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Article ; Online: Authors' Response.

Pellegrini, Francesco / Interlandi, Emanuela / Pavesio, Carlos / Ferreyra, Henry A

2018 Volume 63, Issue 3, Page(s) 451

Language	English
Publishing date	2018-02-13
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	391346-6
ISSN	1879-3304 ; 0039-6257
ISSN (online)	1879-3304
ISSN	0039-6257
DOI	10.1016/j.survophthal.2018.02.002
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Article ; Online: Myelinated Retinal Nerve Fiber Layer (RNFL): A Comprehensive Review.

Ramkumar, Hema L / Verma, Rohan / Ferreyra, Henry A / Robbins, Shira L

International ophthalmology clinics

2018 Volume 58, Issue 4, Page(s) 147–156

MeSH term(s)	Eye Diseases/pathology ; Humans ; Myelin Sheath/physiology ; Nerve Fibers/pathology ; Nerve Fibers, Myelinated ; Retinal Ganglion Cells/pathology
Language	English
Publishing date	2018-10-12
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	207382-1
ISSN	1536-9617 ; 0020-8167
ISSN (online)	1536-9617
ISSN	0020-8167
DOI	10.1097/IIO.0000000000000239
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Article: Subpopulation treatment effect pattern plot analysis: a prognostic model for distant recurrence-free survival to estimate delayed adjuvant chemotherapy initiation effect in triple-negative breast cancer.

Morante, Zaida / Ferreyra, Yomali / Pinto, Joseph A / Valdivieso, Natalia / Castañeda, Carlos / Vidaurre, Tatiana / Valencia, Guillermo / Rioja, Patricia / Fuentes, Hugo / Cotrina, José M / Neciosup, Silvia / Gomez, Henry L

Frontiers in oncology

2023 Volume 13, Page(s) 1193927

Abstract: Introduction: Triple-negative breast cancer (TNBC) is a heterogeneous disease associated with a poor prognosis. Delaying in time to start adjuvant chemotherapy (TTC) has been related to an increased risk of distant recurrence-free survival (DRFS). We ... ...

Abstract	Introduction: Triple-negative breast cancer (TNBC) is a heterogeneous disease associated with a poor prognosis. Delaying in time to start adjuvant chemotherapy (TTC) has been related to an increased risk of distant recurrence-free survival (DRFS). We aimed to develop a prognostic model to estimate the effects of delayed TTC among TNBC risk subgroups. Materials and methods: We analyzed 687 TNBC patients who received adjuvant chemotherapy at the Instituto Nacional de Enfermedades Neoplasicas (Lima, Peru). Database was randomly divided to create a discovery set (n=344) and a validation set (n=343). Univariate and multivariate Cox regression models were performed to identify prognostic factors for DRFS. Risk stratification was implemented through two models developed based on proportional hazard ratios from significant clinicopathological characteristics. Subpopulation treatment effect pattern plot (STEPP) analysis was performed to determine the best prognostic cut-off points for stratifying TNBC subgroups according to risk scores and estimate Kaplan-Meier differences in 10-year DRFS comparing TTC (≤30 vs.>30 days). Results: In univariate analysis, patients aged ≥70 years (HR=4.65; 95% CI: 2.32-9.34; p=<0.001), those at stages pT3-T4 (HR=3.28; 95% CI: 1.57-6.83; p=0.002), and pN2-N3 (HR=3.00; 95% CI: 1.90-4.76; p=<0.001) were notably associated with higher risk. STEPP analysis defined three risk subgroups for each model. Model N°01 categorized patients into low (score: 0-31), intermediate (score:32-64), and high-risk (score: 65-100) cohorts; meanwhile, Model N°02: low (score: 0-26), intermediate (score: 27-55), and high (score: 56-100). Kaplan-Meier plots showed that in the discovery set, patients with TTC>30 days experienced a 17.5% decrease in 10-year DRFS rate (95%CI=6.7-28.3), and the impact was more remarkable in patients who belong to the high-risk subgroup (53.3% decrease in 10 years-DRFS rate). Similar results were found in the validation set. Conclusions: We developed two prognostic models based on age, pT, and pN to select the best one to classify TNBC. For Model N°02, delayed adjuvant chemotherapy conferred a higher risk of relapse in patients ≥70 years and who were characterized by pT3/T4 and pN2/N3. Thus, more efforts should be considered to avoid delayed TTC in TNBC patients, especially those in high-risk subgroups.
Language	English
Publishing date	2023-11-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2023.1193927
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Article ; Online: ELECTRONEGATIVE ELECTRORETINOGRAM IN ACHROMATOPSIA.

Schallhorn, Craig S / Granet, David B / Ferreyra, Henry A

Retinal cases & brief reports

2016 Volume 12, Issue 2, Page(s) 143–148

Abstract: Purpose: To report novel electroretinographic findings in a genetically confirmed case of achromatopsia.: Methods: A patient with a history of childhood nystagmus, photoaversion, and absent color vision was examined. Electroretinography and fundus ... ...

Abstract	Purpose: To report novel electroretinographic findings in a genetically confirmed case of achromatopsia. Methods: A patient with a history of childhood nystagmus, photoaversion, and absent color vision was examined. Electroretinography and fundus examination were performed under anesthesia at the time of corrective surgery for nystagmus. Genomic DNA isolated from peripheral blood was directly sequenced for variations in the CNGA3 and CNGB3 genes. Results: Ophthalmoscopic examination revealed no distinct abnormalities. Electroretinography obtained under anesthesia at age three years revealed absent photopic responses. The dark-adapted combined responses had reduced b-wave amplitudes resulting in an electronegative configuration. Genetic testing revealed two heterozygous sequence variations present in the coding sequence of the CNGA3 gene (Arg223Trp and Pro372Ser), which have been previously described in the setting of achromatopsia. Sequencing of the patient's parents confirmed that these two variations lie on separate alleles. Conclusion: Novel electroretinography findings in a patient with genetically confirmed achromatopsia are reported. The electronegative configuration in this clinical setting is of unclear etiology; however, it may suggest some component of inner retinal dysfunction.
MeSH term(s)	Child, Preschool ; Color Vision Defects/diagnosis ; Color Vision Defects/genetics ; Color Vision Defects/physiopathology ; Electroretinography/methods ; Female ; Humans ; Ophthalmoscopy ; Retinal Cone Photoreceptor Cells/physiology ; Visual Acuity
Language	English
Publishing date	2016-11-07
Publishing country	United States
Document type	Case Reports ; Journal Article
ISSN	1937-1578
ISSN (online)	1937-1578
DOI	10.1097/ICB.0000000000000451
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Article: Impact of frailty and viral load on acute kidney injury evolution in patients affected by Coronavirus Disease 2019.

Aroca-Martínez, Gustavo / Musso, Carlos G / Avendaño-Echavez, Lil / González-Torres, Henry J / Vélez-Verbel, María / Chartouni-Narvaez, Stefani / Peña-Vargas, William / Acosta-Hoyos, Antonio / Ferreyra, Leila / Cadena-Bonfanti, Andrés

Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia

2022 Volume 32, Issue 5, Page(s) 1356–1364

Abstract: This paper describes the main characteristics of coronavirus diseases 2019 (COVID-19) patients suffering from acute kidney injury (AKI) assisted at a high complexity clinic in Barranquilla, Colombia. The patients included in this study (n = 48) were ... ...

Abstract	This paper describes the main characteristics of coronavirus diseases 2019 (COVID-19) patients suffering from acute kidney injury (AKI) assisted at a high complexity clinic in Barranquilla, Colombia. The patients included in this study (n = 48) were those with a positive diagnosis of COVID-19 confirmed by polymerase chain reaction detection of severe acute respiratory syndrome coronavirus 2, who had developed AKI during their hospital stay. Serum and urine parameters, as well as patient's viral load and clinical frailty scale (CFS) were recorded. A statistical analysis of the recorded parameters, such as comparisons, and correlations between variables of interest, were explored. The prevalence of COVID-19 induced AKI was 41%, being the majority of them classified as AKI network classification 3, with a renal replacement therapy requirement of 29%, and an associated mortality of 73%. AKI patients' mortality showed a significant positive correlation (33%) with patients' CFS score but not with their viral load. COVID-19 induced AKI significantly correlated with patients' frailty status but not to their viral load.
MeSH term(s)	Acute Kidney Injury/diagnosis ; Acute Kidney Injury/epidemiology ; Acute Kidney Injury/therapy ; COVID-19/complications ; Female ; Frailty/diagnosis ; Frailty/epidemiology ; Humans ; Male ; Retrospective Studies ; Viral Load
Language	English
Publishing date	2022-05-09
Publishing country	Saudi Arabia
Document type	Journal Article
ZDB-ID	1379955-1
ISSN	1319-2442
ISSN	1319-2442
DOI	10.4103/1319-2442.344755
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Article ; Online: We cannot see what she cannot ignore.

Pellegrini, Francesco / Interlandi, Emanuela / Pavesio, Carlos / Ferreyra, Henry A

Survey of ophthalmology

2017 Volume 62, Issue 6, Page(s) 882–885

Abstract: A 32-year-old woman presented with the acute onset of a small scotoma in the right visual field. She was initially thought to have optic neuritis, but brain magnetic resonance imaging was normal. A review of her symptoms and medications disclosed recent ... ...

Abstract	A 32-year-old woman presented with the acute onset of a small scotoma in the right visual field. She was initially thought to have optic neuritis, but brain magnetic resonance imaging was normal. A review of her symptoms and medications disclosed recent use of oral contraceptives. Near-infrared imaging was the only objective abnormality, consistent with her Amsler grid changes, leading to the diagnosis of acute macular neuroretinopathy.
MeSH term(s)	Adult ; Contraceptives, Oral, Hormonal/adverse effects ; Female ; Humans ; Macula Lutea ; Retinal Diseases/chemically induced ; Scotoma/chemically induced
Chemical Substances	Contraceptives, Oral, Hormonal
Language	English
Publishing date	2017-02-11
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	391346-6
ISSN	1879-3304 ; 0039-6257
ISSN (online)	1879-3304
ISSN	0039-6257
DOI	10.1016/j.survophthal.2017.02.001
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Article ; Online: Acquired unilateral scotoma.

Marvasti, Amir H / Chen, Kevin C / Ferreyra, Henry A / Falardeau, Julie

Survey of ophthalmology

2017 Volume 64, Issue 1, Page(s) 117–122

Abstract: A 54-year-old white man presented with a "blind spot" temporally in his left eye. Best-corrected visual acuity in the affected eye was 20/20, and Humphrey visual field revealed an enlarged blind spot. Funduscopic examination revealed subtle peripapillary ...

Abstract	A 54-year-old white man presented with a "blind spot" temporally in his left eye. Best-corrected visual acuity in the affected eye was 20/20, and Humphrey visual field revealed an enlarged blind spot. Funduscopic examination revealed subtle peripapillary pigmentary changes corresponding to a well-demarcated peripapillary region of hyperautofluorescence and hypoautofluorescence on fundus autofluorescence. Outer retinal degenerative changes were detected on spectral-domain optical coherence tomography. A diagnosis of acute zonal occult outer retinopathy was made based on clinical history and imaging studies.
MeSH term(s)	Fluorescein Angiography ; Fundus Oculi ; Humans ; Male ; Middle Aged ; Retina/pathology ; Scotoma/diagnosis ; Scotoma/physiopathology ; Tomography, Optical Coherence/methods ; Visual Field Tests ; Visual Fields/physiology
Language	English
Publishing date	2017-07-04
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	391346-6
ISSN	1879-3304 ; 0039-6257
ISSN (online)	1879-3304
ISSN	0039-6257
DOI	10.1016/j.survophthal.2017.06.006
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Article ; Online: Detection of Nonglaucomatous Macula Findings With Ganglion Cell Analysis Printouts vs Full Macular Cube Scans.

Yamane, Maya / Ferreyra, Henry / Xu, Benjamin Y / Weinreb, Robert N / Camp, Andrew S

JAMA ophthalmology

2022 Volume 140, Issue 10, Page(s) 1002–1005

Abstract: Importance: Ganglion cell analysis (GCA) of ocular coherence tomography (OCT) imaging is routinely used to detect and monitor glaucomatous damage of the ganglion cell complex in the macula. The GCA printout provides qualitative and quantitative data ... ...

Abstract	Importance: Ganglion cell analysis (GCA) of ocular coherence tomography (OCT) imaging is routinely used to detect and monitor glaucomatous damage of the ganglion cell complex in the macula. The GCA printout provides qualitative and quantitative data about the macular ganglion cell-inner plexiform layer and a single B-scan of the retina through the fovea. However, the full macular cube scan, including all 128 B-scans, is available for review. The macular cube scan provides considerable information about nonglaucomatous ocular pathology that may be missed if clinicians review only the GCA printout. Objective: To determine the frequency and type of nonglaucomatous macular findings that are observable in the full macular cube scan but not the GCA printout. Design, setting, and participants: A retrospective cross-sectional analysis of GCA printouts and full macular cube scans to detect nonglaucomatous macular pathology at a tertiary care academic center. Consecutive patients undergoing ganglion cell complex imaging during routine glaucoma evaluations over a 1-week period in a multi-clinician glaucoma clinic. Main outcomes and measures: The prevalence and type of nonglaucomatous macular pathology visible on the GCA printout or macular cube scan. Results: Among 105 patients (mean (SD) age, 67 (15.46) years; 63 [60%] female and 42 [40%] male) 201 eyes were imaged (64 [31.7%] with suspected glaucoma, 126 [62.4%] with open-angle glaucoma, 6 [3.0%] with closed-angle glaucoma, and 6 [3.0%] with other glaucoma). GCA printouts and macular cube scans revealed nonglaucomatous macular pathology in 65 eyes (32.2%). Of these, 25 eyes (38.5%) included findings that were not visible on the GCA printout. Of the cases not visible on the printout, 16 eyes (64.0% ) included macular pathology that required further evaluation. Conclusions and relevance: The findings indicate that nonglaucomatous macular pathology may be missed based on GCA printouts alone. While it may be beneficial to review the full macular cube to detect potentially vision-threatening disease and ensure proper patient care, this study cannot determine if this missed pathology affects clinical outcomes.
MeSH term(s)	Humans ; Male ; Female ; Aged ; Glaucoma, Open-Angle/diagnosis ; Optic Disk/pathology ; Nerve Fibers/pathology ; Retinal Ganglion Cells/pathology ; Tomography, Optical Coherence/methods ; Retrospective Studies ; Cross-Sectional Studies ; Glaucoma/diagnosis ; Glaucoma/pathology ; Macula Lutea ; Vision Disorders
Language	English
Publishing date	2022-09-08
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	2701705-9
ISSN	2168-6173 ; 2168-6165
ISSN (online)	2168-6173
ISSN	2168-6165
DOI	10.1001/jamaophthalmol.2022.3450
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Article ; Online: Investigating the associations of macular edema in retinitis pigmentosa.

Arias, Juan D / Kalaw, Fritz Gerald P / Alex, Varsha / Yassin, Shaden H / Ferreyra, Henry / Walker, Evan / Wagner, Naomi E / Borooah, Shyamanga

Scientific reports

2023 Volume 13, Issue 1, Page(s) 14187

Abstract: Macular edema (ME), the accumulation of intraretinal fluid in the macula, is a common sight affecting sequelae of retinitis pigmentosa (RP). However, it is unclear why some patients develop ME, and others do not. This study aims to identify associations ... ...

Abstract	Macular edema (ME), the accumulation of intraretinal fluid in the macula, is a common sight affecting sequelae of retinitis pigmentosa (RP). However, it is unclear why some patients develop ME, and others do not. This study aims to identify associations between clinical-genetic factors in RP with ME. Patients with clinically confirmed RP cases were identified from the inherited retinal disease database at a large tertiary referral academic center. Demographic and genetic testing findings were noted. Additionally, optical coherence tomography volume scans were graded using a validated grading system. One hundred and six patients (73.1%) were found to have ME in at least one eye (OD = 88, mean = 37.9%, OS = 98, mean = 31.7%). Structurally, the presence of epiretinal membrane (ERM) (p < 0.007) and vitreo-macular traction (VMT) (p < 0.003) were significantly associated with ME. Additionally, X-linked (p < 0.032) and autosomal dominant inheritance (p < 0.039) demonstrated a significant association with ME, with RP1 (p < 0.045) and EYS (p < 0.017) pathogenic variants also significantly associated with ME. This study, in a large cohort of RP patients, confirms previous retinal structural associations for ME in RP and identifies potential new genetic associations.
MeSH term(s)	Humans ; Macular Edema/genetics ; Retinitis Pigmentosa/complications ; Retinitis Pigmentosa/genetics ; Retina/diagnostic imaging ; Retinal Diseases ; Macula Lutea ; Eye Proteins
Chemical Substances	EYS protein, human ; Eye Proteins
Language	English
Publishing date	2023-08-30
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-023-41464-z
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Article ; Online: PENTOSAN POLYSULFATE SODIUM (ELMIRON) MACULOPATHY: A Genetic Perspective.

Kalaw, Fritz Gerald P / Ignacio, John Carlos I / Wu, Chris Y / Ferreyra, Henry / Nudleman, Eric / Baxter, Sally L / Freeman, William R / Borooah, Shyamanga

Retina (Philadelphia, Pa.)

2023 Volume 43, Issue 7, Page(s) 1174–1181

Abstract: Purpose: To assess genetic associations for pentosan polysufate sodium maculopathy.: Methods: Genetic testing for inherited retinal dystrophy genes using exome testing and for 14 age-related macular degeneration-associated single nucleotide ... ...

Abstract	Purpose: To assess genetic associations for pentosan polysufate sodium maculopathy. Methods: Genetic testing for inherited retinal dystrophy genes using exome testing and for 14 age-related macular degeneration-associated single nucleotide polymorphisms (SNPs) using panel testing were performed. In addition, full-field electroretinograms (ffERG) were obtained to identify any cone-rod dystrophy. Results: Eleven of 15 patients were women, with a mean age of 69 (range 46-85). Inherited retinal dystrophy exome testing in five patients revealed six pathogenic variants, but failed to confirm inherited retinal dystrophy in any patient genetically. FfERG performed in 12 patients demonstrated only nonspecific a- and b-wave abnormalities in 11 cases and was normal in one case. For age-related macular degeneration single nucleotide polymorphisms, CFH rs3766405 ( P = 0.003) and CETP ( P = 0.027) were found to be statistically significantly associated with pentosan polysulfate maculopathy phenotype compared with the control population. Conclusion: Pentosan polysulfate maculopathy is not associated with Mendelian inherited retinal dystrophy genes. However, several age-related macular degeneration risk alleles were identified to be associated with maculopathy compared with their frequency in the normal population. This suggests a role for genes in disease pathology, particularly the alternative complement pathway. These findings would benefit from further investigation to understand the risk of developing maculopathy in taking pentosan polysulfate.
MeSH term(s)	Female ; Male ; Humans ; Pentosan Sulfuric Polyester/adverse effects ; Cystitis, Interstitial ; Macular Degeneration/chemically induced ; Macular Degeneration/diagnosis ; Macular Degeneration/genetics ; Retinal Dystrophies ; Cone-Rod Dystrophies
Chemical Substances	Pentosan Sulfuric Polyester (37300-21-3)
Language	English
Publishing date	2023-03-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	603192-4
ISSN	1539-2864 ; 0275-004X
ISSN (online)	1539-2864
ISSN	0275-004X
DOI	10.1097/IAE.0000000000003794
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