人体包虫病与囊虫病血清学鉴别诊断ELISA方法的建立

本文设计及建立了将常规ELISA与数学公式相结合以鉴别诊断人体包虫病与囊虫病的血清学方法(DD—ELISA)。两病总正确鉴别诊断率达83.12％,尤其是将包虫病对囊虫抗原呈100％的交叉反应率降到18.18％,假阳性率显著降低。该方法简便、效佳、适用于临床诊断及流行病学调查。     

Clinical and demographic study of non-tuberculous mycobacterial ocular infections in South India

PurposeTo describe demographics, risk factors, antibiotic susceptibility, management and outcomes of ocular infections caused by non-tuberculous mycobacteria (NTM).MethodsA retrospective review of medical case records and microbiology records of patients with ocular infections that were culture positive for non-tuberculous Mycobacteria from January 2014 to December 2018 was done. Antibiotic susceptibility profile was done based on the CLSI guidelines. Laboratory diagnosis for the NTM Species was done by conventional microbiological methods. The species identification was done for stored isolated utilizing polymerase chain reaction targeting 16S rDNA and rpoB gene, followed by DNA sequencing and phylogenetic analysis.ResultsTwenty patients with NTM ocular infections were identified during the study period. A majority of cases presented as 12 infectious keratitis (60%) and three suture-related corneal infiltrates (15%). Common risk factors were history of trauma in 9 (45%) patients and history of ocular surgery in 5 (25%) patients. Patients were treated with combination of amikacin and flouroquinolones/chloramphenicol (70%) and surgical interventions were performed in 25% cases. Only twelve isolates were stored and ten isolates were identified as the M. abscessus subsp. abscessus and two isolates as M. abscessus subsp. massiliense by sequencing and phylogenetic analysis. Majority of the NTM were sensitive to amikacin (75%) followed by moxifloxacin, ciprofloxacin, cephotaxime and tobramycin (35%).ConclusionHigh degree of clinical suspicion, multidrug antibiotic therapy and timely surgical intervention in patients with NTM infections, are advised for better clinical outcomes. Prior ocular trauma, prior ocular surgery and presence of biomaterials were the major predisposing factors. Earlier surgical intervention in cases where abscesses or biomaterials are involved, is necessary for rapid recovery.     

Interaction of active and passive slow eye movement systems

Summary Independent target and background motions have been used to generate conflicting activity within the pursuit and optokinetic systems. Subjects were required to pursue a small target against a structured background which moved independently. Selective enhancement of the response to the target generated high-gain active pursuit which dominated the eye movements. Passive eye movements induced during relative target and background motion are not normally directly quantifiable due to their low gain. By reducing the gain of the active pursuit optokinetically induced eye movements were enhanced and quantified. Three techniques are described for degrading active pursuit: tachistoscopic, eccentric and pseudorandom methods of target presentation. Our results demonstrate the synchronous input of active and passive eye movement drives to the oculomotor system and illustrate their interaction.     

Seroprevalence of SARS-CoV-2 specific IgG antibodies among eye care workers in South India

PurposeHealth care workers are at higher risk of acquiring the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. This study aims to understand the seroprevalence of anti-SARS-CoV-2 IgG antibody among the eye care workers in South India.MethodsThe participants included eye care workers from the nine eye care centres. All the participants were interviewed with a questionnaire to obtain essential information about socio-demographics, past contact with COVID-19 patients and additional information as recommended by Indian Council of Medical Research, India. Serum samples were tested for anti-SARS-CoV-2 IgG antibodies by ELISA.ResultsA total of 1313 workers were included and 207 (15.8%) were positive for the SARS-CoV-2 IgG antibody. The seropositivity was higher in the moderate risk group (19.5%) followed by low (18.6%) and high risk (13.7%) groups. The seropositivity was significantly higher among i) day scholars compared to hostellers (OR - 2.22, 1.56 to 3.15, P ​< ​0.0001), ii) individuals with history of flu-like illness (4.57, 3.08–6.78, P ​< ​0.001) or who were symptomatic or in contact with COVID 19 positive cases (2.2, 1.02–4.75, P – 0.043) and iii) individuals with history of systemic illness (2.11, 1.39–3.21, P ​< ​0.001). Individuals (11.97%) who had no history of contact or any illness were also seropositive.ConclusionsThe effectiveness of the protective measures taken against COVID infection was evident from the lower percentage of seropositivity in the high risk group. The study highlighted the need to create awareness among individuals to follow strict safety measures even in non-work hours and also in social circles.     

A rare case of disseminated cysticercosis: case report and literature review

Cysticercosis is a common tropical disease. One of the uncommon manifestations of cysticercosis and a rare complication is its disseminated form. We report an immunocompetent patient with disseminated cysticercosis who had involvement of the brain, subcutaneous tissues, lungs and skeletal muscles and presented with arthritis. He was otherwise asymptomatic in spite of the extensive involvement of multiple organs. A planned approach to therapy is necessary to prevent complications.     

Vergence-mediated changes in the axis of eye rotation during the human vestibulo-ocular reflex can occur independent of eye position

The aim of this study was to determine whether vergence-mediated changes in the axis of eye rotation in the human vestibulo-ocular reflex (VOR) would obey Listing's Law (normally associated with saccadic eye movements) independent of the initial eye position. We devised a paradigm for disassociating the saccadic velocity axis from eye position by presenting near and far targets that were centered with respect to one eye. We measured binocular 3-dimensional eye movements using search coils in ten normal subjects and 3-dimensional linear head acceleration using Optotrak in seven normal subjects. The stimuli consisted of passive, unpredictable, pitch head rotations with peak acceleration of ~2,000°/s² and amplitude of ~20°. During the pitch head rotation, each subject fixated straight ahead with one eye, whereas the other eye was adducted 4° during far viewing (94 cm) and 25° during near viewing (15 cm). Our data showed expected compensatory pitch rotations in both eyes, and a vergence-mediated horizontal rotation only in the adducting eye. In addition, during near viewing we observed torsional eye rotations not only in the adducting eye but also in the eye looking straight ahead. In the straight-ahead eye, the change in torsional eye velocity between near and far viewing, which began ~40 ms after the start of head rotation, was 10±6°/s (mean ± SD). This change in torsional eye velocity resulted in a 2.4±1.5° axis tilt toward Listing's plane in that eye. In the adducting eye, the change in torsional eye velocity between near and far viewing was 16±6°/s (mean ± SD) and resulted in a 4.1±1.4° axis tilt. The torsional eye velocities were conjugate and both eyes partially obeyed Listing's Law. The axis of eye rotation tilted in the direction of the line of sight by approximately one-third of the angle between the line of sight and a line orthogonal to Listing's plane. This tilt was higher than predicted by the one-quarter rule. The translational acceleration component of the pitch head rotation measured 0.5 g and may have contributed to the increased torsional component observed during near viewing. Our data show that vergence-mediated eye movements obey a VOR/Listing's Law compromise strategy independent of the initial eye position.     

Viscoexpression of large free floating Cysticercus cyst from the anterior chamber of the eye by double incision technique

We describe a case of 16-year-old girl who reported with diminution of vision in left eye for past seven months with appearance of white reflex. Slit lamp biomicroscopy revealed the presence of a live grayish white cyst in the anterior chamber. The ultrabiomicroscopic evaluation revealed a large live Cysticercus cellulosae cyst in anterior chamber. The CT-scan of the brain revealed multiple non-contrast enhanced lesions with calcification in brain parenchyma. The patient was started on oral prednisolone and oral albendazole. The cyst was removed in toto from the eye by double incision technique. The patient achieved visual acuity of 6/12 post-operatively.     

Prevalence of eye disease in Brazilian patients with psoriatic arthritis

OBJECTIVES:

The aim of this study was to report the type and frequency of ocular manifestations in Brazilian psoriatic arthritis patients.

METHODS:

We conducted a cross-sectional study in a Brazilian tertiary hospital. The test group included 40 patients who had psoriatic arthritis according to the Classification Criteria for Psoriatic Arthritis. A control group of 40 individuals was matched for age and gender. All of the patients underwent ophthalmic evaluation, which included best-corrected visual acuity, slit lamp and fundus examinations, and dry eye diagnostic tests (Schirmer I, tear break-up time and rose bengal). Demographic parameters were also evaluated.

RESULTS:

The mean age of the patients was 53.9±13.1 years; the mean disease duration was 8±10.5 years. Most of the patients were women (60%), and the majority had polyarticular disease (57.5%). Several ocular abnormalities were found, including punctate keratitis, pinguecula, blepharitis, pterygium, cataract, glaucoma, uveitis, and retinal microvascular abnormalities. There were no significant differences in the rates of these abnormalities compared with the control group, however. The Keratoconjunctivitis sicca and dry eye diagnostic tests were more often positive in the patients with psoriatic arthritis than in the control group.

CONCLUSIONS:

In this study, keratoconjunctivitis sicca was the most common ocular finding related to psoriatic arthritis. Therefore, we recommend early ophthalmologic evaluations for all psoriatic arthritis patients who complain of eye symptoms.     

Inluence of eye motion on adaptive modifications of the vestibulo-ocular reflex in the rat

While sustained retinal slip is assumed to be the basic conditioning stimulus in adaptive modifications of the vestibulo-ocular reflex (VOR) gain, several observations suggest that eye motion-related signals might also be involved. We oscillated pigmented rats over periods of 20 min around the vertical axis, at 0.3 Hz and 20°/s peak velocity, in different retinal slip and/or eye motion conditions in order to modify their VOR gain. The positions of both eyes were recorded by means of a phase-detection coil system with the head restrained. The main findings came from the comparison of two basic conditions — including their respective controls — in which one or both eyes were reversibly immobilised by threads sutured to the eyes. In the first condition the animals were rotated in the light with one eye immobilised and the other eye free to move but covered. Rotation in the light in this open-loop condition immediately elicited high-gain compensatory eye movements of the non-impeded, covered eye. At the end of this training procedure, the VOR gain increased by 42.3%. In the second condition, both eyes were immobilised and one eye was covered. The result was an increase in the VOR gain of 26.3%. These two conditions were similar as to the visuo-vestibular drive during the exposure, but different as to the resulting — and allowed — eye motion, showing that the condition where the larger eye movements occurred yielded the larger VOR gain change. Our data support the idea proposed by Collewijn and Grootendorst (1979, p. 779) and Collewijn (1981, p. 146) that [retinal] slip and eye movements seem to be relevant signals for the adaptation of the rabbit's visuo-vestibular oculomotor reflexes. Our data also suggest that sensory information related to eye movements, more likely than efference copy, is the coding signal for eye movement which combines with the retinal slip signal to generate adaptive changes of the VOR.     

Three-dimensional electromagnetic model of the human eye: advances towards the optimisation of electroretinographic signal detection

Classical electromagnetic theory is used to examine the topographical variation in electrical potentials over the corneal surface resulting from specific retinal stimuli. Results from a three-dimensional mathematical model show that over 97% of calculated electromagnetic field potentials lie within 3% of previous analytical model data for an axially symmetric case. Maps of corneal potentials are produced that are shown to be characteristic of specific retinal stimuli and location. The maximum variation in corneal potential for a full field global stimulus is found to be approximately 1%. This is considered encouraging, as current electrophysiology techniques measure ocular potentials from a single corneal or scleral site, the position of which is often difficult to localise and reproduce. The model is used to simulate both central and peripheral stimuli and scotoma conditions. A 20° central scotoma simulation shows an overall reduction in central corneal potential of only 3%, whereas peripheral stimuli are found to cause up to 10% variations in this potential. There is therefore a possibility that a single recording site for multifocal retinal stimulation is not ideal. These data may be used to suggest more appropriate electrode recording positions for maximum signal recovery, not least in optimising signal detection for multi-focal electroretinography stimulation.     

Three-dimensional electromagnetic model of the human eye: advances towards the optimisation of electroretinographic signal detection

Classical electromagnetic theory is used to examine the topographical variation in electrical potentials over the corneal surface resulting from specific retinal stimuli. Results from a three-dimensional mathematical model show that over 97% of calculated electromagnetic field potentials lie within 3% of previous analytical model data for an axially symmetric case. Maps of corneal potentials are produced that are shown to be characteristic of specific retinal stimuli and location. The maximum variation in corneal potential for a full field global stimulus is found to be approximately 1%. This is considered encouraging, as current electrophysiology techniques measure ocular potentials from a single corneal or scleral site, the position of which is often difficult to localise and reproduce. The model is used to simulate both central and peripheral stimuli and scotoma conditions. A 20 degrees central scotoma simulation shows an overall reduction in central corneal potential of only 3%, whereas peripheral stimuli are found to cause up to 10% variations in this potential. There is therefore a possibility that a single recording site for multifocal retinal stimulation is not ideal. These data may be used to suggest more appropriate electrode recording positions for maximum signal recovery, not least in optimising signal detection for multi-focal electroretinography stimulation.     

Isolated cysticercosis of tongue: A case report

Cysticercosis of the tongue is a rare disease caused by infestation with the larval stage of the pork tapeworm (Taenia solium) in which man acts as a secondary host rather than a primary host. Most of these lesions are asymptomatic. The patient usually reports to the physician with the complaint of swelling. The solitary swelling in the tongue of this young 12‐year‐old girl was not suspected clinically for cysticercosis. Fine needle aspiration cytology, used for pre‐operative diagnosis, suggested the possibility of cysticercosis. Detailed medical evaluation was carried out which ruled out neural cysticercosis and other extraneural lesions. The complete removal of the lesion was achieved by simple excision. The histopathological examination confirmed the diagnosis of lingual cysticercosis. Diagn. Cytopathol. 2014;42:716–718. © 2014 Wiley Periodicals, Inc.     

在体兔眼压强-体积关系的实验研究

目的 获得在体兔眼眼内压与眼球体积变化的关系。方法 通过对在体兔眼前房以20 μL/min的速度注入生理盐水100 min,记录眼内压随注水时间的变化数据。结果 眼内压随注水时间的曲线呈非线性变化,可用分段函数拟合。曲线的上升段存在一特殊点（定义为拐点）,此点前后的眼球刚度系数分别为（4.02±0.86) mmH2O/μL和(2.43±0.94) mmH2O/μL (1 mmH2O=9.8 Pa),有显著性差异。结论 拐点的存在具有普遍性,注水速度和拐点位置均对眼球刚度系数有影响。眼内压随注水时间的拟合函数中部分拟和参数具有较明确的生理意义。     

Dissecting the presence of malignant squamous cells in pancreatic cytopathology: A case series

The presence of malignant squamous cells in pancreatic cytopathology is a rare phenomenon that results either from a primary or a metastatic process. Pancreatic adenosquamous carcinoma (PASC) represents the most common variant of pancreatic ductal adenocarcinoma and is associated with a dismal prognosis. Within the period of 2013‐2018, the archives of “Hygeia and Mitera Hospital” were searched for pancreatic cytopathology‐related diagnoses that included the interpretation of “malignant squamous cells present.” All fine needle aspirations (FNAs) of pancreatic lesions, including liver metastases in patients with known pancreatic primaries, were retrieved along with their relevant clinical information. Five pancreatic and two liver FNAs acquired from a total of six patients were reexamined. None of these patients had any documented history of primary squamous malignancy elsewhere. All pancreatic and one of the two liver FNAs showed malignant squamous cells, identified based on either morphology or immunochemistry. The other liver FNA represented a metastatic deposit which comprised of only a glandular component, whereas the associated pancreatic FNA exhibited both squamous and glandular counterparts. Most cases characteristically showed necrosis and keratinization. Of interest, two cases revealed the presence of tumor‐associated giant cells. In conclusion, the presence of malignant squamous cells in pancreatic FNAs could mean the presence of PASC, especially when there is no documented history of a primary malignancy and a complete clinical and imaging workup has been performed. Immunochemistry on cell block material could help to confirm squamous differentiation in the absence of overt keratinization.     

Fine needle aspiration in the diagnosis of subcutaneous cysticercosis

Human cysticercosis commonly manifests as subcutaneous and intramuscular nodules. The current study highlights the role of fine needle aspiration cytology (FNAC) in the diagnosis of subcutaneous cysticercosis. One hundred and twenty two patients with subcutaneous swellings, diagnosed as cysticercus or suspicious of parasitic inflammation on FNAC, were included in the present study. The relevant clinical data, cytomorphological findings, and histopathological findings, wherever available were evaluated. In 57 cases, a definite evidence of cysticercus was obtained in the form of fragments of parasite bladder wall, hooklets, or intact larva. Out of these, biopsy correlation was available in 10 cases, eight of which failed to reveal any parasite. In 65 cases, larval fragments could not be identified on aspirates, and the diagnosis of parasitic inflammation was suggested on the basis of other cytomorphological findings, which are discussed. In 22 of these cases, a biopsy correlation was available, which revealed definite parasitic elements in six cases and the remaining 16 cases were reported as suggestive of parasitic cysts. Thus, to conclude, FNAC is a reliable and cost effective procedure for the diagnosis of subcutaneous parasitic nodules. It obviates the need for a subsequent histopathological examination, as the parasite may not be demonstrated even on biopsy specimens.     

Removal of eye blinking artifact from the electro-encephalogram, incorporating a new constrained blind source separation algorithm

A robust constrained blind source separation (CBSS) algorithm has been developed as an effective means to remove ocular artifacts (OAs) from electroencephalograms (EEGs). Currently, clinicians reject a data segment if the patient blinked or spoke during the observation interval. The rejected data segment could contain important information masked by the artifact. In the CBSS technique, a reference signal was exploited as a constraint. The constrained problem was then converted to an unconstrained problem by means of non-linear penalty functions weighted by the penalty terms. This led to the modification of the overall cost function, which was then minimised with the natural gradient algorithm. The effectiveness of the algorithm was also examined for the removal of other interfering signals such as electrocardiograms. The CBSS algorithm was tested with ten sets of data containing OAs. The proposed algorithm yielded, on average, a 19% performance improvement over Parra's BSS algorithm for removing OAs.     

Innate immunity dysregulation in aging eye and therapeutic interventions

The prevalence of eye diseases increases considerably with age, resulting in significant vision impairment. Although the pathobiology of age-related eye diseases has been studied extensively, the contribution of immune-related changes due to aging remains elusive. In the eye, tissue-resident cells and infiltrating immune cells regulate innate responses during injury or infection. But due to aging, these cells lose their protective functions and acquire pathological phenotypes. Thus, dysregulated ocular innate immunity in the elderly increases the susceptibility and severity of eye diseases. Herein, we emphasize the impact of aging on the ocular innate immune system in the pathogenesis of infectious and non-infectious eye diseases. We discuss the role of age-related alterations in cellular metabolism, epigenetics, and cellular senescence as mechanisms underlying altered innate immune functions. Finally, we describe approaches to restore protective innate immune functions in the aging eye. Overall, the review summarizes our current understanding of innate immune functions in eye diseases and their dysregulation during aging.     

Significance of incidental detection of filariasis on aspiration smears: A case series

Filariasis is a major public health problem in tropical and subtropical countries including India. Although there are reports of incidentally diagnosed cases of lymphatic filariasis in the existing literature, the significance of this finding needs to be summarised in one place. The association of filariasis with neoplasms is still debatable. For this series, cases diagnosed as filariasis on aspiration cytology (with or without coexistent pathology) over a period of 1 year were retrieved. The cases with a clinical suspicion of filariasis were excluded. Hence, five cases with incidental diagnosis of filariasis on aspiration cytology were included. The site of aspiration included one case each of thyroid, breast, bone marrow, cervical lymph node, and subcutaneous nodule. Of these, three cases showed microfilariae, one showed only adult female worm while one showed both microfilariae and adult worm. Two cases did not show any inflammatory response while three cases showed a variable inflammatory reaction. Only one case (thyroid aspirate) had a coexistent pathology (colloid goitre). Filariasis may be detected in a clinically unsuspected case, especially in an endemic zone. The spectrum of host response may vary from no reaction to a marked inflammatory response. The entire spectrum of changes should be kept in mind while practicing cytopathology in an endemic area. In such situations, a high index of suspicion and careful screening of cytology smears are keys to a correct diagnosis. At the same time, keen search for a coexisting pathology, benign or malignant, is also mandatory. Diagn. Cytopathol. 2010. © 2009 Wiley‐Liss, Inc.     

Prokaryotic expression and analysis of the antibody response to a Newcastle isolate of the core gene of hepatitis C

The full length hepatitis C virus (HCV) core gene was isolated from a Newcastle strain and expressed in E. coll. A truncated HCV core gene which lacks the hydrophobic carboxyl-terminal sequence was also expressed. The truncated HCV core was expressed at higher levels with fewer cleavage products. Antibody reactivity to the recombinant HCV core antigen was analysed by ELISA and Western blotting in 60 HCV antibody-positive patients with a broad spectrum of liver disease. There was no significant difference between the presence of IgG to recombinant HCV core and reactivity to the core antigen in the RIBA-2 test. There was also no significant difference between the presence of IgG to recombinant core and diagnostic PCR as a marker for active liver inflammation. © 1995 Wiley-Liss, inc.