• Title/Summary/Keyword: Retinal Disease

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Applicator parts hub and cannula integrated mold technology and bonding strength analysis for retinal disease treatment (망막질환 치료를 위한 어플리케이터 허브와 캐뉼러 일체화 금형기술 및 접합강도 분석)

  • Jeong-Hyeon Yu;Yong-Dae Kim;Jeong-Won Lee
    • Design & Manufacturing
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    • v.17 no.1
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    • pp.40-47
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    • 2023
  • Macular degeneration and glaucoma are representative age-related retinal diseases that rank second and third in the prevalence of retinal diseases, and are a kind of degenerative neurological disease. Irreversible visual acuity and visual field damage may occur, and the number of patients is rapidly increasing as the population ages. Since this retinal disease is a chronic disease, continuous drug treatment is required. There are various drug delivery methods for treatment, but direct injection of the drug into the intravitreal is the most effective for continuous delivery of the drug over a long period of time. In order to solidify Dexamethasone, a retinal disease treatment, and insert it into the primary intravitreal, it is important to develop a technology to miniaturize the treatment and an applicator to deliver the treatment. In this study, a mold technology was developed to integrate the cannula and hub, which are one part of applicator. In addition, surface treatment was performed on the outside of the cannula to improve the bonding strength between the cannula and the hub, and the bonding strength according to each condition was analyzed through a tensile test.

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Bayesian Network-based Data Analysis for Diagnosing Retinal Disease (망막 질환 진단을 위한 베이지안 네트워크에 기초한 데이터 분석)

  • Kim, Hyun-Mi;Jung, Sung-Hwan
    • Journal of Korea Multimedia Society
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    • v.16 no.3
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    • pp.269-280
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    • 2013
  • In this paper, we suggested the possibility of using an efficient classifier for the dependency analysis of retinal disease. First, we analyzed the classification performance and the prediction accuracy of GBN (General Bayesian Network), GBN with reduced features by Markov Blanket and TAN (Tree-Augmented Naive Bayesian Network) among the various bayesian networks. And then, for the first time, we applied TAN showing high performance to the dependency analysis of the clinical data of retinal disease. As a result of this analysis, it showed applicability in the diagnosis and the prediction of prognosis of retinal disease.

Automatic Segmentation of Retinal Blood Vessels Based on Improved Multiscale Line Detection

  • Hou, Yanli
    • Journal of Computing Science and Engineering
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    • v.8 no.2
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    • pp.119-128
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    • 2014
  • The appearance of retinal blood vessels is an important diagnostic indicator of serious disease, such as hypertension, diabetes, cardiovascular disease, and stroke. Automatic segmentation of the retinal vasculature is a primary step towards automatic assessment of the retinal blood vessel features. This paper presents an automated method for the enhancement and segmentation of blood vessels in fundus images. To decrease the influence of the optic disk, and emphasize the vessels for each retinal image, a multidirectional morphological top-hat transform with rotating structuring elements is first applied to the background homogenized retinal image. Then, an improved multiscale line detector is presented to produce a vessel response image, and yield the retinal blood vessel tree for each retinal image. Since different line detectors at varying scales have different line responses in the multiscale detector, the line detectors with longer length produce more vessel responses than the ones with shorter length; the improved multiscale detector combines all the responses at different scales by setting different weights for each scale. The methodology is evaluated on two publicly available databases, DRIVE and STARE. Experimental results demonstrate an excellent performance that approximates the average accuracy of a human observer. Moreover, the method is simple, fast, and robust to noise, so it is suitable for being integrated into a computer-assisted diagnostic system for ophthalmic disorders.

Two-Branch Classifier for Retinal Imaging Analysis (망막 영상 분석을 위한 두 갈래 분류기)

  • Oh, Young-tack;Park, Hyunjin
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.05a
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    • pp.614-616
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    • 2021
  • The world faces difficulties in terms of eye care, including treatment, quality of prevention, vision rehabilitation services, and scarcity of trained eye care experts. However, it is difficult to develop a method for classifying various ocular diseases because the existing dataset for retinal image disclosure does not consist of various diseases found in clinical practice. We propose a method for classifying ocular diseases using the Retinal Fundus Multi-disease Image Dataset (RFMiD), a dataset published in the ISBI-2021 challenge. Our goal is to develop a robust and generalizable model for screening retinal images into normal and abnormal categories. The performance of the proposed model shows a value of 0.9782 for the test dataset as an area under the curve (AUC) score.

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Regulation of retinal angiogenesis by endothelial nitric oxide synthase signaling pathway

  • Ha, Jung Min;Jin, Seo Yeon;Lee, Hye Sun;Shin, Hwa Kyoung;Lee, Dong Hyung;Song, Sang Heon;Kim, Chi Dae;Bae, Sun Sik
    • The Korean Journal of Physiology and Pharmacology
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    • v.20 no.5
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    • pp.533-538
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    • 2016
  • Angiogenesis plays an essential role in embryo development, tissue repair, inflammatory diseases, and tumor growth. In the present study, we showed that endothelial nitric oxide synthase (eNOS) regulates retinal angiogenesis. Mice that lack eNOS showed growth retardation, and retinal vessel development was significantly delayed. In addition, the number of tip cells and filopodia length were significantly reduced in mice lacking eNOS. Retinal endothelial cell proliferation was significantly blocked in mice lacking eNOS, and EMG-2-induced endothelial cell sprouting was significantly reduced in aortic vessels isolated from eNOS-deficient mice. Finally, pericyte recruitment to endothelial cells and vascular smooth muscle cell coverage to blood vessels were attenuated in mice lacking eNOS. Taken together, we suggest that the endothelial cell function and blood vessel maturation are regulated by eNOS during retinal angiogenesis.

Mechanistic insight into the progressive retinal atrophy disease in dogs via pathway-based genome-wide association analysis

  • Sheet, Sunirmal;Krishnamoorthy, Srikanth;Park, Woncheoul;Lim, Dajeong;Park, Jong-Eun;Ko, Minjeong;Choi, Bong-Hwan
    • Journal of Animal Science and Technology
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    • v.62 no.6
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    • pp.765-776
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    • 2020
  • The retinal degenerative disease, progressive retinal atrophy (PRA) is a major reason of vision impairment in canine population. Canine PRA signifies an inherently dissimilar category of retinal dystrophies which has solid resemblances to human retinis pigmentosa. Even though much is known about the biology of PRA, the knowledge about the intricate connection among genetic loci, genes and pathways associated to this disease in dogs are still remain unknown. Therefore, we have performed a genome wide association study (GWAS) to identify susceptibility single nucleotide polymorphisms (SNPs) of PRA. The GWAS was performed using a case-control based association analysis method on PRA dataset of 129 dogs and 135,553 markers. Further, the gene-set and pathway analysis were conducted in this study. A total of 1,114 markers associations with PRA trait at p < 0.01 were extracted and mapped to 640 unique genes, and then selected significant (p < 0.05) enriched 35 gene ontology (GO) terms and 5 Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways contain these genes. In particular, apoptosis process, homophilic cell adhesion, calcium ion binding, and endoplasmic reticulum GO terms as well as pathways related to focal adhesion, cyclic guanosine monophosphate)-protein kinase G signaling, and axon guidance were more likely associated to the PRA disease in dogs. These data could provide new insight for further research on identification of potential genes and causative pathways for PRA in dogs.

An Intelligent Decision Support System for Retinal Disease Diagnosis based on SVM using a Smartphone (스마트폰을 이용한 SVM 기반 망막 질병 진단을 위한 지능적인 의사 결정 지원 시스템)

  • Lee, Byung-Kwan;Jeong, Eun-Hee;Tifani, Yusrina
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.8 no.5
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    • pp.373-383
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    • 2015
  • This paper proposes a decision support system to recognizing retinal diseases. This paper uses a smartphone platform and cloud computing as the base of the system. A microscopic lens is attached int' the smartphone camera to capture the user retinal image for recognizing the user's retinal condition. An application is assembled in computer and then installed in to the smartphone. The application role is to connect between the system in smartphone and system in cloud, the application will send the retinal image to the cloud system to be classified. The paper uses OCFE (optimized classifier based on feature elimination) algorithm as the classifier. The retinal image is trained using combination of two ophthalmology databases DIARETDB1 v2.1 and STARE. Therefore, this system average accuracy is 88%, while the average error rate is 12%.

Stem Cell Based Strategies for the Treatment of Degenerative Retinal Diseases (망막변성질환에서의 줄기세포 기반치료)

  • Park, Jung-Hyun;Ku, Seung-Yup;Cho, Myung-Soo;Lee, Hak-Sup;Choi, Young-Min;Moon, Shin-Yong;Yu, Hyeong-Gon
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.3
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    • pp.199-206
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    • 2010
  • Stem-cell therapy has the potential to improve vision in patients with untreatable retinal disease. Various types of cell source including fetal, embryonic and adult stem cells, intrinsic and extrinsic factors for differentiation into retinal progenitors and transplantation mode were discussed in this review. Experimental approaches have successfully induced photoreceptor precursor cells and retinal pigment epithelium. Stem-cell-based therapy is a promising treatment to restore vision in patients with retinal disease, in spite of the challenges.

Factors Influencing on Vision-related Quality of Life in Patients with Retinal Diseases Receiving Intravitreal Injections (유리체강 내 주입술을 받는 망막질환자의 시각 관련 삶의 질 영향요인)

  • Kim, Hyunyoung;Ha, Yeongmi
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.54-65
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    • 2021
  • Purpose: The purpose of this study was to identify influencing factors on vision-related quality of life in patients with retinal diseases receiving intravitreal injections by examining relationships among anxiety, depression, coping, eye health behaviors and vision-related quality of life. Methods: One hundred and five outpatients who were diagnosed with macular degeneration and diabetic retinopathy were recruited from one university hospital during August 16, 2019 to March 25, 2020. Data were analyzed using descriptive statistics (frequency and percentage, mean, standard deviation), and t-tests, ANOVA, Scheffé test, Pearson's correlations, and stepwise multiple regressions using the IBM SPSS Statistics 25.0. Results: The vision-related quality of life according to general characteristics of retinal disease patients with intravitreal injection showed significant differences in age (F=3.01, p=.034), subjective economic status (F=5.83, p=.004), types of retinal disease (t=2.62, p=.010), and disease in both eyes (t=-3.04, p=.003). The vision-related quality of life showed a significant positive correlation with age (r=.24, p=.012), and negative correlations with anxiety (r=-.66, p<.001), depression (r=-.48, p<.001), and emotion-focused coping (r=-.20, p=.036). The hierarchical regression analysis indicated that factors affecting vision-related quality of life in patients with retinal diseases were anxiety and subjective economic status, accounting for 47.0% of the variances of the vision-related quality of life. Conclusion: Based on our results, health professionals need to pay attention to patients with low socioeconomic status due to frequent treatments. Also, a program needs to be developed to decrease anxiety for outpatients receiving intravitreal injections to improve their vision-related quality of life.

The Change of Taurine Transport in Variable Stress States through the Inner Blood-Retinal Barrier using In Vitro Model

  • Kang, Young-Sook;Lee, Na-Young;Chung, Yeon-Yee
    • Biomolecules & Therapeutics
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    • v.17 no.2
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    • pp.175-180
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    • 2009
  • Taurine is the most abundant free amino acid in the retina and transported into retina via taurine transporter (TauT) at the inner blood-retinal barrier (iBRB). In the present study, we investigated whether the taurine transport at the iBRB is regulated by oxidative stress or disease-like state in a conditionally immortalized rat retinal capillary endothelial cell line (TR-iBRB) used as an in vitro model of iBRB. First, [$^3H$]taurine uptake and efflux by TR-iBRB were regulated in the presence of extracellular $Ca^{2+}$. [$^3H$]Taurine uptake was inhibited and efflux was enhanced under $Ca^{2+}$ free condition in the cells. In addition, oxidative stress inducing agents such as tumor necrosis factor-$\alpha$ (TNF-$\alpha$), lipopolysaccharide (LPS), diethyl maleate (DEM) and glutamate increased [$^3H$]taurine uptake and decreased [$^3H$]taurine efflux in TR-iBRB cells. Whereas, 3-morpholinosydnonimine (SIN-1), which is known to NO donor decreased [$^3H$]taurine uptake. Lastly, TR-iBRB cells exposed to high glucose (25 mM) medium and the [$^3H$]taurine uptake was reduced about 20% at the condition. Also, [$^3H$]taurine uptake was decreased by cytochalasin B, which is known to glucose transport inhibitor. In conclusion, taurine transport in TR-iBRB cells is regulated diversely at extracellular $Ca^{2+}$, oxidative stress and hyperglycemic condition. It suggested that taurine would play a role as a retinal protector in diverse disease states.