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  1. Article ; Online: Optic Neuropathy Associated with POLG Mutations: A Case Series and Literature Review.

    Reitinger, Jeremy C / Mackay, Devin D

    Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society

    2024  

    Abstract: Background: The clinical characteristics of patients with polymerase gamma (POLG) mutation-associated optic neuropathy remain incompletely characterized.: Methods: We describe the clinical characteristics of 3 patients with POLG-associated optic ... ...

    Abstract Background: The clinical characteristics of patients with polymerase gamma (POLG) mutation-associated optic neuropathy remain incompletely characterized.
    Methods: We describe the clinical characteristics of 3 patients with POLG-associated optic neuropathy. We performed a literature review of optic neuropathy cases associated with POLG mutations and compared them with our cohort.
    Results: Many published cases of POLG-associated optic neuropathy in our literature review lacked details regarding severity of vision loss, visual field defects, and optical coherence tomography analysis. The clinical presentation of POLG mutations remains widely variable in age (from pediatric cases to adults) and associated systemic findings. All patients in our literature review presented with systemic symptoms, most commonly muscle weakness, ptosis, and ophthalmoplegia, whereas many young patients had severe systemic symptoms. In our case series, all 3 cases had isolated optic neuropathy affecting the papillomacular bundle, with signs such as reduced visual acuity and color vision, central visual field defects, temporal retinal nerve fiber layer loss with temporal optic disc pallor, and retinal ganglion cell complex loss. In addition, 2 of the 3 cases had added mitochondrial stressors in addition to the POLG mutation.
    Conclusions: Clinicians should be aware that POLG mutations can present as isolated optic neuropathy primarily affecting the papillomacular bundle. With mitochondrial failure being the likely underlying pathogenic mechanism in POLG-associated optic neuropathy, helping affected patients eliminate mitochondrial stressors may be important in reducing the risk for progressive vision loss in this otherwise currently untreatable disorder.
    Language English
    Publishing date 2024-01-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1189901-3
    ISSN 1536-5166 ; 1070-8022
    ISSN (online) 1536-5166
    ISSN 1070-8022
    DOI 10.1097/WNO.0000000000002089
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Significant increase in non-COVID-19 related ophthalmology publications during the COVID-19 era: is this a new normal?

    Reitinger, Jeremy / Jain, Samiksha Fouzdar / Suh, Donny

    Eye (London, England)

    2020  Volume 35, Issue 4, Page(s) 1041–1042

    MeSH term(s) COVID-19/epidemiology ; Humans ; Ophthalmology/statistics & numerical data ; Peer Review, Research/trends ; SARS-CoV-2 ; Serial Publications/statistics & numerical data
    Keywords covid19
    Language English
    Publishing date 2020-10-13
    Publishing country England
    Document type Editorial
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/s41433-020-01220-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Significant increase in non-COVID-19 related ophthalmology publications during the COVID-19 era: is this a new normal?

    Reitinger, Jeremy / Jain, Samiksha Fouzdar / Suh, Donny
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #867552
    Database COVID19

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  4. Article: Visual Outcomes in Pediatric Patients with Peters Anomaly.

    Fouzdar-Jain, Samiksha / Ibrahim, Zena / Reitinger, Jeremy / Cao, Dingcai / Mocan, Mehmet C

    Clinical ophthalmology (Auckland, N.Z.)

    2021  Volume 15, Page(s) 2591–2596

    Abstract: Purpose: This study aimed to evaluate the visual outcomes of pediatric patients diagnosed with Peters anomaly (PA) in a tertiary eye care center.: Methods: This was a retrospective study undertaken at a single academic center. Clinical records of ... ...

    Abstract Purpose: This study aimed to evaluate the visual outcomes of pediatric patients diagnosed with Peters anomaly (PA) in a tertiary eye care center.
    Methods: This was a retrospective study undertaken at a single academic center. Clinical records of pediatric patients diagnosed with PA from 2000 to 2017 were reviewed. Parameters recorded included visual acuity (VA), intraocular pressure (IOP), presence of glaucoma, and surgical procedures performed. The impact of PA type on final visual acuity levels was analyzed using generalized estimation equation models.
    Results: Twenty-one eyes from 11 patients were analyzed. At the final visit, 9 eyes (42.8%) had a VA ≥20/200, while 12 (57%) had <20/200, ranging from 20/250 to no light perception. Of the study cohort, 15 (71.5%) eyes had type I, while six (28.5%) had type II PA. Glaucoma was present in 20 eyes (95%) at the final visit. One eye had dense central leucoma and microphthalmos where IOP could not be measured accurately. Seventeen eyes (81%) underwent at least one intraocular surgery, while the average number of surgeries per eye was 2.9 ± 2.5 (range=0- 9). The type of PA beta(se)=0.53 (0.41), 
    Conclusion: Severe visual impairment develops in the majority of patients with PA. The type of anomaly does not appear to be associated with a worse visual function in patients with PA. Glaucoma develops in a high percentage of this patient population, and thus close monitoring of IOP in this patient population is crucial.
    Language English
    Publishing date 2021-06-18
    Publishing country New Zealand
    Document type Journal Article
    ISSN 1177-5467
    ISSN 1177-5467
    DOI 10.2147/OPTH.S302299
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Accommodative Exercises to Lower Intraocular Pressure.

    Stokkermans, Thomas J / Reitinger, Jeremy C / Tye, George / Kao, Chiu-Yen / Ragupathy, Sangeetha / Wang, Huachun A / Toris, Carol B

    Journal of ophthalmology

    2020  Volume 2020, Page(s) 6613066

    Abstract: Purpose: This study investigated how a conscious change in ocular accommodation affects intraocular pressure (IOP) and ocular biometrics in healthy adult volunteers of different ages.: Methods: Thirty-five healthy volunteers without ocular disease or ...

    Abstract Purpose: This study investigated how a conscious change in ocular accommodation affects intraocular pressure (IOP) and ocular biometrics in healthy adult volunteers of different ages.
    Methods: Thirty-five healthy volunteers without ocular disease or past ocular surgery, and with refractive error between -3.50 and +2.50 diopters, were stratified into 20, 40, and 60 year old (y.o.) age groups. Baseline measurements of central cornea thickness, anterior chamber depth, anterior chamber angle, cornea diameter, pupil size, and ciliary muscle thickness were made by autorefraction and optical coherence tomography (OCT), while IOP was measured by pneumotonometry. Each subject's right eye focused on a target 40 cm away. Three different tests were performed in random order: (1) 10 minutes of nonaccommodation (gazing at the target through lenses that allowed clear vision without accommodating), (2) 10 minutes of accommodation (addition of a minus 3 diopter lens), and (3) 10 minutes of alternating between accommodation and nonaccommodation (1-minute intervals). IOP was measured immediately after each test. A 20-minute rest period was provided between tests. Data from 31 subjects were included in the study. ANOVA and paired
    Results: Following alternating accommodation, IOP decreased by 0.7 mmHg in the right eye when all age groups were combined (
    Conclusion: Alternating accommodation, but not constant accommodation, significantly decreased IOP. This effect was not lost with aging despite physical changes to the aging eye. A greater accommodative workload and/or longer test period may improve the effect.
    Language English
    Publishing date 2020-12-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2546525-9
    ISSN 2090-0058 ; 2090-004X
    ISSN (online) 2090-0058
    ISSN 2090-004X
    DOI 10.1155/2020/6613066
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Combined methazolamide and theophylline improves oxygen saturation but not exercise performance or altitude illness in acute hypobaric hypoxia.

    Subudhi, Andrew W / Evero, Oghenero / Reitinger, Jeremy / Davis, Christopher / Gronewold, Jeffrey / Nichols, Andrew J / Van-Houten, Sonja Jameson / Roach, Robert C

    Experimental physiology

    2020  Volume 106, Issue 1, Page(s) 117–125

    Abstract: New findings: What is the central question of this study? Does the combination of methazolamide and theophylline reduce symptoms of acute mountain sickness (AMS) and improve aerobic performance in acute hypobaric hypoxia? What is the main finding and ... ...

    Abstract New findings: What is the central question of this study? Does the combination of methazolamide and theophylline reduce symptoms of acute mountain sickness (AMS) and improve aerobic performance in acute hypobaric hypoxia? What is the main finding and its importance? The oral combination of methazolamide (100 BID) and theophylline (300 BID) improved arterial oxygen saturation but did not reduce symptoms of AMS and impaired aerobic performance. We do not recommend this combination of drugs for prophylaxis against the acute negative effects of hypobaric hypoxia.
    Abstract: A limited number of small studies have suggested that methazolamide and theophylline can independently reduce symptoms of acute mountain sickness (AMS) and, if taken together, can improve aerobic exercise performance in normobaric hypoxia. We performed a randomized, double-blind, placebo-controlled, cross-over study to determine if the combination of oral methazolamide and theophylline could provide prophylaxis against AMS and improve aerobic performance in hypobaric hypoxia (∼4875 m). Volunteers with histories of AMS were screened at low altitude (1650 m) and started combined methazolamide (100 mg BID) and theophylline (300 mg BID) treatment, or placebo, 72 h prior to decompression. Baseline AMS (Lake Louise Questionnaire), blood (haemoglobin, haematocrit), cognitive function, ventilatory and pulse oximetry (
    MeSH term(s) Acute Disease ; Adult ; Altitude ; Altitude Sickness/drug therapy ; Altitude Sickness/physiopathology ; Cross-Over Studies ; Double-Blind Method ; Exercise/physiology ; Humans ; Hypoxia/physiopathology ; Male ; Methazolamide/pharmacology ; Oxygen Saturation/drug effects ; Theophylline/pharmacology
    Chemical Substances Theophylline (C137DTR5RG) ; Methazolamide (W733B0S9SD)
    Language English
    Publishing date 2020-05-26
    Publishing country England
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1016295-1
    ISSN 1469-445X ; 0958-0670
    ISSN (online) 1469-445X
    ISSN 0958-0670
    DOI 10.1113/EP088461
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Suicide and High Altitude: An Integrative Review.

    Reno, Elaine / Brown, Talia L / Betz, Marian E / Allen, Michael H / Hoffecker, Lilian / Reitinger, Jeremy / Roach, Robert / Honigman, Benjamin

    High altitude medicine & biology

    2017  Volume 19, Issue 2, Page(s) 99–108

    Abstract: Reno, Elaine, Talia L. Brown, Marian E. Betz, Michael H. Allen, Lilian Hoffecker, Jeremy Reitinger ...

    Abstract Reno, Elaine, Talia L. Brown, Marian E. Betz, Michael H. Allen, Lilian Hoffecker, Jeremy Reitinger, Robert Roach, and Benjamin Honigman. Suicide and high altitude: an integrative review. High Alt Med Biol 19:99-108, 2018.
    Introduction: Suicide rates are greater at high altitudes, and multiple mechanisms have been suggested for this relationship, including hypoxia, differences in population density, characteristics of suicide victims, and firearms ownership and access. To better understand these potential mechanisms, studies evaluating the associations between high altitude and suicide were examined.
    Methods: A literature review of published studies on high altitude and suicide was conducted in Medline, Embase, Web of Science, the Cochrane Database of Systematic Reviews, and the Cochrane CENTRAL database. We extracted and analyzed all studies that met the inclusion criteria, excluding foreign language studies and letters. Most of the measurements and results were synthesized using modified Letts' criteria.
    Results: Searches using an extensive list of keywords returned 470 articles, but only 6 met the inclusion criteria. The studies' samples ranged in size from 8871 to 596,704, while studies which did not document sample size reported suicide rates. In five of the studies selected, individuals living at high altitudes were at greater risk of suicide. Four studies used aggregated data at a county or state level to analyze variables, such as age, gender, race, socioeconomic factors, and firearms access. All the studies found that high altitude was independently associated with suicide. One study found that many individual characteristics of those who committed suicide were different at high altitudes than low altitude, including a lack of access or barriers to mental healthcare. Depression exacerbated by hypoxia was hypothesized as a possible biologic mechanism in three studies.
    Conclusion: These research studies published since 2009 support an association between high altitude and suicide rates at the state or county level, but do not provide sufficient data to estimate the effect of high altitude on an individuals' suicide risk. Although the impact of hypoxia on mood and depression has been hypothesized to be a contributing cause, many other individual factors likely play more important roles.
    MeSH term(s) Altitude ; Altitude Sickness/psychology ; Depression/psychology ; Female ; Humans ; Male ; Suicide/statistics & numerical data
    Language English
    Publishing date 2017-11-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2076262-8
    ISSN 1557-8682 ; 1527-0297
    ISSN (online) 1557-8682
    ISSN 1527-0297
    DOI 10.1089/ham.2016.0131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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