil was used in 33 cases and SF6 gas in 8 cases. Conclusions. Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. Among analysed pre- and intra- and postoperative factors, absence of PVR, postoperative retinal attachment, and silicone oil as a tamponade were related to significantly improved visual acuity.

  4. Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients

    PubMed Central

    Borowicz, Dorota; Brzozowska, Agnieszka; Moneta-Wielgos, Joanna; Maciejewski, Ryszard; Jünemann, Anselm G.

    2017-01-01

    Purpose. To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma. Methods. Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing of PPV, visual acuity, and presence of intraocular foreign body (IOFB) and proliferative vitreoretinopathy (PVR) were included in the analysis. Results. Mean age of patients was 47 years; the majority of patients were men (88%). Closed globe injury was present in 21 eyes and open globe injury in 20 eyes (IOFB in 13 eyes, penetration injury in 4 eyes, and eye rupture in 3 eyes). Mean follow-up period was 14 months; mean timing of PPV was 67 days. Twenty-seven (66%) eyes had a functional success; 32 eyes (78%) had anatomical success. As a tamponade silicone oil was used in 33 cases and SF6 gas in 8 cases. Conclusions. Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. Among analysed pre- and intra- and postoperative factors, absence of PVR, postoperative retinal attachment, and silicone oil as a tamponade were related to significantly improved visual acuity. PMID:28163930

  5. Outcome of rhegmatogenous retinal detachment repair: Experience of a tertiary center in Oman

    PubMed Central

    Al-Hinai, Ahmed S.; Al-Abri, Mohamed S.

    2013-01-01

    Aim: To study the outcome of repair of rhegmatogenous retinal detachment (RRD) in a tertiary center. Materials and Methods: Review of electronic medical records within a period of 29 months of consecutive patients who underwent surgical repair for RRD in Sultan Qaboos University Hospital (SQUH). Results: We included 33 consecutive patients (36 eyes). Males constituted 70% of them. The average age was 47 years. Seven eyes out of the 36 had macula-on RRD at presentation. The primary success rate with a single procedure was 86%. However, redetachment occurred in five eyes (14%). Visual acuity was either same as preoperative or better in 81% of the eyes. Giant retinal tear was found in three eyes (8%). The average follow-up period for all patients was 10.25 months (range: 3-25 months). Conclusion: Rhegmatogenous RD is not uncommon disorder. It occurs more frequently in males. However, it has a good prognosis if an intervention was performed in early stages. PMID:24379553

  6. Changes of Vision-Related Quality of Life in Retinal Detachment Patients after Cataract Surgery

    PubMed Central

    Zhu, Bijun; Sun, Qian; Xu, Xian; Miao, Yuyu; Zou, Haidong

    2015-01-01

    Rhegmatenous retinal detachment (RRD) is one of the most serious complications after phacoemulsification combined with intraocular lens implantation surgery. It has been reported that vision-related quality of life (VRQoL), as well as visual acuity rapidly decreased when RRD developed. However, little is known of the VRQoL in those RRD patients after anatomical retinal re-attachment, especially whether or not the VRQoL is higher than that before cataract surgery. In this prospective case series study, we use the Chinese-version low vision quality of life questionnaire (CLVQOL) to assess the changes of VRQoL in age-related cataract patients who suffered from RRD after phacoemulsification with intraocular lens (phaco-IOL) implantation. All participants were asked to complete questionnaires in face- to-face interviews one day before and two weeks after cataract surgery, as well as one day before and three months after RRD surgery. A total of 10,127 consecutive age-related cataract patients were followed up to one year after phaco-IOL implantation; among these patients, 17 were diagnosed as RRD. The total CLVQOL scores and subscale scores except “Mobility” decreased significantly when RRD developed. After retinal surgery, only the score of “General vision and lighting” in the CLVQOL questionnaires improved when compared to the scores two weeks after cataract surgery, although the best corrected visual acuity of all patients significantly raised up. However, the mean CLVQOL scores and subscale scores were still considerably higher than the level prior to cataract surgery. Our study suggests that cataract patients at high risk of postoperative RRD should not deny the opportunity to undergo phaco-IOL implantation, even though potential VRQoL impairment induced by RRD exists. PMID:25764367

  7. Changes of vision-related quality of life in retinal detachment patients after cataract surgery.

    PubMed

    Zhu, Mingming; Huang, Jiannan; Zhu, Bijun; Sun, Qian; Xu, Xian; Miao, Yuyu; Zou, Haidong

    2015-01-01

    Rhegmatenous retinal detachment (RRD) is one of the most serious complications after phacoemulsification combined with intraocular lens implantation surgery. It has been reported that vision-related quality of life (VRQoL), as well as visual acuity rapidly decreased when RRD developed. However, little is known of the VRQoL in those RRD patients after anatomical retinal re-attachment, especially whether or not the VRQoL is higher than that before cataract surgery. In this prospective case series study, we use the Chinese-version low vision quality of life questionnaire (CLVQOL) to assess the changes of VRQoL in age-related cataract patients who suffered from RRD after phacoemulsification with intraocular lens (phaco-IOL) implantation. All participants were asked to complete questionnaires in face- to-face interviews one day before and two weeks after cataract surgery, as well as one day before and three months after RRD surgery. A total of 10,127 consecutive age-related cataract patients were followed up to one year after phaco-IOL implantation; among these patients, 17 were diagnosed as RRD. The total CLVQOL scores and subscale scores except "Mobility" decreased significantly when RRD developed. After retinal surgery, only the score of "General vision and lighting" in the CLVQOL questionnaires improved when compared to the scores two weeks after cataract surgery, although the best corrected visual acuity of all patients significantly raised up. However, the mean CLVQOL scores and subscale scores were still considerably higher than the level prior to cataract surgery. Our study suggests that cataract patients at high risk of postoperative RRD should not deny the opportunity to undergo phaco-IOL implantation, even though potential VRQoL impairment induced by RRD exists.

  8. Long-Term Changes in Intraocular Pressure after Vitrectomy for Rhegmatogenous Retinal Detachment, Epi-Retinal Membrane, or Macular Hole

    PubMed Central

    Yamamoto, Kentaro; Iwase, Takeshi; Terasaki, Hiroko

    2016-01-01

    Purpose To determine the long-term changes in the intraocular pressure (IOP) following vitrectomy for rhegmatogenous retinal detachment (RRD), epiretinal membrane (ERM), and macular hole (MH), and to investigate the relationship between the retinal disease and the incidence of late-onset IOP elevation. Methods This was a retrospective, observational, comparative study. We reviewed the medical records of 54 eyes of 54 RRD patients, 117 eyes of 117 ERM patients, and 75 eyes of 75 MH patients who underwent 20-, 23- or 25-gauge vitrectomy. The IOPs before surgery and 1, 3, 6, and 12 months following vitrectomy, and also at the final visit (average, 23.95 months) were evaluated. We defined a significant increase in the IOP as an increase of ≥4 mmHg from the preoperative IOP, and this increase was taken to be a ‘death’ event for the Kaplan-Meier survival analyses. Results The mean follow-up period was not significantly different among the groups. The mean IOP at 3 (P = 0.001) and 12 (P = 0.011) months following the vitrectomy and at the final visit (P = 0.002) were significantly higher than that before the vitrectomy in the RRD group. The mean IOP in the RRD group was significant higher than that in the ERM group at 1 (P = 0.005), 3 (P = 0.009), and 12 (P = 0.013) months following vitrectomy, and at the final visit (P = 0.032). Kaplan-Meier survival analyses showed that the RRD group had a significantly higher risk of an IOP increase following vitrectomy than the other groups (P<0.001 by log-rank test). Multivariate logistic regression analyses showed that a preoperative diagnosis of RRD was the only risk factor that was significantly associated with a postoperative IOP elevation after excluding eyes with a low preoperative IOP (odds ratio, 3.208; P = 0.003). Conclusions A late-onset IOP elevation following vitrectomy was observed only in eyes that underwent RRD surgery. The elevation was probably caused by the specific characteristics and surgical procedures of

  9. Scleral buckle infection by Serratia species

    PubMed Central

    Venkatesh, Ramesh; Agarwal, Manisha; Singh, Shalini; Mayor, Rahul; Bansal, Aditya

    2017-01-01

    We describe a rare case of scleral buckle (SB) infection with Serratia species. A 48-year-old male with a history of retinal detachment repair with scleral buckling presented with redness, pain, and purulent discharge in the left eye for 4 days. Conjunctival erosion with exposure of the SB and scleral thinning was noted. The SB was removed and sent for culture. Blood and chocolate agar grew Gram-negative rod-shaped bacillus identified as Serratia marcescens. On the basis of the susceptibility test results, the patient was treated with oral and topical antibiotics. After 6 weeks of the treatment, his infection resolved. PMID:28298863

  10. A review of techniques employed in 1100 cases of retinal detachment.

    PubMed Central

    Chawla, H B

    1982-01-01

    To produce a flat retina after an operation demands an unrestricted view of the retina during the operation, and to achieve such a view most retinal surgeons would unhesitatingly recommend the binocular indirect ophthalmoscope and scleral depression. Once the retina and all its breaks are clearly in view, the keynote of the ensuing surgery should be simplicity and safety. The former requires that the intended operation should be the least complicated available, and, should the surgical intention be frustrated, that each step should blend with the next in orderly progression, the surgeon exhausting the possibility of one step before moving on to the next and being able to recognise when the possibilities are exhausted. The latter requires experience in deciding which is in fact the least complicated operation. In general the cavity of the globe should not be entered unless the eye stands to lose more than it gains by remaining inviolate. Paracentesis, fluid release, and intravitreal air all have their place, and to avoid them gains us nothing if the retina remains detached. PMID:7115648

  11. Missed sclera buckle as a cause of recurrent conjunctivitis.

    PubMed

    Rostron, Egle; Abdelaziz, Lamis; Barbara, Ramez; Metcalfe, Timothy

    2012-09-07

    A 63-year-old woman was referred to the eye clinic with a 2-year history of unresolving right eye discomfort, irritation and recurrent conjunctivitis, managed by her general practitioner, where frequent use of topical antibiotics and ocular lubricants provided little and transient relief. The right eye was blind following a complicated retinal detachment surgery 30 years ago. Examination revealed an extruding silicone sponge scleral buckle from a previous retinal detachment surgery in the superior conjunctival fornix, under the right upper lid. This was subsequently surgically removed and her symptoms resolved.

  12. Photoreceptor Inner and Outer Segment Junction Reflectivity after Vitrectomy for Macula-Off Rhegmatogenous Retinal Detachment

    PubMed Central

    Kaluzny, Jakub J.; Sikorski, Bartosz L.; Czajkowski, Grzegorz; Burduk, Mateusz; Kaluzny, Bartlomiej J.; Stafiej, Joanna; Malukiewicz, Grazyna

    2015-01-01

    Purpose. To evaluate the spatial distribution of photoreceptor inner and outer segment junction (IS/OS) reflectivity changes after successful vitrectomy for macula-off retinal detachment (PPV-mOFF) using spectral domain optical coherence tomography (SdOCT). Methods. Twenty eyes after successful PPV-mOFF were included in the study. During a mean follow-up period of 15.3 months, SdOCT was performed four times. To evaluate the IS/OS reflectivity a four-grade scale was used. Results. At the first follow-up visit the IS/OS had very similar reflectivity in entire length of the central scan with total average value of 1,05. At the second visit the most significant increase of the reflectivity was observed in temporal and nasal parafovea with average values of 2,17 and 2,22, respectively. The third region of increased reflectivity of an average value of 2,33 appeared during the third follow-up visit and was located in the foveola. At the last follow-up visit in entire central cross section the IS/OS reflectivity exceeded grade 2 reaching the highest average values in nasal and temporal parafovea and foveola. Conclusions. A gradual increase of the IS/OS reflectivity was observed in eyes after PPV-mOFF. The process is not random and starts independently in the peripheral and central part of the macula which may be attributed to the variable regenerative potential of cones and rods. PMID:26579234

  13. Point-of-care ultrasonography of the orbit for detection of retinal detachment in a patient with hemolysis, elevated liver enzymes, and low platelet count syndrome

    PubMed Central

    Shrestha, Gentle Sunder; Rajbhandari, Shayuja; Dhungel, Shashwat; Sharma, Nutan; Poudel, Nimesh; Manandhar, Dhiraj N.

    2016-01-01

    Retinal detachment is a rare, but well-known cause of visual impairment in patients with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. With supportive care, patients usually improve, with complete recovery of vision. Bedside ultrasonography of the orbit can be helpful for early detection of retinal detachment in these patients. Here, we present a case of HELLP syndrome presenting with severe visual symptoms. Retinal detachment was detected with point-of-care ocular sonography, which was confirmed with ophthalmoscopic examination. The patient was reassured of the favorable prognosis. Early initiation of aggressive supportive care was followed by progressive improvement of vision, which correlated with sonographic evidence of resolution of detachment. Her vision recovered completely in 2 weeks. PMID:27688632

  14. Outpatient- and inpatient-based buckling surgery: a comparative study

    PubMed Central

    Lee, Jin Cheol; Kim, Yu Cheol

    2014-01-01

    Purpose To evaluate the clinical outcomes of ambulatory buckling surgery, comparing outpatient- with inpatient-based surgery. Methods The authors performed a retrospective study of 80 consecutive cases of rhegmato genous retinal detachment from January 2009 to December 2011 treated by scleral buckling surgery. Two groups of patients were defined according to inpatient (group 1) or outpatient (group 2) surgery, and a comparison of several parameters between these two groups was performed. Results Of the 80 subjects in this study, the average age of group 1 (50 patients) was 49.7 years, and that of group 2 (30 patients) was 47.5 years. There were no statistically significant differences in the average logarithm of the minimum angle of resolution-visual acuity, the condition of the lens, or the presence of retinal lattice degeneration prior to the surgery between the groups. There were no statistically significant differences in the patterns of tear or retinal detachment or in surgical procedure between the groups. Comparing the best-corrected visual acuity after 6 months with that prior to the surgery, the changes in group 1 and group 2 were 0.26 and 0.31, respectively. The functional success rates of group 1 and group 2 after 6 months were 90% and 93%, respectively, and the anatomical success rates of group 1 and group 2 after 6 months were 94% and 96%, respectively, but these were also statistically insignificant. Conclusion Hospitalization is not essential for buckling surgery in uncomplicated rhegmatogenous retinal detachment surgery. PMID:24812485

  15. Retinal Pigment Epithelium Atrophy 1 (rpea1): A New Mouse Model With Retinal Detachment Caused by a Disruption of Protein Kinase C, θ

    PubMed Central

    Ji, Xiaojie; Liu, Ye; Hurd, Ron; Wang, Jieping; Fitzmaurice, Bernie; Nishina, Patsy M.; Chang, Bo

    2016-01-01

    Purpose Retinal detachments (RDs), a separation of the light-sensitive tissue of the retina from its supporting layers in the posterior eye, isolate retinal cells from their normal supply of nourishment and can lead to their deterioration and death. We identified a new, spontaneous murine model of exudative retinal detachment, nm3342 (new mutant 3342, also referred to as rpea1: retinal pigment epithelium atrophy 1), which we characterize herein. Methods The chromosomal position for the recessive nm3342 mutation was determined by DNA pooling, and the causative mutation was discovered by comparison of whole exome sequences of mutant and wild-type controls. The effects of the mutation were examined in longitudinal studies by clinical evaluation, electroretinography (ERG), light microscopy, and marker and Western blot analyses. Results New mutant 3342, nm3342, also referred to as rpea1, causes an early-onset, complete RD on the ABJ/LeJ strain background, and central exudative RD and late-onset RPE atrophy on the C57BL/6J background. The ERG responses were normal at 2 months of age but deteriorate as mice age, concomitant with progressive pan-retinal photoreceptor loss. Genetic analysis localized rpea1 to mouse chromosome 2. By high-throughput sequencing of a whole exome capture library of an rpea1/rpea1 mutant and subsequent sequence analysis, a splice donor site mutation in the Prkcq (protein kinase C, θ) gene, was identified, leading to a skipping of exon 6, frame shift and premature termination. Homozygotes with a Prkcq-targeted null allele (Prkcqtm1Litt) have similar retinal phenotypes as homozygous rpea1 mice. We determined that the PKCθ protein is abundant in the lateral surfaces of RPE cells and colocalizes with both tight and adherens junction proteins. Phalloidin-stained RPE whole mounts showed abnormal RPE cell morphology with aberrant actin ring formation. Conclusions The homozygous Prkcqrpea1 and the null Prkcqtm1Litt mutants are reliable novel mouse

  16. Change in refraction after lens-sparing vitrectomy for rhegmatogenous retinal detachment and epiretinal membrane.

    PubMed

    Iwase, Takeshi; Yamamoto, Kentaro; Yanagida, Kosei; Kobayashi, Misato; Ra, Eimei; Murotani, Kenta; Terasaki, Hiroko

    2016-08-01

    The aim of this study was to compare changes in refraction following lens-sparing vitrectomy between patients with rhegmatogenous retinal detachment (RRD) and epiretinal membrane (ERM) and to investigate factors associated with the change in refraction.We reviewed medical records of 49 eyes of 49 patients with RRD (53.6 ± 7.8 years, mean ± standard deviation) and 24 eyes of 24 patients with ERM (50.9 ± 15.7 years) who underwent lens-sparing vitrectomy. Spherical equivalent refractive power was evaluated before and up to 18 months after surgery. The relationship between the change in refraction and several parameters was evaluated.A significant progressive myopic shift in refractive power was observed after vitrectomy in operated RRD and ERM eyes (P < 0.001, P = 0.016, respectively), with no significant difference in fellow eyes. The refraction values observed at ≥3 and ≥12 months following vitrectomy were significantly different as compared with those observed at baseline in the RRD group (P < 0.001) and the ERM group (P < 0.05), respectively. The change in refraction between the RRD and ERM groups was significant (P = 0.030). The multiple linear regression analysis showed that only age was significantly correlated with the change in refraction in RRD (P = 0.018) and ERM (P < 0.001) groups. The change in refraction was significantly and positively correlated with age in RRD (r = -0.461, P = 0.001) and ERM (r = -0.687, P < 0.001) groups. Following lens-sparing vitrectomy, cataract surgery was performed on 30 eyes after 0.89 ± 0.26 years in the RRD group and on 10 eyes after 1.11 ± 0.14 years in the ERM group; there was a significant difference in time to cataract surgery between the groups (P = 0.007). Kaplan-Meier survival analysis demonstrated that there was a significant difference in the rate of cataract surgeries between the RRD and ERM groups (P = 0.022).Following lens

  17. Change in refraction after lens-sparing vitrectomy for rhegmatogenous retinal detachment and epiretinal membrane

    PubMed Central

    Iwase, Takeshi; Yamamoto, Kentaro; Yanagida, Kosei; Kobayashi, Misato; Ra, Eimei; Murotani, Kenta; Terasaki, Hiroko

    2016-01-01

    Abstract The aim of this study was to compare changes in refraction following lens-sparing vitrectomy between patients with rhegmatogenous retinal detachment (RRD) and epiretinal membrane (ERM) and to investigate factors associated with the change in refraction. We reviewed medical records of 49 eyes of 49 patients with RRD (53.6 ± 7.8 years, mean ± standard deviation) and 24 eyes of 24 patients with ERM (50.9 ± 15.7 years) who underwent lens-sparing vitrectomy. Spherical equivalent refractive power was evaluated before and up to 18 months after surgery. The relationship between the change in refraction and several parameters was evaluated. A significant progressive myopic shift in refractive power was observed after vitrectomy in operated RRD and ERM eyes (P < 0.001, P = 0.016, respectively), with no significant difference in fellow eyes. The refraction values observed at ≥3 and ≥12 months following vitrectomy were significantly different as compared with those observed at baseline in the RRD group (P < 0.001) and the ERM group (P < 0.05), respectively. The change in refraction between the RRD and ERM groups was significant (P = 0.030). The multiple linear regression analysis showed that only age was significantly correlated with the change in refraction in RRD (P = 0.018) and ERM (P < 0.001) groups. The change in refraction was significantly and positively correlated with age in RRD (r = −0.461, P = 0.001) and ERM (r = −0.687, P < 0.001) groups. Following lens-sparing vitrectomy, cataract surgery was performed on 30 eyes after 0.89 ± 0.26 years in the RRD group and on 10 eyes after 1.11 ± 0.14 years in the ERM group; there was a significant difference in time to cataract surgery between the groups (P = 0.007). Kaplan–Meier survival analysis demonstrated that there was a significant difference in the rate of cataract surgeries between the RRD and ERM groups (P = 0

  18. Quality assessment of cataract surgery in Denmark - risk of retinal detachment and postoperative endophthalmitis.

    PubMed

    Bjerrum, Søren Solborg

    2015-03-01

    The main purpose of this thesis was to examine whether the Danish National Patient Registry (NPR) could be used to monitor and assess the quality of cataract surgery in Denmark by studying the risks of two serious postoperative complications following cataract surgery - retinal detachment (RD) and postoperative endophthalmitis (PE). The thesis consists of four retrospective studies. In the first study (paper I), we used data from the NPR in the calendar period 2000-2010 to investigate the risk of pseudophakic retinal detachment (PRD) using the fellow non-operated eyes of the patients as reference. The study showed that over a 10-year study period, the risk of PRD was increased by a factor of 4.2 irrespective of sex and age. The risk of PRD was highest in the first part of the postoperative period and then gradually decreased but remained statistically significantly higher than the risk of RD in non-operated fellow eyes up to 10 years after cataract surgery. The epidemiology of RD in the non-operated fellow eyes was different from the epidemiology of RD in the background population as young men had the highest risk of RD in the non-operated fellow eyes. This means that the absolute risk of PRD was highest for young men because they had a higher risk of RD before they underwent cataract surgery. In the second study (paper II), we used data from the NPR and reviewed patient charts to assess the risk of PE after cataract surgery performed in public eye departments and private hospitals/clinics in the study period 2002-2010. The overall risk of PE among the seven public eye departments was 0.36 per 1000 registered cataract operations, and the PE risk among the departments was homogeneous. The overall risk of PE among the 28 private hospitals/clinics was 0.73 per 1000 registered cataract operations, and the risk among the private hospitals/clinics was heterogeneous. Most private hospitals/clinics had a risk of PE that was lower than or similar to the risk of PE after

  19. Successful Management in a Case of Traumatic Retinal Detachment due to Open Globe Injury Using Microincisional Vitrectomy

    PubMed Central

    Lai, Wei-Yu; Wu, Tsung-Tien

    2016-01-01

    Background Retinal detachment (RD) following ocular trauma often results in guarded visual prognosis and sometimes leads to loss of the eye. With the advent of microincisional vitrectomy surgery and the development of surgical techniques, the management of ocular trauma has been transformed. Case Presentation A 34-year-old man sustained an open globe injury from fragmented glass at work. He received primary repair and another follow-up surgery 9 days later, including vitrectomy, silicone oil tamponade, and lensectomy for RD and traumatic cataract at another medical center. However, his retina was totally detached and completely curled up in a roll with choroid on display when he was seen by us 1 month later. He was managed with vigilant and patient peeling and unfolding of the retina using a 23-gauge forceps and silicone oil tamponade, and achieved anatomical success and preservation of his eye at 6-month follow-up. Conclusions This report demonstrates that even in cases which appear to be hopeless at presentation, the surgeon's perseverance and surgical technique can salvage an eye that may otherwise be phthisical. It also encourages retinal surgeons to use microincisional vitrectomy to manage severe traumatic RD. PMID:28101038

  20. [Changes in axial length after scleral buckling surgery].

    PubMed

    Hayashi, H; Hayashi, K; Nakao, F; Hayashi, F

    1996-04-01

    The eye lengthens after scleral buckling surgery for retinal detachment. We investigated the changes in axial length and refraction after scleral buckling. A total of 89 eyes from 88 patients which were all scheduled to undergo scleral buckling were included in this study. The eyes were classified into four groups based on the type of buckling procedures:1 local buckling, 2 encircling, 3 encircling with vitrectomy, and 4 encircling with local buckling. We examined the axial length of these eyes using ultrasonography, preoperatively and at 1, 3, and 6 months postoperatively. The refractive changes were also examined. Depending on the type of scleral buckling procedure employed, the eyes in Groups 2, 3, and 4 clearly lengthened, but those of Group 1 did not. The amount of axial lengthening in Groups 2, 3, and 4 was significantly greater than in Group 1 at 3 and 6 months after surgery. In the spherical equivalent, a myopic shift occurred in the eyes in Groups 2, 3, and 4, and this shift was significantly greater than in Group 1 In addition, the correlation between the extent of axial lengthening and myopic shift was significant. In conclusion, the axial length increases with a myopic shift due to encircling, whereas local buckling changed the axial length only slightly.

  1. Serous Retinal Detachment in Dome-shaped Macula with 7 Years Follow-up

    PubMed Central

    Alakeely, Adel G.; Alrashaed, Saba

    2016-01-01

    Dome-shaped macula (DSM) was first described by Gaucher et al. as a convex protrusion of macula within a staphyloma in highly myopic eyes that cause visual impairment associated with serous foveal detachment (SFD). We describe a patient with persistent SFD in DSM documented by serial spectral domain optical coherence tomography for 7 years with stable vision. PMID:27994399

  2. Perfluoro-n-octane as a temporary intraocular tamponade in a staged approach to manage complex retinal detachments

    PubMed Central

    Barthelmes, Daniel; Chandra, Jay

    2015-01-01

    Purpose To evaluate outcomes in patients with complex retinal detachments (RD) with proliferative vitreoretinopathy (PVR) requiring retinectomy using a staged approach utilizing perfluoro-n-octane (PFO) as a short-term postoperative intraocular tamponade. Methods Retrospective analysis. Patients who underwent 23G pars plana vitrectomy for the management of complicated RD where PFO was used as a primary temporary intraocular tamponade. Only eyes with PVR in rhegmatogenous RD or eyes with penetrating injuries or globe ruptures (ocular trauma) and subsequent RD with PVR were included. Analysis of 17 eyes of 17 consecutive patients with a minimum follow-up of 12 months during a period of 5 years. The primary outcome measure was the reattachment rate after at least 12 months of follow-up after the PFO removal. Secondary outcome measures were changes in visual acuity, complications due to PFO use, and necessity for further surgeries. Results Eight eyes with prior penetrating injuries or globe rupture and nine eyes with rhegmatogenous pathology were included. All eyes had PFO as temporary tamponade for 14 days (median), which was replaced by silicon oil. Sixteen eyes (94%) had complete and one eye partial reattachment. No redetachments occurred. All eyes retained or improved visual acuity. On average, only 2.5 procedures, including silicon oil removal, were performed. Two eyes had long-term intraocular pressure of 5 mmHg and no eye had intraocular pressure of ≥21 mmHg. No long-term inflammation was observed. Conclusion PFO seems to be beneficial in a staged approach to repair complex detachments when used as short-term tamponade. A median period of 14 days allowed for both sufficient retinal support plus a reduction in side effects seen in long-term endotamponades. PMID:25784785

  3. Efficacy of two different thiol-modified crosslinked hyaluronate formulations as vitreous replacement compared to silicone oil in a model of retinal detachment

    PubMed Central

    Schnichels, Sven; Schneider, Nele; Hohenadl, Christine; Hurst, José; Schatz, Andreas; Januschowski, Kai; Spitzer, Martin S.

    2017-01-01

    The efficacy of two novel artificial vitreous body substitutes (VBS) consisting of highly biocompatible thiolated cross-linked hyaluronic acid (HA)-based hydrogels in comparison to silicone oil in a model of retinal detachment was investigated. Pars plana vitrectomy (23G) was performed in the right eye of 24 pigmented rabbits. Retinal detachment of two quadrants was induced by creating a small retinotomy near the vascular arcade and injecting balanced salt solution (BSS) subretinally. The retina was reattached by injecting air, which was followed by increasing the infusion pressure, and the retinal tear was treated by endolaser photocoagulation. At the end of the procedure, the eye was filled either with 5000-cs silicone oil (after fluid air exchange) or the respective hydrogel (with two different viscosities). Follow-up examination included slit lamp examination, funduscopy, intraocular pressure measurements (IOP), optical coherence tomography (OCT) and electroretinogram (ERG) measurements. After a maximum follow-up of four weeks both eyes were removed, examined macroscopically, photographed, and prepared for histology. Of the eight rabbits that received silicone oil, seven (87.5%) developed a recurrent retinal detachment with pronounced proliferative vitreoretinopathy within the first two weeks after surgery. In contrast, in the hydrogel treated eyes, the retina stayed attached in the majority of the cases (73.3%). IOP and retinal morphology were normal as long as the retina remained re-attached. In conclusions, this model of retinal detachment, both thiolated crosslinked hyaluronate hydrogels showed superior efficacy when compared to silicone oil. These hydrogels have a promising potential as novel vitreous body substitutes. PMID:28248989

  4. Profiles of Inflammatory Cytokines in the Vitreous Fluid from Patients with Rhegmatogenous Retinal Detachment and Their Correlations with Clinical Features

    PubMed Central

    Takahashi, Shizuka; Adachi, Kobu; Suzuki, Yukihiko; Maeno, Atsuko

    2016-01-01

    Purpose. To characterize the profiles for inflammatory cytokines in the vitreous fluid from patients with rhegmatogenous retinal detachment (RRD) by comparing those of other vitreoretinal diseases and to analyze the correlation between intravitreal cytokines and clinical features. Materials and Methods. Vitreous fluid was obtained at the time of surgery from 28 RRD eyes. Vitreous fluid was similarly collected from patients with macular hole (MH), epiretinal membrane, proliferative diabetic retinopathy (PDR), and retinal vein occlusion as controls. Twenty-seven cytokines were measured. Intravitreal cytokine profiles in RRD were characterized by comparing these with those in other vitreoretinal diseases. We also analyzed the correlations between vitreous cytokines and clinical features. Results. There were statistical differences in the MCP-1, MIP-1β, and IP-10 between the RRD and MH, while the IL-6 and IL-8 exhibited levels that were between those for the PDR and MH. MIP-1β was significantly correlated to both the extent and duration of the RRD, while IL-8 was significantly correlated to the extent of the RRD. Conclusions. MCP-1, MIP-1β, and IP-10 may modify the pathologic features of RRD. The levels of these cytokines are related in part to the clinical features and the level of photoreceptor damage. PMID:28074184

  5. Unsuccessful vitrectomy without gas tamponade for macular retinal detachment and retinoschisis without optic disc pit.

    PubMed

    Hotta, Kazuki

    2004-01-01

    The mechanism of subretinal fluid accumulation in optic disc pit maculopathy is unknown. A 67-year-old Japanese woman complaining of blurred vision in her right eye presented with a best-corrected visual acuity of 20/200. Slit-lamp biomicroscopy and optical coherence tomography examination showed maculopathy typically associated with optic disc pits, except that the patient had no optic disc pit. Long-acting gas tamponade was required to achieve reattachment of the retina and retinoschisis after initial failure of surgery using surgically induced vitreous detachment without either fluid-air exchange or gas injection. Vitreous traction may not have played a major role in introducing fluid into the submacular space in this case. Gas tamponade may be indispensable to achieve surgical success. This may also pertain to some cases of optic nerve pits.

  6. Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment

    PubMed Central

    Rizzo, Stanislao; Virgili, Gianni

    2017-01-01

    Purpose. To compare the vitrectomy time, clinical outcomes, and complications between 27-gauge (27-G) and 25-gauge (25-G) vitrectomy in patients with primary rhegmatogenous retinal detachment (PRRD). Methods. Prospective, nonrandomized, comparative, interventional study. Forty consecutive patients with PRRD were recruited. Twenty patients underwent the 27-gauge procedure and twenty patients had the 25-gauge procedure. The main outcome measure of the study was the actual vitrectomy time. Results. The mean duration of vitreous removal was 23.2 min (SD 6.5) with 27-G vitrectomy and 19.6 min (SD 7.3) with 25-G vitrectomy, resulting in a difference of 3.6 min (95% confidence interval (95%CI): −8.0 to 0.8 mins, p = 0.11). Mean logMAR visual acuity improved from 1.70 ± 1.18 preoperatively to 0.12 ± 0.14 at final postoperative visit (p < 0.001) in the 27-G group and from 1.52 ± 1.15 preoperatively to 0.22 ± 0.30 at final postoperative visit (p < 0.001) in the 25-G group. The anatomical success rate after a single operation was 90.0% and 85.0% in the 27-G and in the 25-G groups (p = 0.63), respectively. Intraoperative iatrogenic retinal breaks (IRBs) occurred in 2 eyes in the 27-G group and 1 eye in the 25-G group. Conclusions. Twenty-seven-gauge vitrectomy may be a safe and effective surgery for the treatment of PRRD. PMID:28367324

  7. Vitreous advanced glycation endproducts and α-dicarbonyls in retinal detachment patients with type 2 diabetes mellitus and non-diabetic controls

    PubMed Central

    Mulder, Douwe J.; Schalkwijk, Casper G.; Scheijen, Jean L.; Smit, Andries J.; Los, Leonoor I.

    2017-01-01

    Purpose Advanced glycation endproducts (AGEs) and their precursors α-dicarbonyls are implicated in the progression of diabetic retinopathy. The purpose of this study was to assess AGEs and α-dicarbonyls in the vitreous of patients with type 2 diabetes mellitus (T2DM) with early stages or absence of diabetic retinopathy. Methods We examined vitreous samples obtained during vitrectomy from 31 T2DM patients presenting themselves with rhegmatogenous retinal detachment and compared these to 62 non-diabetic rhegmatogenous retinal detachment patients, matched on age, estimated glomerular filtration rate, smoking, intra-ocular lens implantation, and proliferative vitreoretinopathy. AGEs (pentosidine, Nε-(carboxymethyl)lysine, Nε-(carboxyethyl)lysine, and 5-hydro-5-methylimidazolone) and α-dicarbonyls (3-deoxyglucosone, methylglyoxal, and glyoxal) were measured by ultra performance liquid chromatography or high performance liquid chromatography. Skin autofluorescence was measured by the AGE Reader. Results Mean age was 64 ± 7.6 years for T2DM patients and 63 ± 8.1 years for controls. For T2DM patients, median diabetes duration was 2.2 (0.3–7.4) years. Non-proliferative diabetic retinopathy was present in 1 patient and classified as absent or background retinopathy in 30 patients. Vitreous levels of pentosidine (2.20 vs. 1.59 μmol/mol lysine, p = 0.012) and 3-deoxyglucosone (809 vs. 615 nmol/L, p = 0.001) were significantly elevated in T2DM patients compared to controls. Other AGEs and α-dicarbonyls in the vitreous were not significantly different. There was a trend for increased skin autofluorescence in T2DM patients as compared to controls (p = 0.07). Conclusions Pentosidine and 3-deoxyglucosone concentrations were increased in the vitreous of rhegmatogenous retinal detachment patients with a relatively short duration of diabetes compared to non-diabetic rhegmatogenous retinal detachment patients. PMID:28264049

  8. [Results of a morphological study of the experimental use of polyglycolide fiber explants in the surgery of retinal detachment].

    PubMed

    Kiseleva, O A; Ziangirova, G G; Iomdina, E N; Aliev, T I

    2005-01-01

    The paper presents the results of experimental use of a polyglycolide material-based filling for temporary episcleral filling in retinal detachment. Thorough comparative morphological and biomechanical studies of 120 experimental eyes in different periods after scleroplasty, by using an inflatable balloon catheter, homoscleral and polyglycolide fillings, have indicated that the polyglycolide filling material is completely lysed by ocular tissues within 60-90 days, which rules out a repeated surgical intervention for removal of temporary filling (for example, an inflatable balloon catheter), by preserving the constancy of the depth of scleral pressing-in. The short existence of a chemically indifferent polyglycolide filling in the ocular tissues excludes its negative effect on the surrounding structures of the eye, minimizes the likelihood of the occurrence of early postoperative complications, but thereby leading to a substantial increase in the biochemical stability of the scleral-and-chorioretinal complex in the early postoperative periods and ensuring increased resistance to dynamic loads, by forming a stable scleral-and-chorioretinal adhesion 3 months after surgery. The findings suggest that the designed polyglycolide explant has advantages and that it is expedient to introduce the new Russian resolving polyglycolide fiber explants into clinical practice (for scleroplastic operations).

  9. A Mystery of Bilateral Annular Choroidal and Exudative Retinal Detachment with No Systemic Involvement: Is It Part of Vogt-Koyanagi-Harada Disease Spectrum or a New Entity?

    PubMed

    Elaraoud, Ibrahim; Andreatta, Walter; Jiang, Li; Damer, Kenan; Al-Ibrahim, Jalil

    2017-01-01

    A 65-year-old Caucasian male presented to the eye emergency department with bilateral significant visual loss. He was otherwise healthy with no significant past medical history. Ophthalmic history was significant for chronic open-angle glaucoma, for which the patient was using latanoprost once daily to both eyes. There was no preceding history of trauma or ocular surgery and the patient was emmetropic. Two weeks prior to his presentation, he reported a headache, which settled spontaneously. Slit-lamp examination demonstrated bilateral keratic precipitates, bilateral significantly shallow anterior chamber, and bilaterally normal intraocular pressures of 16 mm Hg. Fundal examination was significant for bilateral 360-degree choroidal detachments with exudative retinal detachment involving the maculae. These findings were confirmed using wide-field fundus photography, B-scan ultrasonography, and optical coherence tomography. Fundus fluorescein angiography did not reveal any evidence of retinal vasculitis. Indocyanine green chorioangiography of the posterior pole showed multiple areas of focal choroidal hypoperfusion. Extensive systemic investigation demonstrated no infectious, neoplastic, or inflammatory cause, and the patient did not complain of any systemic symptoms. Treatment with high-dose intravenous methylprednisolone was administered and this brought about complete resolution of both choroidal and retinal detachments, with partial visual recovery.

  10. A Mystery of Bilateral Annular Choroidal and Exudative Retinal Detachment with No Systemic Involvement: Is It Part of Vogt-Koyanagi-Harada Disease Spectrum or a New Entity?

    PubMed Central

    Elaraoud, Ibrahim; Andreatta, Walter; Jiang, Li; Damer, Kenan; Al-Ibrahim, Jalil

    2017-01-01

    A 65-year-old Caucasian male presented to the eye emergency department with bilateral significant visual loss. He was otherwise healthy with no significant past medical history. Ophthalmic history was significant for chronic open-angle glaucoma, for which the patient was using latanoprost once daily to both eyes. There was no preceding history of trauma or ocular surgery and the patient was emmetropic. Two weeks prior to his presentation, he reported a headache, which settled spontaneously. Slit-lamp examination demonstrated bilateral keratic precipitates, bilateral significantly shallow anterior chamber, and bilaterally normal intraocular pressures of 16 mm Hg. Fundal examination was significant for bilateral 360-degree choroidal detachments with exudative retinal detachment involving the maculae. These findings were confirmed using wide-field fundus photography, B-scan ultrasonography, and optical coherence tomography. Fundus fluorescein angiography did not reveal any evidence of retinal vasculitis. Indocyanine green chorioangiography of the posterior pole showed multiple areas of focal choroidal hypoperfusion. Extensive systemic investigation demonstrated no infectious, neoplastic, or inflammatory cause, and the patient did not complain of any systemic symptoms. Treatment with high-dose intravenous methylprednisolone was administered and this brought about complete resolution of both choroidal and retinal detachments, with partial visual recovery. PMID:28203189

  11. Rhegmatogenous Retinal Detachment with a High Risk of Proliferative Vitreoretinopathy Treated with Episcleral Surgery and an Intravitreal Dexamethasone 0.7-mg Implant

    PubMed Central

    Reibaldi, Michele; Russo, Andrea; Longo, Antonio; Bonfiglio, Vincenza; Uva, Maurizio G.; Gagliano, Caterina; Toro, Mario D.; Avitabile, Teresio

    2013-01-01

    Purpose To report a case of rhegmatogenous retinal detachment with a high risk of proliferative vitreoretinopathy (PVR) effectively treated with episcleral surgery and an intravitreal dexamethasone 0.7-mg implant. Methods A 35-year-old Caucasian man with a macula-off rhegmatogenous subtotal retinal detachment that had persisted for 1 month in his myopic left eye presented several risk factors that could have led to the development of PVR after retinal detachment surgery. His best corrected visual acuity was hand motion. He received an intravitreal dexamethasone 0.7-mg implant (Ozurdex®) after episcleral surgery to prevent this complication. Results At least 9 months after surgery, no sign of PVR or pucker has developed in the treated eye. Visual acuity improved to 0.2, the retina was attached and no complications were observed. Conclusion Intravitreal dexamethasone 0.7-mg implant (Ozurdex) could be considered as off-label treatment following episcleral surgery to prevent PVR. PMID:23687501

  12. Endodrainage, Tumor Photocoagulation, and Silicone Oil Tamponade for Primary Exudative Retinal Detachment due to Choroidal Melanoma Persisting after Proton Beam Therapy

    PubMed Central

    Seibel, Ira; Cordini, Dino; Willerding, Gregor; Riechardt, Aline Isabel; Joussen, Antonia Maria

    2014-01-01

    Background Choroidal melanoma is frequently accompanied by an exudative retinal detachment that can persist after proton beam therapy. This study investigates whether vitrectomy without tumor resection improves the clinical outcome. Methods This is a retrospective interventional case series. Twenty patients with choroidal melanoma with exudative retinal detachment involving the macula were treated by vitrectomy, endodrainage, photocoagulation, and silicone oil tamponade after proton beam therapy. Results The mean follow-up was 38.4 months (median 21.5, range 12.0-122.0). The mean time between proton beam therapy and surgery was 4.5 months (range 0.1-9.2). Reattachment was achieved in 95% of the patients after one vitrectomy. One patient was lost to follow-up because enucleation was performed after 45.9 months due to a secondary glaucoma. Mean visual acuity decreased from 1.1 to 1.8 logMAR before vitrectomy and after 4 years, respectively. No patient showed local tumor recurrence. Metastatic disease was present in 1 patient after 15.2 months, and this patient died after 19.2 months. Conclusion Vitrectomy is indicated after therapeutic proton beam irradiation in patients who present with persisting exudative retinal detachment involving the macula and high local or systemic risk factors for hemorrhagic complications, thus excluding endoresection. PMID:27175359

  13. Endoilluminator-assisted scleral buckling: Our results

    PubMed Central

    Gogia, Varun; Venkatesh, Pradeep; Gupta, Shikha; Kakkar, Ashish; Garg, Satpal

    2014-01-01

    Aims: The aim was to evaluate the long-term surgical outcomes of endoillumination assisted scleral buckling (EASB) in primary rhegmatogenous retinal detachment (RRD). Methods: Twenty-five eyes of 25 patients with primary RRD and proliferative vitreoretinopathy ≤C2 where any preoperative break could not be localised, were included. All patients underwent 25 gauge endoilluminator assisted rhegma localisation. Successful break determination was followed by cryopexy and standard scleral buckling under surgical microscope. Anatomical and functional outcomes were evaluated at the end of 2 years. Results: At least one intraoperative break could be localized in 23 of 25 (92%) eyes. Median age of these patients was 46 years (range: 17-72). Thirteen eyes (56.52%) were phakic, 8 (34.78%) were pseudophakic and 2 (8.6%) were aphakic. Anatomical success (attachment of retina) was achieved in 22 (95.63%) of 23 eyes with EASB. All eyes remained attached at the end of 2 years. Significant improvement in mean visual acuity (VA) was achieved at the end of follow-up (1.09 ± 0.46 log of the minimum angle of resolution [logMAR]) compared with preoperative VA (1.77 ± 0.28 logMAR) (P < 0.001). Conclusion: EASB can be considered an effective alternative to vitreoretinal surgery in simple retinal detachment cases with the added advantage of enhanced microscopic magnification and wide field illumination. PMID:25230970

  14. Wide-Angle Viewing System versus Conventional Indirect Ophthalmoscopy for Scleral Buckling.

    PubMed

    Tomita, Yohei; Kurihara, Toshihide; Uchida, Atsuro; Nagai, Norihiro; Shinoda, Hajime; Tsubota, Kazuo; Ozawa, Yoko

    2015-09-02

    Wide-angle viewing systems (WAVSs) were originally established for pars plana vitrectomy. However, their application to scleral buckling surgery was recently reported. In this study, we compared the outcomes of scleral buckling using a noncontact WAVS with that of scleral buckling using conventional indirect ophthalmoscopy for rhegmatogenous retinal detachment. The clinical records of 39 eyes (39 patients) with rhegmatogenous retinal detachment primarily treated between November 2012 and June 2014 at the Vitreo-Retina Surgical Division Clinic at the Department of Ophthalmology, Keio University Hospital were retrospectively reviewed. Scleral bucking was performed using WAVS with surgical placement of an endoilluminator in 16 eyes and indirect ophthalmoscopy in 23 eyes. The patients in these groups were consecutive over different intervals. The preoperative demographics, success rate of retinal reattachment, intraoperative findings, and postoperative complications were evaluated. There were no significant differences in pre- or postoperative conditions between groups, and similar surgical outcomes were achieved with the WAVS and conventional procedures. However, compared with the conventional procedure, the WAVS procedure resulted in fewer intraoperative corneal epithelial disorders (p = 0.049) and decreased the surgical duration of segmental buckling (p = 0.02); therefore, it may be suggested as an effective alternative procedure.

  15. Wide-Angle Viewing System versus Conventional Indirect Ophthalmoscopy for Scleral Buckling

    PubMed Central

    Tomita, Yohei; Kurihara, Toshihide; Uchida, Atsuro; Nagai, Norihiro; Shinoda, Hajime; Tsubota, Kazuo; Ozawa, Yoko

    2015-01-01

    Wide-angle viewing systems (WAVSs) were originally established for pars plana vitrectomy. However, their application to scleral buckling surgery was recently reported. In this study, we compared the outcomes of scleral buckling using a noncontact WAVS with that of scleral buckling using conventional indirect ophthalmoscopy for rhegmatogenous retinal detachment. The clinical records of 39 eyes (39 patients) with rhegmatogenous retinal detachment primarily treated between November 2012 and June 2014 at the Vitreo-Retina Surgical Division Clinic at the Department of Ophthalmology, Keio University Hospital were retrospectively reviewed. Scleral bucking was performed using WAVS with surgical placement of an endoilluminator in 16 eyes and indirect ophthalmoscopy in 23 eyes. The patients in these groups were consecutive over different intervals. The preoperative demographics, success rate of retinal reattachment, intraoperative findings, and postoperative complications were evaluated. There were no significant differences in pre- or postoperative conditions between groups, and similar surgical outcomes were achieved with the WAVS and conventional procedures. However, compared with the conventional procedure, the WAVS procedure resulted in fewer intraoperative corneal epithelial disorders (p = 0.049) and decreased the surgical duration of segmental buckling (p = 0.02); therefore, it may be suggested as an effective alternative procedure. PMID:26329974

  16. A Case of Extrusion of a Solid Silicone Tire Migrating through the Superior Rectus Muscle with Aeromonas hydrophila Infection following a Scleral Buckling Procedure

    PubMed Central

    Makino, Shinji; Sato, Yukihiro

    2012-01-01

    To our knowledge, there are no reports of Aeromonas hydrophila infection after a scleral buckling procedure. Also, migration of a silicone explant element through the rectus muscles is extremely rare. Herein, we describe a case experiencing extrusion of a solid silicone tire migrating through the superior rectus muscle with Aeromonas hydrophila infection following a scleral buckling procedure. A 42-year-old man was referred to our hospital complaining of ocular pain and purulent discharge in his left eye which has persisted for several months. He had a history of bilateral rhegmatogenous retinal detachment which had been treated with scleral buckling. The left eye showed extrusion of the solid silicone buckle which had migrated through the superior rectus muscle and an infection in the upper quadrant of the sclera. The buckle was removed, and the patient was treated with antibiotics. After the removal of the buckle, the symptoms showed rapid amelioration and there was no recurrence of retinal detachment. Aeromonas hydrophila was isolated from the discharge and the removed explant. He used well water in daily life. In this case, the Aeromonas hydrophila infection of the extruded buckle might have originated from contaminated well water. PMID:23213585

  17. Heavy lifting at work and risk of retinal detachment: a population-based register study in Denmark

    PubMed Central

    Curti, Stefania; Coggon, David; Hannerz, Harald; Mattioli, Stefano

    2016-01-01

    Objectives To investigate the relationship between rhegmatogenous retinal detachment (RRD) and frequent heavy lifting in a Danish working population through national register data. Methods A dynamic cohort of all men aged 20–59 years in Denmark was followed through the Danish Occupational Hospitalisation Register from 1995 to 2010 for diagnosed RRD. Occupational categories were classified according to their potential for heavy lifting in 4 main groups: heavy lifters, manual workers unlikely to be heavy lifters, other manual workers and non-manual workers unlikely to be heavy lifters. The age-standardised rate of diagnosed RRD for heavy lifting occupations was compared with that experienced by the other 3 occupational categories. Rate ratios (RRs) and 95% CIs were estimated through a Poisson regression model adjusted for calendar period and age group. Results The highest age-standardised rate of diagnosed RRD was recorded among non-manual workers performing occupational activities unlikely to be associated with heavy lifting (18.0 cases per 100 000 person-years). The RR for workers in jobs expected to entail a high frequency of heavy lifting compared with manual workers whose occupation was unlikely to be associated with heavy lifting was 0.91 (95% CI 0.73 to 1.14), while in comparison with other manual workers, it was 0.93 (95% CI 0.78 to 1.11). The RR compared with non-manual workers in occupations unlikely to entail heavy lifting was 0.51 (95% CI 0.43 to 0.60). Conclusions These findings do not support an association of occupational heavy lifting with diagnosed RRD. The epidemiological evidence for this association is still inconclusive. Future studies should use a more specific measure of exposure to resolve the outstanding uncertainties. PMID:26561504

  18. Valved versus nonvalved cannula small-gauge pars plana vitrectomy for repair of retinal detachments with Grade C proliferative vitreoretinopathy

    PubMed Central

    Oellers, Patrick; Stinnett, Sandra; Hahn, Paul

    2016-01-01

    Purpose Valved cannulas are a recent addition to small-gauge pars plana vitrectomy (PPV) and provide stable intraocular fluidics. The goal of this study was to compare outcomes and postoperative complication rates of valved vs nonvalved cannula small-gauge PPV for repair of retinal detachments (RDs) complicated by Grade C proliferative vitreoretinopathy (PVR). Methods A retrospective chart review of 364 consecutive eyes with either valved or nonvalved cannula PPV for RD repair was performed. The primary outcomes were single surgery and final anatomic success and change in best-corrected visual acuity for repair of RDs complicated by Grade C PVR. Results We identified 36 eyes in the valved group and 31 eyes in the nonvalved group with Grade C PVR RD. The single surgery success was 83% vs 77% (P=0.555) and the final anatomic success was 94% vs 87% (P=0.404) in the valved vs nonvalved eyes, respectively. The mean final visual acuity gain was −0.36 logarithm of the minimum angle of resolution (logMAR; approximate Early Treatment Diabetes Retinopathy Study [ETDRS] score =17 letters) in valved eyes vs −0.33 logMAR (approximate ETDRS score =16 letters) in nonvalved eyes (P=0.81). Postoperative complication rates including postoperative day 1 hypotony, hypertony, and anterior chamber fibrin formation; postoperative retention of intraocular or subretinal perfluorocarbon liquid; and subsequent epiretinal membrane peel were not statistically different between groups. Conclusion Valved cannula PPV yields equivalent visual acuity and anatomic outcomes without increased postoperative complication rates compared to traditional nonvalved cannula PPV for Grade C PVR-associated RD repair. PMID:27313445

  19. Associations Between Retinal Pigment Epithelium and Drusen Volume Changes During the Lifecycle of Large Drusenoid Pigment Epithelial Detachments

    PubMed Central

    Balaratnasingam, Chandrakumar; Yannuzzi, Lawrence A.; Curcio, Christine A.; Morgan, William H.; Querques, Giuseppe; Capuano, Vittorio; Souied, Eric; Jung, Jesse; Freund, K. Bailey

    2016-01-01

    Purpose Drusenoid pigment epithelial detachments (PEDs) are a defined path to atrophy in age-related macular degeneration (AMD). We analyzed the relationships between retinal pigment epithelium (RPE) and drusen volume changes during the PED lifecycle, using spectral-domain optical coherence tomography (SD-OCT). Methods Twenty-one cases of drusenoid PED tracked using SD-OCT through periods of growth and collapse were evaluated. Volumetric calculations and piece-wise linear regression analysis were used to determine the breakpoint between growth and collapse. Spectral-domain OCT scans were independently evaluated for the appearance of intraretinal hyperreflective foci, acquired vitelliform lesions (AVLs), and disruptions to the RPE+basal lamina band. Timing of these events with respect to the breakpoint was statistically evaluated. Morphometric characteristics of drusenoid PEDs were correlated with rate of PED collapse and final visual acuity. Results Mean age of subjects was 75.3 years and mean period of follow up was 4.1 years (median 4.5 years; range, 0.6–6.6 years). The lifecycle of drusenoid PEDs was asymmetric, in that the rate of collapse (0.199 mm3/month) is significantly faster (P < 0.001) than the rate of growth (0.022 mm3/month). Appearance of intraretinal hyperreflective foci and AVLs preceded the breakpoint (both P < 0.001). The timing of disruptions to the RPE+basal lamina band did not differ from the breakpoint (P = 0.510). Maximal height, volume, and diameter of drusenoid PEDs were inversely correlated with final visual acuity (all P < 0.001) and positively correlated with the rate of PED collapse (all P < 0.001). Conclusions Spectral-domain OCT signatures, plausibly attributable to anteriorly migrated RPE and disintegration of the RPE layer, precede or occur simultaneously with changes in volume of drusenoid PED during the lifecycle of this lesion. PMID:27760262

  20. Three-Year Efficacy and Safety of a Silicone Oil-Filled Foldable-Capsular-Vitreous-Body in Three Cases of Severe Retinal Detachment

    PubMed Central

    Lin, Xiaofeng; Sun, Xuyuan; Wang, Zhenfang; Jiang, Zhaoxin; Liu, Yaqin; Wang, Peijuan; Gao, Qianying

    2016-01-01

    Purpose We previously designed a novel foldable capsular vitreous body (FCVB) to treat severe retinal detachment and evaluated its performance in a 1-year follow up study. The purpose of this study was to determine the efficacy and safety of a silicone oil (SO)-filled FCVB in a 3-year follow-up. Methods Standard three-port pars plana vitrectomy was performed, and the FCVB was triple folded and implanted in the vitreous cavity of three eyes. The SO then was injected into the capsule to support the retina. The eyes were examined using Goldmann applanation tonometry, fundus photography, optical coherence tomography (OCT), noncontact specular microscopy, and ultrasound biomicroscopy over a 3-year implantation period. Results At the 3-year follow-up, retinal reattachment was achieved in all three cases, with steady intraocular pressure. The visual acuity showed slight fluctuations, and it was slightly increased compared to baseline. Optical coherence tomography revealed decreased retinal thickness and an altered retinal structure in the implanted eyes compared to the control eyes. No keratopathy, glaucoma, SO leakage, SO emulsification, or other apparent complications occurred during the observation period. Conclusion The SO-filled FCVB was effective and safe as a vitreous substitute in three eyes over a 3-year observation period. Translational Relevance Silicone oil emulsification is a severe complication after retinal detachment surgery. On the basis of animal experiments, we investigated a new strategy and product, the FCVB, to overcome this complication. In this pilot study, FCVB limited SO emulsification and migration. This study could lay the foundation for a further multicenter clinical trial. PMID:26855843

  1. Retinal Detachment Vision Simulator

    MedlinePlus

    ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology Information for: International Ophthalmologists Media Medical Students Patients and Public Technicians and Nurses ...

  2. Comparison of the Inverted Internal Limiting Membrane Flap Technique and the Internal Limiting Membrane Peeling for Macular Hole with Retinal Detachment

    PubMed Central

    Matsumura, Takehiro; Takamura, Yoshihiro; Tomomatsu, Takeshi; Arimura, Shogo; Gozawa, Makoto; Kobori, Akira; Inatani, Masaru

    2016-01-01

    Purpose To evaluate the efficacy of the inverted internal limiting membrane (ILM) flap technique in vitrectomy for macular hole (MH) with retinal detachment (RD) compared with vitrectomy using ILM peeling. Methods A retrospective case series study was performed. Twenty-two eyes of 22 patients who underwent vitrectomy for MH with RD and followed-up more than 12 months after the surgery were included in this study. We retrospectively reviewed the medical records of patients who underwent vitrectomy with inverted ILM flap technique or vitrectomy with ILM peeling. Ten patients who had been treated vitrectomy with inverted ILM flap technique, and 12 patients who had been treated vitrectomy with ILM peeling were analyzed. We evaluated changes in best-corrected visual acuity (BCVA) before and after surgery, closing rates of MH, and retinal reattachment rates and compared between both groups. Results MH was closed and RD was reattached postoperatively in 9 eyes (90%) in the inverted ILM flap group. In the ILM peeling group, the MH was closed in 4 eyes (33.3%) and the retinas were reattached in 6 eyes (50%) after surgery. Significant improvement in BCVA after surgery (P = 0.0017) was only found in the inverted ILM flap group. Conclusions Higher rates of closed MH and retinal reattachment, and small but significant improvement in BCVA were found in the inverted ILM flap group. Based on our data, the inverted ILM flap technique may be useful in vitrectomy for MH with RD. PMID:27764184

  3. Macular hole formation and spontaneous closure after vitrectomy for rhegmatogenous retinal detachment documented by spectral-domain optical coherence tomography: Case report and literature review

    PubMed Central

    Kim, Jin Young; Park, Sung Pyo

    2015-01-01

    This case report describes macular hole (MH) formation and spontaneous closure after vitrectomy for rhegmatogenous retinal detachment (RRD) repair. A 58-year-old man referred with a macula-off superior RRD, in whom vitrectomy was performed. MH with vitreomacular traction (VMT) caused by the posterior vitreous cortex remnants developed 2 weeks after vitrectomy. Four weeks postoperatively, optical coherence tomography revealed resolution of the VMT and spontaneous closure of MH without providing any treatment. This is the first report of an MH formation and spontaneous closure after vitrectomy for RRD. This suggests that the VMT mediated by the posterior vitreous cortex remnants has an important role in the development of secondary MH. PMID:26655006

  4. Risk of Tractional Retinal Detachment Following Intravitreal Bevacizumab Along with Subretinal Fluid Drainage and Cryotherapy for Stage 3B Coats’ Disease

    PubMed Central

    Bhat, Vishalakshi; D’Souza, Palmeera; Shah, Parag K.; Narendran, V.

    2016-01-01

    Purpose: To review the surgical outcomes of intravitreal bevacizumab (IVB) along with subretinal fluid drainage with cryotherapy in patients with stage 3B Coats’ disease. Materials and Methods: A retrospective study of seven cases of stage 3B Coats’ disease, who underwent subretinal fluid drainage with cryopexy, from May 2011 to March 2014. Five eyes received additional IVB at the end of surgery. Green laser therapy was performed on telangiectatic vessels postoperatively. Results: The mean age was 34 months (range, 10-84 months). Mean follow-up was 19 months. Six patients (85.7%) had an attached retina at final follow-up. Three out of four patients (75%) that received IVB developed tractional retinal detachments (TRDs). Two eyes that did not receive bevacizumab did not develop any traction. None progressed to neovascular glaucoma or phthisis bulbi. Conclusion: Simultaneous injection of bevacizumab along with subretinal drainage and cryotherapy for advanced Coats’ disease could not avoid TRD. PMID:27162454

  5. Retinal Disorders

    MedlinePlus

    ... be serious enough to cause blindness. Examples are Macular degeneration - a disease that destroys your sharp, central vision Diabetic eye disease Retinal detachment - a medical emergency, when the retina is ... children. Macular pucker - scar tissue on the macula Macular hole - ...

  6. Serous Retinal Detachment Associated with Dome-Shaped Macula and Staphyloma Edge in Myopic Patients before and after Treatment with Spironolactone

    PubMed Central

    Fernández-Vega Sanz, Álvaro; Rangel, Carlos Mario; Villota Deleu, Eva; Fernández-Vega Sanz, Beatriz; Sánchez-Ávila, Ronald Mauricio

    2016-01-01

    Objective. Serous retinal detachment (SRD) is a common anatomical complication associated with dome-shaped macula (DSM) and staphyloma margin in myopic patients. Here we described the anatomical and functional outcomes obtained with the use of oral spironolactone, a mineralocorticoid antagonist, in the management of myopic patients with SRD associated with DSM and staphyloma margin. Methods. We evaluated both eyes of twelve myopic patients with long-standing SRD associated with DSM or staphyloma margin. The patients were treated daily for six months with oral spironolactone 50 mg. Best-corrected visual acuity (BCVA) and central retinal thickness (CRT), determined by optical coherence tomography, were evaluated on the first day and on monthly follow-up visits. Results. Pretreatment BCVA (mean ± standard deviation) was 0.406 ± 0.324 LogMAR, and posttreatment BCVA was 0.421 ± 0.354 LogMAR (P = 0.489). Pretreatment CRT was 323.9 ± 78.6 μm, and after six months of treatment it was significantly lower, 291.2 ± 74.5 μm (P = 0.010). There were no treatment-related complications. Conclusions. We evaluated a novel treatment for SRD associated with DSM and staphyloma margin in myopic patients. After six months of treatment with the mineralocorticoid antagonist spironolactone, the subretinal fluid and CRT were significantly reduced; however, there was no improvement in BCVA. PMID:26942003

  7. Influence of Scleral Buckling Surgery with Encircling Band on Subfoveal Choroidal Thickness in Long-Term Observations

    PubMed Central

    Laudańska-Olszewska, Iwona; Gozdek, Piotr; Maroszyński, Mariusz; Amon, Michael

    2013-01-01

    Purpose. The aim of this study is the presentation of subfoveal choroidal thickness with enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT) several months after scleral buckling with encircling band surgery. Methods. 48 patients who underwent scleral buckling with encircling band surgery for unilateral rhegmatogenous retinal detachment were included in the retrospective observational study. The mean time from scleral buckling surgery to the final EDI-OCT examination was 22±6.7 months. We compare choroidal thickness between operated and fellow eyes. Results. In all patients, the macula was detached before the surgery. The subfoveal choroidal thickness in 48 treated eyes was 260.9±45.8 µm (range 155–383 µm) and in the fellow eyes was 217.5±36.7 µm (range 98–326 µm). The subfoveal choroidal thickness of eyes after scleral buckling surgery in long-term EDI-OCT examination was significantly thicker (P<0.001) than in fellow eyes. Conclusions. The subfoveal choroid in eyes undergoing encircling band surgery was significantly thicker than in fellow eyes. We suspect that this may be the result of reduced choroidal blood flow. It also seems that the width and size of the material used in scleral buckling surgery may affect a change in the choroid circulation and increase subfoveal choroidal thickness. PMID:23841077

  8. Persistent subfoveolar fluid following retinal detachment surgery: an SD-OCT guided study on the incidence, aetiological associations, and natural history

    PubMed Central

    Tee, J J L; Veckeneer, M; Laidlaw, D A

    2016-01-01

    Purpose To investigate the incidence and natural history of persistent subfoveolar fluid (PSF) following surgery for macular off rhegmatogenous retinal detachment and the effect of PSF on photoreceptor structure and final visual acuity. Methods Retrospective study of 61 cases with post-operative optical coherence tomography (OCT) performed within 12 weeks of surgery. Based on aetiology, cases were categorized into tractional retinal tears (TRT) group or atrophic round holes and dialyses (RHD) group to investigate the incidence and duration of PSF. A Kaplan–Meier graph was plotted to compare survival time of subfoveolar fluid for both groups. Following secondary reclassification of cases into those with and without PSF, the effect of PSF on final visual acuity and photoreceptor structure was investigated with Mann–Whitney U-test used for comparison. Spearman's correlation testing was used to probe associations between time to recorded resolution of PSF with final visual acuity and photoreceptor structure. Results Incidence of PSF was greater in the RHD group and persisted for longer compared with TRT group. No detectable adverse effect of PSF on final visual acuity was seen however an individual case of severe photoreceptor atrophy was observed. No significant correlation was found between the time to recorded resolution of PSF and the final visual acuity or to photoreceptor grading scores. Conclusions A difference in incidence of PSF was detected between the aetiological groups. PSF was ubiquitous and slow to resolve in the RHD group. Most cases of PSF resolve without adverse sequelae; however, progressive photoreceptor atrophy and sub-optimal visual outcome may result in a minority. PMID:26742870

  9. Retinal Detachment: Torn or Detached Retina Symptoms

    MedlinePlus

    ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology Information for: International Ophthalmologists Media Medical Students Patients and Public Technicians and Nurses ...

  10. Retinal Detachment: Torn or Detached Retina Diagnosis

    MedlinePlus

    ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology Information for: International Ophthalmologists Media Medical Students Patients and Public Technicians and Nurses ...

  11. Retinal Detachment: Torn or Detached Retina Treatment

    MedlinePlus

    ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology Information for: International Ophthalmologists Media Medical Students Patients and Public Technicians and Nurses ...

  12. Disruption of murine Adamtsl4 results in zonular fiber detachment from the lens and in retinal pigment epithelium dedifferentiation

    PubMed Central

    Collin, Gayle B.; Hubmacher, Dirk; Charette, Jeremy R.; Hicks, Wanda L.; Stone, Lisa; Yu, Minzhong; Naggert, Jürgen K.; Krebs, Mark P.; Peachey, Neal S.; Apte, Suneel S.; Nishina, Patsy M.

    2015-01-01

    Human gene mutations have revealed that a significant number of ADAMTS (a disintegrin-like and metalloproteinase (reprolysin type) with thrombospondin type 1 motifs) proteins are necessary for normal ocular development and eye function. Mutations in human ADAMTSL4, encoding an ADAMTS-like protein which has been implicated in fibrillin microfibril biogenesis, cause ectopia lentis (EL) and EL et pupillae. Here, we report the first ADAMTSL4 mouse model, tvrm267, bearing a nonsense mutation in Adamtsl4. Homozygous Adamtsl4tvrm267 mice recapitulate the EL phenotype observed in humans, and our analysis strongly suggests that ADAMTSL4 is required for stable anchorage of zonule fibers to the lens capsule. Unexpectedly, homozygous Adamtsl4tvrm267 mice exhibit focal retinal pigment epithelium (RPE) defects primarily in the inferior eye. RPE dedifferentiation was indicated by reduced pigmentation, altered cellular morphology and a reduction in RPE-specific transcripts. Finally, as with a subset of patients with ADAMTSL4 mutations, increased axial length, relative to age-matched controls, was observed and was associated with the severity of the RPE phenotype. In summary, the Adamtsl4tvrm267 model provides a valuable tool to further elucidate the molecular basis of zonule formation, the pathophysiology of EL and ADAMTSL4 function in the maintenance of the RPE. PMID:26405179

  13. Vitreous Detachment

    MedlinePlus

    ... of vision. Treatment How does vitreous detachment affect vision? Although a vitreous detachment does not threaten sight, ... hole or detached retina can lead to permanent vision loss in the affected eye. Those who experience ...

  14. Therapy for acute retinal necrosis.

    PubMed

    Kawaguchi, Tatsushi; Spencer, Doran B; Mochizuki, Manabu

    2008-01-01

    Acute retinal necrosis is a progressive necrotizing retinopathy caused by herpes simplex virus (HSV) or varicella zoster virus (VZV). The mainstay of its treatment is antiviral therapy against these pathogenic organisms, such as intravenous acyclovir or oral valacyclovir. Systemic and topical corticosteroids together with antiviral therapy are used as an anti-inflammatory treatment to minimize damages to the optic nerve and retinal blood vessels. Because the majority of severe cases of the disease show occlusive retinal vasculitis, a low dosage of aspirin is used as anti-thrombotic treatment. Vitreo-retinal surgery is useful to repair rhegmatogenous retinal detachment, one of the main late-stage complications. Moreover, recent articles have reported some encouraging results of prophylactic vitrectomy before rhegmatogenous retinal detachment occurs. The efficacy of laser photocoagulation to prevent the development or extension of rhegmatogenous retinal detachment is controversial. Despite these treatments, the visual prognosis of acute retinal necrosis is still poor, in particular VZV-induced acute retinal necrosis.

  15. Supplemental gas tamponade after conventional scleral buckling surgery--a simple alternative to surgical revision.

    PubMed Central

    Worsley, D R; Grey, R H

    1991-01-01

    Supplemental intravitreal gas injection was used in the early postoperative period in an attempt to achieve long term retinal reattachment in 11 cases of failed scleral buckling surgery. Success was dependent on the presence of a correctly placed scleral buckle underlying all breaks. Surgical revision was thereby avoided in these patients. However, when the scleral buckle was inadequate the technique failed. PMID:1911655

  16. Non-drainage scleral buckling with solid silicone elements

    PubMed Central

    Rishi, Pukhraj; Rishi, Ekta; Gupta, Aditi; Mathew, Cheriyan Shane; Shah, Bhavesh J.

    2014-01-01

    Background: With the increasing number of cataract surgeries, incidence of posterior segment complications including rhegmatogenous retinal detachment (RRD) is likely to rise. Scleral buckling (SB) surgery is an effective and less expensive option. The primary advantage of non-drainage procedure is avoidance of possible complications associated with trans-choroidal drainage. The aim of present study is to describe the clinical profile of subjects undergoing non-drainage SB surgery with solid silicone elements for RRD and analyze their treatment outcomes. Materials and Methods: This was a retrospective, non-randomized, interventional study at a tertiary care center. Three hundred and six eyes of 298 patients undergoing non-drainage SB surgery with solid silicone elements from year 2000 to 2006 were included. Inclusion criteria were primary RRD, peripheral depressible retinal break, media clarity affording peripheral retinal view and proliferative vitreo-retinopathy (PVR) up to grade C2. Uni- and multivariate analyses was done to analyze factors affecting anatomical and visual outcomes. Statistical analysis was performed using SPSS Version 10. Results: Mean follow-up was 303 ± 393.33 days. Primary anatomical success was obtained in 279 (91.2%) eyes; primary functional success in 286 (93.5%) eyes. PVR (grade B or C), intraocular pressure <10 mm Hg and the inability to find a retinal break were significantly associated with final anatomical failure. Baseline vision ≤3/60 was significantly associated with poor visual recovery. Conclusions: SB surgery is reasonably safe and highly efficacious. Solid silicone elements are effective in non-drainage SB surgery. However, case selection is important. PMID:25136227

  17. Divertor detachment

    NASA Astrophysics Data System (ADS)

    Krasheninnikov, Sergei

    2015-11-01

    The heat exhaust is one of the main conceptual issues of magnetic fusion reactor. In a standard operational regime the large heat flux onto divertor target reaches unacceptable level in any foreseeable reactor design. However, about two decades ago so-called ``detached divertor'' regimes were found. They are characterized by reduced power and plasma flux on divertor targets and look as a promising solution for heat exhaust in future reactors. In particular, it is envisioned that ITER will operate in a partly detached divertor regime. However, even though divertor detachment was studied extensively for two decades, still there are some issues requiring a new look. Among them is the compatibility of detached divertor regime with a good core confinement. For example, ELMy H-mode exhibits a very good core confinement, but large ELMs can ``burn through'' detached divertor and release large amounts of energy on the targets. In addition, detached divertor regimes can be subject to thermal instabilities resulting in the MARFE formation, which, potentially, can cause disruption of the discharge. Finally, often inner and outer divertors detach at different plasma conditions, which can lead to core confinement degradation. Here we discuss basic physics of divertor detachment including different mechanisms of power and momentum loss (ionization, impurity and hydrogen radiation loss, ion-neutral collisions, recombination, and their synergistic effects) and evaluate the roles of different plasma processes in the reduction of the plasma flux; detachment stability; and an impact of ELMs on detachment. We also evaluate an impact of different magnetic and divertor geometries on detachment onset, stability, in- out- asymmetry, and tolerance to the ELMs. Supported by the U.S. Department of Energy Office of Science, Office of Fusion Energy Sciences under Award Number DE-DE-FG02-04ER54739 at UCSD.

  18. Buckling resistant graphene nanocomposites

    NASA Astrophysics Data System (ADS)

    Rafiee, M. A.; Rafiee, J.; Yu, Z.-Z.; Koratkar, N.

    2009-11-01

    An experimental study on buckling of graphene/epoxy nanocomposite beam structures is presented. Significant increase (up to 52%) in critical buckling load is observed with addition of only 0.1% weight fraction of graphene platelets into the epoxy matrix. Based on the classical Euler-buckling model, the buckling load is predicted to increase by ˜32%. The over 50% increase in buckling load observed in our testing suggests a significant enhancement in load transfer effectiveness between the matrix and the graphene platelets under compressive load. Such nanocomposites with high buckling stability show potential as lightweight and buckling-resistant structural elements in aeronautical and space applications.

  19. Mutation in type II procollagen (COL2A1) that substitutes aspartate for glycine alpha 1-67 and that causes cataracts and retinal detachment: evidence for molecular heterogeneity in the Wagner syndrome and the Stickler syndrome (arthro-ophthalmopathy)

    PubMed Central

    Körkkö, J; Ritvaniemi, P; Haataja, L; Kääriäinen, H; Kivirikko, K I; Prockop, D J; Ala-Kokko, L

    1993-01-01

    A search for mutations in the gene for type II procollagen (COL2A1) was carried out in affected members of a family with early-onset cataracts, lattice degeneration of the retina, and retinal detachment. They had no symptoms suggestive of involvement of nonocular tissues, as is typically found in the Stickler syndrome. The COL2A1 gene was amplified with PCR, and the products were analyzed by denaturing gradient gel electrophoresis. The results suggested a mutation in one allele for exon 10. Sequencing of the fragment demonstrated a single-base mutation that converted the codon for glycine at position alpha 1-67 to aspartate. The mutation was found in three affected members of the family available for study but not in unaffected members or 100 unrelated individuals. Comparison with previously reported mutations suggested that mutations introducing premature termination codons in the COL2A1 gene are a frequent cause of the Stickler syndrome, but mutations in the COL2A1 gene that replace glycine codons with codons for bulkier amino acid can produce a broad spectrum of disorders that range from lethal chondrodysplasias to a syndrome involving only ocular tissues, similar to the syndrome in the family originally described by Wagner in 1938. Images Figure 2 Figure 3 Figure 4 PMID:8317498

  20. Establishment of a recessive mutant small-eye rat with lens involution and retinal detachment associated with partial deletion and rearrangement of the Cryba1 gene.

    PubMed

    Yamada, Toshiyuki; Nanashima, Naoki; Shimizu, Takeshi; Nakazawa, Yosuke; Nakazawa, Mitsuru; Tsuchida, Shigeki

    2015-10-15

    From our stock of SDRs (Sprague-Dawley rats), we established a mutant strain having small opaque eyes and named it HiSER (Hirosaki small-eye rat). The HiSER phenotype is progressive and autosomal recessive. In HiSER eyes, disruption and involution of the lens, thickening of the inner nuclear layer, detachment and aggregation of the retina, rudimentary muscle in the ciliary body and cell infiltration in the vitreous humour were observed. Genetic linkage analysis using crossing with Brown Norway rat suggested that the causative gene(s) is located on chromosome 10. Microarray analysis showed that the expression level of the Cryba1 gene encoding βA3/A1-crystallin on chromosome 10 was markedly decreased in HiSER eyes. Genomic PCR revealed deletion of a 3.6-kb DNA region encompassing exons 4-6 of the gene in HiSERs. In HiSER eyes, a chimaeric transcript of the gene containing exons 1-3 and an approximately 250-bp sequence originating from the 3'-UTR of the Nufip2 gene, located downstream of the breakpoint in the opposite direction, was present. Whereas the chimaeric transcript was expressed in HiSER eyes, neither normal nor chimaeric βA3/A1-crystallin proteins were detected by Western blot analysis. Real-time RT (reverse transcription)-PCR analysis revealed that expression level of the Nufip2 gene in the HiSER eye was 40% of that in the SDR eye. These results suggest that the disappearance of the βA3/A1-crystallin protein and, in addition, down-regulation of the Nufip2 gene as a consequence of gene rearrangement causes the HiSER phenotype.

  1. Piggy back intraocular lens for the correction of buckling surgery-induced refractive error in pseudophakia.

    PubMed

    Sinha, Rajesh; Singh, Reena; Sharma, Vijay K; Titiyal, Jeewan S

    2016-12-30

    A 29-year-old man presented to us with bilateral pseudophakia with suboptimal vision in right eye. His uncorrected distance visual acuity (UDVA) on Snellen's chart was 6/36 and 6/9 in right eye (OD) and left eye (OS), respectively. It improved to 6/9 OD with -5.00DS/-0.50DC at 90° and 6/6 OS with -0.5DC at 100°. He had undergone buckling surgery 1 year back for rhegmatogenous retinal detachment in right eye and subsequently developed a myopic refractive error. A spherical piggyback intraocular lens (IOL; Rayner Sulcoflex, East Sussex) was implanted in the sulcus for refractive correction. The postoperative UDVA at 4 weeks was 6/6p. The intraocular pressure was normal and there was no significant endothelial cell loss. Piggyback IOLs can be an effective tool to correct the induced refractive error due to an increase in axial length following buckling surgery.

  2. Transcorneal Electrical Stimulation Therapy for Retinal Disease

    ClinicalTrials.gov

    2012-05-03

    Retinitis Pigmentosa; Macula Off; Primary Open Angle Glaucoma; Hereditary Macular Degeneration; Treated Retina Detachment; Retinal Artery Occlusion; Retinal Vein Occlusion; Non-Arthritic-Anterior-Ischemic Optic-Neuropathy; Hereditary Autosomal Dominant Optic Atrophy; Dry Age Related Macular Degeneration; Ischemic Macula Edema

  3. Progressive outer retinal necrosis-like retinitis in immunocompetent hosts.

    PubMed

    Chawla, Rohan; Tripathy, Koushik; Gogia, Varun; Venkatesh, Pradeep

    2016-08-10

    We describe two young immunocompetent women presenting with bilateral retinitis with outer retinal necrosis involving posterior pole with centrifugal spread and multifocal lesions simulating progressive outer retinal necrosis (PORN) like retinitis. Serology was negative for HIV and CD4 counts were normal; however, both women were on oral steroids at presentation for suspected autoimmune chorioretinitis. The retinitis in both eyes responded well to oral valaciclovir therapy. However, the eye with the more fulminant involvement developed retinal detachment with a loss of vision. Retinal atrophy was seen in the less involved eye with preservation of vision. Through these cases, we aim to describe a unique evolution of PORN-like retinitis in immunocompetent women, which was probably aggravated by a short-term immunosuppression secondary to oral steroids.

  4. Incidence and risk factors for cystoid macular edema following scleral buckling.

    PubMed

    Lai, T-T; Huang, J-S; Yeh, P-T

    2016-12-09

    PurposeTo investigate the incidence of cystoid macular edema (CME) after scleral buckling (SB) and verify the possible risk factors of CME.MethodsA retrospective, non-comparative, interventional case series study was conducted. Clinical charts of 130 consecutive patients who were underwent successful SB for primary retinal detachment (RD) from 2009 to 2013 were reviewed. Optical coherence tomography (OCT) was applied to detect CME. Data pertaining to patient demographics, pre- and postoperative visual acuity, surgical procedures, and postoperative OCT findings were recorded. Factors associated with CME were also analyzed.ResultsThe incidence of CME was 9/130 (6.9%). Risk factors for developing CME were older age (non-CME vs CME: 44.8±14.8 vs 57.3±5.3 years, P<0.05), more extensive RD (RD extent by clock hours; non-CME vs CME: 4.61±1.57 vs 5.78±1.39, P<0.05), macular detachment (non-CME vs CME: 51.2 vs 88.9%, P<0.05), and external drainage (non-CME vs CME: 38.8% vs 77.8%, P<0.05). There was no significant difference between patient with and without CME regarding the use of gas tamponade and the lens status. In patients with more extensive RD (macular detachment plus RD of more than 3 clock hours before surgery), 8 of 68 patients had CME after SB and only older age and external drainage factors were associated with CME.ConclusionsThe risk factors associated with CME after SB were older age, more extended RD, macular detachment, and external drainage. External drainage should be used with caution in older patients with more extensive RD.Eye advance online publication, 9 December 2016; doi:10.1038/eye.2016.264.

  5. The Outcomes of Primary Scleral Buckling during Repair of Posterior Segment Open-Globe Injuries

    PubMed Central

    Cohen, Dan; Lifshitz, Tova; Belfair, Nadav; Klemperer, Itamar; Yanculovich, Noam

    2014-01-01

    Objective. To compare visual outcomes of eyes which underwent primary scleral buckling (PSB) treatment during posterior segment open-globe injury (OGI) repair with eyes not treated with PSB. Methods. We retrospectively reviewed 38 eyes which underwent a posterior segment OGI repair with no preoperative evidence of retinal detachment (RD) at Soroka University Medical Center (1995–2010). 19 (50%) underwent scleral repair alone (control group) and the other 19 eyes were treated with PSB also (PSB group). We compared visual outcomes in these two groups and rates of subsequent postoperative complications. Results. Baseline characteristics of the groups were similar. Compared with the control group, the PSB group had statistically significant lower rates of proliferative vitreoretinopathy (PVR) (5.3% versus 38.4%, P < 0.05) and a trend towards lower rates of RD (15.8% versus 41.1%, P = 0.1). PSB group eyes had a statistically significant improvement of their best distance visual acuity (BDVA) with lower means of final BDVA-grade (P < 0.05) and logMAR vision (P < 0.05). Eyes in the control group had no improvement in these parameters. Conclusion. PSB procedure during posterior segment OGI repair may decrease the risk of subsequent retinal complications and improve final visual outcome. PMID:25050367

  6. Retinitis Pigmentosa

    MedlinePlus

    ... Action You are here Home › Retinal Diseases Listen Retinitis Pigmentosa What is retinitis pigmentosa? What are the symptoms? ... is available? What treatment is available? What is retinitis pigmentosa? Retinitis pigmentosa, also known as RP, refers to ...

  7. Buckling instability in arteries.

    PubMed

    Vandiver, Rebecca M

    2015-04-21

    Arteries can become tortuous in response to abnormal growth stimuli, genetic defects and aging. It is suggested that a buckling instability is a mechanism that might lead to artery tortuosity. Here, the buckling instability in arteries is studied by examining asymmetric modes of bifurcation of two-layer cylindrical structures that are residually stressed. These structures are loaded by an axial force, internal pressure and have nonlinear, anisotropic, hyperelastic responses to stresses. Strain-softening and reduced opening angle are shown to lower the critical internal pressure leading to buckling. In addition, the ratio of the media thickness to the adventitia thickness is shown to have a dramatic impact on arterial instability.

  8. Risk Factors for Scleral Buckle Removal: A Matched, Case-Control Study

    PubMed Central

    Covert, Douglas J.; Wirostko, William J.; Han, Dennis P.; Lindgren, Kevin E.; Hammersley, Jill A.; Connor, Thomas B.; Kim, Judy E.

    2008-01-01

    Purpose To identify preoperative, perioperative, and postoperative risk factors for scleral buckle (SB) removal. Methods A retrospective, consecutive, matched, case-control study. Cases included all patients undergoing SB removal between 1988 and 2007 at a single academic center. Case patients were matched against 4 randomly selected control patients who underwent SB implantation during the same year as the case patients. Odds ratios (ORs) were calculated for each factor investigated. Results Forty cases of SB removal and 148 matched control cases were identified. Three cases of SB removal were omitted from analysis because of incomplete records. Factors associated with SB removal for any reason, according to univariate analysis, included concurrent globe-penetrating injury at the time of SB placement (OR, 24; 95% confidence interval [CI], 2.9–200), concurrent pars plana vitrectomy (PPV) (OR, 17.3; CI, 4.9–61), diabetes mellitus (DM) (OR, 7.3; CI, 1.8–30), prior long-term topical ocular therapy (OR, 4.3; CI, 1.7–11), and subsequent ocular procedures (OR, 3.4; CI, 1.5–7.5). Factors independently associated with SB removal according to multivariate analysis included concurrent globe-penetrating injury (OR, 27.3; CI, 1.7–426), concurrent PPV (OR, 11.3; CI, 2.9–45), DM (OR, 8.9; CI, 1.3–58), and subsequent ocular procedures (OR, 3.9; CI, 1.4–11). Factors that did not alter SB removal risk included patient age; sex; and type, size, or location of buckling elements used. Conclusions Awareness of these risk factors may be valuable for the surgical planning of retinal detachment repair in patients at higher risk for subsequent SB removal and for risk stratification subsequent to SB implantation. PMID:19277232

  9. Fluid vitreous substitutes in vitreo retinal surgery.

    PubMed

    Saxena, S; Gopal, L

    1996-12-01

    Advances in the surgical instrumentation and vitreoretinal techniques have allowed intraoperative reapproximation of retina to a more normal position. The use of intravitreally injected liquid materials (viscoelastic liquids, liquid perfluorocarbons and silicone oil), as adjunctive agents to vitreo-retinal surgery play an important role in facilitating retinal reattachment. These materials are used as intraoperative instruments to re-establish intraocular volume, assist in separating membranes adherent to the retina, manipulate retinal detachments and mechanically flatten detached retina. Over the longer term, silicone oil maintains intraocular tamponade. One should be cognizant of the potential uses, benefits and risks of each of these vitreous substitutes.

  10. Electrospun Buckling Coils

    NASA Astrophysics Data System (ADS)

    Xin, Yu; Reneker, Darrell

    2009-03-01

    Electrospinning offers a useful way to produce fibers with micron and nanometer scale diameter. The present work deals with the buckling phenomenon characteristic of a jet impinging upon the surface of collector. A viscous jet may have either tensile or compressive forces along its axis. The periodic buckling that is often observed is attributed to the occurrence of compressive forces as the jet decelerates at the collector. With the increase of axial compressive stresses along the jet, a jet with circular cross sections first buckles by formation of sharp folds, and then by formation of coils. The resulting buckling patterns include zigzag patterns and coils that which can be controlled by changing parameters, such as density, viscosity, conductivity, voltage, polymer concentration, distance and volumetric flow rate. Uniformly buckled polymer fibers can be made at a rate of one turn per microsecond. An experimental apparatus was built to continuously collect buckling coils of nylon 6, from a water surface, into a multilayer sheet. These small ``springs'' and sheets will be tested for mechanical properties needed in biomedical applications.

  11. Simultaneous occlusion of three cilioretinal arteries following scleral buckling surgery under local anesthesia

    PubMed Central

    Napoli, Pietro Emanuele; Cuccu, Alberto; Farci, Roberta; Fossarello, Maurizio

    2016-01-01

    Background Cilioretinal artery (CRA) occlusions are rare in young patients. In these cases, the most commonly associated causes are considered to be the same as those implicated in central retina artery occlusions, such as vasculitic processes, migraine, cardiac disorder, and coagulation abnormality. The aim of this article was to report for the first time the medical records and investigational results of an unusual case of simultaneous occlusion of three CRAs after scleral buckling surgery under local anesthesia. Methods A complete ophthalmic examination, including color fundus image, fundus fluorescein angiography, optical coherence tomography, visual field, as well as systemic and laboratory assessments, was performed. Results A case of contemporaneous blockage of three CRAs after ab externo surgery for retinal detachment in a 29-year-old Caucasian woman was reported. The interdisciplinary approach and the imaging results have allowed us the clinical definition of such a very rare case. Conclusion Here, we reported that optical coherence tomography is an indispensable tool to better delineate the pathological process and follow atrophic changes in the macula, especially in cases in which fundus fluorescein angiography and systemic tests may be poorly informative. PMID:27695367

  12. Functional and Behavioral Metrics for Evaluating Laser Retinal Damage

    DTIC Science & Technology

    2006-01-01

    pigmentosa , and retinal detachment10. mfERG response characteristics have been shown to vary depending on the part of the retina that is affected by a...DoD Controlling Office is (insert controlling DoD office). 20100715258 Functional and behavioral metrics for evaluating laser retinal damage Cheryl...potential for and severity of laser eye injury and retinal damage is increasing . Sensitive and accurate methods to evaluate and follow laser retinal

  13. Dynamics of slab detachment

    NASA Astrophysics Data System (ADS)

    Duretz, T.; Schmalholz, S. M.; Gerya, T. V.

    2012-04-01

    Our study investigates the dynamics of slab detachment and evaluates the amount of time necessary for slabs to detach. We combine both the results of two-dimensional numerical modeling with the prediction of a one-dimensional analytical solution for viscous necking under gravity. This tidy suggest that the dominant deformation mechanisms leading to slab detachment is viscous necking, independently of the depth of slab detachment. Localised simple shear may also occur when the slab dip is moderate, especially in the colder parts of the slab. Brittle fracturing, or breaking, plays a minor role during the slab detachment process. 2D thermo-mechanical simulations indicate that the duration of slab detachment is short (< 4 Ma) and can occur in less than 0.5 Ma. No simple correlation between the slab detachment depth and duration was found. Our results suggest that deep slab detachments (> 250 km) can also occur within a short time (< 1 Ma). On the other hand, slab detachments taking place between 35 and 250 km depth may last less than 2 Ma. This aspect has implications for geodynamic interpretations using slab detachment as explanation for processes such as melting, exhumation or surface uplift.

  14. Descemet membrane detachment.

    PubMed

    Mackool, R J; Holtz, S J

    1977-03-01

    Four eyes of three patients had extensive postoperative Descemet membrane (DM) detachment. Blood was present just anterior to the DM in three of the four eyes and later converted to and persisted as pigment. Haziness of the cornea at the level of the DM could be seen with reattachment. Detachments of the DM are classified as planar when there is 1 mm or less separation of the DM from its overlying stroma in all areas. Nonplanar DM detachments exceed 1 mm of separation. Planar detachments have a much better prognosis than nonplanar detachments do, with or without descemetopexy. Repair of DM detachments, when necessary, should include air injection, with the lease possible instrumentation of the DM.

  15. Buckling-Induced Kirigami

    NASA Astrophysics Data System (ADS)

    Rafsanjani, Ahmad; Bertoldi, Katia

    2017-02-01

    We investigate the mechanical response of thin sheets perforated with a square array of mutually orthogonal cuts, which leaves a network of squares connected by small ligaments. Our combined analytical, experimental and numerical results indicate that under uniaxial tension the ligaments buckle out of plane, inducing the formation of 3D patterns whose morphology is controlled by the load direction. We also find that by largely stretching the buckled perforated sheets, plastic strains develop in the ligaments. This gives rise to the formation of kirigami sheets comprising periodic distribution of cuts and permanent folds. As such, the proposed buckling-induced pop-up strategy points to a simple route for manufacturing complex morphable structures out of flat perforated sheets.

  16. Buckling-Induced Kirigami.

    PubMed

    Rafsanjani, Ahmad; Bertoldi, Katia

    2017-02-24

    We investigate the mechanical response of thin sheets perforated with a square array of mutually orthogonal cuts, which leaves a network of squares connected by small ligaments. Our combined analytical, experimental and numerical results indicate that under uniaxial tension the ligaments buckle out of plane, inducing the formation of 3D patterns whose morphology is controlled by the load direction. We also find that by largely stretching the buckled perforated sheets, plastic strains develop in the ligaments. This gives rise to the formation of kirigami sheets comprising periodic distribution of cuts and permanent folds. As such, the proposed buckling-induced pop-up strategy points to a simple route for manufacturing complex morphable structures out of flat perforated sheets.

  17. Buckling of spherical shells revisited

    NASA Astrophysics Data System (ADS)

    Hutchinson, John W.

    2016-11-01

    A study is presented of the post-buckling behaviour and imperfection sensitivity of complete spherical shells subject to uniform external pressure. The study builds on and extends the major contribution to spherical shell buckling by Koiter in the 1960s. Numerical results are presented for the axisymmetric large deflection behaviour of perfect spheres followed by an extensive analysis of the role axisymmetric imperfections play in reducing the buckling pressure. Several types of middle surface imperfections are considered including dimple-shaped undulations and sinusoidal-shaped equatorial undulations. Buckling occurs either as the attainment of a maximum pressure in the axisymmetric state or as a non-axisymmetric bifurcation from the axisymmetric state. Several new findings emerge: the abrupt mode localization that occurs immediately after the onset of buckling, the existence of an apparent lower limit to the buckling pressure for realistically large imperfections, and comparable reductions of the buckling pressure for dimple and sinusoidal equatorial imperfections.

  18. Modeling of Detached Solidification

    NASA Technical Reports Server (NTRS)

    Regel, Liya L.; Wilcox, William R.; Popov, Dmitri

    1997-01-01

    Our long term goal is to develop techniques to achieve detached solidification reliably and reproducibly, in order to produce crystals with fewer defects. To achieve this goal it is necessary to understand thoroughly the physics of detached solidification. It was the primary objective of the current project to make progress toward this complete understanding. 'Me products of this grant are attached. These include 4 papers and a preliminary survey of the observations of detached solidification in space. We have successfully modeled steady state detached solidification, examined the stability of detachment, and determined the influence of buoyancy-driven convection under different conditions. Directional solidification in microgravity has often led to ingots that grew with little or no contact with the ampoule wall. When this occurred, crystallographic perfection was usually greatly improved -- often by several orders of magnitude. Indeed, under the Soviet microgravity program the major objective was to achieve detached solidification with its resulting improvement in perfection and properties. Unfortunately, until recently the true mechanisms underlying detached solidification were unknown. As a consequence, flight experiments yielded erratic results. Within the past three years, we have developed a new theoretical model that explains many of the flight results. This model gives rise to predictions of the conditions required to yield detached solidification.

  19. The Incidence of Rhegmatogenous Retinal Complications in Macular Surgery After Prophylactic Preoperative Laser Retinopexy

    PubMed Central

    Tosi, Gian Marco; Esposti, Pierluigi; Romeo, Napoleone; Marigliani, Davide; Cevenini, Gabriele; Massimo, Patrizio; Nuti, Elisabetta; Esposti, Giulia; Ripandelli, Guido

    2016-01-01

    Abstract The aim of the study is to evaluate the clinical characteristics of intraoperative retinal breaks (RBs) and postoperative retinal detachment (RRD) in patients undergoing pars plana vitrectomy (PPV) for macular disorders, who were treated preoperatively with prophylactic peripheral laser retinopexy. This observational cohort study comprised of 254 patients who underwent macular surgery and were preoperatively subjected to prophylactic laser retinopexy anterior to the equator. The main outcome measures were the incidence and characteristics of intraoperative RBs and postoperative RRD. Intraoperative RBs occurred in 14 patients (5.5%). Ten patients presented a sclerotomy-related RB (3.9%) and 4 patients a nonsclerotomy-related RB (1.6%). Two patients showed postoperative RRD (0.7%). Neither of the 2 patients with postoperative RRD was macula-off at presentation: one of them was successfully operated on with scleral buckling and the other was managed by observation alone. A significantly increased risk for the intraoperative development of sclerotomy-related RB was found in 20-gauge PPV compared with 23/25-gauge PPV. Preoperative prophylactic peripheral laser retinopexy does not guarantee the prevention of intraopertaive RBs or postoperative RRD. However, it might prevent the involvement of the macula when RRD occurs postoperatively. PMID:27057893

  20. Contractile Units in Disordered Actomyosin Bundles Arise from F-Actin Buckling

    NASA Astrophysics Data System (ADS)

    Lenz, Martin; Thoresen, Todd; Gardel, Margaret L.; Dinner, Aaron R.

    2012-06-01

    Bundles of filaments and motors are central to contractility in cells. The classic example is striated muscle, where actomyosin contractility is mediated by highly organized sarcomeres which act as fundamental contractile units. However, many contractile bundles in vivo and in vitro lack sarcomeric organization. Here we propose a model for how contractility can arise in bundles without sarcomeric organization and validate its predictions with experiments on a reconstituted system. In the model, internal stresses in frustrated arrangements of motors with diverse velocities cause filaments to buckle, leading to overall shortening. We describe the onset of buckling in the presence of stochastic motor head detachment and predict that buckling-induced contraction occurs in an intermediate range of motor densities. We then calculate the size of the “contractile units” associated with this process. Consistent with these results, our reconstituted actomyosin bundles show contraction at relatively high motor density, and we observe buckling at the predicted length scale.

  1. Buckling of a holey column.

    PubMed

    Pihler-Puzović, D; Hazel, A L; Mullin, T

    2016-09-14

    We report the results from a combined experimental and numerical investigation of buckling in a novel variant of an elastic column under axial load. We find that including a regular line of centred holes in the column can prevent conventional, global, lateral buckling. Instead, the local microstructure introduced by the holes allows the column to buckle in an entirely different, internal, mode in which the holes are compressed in alternate directions, but the column maintains the lateral reflection symmetry about its centreline. The internal buckling mode can be accommodated within a smaller external space than the global one; and it is the preferred buckling mode over an intermediate range of column lengths for sufficiently large holes. For very short or sufficiently long columns a modification of the classical, global, lateral buckling is dominant.

  2. Retinitis Pigmentosa.

    ERIC Educational Resources Information Center

    Carr, Ronald E.

    1979-01-01

    The author describes the etiology of retinitis pigmentosa, a visual dysfunction which results from progressive loss of the retinal photoreceptors. Sections address signs and symptoms, ancillary findings, heredity, clinical diagnosis, therapy, and research. (SBH)

  3. Retinitis pigmentosa

    MedlinePlus

    ... this page: //medlineplus.gov/ency/article/001029.htm Retinitis pigmentosa To use the sharing features on this page, please enable JavaScript. Retinitis pigmentosa is an eye disease in which there is ...

  4. On Buckling Morphogenesis.

    PubMed

    Nelson, Celeste M

    2016-02-01

    Cell-generated mechanical forces drive many of the tissue movements and rearrangements that are required to transform simple populations of cells into the complex three-dimensional geometries of mature organs. However, mechanical forces do not need to arise from active cellular movements. Recent studies have illuminated the roles of passive forces that result from mechanical instabilities between epithelial tissues and their surroundings. These mechanical instabilities cause essentially one-dimensional epithelial tubes and two-dimensional epithelial sheets to buckle or wrinkle into complex topologies containing loops, folds, and undulations in organs as diverse as the brain, the intestine, and the lung. Here, I highlight examples of buckling and wrinkling morphogenesis, and suggest that this morphogenetic mechanism may be broadly responsible for sculpting organ form.

  5. On Buckling Morphogenesis

    PubMed Central

    Nelson, Celeste M.

    2016-01-01

    Cell-generated mechanical forces drive many of the tissue movements and rearrangements that are required to transform simple populations of cells into the complex three-dimensional geometries of mature organs. However, mechanical forces do not need to arise from active cellular movements. Recent studies have illuminated the roles of passive forces that result from mechanical instabilities between epithelial tissues and their surroundings. These mechanical instabilities cause essentially one-dimensional epithelial tubes and two-dimensional epithelial sheets to buckle or wrinkle into complex topologies containing loops, folds, and undulations in organs as diverse as the brain, the intestine, and the lung. Here, I highlight examples of buckling and wrinkling morphogenesis, and suggest that this morphogenetic mechanism may be broadly responsible for sculpting organ form. PMID:26632268

  6. Inhibition of the alternative complement pathway preserves photoreceptors after retinal injury

    PubMed Central

    Sweigard, J. Harry; Matsumoto, Hidetaka; Smith, Kaylee E.; Kim, Leo A.; Paschalis, Eleftherios I.; Okonuki, Yoko; Castillejos, Alexandra; Kataoka, Keiko; Hasegawa, Eiichi; Yanai, Ryoji; Husain, Deeba; Lambris, John D.; Vavvas, Demetrios; Miller, Joan W.; Connor, Kip M.

    2015-01-01

    Degeneration of photoreceptors is a primary cause of vision loss worldwide, making the underlying mechanisms surrounding photoreceptor cell death critical to developing new treatment strategies. Retinal detachment, characterized by the separation of photoreceptors from the underlying retinal pigment epithelium, is a sight-threatening event that can happen in a number of retinal diseases. The detached photoreceptors undergo apoptosis and programmed necrosis. Given that photoreceptors are nondividing cells, their loss leads to irreversible visual impairment even after successful retinal reattachment surgery. To better understand the underlying disease mechanisms, we analyzed innate immune system regulators in the vitreous of human patients with retinal detachment and correlated the results with findings in a mouse model of retinal detachment. We identified the alternative complement pathway as promoting early photoreceptor cell death during retinal detachment. Photoreceptors down-regulate membrane-bound inhibitors of complement, allowing for selective targeting by the alternative complement pathway. When photoreceptors in the detached retina were removed from the primary source of oxygen and nutrients (choroidal vascular bed), the retina became hypoxic, leading to an up-regulation of complement factor B, a key mediator of the alternative pathway. Inhibition of the alternative complement pathway in knockout mice or through pharmacological means ameliorated photoreceptor cell death during retinal detachment. Our current study begins to outline the mechanism by which the alternative complement pathway facilitates photoreceptor cell death in the damaged retina. PMID:26203084

  7. Buckling of dislocation in graphene

    NASA Astrophysics Data System (ADS)

    Yao, Yin; Wang, Shaofeng; Bai, Jianhui; Wang, Rui

    2016-10-01

    The buckling of dislocation in graphene is discussed through the lattice theory of dislocation and elastic theory. The approximate solution of the buckling is obtained based on the inner stress distribution caused by different structure of dislocations and is proved to be suitable by the simulation. The position of the highest buckling is predicted to be at the vertex of the pentagon far away from the heptagon. The buckling is strongly influenced by the internal stress and the distance between the extrusive area and stretching area, as well as the critical stress σc. The SW defect is proved to be unbuckled due to its strong interaction between extrusion and stretching.

  8. Optimal management of cytomegalovirus retinitis in patients with AIDS

    PubMed Central

    Stewart, Michael W

    2010-01-01

    Cytomegalovirus (CMV) retinitis is the most common cause of vision loss in patients with acquired immunodeficiency syndrome (AIDS). CMV retinitis afflicted 25% to 42% of AIDS patients in the pre-highly active antiretroviral therapy (HAART) era, with most vision loss due to macula-involving retinitis or retinal detachment. The introduction of HAART significantly decreased the incidence and severity of CMV retinitis. Optimal treatment of CMV retinitis requires a thorough evaluation of the patient’s immune status and an accurate classification of the retinal lesions. When retinitis is diagnosed, HAART therapy should be started or improved, and anti-CMV therapy with oral valganciclovir, intravenous ganciclovir, foscarnet, or cidofovir should be administered. Selected patients, especially those with zone 1 retinitis, may receive intravitreal drug injections or surgical implantation of a sustained-release ganciclovir reservoir. Effective anti-CMV therapy coupled with HAART significantly decreases the incidence of vision loss and improves patient survival. Immune recovery uveitis and retinal detachments are important causes of moderate to severe loss of vision. Compared with the early years of the AIDS epidemic, the treatment emphasis in the post- HAART era has changed from short-term control of retinitis to long-term preservation of vision. Developing countries face shortages of health care professionals and inadequate supplies of anti-CMV and anti-HIV medications. Intravitreal ganciclovir injections may be the most cost effective strategy to treat CMV retinitis in these areas. PMID:20463796

  9. Buckling of microtubules on elastic media via breakable bonds.

    PubMed

    Afrin, Tanjina; Kabir, Arif Md Rashedul; Sada, Kazuki; Kakugo, Akira; Nitta, Takahiro

    2016-11-04

    Buckling of microtubules observed in cells has been reconstructed on a two-dimensional elastic medium consisting of kinesins grafted over compressible substrates, enabling precise control of experimental conditions and quantitative analysis. However, interpretations of the observations have ambiguities due to inevitable experimental difficulties. In this study, with computer simulations, we investigated importance of the mode of interaction of microtubule with elastic medium in the buckling behavior of microtubule. By taking into consideration of forced-induced detachments of kinesins from microtubules, our simulations reproduced the previous experimental results, and showed deviations from predictions of the elastic foundation model. On the other hand, with hypothetical linkers permanently bound to microtubules, our simulation reproduced the predictions of the elastic foundation model. By analyzing the results of the simulations, we investigated as to why the difference arose. These findings indicate the importance of the mode of interaction of microtubule with the medium in the buckling behavior of microtubule. Our findings would bring new insights on buckling of microtubules in living cells.

  10. The secondary buckling transition: wrinkling of buckled spherical shells.

    PubMed

    Knoche, Sebastian; Kierfeld, Jan

    2014-07-01

    We theoretically explain the complete sequence of shapes of deflated spherical shells. Decreasing the volume, the shell remains spherical initially, then undergoes the classical buckling instability, where an axisymmetric dimple appears, and, finally, loses its axisymmetry by wrinkles developing in the vicinity of the dimple edge in a secondary buckling transition. We describe the first axisymmetric buckling transition by numerical integration of the complete set of shape equations and an approximate analytic model due to Pogorelov. In the buckled shape, both approaches exhibit a locally compressive hoop stress in a region where experiments and simulations show the development of polygonal wrinkles, along the dimple edge. In a simplified model based on the stability equations of shallow shells, a critical value for the compressive hoop stress is derived, for which the compressed circumferential fibres will buckle out of their circular shape in order to release the compression. By applying this wrinkling criterion to the solutions of the axisymmetric models, we can calculate the critical volume for the secondary buckling transition. Using the Pogorelov approach, we also obtain an analytical expression for the critical volume at the secondary buckling transition: The critical volume difference scales linearly with the bending stiffness, whereas the critical volume reduction at the classical axisymmetric buckling transition scales with the square root of the bending stiffness. These results are confirmed by another stability analysis in the framework of Donnel, Mushtari and Vlasov (DMV) shell theory, and by numerical simulations available in the literature.

  11. Twist buckling behavior of arteries.

    PubMed

    Garcia, Justin R; Lamm, Shawn D; Han, Hai-Chao

    2013-10-01

    Arteries are often subjected to torsion due to body movement and surgical procedures. While it is essential that arteries remain stable and patent under twisting loads, the stability of arteries under torsion is poorly understood. The goal of this work was to experimentally investigate the buckling behavior of arteries under torsion and to determine the critical buckling torque, the critical buckling twist angle, and the buckling shape. Porcine common carotid arteries were slowly twisted in vitro until buckling occurred while subjected to a constant axial stretch ratio (1.1, 1.3, 1.5 (in vivo level) and 1.7) and lumen pressure (20, 40, 70 and 100 mmHg). Upon buckling, the arteries snapped to form a kink. For a group of six arteries, the axial stretch ratio significantly affected the critical buckling torque ([Formula: see text]) and the critical buckling twist angle ([Formula: see text]). Lumen pressure also significantly affected the critical buckling torque ([Formula: see text]) but had no significant effect on the critical twist angle ([Formula: see text]). Convex material constants for a Fung strain energy function were determined and fit well with the axial force, lumen pressure, and torque data measured pre-buckling. The material constants are valid for axial stretch ratios, lumen pressures, and rotation angles of 1.3-1.5, 20-100 mmHg, and 0-270[Formula: see text], respectively. The current study elucidates the buckling behavior of arteries under torsion and provides new insight into mechanical instability of blood vessels.

  12. Twist Buckling Behavior of Arteries

    PubMed Central

    Garcia, Justin R.; Lamm, Shawn D.; Han, Hai-Chao

    2012-01-01

    Arteries are often subjected to torsion due to body movement and surgical procedures. While it is essential that arteries remain stable and patent under twisting loads, the stability of arteries under torsion is poorly understood. The goal of this work was to experimentally investigate the buckling behavior of arteries under torsion and to determine the critical buckling torque, the critical buckling twist angle, and the buckling shape. Porcine common carotid arteries were slowly twisted in vitro until buckling occurred while subjected to a constant axial stretch ratio (1.1, 1.3, 1.5 (in vivo level), and 1.7) and lumen pressure (20, 40, 70, and 100 mmHg). Upon buckling, the arteries snapped to form a kink. For a group of six arteries, the axial stretch ratio significantly affected the critical buckling torque (p < 0.002) and the critical buckling twist angle (p < 0.001). Lumen pressure also significantly affected the critical buckling torque (p < 0.001) but had no significant effect on the critical twist angle (p = 0.067). Convex material constants for a Fung strain energy function were determined and fit well with the axial force, lumen pressure, and torque data measured pre-buckling. The material constants are valid for axial stretch ratios, lumen pressures, and rotation angles of 1.3 – 1.5, 20 – 100 mmHg, and 0 – 270 degrees, respectively. The current study elucidates the buckling behavior of arteries under torsion and provides new insight into mechanical instability of blood vessels. PMID:23160845

  13. Buckle up for Interesting Times

    ERIC Educational Resources Information Center

    Myers, Miles

    2011-01-01

    Those who are involved in the current Common Core Standards should buckle up for a rocky ride. Some of the same issues that churned within the National Council of Teachers of English (NCTE) during the standards movement of the 1990s (1989-1997) are here once again. The author's buckle is pulled tight, having already had his standards report…

  14. Osmotic buckling of spherical capsules.

    PubMed

    Knoche, Sebastian; Kierfeld, Jan

    2014-11-07

    We study the buckling of elastic spherical shells under osmotic pressure with the osmolyte concentration of the exterior solution as a control parameter. We compare our results for the bifurcation behavior with results for buckling under mechanical pressure control, that is, with an empty capsule interior. We find striking differences for the buckling states between osmotic and mechanical buckling. Mechanical pressure control always leads to fully collapsed states with opposite sides in contact, whereas uncollapsed states with a single finite dimple are generic for osmotic pressure control. For sufficiently large interior osmolyte concentrations, osmotic pressure control is qualitatively similar to buckling under volume control with the volume prescribed by the osmolyte concentrations inside and outside the shell. We present a quantitative theory which also captures the influence of shell elasticity on the relationship between osmotic pressure and volume. These findings are relevant for the control of buckled shapes in applications. We show how the osmolyte concentration can be used to control the volume of buckled shells. An accurate analytical formula is derived for the relationship between the osmotic pressure, the elastic moduli and the volume of buckled capsules. This also allows use of elastic capsules as osmotic pressure sensors or deduction of elastic properties and the internal osmolyte concentration from shape changes in response to osmotic pressure changes. We apply our findings to published experimental data on polyelectrolyte capsules.

  15. Probabilistic progressive buckling of trusses

    NASA Technical Reports Server (NTRS)

    Pai, Shantaram S.; Chamis, Christos C.

    1991-01-01

    A three-bay, space, cantilever truss is probabilistically evaluated to describe progressive buckling and truss collapse in view of the numerous uncertainties associated with the structural, material, and load variables (primitive variables) that describe the truss. Initially, the truss is deterministically analyzed for member forces, and member(s) in which the axial force exceeds the Euler buckling load are identified. These member(s) are then discretized with several intermediate nodes and a probabilistic buckling analysis is performed on the truss to obtain its probabilistic buckling loads and respective mode shapes. Furthermore, sensitivities associated with the uncertainties in the primitive variables are investigated, margin of safety values for the truss are determined, and truss end node displacements are noted. These steps are repeated by sequentially removing the buckled member(s) until onset of truss collapse is reached. Results show that this procedure yields an optimum truss configuration for a given loading and for a specified reliability.

  16. Probabilistic progressive buckling of trusses

    NASA Technical Reports Server (NTRS)

    Pai, Shantaram S.; Chamis, Christos C.

    1994-01-01

    A three-bay, space, cantilever truss is probabilistically evaluated to describe progressive buckling and truss collapse in view of the numerous uncertainties associated with the structural, material, and load variables that describe the truss. Initially, the truss is deterministically analyzed for member forces, and members in which the axial force exceeds the Euler buckling load are identified. These members are then discretized with several intermediate nodes, and a probabilistic buckling analysis is performed on the truss to obtain its probabilistic buckling loads and the respective mode shapes. Furthermore, sensitivities associated with the uncertainties in the primitive variables are investigated, margin of safety values for the truss are determined, and truss end node displacements are noted. These steps are repeated by sequentially removing buckled members until onset of truss collapse is reached. Results show that this procedure yields an optimum truss configuration for a given loading and for a specified reliability.

  17. Buckling failures in insect exoskeletons.

    PubMed

    Parle, Eoin; Herbaj, Simona; Sheils, Fiona; Larmon, Hannah; Taylor, David

    2015-12-17

    Thin walled tubes are often used for load-bearing structures, in nature and in engineering, because they offer good resistance to bending and torsion at relatively low weight. However, when loaded in bending they are prone to failure by buckling. It is difficult to predict the loading conditions which cause buckling, especially for tubes whose cross sections are not simple shapes. Insights into buckling prevention might be gained by studying this phenomenon in the exoskeletons of insects and other arthropods. We investigated the leg segments (tibiae) of five different insects: the locust (Schistocerca gergaria), American cockroach (Periplaneta americana), death's head cockroach (Blaberus discoidalis), stick insect (Parapachymorpha zomproi) and bumblebee (Bombus terrestris audax). These were tested to failure in cantilever bending and modelled using finite element analysis (FEA). The tibiae of the locust and the cockroaches were found to be approximately circular in shape. Their buckling loads were well predicted by linear elastic FEA, and also by one of the analytical solutions available in the literature for elastic buckling. The legs of the stick insect are also circular in cross section but have several prominent longitudinal ridges. We hypothesised that these ridges might protect the legs against buckling but we found that this was not the case: the loads necessary for elastic buckling were not reached in practice because yield occurred in the material, causing plastic buckling. The legs of bees have a non-circular cross section due to a pollen-carrying feature (the corbicula). We found that this did not significantly affect their resistance to buckling. Our results imply that buckling is the dominant failure mode in the tibia of insects; it likely to be a significant consideration for other arthropods and any organisms with stiff exoskeletons. The interactions displayed here between material properties and cross sectional geometry may provide insights for the

  18. [Aging and retinal vascular diseases].

    PubMed

    Takagi, Hitoshi

    2007-03-01

    Ocular vascular diseases such as diabetic retinopathy, retinal vein occlusion, and age-related macular degeneration, whose population increases along with aging, have become leading causes of severe visual disturbance. Macular edema and serous retinal detachment are associated with abnormal vascular leakage and tractional retinal detachment, and neovascular glaucoma is caused by retinal neovascularization. Such ocular vascular diseases are caused by vascular cell aging and vascular damage associated with lifestyle-related diseases including diabetes mellitus, hypertension, hyperlipidemia, and obesity. In the present study, we investigated molecular mechanisms in such vascular deficiencies using vascular cell biology methodology, and we propose novel strategies for the treatment of such vascular diseases. Along with aging, oxidative stress and physical stress, such as mechanical stretch, continuously and directly insult vascular cells. Such stress induces apoptosis by intracellular signaling through stress kinases in cultured retinal vascular cells. Inhibition of such stress kinases could be an effective treatment to protect the vascular cells against age-related damage. In a retinal vascular developmental model, pericyte loss causes pathology mimicking macular edema and proliferative diabetic retinopathy. Angiopoietin 1 (Ang 1) secreted by pericytes suppresses oxidative stress-induced intracellular signaling through stress kinases linked to cell apoptosis and normalizes such retinal pathology. This suggests that the paracrine action of Ang 1 in the pericytes is necessary to sustain normal retinal vasculature, and that Ang 1-triggered intracellular signaling is useful for the treatment of vascular cell pathology associated with pericyte loss. In diabetic retinopathy and retinal vein occlusion, retinal vessels regress along with retinal vascular cell apoptosis, and the retina becomes ischemic followed by pathological retinal neovascularization. VEGF has been

  19. Detached rock evaluation device

    DOEpatents

    Hanson, David R.

    1986-01-01

    A rock detachment evaluation device (10) having an energy transducer unit 1) for sensing vibrations imparted to a subject rock (172) for converting the sensed vibrations into electrical signals, a low band pass filter unit (12) for receiving the electrical signal and transmitting only a low frequency segment thereof, a high band pass filter unit (13) for receiving the electrical signals and for transmitting only a high frequency segment thereof, a comparison unit (14) for receiving the low frequency and high frequency signals and for determining the difference in power between the signals, and a display unit (16) for displaying indicia of the difference, which provides a quantitative measure of rock detachment.

  20. Cyclic capacity of tubular beam-columns with local buckling: Numerical and experimental studies

    SciTech Connect

    Skallerud, B.; Amdahl, J.; Johansen, A.; Eide, O.I.

    1996-12-31

    The present investigation addresses the cyclic capacity of tubular members subjected to both local and global buckling during cyclic loading. Diameter to thickness ratios of 45 and 60 are studied. The performance of FE models, both a beam model and shell model, is compared to test results in terms of load versus displacement behavior and energy accumulation. Some problems regarding the prediction of local strain histories in the local buckle zone are pointed out. Damage accumulation models in terms of energy per cycle are discussed, aiming at possible member detachment criteria.

  1. Learning about Retinitis Pigmentosa

    MedlinePlus

    ... genetic terms used on this page Learning About Retinitis Pigmentosa What is retinitis pigmentosa? What are the symptoms ... Pigmentosa Additional Resources for Retinitis Pigmentosa What is retinitis pigmentosa? Retinitis pigmentosa (RP) is the name given to ...

  2. Better understanding of tubular helical buckling

    SciTech Connect

    Wu, J.

    1996-09-01

    Tubular buckling is a significant problem within the oil industry. Although it has been studied for many years, methods to analyze tubular helical buckling continues to appear in the literature. Several criteria have been derived and presented leading to confusion in understanding and correctly predicting tubular helical buckling. The prediction of tubular helical buckling is complicated by the fact that the tubular is confined within the wellbore. The tubular initially buckles sinusoidally, and then changes into the shape of a helix (helical buckling) as the axial load increases. Different approaches in modeling the helical buckling process and the use of energy methods resulted in those different helical buckling criteria. Helical buckling criteria proposed in the literature, as well as their derivations are discussed in this paper, to help better understand and effectively predict tubular helical buckling in engineering operations.

  3. Plasma detachment in linear devices

    NASA Astrophysics Data System (ADS)

    Ohno, N.

    2017-03-01

    Plasma detachment research in linear devices, sometimes called divertor plasma simulators, is reviewed. Pioneering works exploring the concept of plasma detachment were conducted in linear devices. Linear devices have contributed greatly to the basic understanding of plasma detachment such as volume plasma recombination processes, detached plasma structure associated with particle and energy transport, and other related issues including enhancement of convective plasma transport, dynamic response of plasma detachment, plasma flow reversal, and magnetic field effect. The importance of plasma detachment research using linear devices will be highlighted aimed at the design of future DEMO.

  4. Retinal Macroglial Responses in Health and Disease

    PubMed Central

    de Hoz, Rosa; Rojas, Blanca; Ramírez, Ana I.; Salazar, Juan J.; Gallego, Beatriz I.; Triviño, Alberto; Ramírez, José M.

    2016-01-01

    Due to their permanent and close proximity to neurons, glial cells perform essential tasks for the normal physiology of the retina. Astrocytes and Müller cells (retinal macroglia) provide physical support to neurons and supplement them with several metabolites and growth factors. Macroglia are involved in maintaining the homeostasis of extracellular ions and neurotransmitters, are essential for information processing in neural circuits, participate in retinal glucose metabolism and in removing metabolic waste products, regulate local blood flow, induce the blood-retinal barrier (BRB), play fundamental roles in local immune response, and protect neurons from oxidative damage. In response to polyetiological insults, glia cells react with a process called reactive gliosis, seeking to maintain retinal homeostasis. When malfunctioning, macroglial cells can become primary pathogenic elements. A reactive gliosis has been described in different retinal pathologies, including age-related macular degeneration (AMD), diabetes, glaucoma, retinal detachment, or retinitis pigmentosa. A better understanding of the dual, neuroprotective, or cytotoxic effect of macroglial involvement in retinal pathologies would help in treating the physiopathology of these diseases. The extensive participation of the macroglia in retinal diseases points to these cells as innovative targets for new drug therapies. PMID:27294114

  5. The symbol detachment problem.

    PubMed

    Pezzulo, Giovanni; Castelfranchi, Cristiano

    2007-06-01

    In situated and embodied approaches it is commonly assumed that the dynamics of sensorimotor engagement between an adaptive agent and its environment are crucial in understanding natural cognition. This perspective permits to address the symbol grounding problem, since the aboutness of any mental state arising during agent-environment engagement is guaranteed by their continuous coupling. However, cognitive agents are also able to formulate representations that are detached from the current state of affairs, such as expectations and goals. Moreover, they can act on their representations before--or instead of--acting directly on the environment, for example building the plan of a bridge and not directly the bridge. On the basis of representations, actions such as planning, remembering or imagining are possible that are disengaged from the current sensorimotor cycle, and often functional to future-oriented conducts. A new problem thus has to be acknowledged, the symbol detachment problem: how and why do situated agents develop representations that are detached from their current sensorimotor interaction, but nevertheless preserve grounding and aboutness? How do cognitive agents progressively acquire a range of capabilities permitting them to deal not only with the current situation but also with alternative, in particular future states of affairs? How do they develop the capability of acting on their representations instead of acting directly on the world? In a theoretical and developmental perspective, we propose that anticipation plays a crucial role in the detachment process: anticipatory representations, originally detached from the sensorimotor cycle for the sake of action control, are successively exapted for bootstrapping increasingly complex cognitive capabilities.

  6. Bilateral Cytomegalovirus Retinitis in a Patient with Systemic Lupus Erythematosus

    PubMed Central

    Haze, Masaya; Kobayashi, Takatoshi; Kakurai, Keigo; Shoda, Hiromi; Takai, Nanae; Takeda, Sayako; Tada, Rei; Maruyama, Kouichi; Kida, Teruyo; Ikeda, Tsunehiko

    2016-01-01

    Purpose The purpose of this study was to report the case of a patient who underwent vitrectomy for bilateral rhegmatogenous retinal detachment caused by cytomegalovirus (CMV) retinitis while undergoing steroid and immunosuppressant therapy for systemic lupus erythematosus (SLE). Case Report We report on a 29-year-old female who was undergoing steroids and immunosuppressants treatment for SLE at Osaka Medical College Hospital, Takatsuki City, Japan. Examination of the patient due to prolonged and worsening diarrhea revealed positive test results for C7-HRP, and she was diagnosed with CMV colitis. She was subsequently admitted to the hospital and started on intravenous ganciclovir for treatment. Approximately 1.5 months later, her primary complaint was deterioration of the upper visual field in her left eye, and she was then referred to the Department of Ophthalmology. Numerous granular exudative spots were found around the lower retinal area of her left eye with retinal breaks that had developed in an area of retinal necrosis that resulted in retinal detachment. After time was allowed for the patient's general condition to improve, a vitrectomy was performed on that eye. The patient subsequently developed a similar retinal detachment in her right eye, for which she underwent a vitrectomy. Although the patient required multiple surgeries on both eyes, her retinas currently remain reattached and the inflammation has subsided. Conclusion The findings of this study show that strict attention must be paid to SLE patients on immunosuppressive therapy due to the possible association of CMV retinitis. PMID:27462259

  7. Retinal remodeling.

    PubMed

    Jones, B W; Kondo, M; Terasaki, H; Lin, Y; McCall, M; Marc, R E

    2012-07-01

    Retinal photoreceptor degeneration takes many forms. Mutations in rhodopsin genes or disorders of the retinal pigment epithelium, defects in the adenosine triphosphate binding cassette transporter, ABCR gene defects, receptor tyrosine kinase defects, ciliopathies and transport defects, defects in both transducin and arrestin, defects in rod cyclic guanosine 3',5'-monophosphate phosphodiesterase, peripherin defects, defects in metabotropic glutamate receptors, synthetic enzymatic defects, defects in genes associated with signaling, and many more can all result in retinal degenerative disease like retinitis pigmentosa (RP) or RP-like disorders. Age-related macular degeneration (AMD) and AMD-like disorders are possibly due to a constellation of potential gene targets and gene/gene interactions, while other defects result in diabetic retinopathy or glaucoma. However, all of these insults as well as traumatic insults to the retina result in retinal remodeling. Retinal remodeling is a universal finding subsequent to retinal degenerative disease that results in deafferentation of the neural retina from photoreceptor input as downstream neuronal elements respond to loss of input with negative plasticity. This negative plasticity is not passive in the face of photoreceptor degeneration, with a phased revision of retinal structure and function found at the molecular, synaptic, cell, and tissue levels involving all cell classes in the retina, including neurons and glia. Retinal remodeling has direct implications for the rescue of vision loss through bionic or biological approaches, as circuit revision in the retina corrupts any potential surrogate photoreceptor input to a remnant neural retina. However, there are a number of potential opportunities for intervention that are revealed through the study of retinal remodeling, including therapies that are designed to slow down photoreceptor loss, interventions that are designed to limit or arrest remodeling events, and

  8. Computerized Buckling Analysis of Shells

    DTIC Science & Technology

    1981-06-01

    bl block nurmber) Shells Composites Buckl ing Stiffened Numerical Methods Elastic-Plastic Nonlinear Survey 20 AES’RACT (Con’inue on re, ense Ride If...Contract F33615-76-C-3105. The work was completed under Task 2307NI, "Basic Research in Behavior of Metallic and Composite Components of Airframe Struc...and Internal Pressure ....... ................. ... 134 Stiffened Cylindrical Shells Under Combined Loading .... ........ 136 - Buckling of Composite

  9. Retinal Prosthesis

    PubMed Central

    Weiland, James D.; Humayun, Mark S.

    2015-01-01

    Retinal prosthesis have been translated from the laboratory to the clinical over the past two decades. Currently, two devices have regulatory approval for the treatment of retinitis pigmentosa. These devices provide partial sight restoration and patients use this improved vision in their everyday lives. Improved mobility and object detection are some of the more notable findings from the clinical trials. However, significant vision restoration will require both better technology and improved understanding of the interaction between electrical stimulation and the retina. This paper reviews the recent clinical trials, highlights technology breakthroughs that will contribute to next generation of retinal prostheses. PMID:24710817

  10. Compressive buckling analysis of hat-stiffened panel

    NASA Technical Reports Server (NTRS)

    Ko, William L.; Jackson, Raymond H.

    1991-01-01

    Buckling analysis was performed on a hat-stiffened panel subjected to uniaxial compression. Both local buckling and global buckling were analyzed. It was found that the global buckling load was several times higher than the buckling load. The predicted local buckling loads compared favorably with both experimental data and finite-element analysis.

  11. Stability of Detached Solidification

    NASA Technical Reports Server (NTRS)

    Mazuruk, K.; Volz, M. P.; Croell, A.

    2009-01-01

    Bridgman crystal growth can be conducted in the so-called "detached" solidification regime, where the growing crystal is detached from the crucible wall. A small gap between the growing crystal and the crucible wall, of the order of 100 micrometers or less, can be maintained during the process. A meniscus is formed at the bottom of the melt between the crystal and crucible wall. Under proper conditions, growth can proceed without collapsing the meniscus. The meniscus shape plays a key role in stabilizing the process. Thermal and other process parameters can also affect the geometrical steady-state stability conditions of solidification. The dynamic stability theory of the shaped crystal growth process has been developed by Tatarchenko. It consists of finding a simplified autonomous set of differential equations for the radius, height, and possibly other process parameters. The problem then reduces to analyzing a system of first order linear differential equations for stability. Here we apply a modified version of this theory for a particular case of detached solidification. Approximate analytical formulas as well as accurate numerical values for the capillary stability coefficients are presented. They display an unexpected singularity as a function of pressure differential. A novel approach to study the thermal field effects on the crystal shape stability has been proposed. In essence, it rectifies the unphysical assumption of the model that utilizes a perturbation of the crystal radius along the axis as being instantaneous. It consists of introducing time delay effects into the mathematical description and leads, in general, to stability over a broader parameter range. We believe that this novel treatment can be advantageously implemented in stability analyses of other crystal growth techniques such as Czochralski and float zone methods.

  12. Model of detached plasmas

    SciTech Connect

    Yoshikawa, S.; Chance, M.

    1986-07-01

    Recently a tokamak plasma was observed in TFTR that was not limited by a limiter or a divertor. A model is proposed to explain this equilibrium, which is called a detached plasma. The model consists of (1) the core plasma where ohmic heating power is lost by anomalous heat conduction and (2) the shell plasma where the heat from the core plasma is radiated away by the atomic processes of impurity ions. A simple scaling law is proposed to test the validity of this model.

  13. Plastic buckling of cylindrical shells

    SciTech Connect

    Bandyopadhyay, K.; Xu, J.; Shteyngart, S.; Eckert, H.

    1994-05-01

    Cylindrical shells exhibit buckling under axial loads at stresses much less than the respective theoretical critical stresses. This is due primarily to the presence of geometrical imperfections even through such imperfections could be very small (e.g., comparable to thickness). Under internal pressure, the shell regains some of its buckling strength. For a relatively large radius-to-tickness ratio and low internal pressure, the effect can be reasonably estimated by an elastic analysis. However, for low radius-to-thickness ratios and greater pressures, the elastic-plastic collapse controls the failure load. In order to quantify the elastic-plastic buckling capacity of cylindrical shells, an analysis program was carried out by use of the computer code BOSOR5 developed by Bushnell of Lockheed Missiles and Space company. The analysis was performed for various radius-to- thickness ratios and imperfection amplitudes. The analysis results are presented in this paper.

  14. On the plastic buckling paradox

    SciTech Connect

    Blachut, J.; Galletly, G.D.; James, S.

    1995-12-31

    Previous investigations, at various laboratories, have raised doubts about the accuracy of flow theory predictions in some plastic plate and shell buckling problems. The present series of buckling experiments on near-perfect, machined, mild steel, cylindrical shell models under biaxial loading (axial tension plus external pressure) was designed to provide additional data for the evaluation of (the J{sub 2}) plasticity theories. Numerical calculations were carried out with the Bosor5 shell buckling program, using the J{sub 2} deformation and flow theories, and these were compared with the test results. Thirty-one cylinders, about 0.05 m in diameter with length to diameter ratio (L/D) of 1.0, 1.5 and 2.0 and diameter to thickness ratio (D/t) of 50 were tested in the programme. The steel was BS 970 grade 070 M20 and came in the form of a 3 m long x 0.070 m dia bar. Each cylinder had an integral flange of 0.013m. A rotating probe was employed to monitor the pre-buckling and buckling deformations. The tests were similar to that of Giezen, Babcock and Singer (1991). However, the current tests were on machined models and the axial tension was applied in a different manner. The tests, by Giezen et al, were on drawn aluminum alloy tubes from stock One of our objectives was to see if reducing the initial geometric imperfections had any significant effect on results. All tests have been carried out by now and computations are near completion. The main conclusion appears to be that for this combined loading plastic buckling problem, the deformation theory predictions are confirmed by the experiment.

  15. Digital tracking and control of retinal images

    NASA Astrophysics Data System (ADS)

    Barrett, Steven F.; Jerath, Maya R.; Rylander, Henry G., III; Welch, Ashley J.

    1993-06-01

    Laser induced retinal lesions are used to treat a variety of eye diseases such as diabetic retinopathy and retinal detachment. An instrumentation system has been developed to track a specific lesion coordinate on the retinal surface and provide corrective signals to maintain laser position on the coordinate. High resolution retinal images are acquired via a CCD camera coupled to a fundus camera and video frame grabber. Optical filtering and histogram modification are used to enhance the retinal vessel network against the lighter retinal background. Six distinct retinal landmarks are tracked on the high contrast image obtained from the frame grabber using two-dimensional blood vessel templates. The frame grabber is hosted on a 486 PC. The PC performs correction signal calculations using an exhaustive search on selected image portions. An X and Y laser correction signal is derived from the landmark tracking information and provided to a pair of galvanometer steered mirrors via a data acquisition and control subsystem. This subsystem also responds to patient inputs and the system monitoring lesion growth. This paper begins with an overview of the robotic laser system design followed by implementation and testing of a development system for proof of concept. The paper concludes with specifications for a real time system.

  16. Artery Buckling: New Phenotypes, Models, and Applications

    PubMed Central

    Han, Hai-Chao; Chesnutt, Jennifer K. W.; Garcia, Justin R.; Liu, Qin; Wen, Qi

    2012-01-01

    Arteries are under significant mechanical loads from blood pressure, flow, tissue tethering, and body movement. It is critical that arteries remain patent and stable under these loads. This review summarizes the common forms of buckling that occur in blood vessels including cross-sectional collapse, longitudinal twist buckling, and bent buckling. The phenomena, model analyses, experimental measurements, effects on blood flow, and clinical relevance are discussed. It is concluded that mechanical buckling is an important issue for vasculature, in addition to wall stiffness and strength, and requires further studies to address the challenges. Studies of vessel buckling not only enrich vascular biomechanics but also have important clinical applications. PMID:23192265

  17. Mechanical buckling of arterioles in collateral development.

    PubMed

    Liu, Qin; Han, Hai-Chao

    2013-01-07

    Collateral arterioles enlarge in both diameter and length, and develop corkscrew-like tortuous patterns during remodeling. Recent studies showed that artery buckling could lead to tortuosity. The objective of this study was to determine arteriole critical buckling pressure and buckling pattern during arteriole remodeling. Arterioles were modeled as elastic cylindrical vessels with an elastic matrix support and underwent axial and radial growth. Our results demonstrated that arteriole critical buckling pressure decreased with increasing axial growth ratio and radius growth ratio, but increased with increasing wall thickness. Arteriole buckling mode number increased (wavelength decreased) with increasing axial growth ratio, but decreased with increasing radius growth ratio and wall thickness. Our study suggests that axial growth in arterioles makes them prone to buckling and that buckling leads to tortuous collaterals. These results shed light on the mechanism of collateral arteriole tortuosity.

  18. Mechanical Buckling of Arterioles in Collateral Development

    PubMed Central

    Liu, Qin; Han, Hai-Chao

    2012-01-01

    Collateral arterioles enlarge in both diameter and length, and develop corkscrew-like tortuous patterns during remodeling. Recent studies showed that artery buckling could lead to tortuosity. The objective of this study was to determine arteriole critical buckling pressure and buckling pattern during arteriole remodeling. Arterioles were modeled as elastic cylindrical vessels with an elastic matrix support and underwent axial and radial growth. Our results demonstrated that arteriole critical buckling pressure decreased with increasing axial growth ratio and radius growth ratio, but increased with increasing wall thickness. Arteriole buckling mode number increased (wave length decreased) with increasing axial growth ratio, but decreased with increasing radius growth ratio and wall thickness. Our study suggests that axial growth in arterioles makes them prone to buckling and that buckling leads to tortuous collaterals. These results shed light on the mechanism of collateral arteriole tortuosity. PMID:23034307

  19. Buckling of cylindrical panels under axial compression

    NASA Technical Reports Server (NTRS)

    Sobel, L. H.; Weller, T.; Agarwal, B. L.

    1976-01-01

    This paper investigates the effects of boundary conditions and panel width on the axially compressive buckling behavior of unstiffened, isotropic, circular cylindrical panels. Numerical results are presented for eight different sets of boundary conditions along the straight edges of the panels. For all sets of boundary conditions except one (SS1), the results show that the panel buckling loads monotonically approach the complete cylinder buckling load from above as the panel width is increased. Low buckling loads, sometimes less than half the complete cylinder buckling load, are found for simply supported panels with free in-plane edge displacements (SS1). It is observed that the prevention of circumferential edge displacement is the most important in-plane boundary condition from the point of view of increasing the buckling load; and that the prevention of edge rotation in the circumferential direction also significantly increases the buckling load.

  20. Retine revisited.

    PubMed

    Douglas, D E

    2002-10-01

    Retine, so named by Albert Szent-Györgyi, an inhibitor of the growth of transplanted malignant tumours in animals, is present in all mammalian tissues and in urine. Its inhibitory activity was extensively investigated by Szent-Györgyi, but its exact chemical identity was not determined. Details of the reported physical and chemical properties of retine and its ubiquitous occurrence identify it as being identical to a complex mixture of lipid 2,4-diketones of similar ubiquitous occurrence. This lipid mixture has been extensively studied, and individual members have been synthesized.

  1. Buckling modes in pantographic lattices

    NASA Astrophysics Data System (ADS)

    Giorgio, Ivan; Della Corte, Alessandro; dell'Isola, Francesco; Steigmann, David J.

    2016-07-01

    We study buckling patterns in pantographic sheets, regarded as two-dimensional continua consisting of lattices of continuously distributed fibers. The fibers are modeled as beams endowed with elastic resistance to stretching, shearing, bending and twist. Included in the theory is a non-standard elasticity due to geodesic bending of the fibers relative to the lattice surface. xml:lang="fr"

  2. New Therapeutic Modalities of Retinal Laser Injury.

    DTIC Science & Technology

    1992-03-31

    Management of traumatic hemorrhagic retinal detachment with pars plana vitrectomy . Arch. Ophthalmol. 1990; 108:1281-1286 46. Hanscom TA, Diddle KR. Early... plana vitrectomy and internal drainage. Arch. Ophthalmol. 1990;108:973-978 44. Vander JF, Federman JL, Greven C et al. Surgical removal of massive...hotocoagulation. A. Periphery of the lesion. The inner par of the OPL was replaced by processes of the Muller cells (Mu). Degenerated synaptic terminals

  3. A selected review of current retinal research and study.

    PubMed

    Cohen, J

    1976-06-01

    The present paper reviews recent studies of retinal pathology from the American and British Journals of Ophthalmology during a one-year period (1973-1974). Selection is on the basis of potential value to clinical optometrists. Certain underlying factors in several types of retinal degeneration are first discussed, followed by characteristics of diabetic maculopathy and of other types of macular degeneration including that due to aging. Some material is presented on retinopathies related to sickle cell traits, to viral and worm infections, and to injury. Following a review of certain recent studies of retinoschisis, retinoblastoma, and retrolental fibroplasia, a concluding section deals with retinal detachments and breaks.

  4. Shock detachment from curved wedges

    NASA Astrophysics Data System (ADS)

    Mölder, S.

    2017-03-01

    Curved shock theory is used to show that the flow behind attached shocks on doubly curved wedges can have either positive or negative post-shock pressure gradients depending on the freestream Mach number, the wedge angle and the two wedge curvatures. Given enough wedge length, the flow near the leading edge can choke to force the shock to detach from the wedge. This local choking can preempt both the maximum deflection and the sonic criteria for shock detachment. Analytical predictions for detachment by local choking are supported by CFD results.

  5. Casing buckling studies lower cementing costs

    SciTech Connect

    Wilson, W.N.; Perkins, T.K.; Striegler, J.H.

    1980-09-01

    Fluid withdrawal, permafrost thaw, or large changes in pipe temperature can induce severe axial stresses on a well's casing, which often results in buckling. To minimize the cost of stabilizing the casing via cementing, engineers have developed new design criteria for preventing buckling; even for severe conditions, the resulting formulations cost less to use than those derived from previous criteria. Theoretical studies suggest that for a laterally supported pipe, the axial buckling force approaches a minimum asymptotic limit as the pipe length increases; thus the buckling equation for an infinitely long pipe can serve as a simple yet conservative design criterion for avoiding elastic axial buckling of any laterally supported casing. According to calculations, axial buckling can be prevented, even in a very long pipe, by surrounding the pipe with an elastic medium having a sufficiently high modulus.

  6. Thermal-structural panel buckling tests

    NASA Technical Reports Server (NTRS)

    Thompson, Randolph C.; Richards, W. Lance

    1991-01-01

    The buckling characteristics of a titanium matrix composite hat-stiffened panel were experimentally examined for various combinations of thermal and mechanical loads. Panel failure was prevented by maintaining the applied loads below real-time critical buckling predictions. The test techniques used to apply the loads, minimize boundary were shown to compare well with a finite-element buckling analysis for previous panels. Comparisons between test predictions and analysis for this panel are ongoing.

  7. Retinitis pigmentosa

    PubMed Central

    Hamel, Christian

    2006-01-01

    Retinitis pigmentosa (RP) is an inherited retinal dystrophy caused by the loss of photoreceptors and characterized by retinal pigment deposits visible on fundus examination. Prevalence of non syndromic RP is approximately 1/4,000. The most common form of RP is a rod-cone dystrophy, in which the first symptom is night blindness, followed by the progressive loss in the peripheral visual field in daylight, and eventually leading to blindness after several decades. Some extreme cases may have a rapid evolution over two decades or a slow progression that never leads to blindness. In some cases, the clinical presentation is a cone-rod dystrophy, in which the decrease in visual acuity predominates over the visual field loss. RP is usually non syndromic but there are also many syndromic forms, the most frequent being Usher syndrome. To date, 45 causative genes/loci have been identified in non syndromic RP (for the autosomal dominant, autosomal recessive, X-linked, and digenic forms). Clinical diagnosis is based on the presence of night blindness and peripheral visual field defects, lesions in the fundus, hypovolted electroretinogram traces, and progressive worsening of these signs. Molecular diagnosis can be made for some genes, but is not usually performed due to the tremendous genetic heterogeneity of the disease. Genetic counseling is always advised. Currently, there is no therapy that stops the evolution of the disease or restores the vision, so the visual prognosis is poor. The therapeutic approach is restricted to slowing down the degenerative process by sunlight protection and vitaminotherapy, treating the complications (cataract and macular edema), and helping patients to cope with the social and psychological impact of blindness. However, new therapeutic strategies are emerging from intensive research (gene therapy, neuroprotection, retinal prosthesis). PMID:17032466

  8. Buckling in a topological metamaterial

    NASA Astrophysics Data System (ADS)

    Meeussen, Anne; Paulose, Jayson; Vitelli, Vincenzo

    2015-03-01

    Controlling the nonlinear response of mechanical metamaterials paves the way toward designing materials with adaptive and tunable mechanical properties. Buckling, a change in load-bearing state from axial compression to off-axis deformation, is a ubiquitous nonlinear instability that is often exploited to change the local or global mechanical response in metamaterials composed of slender elements. We create localized buckling regions in cellular metamaterials by engineering states of self-stress, regions where the response is dominated by stretching or compression of the constituent beams rather than bending at the stiff hinges connecting them. Unique to our approach is the use of topological states of self-stress, which originate in a topological invariant that characterizes the vibrational spectrum of the repeating unit cell. Unlike typical states of self-stress which result from additional geometric constraints induced by excess beams in a region, these topological states do not change the number of beams at each hinge. We demonstrate the phenomenon through numerical calculations of the linear response of the proposed metamaterial, and through experiments probing the nonlinear regime including localized buckling at specific regions.

  9. Tubing and casing buckling in horizontal wells

    SciTech Connect

    Chen, Y.C.; Lin, Y.H.; Cheatham, J.B. )

    1990-02-01

    This paper describes new theoretical results for predicting the buckling behavior of pipe in horizontal holes. Pipe buckling in horizontal holes occurs initially in a sinusoidal mode along the low side of the hole; at higher axial compression a helix is formed. Equations are given for computing the forces required to initiate these different buckling modes. Simple experimental laboratory results confirm the theory. Results presented in this paper apply to friction modeling of buckled tubulars to help predict when pipe can be forced to move along a long section of a horizontal well.

  10. Simplified dynamic buckling assessment of steel containments

    SciTech Connect

    Farrar, C.R.; Duffey, T.A.; Renick, D.H.

    1993-02-01

    A simplified, three-degree-of-freedom analytical procedure for performing a response spectrum buckling analysis of a thin containment shell is developed. Two numerical examples with R/t values which bound many existing steel containments are used to illustrate the procedure. The role of damping on incipient buckling acceleration level is evaluated for a regulatory seismic spectrum using the two numerical examples. The zero-period acceleration level that causes incipient buckling in either of the two containments increases 31% when damping is increased from 1% to 4% of critical. Comparisons with finite element results on incipient buckling levels are favorable.

  11. Buckling of conical shell with local imperfections

    NASA Technical Reports Server (NTRS)

    Cooper, P. A.; Dexter, C. B.

    1974-01-01

    Small geometric imperfections in thin-walled shell structures can cause large reductions in buckling strength. Most imperfections found in structures are neither axisymmetric nor have the shape of buckling modes but rather occur locally. This report presents the results of a study of the effect of local imperfections on the critical buckling load of a specific axially compressed thin-walled conical shell. The buckling calculations were performed by using a two-dimensional shell analysis program referred to as the STAGS (Structural Analysis of General Shells) computer code, which has no axisymmetry restrictions. Results show that the buckling load found from a bifurcation buckling analysis is highly dependent on the circumferential arc length of the imperfection type studied. As the circumferential arc length of the imperfection is increased, a reduction of up to 50 percent of the critical load of the perfect shell can occur. The buckling load of the cone with an axisymmetric imperfections is nearly equal to the buckling load of imperfections which extended 60 deg or more around the circumference, but would give a highly conservative estimate of the buckling load of a shell with an imperfection of a more local nature.

  12. Discontinuous Buckling of Wide Beams and Metabeams.

    PubMed

    Coulais, Corentin; Overvelde, Johannes T B; Lubbers, Luuk A; Bertoldi, Katia; van Hecke, Martin

    2015-07-24

    We uncover how nonlinearities dramatically alter the buckling of elastic beams. First, we show experimentally that sufficiently wide ordinary elastic beams and specifically designed metabeams-beams made from a mechanical metamaterial-exhibit discontinuous buckling, an unstable form of buckling where the postbuckling stiffness is negative. Then we use simulations to uncover the crucial role of nonlinearities, and show that beams made from increasingly nonlinear materials exhibit an increasingly negative postbuckling slope. Finally, we demonstrate that for sufficiently strong nonlinearity, we can observe discontinuous buckling for metabeams as slender as 1% numerically and 5% experimentally.

  13. Post-Buckling Analysis of Curved Honeycomb Sandwich Panels Containing Interfacial Disbonds

    NASA Technical Reports Server (NTRS)

    Pineda, Evan J.; Bednarcyk, Brett A.; Krivanek, Thomas K.

    2016-01-01

    A numerical study on the effect of facesheet-core disbonds on the post-buckling response of curved honeycomb sandwich panels is presented herein. This work was conducted as part of the development of a damage tolerance plan for the next-generation Space Launch System heavy lift launch vehicle payload fairing. As such, the study utilized full-scale fairing barrel segments as the structure of interest. The panels were composed of carbon fiber reinforced polymer facesheets and aluminum honeycomb core. The panels were analyzed numerically using the finite element method incorporating geometric nonlinearity. In a predetermined circular region, facesheet and core nodes were detached to simulate a disbond, between the outer mold line facesheet and honeycomb core, induced via low-speed impact. Surface-to-surface contact in the disbonded region was invoked to prevent interpenetration of the facesheet and core elements and obtain realistic stresses in the core. The diameter of this disbonded region was varied and the effect of the size of the disbond on the post-buckling response was observed. Significant changes in the slope of the edge load-deflection response were used to determine the onset of global buckling and corresponding buckling load. Finally, several studies were conducted to determine the sensitivity of the numerical predictions to refinement in the finite element mesh.

  14. Shear buckling analysis of a hat-stiffened panel

    NASA Technical Reports Server (NTRS)

    Ko, William L.; Jackson, Raymond H.

    1994-01-01

    A buckling analysis was performed on a hat-stiffened panel subjected to shear loading. Both local buckling and global buckling were analyzed. The global shear buckling load was found to be several times higher than the local shear buckling load. The classical shear buckling theory for a flat plate was found to be useful in predicting the local shear buckling load of the hat-stiffened panel, and the predicted local shear buckling loads thus obtained compare favorably with the results of finite element analysis.

  15. Retinal toxicity of intravitreal tenecteplase in the rabbit

    PubMed Central

    Rowley, S A; Vijayasekaran, S; Yu, P K; McAllister, I L; Yu, D-Yi

    2004-01-01

    Aim: To investigate the retinal toxicity of intravitreal injection of a novel fibrinolytic tenecteplase in rabbit eyes. Methods: Tenecteplase (25–350 μg in 0.1 ml BSS) was injected into the vitreous cavity of normal rabbit eyes. Control (fellow) eyes received 0.1 ml of BSS. One day, 1 week, and 2 months post-injection, the eyes were examined by slit lamp biomicroscopy, indirect ophthalmoscopy, and electroretinography, and then harvested for histopathological examination. Results: No evidence of retinal toxicity was seen with tenecteplase doses up to and including 50 μg. At a dose of 150 μg ophthalmoscopy was normal, but histology showed mild retinal damage in the inner nuclear layer and electroretinography showed a temporary reduction in B-wave amplitude. At doses of 200 μg and above, there was evidence of retinal toxicity on electroretinography, ophthalmoscopy, and histology. Ophthalmoscopic findings included vitreal fibrosis, retinal necrosis and tractional retinal detachment and light microscopy revealed necrosis of retinal pigment epithelium and other retinal layers. Damage was centred around the injection site but was more widespread with the higher doses. Conclusion: A dose of 50 μg tenecteplase appears safe for intravitreal injection in the rabbit. Tenecteplase could have potential applications in the treatment of submacular haemorrhage and retinal vein occlusion. PMID:15031179

  16. Retinitis pigmentosa: clinical observations and correlations.

    PubMed Central

    Pruett, R C

    1983-01-01

    This thesis presents the results of a study of 384 eyes of 192 patients with a mean age of 39.1 years who presented with typical retinitis pigmentosa. The major findings are outlined below, together with suggested hypotheses: Cataract was found in 46.4% of the eyes. Among these, 93.6% showed posterior subcapsular opacification. The incidence of cataract increased with age. The vitreous degeneration that is characteristic of the RP syndrome and begins in childhood was described as showing dust-like, particulate matter throughout the gel; posterior vitreous separation; formation of a posterior matrix of coarse, white, interconnected strands and opacities; and final collapse of the residual gel. Ultrastructural studies of vitreous material from eight eyes revealed that the particles were isolated pigment granules and the coarse strands were composed of condensed collagen fibers. Notwithstanding the vitreous degeneration and prevalence of myopia in RP, neurosensory retinal breaks and/or rhegmatogenous detachment were found in only 7 (1.8%) of the 384 eyes studied. Premature separation of the vitreous from the retina, absence of lattice retinal degeneration, and perhaps a stronger than normal RPE-neurosensory retinal bond are thought to be possible protective factors. Rather than searching for a "toxin," elaborated by diseased retina, that causes vitreous degeneration and cataract formation, it is suggested that the ocular media be studied for an absence of moieties that are normally produced by healthy retina for vitreous and lens maintenance. The classic criteria for diagnosis of RP were met by 96.3% of eyes that showed retinal vascular attenuation and by 52.0% that showed pallor of the optic disc. Less frequent manifestations included solitary retinal hemorrhage, peripheral microaneurysms, telangiectasia, and fluorescein leakage at the macula and disc. Seven additional cases with a Coats'-like retinal detachment were added to the 14 already presented in the

  17. Hypotony and ciliochoroidal detachment following pharmacologic aqueous suppressant therapy in previously filtered patients.

    PubMed

    Vela, M A; Campbell, D G

    1985-01-01

    This is the first report describing the syndrome of hypotony and ciliochoroidal detachment following pharmacologic aqueous suppressant therapy in previously filtered eyes. Four patients had a history of advanced primary open-angle glaucoma treated with multiple medical therapies, including timolol for 11 to 36 months. They then underwent filtration surgery, which failed in two cases. Timolol and/or acetazolamide therapy was instituted 1 to 18 months following surgery. The patients then developed hypotony and ciliochoroidal detachment, which resolved spontaneously after cessation of the pharmacologic aqueous suppressant therapy. In three of the cases, the episode of hypotony and ciliochoroidal detachment recurred after a second challenge with timolol and/or acetazolamide therapy. Inflammation, tumor, wound leakage, retinal detachment and cyclodialysis cleft were excluded. A mechanism of formation of ciliochoroidal detachment in this syndrome is proposed. Long-term timolol therapy followed by filtration surgery and its attendant postoperative hypotony and ciliochoroidal detachment sensitizes the ciliary epithelium. Subsequent pharmacologic aqueous suppressant therapy results in almost total reduction of aqueous production, causing hypotony and ciliochoroidal detachment.

  18. The North Cycladic Detachment System

    NASA Astrophysics Data System (ADS)

    Jolivet, Laurent; Lecomte, Emmanuel; Huet, Benjamin; Denèle, Yoann; Lacombe, Olivier; Labrousse, Loïc; Le Pourhiet, Laetitia; Mehl, Caroline

    2010-01-01

    Low-angle normal faults accommodate a large part of continental post-orogenic extension. Besides the intrinsic rheological characteristics of the continental crust that may lead to the formation of shallow-dipping shear zones at the brittle-ductile transition, the role of pre-existing low-angle structures such as large thrusts has been proposed by several authors. We explore this question with the example of the North Cycladic Detachment System (NCDS) that is composed of a series of distinct detachments cropping out on the islands of Andros, Tinos and Mykonos, separating the Cycladic Blueschists in the footwall from the Upper Cycladic Nappe in the hanging wall. We show that these extensional structures are part of a single large-scale structure (more than 200 km along strike) that reactivates the Vardar suture zone. It extends eastward on Ikaria and westward offshore Evia and Thessalia where it probably connects to recent shallow-dipping normal faults evidenced on published seismic reflection profiles. The NCDS started its activity in the Oligocene concommitantly with the Aegean extension, and was still active in the Late Miocene. It has exhumed a series of metamorphic domes from southern Evia to Mykonos below low-angle detachment systems, made of low-angle normal faults and low-angle ductile shear zones. The ductile shear zones and the faults were created with a low dip and they kept the same attitude throughout their exhumation. We identify three main detachments that are part of a continuum of extension on the NCDS : Tinos detachment, Livada detachment and Mykonos detachment. A fourth detachment (Vari detachment) is the reactivation of an Eocene exhumation-related structure. Deformation in the footwall is characterized by intense stretching and flattening. Using the spatial evolution observed along strike from Andros to Mykonos we construct a history of formation of the NCDS starting with the reactivation of former thrusts leading to the exhumation of high

  19. Sector mapping method for 3D detached retina visualization.

    PubMed

    Zhai, Yi-Ran; Zhao, Yong; Zhong, Jie; Li, Ke; Lu, Cui-Xin; Zhang, Bing

    2016-10-01

    A new sphere-mapping algorithm called sector mapping is introduced to map sector images to the sphere of an eyeball. The proposed sector-mapping algorithm is evaluated and compared with the plane-mapping algorithm adopted in previous work. A simulation that maps an image of concentric circles to the sphere of the eyeball and an analysis of the difference in distance between neighboring points in a plane and sector were used to compare the two mapping algorithms. A three-dimensional model of a whole retina with clear retinal detachment was generated using the Visualization Toolkit software. A comparison of the mapping results shows that the central part of the retina near the optic disc is stretched and its edges are compressed when the plane-mapping algorithm is used. A better mapping result is obtained by the sector-mapping algorithm than by the plane-mapping algorithm in both the simulation results and real clinical retinal detachment three-dimensional reconstruction.

  20. Mechanical buckling of artery under pulsatile pressure.

    PubMed

    Liu, Qin; Han, Hai-Chao

    2012-04-30

    Tortuosity that often occurs in carotid and other arteries has been shown to be associated with high blood pressure, atherosclerosis, and other diseases. However the mechanisms of tortuosity development are not clear. Our previous studies have suggested that arteries buckling could be a possible mechanism for the initiation of tortuous shape but artery buckling under pulsatile flow condition has not been fully studied. The objectives of this study were to determine the artery critical buckling pressure under pulsatile pressure both experimentally and theoretically, and to elucidate the relationship of critical pressures under pulsatile flow, steady flow, and static pressure. We first tested the buckling pressures of porcine carotid arteries under these loading conditions, and then proposed a nonlinear elastic artery model to examine the buckling pressures under pulsatile pressure conditions. Experimental results showed that under pulsatile pressure arteries buckled when the peak pressures were approximately equal to the critical buckling pressures under static pressure. This was also confirmed by model simulations at low pulse frequencies. Our results provide an effective tool to predict artery buckling pressure under pulsatile pressure.

  1. Probabilistic Dynamic Buckling of Smart Composite Shells

    NASA Technical Reports Server (NTRS)

    Chamis, Christos C.; Abumeri, Galib H.

    2007-01-01

    A computational simulation method is presented to evaluate the deterministic and nondeterministic dynamic buckling of smart composite shells. The combined use of intraply hybrid composite mechanics, finite element computer codes, and probabilistic analysis enable the effective assessment of the dynamic buckling load of smart composite shells. A universal plot is generated to estimate the dynamic buckling load of composite shells at various load rates and probabilities. The shell structure is also evaluated with smart fibers embedded in the plies right next to the outer plies. The results show that, on the average, the use of smart fibers improved the shell buckling resistance by about 10% at different probabilities and delayed the buckling occurrence time. The probabilistic sensitivities results indicate that uncertainties in the fiber volume ratio and ply thickness have major effects on the buckling load while uncertainties in the electric field strength and smart material volume fraction have moderate effects. For the specific shell considered in this evaluation, the use of smart composite material is not recommended because the shell buckling resistance can be improved by simply re-arranging the orientation of the outer plies, as shown in the dynamic buckling analysis results presented in this report.

  2. Probabilistic Dynamic Buckling of Smart Composite Shells

    NASA Technical Reports Server (NTRS)

    Abumeri, Galib H.; Chamis, Christos C.

    2003-01-01

    A computational simulation method is presented to evaluate the deterministic and nondeterministic dynamic buckling of smart composite shells. The combined use of composite mechanics, finite element computer codes, and probabilistic analysis enable the effective assessment of the dynamic buckling load of smart composite shells. A universal plot is generated to estimate the dynamic buckling load of composite shells at various load rates and probabilities. The shell structure is also evaluated with smart fibers embedded in the plies right below the outer plies. The results show that, on the average, the use of smart fibers improved the shell buckling resistance by about 10 percent at different probabilities and delayed the buckling occurrence time. The probabilistic sensitivities results indicate that uncertainties in the fiber volume ratio and ply thickness have major effects on the buckling load while uncertainties in the electric field strength and smart material volume fraction have moderate effects. For the specific shell considered in this evaluation, the use of smart composite material is not recommended because the shell buckling resistance can be improved by simply re-arranging the orientation of the outer plies, as shown in the dynamic buckling analysis results presented in this report.

  3. Buckling of prismatic structures under biaxial loading

    NASA Technical Reports Server (NTRS)

    Ashour, H. A.; Sobel, L. H.

    1980-01-01

    A one term analysis is presented for the elastic buckling of prismatic structures with either classical simple support or completely clamped boundary conditions on the transverse ends. Results suggest that a one term solution based on an appropriate choice of coordinate functions may lead to satisfactory buckling loads for other prismatic structures with completely clamped and other end conditions.

  4. Sequential buckling of an elastic wall

    NASA Astrophysics Data System (ADS)

    Bico, Jose; Bense, Hadrien; Keiser, Ludovic; Roman, Benoit; Melo, Francisco; Abkarian, Manouk

    A beam under quasistatic compression classically buckles beyond a critical threshold. In the case of a free beam, the lowest buckling mode is selected. We investigate the case of a long ``wall'' grounded of a compliant base and compressed in the axial compression. In the case of a wall of slender rectangular cross section, the selected buckling mode adopts a nearly fixed wavelength proportional to the height of the wall. Higher compressive loads only increase the amplitude of the buckle. However if the cross section has a sharp shape (such as an Eiffel tower profile), we observe successive buckling modes of increasing wavelength. We interpret this unusual evolution in terms of scaling arguments. At small scales, this variable periodicity might be used to develop tunable optical devices. We thank ECOS C12E07, CNRS-CONICYT, and Fondecyt Grant No. N1130922 for partially funding this work.

  5. Liquid buckling in a practical situation

    NASA Astrophysics Data System (ADS)

    Ghosh, Sumana; Das, Gargi; Das, Prasanta Kumar

    2016-08-01

    Buckling of an oil filament is observed during the core annular flow of high viscous oil and water, when it encountered a sudden expansion in its flow path. Suitable mathematical equations have been suggested to predict the distance of initiation of buckling from the plane of area change and other characteristics of the deformed oil core. It is proposed that the initiation of buckling depends on the balance of inertial and viscous forces. The model predicts that as the oil flow rate increases, the fluid jet has to travel a larger distance from the plane of area change to initiate buckling. Frequency and radius of the buckled oil filament are also predicted from the model.

  6. Plasma Detachment Study in VASIMR

    NASA Astrophysics Data System (ADS)

    Ilin, A. V.; Díaz, F. R. Chang; Squire, J. P.; Breizman, B. N.; Novakovski, S. V.; Sagdeev, R. Z.

    2000-10-01

    We present kinetic and MHD simulations of plasma detachment in the exhaust of the Variable Specific Impulse Magnetoplasma Rocket (VASIMR). The detachment is associated with a transition from subalfvenic to superalfvenic plasma flow in the magnetic nozzle. As a result, the kinetic energy of the outgoing plasma flow is greater than the magnetic field energy in the exhaust area, so that the plasma is no longer confined by the magnetic field. We model the outgoing plasma flow under the assumptions that the plasma is collisionless and has a constant electron temperature. Particle simulations show that the ion motion may become nonadiabatic in the exhaust area as the magnetic field decreases downstream. This effect should facilitate the detachment.

  7. Progressive outer retinal necrosis (PORN) in AIDS patients: a different appearance of varicella-zoster retinitis.

    PubMed

    Pavesio, C E; Mitchell, S M; Barton, K; Schwartz, S D; Towler, H M; Lightman, S

    1995-01-01

    Retinal infections caused by the varicella-zoster virus (VZV) have been reported in immunocompetent and immunocompromised individuals. Two cases of a VZV-related retinitis are described with the characteristic features of the recently described progressive outer retinal necrosis (PORN) syndrome. Both patients suffered from the acquired immunodeficiency syndrome (AIDS) with greatly reduced peripheral blood CD4+ T lymphocyte counts, and presented with macular retinitis without vitritis. The disease was bilateral in one case and unilateral in the other. The clinical course was rapidly progressive with widespread retinal involvement and the development of rhegmatogenous retinal detachment with complete loss of vision in the affected eyes despite intensive intravenous antiviral therapy. VZV DNA was identified in vitreous biopsies, by molecular techniques based on the polymerase chain reaction (PCR), in both patients. At present, the use of very high-dose intravenous acyclovir may be the best therapeutic option in these patients for whom the visual prognosis is poor. Intravitreal antiviral drugs could also contribute to the management of these cases.

  8. Helical buckling of pipes in extended reach and horizontal wells -- Part 1: Preventing helical buckling

    SciTech Connect

    Wu, J.; Juvkam-Wold, H.C.; Lu, R. . Petroleum Engineering Dept.)

    1993-09-01

    This paper studies the helical buckling of pipes (drillstring and tubing) in extended reach and horizontal wells, theoretically and experimentally, resulting in new equations to correctly predict and effectively prevent the helical buckling of pipes in such wells. The theoretically study shows that the so-called helical buckling load that appears in the current literature is only the average axial load in the helical buckling development process. The laboratory experiments confirm the theoretical analysis. The new helical buckling load equations are formulated by combining the theoretical analysis and the experimental results, thereby resolving the existing assumption-and-result inconsistency in the current literature. The new equation predicts the true helical buckling load to be about 1.3 times the so-called helical buckling load in the current literature, and about 1.8 times the critical buckling load that predicts the onset of sinusoidal buckling. Consequently, larger bit weights or packer setting loads can be applied to increase the drilling rate or to ensure a proper seal, before the helical buckling of the pipes can occur.

  9. Observation of optomechanical buckling transitions

    PubMed Central

    Xu, H.; Kemiktarak, U.; Fan, J.; Ragole, S.; Lawall, J.; Taylor, J. M.

    2017-01-01

    Correlated phases of matter provide long-term stability for systems as diverse as solids, magnets and potential exotic quantum materials. Mechanical systems, such as buckling transition spring switches, can have engineered, stable configurations whose dependence on a control variable is reminiscent of non-equilibrium phase transitions. In hybrid optomechanical systems, light and matter are strongly coupled, allowing engineering of rapid changes in the force landscape, storing and processing information, and ultimately probing and controlling behaviour at the quantum level. Here we report the observation of first- and second-order buckling transitions between stable mechanical states in an optomechanical system, in which full control of the nature of the transition is obtained by means of the laser power and detuning. The underlying multiwell confining potential we create is highly tunable, with a sub-nanometre distance between potential wells. Our results enable new applications in photonics and information technology, and may enable explorations of quantum phase transitions and macroscopic quantum tunnelling in mechanical systems. PMID:28248293

  10. Observation of optomechanical buckling transitions

    NASA Astrophysics Data System (ADS)

    Xu, H.; Kemiktarak, U.; Fan, J.; Ragole, S.; Lawall, J.; Taylor, J. M.

    2017-03-01

    Correlated phases of matter provide long-term stability for systems as diverse as solids, magnets and potential exotic quantum materials. Mechanical systems, such as buckling transition spring switches, can have engineered, stable configurations whose dependence on a control variable is reminiscent of non-equilibrium phase transitions. In hybrid optomechanical systems, light and matter are strongly coupled, allowing engineering of rapid changes in the force landscape, storing and processing information, and ultimately probing and controlling behaviour at the quantum level. Here we report the observation of first- and second-order buckling transitions between stable mechanical states in an optomechanical system, in which full control of the nature of the transition is obtained by means of the laser power and detuning. The underlying multiwell confining potential we create is highly tunable, with a sub-nanometre distance between potential wells. Our results enable new applications in photonics and information technology, and may enable explorations of quantum phase transitions and macroscopic quantum tunnelling in mechanical systems.

  11. Buckling of Chemical Wave Plumes

    NASA Astrophysics Data System (ADS)

    Rogers, Michael C.; Morris, Stephen W.

    2004-03-01

    Chemical wave fronts are found in many autocatalytic chemical reactions, such as the iodate oxidation of arsenous acid. In vertical capillary tubes, ascending chemical wave fronts show convective behavior when a dimensionless driving parameter S exceeds a critical value Sc ˜ 100. S ∝ a^3, where a is the radius of the tube. In the iodate arsenous-acid reaction, the density jump that drives convection is created by both the partial molal density decrease of the product solution and by thermal expansion due to the slight exothermicity of the reaction. We observed strongly supercritical ascending chemical wave plumes in vertical tubes with S 10^7. We report on the motion of these plumes in experiments where both the viscosity and the temperature of the reactant fluid are control parameters. We find experimentally that the background temperature of the reactant fluid has a significant influence on the behavior of the plumes. Above a critical temperature, plumes rise straight up the tube, whereas below this temperature, plumes go through an initial stage of buckling before they surrender to straight rising motion. The flow induced by the chemical plumes can be visualized using tracer particles. The buckling behavior of the plumes may arise from the Kelvin-Helmholtz instability, as in the case of a fluid jet descending through stratified surroundings [Pesci et al., Phys. Rev. E, 68, 056305 (2003)].

  12. Observation of optomechanical buckling transitions.

    PubMed

    Xu, H; Kemiktarak, U; Fan, J; Ragole, S; Lawall, J; Taylor, J M

    2017-03-01

    Correlated phases of matter provide long-term stability for systems as diverse as solids, magnets and potential exotic quantum materials. Mechanical systems, such as buckling transition spring switches, can have engineered, stable configurations whose dependence on a control variable is reminiscent of non-equilibrium phase transitions. In hybrid optomechanical systems, light and matter are strongly coupled, allowing engineering of rapid changes in the force landscape, storing and processing information, and ultimately probing and controlling behaviour at the quantum level. Here we report the observation of first- and second-order buckling transitions between stable mechanical states in an optomechanical system, in which full control of the nature of the transition is obtained by means of the laser power and detuning. The underlying multiwell confining potential we create is highly tunable, with a sub-nanometre distance between potential wells. Our results enable new applications in photonics and information technology, and may enable explorations of quantum phase transitions and macroscopic quantum tunnelling in mechanical systems.

  13. Choroidal detachment and ocular hypotony: CT evaluation

    SciTech Connect

    Mafee, M.F.; Peyman, G.A.

    1984-12-01

    The computed tomographic (CT) findings in 20 patients with hemorrhagic choroidal detachment, serous choroidal detachment and/or ocular hypotony are described. Hemorrhagic choroidal detachment appeared as an area of high attenuation that was usually localized, uniformly hyperdense, and not position-dependent. Serous choroidal detachment appeared as a convex, thick line of increased density within the vitreous cavity. Inflammatory choroidal detachment produces a diffuse intrauveal and suprachoroidal accumulation of high-density, position-dependent fluid, and uveoscleral thickening and enhancement, which in cross section resembles a ring. CT has proved valuable in localizing and differentiating serous or hemorrhagic choroidal detachment and uveoscleral infolding.

  14. Micromechanics of collective buckling in CNT turfs

    NASA Astrophysics Data System (ADS)

    Torabi, Hamid; Radhakrishnan, Harish; Mesarovic, Sinisa Dj.

    2014-12-01

    Complex structures consisting of intertwined, nominally vertical carbon nanotubes (CNTs) are called turfs. Under uniform compression experiments, CNT turfs exhibit irreversible collective buckling of a layer preceded by reorientation of CNT segments. Experimentally observed independence of the buckling stress and the buckling wavelength on the turf width suggests the existence of an intrinsic material length. To investigate the relationship the macroscopic material properties and the statistical parameters describing the nano-scale geometry of the turf (tortuosity, density and connectivity) we develop a nano-scale computational model, based on the representation of CNT segments as elastica finite elements with van der Waals interactions. The virtual turfs are generated by means of a constrained random walk algorithm and subsequent relaxation. The resulting computational model is robust and is capable of modeling the collective behavior of CNTs. We first establish the dependence of statistical parameters on the computational parameters used for turf generation, then establish relationships between post-buckling stress, initial elastic modulus and buckling wavelength on statistical turf parameters. Finally, we analyze the reorientation of buckling planes of individual CNTs during the collective buckling process.

  15. Nitinol stent design - understanding axial buckling.

    PubMed

    McGrath, D J; O'Brien, B; Bruzzi, M; McHugh, P E

    2014-12-01

    Nitinol׳s superelastic properties permit self-expanding stents to be crimped without plastic deformation, but its nonlinear properties can contribute towards stent buckling. This study investigates the axial buckling of a prototype tracheobronchial nitinol stent design during crimping, with the objective of eliminating buckling from the design. To capture the stent buckling mechanism a computational model of a radial force test is simulated, where small geometric defects are introduced to remove symmetry and allow buckling to occur. With the buckling mechanism ascertained, a sensitivity study is carried out to examine the effect that the transitional plateau region of the nitinol loading curve has on stent stability. Results of this analysis are then used to redesign the stent and remove buckling. It is found that the transitional plateau region can have a significant effect on the stability of a stent during crimping, and by reducing the amount of transitional material within the stent hinges during loading the stability of a nitinol stent can be increased.

  16. Stochastic behavior of nanoscale dielectric wall buckling

    PubMed Central

    Friedman, Lawrence H.; Levin, Igor; Cook, Robert F.

    2016-01-01

    The random buckling patterns of nanoscale dielectric walls are analyzed using a nonlinear multi-scale stochastic method that combines experimental measurements with simulations. The dielectric walls, approximately 200 nm tall and 20 nm wide, consist of compliant, low dielectric constant (low-k) fins capped with stiff, compressively stressed TiN lines that provide the driving force for buckling. The deflections of the buckled lines exhibit sinusoidal pseudoperiodicity with amplitude fluctuation and phase decorrelation arising from stochastic variations in wall geometry, properties, and stress state at length scales shorter than the characteristic deflection wavelength of about 1000 nm. The buckling patterns are analyzed and modeled at two length scales: a longer scale (up to 5000 nm) that treats randomness as a longer-scale measurable quantity, and a shorter-scale (down to 20 nm) that treats buckling as a deterministic phenomenon. Statistical simulation is used to join the two length scales. Through this approach, the buckling model is validated and material properties and stress states are inferred. In particular, the stress state of TiN lines in three different systems is determined, along with the elastic moduli of low-k fins and the amplitudes of the small-scale random fluctuations in wall properties—all in the as-processed state. The important case of stochastic effects giving rise to buckling in a deterministically sub-critical buckling state is demonstrated. The nonlinear multiscale stochastic analysis provides guidance for design of low-k structures with acceptable buckling behavior and serves as a template for how randomness that is common to nanoscale phenomena might be measured and analyzed in other contexts. PMID:27330220

  17. Stochastic behavior of nanoscale dielectric wall buckling.

    PubMed

    Friedman, Lawrence H; Levin, Igor; Cook, Robert F

    2016-03-01

    The random buckling patterns of nanoscale dielectric walls are analyzed using a nonlinear multi-scale stochastic method that combines experimental measurements with simulations. The dielectric walls, approximately 200 nm tall and 20 nm wide, consist of compliant, low dielectric constant (low-k) fins capped with stiff, compressively stressed TiN lines that provide the driving force for buckling. The deflections of the buckled lines exhibit sinusoidal pseudoperiodicity with amplitude fluctuation and phase decorrelation arising from stochastic variations in wall geometry, properties, and stress state at length scales shorter than the characteristic deflection wavelength of about 1000 nm. The buckling patterns are analyzed and modeled at two length scales: a longer scale (up to 5000 nm) that treats randomness as a longer-scale measurable quantity, and a shorter-scale (down to 20 nm) that treats buckling as a deterministic phenomenon. Statistical simulation is used to join the two length scales. Through this approach, the buckling model is validated and material properties and stress states are inferred. In particular, the stress state of TiN lines in three different systems is determined, along with the elastic moduli of low-k fins and the amplitudes of the small-scale random fluctuations in wall properties-all in the as-processed state. The important case of stochastic effects giving rise to buckling in a deterministically sub-critical buckling state is demonstrated. The nonlinear multiscale stochastic analysis provides guidance for design of low-k structures with acceptable buckling behavior and serves as a template for how randomness that is common to nanoscale phenomena might be measured and analyzed in other contexts.

  18. Vitreo-retinal interface: diagnosis and medical-surgical treatment

    NASA Astrophysics Data System (ADS)

    Fortunato, P.; La Torre, A.

    2003-12-01

    Despite insightful studies of various researchers, vitreous physiophathology is still only partially explored as a field of study for modern ophthalmology. There is much to be learned about the mechanisms that maintain the integrity of vitreo-retinal interface and, more deeply, about the biochemical relationship between retinal pigment epithelium and Bruchs membrane; an imbalance between the physical and biological homeostasis at these levels may determine the onset of vitreo-retinal interface disease. Despite the unclear relationship between internal limiting membrane (ILM) and hyaloid, and between pathogenesis and effect of vitreous detachment, surgical techniques are being developed that promise a resolution of most diseases associated with vitreous and retinal anomalies. Optical coherence tomography (OCT) is the main diagnostic technique supporting this advances. The authors, after briefly introducing vitreous physiology and pathology, will discuss the main indications to this type of surgery, which is guided by OCT.

  19. Localized buckling of a floating elastica.

    PubMed

    Audoly, B

    2011-07-01

    We study the buckling of a two-dimensional elastica floating on a bath of dense fluid, subjected to axial compression. The sinusoidal pattern predicted by the analysis of linear stability is shown to become localized above the buckling threshold. A nonlinear amplitude equation is derived for the envelope of the pattern. These results provide a simple interpretation to the wrinkle-to-fold transition reported by Pocivavsek et al. [Science 320, 912 (2008)]. An analogy with the classical problem of the localized buckling of a strut on a nonlinear elastic foundation is presented.

  20. Conservative spatial chaos of buckled elastic linkages.

    PubMed

    Kocsis, Attila; Károlyi, György

    2006-09-01

    Buckling of an elastic linkage under general loading is investigated. We show that buckling is related to an initial value problem, which is always a conservative, area-preserving mapping, even if the original static problem is nonconservative. In some special cases, we construct the global bifurcation diagrams, and argue that their complicated structure is a consequence of spatial chaos. We characterize spatial chaos by the associated initial value problem's topological entropy, which turns out to be related to the number of buckled configurations.

  1. Buckling and post-buckling of composite plates and shells subjected to elevated temperature

    SciTech Connect

    Birman, V.; Bert, C.W. Oklahoma Univ., Norman )

    1993-06-01

    Effects of temperature on buckling and post-buckling behavior of reinforced and unstiffened composite plates or cylindrical shells are considered. First, equilibrium equations are formulated for a shell subjected to the simultaneous action of a thermal field and an axial loading. These equations are used to predict a general form of the algebraic equations describing the post-buckling response of a shell. Conditions for the snap-through of a shell subjected to thermomechanical loading are formulated. As an example, the theory is applied to prediction of post-buckling response of flat large-aspect-ratio panels reinforced in the direction of their short edges. 19 refs.

  2. Detached Growth of Germanium by Directional Solidification

    NASA Technical Reports Server (NTRS)

    Palosz, W.; Volz, M. P.; Cobb, S.; Motakef, S.; Szofran, F. R.

    2004-01-01

    The conditions of detached solidification under controlled pressure differential across the meniscus were investigated. Uncoated and graphite- or BN-coated silica and pBN crucibles were used. Detached and partly detached growth was achieved in pBN and BN-coated crucibles, respectively. The results of the experiments are discussed based on the theory of Duffar et al.

  3. Use of quadratic components for buckling calculations

    SciTech Connect

    Dohrmann, C.R.; Segalman, D.J.

    1996-12-31

    A buckling calculation procedure based on the method of quadratic components is presented. Recently developed for simulating the motion of rotating flexible structures, the method of quadratic components is shown to be applicable to buckling problems with either conservative or nonconservative loads. For conservative loads, stability follows from the positive definiteness of the system`s stiffness matrix. For nonconservative loads, stability is determined by solving a nonsymmetric eigenvalue problem, which depends on both the stiffness and mass distribution of the system. Buckling calculations presented for a cantilevered beam are shown to compare favorably with classical results. Although the example problem is fairly simple and well-understood, the procedure can be used in conjunction with a general-purpose finite element code for buckling calculations of more complex systems.

  4. Buckling optimisation of sandwich cylindrical panels

    NASA Astrophysics Data System (ADS)

    Abouhamzeh, M.; Sadighi, M.

    2016-06-01

    In this paper, the buckling load optimisation is performed on sandwich cylindrical panels. A finite element program is developed in MATLAB to solve the governing differential equations of the global buckling of the structure. In order to find the optimal solution, the genetic algorithm Toolbox in MATLAB is implemented. Verifications are made for both the buckling finite element code and also the results from the genetic algorithm by comparisons to the results available in literature. Sandwich cylindrical panels are optimised for the buckling strength with isotropic or orthotropic cores with different boundary conditions. Results are presented in terms of stacking sequence of fibers in the face sheets and core to face sheet thickness ratio.

  5. Kinematic Fitting of Detached Vertices

    SciTech Connect

    Mattione, Paul

    2007-05-01

    The eg3 experiment at the Jefferson Lab CLAS detector aims to determine the existence of the $\\Xi_{5}$ pentaquarks and investigate the excited $\\Xi$ states. Specifically, the exotic $\\Xi_{5}^{--}$ pentaquark will be sought by first reconstructing the $\\Xi^{-}$ particle through its weak decays, $\\Xi^{-}\\to\\pi^{-}\\Lambda$ and $\\Lambda\\to\\pi^{-}$. A kinematic fitting routine was developed to reconstruct the detached vertices of these decays, where confidence level cuts on the fits are used to remove background events. Prior to fitting these decays, the exclusive reaction $\\gamma D\\rightarrow pp\\pi^{-}$ was studied in order to correct the track measurements and covariance matrices of the charged particles. The $\\Lambda\\rightarrow p\\pi^{-}$ and $\\Xi^{-}\\to\\pi^{-}\\Lambda$ decays were then investigated to demonstrate that the kinematic fitting routine reconstructs the decaying particles and their detached vertices correctly.

  6. Calculating Buckling And Vibrations Of Lattice Structures

    NASA Technical Reports Server (NTRS)

    Anderson, M. S.; Durling, B. J.; Herstrom, C. L.; Williams, F. W.; Banerjee, J. R.; Kennedy, D.; Warnaar, D. B.

    1989-01-01

    BUNVIS-RG computer program designed to calculate vibration frequencies or buckling loads of prestressed lattice structures used in outer space. For buckling and vibration problems, BUNVIS-RG calculates deadload axial forces caused in members by any combination of externally-applied static point forces and moments at nodes, axial preload or prestrain in members, and such acceleration loads as those due to gravity. BUNVIS-RG is FORTRAN 77 computer program implemented on CDC CYBER and VAX computer.

  7. Optimal design of structures with buckling constraints.

    NASA Technical Reports Server (NTRS)

    Kiusalaas, J.

    1973-01-01

    The paper presents an iterative, finite element method for minimum weight design of structures with respect to buckling constraints. The redesign equation is derived from the optimality criterion, as opposed to a numerical search procedure, and can handle problems that are characterized by the existence of two fundamental buckling modes at the optimal design. Application of the method is illustrated by beam and orthogonal frame design problems.

  8. The effect of wellbore curvature on tubular buckling and lockup

    SciTech Connect

    Wu, J.; Juvkam-Wold, H.C.

    1995-09-01

    This paper studies tubular buckling in curved wellbores (such as the build section of horizontal wells) and its effect on tubular ``lockup`` in horizontal or extended-reach wells. New buckling load equations are derived to properly predict tubular sinusoidal and helical buckling in such wellbores. The results show that the buckling loads to initiate sinusoidal and helical buckling to tubulars in curved wellbores are usually much larger than those in straight wellbores. This is because the curved wellbore tends to hold the axially compressed tubular against the outer-curve side of the wellbore. The tubular becomes less easy to buckle until higher axial compressive loads are applied. Less tubular lockup risk is then predicted for tubulars in horizontal or extended-reach wells by using the new buckling load equations. The new buckling loads in curved wellbores agree with those in straight wellbores when wellbore curvature approaches zero. Small-scale laboratory experiments also confirmed these theoretically derived buckling loads.

  9. Observation and Spectrum of Mesoscopic Buckling Modes

    NASA Astrophysics Data System (ADS)

    Carr, Stephen; Lawrence, Walter; Wybourne, Martin

    2004-03-01

    Classical Euler buckling of a rod or beam is a familiar phenomenon. For clamped-clamped boundary conditions the expected eigenfunction has a single antinode midway between the endpoints [1]. Recently we have observed stable higher-order buckling modes of suspended mesoscopic SiO2 beams [2], where the beam dimensions are approximately 200 nm x 500 nm in cross-section and 5 um to 60 um in length. Starting with a silicon wafer with 500 nm of thermal oxide, the suspended structures are fabricated by e-beam lithography and plasma etching. During the plasma etching of the underlying silicon, the structures buckle due to the residual strain from the thermal oxide growth. We have analyzed the observed elastic buckling spectrum in terms of clamped eigenfunctions with mode numbers n=1 through n=6 using image processing of the SEM micrographs. The observed spectrum exhibits several interesting features, including significant mode-mode interaction and the appearance of a geometrical constraint involving a sum over all modes. Ideal Euler buckling theory cannot account for the stability and interaction of the higher-order modes. We are investigating the applicability of a mulitmode Ginzburg-Landau description which includes ideal Euler buckling as a limiting case [3]. [1] S.M. Carr and M.N. Wybourne, Applied Physics Letters 82 709 (2003). [2] S.M. Carr, W.E. Lawrence, and M.N. Wybourne, submitted (2003). [3] W.E. Lawrence, APS March Meeting Bulletin (2004).

  10. Buckling transition in long α-helices

    SciTech Connect

    Palenčár, Peter; Bleha, Tomáš

    2014-11-07

    The treatment of bending and buckling of stiff biopolymer filaments by the popular worm-like chain model does not provide adequate understanding of these processes at the microscopic level. Thus, we have used the atomistic molecular-dynamic simulations and the Amber03 force field to examine the compression buckling of α-helix (AH) filaments at room temperature. It was found that the buckling instability occurs in AHs at the critical force f{sub c} in the range of tens of pN depending on the AH length. The decrease of the force f{sub c} with the contour length follows the prediction of the classic thin rod theory. At the force f{sub c} the helical filament undergoes the swift and irreversible transition from the smoothly bent structure to the buckled one. A sharp kink in the AH contour arises at the transition, accompanied by the disruption of the hydrogen bonds in its vicinity. The kink defect brings in an effective softening of the AH molecule at buckling. Nonbonded interactions between helical branches drive the rearrangement of a kinked AH into the ultimate buckled structure of a compact helical hairpin described earlier in the literature.

  11. Transcriptomic Analysis of Human Retinal Surgical Specimens Using jouRNAl

    PubMed Central

    Delyfer, Marie-Noëlle; Aït-Ali, Najate; Camara, Hawa; Clérin, Emmanuelle; Korobelnik, Jean-François; Sahel, José-Alain; Léveillard, Thierry

    2013-01-01

    Retinal detachment (RD) describes a separation of the neurosensory retina from the retinal pigmented epithelium (RPE). The RPE is essential for normal function of the light sensitive neurons, the photoreceptors. Detachment of the retina from the RPE creates a physical gap that is filled with extracellular fluid. RD initiates cellular and molecular adverse events that affect both the neurosensory retina and the RPE since the physiological exchange of ions and metabolites is severely perturbed. The consequence for vision is related to the duration of the detachment since a rapid reapposition of the two tissues results in the restoration of vision 1. The treatment of RD is exclusively surgical. Removal of vitreous gel (vitrectomy) is followed by the removal non essential part of the retina around the detached area to favor retinal detachment. The removed retinal specimens are res nullius (nothing) and consequently normally discarded. To recover RNA from these surgical specimens, we developed the procedure jouRNAl that allows RNA conservation during the transfer from the surgical block to the laboratory. We also standardized a protocol to purify RNA by cesium chloride ultracentrifugation to assure that the purified RNAs are suitable for global gene expression analysis. The quality of the RNA was validated both by RT-PCR and microarray analysis. Analysis of the data shows a simultaneous involvement of inflammation and photoreceptor degeneration during RD. PMID:23979175

  12. Screening retinal transplants with Fourier-domain OCT

    NASA Astrophysics Data System (ADS)

    Rao, Bin

    2009-02-01

    Transplant technologies have been studied for the recovery of vision loss from retinitis pigmentosa (RP) and age-related macular degeneration (AMD). In several rodent retinal degeneration models and in patients, retinal progenitor cells transplanted as layers to the subretinal space have been shown to restore or preserve vision. The methods for evaluation of transplants are expensive considering the large amount of animals. Alternatively, time-domain Stratus OCT was previously shown to be able to image the morphological structure of transplants to some extent, but could not clearly identify laminated transplants. The efficacy of screening retinal transplants with Fourier-domain OCT was studied on 37 S334ter line 3 rats with retinal degeneration 6-67 days after transplant surgery. The transplants were morphologically categorized as no transplant, detachment, rosettes, small laminated area and larger laminated area with both Fourier-domain OCT and histology. The efficacy of Fourier-domain OCT in screening retinal transplants was evaluated by comparing the categorization results with OCT and histology. Additionally, 4 rats were randomly selected for multiple OCT examinations (1, 5, 9, 14 and 21days post surgery) in order to determine the earliest image time of OCT examination since the transplanted tissue may need some time to show its tendency of growing. Finally, we demonstrated the efficacy of Fourier-domain OCT in screening retinal transplants in early stages and determined the earliest imaging time for OCT. Fourier-domain OCT makes itself valuable in saving resource spent on animals with unsuccessful transplants.

  13. Development of Animal Models of Local Retinal Degeneration

    PubMed Central

    Lorach, Henri; Kung, Jennifer; Beier, Corinne; Mandel, Yossi; Dalal, Roopa; Huie, Philip; Wang, Jenny; Lee, Seungjun; Sher, Alexander; Jones, Bryan William; Palanker, Daniel

    2015-01-01

    Purpose Development of nongenetic animal models of local retinal degeneration is essential for studies of retinal pathologies, such as chronic retinal detachment or age-related macular degeneration. We present two different methods to induce a highly localized retinal degeneration with precise onset time, that can be applied to a broad range of species in laboratory use. Methods A 30-μm thin polymer sheet was implanted subretinally in wild-type (WT) rats. The effects of chronic retinal separation from the RPE were studied using histology and immunohistochemistry. Another approach is applicable to species with avascular retina, such as rabbits, where the photoreceptors and RPE were thermally ablated over large areas, using a high power scanning laser. Results Photoreceptors above the subretinal implant in rats degenerated over time, with 80% of the outer nuclear layer disappearing within a month, and the rest by 3 months. Similar loss was obtained by selective photocoagulation with a scanning laser. Cells in the inner nuclear layer and ganglion cell layer were preserved in both cases. However, there were signs of rewiring and decrease in the size of the bipolar cell terminals in the damaged areas. Conclusions Both methods induce highly reproducible degeneration of photoreceptors over a defined area, with complete preservation of the inner retinal neurons during the 3-month follow-up. They provide a reliable platform for studies of local retinal degeneration and development of therapeutic strategies in a wide variety of species. PMID:26207299

  14. Review: Retinal degeneration: Focus on the unfolded protein response

    PubMed Central

    Gorbatyuk, Oleg

    2013-01-01

    Recently published literature has provided evidence that the unfolded protein response (UPR) is involved in the development of retinal degeneration. The scope of these studies encompassed diabetic retinopathy, retinopathy of prematurity, glaucoma, retinal detachment, light-induced retinal degeneration, age-related macular degeneration, and inherited retinal degeneration. Subsequent studies investigating the role of individual UPR markers in retinal pathogenesis and examining the therapeutic potential of reprogramming the UPR as a method for modulating the rate of retinal degeneration have been initiated. Manipulation of UPR markers has been made possible by the use of knockout mice, pharmacological agents, and viral vector-mediated augmentation of gene expression. Future research will aim at identifying specific inhibitors and/or inducers of UPR regulatory markers as well as expand the list of UPR-related animal models. Additionally, adeno-associated virus-mediated gene delivery is a safe and effective method for modulating gene expression, and thus is a useful research tool for manipulating individual UPR markers in affected retinas and a promising delivery vector for gene therapy in retinal degenerative disorders. PMID:24068865

  15. A Numerical Study on the Effect of Facesheet-Core Disbonds on the Buckling Load of Curved Honeycomb Sandwich Panels

    NASA Technical Reports Server (NTRS)

    Pineda, Evan J.; Myers, David E.; Bednarcyk, Brett A.; Krivanek, Thomas M.

    2015-01-01

    A numerical study on the effect of facesheet-core disbonds on the post-buckling response of curved honeycomb sandwich panels is presented herein. This work was conducted as part of the development of a damage tolerance approach for the next-generation Space Launch System heavy lift vehicle payload fairing. As such, the study utilized full-scale fairing barrel segments as the structure of interest. The panels were composed of carbon fiber reinforced polymer facesheets and aluminum honeycomb core. The panels were analyzed numerically using the finite element method. Facesheet and core nodes in a predetermined circular region were detached to simulate a disbond induced via low-speed impact between the outer mold line facesheet and honeycomb core. Surface-to-surface contact in the disbonded region was invoked to prevent interpenetration of the facesheet and core elements. The diameter of this disbonded region was varied and the effect of the size of the disbond on the post-buckling response was observed. A significant change in the slope of the edge load-deflection response was used to determine the onset of global buckling and corresponding buckling load.

  16. Hyperoxia-Induced Proliferative Retinopathy: Early Interruption of Retinal Vascular Development with Severe and Irreversible Neurovascular Disruption

    PubMed Central

    Lajko, Michelle; Cardona, Herminio J.; Taylor, Joann M.; Shah, Ronil S.; Farrow, Kathryn N.; Fawzi, Amani A.

    2016-01-01

    Bronchopulmonary dysplasia (BPD) is a major cause of neonatal morbidity in premature infants, occurring as a result of arrested lung development combined with multiple postnatal insults. Infants with BPD exposed to supplemental oxygen are at risk of retinopathy of prematurity as well. Thus, we studied the effects of hyperoxia on the retinal vasculature in a murine model of BPD. The retinal phenotype of this model, which we termed hyperoxia-induced proliferative retinopathy (HIPR), shows severe disruption of retinal vasculature and loss of vascular patterning, disorganized intra-retinal angiogenesis, inflammation and retinal detachment. Neonatal mice were subjected to 75% oxygen exposure from postnatal day (P)0 to P14 to model BPD, then allowed to recover in room air for 1 (P15), 7 (P21), or 14 days (P28). We quantified retinal thickness, protein levels of HIF-1α, NOX2, and VEGF, and examined the cellular locations of these proteins by immunohistochemistry. We examined the retinal blood vessel integrity and inflammatory markers, including macrophages (F4/80) and lymphocytes (CD45R). Compared to controls, normal retinal vascular development was severely disrupted and replaced by a disorganized sheet of intra-retinal angiogenesis in the HIPR mice. At all time-points, HIPR showed persistent hyaloidal vasculature and a significantly thinner central retina compared to controls. HIF-1α protein levels were increased at P15, while VEGF levels continued to increase until P21. Intra-retinal fibrinogen was observed at P21 followed by sub-retinal deposition in at P28. Inflammatory lymphocytes and macrophages were observed at P21 and P28, respectively. This model presents a severe phenotype of disrupted retinal vascular development, intra-retinal angiogenesis inflammation and retinal detachment. PMID:27861592

  17. Cemented mounds and hydrothermal sediments on the detachment surface at Kane Megamullion: A new manifestation of hydrothermal venting

    NASA Astrophysics Data System (ADS)

    Tucholke, Brian E.; Humphris, Susan E.; Dick, Henry J. B.

    2013-09-01

    Long-lived detachment faults are now known to be important in tectonic evolution of slow-spreading mid-ocean ridges, and there is increasing evidence that fluid flow plays a critical role in development of detachment systems. Here we document a new manifestation of low-temperature hydrothermal venting associated with the detachment fault that formed Kane Megamullion ˜3.3-2.1 m.y. ago in the western rift-valley wall of the Mid-Atlantic Ridge. Hydrothermal effects on the detachment surface include (1) cemented mounds of igneous rock and chalk debris containing hydrothermal Mn oxides and Fe oxyhydroxides, and (2) layered deposits of similar Fe-Mn minerals ± interbedded chalks. Mounds are roughly conical, ˜1-10 m high, and contain primarily basalts with lesser gabbro, serpentinite, and polymict breccia. The layered Fe-Mn-rich sediments are flat-bedded to contorted and locally are buckled into low-relief linear or polygonal ridges. We propose that the mounds formed where hydrothermal fluids discharged through the detachment hanging wall near the active fault trace. Hydrothermal precipitates cemented hanging-wall debris and welded it to the footwall, and this debris persisted as mounds as the footwall was exhumed and surrounding unconsolidated material sloughed off the sloping detachment surface. Some of the layered Fe-Mn-rich deposits may have precipitated from fluids discharging from the hanging-wall vents, but they also precipitated from low-temperature fluids venting from the exposed footwall through overlying chalks. Observed natural disturbance and abnormally thin hydrogenous Fe-Mn crusts on some contorted, hydrothermal Fe-Mn-rich chalks on ˜2.7 Ma crust suggest diffuse venting that is geologically recent. Results of this study imply that there are significant fluid pathways through all parts of detachment systems and that low-temperature venting through fractured detachment footwalls may continue for several million years off-axis.

  18. Influence of Cell Detachment on the Respiration Rate of Tumor and Endothelial Cells

    PubMed Central

    Danhier, Pierre; Copetti, Tamara; De Preter, Géraldine; Leveque, Philippe; Feron, Olivier; Jordan, Bénédicte F.; Sonveaux, Pierre; Gallez, Bernard

    2013-01-01

    Cell detachment is a procedure routinely performed in cell culture and a necessary step in many biochemical assays including the determination of oxygen consumption rates (OCR) in vitro. In vivo, cell detachment has been shown to exert profound metabolic influences notably in cancer but also in other pathologies, such as retinal detachment for example. In the present study, we developed and validated a new technique combining electron paramagnetic resonance (EPR) oximetry and the use of cytodex 1 and collagen-coated cytodex 3 dextran microbeads, which allowed the unprecedented comparison of the OCR of adherent and detached cells with high sensitivity. Hence, we demonstrated that both B16F10 melanoma cells and human umbilical vein endothelial cells (HUVEC) experience strong OCR decrease upon trypsin or collagenase treatments. The reduction of cell oxygen consumption was more pronounced with a trypsin compared to a collagenase treatment. Cells remaining in suspension also encounter a marked intracellular ATP depletion and an increase in the lactate production/glucose uptake ratio. These findings highlight the important influence exerted by cell adhesion/detachment on cell respiration, which can be probed with the unprecedented experimental assay that was developed and validated in this study. PMID:23382841

  19. Influence of cell detachment on the respiration rate of tumor and endothelial cells.

    PubMed

    Danhier, Pierre; Copetti, Tamara; De Preter, Géraldine; Leveque, Philippe; Feron, Olivier; Jordan, Bénédicte F; Sonveaux, Pierre; Gallez, Bernard

    2013-01-01

    Cell detachment is a procedure routinely performed in cell culture and a necessary step in many biochemical assays including the determination of oxygen consumption rates (OCR) in vitro. In vivo, cell detachment has been shown to exert profound metabolic influences notably in cancer but also in other pathologies, such as retinal detachment for example. In the present study, we developed and validated a new technique combining electron paramagnetic resonance (EPR) oximetry and the use of cytodex 1 and collagen-coated cytodex 3 dextran microbeads, which allowed the unprecedented comparison of the OCR of adherent and detached cells with high sensitivity. Hence, we demonstrated that both B16F10 melanoma cells and human umbilical vein endothelial cells (HUVEC) experience strong OCR decrease upon trypsin or collagenase treatments. The reduction of cell oxygen consumption was more pronounced with a trypsin compared to a collagenase treatment. Cells remaining in suspension also encounter a marked intracellular ATP depletion and an increase in the lactate production/glucose uptake ratio. These findings highlight the important influence exerted by cell adhesion/detachment on cell respiration, which can be probed with the unprecedented experimental assay that was developed and validated in this study.

  20. Mechanical buckling of veins under internal pressure.

    PubMed

    Martinez, Ricky; Fierro, Cesar A; Shireman, Paula K; Han, Hai-Chao

    2010-04-01

    Venous tortuosity is associated with multiple disease states and is often thought to be a consequence of venous hypertension and chronic venous disease. However, the underlying mechanisms of vein tortuosity are unclear. We hypothesized that increased pressure causes vein buckling that leads to a tortuous appearance. The specific aim of this study was to determine the critical buckling pressure of veins. We determined the buckling pressure of porcine jugular veins and measured the mechanical properties of these veins. Our results showed that the veins buckle when the transmural pressure exceeds a critical pressure that is strongly related to the axial stretch ratio in the veins. The critical pressures of the eight veins tested were 14.2 +/- 5.4 and 26.4 +/- 9.0 mmHg at axial stretch ratio 1.5 and 1.7, respectively. In conclusion, veins buckle into a tortuous shape at high lumen pressures or reduced axial stretch ratios. Our results are useful in understanding the development of venous tortuosity associated with varicose veins, venous valvular insufficiency, diabetic retinopathy, and vein grafts.

  1. A biomechanical model of artery buckling.

    PubMed

    Han, Hai-Chao

    2007-01-01

    The stability of arteries under blood pressure load is essential to the maintenance of normal arterial function and the loss of stability can lead to tortuosity and kinking that are associated with significant clinical complications. However, mechanical analysis of arterial bent buckling is lacking. To address this issue, this paper presents a biomechanical model of arterial buckling. Using an elastic cylindrical arterial model, the mechanical equations for arterial buckling were developed and the critical buckling pressure was found to be a function of the wall stiffness (Young's modulus), arterial radius, length, wall thickness, and the axial strain. Both the model equations and experimental results demonstrated that the critical pressure is related to the axial strain. Arteries may buckle and become tortuous due to reduced (subphysiological) axial strain, hypertensive pressure, and a weakened wall. These results are in accordance with, and provide a possible explanation to the clinical observations that hypertension and aging are the risk factors for arterial tortuosity and kinking. The current model is also applicable to veins and ureters.

  2. Cylindrical shell buckling through strain hardening

    SciTech Connect

    Bandyopadhyay, K.; Xu, J.; Shteyngart, S.; Gupta, D.

    1995-04-01

    Recently, the authors published results of plastic buckling analysis of cylindrical shells. Ideal elastic-plastic material behavior was used for the analysis. Subsequently, the buckling analysis program was continued with the realistic stress-strain relationship of a stainless steel alloy which does not exhibit a clear yield point. The plastic buckling analysis was carried out through the initial stages of strain hardening for various internal pressure values. The computer program BOSOR5 was used for this purpose. Results were compared with those obtained from the idealized elastic-plastic relationship using the offset stress level at 0.2% strain as the yield stress. For moderate hoop stress values, the realistic stress-grain case shows a slight reduction of the buckling strength. But, a substantial gain in the buckling strength is observed as the hoop stress approaches the yield strength. Most importantly, the shell retains a residual strength to carry a small amount of axial compressive load even when the hoop stress has exceeded the offset yield strength.

  3. A Biomechanical Model of Artery Buckling

    PubMed Central

    Han, Hai-Chao

    2010-01-01

    The stability of arteries under blood pressure load is essential to the maintenance of normal arterial function and the loss of stability can lead to tortuosity and kinking that are associated with significant clinical complications. However, mechanical analysis of arterial bent buckling is lacking. To address this issue, this paper presents a biomechanical model of arterial buckling. Using a linear elastic cylindrical arterial model, the mechanical equations for arterial buckling were developed and the critical buckling pressure was found to be a function of the wall stiffness (Young’s modulus), arterial radius, length, wall thickness, and the axial strain. Both the model equations and experimental results demonstrated that the critical pressure is related to the axial strain. Arteries may buckle and become tortuous due to reduced (sub-physiological) axial strain, hypertensive pressure, and a weakened wall. These results are in accordance with, and provide a possible explanation to the clinical observations that these changes are the risk factors for arterial tortuosity and kinking. The current model is also applicable to veins and ureters. PMID:17689541

  4. Buckling of particle-laden interfaces.

    PubMed

    Kassuga, Theo D; Rothstein, Jonathan P

    2015-06-15

    In this paper, we investigate the buckling of an oil-water interface populated by micron-sized latex particles using a Langmuir trough. In this work, we extend results of buckling of particle-laden interfaces from the millimeter down to the submicron range while investigating the effect of a different capillary length on the resulting wavelength. The experimental data is compared to the existing theoretical framework. An unexpected deviation from the prediction of theory of the dominant wavelength of buckling is observed for particles smaller than one micron. Those observations suggest that there is a transition to a new buckling regime involving the formation of trilayers below one micron. For the first time in particle rafts, cascading of the dominant wavelength similar to that observed in thin polymer films is reported. In addition a series of transitions between wavelengths not observed in thin films is observed within the same particle raft. Lastly, the effect of compression history on the macroscopic arrangement of particles is investigated, along with its effect on the buckling wavelength.

  5. Scaling laws for buckling instability in monolayer networks

    NASA Technical Reports Server (NTRS)

    Noever, David A.

    1992-01-01

    In this comment a power law is argued to govern the thickening of cell widths relative to their lengths in buckling monolayer networks. A scaling relation is derived for general instabilities in cellular networks, and a reply is given that questions the use of the amplitude of the buckling undulation in an already buckled wall in the Euler relation. Both treatments provided shed light on the stability/instability of wavelengths for buckling monolayer networks.

  6. The Buckling of Curved Tension-field Girders

    NASA Technical Reports Server (NTRS)

    Limpert, G

    1938-01-01

    The present paper reports on experiments made to determine the buckling load under shear of circular curved tension-field webs. The buckling load of the webs may be expressed with reference to the buckling load of the stiffeners. It is found that within the explored range the buckling load is approximately twice as great as that of the identically stiffened flat wall of equal web depth.

  7. Non-isothermal buckling behavior of viscoplastic shell structures

    NASA Technical Reports Server (NTRS)

    Riff, Richard; Simitses, G. J.

    1988-01-01

    Described are the mathematical model and solution methodologies for analyzing the structural response of thin, metallic elasto-viscoplastic shell structures under large thermomechanical loads and their non-isothermal buckling behavior. Among the system responses associated with these loads and conditions are snap-through, buckling, thermal buckling, and creep buckling. This geometric and material nonlinearities (of high order) can be anticipated and are considered in the model and the numerical treatment.

  8. Buckling of Bilayer Laminates - A Novel Approach to Synthetic Papillae

    DTIC Science & Technology

    2013-10-01

    Finite  deformation mechanics in  buckled   thin   films  on compliant... buckling of thin films floating on viscous liquids. unclassified unclassified unclassified unclassified (U) Sachin Velankar 412-624-9984 1    Buckling of...texture formation: the swelling and folding of crosslinked polymer  films   attached to surfaces, and  buckling  of  thin   films

  9. Orientation dependent size effects in thermal buckling and post-buckling of nanoplates with cubic anisotropy

    NASA Astrophysics Data System (ADS)

    Assadi, Abbas; Salehi, Manouchehr; Akhlaghi, Mehdi

    2015-11-01

    In this work, a continuum model is presented for size and orientation dependent thermal buckling and post-buckling of anisotropic nanoplates considering surface and bulk residual stresses. The model with von-Karman nonlinear strains and material cubic anisotropy of single crystals contains two parameters that reflect the orientation effects. Using Ritz method, closed form solutions are given for buckling temperature and post-buckling deflections. Regarding self-instability states of nanoplates and their recovering at higher temperatures, an experiment is discussed based on low pressurized membranes to verify the predictions. For simply supported nanoplates, the size effects are lowest when they are aligned in [100] direction. When the edges get clamped, the orientation dependence is ignorable and the behavior becomes symmetric about [510] axis. The surface residual stress makes drastic increase in buckling temperature of thinner nanoplates for which a minimum thickness is pointed to stay far from material softening at higher temperatures. Deflection of [100]-oriented buckled nanoplates is higher than [110] ones but this reverses at higher temperatures. The results for long nanoplates show that the buckling mode numbers are changed by orientation which is verified by FEM.

  10. 21 CFR 886.3300 - Absorbable implant (scleral buckling method).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Absorbable implant (scleral buckling method). 886.3300 Section 886.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... (scleral buckling method). (a) Identification. An absorbable implant (scleral buckling method) is a...

  11. 21 CFR 886.3300 - Absorbable implant (scleral buckling method).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Absorbable implant (scleral buckling method). 886.3300 Section 886.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... (scleral buckling method). (a) Identification. An absorbable implant (scleral buckling method) is a...

  12. Buckling of angle-ply laminated circular cylindrical shells

    NASA Technical Reports Server (NTRS)

    Hirano, Y.

    1979-01-01

    This note presents closed-form solutions for axisymmetrical and axially unsymmetrical buckling of angle-ply laminated circular cylindrical shells under axial compression. The axisymmetrical and axially unsymmetrical buckling stress are found to be different from each other, and the best lamination angles which give the highest buckling stress are obtained.

  13. The mechanical buckling of curved arteries.

    PubMed

    Han, Hai-Chao

    2009-06-01

    Though tortuosity and kinking are often observed in various arteries and arterioles, little is known about the underlying mechanisms. This paper presents a biomechanical analysis of bent buckling in long arterial segments with a small initial curvature using a thick-walled elastic cylindrical arterial model. The critical buckling pressure was established as a function of wall stiffness, wall dimensions, and the axial tension (or axial stretch ratio). The effects of both wall dimensions and axial stretch ratio on the critical pressure, as well as the thin-walled approximation were discussed. The buckling equation sheds light on the biomechanical mechanism of artery tortuosity and provides guidance for the development of new techniques to treat and prevent artery tortuosity and kinking.

  14. Buckling of axially compressed conical shells

    NASA Technical Reports Server (NTRS)

    Chang, C.-H.; Katz, L.

    1980-01-01

    The buckling of a truncated elastic conical shell subjected to an axial compression is a classical problem in shell structures. The paper reinvestigates the buckling of an axially compressed truncated conical shell with rigid bulkheads. Two improvements are achieved. First, the condition that the total horizontal displacement must vanish due to rigid bulkhead and axisymmetry is treated as a constraint. This constraint is incorporated into the system through the use of the Lagrange multiplier; then the variational method is used to derive a complete set of boundary conditions for conical shells. Second, the stability is evaluated in the deformed state using the asymptotic solutions of the pair of Donnell-type equations for axisymmetric configuration. The results indicate that the buckling strength of conical shells depends mainly on the condition of the smaller end. In addition to the vertex angle, the distance ratio plays, at least, an equally important role.

  15. Dealings between Cataract and Retinal Reattachment Surgery in PVR

    PubMed Central

    Deuchler, Svenja; Singh, Pankaj; Müller, Michael; Kohnen, Thomas; Ackermann, Hanns; Iwanczuk, Joerg; Benjilali, Rachid; Koch, Frank

    2016-01-01

    Introduction. To evaluate the impact of the eye lens status and oil side effects on the outcome of vitreoretinal surgery in retinal detachment with proliferative vitreoretinopathy (PVR) and a temporary silicone oil tamponade (SOT). Methods. 101 eyes were analyzed retrospectively and 103 eyes prospectively in regard to their retinal reattachment success rate and key factors for the outcome. Subgroup analysis of 27 eyes with Scheimpflug lens photography (SLP) before and after retinal reattachment service with SOT was performed. For SLP (65% phakic eyes) a Pentacam densitometry reference body with 3 mm diameter was chosen and 3 segments (anterior/mid/posterior) were evaluated separately after a quality check. Results. The retinal reattachment rate was highest in the prospective pseudophakic group (p = 0.039). Lens transparency loss occurred earlier in middle aged patients than in younger patients. Besides the nucleus, layers posterior and anterior to it showed specific transparency changes. The emulsification rate was higher when eyes had been operated on in the anterior chamber before retinal reattachment service. Conclusions. Retinal reattachment surgery seems to benefit from preoperative cataract removal. We found significant lens changes in the nucleus as well as in the layers anterior and posterior to it. This corresponds to the histology of the lens epithelium published before. PMID:27034821

  16. Buckling behavior of individual and bundled microtubules.

    PubMed

    Soheilypour, Mohammad; Peyro, Mohaddeseh; Peter, Stephen J; Mofrad, Mohammad R K

    2015-04-07

    As the major structural constituent of the cytoskeleton, microtubules (MTs) serve a variety of biological functions that range from facilitating organelle transport to maintaining the mechanical integrity of the cell. Neuronal MTs exhibit a distinct configuration, hexagonally packed bundles of MT filaments, interconnected by MT-associated protein (MAP) tau. Building on our previous work on mechanical response of axonal MT bundles under uniaxial tension, this study is focused on exploring the compression scenarios. Intracellular MTs carry a large fraction of the compressive loads sensed by the cell and therefore, like any other column-like structure, are prone to substantial bending and buckling. Various biological activities, e.g., actomyosin contractility and many pathological conditions are driven or followed by bending, looping, and buckling of MT filaments. The coarse-grained model previously developed in our lab has been used to study the mechanical behavior of individual and bundled in vivo MT filaments under uniaxial compression. Both configurations show tip-localized, decaying, and short-wavelength buckling. This behavior highlights the role of the surrounding cytoplasm and MAP tau on MT buckling behavior, which allows MT filaments to bear much larger compressive forces. It is observed that MAP tau interconnections improve this effect by a factor of two. The enhanced ability of MT bundles to damp buckling waves relative to individual MT filaments, may be interpreted as a self-defense mechanism because it helps axonal MTs to endure harsher environments while maintaining their function. The results indicate that MT filaments in a bundle do not buckle simultaneously implying that the applied stress is not equally shared among the MT filaments, that is a consequence of the nonuniform distribution of MAP tau proteins along the bundle length. Furthermore, from a pathological perspective, it is observed that axonal MT bundles are more vulnerable to failure in

  17. Buckling Behavior of Individual and Bundled Microtubules

    PubMed Central

    Soheilypour, Mohammad; Peyro, Mohaddeseh; Peter, Stephen J.; Mofrad, Mohammad R.K.

    2015-01-01

    As the major structural constituent of the cytoskeleton, microtubules (MTs) serve a variety of biological functions that range from facilitating organelle transport to maintaining the mechanical integrity of the cell. Neuronal MTs exhibit a distinct configuration, hexagonally packed bundles of MT filaments, interconnected by MT-associated protein (MAP) tau. Building on our previous work on mechanical response of axonal MT bundles under uniaxial tension, this study is focused on exploring the compression scenarios. Intracellular MTs carry a large fraction of the compressive loads sensed by the cell and therefore, like any other column-like structure, are prone to substantial bending and buckling. Various biological activities, e.g., actomyosin contractility and many pathological conditions are driven or followed by bending, looping, and buckling of MT filaments. The coarse-grained model previously developed in our lab has been used to study the mechanical behavior of individual and bundled in vivo MT filaments under uniaxial compression. Both configurations show tip-localized, decaying, and short-wavelength buckling. This behavior highlights the role of the surrounding cytoplasm and MAP tau on MT buckling behavior, which allows MT filaments to bear much larger compressive forces. It is observed that MAP tau interconnections improve this effect by a factor of two. The enhanced ability of MT bundles to damp buckling waves relative to individual MT filaments, may be interpreted as a self-defense mechanism because it helps axonal MTs to endure harsher environments while maintaining their function. The results indicate that MT filaments in a bundle do not buckle simultaneously implying that the applied stress is not equally shared among the MT filaments, that is a consequence of the nonuniform distribution of MAP tau proteins along the bundle length. Furthermore, from a pathological perspective, it is observed that axonal MT bundles are more vulnerable to failure in

  18. Buckling of carbon nanotubes at high temperatures.

    PubMed

    Zhang, Y Y; Wang, C M; Tan, V B C

    2009-05-27

    Presented herein is an investigation into the buckling behavior of single-walled carbon nanotubes (SWCNT) subjected to axial compression and torsion at high temperatures. This study is carried out by performing molecular dynamics (MD) simulations at both room temperature and extremely high temperatures. It is observed that the SWCNT becomes more susceptible to buckling in a higher temperature environment, especially when the SWCNT is subject to axial compression. The high thermal energy enhances the vibration of carbon atoms in the SWCNT significantly, which leads to bond breaking and the formation of sp(3) bonds as well as Stone-Wales (SW) defects in the postbuckling stage.

  19. Thermal buckling of laminated composite shells

    SciTech Connect

    Thangaratnam, R.K.; Palaninathan, R.; Ramachandran, J. )

    1990-05-01

    The linear buckling analysis of laminated composite cylindrical and conical shells under thermal load using the finite element method is reported here. Critical temperatures are presented for various cases of cross-ply and angly-ply laminated shells. The effects of radius/thickness ratio, number of layers, ratio of coefficients of thermal expansion, and the angle of fiber orientation have been studied. The results indicate that the buckling behavior of laminated shell under thermal load is different from that of mechanically loaded shell with respect to the angle of fiber orientation. 6 refs.

  20. Retinal remodeling in human retinitis pigmentosa.

    PubMed

    Jones, B W; Pfeiffer, R L; Ferrell, W D; Watt, C B; Marmor, M; Marc, R E

    2016-09-01

    Retinitis Pigmentosa (RP) in the human is a progressive, currently irreversible neural degenerative disease usually caused by gene defects that disrupt the function or architecture of the photoreceptors. While RP can initially be a disease of photoreceptors, there is increasing evidence that the inner retina becomes progressively disorganized as the outer retina degenerates. These alterations have been extensively described in animal models, but remodeling in humans has not been as well characterized. This study, using computational molecular phenotyping (CMP) seeks to advance our understanding of the retinal remodeling process in humans. We describe cone mediated preservation of overall topology, retinal reprogramming in the earliest stages of the disease in retinal bipolar cells, and alterations in both small molecule and protein signatures of neurons and glia. Furthermore, while Müller glia appear to be some of the last cells left in the degenerate retina, they are also one of the first cell classes in the neural retina to respond to stress which may reveal mechanisms related to remodeling and cell death in other retinal cell classes. Also fundamentally important is the finding that retinal network topologies are altered. Our results suggest interventions that presume substantial preservation of the neural retina will likely fail in late stages of the disease. Even early intervention offers no guarantee that the interventions will be immune to progressive remodeling. Fundamental work in the biology and mechanisms of disease progression are needed to support vision rescue strategies.

  1. [Atypical case of acute retinal necrosis secondary to the primary herpes simplex infection].

    PubMed

    Terelak-Borys, Barbara; Krzyźewska-Niedzialek, Aldona; Jamrozy-Witkowska, Agnieszka; Borkowski, Piotr K; Ulińska, Magdalena; Grabska-Liberek, Iwona

    2015-01-01

    Acute retinal necrosis is a rare manifestation of viral chorioretinitis, accompanied by occlusive vasculitis, which is associated with poor visual prognosis. The main causal factors include varicella-zoster virus in older patients and herpes simplex in younger ones. The disease typically manifests as a reactivation of latent infections. We present a case of a 57-year-old female with atypical clinical manifestation of acute retinal necrosis secondary to the primary viral infection with herpes simplex. The serology panel of vitreous tap and blood sample confirmed viral aetiology (H. simplex). The initial clinical signs included optic disc edema with retinitis presenting as self-limiting, slowly progressing, peripheral lesions, later followed by uveitis. The antiviral therapy resolved the symptoms of uveitis and enabled healing of retinal lesions, however the natural course of disease was later complicated with retinal detachment. It was successfully treated with vitreoretinal surgery. Despite aggressive treatment, the final visual outcome was unfavourable, due to optic nerve atrophy.

  2. Genetics Home Reference: retinitis pigmentosa

    MedlinePlus

    ... Me Understand Genetics Home Health Conditions retinitis pigmentosa retinitis pigmentosa Enable Javascript to view the expand/collapse boxes. Download PDF Open All Close All Description Retinitis pigmentosa is a group of related eye disorders that ...

  3. Dynamic stability of detached solidification

    NASA Astrophysics Data System (ADS)

    Mazuruk, K.; Volz, M. P.

    2016-06-01

    A dynamic stability analysis model is developed for meniscus-defined crystal growth processes. The Young-Laplace equation is used to analyze the response of a growing crystal to perturbations to its radius and a thermal transport model is used to analyze the effect of perturbations on the evolution of the crystal-melt interface. A linearized differential equation is used to analyze radius perturbations but a linear integro-differential equation is required for the height perturbations. The stability model is applied to detached solidification under zero-gravity and terrestrial conditions. A numerical analysis is supplemented with an approximate analytical analysis, valid in the limit of small Bond numbers. For terrestrial conditions, a singularity is found to exist in the capillary stability coefficients where, at a critical value of the pressure differential across the meniscus, there is a transition from stability to instability. For the zero-gravity condition, exact formulas for the capillary stability coefficients are derived.

  4. Mechanics of precisely controlled thin film buckling on Elastomeric substrate.

    SciTech Connect

    Sun, Y.; Jiang, H.; Rogers, J.; Huang, Y.; Arizone State Univ.; Beckman Inst.; University of Illinois Urbana-Champaign

    2007-01-01

    Stretchable electronics has many important and emerging applications. Sun et al. [Nature Nanotech. 1, 201 (2006)] recently demonstrated stretchable electronics based on precisely controlled buckle geometries in GaAs and Si nanoribbons on elastomeric substrates. A nonlinear buckling model is presented in this letter to study the mechanics of this type of thin film/substrate system. An analytical solution is obtained for the buckling geometry (wavelength and amplitude) and the maximum strain in buckled thin film. This solution agrees very well with the experiments, and shows explicitly how buckling can significantly reduce the thin film strain to achieve the system stretchability.

  5. Thermal-buckling analysis of an LMFBR overflow vessel

    SciTech Connect

    Severud, L.K.

    1983-01-01

    During a reactor scram, cold sodium flows into the hot overflow vessel. The effect on the vessel is a compressive thermal stress in a zone just above the sodium level. This condition must be sufficiently controlled to preclude thermal buckling. Also, under repeated scrams, the vessel should not suffer thermal stress low cycle fatigue. To evaluate the closeness to buckling and satisfaction of ASMA Code limits, a combination of simple approximations, detailed elastic shell buckling analyses, and correlations to results of thermal buckling tests were employed. This paper describes the analysis methods, special considerations, and evaluations accomplished for this FFTF vessel to assure satisfaction of ASME buckling design criteria, rules, and limits.

  6. Buckling Instability of Self-Assembled Colloidal Columns

    NASA Astrophysics Data System (ADS)

    Swan, James W.; Vasquez, Paula A.; Furst, Eric M.

    2014-09-01

    Suspended, slender self-assembled domains of magnetically responsive colloids are observed to buckle in microgravity. Upon cessation of the magnetic field that drives their assembly, these columns expand axially and buckle laterally. This phenomenon resembles the buckling of long beams due to thermal expansion; however, linear stability analysis predicts that the colloidal columns are inherently susceptible to buckling because they are freely suspended in a Newtonian fluid. The dominant buckling wavelength increases linearly with column thickness and is quantitatively described using an elastohydrodynamic model and the suspension thermodynamic equation of state.

  7. Buckling of circular cylindrical shells under dynamically applied axial loads

    NASA Technical Reports Server (NTRS)

    Tulk, J. D.

    1972-01-01

    A theoretical and experimental study was made of the buckling characteristics of perfect and imperfect circular cylindrical shells subjected to dynamic axial loading. Experimental data included dynamic buckling loads (124 data points), high speed photographs of buckling mode shapes and observations of the dynamic stability of shells subjected to rapidly applied sub-critical loads. A mathematical model was developed to describe the dynamic behavior of perfect and imperfect shells. This model was based on the Donnell-Von Karman compatibility and equilibrium equations and had a wall deflection function incorporating five separate modes of deflection. Close agreement between theory and experiment was found for both dynamic buckling strength and buckling mode shapes.

  8. Theory of buckling and post-buckling behavior of elastic structures

    NASA Technical Reports Server (NTRS)

    Budiansky, B.

    1974-01-01

    The present paper provides a unified, general presentation of the basic theory of the buckling and post-buckling behavior of elastic structures in a form suitable for application to a wide variety of special problems. The notation of functional analysis is used for this purpose. Before the general analysis, simple conceptual models are used to elucidate the basic concepts of bifurcation buckling, snap buckling, imperfection sensitivity, load-shortening relations, and stability. The energy approach, the virtual-work approach, and mode interaction are discussed. The derivations and results are applicable to continua and finite-dimensional systems. The virtual-work and energy approaches are given separate treatments, but their equivalence is made explicit. The basic concepts of stability occupy a secondary position in the present approach.

  9. Post-buckling analysis for the precisely controlled buckling of thin film encapsulated by elastomeric subsrates.

    SciTech Connect

    Jiang, H.; Sun, Y.; Rogers, J. A.; Huang, Y.; Arizona State Univ.; Univ. of Illinois; Northwestern Univ.

    2008-04-01

    The precisely controlled buckling of stiff thin films (e.g., Si or GaAs nano ribbons) on the patterned surface of elastomeric substrate (e.g., poly(dimethylsiloxane) (PDMS)) with periodic inactivated and activated regions was designed by Sun et al. [Sun, Y., Choi, W.M., Jiang, H., Huang, Y.Y., Rogers, J.A., 2006. Controlled buckling of semiconductor nanoribbons for stretchable electronics. Nature Nanotechnology 1, 201-207] for important applications of stretchable electronics. We have developed a post-buckling model based on the energy method for the precisely controlled buckling to study the system stretchability. The results agree with Sun et al.'s (2006) experiments without any parameter fitting, and the system can reach 120% stretchability.

  10. Experimental results from detached plasmas in TFTR

    SciTech Connect

    Strachan, J.D.; Boody, F.P.; Bush, C.E.; Cohen, S.A.; Grek, B.; Grisham, L.; Jobes, F.C.; Johnson, D.W.; Mansfield, D.K.; Medley, S.S.

    1986-10-01

    Detached plasmas are formed in TFTR which have the principal property of the boundary to the high temperature plasma core being defined by a radiating layer. This paper documents the properties of TFTR ohmic-detached plasmas with a range of plasma densities at two different plasma currents.

  11. Buckling instability of circular double-layered graphene sheets.

    PubMed

    Natsuki, Toshiaki; Shi, Jin-Xing; Ni, Qing-Qing

    2012-04-04

    In this paper, we study the buckling properties of circular double-layered graphene sheets (DLGSs), using plate theory. The two graphene layers are modeled as two individual sheets whose interactions are determined by the Lennard-Jones potential of the carbon-carbon bond. An analytical solution of coupled governing equations is proposed for predicting the buckling properties of circular DLGSs. Using the present theoretical approach, the influences of boundary conditions, plate sizes, and buckling-mode shapes on the buckling behaviors are investigated in detail. The buckling stability is significantly affected by the buckling-mode shapes. As a result of van der Waals interactions, the buckling stress of circular DLGSs is much larger for the anti-phase mode than for the in-phase mode.

  12. Buckling tests of light-metal tubes

    NASA Technical Reports Server (NTRS)

    Schroeder, August

    1929-01-01

    I will attempt to determine mathematically the buckling-strength curves of various centrally loaded light-metal tubes which exhibit conspicuous differences of behavior under compressive loads. For this purpose I will employ Von Karman's method, after adapting it to special conditions.

  13. Buckling analysis of spent fuel basket

    SciTech Connect

    Lee, A.S.; Bumpas, S.E.

    1995-05-01

    The basket for a spent fuel shipping cask is subjected to compressive stresses that may cause global instability of the basket assemblies or local buckling of the individual members. Adopting the common buckling design practice in which the stability capacity of the entire structure is based on the performance of the individual members of the assemblies, the typical spent fuel basket, which is composed of plates and tubular structural members, can be idealized as an assemblage of columns, beam-columns and plates. This report presents the flexural buckling formulas for five load cases that are common in the basket buckling analysis: column under axial loads, column under axial and bending loads, plate under uniaxial loads, plate under biaxial loadings, and plate under biaxial loads and lateral pressure. The acceptance criteria from the ASME Boiler and Pressure Vessel Code are used to determine the adequacy of the basket components. Special acceptance criteria are proposed to address the unique material characteristics of austenitic stainless steel, a material which is frequently used in the basket assemblies.

  14. Fractures Sets Associated to Buckle Folds

    NASA Astrophysics Data System (ADS)

    Liu, X.; Eckert, A.; Connolly, P. T.

    2014-12-01

    Buckle folds of single and multilayered sedimentary strata in the literature are commonly associated to a variety of different fracture sets, both shear and tensile. Amongst the most noticeable fractures are tensile fractures occurring in the outer hinges of the fold crest and shear fractures in the bottom of fold hinge zones. These fractures are well explained and understood by the extensional and compressional strain/stress pattern in the fold hinge. However, tensile fractures parallel to the fold axis, tensile fractures cutting through the limb, normal faults on the fold hinge, and shear fractures of different orientations in the fold limb cannot intuitively be linked to the stress regime occurring during the buckling process. This study utilizes a 2D and 3D finite element modeling approach using Maxwell visco-elastic rheology to study the stress conditions during single and multilayer buckling for each fracture set to occur. The numerical simulations include sensitivity analyses on material parameters such as permeability, viscosity and overburden thickness. For fracture sets not likely to occur during the buckling process pre- and post folding processes such as initial overpressure, extensional unfolding, and erosional unloading are studied.

  15. Constrained optimal design of columns against buckling.

    NASA Technical Reports Server (NTRS)

    Frauenthal, J. C.

    1972-01-01

    The buckling loads of straight, simply supported columns, loaded by axial thrust are maximized, subject to the restriction that the available volume of structural material is specified. In addition, a constraint is placed upon the maximum allowable prebuckling stress. Analytic solutions are presented for a variety of different cross-sectional geometries.

  16. Evolving techniques in the treatment of macular detachment caused by optic nerve pits.

    PubMed

    Cox, M S; Witherspoon, C D; Morris, R E; Flynn, H W

    1988-07-01

    Fourteen patients with macular detachments caused by optic nerve pits were treated for progressive visual loss, cystoid macular changes, or atrophy of the macular retinal pigment epithelium. Photocoagulation of the temporal disc border alone was unsuccessful in two cases but promptly reattached the macula of two patients immobilized after laser surgery. Vitrectomy and gas tamponade improved vision and flattened the macula of three patients over various periods. The detachment recurred in one patient. Prompt and sustained macular reattachment with improved vision was noted after photocoagulation, vitrectomy, and gas tamponade in eight patients, although four required second operations. The prompt reattachment and visual recovery noted in these eight patients surpasses the reported 25% rate of spontaneous resolution.

  17. Buckling and lockup of tubulars in inclined wellbores

    SciTech Connect

    Wu, J.; Juvkam-Wold, H.C.

    1994-12-31

    This paper describes sinusoidal and helical buckling of tubulars in inclined wellbores and the ``lockup`` of tubulars due to buckling. The results show that tubular buckling starts from the tubular bottom in low-inclination wellbores, where axial compressive load is largest due to tubular weight. In high inclination wellbores it may start from the top portion of the tubular, where axial compressive load is largest due to frictional drag. This clarifies the confusion about whether or not tubulars buckle all at once, in the entire inclined wellbore. New sinusoidal and helical buckling load equations are presented to give better tubular buckling prediction in inclined wellbores (0--90 degrees). They show that the lower the wellbore inclination angle, the smaller the axial compressive load to initiate tubular buckling. But a certain non-zero axial compressive load is still needed to buckle the tubulars in vertical wellbores. When tubulars buckle helically, a large wall contact force will be generated. The `slack-off` weight at the surface will not be fully transmitted to the bottom of the tubulars due to the large resultant frictional drag. The ``lockup`` of tubulars, where the bottom load (bit weight) cannot be increased by slacking-off weight at the surface, usually is approached when a large portion of the tubular buckles helically in the wellbore.

  18. Computer software improves CT drag and buckling prediction

    SciTech Connect

    Wu, J.

    1998-12-31

    Coiled tubing drag and buckling prediction is very important in coiled tubing operations including drilling, completion and workover. Bit weight, packer load, and well depth penetration can be limited by a severe drag and buckling problem in coiled tubing operations. Enormous drag can be resulted from the buckling of coiled tubing, causing a lockup of coiled tubing in the wellbore. Many factors can affect coiled tubing drag and buckling, including wellbore condition, coiled tubing size, bit weight/packer load, well depth, residual bend, and wellbore pressure. This paper presents a newly developed computer software to help predict coiled tubing drag and buckling. The software`s user-friendly interface makes it easy for field engineers to predict coiled tubing drag and buckling. Three coiled tubing operation categories and several buckling criteria are used in the software to improve coiled tubing drag and buckling prediction. The advanced graphical animation helps visualize the development of coiled tubing drag and buckling in the operation process. The prediction of coiled tubing drag and buckling is improved by using this software to obtain a success in coiled tubing operations.

  19. Stability of Detached Grown Germanium Single Crystals

    NASA Technical Reports Server (NTRS)

    Schweizer, M.; Volz, M. P.; Cobb, S. D.; Vujisic, L.; Szofran, F. R.; Rose, M. Franklin (Technical Monitor)

    2001-01-01

    Detachment of the melt meniscus from the crucible during semiconductor Bridgman growth experiments has been observed in recent years, especially under microgravity experiments. Under earth conditions, the hydrostatic pressure counteracts the mechanism, whereby it is more difficult to achieve detached Bridgman growth. Attempts to get stable detached growth under terrestrial conditions have been discussed in the literature and have been the subject of recent experiments in our own group. The advantage of crystals grown without wall contact is obvious: In general, they possess a higher crystal quality than conventional Bridgman grown crystals with wall contact. However, due to the interaction of different parameters such as the wetting behavior of the melt with the crucible, and the dependence of the growth angle with the shape of the melt meniscus, the mechanism leading to detachment is very complicated and not completely understood. We have grown several doped and undoped Germanium crystals with the detached Bridgman and the normal Bridgman growth technique. Pyrolytic boron nitride containers were used for all growth experiments. In the detached grown crystals the typical gap thickness between the pBN crucible and the crystal is in the range of 10 to 100 micrometers, which was determined by performing profilometer measurements. Etch pit density measurements were also performed and a comparison between detached and attached grown crystals will be given. An interesting feature was detected on the surface of a detached grown crystal. Strong surface striations with an average axial distance of 0.5 mm were observed around the whole circumference. The maximum fluctuation of the gap thickness is in the range of 5-10 micrometers. These variations of the detached gap along the crystal axis can be explained by a kind of stiction of the melt/crucible interface and thus by a variation of the meniscus shape. This phenomenon leading to the fluctuation of the gap thickness will be

  20. Stability of Detached Grown Germanium Single Crystals

    NASA Technical Reports Server (NTRS)

    Schweizer, M.; Volz, M. P.; Cobb, S. D.; Motakef, S.; Szofran, F. R.; Curreri, Peter A. (Technical Monitor)

    2002-01-01

    Detachment of the melt meniscus from the crucible during semiconductor Bridgman growth experiments has been observed in recent years especially, under microgravity experiments. Under earth conditions, the hydrostatic pressure counteracts the mechanism, whereby it is more difficult to achieve detached Bridgman growth. Attempts to get stable detached growth under terrestrial conditions have been discussed in the literature and have been the subject of recent experiments in our own group. The advantage of crystals grown without wall contact is obvious: In general, they possess a higher crystal quality than conventional Bridgman grown crystals with wall contact. However, due to the interaction of different parameters such as the wetting behavior of the melt with the crucible, and the dependence of the growth angle with the shape of the melt meniscus, the mechanism leading to detachment is very complicated and not completely understood. We have grown several doped and undoped Germanium crystals with the detached Bridgman and the normal Bridgman growth technique. Pyrolytic boron nitride containers were used for all growth experiments. In the detached grown crystals the typical gap thickness between the pBN crucible and the crystal is in the range of 10 to 100 microns, which was determined by performing profilometer measurements. Etch pit density measurements were also performed and a comparison between detached and attached grown crystals will be given. An interesting feature was detected on the surface of a detached grown crystal. Strong surface striations with an average axial distance of 0.5mm were observed around the whole circumference. The maximum fluctuation of the gap thickness is in the range of 5-10 microns. These variations of the detached gap along the crystal axis can be explained by a kind of stiction of the melt/crucible interface and thus by a variation of the meniscus shape. This phenomenon leading to the fluctuation of the gap thickness will be

  1. Particle Simulations of Plasma Detachment in VASIMR

    NASA Technical Reports Server (NTRS)

    Ilin, A. V.; ChangDiaz, F. R.; Squire, J. P.; Breizman, B. N.; Carter, M. D.; Novakovski, S. V.

    1999-01-01

    The particle simulations in a Variable Specific Impulse Magnetoplasma Rocket (VASIMR) currently include self-consistent calculation of. 1) stationary magnetic field in plasma, 2) ion density and velocity, 3) ion-cyclotron radio-frequency heating, 4) ambipolar electric field. The assumptions of quasineutral and collissionless plasma are based on the range of operating VASIMR parameters. The main motivation for the particle simulation in VASIMR is plasma detachment from the magnetic field in the exhaust area. The plasma detachment is caused mainly by the Larmor radius increase. The plasma beta effect on detachment is observed and investigated as well. The results of particle simulations are compared with those from MHD simulations.

  2. [Development of all-silicone detachable balloons].

    PubMed

    Machida, T; Aoki, S; Sasaki, Y; Sasaki, Y; Iio, M; Matsuno, A; Yoshida, S; Basugi, N

    1990-11-25

    Treatment of cerebral vascular lesions such as carotid cavernous sinus fistulas and giant aneurysms is now being performed with intravascular detachable balloon embolization techniques. We have developed several types of all-silicone detachable balloons. Our balloons have self-sealing valves (with or without collars) and detach with simple traction. The self-sealing valve is smaller than 0.6 mm and the balloon can easily be placed through a 7-F catheter. We started clinical trials and a representative case was reported.

  3. Automated segmentation of serous pigment epithelium detachment in SD-OCT images

    NASA Astrophysics Data System (ADS)

    Sun, Zhuli; Shi, Fei; Xiang, Dehui; Chen, Haoyu; Chen, Xinjian

    2015-03-01

    Pigment epithelium detachment (PED) is an important clinical manifestation of multiple chorio-retinal disease processes, which can cause the loss of central vision. A 3-D method is proposed to automatically segment serous PED in SD-OCT images. The proposed method consists of five steps: first, a curvature anisotropic diffusion filter is applied to remove speckle noise. Second, the graph search method is applied for abnormal retinal layer segmentation associated with retinal pigment epithelium (RPE) deformation. During this process, Bruch's membrane, which doesn't show in the SD-OCT images, is estimated with the convex hull algorithm. Third, the foreground and background seeds are automatically obtained from retinal layer segmentation result. Fourth, the serous PED is segmented based on the graph cut method. Finally, a post-processing step is applied to remove false positive regions based on mathematical morphology. The proposed method was tested on 20 SD-OCT volumes from 20 patients diagnosed with serous PED. The average true positive volume fraction (TPVF), false positive volume fraction (FPVF), dice similarity coefficient (DSC) and positive predictive value (PPV) are 97.19%, 0.03%, 96.34% and 95.59%, respectively. Linear regression analysis shows a strong correlation (r = 0.975) comparing the segmented PED volumes with the ground truth labeled by an ophthalmology expert. The proposed method can provide clinicians with accurate quantitative information, including shape, size and position of the PED regions, which can assist diagnose and treatment.

  4. P2Y2 Receptor Agonist INS37217 Enhances Functional Recovery after Detachment Caused by Subretinal Injection in Normal and rds Mice

    PubMed Central

    Nour, May; Quiambao, Alexander B.; Peterson, Ward M.; Al-Ubaidi, Muayyad R.; Naash, Muna I.

    2010-01-01

    Purpose To evaluate the effects of INS37217 on the recovery of retinal function after experimental retinal detachment induced by subretinal injection. Methods Subretinal injections of 1 μL of fluorescent microbeads, saline, or INS37217 (1–200 μM) were made by the transvitreal method in normal (C57BL/6) mice and in mice heterozygous for the retinal degeneration slow (rds) gene. Control, mock-injected animals underwent corneal puncture without injection. Histologic and ERG evaluations were made at 0 to 1 and 8 hours, and 1, 3, 7, 10, 14, and 60 days post injection (PI). DNA fragmentation was evaluated by terminal deoxynucleotidyl transferase–mediated uridine 5′-triphosphate-biotin nick end labeling (TUNEL). Results A single subretinal injection of saline solution containing fluorescent beads caused a histologically evident retinal detachment and distributed the microbeads to almost all the subretinal space. Spontaneous reattachment occurred within 24 hours after injection and was accompanied by evident retinal folding that appeared largely resolved by 6 days later. Relative to controls, injection of saline resulted in approximately 40% recovery of dark-adapted a-wave amplitude at 24 hours PI and gradually improved to approximately 90% of controls at 2 months PI. Subretinal injection of saline containing INS37217 (10 μM) significantly increased rod and cone ERG of normal and rds+/− mice at 1 and 10 days PI, when compared with injection of saline alone. Additionally, INS37217 reduced the number of TUNEL-positive photoreceptors and the enhanced rate of reattachment. Conclusions Enhancement of ERG recovery by INS37217 is likely due to reduced retinal folding and cell death associated with detachment. These results support the use of INS37217 to help restore function after therapies that involve subretinal administration of drugs in animal models of retinal diseases. PMID:14507899

  5. Experimental Tests of a Real Building Seismically Retrofitted by Special Buckling-Restrained Braces

    SciTech Connect

    D'Aniello, Mario; Della Corte, Gaetano; Mazzolani, Federico M.

    2008-07-08

    Buckling Restrained Braces (BRBs), differently from conventional braces, do not exhibit appreciable difference between the tensile and compression capacity and no strength degradation of brace capacity under compressive and cyclic loading. Since lateral and local buckling behaviour modes are restrained, large inelastic capacities are attainable. Hence, BRBs may represent an efficient and reliable solution for reducing the seismic vulnerability of buildings. Results of experimental tests on the response of a real two-story reinforced concrete (RC) building equipped with BRBs are presented and discussed. The considered BRBs are a special 'only-steel' version of the more common 'unbonded braces'. In particular, two different BRBs have been tested. Both of them are detachable 'only-steel' devices, consisting in a rectangular steel plate and a restraining steel sleeve. The latter is composed by two omega shapes which are bolted together. The main characteristic of the braces consists in the possibility to hide them within the space between the facing and the backing of masonry infill walls commonly used for RC buildings.

  6. Residual stress mapping by micro X-ray diffraction: Application to the study of thin film buckling

    SciTech Connect

    Goudeau, P.; Villain, P.; Tamura, N.; Celestre, R.S.; Padmore, H.A.

    2002-11-06

    Thin films deposited by Physical Vapour Deposition techniques on substrates generally exhibit large residual stresses which may be responsible of spontaneous detachment of the film from its substrate and in the case of compressive stresses, thin film buckling. Although these effects are undesirable for future applications, one may take benefit of it for thin film mechanical properties investigation. Since the 80's, a lot of theoretical works have been done to develop mechanical models with the aim to get a better understanding of driven mechanisms giving rise to this phenomenon and thus to propose solutions to avoid such problems. Nevertheless, only a few experimental works have been done on this subject to support these theoretical results and nothing concerning local stress/strain measurement mainly because of the small dimension of the buckling (few tenth mm). This paper deals with the application of micro beam x-ray diffraction available on synchrotron radiation sources for stress/ strain mapping analysis of gold thin film buckling.

  7. Nonlinear buckling of blood vessels: a theoretical study.

    PubMed

    Han, Hai-Chao

    2008-08-28

    Tortuosity and kinking often occur in arteries and veins but the underlying mechanisms are poorly understood. It has been suggested recently that long arteries may buckle and become tortuosity due to reduced axial tension or hypertensive pressure, but very few studies have been done to establish the biomechanical basis for artery buckling. Here we developed the arterial buckling equation using a nonlinear elastic thick-walled cylindrical model with residual stress. Our results demonstrated that arteries may buckle due to high blood pressure or low axial tension and that residual stress in the arteries increases the buckling pressure. These results are in general agreement with the previous linear elastic model. The buckling equation provides a useful tool for studying artery tortuosity and kinking.

  8. Scaling Instability in Buckling of Axially Compressed Cylindrical Shells

    NASA Astrophysics Data System (ADS)

    Grabovsky, Yury; Harutyunyan, Davit

    2016-02-01

    In this paper, we continue the development of mathematically rigorous theory of "near-flip" buckling of slender bodies of arbitrary geometry, based on hyperelasticity. In order to showcase the capabilities of this theory, we apply it to buckling of axially compressed circular cylindrical shells. The theory confirms the classical formula for the buckling load, whereby the perfect structure buckles at the stress that scales as the first power of shell's thickness. However, in the case of imperfections of load, the theory predicts scaling instability of the buckling stress. Depending on the type of load imperfections, buckling may occur at stresses that scale as thickness to the power 1.5 or 1.25, corresponding to the lower and upper ends, respectively, of the historically accumulated experimental data.

  9. Buckled graphene for efficient energy harvest, storage and conversion.

    PubMed

    Jiang, Jin-Wu

    2016-10-07

    Buckling is one of the most common phenomena in atom-thick layered structures like graphene. While the buckling phenomenon usually causes disaster for most nanodevices, we illustrate one positive application of buckled graphene for energy harvest, storage and conversion. More specifically, we perform molecular dynamical simulations to show that buckled graphene can be used to collect wasted mechanical energy and store the energy in the form of internal knotting potential. Through strain engineering, the knotting potential can be converted into useful kinetic (thermal) energy that is highly concentrated at the free edges of buckled graphene. The present study demonstrates potential applications of buckled graphene for converting dispersed wasted mechanical energy into concentrated useful kinetic (thermal) energy.

  10. Buckled graphene for efficient energy harvest, storage and conversion

    NASA Astrophysics Data System (ADS)

    Jiang, Jin-Wu

    2016-10-01

    Buckling is one of the most common phenomena in atom-thick layered structures like graphene. While the buckling phenomenon usually causes disaster for most nanodevices, we illustrate one positive application of buckled graphene for energy harvest, storage and conversion. More specifically, we perform molecular dynamical simulations to show that buckled graphene can be used to collect wasted mechanical energy and store the energy in the form of internal knotting potential. Through strain engineering, the knotting potential can be converted into useful kinetic (thermal) energy that is highly concentrated at the free edges of buckled graphene. The present study demonstrates potential applications of buckled graphene for converting dispersed wasted mechanical energy into concentrated useful kinetic (thermal) energy.

  11. On the buckling of elastic rings by external confinement.

    PubMed

    Hazel, Andrew L; Mullin, Tom

    2017-05-13

    We report the results of an experimental and numerical investigation into the buckling of thin elastic rings confined within containers of circular or regular polygonal cross section. The rings float on the surface of water held in the container and controlled removal of the fluid increases the confinement of the ring. The increased compressive forces can cause the ring to buckle into a variety of shapes. For the circular container, finite perturbations are required to induce buckling, whereas in polygonal containers the buckling occurs through a linear instability that is closely related to the canonical Euler column buckling. A model based on Kirchhoff-Love beam theory is developed and solved numerically, showing good agreement with the experiments and revealing that in polygons increasing the number of sides means that buckling occurs at reduced levels of confinement.This article is part of the themed issue 'Patterning through instabilities in complex media: theory and applications.'

  12. Dynamic buckling behavior of thin metal film lines from substrate

    NASA Astrophysics Data System (ADS)

    Wu, Dan; Xie, Huimin; Wang, Heling; Zhang, Jie; Li, Chuanwei

    2014-10-01

    The dynamic buckling behavior of thin films from substrate is studied in this work. The experimental results show that the buckling morphology of the constantan film lines from the polymer substrate is inconsistent and non-sinusoidal, which is different from the sinusoidal form of the buckling morphology under static loads. The plastic deformation of the film lines results in the non-sinusoidal buckling morphology and residual deformation when unloaded. Finite element modeling results with regard to the plastic dissipation of the constantan film lines reveal that the plastic dissipation suppresses the buckling-driven delaminating under impact loads. This study will give some new perspectives on the buckling behavior of thin film from substrate.

  13. Buckling of continuously supported hinged beams

    NASA Technical Reports Server (NTRS)

    Murthy, G. K. N.

    1975-01-01

    The effect on the buckling load of a hinge at the center of an infinite beam supported by a semiinfinite elastic continuum is analyzed using the complex Fourier transforms. An expression is obtained for the relationship between the surface deflection of the elastic continuum and the pressure distribution acting on the surface, and solutions are obtained for the assumed form of the pressure distribution below the beam. The analysis is applied to cases of uniform pressure over the width of the beam and a pressure distribution that occurs below a rigid stamp. The results show that the buckling loads for an infinite beam with a hinge at the center and supported by a semiinfinite elastic continuum are approximately one half of those for a beam without a hinge, and that this ratio is exactly one half for an infinite beam resting on a Winkler foundation.

  14. Detached plasma in Saturn's front side magnetosphere

    NASA Technical Reports Server (NTRS)

    Goertz, C. K.

    1983-01-01

    Plasma observations in the outer front side Saturnian magnetosphere are discussed which indicate the existence of dense flux tubes outside the plasma sheets. It is suggested that flux tubes are detached from the plasma sheet by a centifugally driven flute instability. The same instability leads to a dispersal of Titan-injected plasma. It is shown that the detached flux tubes will probably break open as they convect into the nightside magnetotail and lose their content in the form of a planetary wind.

  15. Retinal vascular regeneration.

    PubMed

    Otani, Atsushi; Friedlander, Martin

    2005-01-01

    We discuss the potential use of stem cells for therapeutic angiogenesis in the treatment of retinal diseases. We demonstrate that the clinical utility of these EPC may be not limited in the treatment of ischemic retinal diseases but may also have application for the treatment of retinal degenerative disorders and for a form of cell-based gene therapy. One of the greatest potential benefits of bone marrow derived EPC therapy is the possible use of autologous grafts. Nonetheless, potential toxicities and unregulated cell growth will need to be carefully evaluated before this approach is brought to the clinics.

  16. Buckling tests on eccentrically loaded beam columns

    NASA Technical Reports Server (NTRS)

    Cassens, J

    1941-01-01

    Formulas are obtained for computing the buckling load of rods eccentrically loaded at each end, the computation being extended in particular to the inelastic range. The test results are graphically presented on three sets of curves. Two of these, at least for the elastic range, are independent of the material tested. The third set, which is independent of the material, possesses greater clearness and is therefore used for comparing the test results with the theoretical.

  17. Torsion and buckling of open sections

    NASA Technical Reports Server (NTRS)

    Wagner, Herbert

    1936-01-01

    In this paper is a discussion of the general principles for open sections of any shape. In what follows the torsion will be computed and on the basis of the results it will be possible to obtain a proper design of section in each case. The torsion of buckling members for the case where they are centrally loaded, leads to a problem in pure stability and is similar to that of stressed beams.

  18. Biomechanical analysis of motor vehicle seat belt buckles.

    PubMed

    Sances, Anthony; Kumaresan, Srirangam; Clarke, Richard; Renfroe, David; Herbst, Brian; Pozzi, Mark

    2003-01-01

    Various studies have reported that inertially sensitive buckles are susceptible to impact unlatching. The present work synthesizes the results from various experimental studies conducted over the years to study the mechanical behavior of buckles and subsequent injuries to occupants. First, the side press button seat buckle due to impact a lateral impact from an adjacent child restraint seat component indicated that the side button RCF-67 buckle released at a speed of 2.2 m/sec with a force range of 264 to 440 N and acceleration range of 100 to 175 G. In contrast, the top button Autoliv Lockarm buckles did not release up to 1300 vertical G's. Second, side release RCF-67 buckles when loaded with the webbing required approximately three times more force to open than top press buckles. Inverted occupants in a three-point belt could not release the RCF-67 buckle. Third, a side sled impact on the drivers side of a production vehicle buck with a three-point belt and a RCF-67 buckle was done at 7 m/s to 8 m/s. A convertible child seat with a dummy in the passenger seat moved inboard toward the buckle and unlatched it. Fourth, an intact vehicle drop study at 0.3 m showed that the accelerations on a JDC buckle on a metal stalk are large compared to acceleration of the floor pan. The present study provides comprehensive data to evaluate the mechanical behavior of seat buckles under various motor vehicle crash conditions.

  19. A Hierarchical Approach to Buckling Load Calculations

    NASA Technical Reports Server (NTRS)

    Arbocz, Johann; Starnes, James H.; Nemeth, Michael P.

    1999-01-01

    The advantages of using a hierarchical analysis approach to calculate the buckling load of an axially compressed composite cylindrical shell is demonstrated using an example taken from a recent experimental program. The Delft Interactive Shell DEsign COde (DISDECO) shell design code is used for this hierarchical analysis approach to provide an accurate prediction of the critical buckling load of the actual shell structure. DISDECO includes the influence of the boundary conditions, initial geometric imperfections, the effects of stiffener and load eccentricities, and the effects of prebuckling deformations caused by edge constraints in the analysis. It is shown that the use of DISDECO makes it relatively simple to proceed step by step from simple to more complex models and solution procedures. As a final step in the hierarchical analysis approach, the critical buckling load and the estimated imperfection sensitivity of the shell are verified by conducting an analysis of a large finite element model with one of the current generation two-dimensional shell analysis codes with advanced capabilities needed to represent both geometric and material nonlinearities.

  20. Nanoscale buckling deformation in layered copolymer materials

    PubMed Central

    Makke, Ali; Perez, Michel; Lame, Olivier; Barrat, Jean-Louis

    2012-01-01

    In layered materials, a common mode of deformation involves buckling of the layers under tensile deformation in the direction perpendicular to the layers. The instability mechanism, which operates in elastic materials from geological to nanometer scales, involves the elastic contrast between different layers. In a regular stacking of “hard” and “soft” layers, the tensile stress is first accommodated by a large deformation of the soft layers. The inhibited Poisson contraction results in a compressive stress in the direction transverse to the tensile deformation axis. The hard layers sustain this transverse compression until buckling takes place and results in an undulated structure. Using molecular simulations, we demonstrate this scenario for a material made of triblock copolymers. The buckling deformation is observed to take place at the nanoscale, at a wavelength that depends on strain rate. In contrast to what is commonly assumed, the wavelength of the undulation is not determined by defects in the microstructure. Rather, it results from kinetic effects, with a competition between the rate of strain and the growth rate of the instability. PMID:22203970

  1. Dynamic buckling of actin within filopodia

    PubMed Central

    Leijnse, Natascha; Oddershede, Lene B; Bendix, Poul M

    2015-01-01

    Abstract Filopodia are active tubular structures protruding from the cell surface which allow the cell to sense and interact with the surrounding environment through repetitive elongation-retraction cycles. The mechanical behavior of filopodia has been studied by measuring the traction forces exerted on external substrates.1 These studies have revealed that internal actin flow can transduce a force across the cell surface through transmembrane linkers like integrins. In addition to the elongation-retraction behavior filopodia also exhibit a buckling and rotational behavior. Filopodial buckling in conjunction with rotation enables the cell to explore a much larger 3-dimensional space and allows for more complex, and possibly stronger, interactions with the external environment.2 Here we focus on how bending of the filopodial actin dynamically correlates with pulling on an optically trapped microsphere which acts like an external substrate attached to the filopodial tip. There is a clear correlation between presence of actin near the tip and exertion of a traction force, thus demonstrating that the traction force is transduced along the actin shaft inside the filopodium. By extending a filopodium and holding it while measuring the cellular response, we also monitor and analyze the waiting times for the first buckle observed in the fluorescently labeled actin shaft. PMID:26479403

  2. An analysis of helical buckling of tubulars subjected to axial and torsional loading in inclined wellbores

    SciTech Connect

    Miska, S.; Cunha, J.C.

    1995-12-31

    This paper describes new theoretical results for prediction of buckling behavior of tubulars in inclined wellbores. Using conservation of energy and the principle of virtual work improved equations for buckling and post-buckling conditions are derived. The effect of torque on the buckling process is considered. Practical examples are provided showing the influence of torque on the critical buckling force. The equations for critical buckling force reduce to those previously derived when torque is set to zero and weightless strings are considered.

  3. Retinal Changes Induced by Epiretinal Tangential Forces

    PubMed Central

    Romano, Mario R.; Comune, Chiara; Ferrara, Mariantonia; Cennamo, Gilda; De Cillà, Stefano; Toto, Lisa; Cennamo, Giovanni

    2015-01-01

    Two kinds of forces are active in vitreoretinal traction diseases: tangential and anterior-posterior forces. However, tangential forces are less characterized and classified in literature compared to the anterior-posterior ones. Tangential epiretinal forces are mainly due to anomalous posterior vitreous detachment (PVD), vitreoschisis, vitreopapillary adhesion (VPA), and epiretinal membranes (ERMs). Anomalous PVD plays a key role in the formation of the tangential vectorial forces on the retinal surface as consequence of gel liquefaction (synchysis) without sufficient and fast vitreous dehiscence at the vitreoretinal interface. The anomalous and persistent adherence of the posterior hyaloid to the retina can lead to vitreomacular/vitreopapillary adhesion or to a formation of avascular fibrocellular tissue (ERM) resulting from the proliferation and transdifferentiation of hyalocytes resident in the cortical vitreous remnants after vitreoschisis. The right interpretation of the forces involved in the epiretinal tangential tractions helps in a better definition of diagnosis, progression, prognosis, and surgical outcomes of vitreomacular interfaces. PMID:26421183

  4. Buckling analysis of planar compression micro-springs

    SciTech Connect

    Zhang, Jing; Sui, Li; Shi, Gengchen

    2015-04-15

    Large compression deformation causes micro-springs buckling and loss of load capacity. We analyzed the impact of structural parameters and boundary conditions for planar micro-springs, and obtained the change rules for the two factors that affect buckling. A formula for critical buckling deformation of micro-springs under compressive load was derived based on elastic thin plate theory. Results from this formula were compared with finite element analysis results but these did not always correlate. Therefore, finite element analysis is necessary for micro-spring buckling analysis. We studied the variation of micro-spring critical buckling deformation caused by four structural parameters using ANSYS software under two constraint conditions. The simulation results show that when an x-direction constraint is added, the critical buckling deformation increases by 32.3-297.9%. The critical buckling deformation decreases with increase in micro-spring arc radius or section width and increases with increase in micro-spring thickness or straight beam width. We conducted experiments to confirm the simulation results, and the experimental and simulation trends were found to agree. Buckling analysis of the micro-spring establishes a theoretical foundation for optimizing micro-spring structural parameters and constraint conditions to maximize the critical buckling load.

  5. The effect of wellbore curvature on tubular buckling and lockup

    SciTech Connect

    Wu, J.; Juvkam-Wold, H.C.

    1994-12-31

    This paper describes sinusoidal and helical buckling of tubulars in curved wellbores (such as the build section of horizontal wells) and the effect on `lockup` of tubulars when drilling horizontal or extended-reach wells. New buckling load equations are derived to properly predict sinusoidal and helical buckling of tubulars in such wellbores. The results show that the buckling loads to ultimate sinusoidal and helical buckling of tubulars in curved wellbores are usually much larger than those in straight wellbores. This is because the curved wellbore tends to hold the axially compressed tubular against the outer-curve side of the wellbore. It is difficult to buckle a tubular into a sinusoidal or helical shape in curved wellbores, unless a very high axial compressive load is applied. The risk of tubular lockup when chilling horizontal or extended-reach wells is therefore reduced, because there is likely to be very little, if any, tubular buckling in the curved wellbore. The buckling loads derived in this paper also agree with those in straight wellbores when wellbore curvature approaches zero. Small scale laboratory experiments confirmed the theoretically derived buckling loads.

  6. Buckling and lockup of tubulars in inclined wellbores

    SciTech Connect

    Wu, J.; Juvkam-Wold, H.C.

    1995-09-01

    This paper studies sinusoidal and helical buckling of tubulars in inclined wellbores and the ``lockup`` of tubulars due to buckling. The results show that tubular buckling starts from the tubular bottom in low-inclination wellbores, where the axial compressive load is largest due to tubular weight. In high-inclination wellbores it may start from the top portion of the tubular, where the axial compressive load is largest due to frictional drag. This clarifies the confusion on whether or not the tubular buckles at once on it entire length in inclined wellbores. New sinusoidal and helical buckling load equations are presented to better predict tubular buckling in inclined wellbores (0--90 deg). The lower the wellbore inclination angle, the smaller the axial compressive load required to initiate tubular buckling. However, a certain nonzero axial compressive load is still needed to buckle the tubulars in vertical wellbores. When tubulars buckle helically, a large wall contact force will be generated, and the ``slack-off`` weight at the surface will not be fully transmitted to the tubular bottom due to large resultant frictional drag. The ``lockup`` of tubulars may even occur, where the tubular bottom load cannot be increased by slacking-off weight at the surface.

  7. Interactions between torque and helical buckling in drilling

    SciTech Connect

    He, X.; Halsey, G.W.; Kyllingstad, A.

    1995-12-31

    The effects of torque on helical buckling are a concern in coiled tubing drilling. These effects are also important in conventional drilling of long horizontal wells. This paper presents theoretical models for the effects of torque on helical buckling, normal contact force, and pitch of helix in the curved well bore. The effects of helical buckling and the post-buckling contact forces on torque and drag in a drilling operation are also modelled. The models are used for realistic simulations for both conventional drilling and coiled tubing applications.

  8. Negative post-buckling stiffness of meta-beams

    NASA Astrophysics Data System (ADS)

    Coulais, Corentin; Overvelde, Johannes; Bertoldi, Katia; van Hecke, Martin

    2014-03-01

    We study the mechanical response of meta-materials whose building blocks undergo buckling. Euler elastica theory describes buckling of slender beams and predicts a positive post-buckling stiffness. Here, we demonstrate experimentally, numerically and theoretically that this limit breaks down when beams become non-slender and that the post-buckling stiffness eventually becomes negative. We further show that the poisson ratio can play the role of an additional design parameter and demonstrate experimentally and numerically that the mechanical response of auxetic meta-beams can indeed become unstable. This paves the way to a new generation of elastic switches, that can be triggered by simple uni-axial experiments.

  9. Anisotropic growth of buckling-driven wrinkles in graphene monolayer.

    PubMed

    Liu, XiaoYi; Wang, FengChao; Wu, HengAn

    2015-02-13

    We theoretically and numerically investigate the growth of buckling-driven wrinkles in graphene monolayers. It is found that the growth of buckling-driven wrinkles in a graphene monolayer is remarkably chirality- and size-dependent. In small sizes, the flexural response of a graphene sheet cannot be accurately described by the classical Euler regime, and the non-continuum effect leads to zigzag-along-preferred buckling. With the increase of size, the width/length ratio α of the compressed region plays an important role in the growth of buckling-driven wrinkles. When α < 0.5, the oblique buckling happens in armchair-along compression; when 0.5 < α < 1.0, the effect of edge warp leads to zigzag-along-preferred buckling. When 1.0 < α < 3.0, the potential energy density difference due to chiral bending stiffness leads to armchair-along-preferred buckling. When α > 3.0, the non-continuum effect and chiral bending stiffness can both be neglected, and the buckling in a graphene monolayer is isotropic. The chirality-along-preferred transition of compressed buckling in a graphene monolayer leads to an improved fundamental understanding of the dynamics mechanism of graphene-based nanodevices, especially for the nanodevices with high frequency response.

  10. Anisotropic growth of buckling-driven wrinkles in graphene monolayer

    NASA Astrophysics Data System (ADS)

    Liu, XiaoYi; Wang, FengChao; Wu, HengAn

    2015-02-01

    We theoretically and numerically investigate the growth of buckling-driven wrinkles in graphene monolayers. It is found that the growth of buckling-driven wrinkles in a graphene monolayer is remarkably chirality- and size-dependent. In small sizes, the flexural response of a graphene sheet cannot be accurately described by the classical Euler regime, and the non-continuum effect leads to zigzag-along-preferred buckling. With the increase of size, the width/length ratio α of the compressed region plays an important role in the growth of buckling-driven wrinkles. When α < 0.5, the oblique buckling happens in armchair-along compression; when 0.5 < α < 1.0, the effect of edge warp leads to zigzag-along-preferred buckling. When 1.0 < α < 3.0, the potential energy density difference due to chiral bending stiffness leads to armchair-along-preferred buckling. When α > 3.0, the non-continuum effect and chiral bending stiffness can both be neglected, and the buckling in a graphene monolayer is isotropic. The chirality-along-preferred transition of compressed buckling in a graphene monolayer leads to an improved fundamental understanding of the dynamics mechanism of graphene-based nanodevices, especially for the nanodevices with high frequency response.

  11. Elastic buckling of gradient thin films on compliant substrates

    NASA Astrophysics Data System (ADS)

    Yin, Jie; Chen, Xi

    2010-06-01

    Spontaneous buckling of films with either a thickness gradient or a material gradient offers a new opportunity for creating a variety of non-uniform undulating surface features with wide potential applications. The fundamental buckling mechanisms are explored both numerically and analytically in this article. When the loading direction is perpendicular to the gradient direction, Y-branched wrinkled channels are formed. When the load is parallel to the gradient direction, a transition from local to global buckle is observed as the load increases, and the resulting wavelength and amplitude are non-uniform in the loading direction. An analytical model is established which can effectively predict the buckling characteristics.

  12. GBT pre-buckling and buckling analyses of thin-walled members under axial and transverse loads

    NASA Astrophysics Data System (ADS)

    Taig, Gerard; Ranzi, Gianluca; Luongo, Angelo

    2016-03-01

    This paper presents an analytical approach for pre-buckling and buckling analyses of thin-walled members implemented within the framework of the Generalised Beam Theory (GBT). With the proposed GBT cross-sectional analysis, the set of deformation modes used in the analysis is represented by the dynamic modes obtained for an unrestrained frame representing the cross-section. In this manner, it is possible to account for the deformability of the cross-section in both pre-buckling and buckling analyses. Different loading conditions, including both axial and transverse arrangements, are considered in the applications to highlight under which circumstances the use of the GBT deformation modes is required for an adequate representation of the pre-buckling and buckling response. The numerical results have been validated against those determined using a shell element model developed in the finite element software ABAQUS.

  13. Retinal oximetry in patients with ischaemic retinal diseases.

    PubMed

    Rilvén, Sandra; Torp, Thomas Lee; Grauslund, Jakob

    2017-03-01

    The retinal oximeter is a new tool for non-invasive measurement of retinal oxygen saturation in humans. Several studies have investigated the associations between retinal oxygen saturation and retinal diseases. In the present systematic review, we examine whether there are associations between retinal oxygen saturation and retinal ischaemic diseases. We used PubMed and Embase to search for retinal oxygen saturation and retinal ischaemic diseases. Three separate searches identified a total of 79 publications. After two levels of manual screening, 10 studies were included: six about diabetic retinopathy (DR) and four about retinal vein occlusion. No studies about retinal artery occlusion were included. In diabetes, all studies found that increases in retinal venous oxygen saturation (rvSatO2 ) were associated with present as well as increasing levels of DR. Four of six studies also found increased retinal arterial oxygen saturation (raSatO2 ) in patients with DR. In patients with central retinal vein occlusion (CRVO), all studies found that rvSatO2 was reduced, but raSatO2 remained unchanged. Branch retinal vein occlusion was not associated with changes in retinal oxygen saturation, but this was based on a single study. In conclusion, DR is associated with increased rvSatO2 and might also be related to increased raSatO2 . Central retinal vein occlusion (CRVO) is correlated with increased rvSatO2 but unrelated to raSatO2 . Prospective studies are needed to expand these findings. These would tell whether retinal oximetry could be a potential tool for screening or a biomarker of treatment outcome in patients with ischaemic retinal diseases.

  14. Retinal dysplasia of holoprosencephaly.

    PubMed

    Gorovoy, Ian R; Layer, Noelle; de Alba Campomanes, Alejandra G

    2014-03-04

    Retinal dysplasia occurs in the setting of sporadic and syndromic holoprosencephaly, which often has associated ocular malformations. The pathology of this dysplasia, which includes rosettes, has been previously described. However, its funduscopic findings have not been well documented. The authors present the fundus images of a patient with severe holoprosencephaly with retinal dysplasia and bilateral optic nerve colobomas that resulted in death 2 weeks after birth.

  15. Acute retinal necrosis results in low vision in a young patient with a history of herpes simplex virus encephalitis.

    PubMed

    Shahi, Sanjeet K

    2016-08-31

    Acute retinal necrosis (ARN), secondary to herpes simplex encephalitis, is a rare syndrome that can present in healthy individuals, as well as immuno-compromised patients. Most cases are caused by a secondary infection from the herpes virus family, with varicella zoster virus being the leading cause of this syndrome. Potential symptoms include blurry vision, floaters, ocular pain and photophobia. Ocular findings may consist of severe uveitis, retinal vasculitis, retinal necrosis, papillitis and retinal detachment. Clinical manifestations of this disease may include increased intraocular pressure, optic disc oedema, optic neuropathy and sheathed retinal arterioles. A complete work up is essential to rule out cytomegalovirus retinitis, herpes simplex encephalitis, herpes virus, syphilis, posterior uveitis and other conditions. Depending on the severity of the disease, the treatment options consist of anticoagulation therapy, cycloplegia, intravenous acyclovir, systemic steroids, prophylactic laser photocoagulation and pars plana vitrectomy with silicon oil for retinal detachment. An extensive history and clinical examination is crucial in making the correct diagnosis. Also, it is very important to be aware of low vision needs and refer the patients, if expressing any sort of functional issues with completing daily living skills, especially reading. In this article, we report one case of unilateral ARN 20 years after herpetic encephalitis.

  16. Folding of a detachment and fault - Modified detachment folding along a lateral ramp, southwestern Montana, USA

    NASA Astrophysics Data System (ADS)

    Schmidt, Christopher; Whisner, S. Christopher; Whisner, Jennifer B.

    2014-12-01

    The inversion of the Middle Proterozoic Belt sedimentary basin during Late Cretaceous thrusting in Montana produced a large eastwardly-convex salient, the southern boundary of which is a 200 km-long oblique to lateral ramp subtended by a detachment between the Belt rocks and Archean basement. A 10 km-long lateral ramp segment exposes the upper levels of the detachment where hanging wall Belt rocks have moved out over the Paleozoic and Mesozoic section. The hanging wall structure consists of a train of high amplitude, faulted, asymmetrical detachment folds. Initial west-east shortening produced layer parallel shortening fabrics and dominantly strike slip faulting followed by symmetrical detachment folding. 'Lock-up' of movement on the detachment surface produced regional simple shear and caused the detachment folds to become asymmetrical and faulted. Folding of the detachment surface after lock-up modified the easternmost detachment folds further into a southeast-verging, overturned fold pair with a ramp-related fault along the base of the stretched mutual limb.

  17. The Detached Haze Layer in Titan's Mesosphere

    NASA Astrophysics Data System (ADS)

    Lavvas, P.; Yelle, R. V.; Vuitton, V.

    2008-12-01

    The Cassini observations reveal the presence of a detached haze layer in Titan's mesosphere at an altitude of 520 km, well above the stratosphere. Observations of scattered light made by the Imaging Science Subsystem (ISS) reveal a clearly defined layer encircling low and mid-latitude regions. The aerosol layer is also detected in stellar occultation measurements of UV extinction by the UltraViolet Imaging Spectrometer (UVIS). The haze is a global and permanent feature of Titan's atmosphere. Furthermore the location of the detached haze layer is coincident with and the likely cause of a local maximum in the temperature profile measured by the Huygens Atmospheric Structure Instrument (HASI). This temperature inversion is also permanent and global, having been detected in ground-based stellar occultations. The correlation between the extinction profile and the temperature maximum imply that the detached haze cannot be due to condensation, as previously suggested. Previously, Voyager high phase angle images at 500 nm revealed a detached haze layer near 350 km, more than 150 km lower than the Cassini layer. Close examination of the Voyager images suggests that the Cassini detached layer at 520 km is a separate phenomenon rather than a change in the Voyager detached layer. Analysis of the observed optical properties suggests that the average size of particles in the Cassini detached layer is < 45 nm, with an imaginary index k < 0.3 at 187.5 nm, while Non-LTE calculations of the temperature perturbation induced by the detached haze show that the average particle size must be greater than 35 nm for reproducing the heating rate implied by the HASI temperature profile. Calculation of the sedimentation velocity of the particles, coupled with the derived number density, imply a mass flux of 1.9-3.2 × 10-14 g cm-2 s-1. This is approximately equal to the mass flux required to explain the main haze layer and suggests that the stratospheric haze is formed primarily by

  18. Photovoltaic retinal prosthesis

    NASA Astrophysics Data System (ADS)

    Loudin, James; Mathieson, Keith; Kamins, Ted; Wang, Lele; Galambos, Ludwig; Huie, Philip; Sher, Alexander; Harris, James; Palanker, Daniel

    2011-03-01

    Electronic retinal prostheses seek to restore sight to patients suffering from retinal degenerative disorders. Implanted electrode arrays apply patterned electrical stimulation to surviving retinal neurons, producing visual sensations. All current designs employ inductively coupled coils to transmit power and/or data to the implant. We present here the design and initial testing of a photovoltaic retinal prosthesis fabricated with a pixel density of up to 177 pixels/mm2. Photodiodes within each pixel of the subretinal array directly convert light to stimulation current, avoiding the use of bulky coil implants, decoding electronics, and wiring, and thereby reducing surgical complexity. A goggles-mounted camera captures the visual scene and transmits the data stream to a pocket processor. The resulting images are projected into the eyes by video goggles using pulsed, near infrared (~900 nm) light. Prostheses with three pixel densities (15, 55, and 177 pix/mm2) are being fabricated, and tests indicate a charge injection limit of 1.62 mC/cm2 at 25Hz. In vitro tests of the photovoltaic retinal stimulation using a 512-element microelectrode array have recorded stimulated spikes from the ganglion cells, with latencies in the 1-100ms range, and with peak irradiance stimulation thresholds varying from 0.1 to 1 mW/mm2. With 1ms pulses at 25Hz the average irradiance is more than 100 times below the IR retinal safety limit. Elicited retinal response disappeared upon the addition of synaptic blockers, indicating that the inner retina is stimulated rather than the ganglion cells directly, and raising hopes that the prosthesis will preserve some of the retina's natural signal processing.

  19. Finite-element analysis of pipeline upheaval buckling

    SciTech Connect

    Shaw, P.K.; Bomba, J.G.

    1994-12-31

    It is well known that pipelines may buckle under axial compressive force created by severe temperature change and internal pressure loading conditions. Extensive work has been conducted in the past to understand the beam mode buckling behavior of the pipeline, its impact on pipeline design and, ultimately, the integrity of the pipeline. To fully describe this localized buckling behavior, both the upward and axial displacements of the pipeline need to be considered. This paper presents a large deflection finite-element analysis method with nonlinear material behavior to examine the pipeline response under upheaval buckling condition. The axial displacement caused by thermal expansion and the geometric change of the pipeline due to upheaval motion are examined to better define the pipeline buckling response. By combining both the nonlinear geometry and material effects, it is possible to characterize the extreme responses to determine potential severe damages. A pipeline with a potential for upheaval buckling from a recent North Sea field development was analyzed using the method to evaluate the buckling potential and the pipeline behavior beyond buckling.

  20. 49 CFR 179.400-6 - Bursting and buckling pressure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 3 2013-10-01 2013-10-01 false Bursting and buckling pressure. 179.400-6 Section 179.400-6 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND... 107A) § 179.400-6 Bursting and buckling pressure. (a) (b) The outer jacket of the required...

  1. 49 CFR 179.400-6 - Bursting and buckling pressure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Bursting and buckling pressure. 179.400-6 Section 179.400-6 Transportation Other Regulations Relating to Transportation PIPELINE AND HAZARDOUS MATERIALS... and 107A) § 179.400-6 Bursting and buckling pressure. (a) [Reserved] (b) The outer jacket of...

  2. 49 CFR 179.400-6 - Bursting and buckling pressure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 3 2011-10-01 2011-10-01 false Bursting and buckling pressure. 179.400-6 Section 179.400-6 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND... 107A) § 179.400-6 Bursting and buckling pressure. (a) (b) The outer jacket of the required...

  3. 49 CFR 179.400-6 - Bursting and buckling pressure.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 3 2012-10-01 2012-10-01 false Bursting and buckling pressure. 179.400-6 Section 179.400-6 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND... 107A) § 179.400-6 Bursting and buckling pressure. (a) (b) The outer jacket of the required...

  4. 49 CFR 179.400-6 - Bursting and buckling pressure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 3 2014-10-01 2014-10-01 false Bursting and buckling pressure. 179.400-6 Section 179.400-6 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND... 107A) § 179.400-6 Bursting and buckling pressure. (a) (b) The outer jacket of the required...

  5. Dynamic buckling of stiffened plates subjected to explosion impact loads

    NASA Astrophysics Data System (ADS)

    Wang, J.; Guo, J.; Yao, X. L.; Zhang, A. M.

    2017-01-01

    The dynamic buckling characteristics and criteria of a ship's structural stiffened plate subjected to underwater explosion impact loads are investigated in this study. Using the structural deformations observed in the experiments of underwater explosions against a plated grillage model, the mode shapes of the dynamic buckling were obtained. Through the construction of a computational model of stiffened plates subjected to an underwater explosion shock wave, the impact load was theoretically calculated and transformed into a rectangular pulse. According to the different response patterns of stiffened plates under different impact loads, a dynamic buckling criterion for the stiffened plates subjected to an explosion shock wave was proposed. Additionally, the static buckling phenomenon in the stiffened plates was analysed based on the minimum excess principle. In combination with the dynamic buckling criterion, the effects of various stiffening configurations on the dynamic and static buckling loads are discussed. The calculation results show that when the equivalent rectangular pulse is 2-3 times that of the static buckling load, the responses of the stiffened plates under the original shock load and the equivalent rectangular pulse are virtually identical. The impact load amplitude is the primary influencing factor in the dynamic buckling of stiffened plates subjected to underwater explosive impact loads. The stiffened plate aspect ratio has a substantial influence on the dynamic load factor. The analytical method and results are presented, which can be used to design stiffened optimum hull structures to enhance the dynamic load carrying capacity to withstand underwater shock damage.

  6. Update on wide- and ultra-widefield retinal imaging

    PubMed Central

    Shoughy, Samir S; Arevalo, J Fernando; Kozak, Igor

    2015-01-01

    The peripheral retina is the site of pathology in many ocular diseases and ultra-widefield (UWF) imaging is one of the new technologies available to ophthalmologists to manage some of these diseases. Currently, there are several imaging systems used in practice for the purpose of diagnostic, monitoring disease progression or response to therapy, and telemedicine. These include modalities for both adults and pediatric patients. The current systems are capable of producing wide- and UWF color fundus photographs, fluorescein and indocyanine green angiograms, and autofluorescence images. Using this technology, important clinical observations have been made in diseases such as diabetic retinopathy, uveitides, retinal vascular occlusions and tumors, intraocular tumors, retinopathy of prematurity, and age-related macular degeneration. Widefield imaging offers excellent postoperative documentation of retinal detachment surgery. New applications will soon be available to integrate this technology into large volume routine clinical practice. PMID:26458474

  7. Retinal Pigment Epithelium Tears: Risk Factors, Mechanism and Therapeutic Monitoring.

    PubMed

    Clemens, Christoph R; Eter, Nicole

    2016-01-01

    Tears of the retinal pigment epithelium (RPE) are most commonly associated with vascularised RPE detachment due to age-related macular degeneration (AMD), and they usually involve a deleterious loss in visual acuity. Recent studies suggest an increase in RPE tear incidences since the introduction of anti-vascular endothelial growth factor (anti-VEGF) therapies as well as a temporal association between the tear event and the intravitreal injection. As the number of AMD patients and the number of administered anti-VEGF injections increase, both the challenge of RPE tear prevention and the treatment after RPE tear formation have become more important. At the same time, the evolution of retinal imaging has significantly contributed to a better understanding of RPE tear development in recent years. This review summarises the current knowledge on RPE tear development, predictive factors, and treatment strategies before and after RPE tear formation.

  8. Techniques for processing eyes implanted with a retinal prosthesis for localized histopathological analysis.

    PubMed

    Nayagam, David A X; McGowan, Ceara; Villalobos, Joel; Williams, Richard A; Salinas-LaRosa, Cesar; McKelvie, Penny; Lo, Irene; Basa, Meri; Tan, Justin; Williams, Chris E

    2013-08-02

    With the recent development of retinal prostheses, it is important to develop reliable techniques for assessing the safety of these devices in preclinical studies. However, the standard fixation, preparation, and automated histology procedures are not ideal. Here we describe new procedures for evaluating the health of the retina directly adjacent to an implant. Retinal prostheses feature electrode arrays in contact with eye tissue. Previous methods have not been able to spatially localize the ocular tissue adjacent to individual electrodes within the array. In addition, standard histological processing often results in gross artifactual detachment of the retinal layers when assessing implanted eyes. Consequently, it has been difficult to assess localized damage, if present, caused by implantation and stimulation of an implanted electrode array. Therefore, we developed a method for identifying and localizing the ocular tissue adjacent to implanted electrodes using a (color-coded) dye marking scheme, and we modified an eye fixation technique to minimize artifactual retinal detachment. This method also rendered the sclera translucent, enabling localization of individual electrodes and specific parts of an implant. Finally, we used a matched control to increase the power of the histopathological assessments. In summary, this method enables reliable and efficient discrimination and assessment of the retinal cytoarchitecture in an implanted eye.

  9. Design of laminated composite plates for maximum shear buckling loads

    SciTech Connect

    Chang, R.R.; Chu, K.H.; Kam, T.Y.

    1993-12-01

    The optimal lamination arrangements of laminated composite plates with maximum shear buckling loads are studied via a multi-start global optimization technique. A previously proposed shear deformable finite element is used to evaluate the positive and negative shear buckling loads of laminated composite plates in the optimal design process. Optimal lay-ups of thin as well as moderately thick composite plates with global maximum positive or negative shear buckling loads are determined utilizing the multi-start global optimal design technique. A number of examples of the optimal shear buckling design of symmetrically and antisymmetrically laminated composite plates with various material properties, length-to-thickness ratios, aspect ratios and different numbers of layer groups are given to illustrate the trends of optimal layer orientations of the plates. Since the existence of in-plane axial force is possible, the effects of axial compressive load on the optimal layer orientations for maximum shear buckling load are also investigated.

  10. A Nonlinear Thin-Wall Model for Vein Buckling.

    PubMed

    Lee, Avione Y; Han, Hai-Chao

    2010-12-01

    Tortuous or twisted veins are often seen in the retina, cerebrum, and legs (varicose veins) of one-third of the aged population, but the underlying mechanisms are poorly understood. While the collapse of veins under external pressure has been well documented, the bent buckling of long vein segments has not been studied. The objectives of this study were to develop a biomechanical model of vein buckling under internal pressure and to predict the critical pressure. Veins were modeled as thin-walled nonlinear elastic tubes with the Fung exponential strain energy function. Our results demonstrated that veins buckle due to high blood pressure or low axial tension. High axial tension stabilized veins under internal pressure. Our buckling model estimated the critical pressure accurately compared to the experimental measurements. The buckling equation provides a useful tool for studying the development of tortuous veins.

  11. Buckling prediction of panels using the vibration correlation technique

    NASA Astrophysics Data System (ADS)

    Abramovich, H.; Govich, D.; Grunwald, A.

    2015-10-01

    The Vibration Correlation Technique (VCT) for experimentally nondestructive determination of buckling loads of thin-walled structures is applied to stringer stiffened curved panels manufactured both from aluminum and laminated composite material. The modal behavior of the panels is investigated by exciting the structures using the modal hammer method. Natural frequencies of the panels are recorded as a function of the applied axial compression load. Unlike shell structures which present a non-stable post-buckling behavior, the stringer stiffened panels show a stable post-buckling behavior, enabling the measurement of the natural frequencies up to the actual experimental buckling load. The modal behavior of compressed panels is compared for reference to shells, yielding areas of applicability for VCT to predict efficiently the buckling loads of thin-walled structures. Guidelines are then formulated for the application of the VCT.

  12. Quantitative analysis of retinal OCT.

    PubMed

    Sonka, Milan; Abràmoff, Michael D

    2016-10-01

    Clinical acceptance of 3-D OCT retinal imaging brought rapid development of quantitative 3-D analysis of retinal layers, vasculature, retinal lesions as well as facilitated new research in retinal diseases. One of the cornerstones of many such analyses is segmentation and thickness quantification of retinal layers and the choroid, with an inherently 3-D simultaneous multi-layer LOGISMOS (Layered Optimal Graph Image Segmentation for Multiple Objects and Surfaces) segmentation approach being extremely well suited for the task. Once retinal layers are segmented, regional thickness, brightness, or texture-based indices of individual layers can be easily determined and thus contribute to our understanding of retinal or optic nerve head (ONH) disease processes and can be employed for determination of disease status, treatment responses, visual function, etc. Out of many applications, examples provided in this paper focus on image-guided therapy and outcome prediction in age-related macular degeneration and on assessing visual function from retinal layer structure in glaucoma.

  13. Electronic retinal implant surgery.

    PubMed

    MacLaren, R E

    2017-02-01

    Blindness due to outer retinal degeneration still remains largely untreatable. Photoreceptor loss removes light sensitivity, but the remaining inner retinal layers, the optic nerve, and indeed the physical structure of the eye itself may be unaffected by the degenerative processes. This provides the opportunity to restore some degree of vision with an electronic device in the subretinal space. In this lecture I will provide an overview of our experiences with the first-generation retinal implant Alpha IMS, developed by Retina Implant AG and based on the technology developed by Eberhart Zrenner as part of a multicentre clinical trial (NCT01024803). We are currently in the process of running a second NIHR-funded clinical trial to assess the next-generation device. The positive results from both studies to date indicate that the retinal implant should be included as a potential treatment for patients who are completely blind from retinitis pigmentosa. Evolution of the technology in future may provide further opportunities for earlier intervention or for other diseases.

  14. Retinal diseases in a reference center from a Western Amazon capital city

    PubMed Central

    Malerbi, Fernando Korn; Matsudo, Nilson Hideo; Carneiro, Adriano Biondi Monteiro; Lottenberg, Claudio Luiz

    2015-01-01

    ABSTRACT Objective To describe retinal diseases found in patients who were waiting for treatment at a tertiary care hospital in Rio Branco, Acre, Brazil. Methods Patients underwent slit lamp biomicroscopy, dilated fundus exam and ocular ultrasound. Patients were classified according to phakic status and retinal disease of the most severely affected eye. Results A total of 138 patients were examined. The mean age was 51.3 years. Diabetes was present in 35.3% and hypertension in 45.4% of these patients. Cataract was found in 23.2% of patients, in at least one eye. Retinal examination was possible in 129 patients. The main retinal diseases identified were rhegmatogenous retinal detachment (n=23; 17.8%) and diabetic retinopathy (n=32; 24.8%). Out of 40 patients evaluated due to diabetes, 13 (32.5%) had absent or mild forms of diabetic retinopathy and did not need further treatment, only observation. Conclusion Diabetic retinopathy was the main retinal disease in this population. It is an avoidable cause of blindness and can be remotely evaluated, in its initial stages, by telemedicine strategies. In remote Brazilian areas, telemedicine may be an important tool for retinal diseases diagnosis and follow-up. PMID:26761550

  15. A simple analytical solution for slab detachment

    NASA Astrophysics Data System (ADS)

    Schmalholz, Stefan M.

    2011-04-01

    An analytical solution is presented for the nonlinear dynamics of high amplitude necking in a free layer of power-law fluid extended in layer-parallel direction due to buoyancy stress. The solution is one-dimensional (1-D) and contains three dimensionless parameters: the thinning factor (i.e. ratio of current to initial layer thickness), the power-law stress exponent, n, and the ratio of time to the characteristic deformation time of a viscous layer under buoyancy stress, t/ tc. tc is the ratio of the layer's effective viscosity to the applied buoyancy stress. The value of tc/ n specifies the time for detachment, i.e. the time it takes until the layer thickness has thinned to zero. The first-order accuracy of the 1-D solution is confirmed with 2-D finite element simulations of buoyancy-driven necking in a layer of power-law fluid embedded in a linear or power-law viscous medium. The analytical solution is accurate within a factor about 2 if the effective viscosity ratio between the layer and the medium is larger than about 100 and if the medium is a power-law fluid. The analytical solution is applied to slab detachment using dislocation creep laws for dry and wet olivine. Results show that one of the most important parameters controlling the dynamics of slab detachment is the strength of the slab which strongly depends on temperature and rheological parameters. The fundamental conclusions concerning slab detachment resulting from both the analytical solution and from earlier published thermo-mechanical numerical simulations agree well, indicating the usefulness of the highly simplified analytical solution for better understanding slab detachment. Slab detachment resulting from viscous necking is a combination of inhomogeneous thinning due to varying buoyancy stress within the slab and a necking instability due to the power-law viscous rheology ( n > 1). Application of the analytical solution to the Hindu Kush slab provides no "order-of-magnitude argument" against

  16. Detachable microsphere scalpel tips for potential use in ophthalmic surgery with the erbium:YAG laser.

    PubMed

    Hutchens, Thomas C; Darafsheh, Arash; Fardad, Amir; Antoszyk, Andrew N; Ying, Howard S; Astratov, Vasily N; Fried, Nathaniel M

    2014-01-01

    Vitreoretinal surgery is performed using mechanical dissection that sometimes results in iatrogenic complications, including vitreous hemorrhage, retinal breaks, incomplete membrane delamination, retinal distortion, microscopic damage, etc. An ultraprecise laser probe would be an ideal tool for cutting away pathologic membranes; however, the depth of surgery should be precisely controlled to protect the sensitive underlying retina. The ultraprecise surgical microprobe formed by chains of dielectric spheres for use with the erbium:YAG laser source (λ=2940  nm), with extremely short optical penetration depth in tissue, was optimized. Numerical modeling demonstrated a potential advantage of five-sphere focusing chains of sapphire spheres with index n=1.71 for ablating the tissue with self-limited depth around 10 to 20 μm. Novel detachable microsphere scalpel tips formed by chains of 300 μm sapphire (or ruby) spheres were tested on ophthalmic tissues, ex vivo. Detachable scalpel tips could allow for reusability of expensive mid-infrared trunk fibers between procedures, and offer more surgical customization by interchanging various scalpel tip configurations. An innovative method for aiming beam integration into the microsphere scalpel to improve the illumination of the surgical site was also shown. Single Er:YAG pulses of 0.2 mJ and 75-μs duration produced ablation craters in cornea epithelium for one, three, and five sphere structures with the latter generating the smallest crater depth (10 μm) with the least amount of thermal damage depth (30 μm). Detachable microsphere laser scalpel tips may allow surgeons better precision and safety compared to mechanical scalpels when operating on delicate or sensitive areas like the retina.

  17. Distribution of S- and M-cones in normal and experimentally detached cat retina.

    PubMed

    Linberg, K A; Lewis, G P; Shaaw, C; Rex, T S; Fisher, S K

    2001-02-12

    The lectin peanut agglutinin (PNA) and antibodies to short (S)- and medium to long wavelength (M/L)-sensitive cones were utilized in order to define the relative distributions of the two spectral types of cone across the domestic cat's retina. These values, in turn, were compared to those from retinas that had been experimentally detached from the retinal pigment epithelium. The pattern of cone distribution in the normal cat's retina is established by the preponderance of M-cones that constitute between 80% and 90% of all cones. Their peak density of over 26,000 cells/mm(2) resides at the area centralis. Though M-cone density decreases smoothly to the ora serrata where they have densities as low as 2,200 cells/mm(2), the density decrease along the nasotemporal axis is slower,creating a horizontal region of higher cone density. S-cones constitute between 10% and 20% of all cones, the number being quite variable even between individual animals of similar age. The highest S-cone densities are found in three distinct locations: at the superior far periphery near the ora serrata, immediately at the area centralis itself, and in a broad zone comprising the central and lower half of the inferior hemiretina. S-cones in the cat retina do not form a regular geometrical array at any eccentricity. As for the detached cat retina, the density of labeled S-cone outer segments (OS) decreases rapidly as early as 1 day postdetachment and continues decreasing to day 28 when the density of cones labeling with anti-S opsin has dropped to less than 10% of normal. This response points to a profound difference between rods and cones; essentially all rods, including those without OS, continue to express their opsin even in long-term detachments. The implications of these results for visual recovery after retinal reattachment are discussed.

  18. Detachable microsphere scalpel tips for potential use in ophthalmic surgery with the erbium:YAG laser

    NASA Astrophysics Data System (ADS)

    Hutchens, Thomas C.; Darafsheh, Arash; Fardad, Amir; Antoszyk, Andrew N.; Ying, Howard S.; Astratov, Vasily N.; Fried, Nathaniel M.

    2014-01-01

    Vitreoretinal surgery is performed using mechanical dissection that sometimes results in iatrogenic complications, including vitreous hemorrhage, retinal breaks, incomplete membrane delamination, retinal distortion, microscopic damage, etc. An ultraprecise laser probe would be an ideal tool for cutting away pathologic membranes; however, the depth of surgery should be precisely controlled to protect the sensitive underlying retina. The ultraprecise surgical microprobe formed by chains of dielectric spheres for use with the erbium:YAG laser source (λ=2940 nm), with extremely short optical penetration depth in tissue, was optimized. Numerical modeling demonstrated a potential advantage of five-sphere focusing chains of sapphire spheres with index n=1.71 for ablating the tissue with self-limited depth around 10 to 20 μm. Novel detachable microsphere scalpel tips formed by chains of 300 μm sapphire (or ruby) spheres were tested on ophthalmic tissues, ex vivo. Detachable scalpel tips could allow for reusability of expensive mid-infrared trunk fibers between procedures, and offer more surgical customization by interchanging various scalpel tip configurations. An innovative method for aiming beam integration into the microsphere scalpel to improve the illumination of the surgical site was also shown. Single Er:YAG pulses of 0.2 mJ and 75-μs duration produced ablation craters in cornea epithelium for one, three, and five sphere structures with the latter generating the smallest crater depth (10 μm) with the least amount of thermal damage depth (30 μm). Detachable microsphere laser scalpel tips may allow surgeons better precision and safety compared to mechanical scalpels when operating on delicate or sensitive areas like the retina.

  19. [Depth of retinal vessels and electroretinogram changes in stage 3 and 4 cicatricial retinopathy of prematurity].

    PubMed

    Katargina, L A; Riabtsev, D I; Kogoleva, L V

    2013-01-01

    The article presents the results of a study on retinal vessels in stage 3 and 4 cicatricial retinopathy of prematurity (ROP) by means of spectral-domain optical coherence tomography (SD OCT). The study comprised 29 children (40 eyes) aged from 6 month to 12 years with stage 3 and 4 cicatricial ROP, of which 17 children (21 eyes) under 6 and 12 children (19 eyes) over 6 years of age. SD OCT was used to approach the depth of retinal vessels and the caliber of the first-order vessels. Only in 8 eyes (20%) proper retinal vessels were located in the ganglion cell layer. In 12 eyes (30%) the vessels occurred in the nerve fiber layer and in other 20 eyes (50%) they appeared to have extraretinal growth. Thus, physiological depth of retinal vessels (i.e. in the ganglion cell layer) was seen in only 20% of cases. A relationship between the degree of retinal vascular system displacement and the presence of extraretinal tissue was established (p < 0.01). No correlation was found between gestational age and birth weight and the location of retinal vessels (p > 0.05). Location of retinal vessels can serve as a severity criterion, an important test to reveal preclinical negative changes, and a risk factor for late complications (tractional retinoschisis, detachment and tears). A tendency to smaller diameter of retinal vessels and higher artheriovenous index in children with ROP in comparison with healthy full-term children of the same age might indicate a decrease of retinal blood filling which might later cause development of retinal dystrophies.

  20. Intracellular Signalling in Retinal Ischemia

    DTIC Science & Technology

    1990-07-01

    36) However, vascularization of the RPE is not known to occur in human diseases of photoreceptor degeneration, such as retinitis pigmentosa ...A.C. (1986) Retinitis pigmentosa and retinal neovascularization. Ophthalmology 91, 1599- 1603. Figure la: Control rat retina, 8 weeks of age, central...TITLE (Include Security Classification) Intracellular Signalling in Retinal Ischemia 12. PERSONAL AUTHOR(S) Burns, Margaret Sue; Bellhorn, Roy William

  1. Probabilistic retinal vessel segmentation

    NASA Astrophysics Data System (ADS)

    Wu, Chang-Hua; Agam, Gady

    2007-03-01

    Optic fundus assessment is widely used for diagnosing vascular and non-vascular pathology. Inspection of the retinal vasculature may reveal hypertension, diabetes, arteriosclerosis, cardiovascular disease and stroke. Due to various imaging conditions retinal images may be degraded. Consequently, the enhancement of such images and vessels in them is an important task with direct clinical applications. We propose a novel technique for vessel enhancement in retinal images that is capable of enhancing vessel junctions in addition to linear vessel segments. This is an extension of vessel filters we have previously developed for vessel enhancement in thoracic CT scans. The proposed approach is based on probabilistic models which can discern vessels and junctions. Evaluation shows the proposed filter is better than several known techniques and is comparable to the state of the art when evaluated on a standard dataset. A ridge-based vessel tracking process is applied on the enhanced image to demonstrate the effectiveness of the enhancement filter.

  2. Retinoids and Retinal Diseases

    PubMed Central

    Kiser, Philip D.; Palczewski, Krzysztof

    2016-01-01

    Recent progress in molecular understanding of the retinoid cycle in mammalian retina stems from painstaking biochemical reconstitution studies supported by natural or engineered animal models with known genetic lesions and studies of humans with specific genetic blinding diseases. Structural and membrane biology have been used to detect critical retinal enzymes and proteins and their substrates and ligands, placing them in a cellular context. These studies have been supplemented by analytical chemistry methods that have identified small molecules by their spectral characteristics, often in conjunction with the evaluation of models of animal retinal disease. It is from this background that rational therapeutic interventions to correct genetic defects or environmental insults are identified. Thus, most presently accepted modulators of the retinoid cycle already have demonstrated promising results in animal models of retinal degeneration. These encouraging signs indicate that some human blinding diseases can be alleviated by pharmacological interventions. PMID:27917399

  3. Bioelectronic retinal prosthesis

    NASA Astrophysics Data System (ADS)

    Weiland, James D.

    2016-05-01

    Retinal prosthesis have been translated to clinical use over the past two decades. Currently, two devices have regulatory approval for the treatment of retinitis pigmentosa and one device is in clinical trials for treatment of age-related macular degeneration. These devices provide partial sight restoration and patients use this improved vision in their everyday lives to navigate and to detect large objects. However, significant vision restoration will require both better technology and improved understanding of the interaction between electrical stimulation and the retina. In particular, current retinal prostheses do not provide peripheral visions due to technical and surgical limitations, thus limiting the effectiveness of the treatment. This paper reviews recent results from human implant patients and presents technical approaches for peripheral vision.

  4. Automatic Retinal Oximetry

    NASA Astrophysics Data System (ADS)

    Halldorsson, G. H.; Karlsson, R. A.; Hardarson, S. H.; Mura, M. Dalla; Eysteinsson, T.; Beach, J. M.; Stefansson, E.; Benediktsson, J. A.

    2007-10-01

    This paper presents a method for automating the evaluation of hemoglobin oxygen saturation in the retina. This method should prove useful for monitoring ischemic retinal diseases and the effect of treatment. In order to obtain saturation values automatically, spectral images must be registered in pairs, the vessels of the retina located and measurement points must be selected. The registration algorithm is based on a data driven approach that circumvents many of the problems that have plagued previous methods. The vessels are extracted using an algorithm based on morphological profiles and supervised classifiers. Measurement points on retinal arterioles and venules as well as reference points on the adjacent fundus are automatically selected. Oxygen saturation values along vessels are averaged to arrive at a more accurate estimate of the retinal vessel oxygen saturation. The system yields reproducible results as well as being sensitive to changes in oxygen saturation.

  5. Retinal Failure in Diabetes: a Feature of Retinal Sensory Neuropathy.

    PubMed

    Gray, Ellyn J; Gardner, Thomas W

    2015-12-01

    Physiologic adaptations mediate normal responses to short-term and long-term stresses to ensure organ function. Organ failure results if adaptive responses fail to resolve persistent stresses or maladaptive reactions develop. The retinal neurovascular unit likewise undergoes adaptive responses to diabetes resulting in a retinal sensory neuropathy analogous to other sensory neuropathies. Vision-threatening diabetic retinal neuropathy results from unremitting metabolic and inflammatory stresses, leading to macular edema and proliferative diabetic retinopathy, states of "retinal failure." Current regulatory strategies focus primarily on the retinal failure stages, but new diagnostic modalities and understanding of the pathophysiology of diabetic retinopathy may facilitate earlier treatment to maintain vision in persons with diabetes.

  6. Sandwaves, upheaval buckling challenge North Sea project

    SciTech Connect

    Meijdam, L.; Lapidaire, P.J.M.

    1995-02-01

    About 120 seafloor sandwaves, ranging up to 23 ft high and 2,600 ft long at water depths to 90 ft, made upheaval buckling a key engineering concern during a recent pipe lay and gas production facilities installation project for Amoco Netherlands Petroleum Co.`s blocks P/15 and P/18 in the Dutch North Sea. The project involved about 68 mi of high-temperature, high-pressure lines ranging from 4 in. to 26 in. traversing seabed routes under the world`s busiest shipping lanes. Other facilities include control/instrumentation umbilicals, subsea completions, four wellhead protector platforms, a production platform, a water disposal system and an onshore metering station. Engineering dealt with a system operated at high pressure and high gas temperatures routed through busy shipping lanes in an area of substantial sand waves. Pipe line stability had to be ensured over its lifetime. Dutch authorities stipulate strict safety regulations which made burial inevitable. Burial can result in upheaval buckling. Therefore, cover depth and sandwave sectioning were the main issues in the engineering phase. This paper reviews these designs and installation procedures.

  7. Structure of twisted and buckled bilayer graphene

    NASA Astrophysics Data System (ADS)

    Jain, Sandeep K.; Juričić, Vladimir; Barkema, Gerard T.

    2017-03-01

    We study the atomic structure of twisted bilayer graphene, with very small mismatch angles (θ ∼ {0.28}0), a topic of intense recent interest. We use simulations, in which we combine a recently presented semi-empirical potential for single-layer graphene, with a new term for out-of-plane deformations, (Jain et al 2015 J. Phys. Chem. C 119 9646) and an often-used interlayer potential (Kolmogorov et al 2005 Phys. Rev. B 71 235415). This combination of potentials is computationally cheap but accurate and precise at the same time, allowing us to study very large samples, which is necessary to reach very small mismatch angles in periodic samples. By performing large scale atomistic simulations, we show that the vortices appearing in the Moiré pattern in the twisted bilayer graphene samples converge to a constant size in the thermodynamic limit. Furthermore, the well known sinusoidal behavior of energy no longer persists once the misorientation angle becomes very small (θ \\lt {1}0). We also show that there is a significant buckling after the relaxation in the samples, with the buckling height proportional to the system size. These structural properties have direct consequences on the electronic and optical properties of bilayer graphene.

  8. Pathway to Retinal Oximetry

    PubMed Central

    Beach, James

    2014-01-01

    Events and discoveries in oxygen monitoring over the past two centuries are presented as the background from which oximetry of the human retina evolved. Achievements and the people behind them are discussed, showing parallels between the work in tissue measurements and later in the eye. Developments in the two-wavelength technique for oxygen saturation measurements in retinal vessels are shown to exploit the forms of imaging technology available over time. The last section provides a short summary of the recent research in retinal diseases using vessel oximetry. PMID:25237591

  9. Hereditary Retinal Dystrophy.

    PubMed

    Hohman, Thomas C

    2016-12-30

    As our understanding of the genetic basis for inherited retinal disease has expanded, gene therapy has advanced into clinical development. When the gene mutations associated with inherited retinal dystrophies were identified, it became possible to create animal models in which individual gene were altered to match the human mutations. The retina of these animals were then characterized to assess whether the mutated genes produced retinal phenotypes characteristic of disease-affected patients. Following the identification of a subpopulation of patients with the affected gene and the development of techniques for the viral gene transduction of retinal cells, it has become possible to deliver a copy of the normal gene into the retinal sites of the mutated genes. When this was performed in animal models of monogenic diseases, at an early stage of retinal degeneration when the affected cells remained viable, successful gene augmentation corrected the structural and functional lesions characteristic of the specific diseases in the areas of the retina that were successfully transduced. These studies provided the essential proof-of-concept needed to advance monogenic gene therapies into clinic development; these therapies include treatments for: Leber's congenital amaurosis type 2, caused by mutations to RPE65, retinoid isomerohydrolase; choroideremia, caused by mutations to REP1, Rab escort protein 1; autosomal recessive Stargardt disease, caused by mutations to ABCA4, the photoreceptor-specific ATP-binding transporter; Usher 1B disease caused by mutations to MYO7A, myosin heavy chain 7; X-linked juvenile retinoschisis caused by mutations to RS1, retinoschisin; autosomal recessive retinitis pigmentosa caused by mutations to MERTK, the proto-oncogene tyrosine-protein kinase MER; Leber's hereditary optic neuropathy caused by mutations to ND4, mitochondrial nicotinamide adenine dinucleotide ubiquinone oxidoreductase (complex I) subunit 4 and achromatopsia, caused by

  10. Pathway to Retinal Oximetry.

    PubMed

    Beach, James

    2014-09-01

    Events and discoveries in oxygen monitoring over the past two centuries are presented as the background from which oximetry of the human retina evolved. Achievements and the people behind them are discussed, showing parallels between the work in tissue measurements and later in the eye. Developments in the two-wavelength technique for oxygen saturation measurements in retinal vessels are shown to exploit the forms of imaging technology available over time. The last section provides a short summary of the recent research in retinal diseases using vessel oximetry.

  11. Cilio-retinal arterial circulation in central retinal vein occlusion.

    PubMed Central

    McLeod, D

    1975-01-01

    The hypothesis that an occlusion of the central retinal artery is an essential prerequisite for haemorrhage formation after central retinal vein obstruction has been investigated by examining the fundus changes in patients with a cilio-retinal arterial circulation; the findings are at variance with the 'combined occlusion hypothesis'. Comparisons were made between the pathological features in two retinal capillary beds with independent sources of arterial supply--namely, the central retinal and cilio-retinal arteries--but with an obstructed venous drainage channel common to both--namely, the central retinal vein. The importance of intraluminal pressure changes (as distinct from perfusion changes) in the causation of haemorrhages and oedema after venous occlusion is stressed, and the role of arterial disease in the pathogenesis of venous occlusions is distinguished from its role in determining the sequelae of such occlusions. Images PMID:1203235

  12. Electron-impact detachment from B-

    NASA Astrophysics Data System (ADS)

    Andersen, L. H.; Jensen, M. J.; Pedersen, H. B.; Vejby-Christensen, L.; Djurić, N.

    1998-10-01

    Cross sections for electron-impact single and double detachment from B- have been measured from 0 to 200 eV. The single-detachment cross section peaks at 4-5 eV with a cross-section maximum of about 10-14 cm2. A (2p3) 4S state has recently been predicted to give rise to a resonance state in the H2- dianion [T. Sommerfeld et al., Phys. Rev. A 55 1903 (1997)]. We observe no resonances in the detachment cross section of B- and hence no sign of an equivalent shortlived B2-(2p3) state. The ratio of the double- to single-detachment cross section reaches a constant value of 3% at energies above 50 eV. A simple model relates this number to a shake-off probability of about 90%. The ratio between double and single ionization of neutral atomic targets at high energy is also discussed, and the model relates this ratio to the shake-off probability in the sudden approximation.

  13. Progressive outer retinal necrosis syndrome: a comprehensive review of its clinical presentation, relationship to immune system status, and management.

    PubMed

    Austin

    2000-12-01

    Progressive outer retinal necrosis (PORN) syndrome is a form of the Varicella zoster virus (VZV) chorioretinitis found almost exclusively in people with the acquired immunodeficiency syndrome (AIDS). This destructive infection has an extremely rapid course that may lead to no light perception in affected eyes within days or weeks. Attempts at its treatment have had limited success. Rhegmatogenous retinal detachments often occur after the development of atrophic retinal holes, and silicone oil temponade has been found to be the most successful reattachment procedure. Unfortunately, cataract formation is common after such surgery. PORN needs to be differentiated from acute retinal necrosis (ARN) syndrome, a necrotizing retinitis that can also be caused by VZV. PORN and ARN are found at opposite ends of the spectrum of necrotizing herpetic retinopathies (NHR), where its clinical presentation depends upon immune system status. After a brief case presentation, the distinguishing clinical characteristics of PORN, its differentiation from ARN, attempts at its treatment, the role of the immune system status on its clinical appearance and treatment, and management of complications such as retinal detachment and subsequent cataracts are discussed.

  14. Optical manifestation of buckled configurations in graphene-like materials

    NASA Astrophysics Data System (ADS)

    Kazemlou, V.; Phirouznia, A.; Jamshidi-Ghaleh, K.

    2017-04-01

    In the present study, the effects of the configuration buckling on dielectric function of silicene, germanene and stanene are investigated. The behavior of the optical absorption spectrum and the refractive index dispersion are studied using the density functional theory in terms of incident photon energy at different buckling heights. The results show that for a fixed bond length, increasing the unit cell buckling height, increases the absorption and the refractive index in silicene and germanene but decreases in stanene. In addition, the absorption peaks shift toward the longer wavelengths (red shift) in the case of silicene and germanene by increasing the buckling height. For clear understanding of the mentioned results, the behavior of the optical absorption spectrum and refractive index dispersion at different buckling heights are studied within the present work. In the case of the silicene and germanene reduction of the band gap with increasing the buckling height could be regarded as the origin of this red shift. Meanwhile unlike the silicene and germanene, band-structure reshaping in stanene could explain the stanene blue shift as a result of the buckling height increment.

  15. The electromechanical response of silicon nanowires to buckling mode transitions.

    PubMed

    Wong, Chee Chung; Reboud, Julien; Neuzil, Pavel; Soon, Jeffrey; Agarwal, Ajay; Balasubramanian, Naranayan; Liao, Kin

    2010-10-08

    Here we show how the electromechanical properties of silicon nanowires (NWs) are modified when they are subjected to extreme mechanical deformations (buckling and buckling mode transitions), such as those appearing in flexible devices. Flexible devices are prone to frequent dynamic stress variations, especially buckling, while the small size of NWs could give them an advantage as ultra-sensitive electromechanical stress sensors embedded in such devices. We evaluated the NWs post-buckling behavior and the effects of buckling mode transition on their piezoresistive gauge factor (GF). Polycrystalline silicon NWs were embedded in SiO(2) microbridges to facilitate concurrent monitoring of their electrical resistance without problematic interference, while an external stylus performed controlled deformations of the microbridges. At points of instability, the abrupt change in the buckling configuration of the microbridge corresponded to a sharp resistance change in the embedded NWs, without altering the NWs' GF. These results also highlight the importance of strategically positioning the NW in the devices, since electrical monitoring of buckling mode transitions is feasible when the deformations impact a region where the NW is placed. The highly flexible NWs also exhibited unusually large fracture strength, sustaining tensile strains up to 5.6%; this will prove valuable in demanding flexible sensors.

  16. Buckling of Microtubules on a 2D Elastic Medium.

    PubMed

    Kabir, Arif Md Rashedul; Inoue, Daisuke; Afrin, Tanjina; Mayama, Hiroyuki; Sada, Kazuki; Kakugo, Akira

    2015-11-24

    We have demonstrated compression stress induced mechanical deformation of microtubules (MTs) on a two-dimensional elastic medium and investigated the role of compression strain, strain rate, and a MT-associated protein in the deformation of MTs. We show that MTs, supported on a two-dimensional substrate by a MT-associated protein kinesin, undergo buckling when they are subjected to compression stress. Compression strain strongly affects the extent of buckling, although compression rate has no substantial effect on the buckling of MTs. Most importantly, the density of kinesin is found to play the key role in determining the buckling mode of MTs. We have made a comparison between our experimental results and the 'elastic foundation model' that theoretically predicts the buckling behavior of MTs and its connection to MT-associated proteins. Taking into consideration the role of kinesin in altering the mechanical property of MTs, we are able to explain the buckling behavior of MTs by the elastic foundation model. This work will help understand the buckling mechanism of MTs and its connection to MT-associated proteins or surrounding medium, and consequently will aid in obtaining a meticulous scenario of the compression stress induced deformation of MTs in cells.

  17. Cap buckling as a potential mechanism of atherosclerotic plaque vulnerability.

    PubMed

    Abdelali, Maria; Reiter, Steven; Mongrain, Rosaire; Bertrand, Michel; L'Allier, Philippe L; Kritikou, Ekaterini A; Tardif, Jean-Claude

    2014-04-01

    Plaque rupture in atherosclerosis is the primary cause of potentially deadly coronary events, yet about 40% of ruptures occur away from the plaque cap shoulders and cannot be fully explained with the current biomechanical theories. Here, cap buckling is considered as a potential destabilizing factor which increases the propensity of the atherosclerotic plaque to rupture and which may also explain plaque failure away from the cap shoulders. To investigate this phenomenon, quasistatic 2D finite element simulations are performed, considering the salient geometrical and nonlinear material properties of diverse atherosclerotic plaques over the range of physiological loads. The numerical results indicate that buckling may displace the location of the peak von Mises stresses in the deflected caps. Plaque buckling, together with its deleterious effects is further observed experimentally in plaque caps using a physical model of deformable mock coronary arteries with fibroatheroma. Moreover, an analytical approach combining quasistatic equilibrium equations with the Navier-Bresse formulas is used to demonstrate the buckling potential of a simplified arched slender cap under intraluminal pressure and supported by foundations. This analysis shows that plaque caps - calcified, fibrotic or cellular - may buckle in specific undulated shapes once submitted to critical loads. Finally, a preliminary analysis of intravascular ultrasonography recordings of patients with atherosclerotic coronary arteries corroborates the numerical, experimental and theoretical findings and shows that various plaque caps buckle in vivo. By displacing the sites of high stresses in the plaque cap, buckling may explain the atherosclerotic plaque cap rupture at various locations, including cap shoulders.

  18. Buckling of Microtubules on a 2D Elastic Medium

    PubMed Central

    Kabir, Arif Md. Rashedul; Inoue, Daisuke; Afrin, Tanjina; Mayama, Hiroyuki; Sada, Kazuki; Kakugo, Akira

    2015-01-01

    We have demonstrated compression stress induced mechanical deformation of microtubules (MTs) on a two-dimensional elastic medium and investigated the role of compression strain, strain rate, and a MT-associated protein in the deformation of MTs. We show that MTs, supported on a two-dimensional substrate by a MT-associated protein kinesin, undergo buckling when they are subjected to compression stress. Compression strain strongly affects the extent of buckling, although compression rate has no substantial effect on the buckling of MTs. Most importantly, the density of kinesin is found to play the key role in determining the buckling mode of MTs. We have made a comparison between our experimental results and the ‘elastic foundation model’ that theoretically predicts the buckling behavior of MTs and its connection to MT-associated proteins. Taking into consideration the role of kinesin in altering the mechanical property of MTs, we are able to explain the buckling behavior of MTs by the elastic foundation model. This work will help understand the buckling mechanism of MTs and its connection to MT-associated proteins or surrounding medium, and consequently will aid in obtaining a meticulous scenario of the compression stress induced deformation of MTs in cells. PMID:26596905

  19. Artery buckling affects the mechanical stress in atherosclerotic plaques

    PubMed Central

    2015-01-01

    Background Tortuous arteries are often seen in patients with hypertension and atherosclerosis. While the mechanical stress in atherosclerotic plaque under lumen pressure has been studied extensively, the mechanical stability of atherosclerotic arteries and subsequent effect on the plaque stress remain unknown. To this end, we investigated the buckling and post-buckling behavior of model stenotic coronary arteries with symmetric and asymmetric plaque. Methods Buckling analysis for a model coronary artery with symmetric and asymmetric plaque was conducted using finite element analysis based on the dimensions and nonlinear anisotropic materials properties reported in the literature. Results Artery with asymmetric plaque had lower critical buckling pressure compared to the artery with symmetric plaque and control artery. Buckling increased the peak stress in the plaque and led to the development of a high stress concentration in artery with asymmetric plaque. Stiffer calcified tissue and severe stenosis increased the critical buckling pressure of the artery with asymmetric plaque. Conclusions Arteries with atherosclerotic plaques are prone to mechanical buckling which leads to a high stress concentration in the plaques that can possibly make the plaques prone to rupture. PMID:25603490

  20. The buckling of drillstrings in curved sections of boreholes

    SciTech Connect

    Sampaio, J.H.B. Jr.

    1998-12-31

    A model for the buckling of drillstrings within curved boreholes is important in the drilling of extended reach and horizontal wells. It has been noted in drilling operations that a curved borehole increases the buckling resistance of the drillstring compared to a straight borehole. The effects of the curvature, however, cannot be correctly determined from the current buckling models developed for straight boreholes, from where the current models for curved boreholes in the literature borrow their fundamentals. A mathematical model for analyzing buckling of drillstring within curved boreholes has been developed. This model predicts the unloading buckling force of a drillstring. The results show that one can apply higher axial forces at the bit and obtain longer extended reach or horizontal sections without putting the drillstring under risk of helical buckling and the consequent lock-up of the column. The model presented here, called the Hypergeometric Model, uses an analytical method employing an inclined beam-column theory with moving boundary conditions. The boundaries are numerically adjusted until a fit between the buckled section and the curved borehole is obtained. The buckling force varies with the inclination along the curved section of a borehole. Thus buckling force curves as functions of inclination can be derived and used in simulations and drillstring design. Excellent experimental results compared to the predictions support the model. This model also includes friction effects between the drillstring and the borehole wall. In this paper, the author presents the mathematics of the Hypergeometric Model with an illustrative result. The experimental results, simulations and field applications are deferred to a following presentation.

  1. Retinal locus for scanning text.

    PubMed

    Timberlake, George T; Sharma, Manoj K; Grose, Susan A; Maino, Joseph H

    2006-01-01

    A method of mapping the retinal location of text during reading is described in which text position is plotted cumulatively on scanning laser ophthalmoscope retinal images. Retinal locations that contain text most often are the brightest in the cumulative plot, and locations that contain text least often are the darkest. In this way, the retinal area that most often contains text is determined. Text maps were plotted for eight control subjects without vision loss and eight subjects with central scotomas from macular degeneration. Control subjects' text maps showed that the fovea contained text most often. Text maps of five of the subjects with scotomas showed that they used the same peripheral retinal area to scan text and fixate. Text maps of the other three subjects with scotomas showed that they used separate areas to scan text and fixate. Retinal text maps may help evaluate rehabilitative strategies for training individuals with central scotomas to use a particular retinal area to scan text.

  2. Nanomaterials and Retinal Toxicity

    EPA Science Inventory

    The neuroretina should be considered as a potential site of nanomaterial toxicity. Engineered nanomaterials may reach the retina through three potential routes of exposure including; intra­ vitreal injection of therapeutics; blood-borne delivery in the retinal vasculature an...

  3. Coiled tubing buckling implication in drilling and completing horizontal wells

    SciTech Connect

    Wu, J.; Juvkam-Wold, H.C.

    1995-03-01

    This paper discusses coiled tubing buckling and load transmission when drilling and completing horizontal wells. Comprehensive analyses and new equations are presented to predict buckling of coiled tubing, slack-off weight transmission, actual bit weight or packer load, and maximum horizontal length. Coiled tubing lock-up and yield due to buckling are also discussed. These equations can also be used for other coiled tubing operations, such as coiled tubing workover, coiled tubing well stimulation, and even for conventional joint-connected drill strings. Calculations based on the equations presented are also compared with the previous literature.

  4. Passive control of buckling deformation via Anderson Localization Phenomenon

    NASA Technical Reports Server (NTRS)

    Elishakoff, Isaac; Li, Y. W.; Starnes, J. H., Jr.

    1998-01-01

    Buckling problems of two types of multi-span elastic plates with transverse stiffeners are considered using a method based on the finite difference calculus. The discreteness of the stiffeners is accounted for. It is found that the torsional rigidity of the stiffener plays an important role in the buckling mode pattern. When the torsional rigidity is properly adjusted, the stiffener can act as an isolator of deformation for the structure at buckling so that the deflection is only limited to a small area.

  5. Buckling of carbon nanotubes wrapped by polyethylene molecules

    NASA Astrophysics Data System (ADS)

    Wang, Q.

    2011-01-01

    The discovery of a buckling instability of a single-walled carbon nanotube wrapped by a polyethylene molecule subjected to compression is reported through molecular mechanics simulations. A decrease up to 44% in the buckling strain of the nano-structure owing to the van der Waals interaction between the two molecules is uncovered. A continuum model is developed to calculate both the interaction between the tube and the polymer and the decreased buckling strain of the structure by fitting the molecular mechanics results.

  6. Buckling Analysis of Debonded Sandwich Panel Under Compression

    NASA Technical Reports Server (NTRS)

    Sleight, David W.; Wang, John T.

    1995-01-01

    A sandwich panel with initial through-the-width debonds is analyzed to study the buckling of its faceskin when subject to an in-plane compressive load. The debonded faceskin is modeled as a beam on a Winkler elastic foundation in which the springs of the elastic foundation represent the sandwich foam. The Rayleigh-Ritz and finite-difference methods are used to predict the critical buckling load for various debond lengths and stiffnesses of the sandwich foam. The accuracy of the methods is assessed with a plane-strain finite-element analysis. Results indicate that the elastic foundation approach underpredicts buckling loads for sandwich panels with isotropic foam cores.

  7. Dynamic Buckling of Composite Cylindrical Shells

    NASA Astrophysics Data System (ADS)

    Cheng, Sai-Wei; Wang, Xiao-Jun

    2016-05-01

    Considering the effect of stress wave, the dynamic buckling governing equations and boundary conditions of composite cylindrical shells under axial step load are derived based on the Hamilton principle. The expression of radial displacement function along the circumferential direction is assumed since the cylindrical shell is closed. The solutions of the governing equations are obtained by the state-space technique. The determinant of the coefficient matrix must be equal to zero if the linear equations have a non-trivial solution. The relationship between the critical load and length and the influences of boundary conditions, modes, etc. on critical load are obtained by programming with MATLAB software before and after the reflection of stress wave.

  8. Buckling of particle-laden interfaces

    NASA Astrophysics Data System (ADS)

    Kassuga, Theo; Rothstein, Jonathan

    2012-11-01

    Particle-laden interfaces have been shown to have very interesting physical behavior, such as being able to resist compressive and shear stresses, and helping stabilize emulsions and foams. In this work, we study the buckling of an oil-water interface populated by micron-sized latex particles using a Langmuir trough. We extend pre-existing results to the micron-sized range with different density ratio and show that the existing theoretical framework still applies as a prediction of the dominant wrinkle wavelength. However, histograms show that the wavelength distribution has two peaks, which indicates that there occurs a cascading phenomenon similar to that observed in thin solid sheets. We can characterize this by tracking the position within the particle raft where cascading occurs, the wavelength of the resulting wrinkles, and their width along the crest.

  9. Buckling and stretching of thin viscous sheets

    NASA Astrophysics Data System (ADS)

    O'Kiely, Doireann; Breward, Chris; Griffiths, Ian; Howell, Peter; Lange, Ulrich

    2016-11-01

    Thin glass sheets are used in smartphone, battery and semiconductor technology, and may be manufactured by producing a relatively thick glass slab and subsequently redrawing it to a required thickness. The resulting sheets commonly possess undesired centerline ripples and thick edges. We present a mathematical model in which a viscous sheet undergoes redraw in the direction of gravity, and show that, in a sufficiently strong gravitational field, buckling is driven by compression in a region near the bottom of the sheet, and limited by viscous resistance to stretching of the sheet. We use asymptotic analysis in the thin-sheet, low-Reynolds-number limit to determine the centerline profile and growth rate of such a viscous sheet.

  10. Symptoms of detachment from the self or from the environment in patients with an acquired deficiency of the special senses.

    PubMed

    Jáuregui-Renaud, Kathrine; Ramos-Toledo, Verónica; Aguilar-Bolaños, Miriam; Montaño-Velázquez, Bertha; Pliego-Maldonado, Alejandro

    2008-01-01

    To compare the frequency of symptoms of detachment from the self or from the environment (DD) in patients with an acquired deficiency of the special senses, a questionnaire for DD symptoms [12] and the GHQ12 questionnaire for common mental disorders [16] were auto-administered to patients with hearing-loss (N = 40), peripheral vestibular disease (N = 40) or bilateral retinal disease (N = 40), and to 80 healthy subjects. Patients with retinal disease and patients with vestibular disease reported DD symptoms more frequently & severe than patients with hearing loss and healthy subjects. DD scores were related to the GHQ12 scores and to the type of sensory dysfunction. DD symptoms are more frequent & severe in patients with an acquired deficiency of the special senses, associated to symptoms of common mental disorders.

  11. Detached Growth of Germanium by Directional Solidification

    NASA Technical Reports Server (NTRS)

    Palosz, W.; Volz, M.; Cobb, S.; Motakef, S.; Szofran, F. R.

    2004-01-01

    Detached crystal growth technique (dewetting) offers improvement in the quality of the grown crystals by preventing sticking to the walls of the crucible and thus reducing the possibility of parasitic nucleation and formation of lattice defects upon cooling. One of the factors relevant for the phenomena is the pressure differential across the meniscus at the crystal-melt interface. We investigated this effect experimentally. The growth took place in closed ampoules under the pressure of an inert gas (forming gas: 96% Ar + 4% H2). The pressure above the melt was adjustable and allowed for a control of the pressure difference between the top and bottom menisci. The crystals were characterized, particularly by taking profilometer measurements along the grown crystals surface. The effects of the experimental conditions on the detachment were compared with those predicted based on the theory of Duffar et al.

  12. Controlled Detachment of Chemically Glued Cells.

    PubMed

    Koo, Heebeom; Hahn, Sei Kwang; Yun, Seok Hyun

    2016-11-16

    We demonstrate a chemically detachable cell-glue system based on linkers containing disulfide bonds as well as functional groups for metabolic glycoengineering and bioorthogonal click chemistry. Azide groups are generated on the cell surface by metabolic glycoengineering, and they are further modified into tetrazine (Tz) or trans-cyclooctene (TCO) using rationally designed cross-linkers. When the Tz-modified and TCO-modified cells are mixed together, cell gluing between these two cell groups is established by Tz-TCO click chemistry. This artificial cell-cell adhesion can be broken by the administration of glutathione (5 mM), which triggers the degradation of disulfide bonds. Both the gluing and detachment processes are rapid (<10 min) and minimally cytotoxic.

  13. Responsive systems for cell sheet detachment.

    PubMed

    Patel, Nikul G; Zhang, Ge

    2013-01-01

    Cell sheet engineering has been progressing rapidly during the past few years and has emerged as a novel approach for cell based therapy. Cell sheet harvest technology enables fabrication of viable, transplantable cell sheets for various tissue engineering applications. Currently, the majority of cell sheet studies use thermo-responsive systems for cell sheet detachment. However, other responsive systems began showing their potentials for cell sheet harvest. This review provides an overview of current techniques in creating cell sheets using different types of responsive systems including thermo-responsive, electro-responsive, photo-responsive, pH-responsive and magnetic systems. Their mechanism, approach, as well as applications for cell detachment have been introduced. Further development of these responsive systems will allow efficient cell sheet harvesting and patterning of cells to reconstruct complex tissue for broad clinical applications.

  14. Buckling characteristics of hypersonic aircraft wing tubular panels

    NASA Technical Reports Server (NTRS)

    Ko, William L.; Shideler, John L.; Fields, Roger A.

    1986-01-01

    The buckling characteristics of Rene 41 tubular panels installed as wing panels on a hypersonic wing test structure (HWTS) were determined nondestructively through use of a force/stiffness technique. The nondestructive buckling tests were carried out under different combined load conditions and different temperature environments. Two panels were subsequently tested to buckling failure in a universal tension compression testing machine. In spite of some data scattering because of large extrapolations of data points resulting from termination of the test at a somewhat low applied load, the overall test data correlated fairly well with theoretically predicted buckling interaction curves. The structural efficiency of the tubular panels was slightly higher than that of the beaded panels which they replaced.

  15. Orthotropic elastic shell model for buckling of microtubules.

    PubMed

    Wang, C Y; Ru, C Q; Mioduchowski, A

    2006-11-01

    In view of the fact that microtubules exhibit strong anisotropic elastic properties, an orthotropic elastic shell model for microtubules is developed to study buckling behavior of microtubules. The predicted critical pressure is found to agree well with recent unexplained experimental data on pressure-induced buckling of microtubules [Needleman, Phys. Rev. Lett. 93, 198104 (2004); Biophys. J. 89, 3410 (2005)] which are lower than that predicted by the isotropic shell model by four orders of magnitude. General buckling behavior of microtubules under axial compression or radial pressure is studied. The results show that the isotropic shell model greatly overestimates the bucking loads of microtubules, except columnlike axially compressed buckling of long microtubules (of length-to-diameter ratio larger than, say, 150). In particular, the present results also offer a plausible explanation for the length dependency of flexibility of microtubules reported in the literature.

  16. Buckling Analysis in Creep Conditions: Review and Comparison

    SciTech Connect

    Turbat, Andre; Drubay, Bernard

    2002-07-01

    In the case of structures operating at high temperature in normal or accidental conditions, the influence of creep has to be considered at the design stage because this phenomenon may reduce the lifetime significantly. This is true in particular for buckling analysis: in creep conditions, the buckling sometimes occurs after a long period under a compressive load which is lower than the critical load assessed when considering an instantaneous buckling. The main reason is that creep deformations induce an amplification of the initial geometrical imperfections and consequently a reduction of the buckling load. Some Design Codes incorporate special rules and/or methods to take creep buckling into account. Creep buckling analysis methods aim at evaluating critical loading for a given hold period with creep or alternatively critical creep time for a given loading. The Codes where creep buckling is considered also define margins with respect to critical loading: it shall be demonstrated that creep instability will not occur during the whole lifetime when multiplying the specified loading by a coefficient (design factor) depending on the situation level. For the design of NPP, specific creep buckling rules exist in the US, France and Russia. In the US, ASME, Section III, Subsection NH, which is dedicated to high temperature components design, provides limits which are applicable to general geometrical configurations and loading conditions that may cause buckling due to creep behaviour of the material. For load-controlled time-dependent creep buckling, the design factors to apply to the specified loadings are 1.5 for levels A, B or C service loadings and 1.25 for level D service loadings. A design factor is not required in the case of purely strain-controlled buckling. No specific method is provided to obtain critical loading or critical time for creep instability. In France, creep buckling rules included in RCC-MR, Chapter RB or RC 3200 are similar to those of ASME

  17. Dynamic buckling of containments: The influence of damping

    SciTech Connect

    Farrar, C.R.; Duffey, T.A.; Goldman, P.A.; Bennett, J.G.

    1993-02-01

    The seismic buckling capacities of representative thin, unstiffened elastic containment shells are investigated to evaluate the sensitivity of buckling to the damping level. The finite element method with transient time integration is utilized with both actual earthquake acceleration-time signals and artificial time histories generated from regulatory spectra. The dynamic response and subsequent buckling of the selected containment shells are found to be highly dependent on both damping level and the degree to which the input signal excites the fundamental shear-bending mode of the shell. Transient stresses and buckling levels for the two containment shells induced by the seismic inputs were reduced in the range of 12% to 111% by increasing the damping level from 1% to 4% of critical.

  18. Optimal design against collapse after buckling. [of beams

    NASA Technical Reports Server (NTRS)

    Masur, E. F.

    1976-01-01

    After buckling, statically indeterminate trusses, beams, and other strictly symmetric structures may collapse under loads which reach limiting magnitudes. Optimal design is discussed for prescribed values of these collapse loads.

  19. Plastic buckling of a rectangular plate under edge thrusts

    NASA Technical Reports Server (NTRS)

    Handelman, G H; Prager, W

    1949-01-01

    The fundamental equations for the plastic buckling of a rectangular plate under edge thrusts are developed on the basis of a new set of stress-strain relations for the behavior of a metal in the plastic range. These relations are derived for buckling from a state of uniform compression. The fundamental equation for the buckling of a simply compressed plate together with typical boundary conditions is then developed and the results are applied to calculating the buckling loads of a thin strip, a simply supported plate, and a cruciform section. Comparisons with the theories of Timoshenko and Ilyushin are made. Finally, an energy method is given which can be used for finding approximate values of the critical load.

  20. Enhancement of Buckling Load with the Use of Active Materials

    NASA Technical Reports Server (NTRS)

    Yuan, F. G.

    2002-01-01

    In this paper, active buckling control of a beam using piezoelectric materials is investigated. Under small deformation, mathematical models are developed to describe the behavior of the beams subjected to an axial compressive load with geometric imperfections and load eccentricities under piezoelectric force. Two types of supports, simply supported and clamped, of the beam with a partially bonded piezoelectric actuator are used to illustrate the concept. For the beam with load eccentricities and initial geometric imperfections, the load- carrying capacity can be significantly enhanced by counteracting moments from the piezoelectric actuator. For the single piezoelectric actuator, using static feedback closed-loop control, the first buckling load can be eliminated. In the case of initially straight beams, analytical solutions of the enhanced first critical buckling load due to the increase of bending stiffness by piezoelectric actuators are derived based on linearized buckling analysis.

  1. Buckling analysis of a ring stiffened hybrid composite cylinder

    NASA Astrophysics Data System (ADS)

    Potluri, Rakesh; Eswara Kumar, A.; Navuri, Karteek; Nagaraju, M.; Mojeswara Rao, Duduku

    2016-09-01

    This study aims to understand the response of the ring stiffened cylinders made up of hybrid composites subjected to buckling loads by using the concepts of Design of Experiments (DOE) and optimization by using Finite Element Method (FEM) simulation software Ansys workbench V15. Carbon epoxy and E-glass epoxy composites were used in the hybrid composite. This hybrid composite was analyzed by using different layup angles. Central composite design (CCD) was used to perform design of experiments (D.O.E) and kriging method was used to generate a response surface. The response surface optimization (RSO) was performed by using the method of the multi-objective genetic algorithm (MOGA). After optimization, the best candidate was chosen and applied to the ring stiffened cylinder and eigenvalue buckling analysis was performed to understand the buckling behavior. Best laminate candidates with high buckling strength have been identified. A generalized procedure of the laminate optimization and analysis have been shown.

  2. Buckling Of Shells Of Revolution /BOSOR/ with various wall constructions

    NASA Technical Reports Server (NTRS)

    Almroth, B. O.; Bushnell, D.; Sobel, L. H.

    1969-01-01

    Computer program, using numerical integration and finite difference techniques, solves almost any buckling problem for shells exhibiting orthotropic behavior. Stability analyses can be performed with reasonable accuracy and without unduly restrictive approximations.

  3. [Giant retinal tears treated with lens sparing, bimanual 23 g vitrectomy without scleral buckle].

    PubMed

    Quezada-Ruiz, Carlos; Cano-Hidalgo, Rene Alfredo

    2014-01-01

    Antecedentes: el desgarro retiniano gigante es la rotura del espesor total de la retina neurosensorial con extensión circunferencial de 3 o más husos horarios aunado a desprendimiento de vítreo posterior, y constituye uno de los escenarios quirúrgicos más complejos para el cirujano de retina y vítreo. No existe consenso en cuanto a su manejo; sin embargo, tradicionalmente se ha empleado un abordaje que combina lensectomía, cerclaje y vitrectomía. Objetivo: reportar la evolución a dos años de 5 pacientes con desgarro gigante tratados con vitrectomía 23 g, abordaje bimanual, sin lensectomía y sin cerclaje escleral. Material y métodos: estudio descriptivo, retrospectivo de pacientes con desgarro retiniano gigante, tratados con vitrectomía 23 g, abordaje bimanual, sin lensectomía ni cerclaje escleral. Se estudiaron la edad, estado del cristalino, etiología y extensión del desgarro, agudeza visual, resultado anatómico, taponamiento usado, criopexia o láser. Resultados: se incluyeron 3 pacientes con miopía alta, 1 con traumatismo contuso y 1 con síndrome de Wagner-Stickler. La extensión del desgarro fue de 120 a 280°. Todos con éxito anatómico y mejoría de la agudeza visual. Un paciente con vitreorretinopatía proliferativa se reintervino y la retina permaneció aplicada hasta el final del periodo analizado. Conclusiones: en este selecto grupo de pacientes la vitrectomía calibre 23 con abordaje bimanual, sin cerclaje escleral y sin tocar el cristalino, dio buenos resultados anatómicos y visuales en un seguimiento a dos años. Para establecer el papel que corresponde a esta técnica en el tratamiento de esta compleja patología se requieren estudios prospectivos y comparativos.

  4. Plasma Detachment Mechanisms in Propulsive Magnetic Nozzles

    DTIC Science & Technology

    2013-03-07

    a marginal fraction of the beam flows back and the divergence angle of the 95%-mass tube measures the effectiveness of detachment, allowing...propellants1,15; and high throttlability, based on the capability of actuating, at constant power, on both the gas flow and the magnetic nozzle16. However...unlimited. Thus, central to our model will be to include the 2D depletion of the injected gas flow , which is governed by the competition between plasma

  5. Dynamic buckling of subducting slabs reconciles geological and geophysical observations

    NASA Astrophysics Data System (ADS)

    Lee, Changyeol; King, Scott D.

    2011-12-01

    Ever since the early days of the development of plate tectonic theory, subduction zones have been engrained in geological thinking as the place where steady, linear slabs descend into the mantle at a constant, uniform dip angle beneath volcanic arcs. However, growing evidence from geological and geophysical observations as well as analog and numerical modeling indicates that subducting slabs buckle in a time-dependent manner, in contrast to the steady-state, linear cartoons that dominate the literature. To evaluate the implication of time-dependent slab buckling of geological events, we conduct a series of 2-D numerical dynamic/kinematic subduction experiments by varying the viscosity increase across the 660 km discontinuity and the strength of the subducting slab. Our results show that slab buckling is a universal figure in all the experiments when rate of the trench migration ( Vtrench) is relatively slow ( Vtrench| < 2 cm/a) and viscosity increases across the 660 km discontinuity are greater than a factor of 30. Slab buckling is expressed as alternate shallowing and steepening dip of the subducting slab (from ~ 40 to ~ 100°) which is correlated with increasing and decreasing convergent rate of the incoming oceanic plate toward the trench. Further, the slab buckling in our experiments is consistent with the previously developed scaling laws for slab buckling; using reasonable parameters from subducted slabs the buckling amplitude and period are ~ 400 km and ~ 25 Myr, respectively. The slab buckling behavior in our experiments explains a variety of puzzling geological and geophysical observations. First, the period of slab buckling is consistent with short periodic variations (~ 25 Myr) in the motions of the oceanic plates that are anchored by subduction zones. Second, the scattered distributions of slab dips (from ~ 20 to ~ 90°) in the upper mantle are snapshots of time-dependent slab dip. Third, the current compressional and extensional stress environments in

  6. Extinguishing ELMs in detached radiative divertor plasmas

    NASA Astrophysics Data System (ADS)

    Pigarov, Alexander; Krasheninnikov, Sergei; Rognlien, Thomas

    2016-10-01

    In order to avoid deleterious effects of ELMs on PFCs in next-step fusion devices it has been suggested to operate with small-sized ELMs naturally extinguishing in the divertor. Our modeling effort is focusing at extinguishing type-I ELMs: conditions for expelled plasma dissipation; efficiency of ELM power handling by detached radiative divertors; and the ELM impact on detachment state. Here time-dependent modeling of a sequence of many ELMs was performed with 2-D edge plasma transport code UEDGE-MB-W which incorporates the Macro-Blob (MB) approach to simulate non-diffusive filamentary transport and various ``Wall'' (W) models for time-dependent hydrogen wall inventory and recycling. Three cases were modeled, in which extinguishing ELMs are achieved due to: (i) intrinsic impurities via graphite sputtering, (ii) extrinsic impurity gas puff (Ne), and (iii) =(i) +(ii). For each case, we performed a series of UEDGE-MB-W runs scanning the deuterium and impurity inventories, pedestal losses and ELM frequency. Temporal variations of the degree of detachment, ionization front shape, recombination sink strength, radiated fraction, peak power loads, OSP, impurity charge states, and in/out asymmetries were analyzed. We discuss the onset of extinguishing ELMs, conditions for not burning through and enhanced plasma recombination as functions of scanned parameters. Efficiencies of intrinsic and extrinsic impurities in ELM extinguishing are compared.

  7. Detached Growth of Germanium and Germaniumsilicon

    NASA Technical Reports Server (NTRS)

    Dold, P.; Schweizer, M.; Szofran, F.; Benz, K. W.

    1999-01-01

    Up to now, detached growth was observed mainly under microgravity, i.e. under the absence of hydrostatic pressure that hinders the formation of a free melt meniscus. the detached growth of germanium doped with gallium was obtained under 1 g conditions, the growth was performed in quartz-glass ampoule. Part of the crystal grew without wall contact, the detached growth was observed in-situ with a CCD-camera as well as after the growth process in form of growth lines and the formation of <111> facets on the crystal surface. GeSi crystal (oriientation: <111>, maximum silicon content: 4 at%, seed material: Ge) was grown in a pBN crucible (excluding the possibility of in-situ monitoring of the growth process). The grown crystal exhibits three growth facets, indicating also wall free growth. Surface analysis of the crystals (NDIC, SEM) and characterization of crystal segregation (EDAX, resistivity measurement) and defect structure (EPD, x-ray diffraction measurements) will be presented.

  8. Preliminary Study on Retinal Vascular and Oxygen-related Changes after Long-term Silicone Oil and Foldable Capsular Vitreous Body Tamponade

    PubMed Central

    Yang, Wei; Yuan, Yongguang; Zong, Yao; Huang, Zhen; Mai, Shuyi; Li, Yujie; Qian, Xiaobing; Liu, Yaqin; Gao, Qianying

    2014-01-01

    Silicone oil has been the only long-term vitreous substitute used in the treatment of retinal detachment since 1962 by Cibis. Nevertheless, its effects on retinal vascular morphology and oxygen supply to the retina are ambiguous in current research. We previously invented a foldable capsular vitreous body (FCVB) to use as a new vitreous substitute in the treatment of severe retinal detachment, but its effects on the retinal vessel were unknown. Therefore, in this study, a standard three-port pars plana vitrectomy (PPV) was performed on the right eye of each rabbit and then silicone oil and FCVB were injected into the vitreous cavity as vitreous substitutes. After 180 days of retention, the retinal vascular morphology did not display any distinct abnormalities, and hypoxia-induced factor-1alpha (HIF-1α) and vascular endothelial growth factor (VEGF) did not vary markedly during the observation period in silicone oil tamponade- and FCVB-implanted eyes. This study may suggest that silicone oil and FCVB tamponade in rabbit eyes did not cause retinal vascular pathologic changes or retinal hypoxia for 180 days. PMID:24920425

  9. Preliminary study on retinal vascular and oxygen-related changes after long-term silicone oil and foldable capsular vitreous body tamponade.

    PubMed

    Yang, Wei; Yuan, Yongguang; Zong, Yao; Huang, Zhen; Mai, Shuyi; Li, Yujie; Qian, Xiaobing; Liu, Yaqin; Gao, Qianying

    2014-06-12

    Silicone oil has been the only long-term vitreous substitute used in the treatment of retinal detachment since 1962 by Cibis. Nevertheless, its effects on retinal vascular morphology and oxygen supply to the retina are ambiguous in current research. We previously invented a foldable capsular vitreous body (FCVB) to use as a new vitreous substitute in the treatment of severe retinal detachment, but its effects on the retinal vessel were unknown. Therefore, in this study, a standard three-port pars plana vitrectomy (PPV) was performed on the right eye of each rabbit and then silicone oil and FCVB were injected into the vitreous cavity as vitreous substitutes. After 180 days of retention, the retinal vascular morphology did not display any distinct abnormalities, and hypoxia-induced factor-1alpha (HIF-1α) and vascular endothelial growth factor (VEGF) did not vary markedly during the observation period in silicone oil tamponade- and FCVB-implanted eyes. This study may suggest that silicone oil and FCVB tamponade in rabbit eyes did not cause retinal vascular pathologic changes or retinal hypoxia for 180 days.

  10. Thermal Buckling Analysis of Rectangular Panels Subjected to Humped Temperature Profile Heating

    NASA Technical Reports Server (NTRS)

    Ko, William I.

    2004-01-01

    This research investigates thermal buckling characteristics of rectangular panels subjected to different types of humped temperature profile heating. Minimum potential energy and finite-element methods are used to calculate the panel buckling temperatures. The two methods give fairly close thermal buckling solutions. 'Buckling temperature magnification factor of the first kind, eta' is established for the fixed panel edges to scale up the buckling solution of uniform temperature loading case to give the buckling solution of the humped temperature profile loading cases. Also, 'buckling temperature magnification factor of the second kind, xi' is established for the free panel edges to scale up the buckling solution of humped temperature profile loading cases with unheated boundary heat sinks to give the buckling solutions when the boundary heat sinks are heated up.

  11. Interactive buckling of an inflated envelope under mechanical and thermal loads

    NASA Astrophysics Data System (ADS)

    Wang, C. G.; Liu, M. X.; Tan, H. F.

    2017-02-01

    This paper elucidates the interactive buckling behaviors of an inflated envelope under coupled mechanical and thermal loads, especially the longitudinal wrinkling bifurcation and hoop ovalization buckling. The longitudinal bending buckling process of the inflated envelope can be divided into three continuous stages, which are global buckling, interactive global-local buckling, and kink. A variety of hoop ovalization buckling modes are observed under coupled mechanical-thermal load. Unlike the mechanical case, thermal load leads to a hoop negative ovalization buckling. In addition, it can accelerate the longitudinal coupled bifurcation and resist the hoop coupled ovalization buckling. Moreover, the bending resistance of the inflated envelope will be improved when the length of the structure is increased, resulting in the difficulty of it to become wrinkled. These results provide a new insight into the buckling behaviors of an inflated envelope under coupled external loads, and give a reference for the design of the inflated envelope.

  12. Artery buckling analysis using a four-fiber wall model.

    PubMed

    Liu, Qin; Wen, Qi; Mottahedi, Mohammad; Han, Hai-Chao

    2014-08-22

    Artery bent buckling has been suggested as a possible mechanism that leads to artery tortuosity, which is associated with aging, hypertension, atherosclerosis, and other pathological conditions. It is necessary to understand the relationship between microscopic wall structural changes and macroscopic artery buckling behavior. To this end, the objectives of this study were to develop arterial buckling equations using a microstructure-based 4-fiber reinforced wall model, and to simulate the effects of vessel wall microstructural changes on artery buckling. Our results showed that the critical pressure increased nonlinearly with the axial stretch ratio, and the 4-fiber model predicted higher critical buckling pressures than what the Fung model predicted. The buckling equation using the 4-fiber model captured the experimentally observed reduction of critical pressure induced by elastin degradation and collagen fiber orientation changes in the arterial wall. These results improve our understanding of arterial stability and its relationship to microscopic wall remodeling, and the model provides a useful tool for further studies.

  13. Combined torsional buckling of multi-walled carbon nanotubes

    NASA Astrophysics Data System (ADS)

    Lu, Y. J.; Wang, X.

    2006-08-01

    This paper reports the results of an investigation on combined torsional buckling of an individual multi-walled carbon nanotube (MWNT) under combined torque and axial loading. Here, a multiple shell model is adopted and the effect of van der Waals forces between two adjacent tubes is taken into account. According to the ratio of radius to thickness, MWNTs discussed in this paper are classified into three types: thin, thick and nearly solid. The critical shear stress and the combined buckling mode are calculated for three types of MWNTs under combined torque and axial loading. Results carried out show that the buckling mode (m, n) corresponding to the critical shear stress is unique, which is obviously different from the purely axial compression buckling of an individual MWNT. Numerical results also show that the critical shear stresses and the corresponding buckling modes of MWNTs under combined torque and axial loading are dependent on the axial loading form and the types of MWNTs. The new features and meaningful numerical results in the present work on combined buckling of MWNTs under combined torque and axial loading may be used as a useful reference for the designs of nano-drive devices and rotational actuators in which MWNTs act as basic elements.

  14. Artery buckling analysis using a four-fiber wall model

    PubMed Central

    Liu, Qin; Wen, Qi; Mottahedi, Mohammad; Han, Hai-Chao

    2014-01-01

    Artery bent buckling has been suggested as a possible mechanism that leads to artery tortuosity, which is associated with aging, hypertension, atherosclerosis, and other pathological conditions. It is necessary to understand the relationship between microscopic wall structural changes and macroscopic artery buckling behavior. To this end, the objectives of this study were to develop arterial buckling equations using a microstructure-based 4-fiber reinforced wall model, and to simulate the effects of vessel wall microstructural changes on artery buckling. Our results showed that the critical pressure increased nonlinearly with the axial stretch ratio, and the 4-fiber model predicted higher critical buckling pressures than what the Fung model predicted. The buckling equation using the 4-fiber model captures the experimentally observed reduction of critical pressure induced by elastin degradation and collagen fiber orientation changes in the arterial wall. These results improve our understanding of arterial stability and its relationship to microscopic wall remodeling, and the model provides a useful tool for further studies. PMID:24972920

  15. Buckling of inner cell wall layers after manipulations to reduce tensile stress: observations and interpretations for stress transmission.

    PubMed

    Hejnowicz, Zygmunt; Borowska-Wykret, Dorota

    2005-01-01

    The inner layer of the cell wall in tissues that are under tensile stress in situ, e.g. epidermis and collenchyma of etiolated sunflower hypocotyls, shows a pattern of transverse folds when the tissues are detached and plasmolysed. This can be observed by Nomarski imaging of inner surfaces of the outer cell walls and electron microscopy of longitudinal sections after peeling the epidermis and bathing it in plasmolysing solutions. The folds are apparently caused by buckling of the inner layer due to the longitudinal compressive force exerted on this layer by the outer wall layer, when it shrinks after the removal of the longitudinal tensile stresses. In these stresses, two components can be distinguished: the tissue stress, disappearing on peeling, and that caused directly by turgor pressure, disappearing in hyperosmotic solution. Investigation of the buckling indicates that the outer layer of the cell wall transmits in situ most of the longitudinal tensile stress in the wall. The common concept that the inner layer of the wall is the region bearing most stress and therefore regulating growth can still be valid with respect to the transverse stress component.

  16. Small Animal Retinal Imaging

    NASA Astrophysics Data System (ADS)

    Choi, WooJhon; Drexler, Wolfgang; Fujimoto, James G.

    Developing and validating new techniques and methods for small animal imaging is an important research area because there are many small animal models of retinal diseases such as diabetic retinopathy, age-related macular degeneration, and glaucoma [1-6]. Because the retina is a multilayered structure with distinct abnormalities occurring in different intraretinal layers at different stages of disease progression, there is a need for imaging techniques that enable visualization of these layers individually at different time points. Although postmortem histology and ultrastructural analysis can be performed for investigating microscopic changes in the retina in small animal models, this requires sacrificing animals, which makes repeated assessment of the same animal at different time points impossible and increases the number of animals required. Furthermore, some retinal processes such as neurovascular coupling cannot be fully characterized postmortem.

  17. Buckle Driven Delamination in Thin Hard Film Compliant Substrate Systems

    NASA Astrophysics Data System (ADS)

    Moody, N. R.; Reedy, E. D.; Corona, E.; Adams, D. P.; Kennedy, M. S.; Cordill, M. J.; Bahr, D. F.

    2010-06-01

    Deformation and fracture of thin films on compliant substrates are key factors constraining the performance of emerging flexible substrate devices. [1-3] These systems often contain layers of thin polymer, ceramic and metallic films and stretchable interconnects where differing properties induce high normal and shear stresses. [4] As long as the films remain bonded to the substrates, they may deform far beyond their freestanding form. Once debonded, substrate constraint disappears leading to film failure. [3] Experimentally it is very difficult to measure properties in these systems at sub-micron and nanoscales. Theoretically it is very difficult to determine the contributions from the films, interfaces, and substrates. As a result our understanding of deformation and fracture behavior in compliant substrate systems is limited. This motivated a study of buckle driven delamination of thin hard tungsten films on pure PMMA substrates. The films were sputter deposited to thicknesses of 100 nm, 200 nm, and 400 nm with a residual compressive stress of 1.7 GPa. An aluminum oxide interlayer was added on several samples to alter interfacial composition. Buckles formed spontaneously on the PMMA substrates following film deposition. On films without the aluminum oxide interlayer, an extensive network of small telephone cord buckles formed following deposition, interspersed with regions of larger telephone cord buckles. (Figure 1) On films with an aluminum oxide interlayer, telephone cord buckles formed creating a uniform widely spaced pattern. Through-substrate optical observations revealed matching buckle patterns along the film-substrate interface indicating that delamination occurred for large and small buckles with and without an interlayer. The coexistence of large and small buckles on the same substrate led to two distinct behaviors as shown in Figure 2 where normalized buckle heights are plotted against normalized film stress. The behaviors deviate significantly from

  18. Inherited Retinal Degenerative Disease Registry

    ClinicalTrials.gov

    2016-03-21

    Eye Diseases Hereditary; Retinal Disease; Achromatopsia; Bardet-Biedl Syndrome; Bassen-Kornzweig Syndrome; Batten Disease; Best Disease; Choroidal Dystrophy; Choroideremia; Cone Dystrophy; Cone-Rod Dystrophy; Congenital Stationary Night Blindness; Enhanced S-Cone Syndrome; Fundus Albipunctatus; Goldmann-Favre Syndrome; Gyrate Atrophy; Juvenile Macular Degeneration; Kearns-Sayre Syndrome; Leber Congenital Amaurosis; Refsum Syndrome; Retinitis Pigmentosa; Retinitis Punctata Albescens; Retinoschisis; Rod-Cone Dystrophy; Rod Dystrophy; Rod Monochromacy; Stargardt Disease; Usher Syndrome

  19. Glutamatergic Retinal Waves

    PubMed Central

    Kerschensteiner, Daniel

    2016-01-01

    Spontaneous activity patterns propagate through many parts of the developing nervous system and shape the wiring of emerging circuits. Prior to vision, waves of activity originating in the retina propagate through the lateral geniculate nucleus (LGN) of the thalamus to primary visual cortex (V1). Retinal waves have been shown to instruct the wiring of ganglion cell axons in LGN and of thalamocortical axons in V1 via correlation-based plasticity rules. Across species, retinal waves mature in three stereotypic stages (I–III), in which distinct circuit mechanisms give rise to unique activity patterns that serve specific functions in visual system refinement. Here, I review insights into the patterns, mechanisms, and functions of stage III retinal waves, which rely on glutamatergic signaling. As glutamatergic waves spread across the retina, neighboring ganglion cells with opposite light responses (ON vs. OFF) are activated sequentially. Recent studies identified lateral excitatory networks in the inner retina that generate and propagate glutamatergic waves, and vertical inhibitory networks that desynchronize the activity of ON and OFF cells in the wavefront. Stage III wave activity patterns may help segregate axons of ON and OFF ganglion cells in the LGN, and could contribute to the emergence of orientation selectivity in V1. PMID:27242446

  20. [Bilateral spontaneously reattached rhegmatogenous retinal detachment. Case report and differential diagnosis with pigmentary retinopathies].

    PubMed

    García-Guzmán, Jorge Guillermo; Franco-Yáñez, Yasmín; Lima-Gómez, Virgilio

    2014-01-01

    Antecedentes: la pigmentación oscura en el fondo del ojo aparece en enfermedades degenerativas, como la retinosis pigmentaria; para poder estimar el pronóstico funcional del paciente esta afección debe distinguirse de otras de evolución no progresiva. En el desprendimiento de retina regmatógeno con resolución espontánea puede existir pigmentación oscura, pero es infrecuente que sea bilateral. Objetivo: analizar las características que distinguen al desprendimiento de la retina con resolución espontánea de otras causas de pigmentación en el fondo del ojo, para poder identificarlo también en casos bilaterales. Caso clínico: paciente femenina con baja visual crónica, referida para evaluación por una retinopatía pigmentaria bilateral. En la exploración clínica se descartaron causas como: retinosis pigmentaria, enfermedades inflamatorias de la retina y traumatismo. Por las características clínicas, la localización de la pigmentación y la información del electrorretinograma se integró el diagnóstico de desprendimiento de la retina regmatógeno, con resolución espontánea bilateral. Se discuten las características clínicas de esta enfermedad y el abordaje diagnóstico para distinguirlo de otras retinopatía pigmentarias. Conclusiones: las características clínicas del desprendimiento de retina con resolución espontánea permiten diferenciarlo de otras causas de pigmentación retiniana, aunque la presentación sea bilateral. El pronóstico de la retina no desprendida es mejor que en una enfermedad degenerativa, por lo que el diagnóstico correcto facilita la rehabilitación.

  1. Nonlinear contact between pipeline's outer wall and slip-on buckle arrestor's inner wall during buckling process

    NASA Astrophysics Data System (ADS)

    Ma, Weilin; Liu, Jiande; Dong, Sheng; Zhang, Xin; Ma, Xiaozhou

    2017-02-01

    In order to theoretically study the buckle propagation of subsea pipelines with slip-on buckle arrestors, a two-dimensional ring model was set up to represent the pipeline and a nonlinear spring model was adopted to simulate the contact between pipeline's inner walls and between pipeline's outer wall and slip-on buckle arrestor's inner wall during buckle propagation. In addition, some reverse springs are added to prevent the wall of left and right sides separating from the inner wall of slip-on buckle arrestors. Considering large deformation kinematics relations and the elastic-plastic constitutive relation of material, balance equations were established with the principle of virtual work. The variation of external pressure with respect to the cross-sectional area of pipelines was analyzed, and the lower bound of the crossover pressure of slip-on buckle arrestors was calculated based on Maxwell's energy balance method. By comparing the theoretical results with experiment and finite element numerical simulation, the theoretical method is proved to be correct and reliable.

  2. An Ocular Protein Triad Can Classify Four Complex Retinal Diseases

    PubMed Central

    Kuiper, J. J. W.; Beretta, L.; Nierkens, S.; van Leeuwen, R.; ten Dam-van Loon, N. H.; Ossewaarde-van Norel, J.; Bartels, M. C.; de Groot-Mijnes, J. D. F.; Schellekens, P.; de Boer, J. H.; Radstake, T. R. D. J.

    2017-01-01

    Retinal diseases generally are vision-threatening conditions that warrant appropriate clinical decision-making which currently solely dependents upon extensive clinical screening by specialized ophthalmologists. In the era where molecular assessment has improved dramatically, we aimed at the identification of biomarkers in 175 ocular fluids to classify four archetypical ocular conditions affecting the retina (age-related macular degeneration, idiopathic non-infectious uveitis, primary vitreoretinal lymphoma, and rhegmatogenous retinal detachment) with one single test. Unsupervised clustering of ocular proteins revealed a classification strikingly similar to the clinical phenotypes of each disease group studied. We developed and independently validated a parsimonious model based merely on three proteins; interleukin (IL)-10, IL-21, and angiotensin converting enzyme (ACE) that could correctly classify patients with an overall accuracy, sensitivity and specificity of respectively, 86.7%, 79.4% and 92.5%. Here, we provide proof-of-concept for molecular profiling as a diagnostic aid for ophthalmologists in the care for patients with retinal conditions. PMID:28128370

  3. An Ocular Protein Triad Can Classify Four Complex Retinal Diseases

    NASA Astrophysics Data System (ADS)

    Kuiper, J. J. W.; Beretta, L.; Nierkens, S.; van Leeuwen, R.; Ten Dam-van Loon, N. H.; Ossewaarde-van Norel, J.; Bartels, M. C.; de Groot-Mijnes, J. D. F.; Schellekens, P.; de Boer, J. H.; Radstake, T. R. D. J.

    2017-01-01

    Retinal diseases generally are vision-threatening conditions that warrant appropriate clinical decision-making which currently solely dependents upon extensive clinical screening by specialized ophthalmologists. In the era where molecular assessment has improved dramatically, we aimed at the identification of biomarkers in 175 ocular fluids to classify four archetypical ocular conditions affecting the retina (age-related macular degeneration, idiopathic non-infectious uveitis, primary vitreoretinal lymphoma, and rhegmatogenous retinal detachment) with one single test. Unsupervised clustering of ocular proteins revealed a classification strikingly similar to the clinical phenotypes of each disease group studied. We developed and independently validated a parsimonious model based merely on three proteins; interleukin (IL)-10, IL-21, and angiotensin converting enzyme (ACE) that could correctly classify patients with an overall accuracy, sensitivity and specificity of respectively, 86.7%, 79.4% and 92.5%. Here, we provide proof-of-concept for molecular profiling as a diagnostic aid for ophthalmologists in the care for patients with retinal conditions.

  4. [Application of retinal oximeter in ophthalmology].

    PubMed

    Li, Jing; Ma, Jianmin; Wang, Ningli

    2015-11-01

    Retinal oximeter is a new machine which has been used in the diagnose, treatment and research of several ophthalmic diseases for recent years. It allows ophthalmologists to gain retinal oxygen saturation directly. Therefore, retinal oximeter might be useful for ophthalmologists to understand ophthalmic diseases more deeper and clarify the impact of ischemia on retinal function. It has been reported in the literatures that retinal oximeter has potentially useful diagnostic and therapeutic indications in various eye diseases such as diabetic retinopathy, central retinal vein and artery occlusion, retinitis pigmentosa, glaucomatous optic neuropathy, et al. In this thesis, the application of retinal oximeter in ophthalmology is reviewed.

  5. Intraocular retinal prosthesis.

    PubMed Central

    Humayun, M S

    2001-01-01

    PURPOSE: An electronic implant that can bypass the damaged photoreceptors and electrically stimulate the remaining retinal neurons to restore useful vision has been proposed. A number of key questions remain to make this approach feasible. The goal of this thesis is to address the following 2 specific null hypotheses: (1) Stimulus parameters make no difference in the electrically elicited retinal responses. (2) Just as we have millions of photoreceptors, so it will take a device that can generate millions of pixels/light points to create useful vision. METHODS: For electrophysiologic experiments, 2 different setups were used. In the first setup, charge-balanced pulses were delivered to the retinal surface via electrodes inserted through an open sky approach in normal or blind retinal degenerate (rd) mice. In the second setup, the rabbit retina was removed under red light conditions from an enucleated eye and then maintained in a chamber while being superfused with oxygenated, heated Ames media. In both setups, stimulating electrodes and recording electrodes were positioned on the retinal surface to evaluate the effect of varying stimulation parameters on the orthodromic retinal responses (i.e., recording electrode placed between stimulating electrodes and optic nerve head). For psychophysical experiments, visual images were divided into pixels of light that could be projected in a pattern on the retina in up to 8 sighted volunteers. Subjects were asked to perform various tasks ranging from reading and face recognition to various activities of daily living. RESULTS: Electrophysiologic experiments: In a normal mouse, a single cycle of a 1-kHz sine wave was significantly more efficient than a 1-kHz square wave (P < .05), but no such difference was noted in either of the 8- or 16-week-old rd mouse groups (8-week-old, P = .426; 16-week-old, P = .078). Charge threshold was significantly higher in 16-week-old rd mouse versus both 8-week-old rd and normal mouse for every

  6. Buckling analysis of laminated thin shells in a hot environment

    NASA Technical Reports Server (NTRS)

    Gotsis, Pascal K.; Guptil, James D.

    1993-01-01

    Results are presented of parametric studies to assess the effects of various parameters on the buckling behavior of angle-ply, laminated thin shells in a hot environment. These results were obtained by using a three-dimensional finite element analysis. An angle-ply, laminated thin shell with fiber orientation of (theta/-theta)(sub 2) was subjected to compressive mechanical loads. The laminated thin shell had a cylindrical geometry. The laminate contained T300 graphite fibers embedded in an intermediate-modulus, high-strength (IMHS) matrix. The fiber volume fraction was 55 percent and the moisture content was 2 percent. The residual stresses induced into the laminate structure during the curing were taken into account. Parametric studies were performed to examine the effect on the critical buckling load of the following parameters: cylinder length and thickness, internal hydrostatic pressure, different ply thicknesses, different temperature profiles through the thickness of the structure, and different lay up configurations and fiber volume fractions. In conjunction with these parameters the ply orientation was varied from 0 deg to 90 deg. Seven ply angles were examined: 0 deg, 15 deg, 30 deg, 45 deg, 60 deg, 75 deg, and 90 deg. The results show that the ply angle theta and the laminate thickness had significant effects on the critical buckling load. The fiber volume fraction, the fiber orientations, and the internal hydrostatic pressure had important effects on the critical buckling load. The cylinder length had a moderate influence on the buckling load. The thin shell with (theta/-theta)(sub 2) or (theta/-theta)(sub s) angle-ply laminate had better buckling-load performance than the thin shell with (theta)(sub 4) angle-ply laminate. The temperature profiles through the laminate thickness and various laminates with the different ply thicknesses has insignificant effects on the buckling behavior of the thin shells.

  7. ``Detached'' deep earthquakes: are they really?

    NASA Astrophysics Data System (ADS)

    Okal, Emile A.

    2001-12-01

    We use primarily the generation of acoustic T waves into the ocean by deep seismic sources to investigate the propagation of high-frequency seismic energy from the bottom of subduction zones to the shoreline at the earth's surface. Conversion from shear waves to oceanic acoustic waves can be used as a proxy for the existence of a continuous slab featuring low anelastic attenuation. With the help of other techniques, such as the estimation of Q from S-to- P spectral amplitude ratios, we examine systematically a number of regions where earthquakes have been described as "detached". We establish the mechanical continuity of the slab to the hypocenters of the 1990 Sakhalin and 1982 Bonin events, which occurred several hundred kilometers in front of the mainstream seismic zone. The study of the 1989 Paraguay shock is inconclusive, probably due to its much smaller size. The vertical continuity of the South American slab through its aseismic depth range is verified, and a similar situation probably exists in Java. Attenuation data suggests that the deep Spanish earthquakes occur within a vertically large segment of colder material, and a similar situation may exist in Colombia. The only clearly detached deep events with no mechanical connection to the surface make up the Vityaz cluster, under the North Fiji Basin. Based on a variety of geophysical evidence, the small deep earthquakes under New Zealand are likely to take place in a detached blob at least 350 km below the termination of mainstream seismicity. These results support a model integrating buoyancy forces over a long continuous slab as the source of the down-dip compressional stresses observed in large earthquakes at the bottom of the transition zone.

  8. Buckled two-dimensional Xene sheets

    NASA Astrophysics Data System (ADS)

    Molle, Alessandro; Goldberger, Joshua; Houssa, Michel; Xu, Yong; Zhang, Shou-Cheng; Akinwande, Deji

    2017-01-01

    Silicene, germanene and stanene are part of a monoelemental class of two-dimensional (2D) crystals termed 2D-Xenes (X = Si, Ge, Sn and so on) which, together with their ligand-functionalized derivatives referred to as Xanes, are comprised of group IVA atoms arranged in a honeycomb lattice -- similar to graphene but with varying degrees of buckling. Their electronic structure ranges from trivial insulators, to semiconductors with tunable gaps, to semi-metallic, depending on the substrate, chemical functionalization and strain. More than a dozen different topological insulator states are predicted to emerge, including the quantum spin Hall state at room temperature, which, if realized, would enable new classes of nanoelectronic and spintronic devices, such as the topological field-effect transistor. The electronic structure can be tuned, for example, by changing the group IVA element, the degree of spin-orbit coupling, the functionalization chemistry or the substrate, making the 2D-Xene systems promising multifunctional 2D materials for nanotechnology. This Perspective highlights the current state of the art and future opportunities in the manipulation and stability of these materials, their functions and applications, and novel device concepts.

  9. Residual Strength Predictions with Crack Buckling

    NASA Technical Reports Server (NTRS)

    Dawicke, D. S.; Gullerud, A. S.; Dodds, R. H., Jr.; Hampton, R. W.

    1999-01-01

    Fracture tests were conducted on middle crack tension, M(T), and compact tension, C(T), specimens of varying widths, constructed from 0.063 inch thick sheets of 2024-T3 aluminum alloy. Guide plates were used to restrict out-of-plane displacements in about half of the tests. Analyses using the three-dimensional, elastic-plastic finite element code WARP3D simulated the tests with and without guide plates using a critical CTOA fracture criterion. The experimental results indicate that crack buckling reduced the failure loads by up to 40%. Using a critical CTOA value of 5.5 deg., the WARP3D analyses predicted the failure loads for the tests with guide plates within +/- 10% of the experimentally measured values. For the M(T) tests without guide plates, the WARP3D analyses predicted the failure loads for the 12 and 24 inch tests within 10%, while over predicting the failure loads for the 40 inch wide tests by about 20%.

  10. High resolution optoelectronic retinal prosthesis

    NASA Astrophysics Data System (ADS)

    Loudin, Jim; Dinyari, Rostam; Huie, Phil; Butterwick, Alex; Peumans, Peter; Palanker, Daniel

    2009-02-01

    Electronic retinal prostheses seek to restore sight in patients with retinal degeneration by delivering pulsed electric currents to retinal neurons via an array of microelectrodes. Most implants use inductive or optical transmission of information and power to an intraocular receiver, with decoded signals subsequently distributed to retinal electrodes through an intraocular cable. Surgical complexity could be minimized by an "integrated" prosthesis, in which both power and data are delivered directly to the stimulating array without any discrete components or cables. We present here an integrated retinal prosthesis system based on a photodiode array implant. Video frames are processed and imaged onto the retinal implant by a video goggle projection system operating at near-infrared wavelengths (~ 900 nm). Photodiodes convert light into pulsed electric current, with charge injection maximized by specially optimized series photodiode circuits. Prostheses of three different pixel densities (16 pix/mm2, 64 pix/mm2, and 256 pix/mm2) have been designed, simulated, and prototyped. Retinal tissue response to subretinal implants made of various materials has been investigated in RCS rats. The resulting prosthesis can provide sufficient charge injection for high resolution retinal stimulation without the need for implantation of any bulky discrete elements such as coils or tethers. In addition, since every pixel functions independently, pixel arrays may be placed separately in the subretinal space, providing visual stimulation to a larger field of view.

  11. Retinal Imaging and Image Analysis

    PubMed Central

    Abràmoff, Michael D.; Garvin, Mona K.; Sonka, Milan

    2011-01-01

    Many important eye diseases as well as systemic diseases manifest themselves in the retina. While a number of other anatomical structures contribute to the process of vision, this review focuses on retinal imaging and image analysis. Following a brief overview of the most prevalent causes of blindness in the industrialized world that includes age-related macular degeneration, diabetic retinopathy, and glaucoma, the review is devoted to retinal imaging and image analysis methods and their clinical implications. Methods for 2-D fundus imaging and techniques for 3-D optical coherence tomography (OCT) imaging are reviewed. Special attention is given to quantitative techniques for analysis of fundus photographs with a focus on clinically relevant assessment of retinal vasculature, identification of retinal lesions, assessment of optic nerve head (ONH) shape, building retinal atlases, and to automated methods for population screening for retinal diseases. A separate section is devoted to 3-D analysis of OCT images, describing methods for segmentation and analysis of retinal layers, retinal vasculature, and 2-D/3-D detection of symptomatic exudate-associated derangements, as well as to OCT-based analysis of ONH morphology and shape. Throughout the paper, aspects of image acquisition, image analysis, and clinical relevance are treated together considering their mutually interlinked relationships. PMID:21743764

  12. Will Retinal Implants Restore Vision?

    NASA Astrophysics Data System (ADS)

    Zrenner, Eberhart

    2002-02-01

    A number of research groups are developing electrical implants that can be attached directly to the retina in an attempt to restore vision to patients suffering from retinal degeneration. However, despite promising results in animal experiments, there are still several major obstacles to overcome before retinal prostheses can be used clinically.

  13. Low Level Laser Retinal Damage

    DTIC Science & Technology

    1990-03-01

    18 Related Projects ........................ . . ....... 20 References . . . . .......................... 22 2 INTRODUCTION The objectives of...fluorescein is a potent phototoxic agent in the retina.26 The damage threshold for blue light retinal damage is lowered by a factor of ten after an... Related to the Probiem of Retinal Light Damage 1. Corneal Holography 2. Hematoporphyrin Studies 3. Fluorescein Fluorescence Measurements 7 EQUIPMENT

  14. Perceptual Fading without Retinal Adaptation

    ERIC Educational Resources Information Center

    Hsieh, Po-Jang; Colas, Jaron T.

    2012-01-01

    A retinally stabilized object readily undergoes perceptual fading and disappears from consciousness. This startling phenomenon is commonly believed to arise from local bottom-up sensory adaptation to edge information that occurs early in the visual pathway, such as in the lateral geniculate nucleus of the thalamus or retinal ganglion cells. Here…

  15. Buckling of structures; Proceedings of the Symposium, Harvard University, Cambridge, Mass., June 17-21, 1974

    NASA Technical Reports Server (NTRS)

    Budiansky, B.

    1976-01-01

    The papers deal with such topics as the buckling and post-buckling behavior of plates and shells; methods of calculating critical buckling and collapse loads; finite element representations for thin-shell instability analysis; theory and experiment in the creep buckling of plates and shells; creep instability of thick shell structures; analytical and numerical studies of the influence of initial imperfections on the elastic buckling of columns; mode interaction in stiffened panels under compression; imperfection-sensitivity in the interactive buckling of stiffened plates; buckling of stochastically imperfect structures; and the Liapunov stability of elastic dynamic systems. A special chapter is devoted to design problems, including the design of a Mars entry 'aeroshell', and buckling design in vehicle structures. Individual items are announced in this issue.

  16. Effect of a circular hole on the buckling of cylindrical shells loaded by axial compression.

    NASA Technical Reports Server (NTRS)

    Starnes, J. H., Jr.

    1972-01-01

    An experimental and analytical investigation of the effect of a circular hole on the buckling of thin cylindrical shells under axial compression was carried out. The experimental results were obtained from tests performed on seamless electroformed copper shells and Mylar shells with a lap joint seam. These results indicated that the character of the shell buckling was dependent on a parameter which is proportional to the hole radius divided by the square root of the product of the shell radius and thickness. For small values of this parameter, there was no apparent effect of the hole on the buckling load. For slightly larger values of the parameter, the shells still buckled into a general collapse configuration, but the buckling loads were sharply reduced as the parameter increased. For still larger values of the parameter, the buckling loads were further reduced, and the shells buckled into a stable local buckling configuration.

  17. The strain rate effect on the buckling of single-layer MoS2.

    PubMed

    Jiang, Jin-Wu

    2015-01-15

    The Euler buckling theory states that the buckling critical strain is an inverse quadratic function of the length for a thin plate in the static compression process. However, the suitability of this theory in the dynamical process is unclear, so we perform molecular dynamics simulations to examine the applicability of the Euler buckling theory for the fast compression of the single-layer MoS2. We find that the Euler buckling theory is not applicable in such dynamical process, as the buckling critical strain becomes a length-independent constant in the buckled system with many ripples. However, the Euler buckling theory can be resumed in the dynamical process after restricting the theory to an individual ripple in the buckled structure.

  18. The Strain Rate Effect on the Buckling of Single-Layer MoS2

    PubMed Central

    Jiang, Jin-Wu

    2015-01-01

    The Euler buckling theory states that the buckling critical strain is an inverse quadratic function of the length for a thin plate in the static compression process. However, the suitability of this theory in the dynamical process is unclear, so we perform molecular dynamics simulations to examine the applicability of the Euler buckling theory for the fast compression of the single-layer MoS2. We find that the Euler buckling theory is not applicable in such dynamical process, as the buckling critical strain becomes a length-independent constant in the buckled system with many ripples. However, the Euler buckling theory can be resumed in the dynamical process after restricting the theory to an individual ripple in the buckled structure. PMID:25588352

  19. Electron-impact detachment and dissociation of C4- ions

    NASA Astrophysics Data System (ADS)

    Le Padellec, A.; Rabilloud, F.; Pegg, D.; Neau, A.; Hellberg, F.; Thomas, R.; Schmidt, H. T.; Larsson, M.; Danared, H.; Källberg, A.; Andersson, K.; Hanstorp, D.

    2001-12-01

    CRYRING was used to study collision processes between an electron and a negative ion cluster C4-. The total detachment cross sections for the production of the neutral 4C, 3C, 2C, and C fragments were measured. The cross sections for pure detachment, and for detachment plus dissociation leading to the production of C3+C, 2C2, and C2+2C were extracted using a grid. It was found that the pure detachment process overwhelmingly dominates all other fragmentation processes. The threshold location for the detachment channel is found to be around 6.0 eV. Although the doubly charged negative ion C42- has received little previous attention, a defined near-threshold resonance observed in the detachment cross section curve, has been associated with the short-lived state C42- (0.7 fs lifetime).

  20. Effects of Geometric Variations on the Buckling of Arteries.

    PubMed

    Datir, Parag; Lee, Avione Y; Lamm, Shawn D; Han, Hai-Chao

    2011-10-05

    Arteries often demonstrate geometric variations such as elliptic and eccentric cross sections, stenosis, and tapering along the longitudinal axis. Effects of these variations on the mechanical stability of the arterial wall have not been investigated. The objective of this study was to determine the buckling behavior of arteries with elliptic, eccentric, stenotic, and tapered cross sections. The arterial wall was modeled as a homogenous anisotropic nonlinear material. Finite element analysis was used to simulate the buckling process of these arteries under lumen pressure and axial stretch. Our results demonstrated that arteries with an oval cross section buckled in the short axis direction at lower critical pressures compared to circular arteries. Eccentric cross-sections, stenosis, and tapering also decreased the critical pressure. Stenosis led to dramatic pressure variations along the vessel and reduced the buckling pressure. In addition, tapering shifted the buckling deformation profile of the artery towards the distal end. We conclude that geometric variations reduce the critical pressure of arteries and thus make the arteries more prone to mechanical instability than circular cylindrical arteries. These results improve our understanding of the mechanical behavior of arteries.