Publications by authors named "Ching-Kit Tsui"

Article Synopsis
  • Clinical trainees struggle with practicing medical history-taking due to limited patient diversity and access, leading to the development of a digital patient system using AI technology to simulate real conversations.
  • In a study with 84 participants, those who trained with the AI system showed a significant improvement in their assessment scores and greater empathy compared to those using traditional training methods.
  • Participants expressed high satisfaction with the digital patient system, noting it helped reduce training costs and built their confidence for real patient interactions, highlighting its potential in medical education.
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Purpose: To explore the associations between serum uric acid (SUA) level change and changes in the retinal neurodegenerative biomarkers in type 2 diabetes mellitus patients without retinopathy.

Methods: This is a prospective observational cohort study based on the baseline and 1-year follow-up data of the Guangzhou Diabetic Eye Study. Type 2 diabetes mellitus patients without retinopathy were recruited.

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Background: A large body of evidence supports the long-term benefits of intensive glycemic control for patients with type 2 diabetes mellitus (T2DM). However, the relationship between intensive glycemic control and diabetic retinopathy (DR) progression in T2DM patients in the short-term remains under debate. Therefore, we investigated the effect of intensive glycemic control on DR changes in the short-term.

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Background: Direct ophthalmoscopy (DO) an essential skill for junior doctors. DO allows for quick and effective fundus examinations to detect life- and vision-threatening diseases. However, medical students often find it difficult to master DO due to the challenges associated with fundus visualisation.

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Aims: To compare the prevalence, incidence, and factors of diabetic retinopathy (DR) and macular edema (DME) in patients with early-onset (EOD) and late-onset diabetes (LOD).

Methods: Participants with type 2 diabetes mellitus (T2DM) were recruited from a community-based study conducted in southern urban China. Participants were followed up for 2 years.

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Article Synopsis
  • - This study aimed to explore the link between mean ocular perfusion pressure (MOPP), cerebrospinal fluid pressure (CSFP), and the occurrence of diabetic retinopathy (DR) in Southern Chinese individuals with type 2 diabetes (T2DM).
  • - Conducted with 1,224 participants, the research involved measuring blood pressures and calculating MOPP and CSFP; results showed that higher MOPP is associated with an increased risk of DR incidence but not with its progression or regression.
  • - The findings suggest that monitoring MOPP and blood pressure may help prevent or delay the onset of DR in T2DM patients, indicating MOPP could serve as a useful marker for detecting DR incidence.
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Purpose: The purpose of this study was to investigate the choroidal characteristics of vortex vein (VV) drainage systems in healthy individuals using ultra-widefield optical coherence tomography angiography.

Methods: The mean choroidal thickness (ChT) and choroidal vascularity index (CVI) of each VV quadrant (24 × 20 mm2 scan mode; superotemporal [ST], superonasal [SN], inferonasal [IN], and inferotemporal [IT] quadrants) were calculated. Furthermore, intervortex venous anastomosis (IVA) was classified into temporal, superior, inferior, and nasal types.

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Article Synopsis
  • The study aimed to develop a digital ray technique using GANs to improve the quality of postoperative cataract images for better detection of retinopathy.
  • Researchers captured and analyzed preoperative and postoperative color fundus photographs (CFP) and ultra-wide field (UWF) images from cataract patients, comparing the performance of an original CycleGAN and a modified version.
  • Results showed that the modified CycleGAN significantly enhanced image quality, leading to increased detection accuracy of retinopathy from 78% to 91% for CFP images, and even higher for UWF images, demonstrating the method's effectiveness for clinical diagnostics.
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Purpose: To evaluate differences in the choroidal vortex vein drainage system (VV) in eyes between patients with central serous chorioretinopathy (CSC) and unaffected individuals using ultra-widefield optical coherence tomography angiography (UWF-OCTA).

Methods: In this cross-sectional observational study, 40 eyes of patients with CSC and 28 eyes of healthy volunteers were included. The analysis involved the use of UWF-OCTA to analyze the proportion of the choroidal vortex vein drainage system (VV%), choroidal thickness, choroidal vascular volume (CVV), and choroidal vascularity index (CVI) of the VV in each drainage quadrant.

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Ischemic retinal diseases (IRDs) are a series of common blinding diseases that depend on accurate fundus fluorescein angiography (FFA) image interpretation for diagnosis and treatment. An artificial intelligence system (Ai-Doctor) was developed to interpret FFA images. Ai-Doctor performed well in image phase identification (area under the curve [AUC], 0.

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Purpose: To report the 6-year incidence, causes and risk factors for vision loss (visual impairment (VI) and blindness), among elderly adults in rural southern China.

Methods: Population-based, cohort study. Initiated in 2014, the study recruited participants aged 50 and older using random cluster sampling from Yangxi County.

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Purpose: To investigate the choroidal vascularity index (CVI) as a prognostic factor for the visual efficacy of antivascular endothelial growth factor (VEGF) treatment in diabetic macular edema (DME).

Methods: We retrospectively reviewed 92 DME eyes receiving anti-VEGF treatment, which were stratified as responders (≥5 letters gained) and nonresponders (<5 letters gained or lost). Baseline systematic features and optical coherence tomography features, including the CVI, adjusted ellipsoid zone (EZ) reflectivity, subretinal fluid (SRF), and disorganization of the retinal inner layers (DRIL), were evaluated between the two groups.

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: To investigate vasculature-function and structure-function relationship in healthy myopic eyes using optical coherence tomography angiography (OCT-A), optical coherence tomography (OCT) and microperimetry (MAIA). : A total of 370 eyes from 190 participants were enrolled in this study. Subjects divided into three groups based on refractive status: low myopia (LM) (-3.

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Retinopathy of prematurity (ROP) is a retinopathy characterized by retinal neovascularization (RNV) occurring in preterm infants treated with high concentrations of oxygen and may lead to blindness in severe cases. Currently, anti-VEGF therapy is a major treatment for ROP, but it is costly and may cause serious complications. The previous study has demonstrated that melatonin exerted neuroprotective effect against retinal ganglion cell death induced by hypoxia in neonatal rats.

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Retinal neovascularization (RNV) related disease is the leading cause of irreversible blindness in the world. The aim of this study is to identify whether salubrinal could attenuate RNV by inhibiting CCAAT/enhancer-binding protein (C/EBP) homologous protein (CHOP)- hypoxia inducible factors 1α (HIF1α) -vascular endothelial growth factor (VEGF) pathways in both mouse retinal microvascular endothelial cells (mRMECs) and oxygen-induced retinopathy (OIR) mouse model. After being treated with salubrinal (20μmol/L) or CHOP-siRNA, mRMECs were exposed to a hypoxia environment.

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The present study aimed to identify whether FK506 suppresses hypoxia‑induced inflammation and protects tight junction function via the calcineurin‑nuclear factor of activated T‑cells 1 (CaN‑NFATc1) signaling pathway in mouse retinal microvascular endothelial cells (mRMECs). The mRMECs were treated with FK506 at different concentrations following the induction of hypoxia. Trans‑epithelial electrical resistance (TEER) and cell permeability were examined to measure the integrity of the tight junctions.

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Madecassic acid (MA) is an abundant triterpenoid in Centella asiatica (L.) Urban. (Apiaceae) that has been used as a wound-healing, anti-inflammatory and anti-cancer agent.

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