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  1. Article ; Online: The Conjunctival Microbiome and Dry Eye: What We Know and Controversies.

    Shih, Kendrick C / Tong, Louis

    Eye & contact lens

    2024  Volume 50, Issue 5, Page(s) 208–211

    Abstract: Abstract: Dry eye disease is a common multifactorial condition that may be idiopathic or associated with autoimmune conditions, such as Sjogren syndrome. Commensal microorganisms modify immune responses, so it is relevant to understand how they modify ... ...

    Abstract Abstract: Dry eye disease is a common multifactorial condition that may be idiopathic or associated with autoimmune conditions, such as Sjogren syndrome. Commensal microorganisms modify immune responses, so it is relevant to understand how they modify such immune-mediated diseases. Microbiota in the gut regulate inflammation in the eye, and conversely, severe inflammation of the ocular surface results in alteration of gut microbiome. The conjunctiva microbiome can be analyzed using 16S or shotgun metagenomics. The amount of microbial DNA in ocular surface mucosa relative to human DNA is limited compared with the case of the intestinal microbiome. There are challenges in defining, harvesting, processing, and analyzing the microbiome in the ocular surface mucosa. Recent studies have shown that the conjunctiva microbiome depends on age, presence of local and systemic inflammation, and environmental factors. Microbiome-based therapy, such as the use of oral probiotics to manage dry eye disease, has initial promising results. Further longitudinal studies are required to investigate the alteration of the conjunctival microbiome after local therapy and surgery.
    MeSH term(s) Humans ; Conjunctiva/microbiology ; Dry Eye Syndromes/microbiology ; Microbiota/physiology
    Language English
    Publishing date 2024-02-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2103049-2
    ISSN 1542-233X ; 1542-2321
    ISSN (online) 1542-233X
    ISSN 1542-2321
    DOI 10.1097/ICL.0000000000001077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Maintenance of ophthalmic specialist out-patient service during the COVID-19 outbreak: The University of Hong Kong experience.

    Shih, C Kendrick / Chan, Jonathan C H / Lai, Jimmy S M

    Eye (London, England)

    2020  Volume 34, Issue 7, Page(s) 1241–1242

    MeSH term(s) Ambulatory Care/organization & administration ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Hong Kong ; Humans ; Ophthalmology/organization & administration ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-21
    Publishing country England
    Document type Letter
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/s41433-020-0887-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Ophthalmological Considerations for COVID-19 Vaccination in Patients with Inflammatory Eye Diseases and Autoimmune Disorders.

    Chau, Charlene Y C / Chow, Loraine L W / Sridhar, Siddharth / Shih, Kendrick C

    Ophthalmology and therapy

    2021  Volume 10, Issue 2, Page(s) 201–209

    Abstract: The global impact imposed by the coronavirus disease 2019 (COVID-19) pandemic may be soon alleviated by the introduction and worldwide dissemination of safe and effective vaccines. This expedited timetable for development and approval of COVID-19 ... ...

    Abstract The global impact imposed by the coronavirus disease 2019 (COVID-19) pandemic may be soon alleviated by the introduction and worldwide dissemination of safe and effective vaccines. This expedited timetable for development and approval of COVID-19 vaccines is an unprecedented extraordinary, concerted achievement by the scientific community. With the pending global rollout of vaccines, each with different mechanisms of action, physicians of various specialties will need to identify vulnerable patient groups for special considerations or advice. In this commentary, we analyse the important considerations for COVID-19 vaccines in patients with inflammatory eye diseases. Scrutiny of immunogenicity and adverse effects, particularly antibody-dependent enhancement, would better help in counselling these patients undergoing vaccination. More research on pharmacovigilance would allow for tailored guidelines and personalised management strategies.
    Language English
    Publishing date 2021-03-06
    Publishing country England
    Document type Journal Article
    ISSN 2193-8245
    ISSN 2193-8245
    DOI 10.1007/s40123-021-00338-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The case for continuing elective cataract surgery during the COVID-19 pandemic.

    Shih, Kendrick C / Wong, Jasper K W / Lai, Jimmy S M / Chan, Jonathan C H

    Journal of cataract and refractive surgery

    2020  Volume 46, Issue 6, Page(s) 921

    MeSH term(s) Betacoronavirus ; COVID-19 ; Cataract/complications ; Cataract Extraction/standards ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Disease Transmission, Infectious/prevention & control ; Global Health ; Humans ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-01
    Publishing country United States
    Document type Letter
    ZDB-ID 632744-8
    ISSN 1873-4502 ; 0886-3350
    ISSN (online) 1873-4502
    ISSN 0886-3350
    DOI 10.1097/j.jcrs.0000000000000225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Maintenance of ophthalmic specialist out-patient service during the COVID-19 outbreak: The University of Hong Kong experience

    Shih, C Kendrick / Chan, Jonathan C H / Lai, Jimmy S M

    Eye (Lond)

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #102041
    Database COVID19

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  6. Article ; Online: Maintenance of ophthalmic specialist out-patient service during the COVID-19 outbreak

    Shih, C. Kendrick / Chan, Jonathan C. H. / Lai, Jimmy S. M.

    Eye

    The University of Hong Kong experience

    2020  Volume 34, Issue 7, Page(s) 1241–1242

    Keywords Ophthalmology ; General Arts and Humanities ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/s41433-020-0887-z
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: OCTA biomarkers in adults aged 50 and above: a prospective and cross-sectional community-based study.

    Li, Yan Kiu / Fung, Nicholas Siu-Kay / Chan, Jonathan C H / Choy, Bonnie N K / Chow, Loraine L W / Shih, Kendrick C / Wong, Jasper K W / Wong, Ian Y H

    BMC ophthalmology

    2023  Volume 23, Issue 1, Page(s) 71

    Abstract: Background/aims: To assess the normative values and parameters of optical coherence tomography angiography (OCTA) influencing the best corrected visual acuity (BCVA) in adults aged 50 and above.: Methods: This was a prospective cross-sectional study ... ...

    Abstract Background/aims: To assess the normative values and parameters of optical coherence tomography angiography (OCTA) influencing the best corrected visual acuity (BCVA) in adults aged 50 and above.
    Methods: This was a prospective cross-sectional study from an eye screening programme in Hong Kong for 4188 citizens aged 50 and above. Images were analysed using a validated quantification software calculating vessel density and capillary perfusion density (CPD), along with other OCTA parameters, such as the foveal avascular zone area (FAZ) and circularity. OCTA data was collected from May 2019 to December 2020, including a total of 4188 healthy eyes from 4188 subjects.
    Results: Mean superficial vessel density (MSVD) was 14.48 ± 3.60 mm
    Conclusion: High FAZ area and low FAZ circularity, low MSVD in the outer ring, specifically the nasal and temporal outer quadrants, and low MCPD in the outer superior quadrant can be used as biomarkers in predicting a low visual acuity in adults aged 50 and above.
    MeSH term(s) Humans ; Adult ; Male ; Female ; Cross-Sectional Studies ; Fluorescein Angiography/methods ; Retinal Vessels ; Tomography, Optical Coherence/methods ; Prospective Studies ; Macula Lutea/blood supply ; Fundus Oculi ; Biomarkers
    Chemical Substances Biomarkers
    Language English
    Publishing date 2023-02-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050436-6
    ISSN 1471-2415 ; 1471-2415
    ISSN (online) 1471-2415
    ISSN 1471-2415
    DOI 10.1186/s12886-023-02815-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Considerations for Use of Immune Checkpoint Inhibitors in Cancer Therapy for Patients with Co-Existing Thyroid Eye Disease.

    Chau, Charlene Y C / Shih, Kendrick C / Chow, Loraine L W / Lee, Victor H F

    Ophthalmology and therapy

    2020  Volume 10, Issue 1, Page(s) 5–12

    Abstract: Immune checkpoint inhibitors (ICIs) have revolutionised the field of oncology. While most ICIs are well-tolerated, severe and fatal immune-related adverse events (irAEs) have been documented, likely related to the strengthened immunity harnessed by ICIs ... ...

    Abstract Immune checkpoint inhibitors (ICIs) have revolutionised the field of oncology. While most ICIs are well-tolerated, severe and fatal immune-related adverse events (irAEs) have been documented, likely related to the strengthened immunity harnessed by ICIs against tumours. Endocrinopathies are some of the most common irAEs, with both hypothyroidism and hyperthyroidism encountered after ICI use. As such, patients with pre-existing autoimmune conditions, such as Graves' disease (GD) with clinically active thyroid eye disease (TED), are excluded from most clinical trials studying ICIs due to concerns of exacerbating pre-existing autoimmune conditions or of increasing the potential for irAE development. The limited information currently available on the safety and efficacy of ICIs in this population poses a clinical challenge for oncologists. The objective of this commentary is to highlight these challenges and provide treatment recommendations pertaining to two specific cohorts of patients with GD, namely GD patients with minimal eye complications and GD patients with previous TED who underwent radiotherapy, surgery or pulse methylprednisolone and whose disease is now quiescent, and to patients with subclinical autoimmune thyroid disease.
    Language English
    Publishing date 2020-11-04
    Publishing country England
    Document type Journal Article
    ISSN 2193-8245
    ISSN 2193-8245
    DOI 10.1007/s40123-020-00317-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The case for continuing elective cataract surgery during the COVID-19 pandemic

    Shih, Kendrick C. / Wong, Jasper K.W. / Lai, Jimmy S.M. / Chan, Jonathan C.H.

    Journal of Cataract and Refractive Surgery

    2020  Volume Publish Ahead of Print

    Keywords Surgery ; Ophthalmology ; Sensory Systems ; covid19
    Language English
    Publisher Ovid Technologies (Wolters Kluwer Health)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 632744-8
    ISSN 1873-4502 ; 0886-3350
    ISSN (online) 1873-4502
    ISSN 0886-3350
    DOI 10.1097/j.jcrs.0000000000000225
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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