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  1. Article ; Online: Current and Future Perspectives on Microfluidic Tear Analytic Devices.

    Li, Man Shek / Wong, Ho Lam / Ip, Yan Lam / Peng, Zhiting / Yiu, Rachel / Yuan, Hao / Wai Wong, Jasper Ka / Chan, Yau Kei

    ACS sensors

    2022  Volume 7, Issue 5, Page(s) 1300–1314

    Abstract: Most current invasive analytic devices for disease diagnosis and monitoring require the collection of blood, which causes great discomfort for patients and may potentially cause infection. This explains the great need for noninvasive devices that utilize ...

    Abstract Most current invasive analytic devices for disease diagnosis and monitoring require the collection of blood, which causes great discomfort for patients and may potentially cause infection. This explains the great need for noninvasive devices that utilize other bodily fluids like sweat, saliva, tears, or urine. Among them, eye tears are easily accessible, less complex in composition, and less susceptible to dilution. Tears also contain valuable clinical information for the diagnosis of ocular and systemic diseases as the tear analyte level shows great correlation with the blood analyte level. These unique advantages make tears a promising platform for use in clinical settings. As the volume of tear film and the rate of tear flow are only microliters in size, the use of microfluidic technology in analytic devices allows minimal sample consumption. Hence, more and more microfluidic tear analytic devices have been proposed, and their working mechanisms can be broadly categorized into four main types: (a) electrochemical, (b) photonic crystals, (c) fluorescence, and (d) colorimetry. These devices are being developed toward the application of point-of-care tests with rapid yet accurate results. This review aims to provide a general overview of the recent developmental trend of microfluidic devices for tear analysis. Moreover, the fundamental principle behind each type of device along with their strengths and weaknesses will be discussed, especially in terms of their abilities and potential in being used in point-of-care settings.
    MeSH term(s) Body Fluids ; Humans ; Microfluidics ; Sweat ; Tears/chemistry
    Language English
    Publishing date 2022-05-17
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ISSN 2379-3694
    ISSN (online) 2379-3694
    DOI 10.1021/acssensors.2c00569
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Contribution of systemic factors on macular vessel density: a sex-specific population-based study.

    Chan, Wilson Chung Fai / Zhu, Ming Ming / Choy, Bonnie Nga Kwan / Chan, Jonathan Cheuk Hung / Ng, Alex Lap Ki / Shih, Kendrick Co / Cheung, Janice Jing Chee / Wong, Jasper Ka Wai / Shum, Jennifer Wei Huen / Ni, Michael Yuxuan / Lai, Jimmy Shiu Ming / Leung, Gabriel Matthew / Wong, Ian Yat Hin

    Japanese journal of ophthalmology

    2024  

    Abstract: Purpose: To evaluate the influence of systemic factors on macular vessel density in quantitative Optical Coherence Tomography Angiography (OCTA) by sex.: Study design: A cross-sectional study.: Methods: A total of 2018 adults were recruited in ... ...

    Abstract Purpose: To evaluate the influence of systemic factors on macular vessel density in quantitative Optical Coherence Tomography Angiography (OCTA) by sex.
    Study design: A cross-sectional study.
    Methods: A total of 2018 adults were recruited in this study. Participants were excluded (n=964) due to missing data, eye-related problems, or low OCTA scan quality. Macular vessel densities were measured with OCTA using split-spectrum amplitude decorrelation angiography algorithm. Only the data from the right eyes were selected for analysis. Multivariable linear regression analysis was performed to determine the associations between macular vessel density and obesity-related systemic factors in each gender group.
    Results: The right eyes of 1054 participants (59.6% women) were enrolled. Men had significantly higher obesity parameters and associated risk factors. In multivariable linear regression analysis in men, older age and type 2 diabetes mellitus were independently associated with lower superficial retinal vessel density (β = -0.37, p = 0.002; β = -1.22, p = 0.03) and deep retinal vessel density, respectively (β = -0.66, p < 0.001; β = -1.76, p = 0.02); positive association was also observed between body mass index (BMI) and superficial retinal vessel density (β = 0.56, p = 0.02). In women, only higher systolic blood pressure was independently associated with a lower deep retinal vessel density (β = -0.50, p = 0.003).
    Conclusions: This large cross-sectional study shows that older age and type 2 diabetes mellitus are associated with lower superficial and deep retinal capillary vessel density in men. This may help clinicians better understand how systemic factors influence retinal vessel density in different genders and future studies can ascertain more potential sex differences.
    Language English
    Publishing date 2024-04-25
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 82032-5
    ISSN 1613-2246 ; 0021-5155
    ISSN (online) 1613-2246
    ISSN 0021-5155
    DOI 10.1007/s10384-024-01053-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Tele-ophthalmology amid COVID-19 pandemic-Hong Kong experience.

    Wong, Jasper Ka Wai / Shih, Kendrick Co / Chan, Jonathan Cheuk Hung / Lai, Jimmy Shiu Ming

    Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie

    2020  Volume 259, Issue 6, Page(s) 1663

    MeSH term(s) COVID-19/epidemiology ; Comorbidity ; Eye Diseases/epidemiology ; Hong Kong/epidemiology ; Humans ; Ophthalmology/methods ; Pandemics ; SARS-CoV-2 ; Telemedicine/organization & administration
    Keywords covid19
    Language English
    Publishing date 2020-05-29
    Publishing country Germany
    Document type Letter
    ZDB-ID 8435-9
    ISSN 1435-702X ; 0721-832X
    ISSN (online) 1435-702X
    ISSN 0721-832X
    DOI 10.1007/s00417-020-04753-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Correction to: Prospective Comparative Study Investigating Agreement between Tele-Ophthalmology and Face-to-face Consultations in Patients Presenting with Chronic Visual Loss.

    Wong, Jasper Ka-Wai / Zhu, Ming Ming / Lam, Jason Chi-Hang / Leung, Keith Man-Kei / Lian, Jin Xiao / Lam, Cindy Lo-Kuen / Shih, Kendrick Co / Lai, Jimmy Shiu-Ming

    Ophthalmology and therapy

    2022  Volume 11, Issue 3, Page(s) 1215

    Language English
    Publishing date 2022-05-04
    Publishing country England
    Document type Published Erratum
    ISSN 2193-8245
    ISSN 2193-8245
    DOI 10.1007/s40123-022-00517-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Evaluation of Adverse Effects of Topical Glaucoma Medications on Trabeculectomy Outcomes Using the Glaucoma Medications Intensity Index.

    Wong, Jasper Ka Wai / Leung, Tsz Kin / Lai, Jimmy Shiu-Ming / Chan, Jonathan Cheuk-Hung

    Ophthalmology and therapy

    2021  Volume 11, Issue 1, Page(s) 387–401

    Abstract: Introduction: Trabeculectomy is commonly performed for glaucoma when medications are unable to control disease progression or have intolerable adverse effects. Previous studies have suggested that a higher number of and/or longer treatment duration with ...

    Abstract Introduction: Trabeculectomy is commonly performed for glaucoma when medications are unable to control disease progression or have intolerable adverse effects. Previous studies have suggested that a higher number of and/or longer treatment duration with preoperative topical glaucoma medications are associated with a higher risk of trabeculectomy failure, but most of these studies lack quantification of exposure. The aim of this study was to investigate the relationship between preoperative exposure to topical glaucoma medications and trabeculectomy outcome, using a new method for quantifying accumulated exposure.
    Methods: Consecutive patients with primary open-angle glaucoma (POAG) or normal-tension glaucoma (NTG) who underwent primary trabeculectomy between 2013 and 2017 were retrospectively reviewed. The Glaucoma Medications Intensity Index (GMII) was calculated for each eye by multiplying the number of drops per week by duration of use (in years). The relationship between the GMII and postoperative outcome in terms of 1- and 2-year success rates and survival time was analyzed.
    Results: A total of 55 eyes from 40 subjects were analyzed, all with follow-up > 6 months (mean 2.72 ± 1.46 years). The GMII for eyes with successful (n = 41) and failed (n = 14) outcome at last visit was 111.71 ± 78.59 and 167.41 ± 85.04, respectively, and significantly higher in failed eyes (P = 0.03). Univariate regression analysis of age, gender, cup-disc ratio, previous phacoemulsification, diabetes, hypertension, dyslipidemia, preoperative number of glaucoma medications/treatment duration/intraocular pressure (IOP), and GMII showed age and GMII to be possible predictors of treatment failure. On subsequent multivariate analysis, only GMII was correlated with failure (odds ratio 1.021, 95% confidence interval 1.00-1.05; P = 0.05). When GMII ≥ 80, the postoperative survival time was shorter (P = 0.02), the 1-year IOP, number of glaucoma medications, and number of needlings performed were higher (P = 0.03, P  < 0.01, P  < 0.03, respectively), and reduction in glaucoma medication was less (P = 0.02).
    Conclusion: The GMII can be used to predict eyes at higher risk for trabeculectomy that may benefit from additional perioperative intervention or treatment. It can also help the surgeon time the surgery before the GMII becomes too high, thereby optimizing the patient's postoperative outcome.
    Language English
    Publishing date 2021-12-21
    Publishing country England
    Document type Journal Article
    ISSN 2193-8245
    ISSN 2193-8245
    DOI 10.1007/s40123-021-00447-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Aerosolization and Fluid Spillage During Phacoemulsification in Human Subjects.

    Wong, Jasper Ka Wai / Kwok, Jeremy Sze Wai John / Chan, Jonathan Cheuk Hung / Shih, Kendrick Co / Qin, Renyuan / Lau, Denvid / Lai, Jimmy Shiu Ming

    Clinical ophthalmology (Auckland, N.Z.)

    2021  Volume 15, Page(s) 307–313

    Abstract: Background: Concerns had been raised for the potential hazard of SARS-CoV-2 transmissions via aerosols and fluid droplets during cataract surgeries amid the COVID-19 pandemic. This study aims to evaluate the rate of visible aerosol generation and fluid ... ...

    Abstract Background: Concerns had been raised for the potential hazard of SARS-CoV-2 transmissions via aerosols and fluid droplets during cataract surgeries amid the COVID-19 pandemic. This study aims to evaluate the rate of visible aerosol generation and fluid spillage from surgical wounds during phacoemulsification in human subjects.
    Methods: This is a prospective consecutive interventional case series. High-resolution video captures of 30 consecutive uncomplicated phacoemulsification surgeries, performed by 3 board-certified specialists in ophthalmology, were assessed by 2 independent and masked investigators for intraoperative aerosolization and fluid spillage. Water-contact indicator tape was mounted on the base of the operating microscope, around the objective lens, to detect any fluid contact.
    Results: No visible intraoperative aerosolization was detected in any of the cases, irrespective of different surgical practices among the surgeons with regard to wound size and position, lens fragmentation technique, power settings and means of ocular lubrication, or the different densities of cataract encountered. Large droplets spillage was noted from the paracentesis wounds in 70% of the cases. For all cases where fluid spill was detected on video, there was no fluid contact detected on the water-contact indicator tape.
    Conclusion: Visible aerosolization was not detected during phacoemulsification in our case series. Although the rate of fluid spillage was high, the lack of detectable contact with the indicator tape suggested that these large droplets posed no significant infectious risks to members of the surgical team.
    Language English
    Publishing date 2021-01-27
    Publishing country New Zealand
    Document type Journal Article
    ISSN 1177-5467
    ISSN 1177-5467
    DOI 10.2147/OPTH.S294778
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Tele-ophthalmology amid COVID-19 pandemic-Hong Kong experience

    Wong, Jasper Ka Wai / Shih, Kendrick Co / Chan, Jonathan Cheuk Hung / Lai, Jimmy Shiu Ming

    Graefes arch. clin. exp. ophthalmol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32472202
    Database COVID19

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  8. Article ; Online: Scaffold-Free Strategy Using a PEG-Dextran Aqueous Two-Phase-System for Corneal Tissue Repair.

    Hung, Lap Tak / Poon, Stephanie Hiu Ling / Yan, Wing Huen / Lace, Rebecca / Zhou, Liangyu / Wong, Jasper Ka Wai / Williams, Rachel L / Shih, Kendrick Co / Shum, Ho Cheung / Chan, Yau Kei

    ACS biomaterials science & engineering

    2022  Volume 8, Issue 5, Page(s) 1987–1999

    Abstract: Forming thin tissue constructs with minimal extracellular matrix surrounding them is important for tissue engineering applications. Here, we explore and optimize a strategy that enables rapid fabrication of scaffold-free corneal tissue constructs using ... ...

    Abstract Forming thin tissue constructs with minimal extracellular matrix surrounding them is important for tissue engineering applications. Here, we explore and optimize a strategy that enables rapid fabrication of scaffold-free corneal tissue constructs using the liquid-liquid interface of an aqueous two-phase system (ATPS) that is based on biocompatible polymers, dextran and polyethylene glycol. Intact tissue-like constructs, made of corneal epithelial or endothelial cells, can be formed on the interface between the two liquid phases of ATPS within hours and subsequently collected simply by removing the liquid phases. The formed corneal cell constructs express essential physiological markers and have preserved viability and proliferative ability
    MeSH term(s) Cornea/surgery ; Dextrans ; Endothelial Cells ; Tissue Engineering/methods ; Water ; Wound Healing
    Chemical Substances Dextrans ; Water (059QF0KO0R)
    Language English
    Publishing date 2022-04-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2373-9878
    ISSN (online) 2373-9878
    DOI 10.1021/acsbiomaterials.1c01500
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Tele-ophthalmology amid COVID-19 pandemic—Hong Kong experience

    Wong, Jasper Ka Wai / Shih, Kendrick Co / Chan, Jonathan Cheuk Hung / Lai, Jimmy Shiu Ming

    Graefe's Archive for Clinical and Experimental Ophthalmology ; ISSN 0721-832X 1435-702X

    2020  

    Keywords Ophthalmology ; Sensory Systems ; Cellular and Molecular Neuroscience ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s00417-020-04753-1
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article: Prospective Comparative Study Investigating Agreement between Tele-Ophthalmology and Face-to-face Consultations in Patients Presenting with Chronic Visual Loss.

    Wong, Jasper Ka-Wai / Zhu, Ming Ming / Lam, Jason Chi-Hang / Leung, Keith Man-Kei / Lian, Jin Xiao / Lam, Cindy Lo-Kuen / Shih, Kendrick Co / Lai, Jimmy Shiu-Ming

    Ophthalmology and therapy

    2022  Volume 11, Issue 3, Page(s) 1199–1213

    Abstract: Introduction: This study aims to investigate the diagnostic accuracy of store-and-forward tele-ophthalmology consultations for non-diabetic patients, aged 40 and above, presenting with vision impairment of 3 months or more, in terms of cataracts, ... ...

    Abstract Introduction: This study aims to investigate the diagnostic accuracy of store-and-forward tele-ophthalmology consultations for non-diabetic patients, aged 40 and above, presenting with vision impairment of 3 months or more, in terms of cataracts, glaucoma, and age-related macular degeneration.
    Methods: This is a prospective comparative study. Enrolled subjects were independently assessed by both tele-ophthalmology and face-to-face assessment. Agreement level between the two modalities for diagnosis and severity were compared using kappa statistic. Diagnostic accuracy of tele-ophthalmology was determined using the face-to-face consultation serving as the gold standard. Costs were compared by calculating the downstream costs generated by each modality in terms of investigations and treatment.
    Results: A total of 860 eyes of 430 patients were assessed during the study period. Tele-ophthalmology consultations had significantly high agreement with face-to-face consultations in the diagnosis and grading of all three ocular conditions; cataracts, glaucoma, and AMD. Diagnosis and grading of cataracts and AMD reached [Formula: see text] values of > 0.8, while diagnosis and grading of glaucoma reached [Formula: see text] values between 0.61 and 0.8. In terms of diagnostic accuracy, tele-ophthalmology consultations were highly sensitive and specific for AMD with greater than 99% sensitivity and specificity achieved by tele-ophthalmology. There was high specificity when diagnosing cataracts, but lower sensitivity at 87.8%. Conversely, there was high sensitivity for diagnosing glaucoma, but lower specificity at 76.5%. Downstream costs were similar between groups.
    Conclusions: Store-and-forward tele-ophthalmology consultations are accurate and comparable to face-to-face consultations for diagnosis and grading of cataracts, glaucoma, and AMD.
    Language English
    Publishing date 2022-04-13
    Publishing country England
    Document type Journal Article
    ISSN 2193-8245
    ISSN 2193-8245
    DOI 10.1007/s40123-022-00506-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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