Publications by authors named "Jasdeep Sabharwal"

Purpose: To explore interocular asymmetry in retinal nerve fiber layer (RNFL) thickness using optical coherence tomography (OCT), assess factors that predict this asymmetry, and quantify the 95% central range for OCT-defined average cup-disc ratio (CDR).

Methods: Participants from the Framingham Heart Study were included. Interocular differences in OCT parameters were calculated by subtracting left eye values from the right eye.

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Purpose: To compare the early exposure and surgical revision rates between a new synthetic tissue substitute (CorNeat EverPatch) with that of human donor cornea after placement onto the scleral surface during ophthalmic surgery and study the biomaterial properties of the synthetic patch material.

Design: Retrospective comparison study and biomaterial analyses of new and explanted synthetic patch material.

Participants: All consecutive patients who underwent ophthalmic surgery with implantation of the CorNeat EverPatch at the Wilmer Eye Institute (occurring from February through August 2024) and a comparison group who underwent ophthalmic surgery with implantation of irradiated donor cornea, matched 1:2 with patients receiving EverPatch for age, type of glaucoma, and surgeon.

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Article Synopsis
  • The study evaluated postoperative endophthalmitis (POE) rates and risk factors in patients undergoing secondary intraocular lens (IOL) implantation for aphakia and IOL exchange, focusing on Medicare beneficiaries in the U.S. from 2011 to 2022.
  • The results showed that the 42-day POE rates were 0.35% for secondary IOL implantation and 0.28% for IOL exchange, with higher risks associated with anterior vitrectomy and increased comorbidity.
  • The overall POE rate was found to be 0.31%, suggesting that the lack of a posterior capsule during secondary IOL surgeries may contribute to the increased risk compared to standard cataract procedures.
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Objective: To explore participant-level biological attributes and scan-level methodological attributes associated with retinal nerve fiber layer (RNFL) thickness variability in a population-based sample of elderly United States adults.

Design: Cross-sectional analysis using data from the Framingham Heart Study.

Participants: One thousand three hundred forty-seven eyes from 825 participants with ≥1 OCT scan and axial length data were included.

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Introduction: Uveitis-glaucoma-hyphema (UGH) syndrome is an infrequent but severe complication following intraocular lens implantation, characterized by anterior chamber inflammation and elevated intraocular pressure (IOP). This report presents a rare case of late-onset UGH syndrome induced by a well-positioned 1-piece posterior capsular intraocular lens (PCIOL) with a bulb of the haptics extruding through a peripheral capsular tear in a 90-year-old female, 17 years post-cataract surgery.

Case Presentation: The patient presented with persistent blurred vision, recurrent anterior uveitis, and uncontrolled IOP despite medical therapy.

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Article Synopsis
  • The study looked at how well artificial intelligence (AI) can find tiny spots (called flecks) in people with Stargardt disease, a condition that affects vision.
  • Researchers used special images from 170 eyes of 85 patients, training the AI to recognize these flecks and comparing its results to what humans found.
  • The AI was good at spotting more flecks and was sensitive in detection, but it also made more mistakes by identifying spots that weren't actually flecks; further improvements are needed to make it more accurate for future research.
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Purpose Of Review: To review the literature evaluating the effect of cataract surgery on intraocular pressure (IOP) in patients with glaucoma.

Recent Findings: Recent high-quality secondary analyses of large and primary trials continue to show IOP lowering following cataract surgery. Likewise, cataract surgery remains a key treatment for angle closure glaucoma.

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Purpose: To determine early endophthalmitis incidence and risk factors after glaucoma surgeries in the Medicare population.

Design: Retrospective, longitudinal study.

Participants: Medicare Fee-for-Service (FFS) and Medicare Advantage beneficiaries in the United States aged 65 years or older undergoing glaucoma surgery.

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Glaucoma is a leading cause of irreversible blindness, and its worsening is most often monitored with visual field (VF) testing. Deep learning models (DLM) may help identify VF worsening consistently and reproducibly. In this study, we developed and investigated the performance of a DLM on a large population of glaucoma patients.

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Atypical sensory processing is now thought to be a core feature of the autism spectrum. Influential theories have proposed that both increased and decreased neural response reliability within sensory systems could underlie altered sensory processing in autism. Here, we report evidence for abnormally increased reliability of visual-evoked responses in layer 2/3 neurons of adult male and female primary visual cortex in the MECP2-duplication syndrome animal model of autism.

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Prcis: Characteristics of the most mentioned glaucoma articles on the internet were analyzed, allowing a better understanding of the dissemination of glaucoma research to the general public.

Purpose: The aim was to determine the 100 most mentioned articles on the internet in the field of glaucoma and analyze their characteristics.

Materials And Methods: We identified the top 100 glaucoma articles with the highest Altmetric Attention Score (AAS), an automatically calculated metric for monitoring social media.

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Purpose: Functional adaptation to ambient light is a key characteristic of retinal ganglion cells (RGCs), but little is known about how adaptation is affected by factors that are harmful to RGC health. We explored adaptation-induced changes to RGC physiology when exposed to increased intraocular pressure (IOP), a major risk factor for glaucoma.

Methods: Wild-type mice of both sexes were subjected to 2 weeks of IOP elevation using the bead model.

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Elevation of intraocular pressure (IOP) causes retinal ganglion cell (RGC) dysfunction and death and is a major risk factor for glaucoma. We used a bead injection technique to increase IOP in mice of both genders by an average of ∼3 mmHg for 2 weeks. This level of IOP elevation was lower than that achieved in other studies, which allowed for the study of subtle IOP effects.

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The remarkable dynamic range of vision is facilitated by adaptation of retinal sensitivity to ambient lighting conditions. An important mechanism of sensitivity adaptation is control of the spatial and temporal window over which light is integrated. The retina accomplishes this by switching between parallel synaptic pathways with differing kinetics and degrees of synaptic convergence.

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Retinal ganglion cells (RGCs) are often grouped based on their functional properties. Many of these functional properties, such as receptive field (RF) size, are driven by specific retinal circuits. In this report, we determined the role of the ON bipolar cell (BC) mediated crossover circuitry in shaping the center and surround of OFF RGCs.

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Reverse correlation methods such as spike-triggered averaging consistently identify the spatial center in the linear receptive fields (RFs) of retinal ganglion cells (GCs). However, the spatial antagonistic surround observed in classical experiments has proven more elusive. Tests for the antagonistic surround have heretofore relied on models that make questionable simplifying assumptions such as space-time separability and radial homogeneity/symmetry.

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Multitasking negatively influences the retention of information over brief periods of time. This impact of interference on working memory is exacerbated with normal aging. We used functional MRI to investigate the neural basis by which an interruption is more disruptive to working memory performance in older individuals.

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