Publications by authors named "Scott D Smith"

Introduction: Vasoproliferative tumors (VPTs) can be associated with retinal dystrophy, but there are few well-documented cases and even fewer linked to Usher syndrome. Most reported cases are unilateral. The purpose of this report was to describe a case of bilateral sequential VPT in the context of -related Usher syndrome.

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Objective: This study aims to assess the risk of noninfectious uveitis (NIU) relapse in pediatric patients undergoing adalimumab (ADA) tapering, evaluating potential predictors of such risk.

Methods: We conducted a multicenter retrospective cohort study involving pediatric patients with NIU who underwent ADA tapering due to inactive uveitis. Cox proportional hazards regression was used to analyze risk factors for NIU recurrence.

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Article Synopsis
  • The study investigates the development of antibodies against adalimumab (AAA) in patients with noninfectious uveitis (NIU) and evaluates treatment changes for those who don't respond well.
  • It found that over half of the nonresponder patients had high levels of AAA and low levels of the drug adalimumab, indicating a possible immune response against the treatment.
  • Adjustments in treatment, such as increasing the dose of adalimumab or adding another immunosuppressive medication, led to significant reductions in AAA levels and improved management of uveitis relapse.
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Article Synopsis
  • The study aimed to identify key factors affecting relapse risk in noninfectious uveitis patients after tapering off adalimumab following remission.
  • Involving 328 patients, the research found a 39.6% relapse rate, with younger patients showing a significantly higher risk and a quicker taper increasing the likelihood of recurrence.
  • Recommendations suggest considering age, race, and duration of remission when tapering adalimumab, with a slower tapering schedule preferred to minimize relapse chances.
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Purpose: Although diagnosing vitreoretinal lymphoma (VRL) can be challenging, early detection is critical for visual prognosis. We analyzed the spectrum of optical coherence tomography (OCT) findings in patients with biopsy-proven VRL and correlate these features with clinical parameters.

Design: This retrospective cross-sectional study was a multicenter chart review from 13 retina, uveitis, and ocular oncology clinics worldwide from 2008 to 2019.

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A 25-year-old man presented with decreased vision in both eyes, approximately 4 years following bilateral bright ocular cosmetic iris implantation. On examination, he was found to have bilateral elevated intraocular pressures, anterior chamber cells and flare, chronic peripheral anterior synechiae and significantly reduced endothelial cell counts. Ultrasound biomicroscopy demonstrated compression of the peripheral iris, resulting in synechial angle closure in both eyes.

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Purpose: To estimate the prevalence of keratoconus (KC) in a majority-Emirati adolescent population and to demonstrate the feasibility of screening using a dual Scheimpflug and Placido imaging device.

Methods: Adolescent subjects from two secondary schools in Abu Dhabi, UAE underwent corneal imaging with the Galilei tomographer (Ziemer Ophthalmic Systems AG, Port, Switzerland). The prevalence of KC and KC suspects was determined using a combination of both subjective and objective criteria.

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Purpose: To compare the ability of wide-field optical coherence tomography angiography (WF-OCTA) to that of ultra-wide field fluorescein angiography (UWF-FA) and ultra-wide-field color fundus photography (UWF-CP) to detect retinal neovascularization (NV) in eyes with proliferative diabetic retinopathy (PDR).

Methods: In this cross-sectional study, naïve patients with active PDR underwent UWF-FA and UWF-CP using the Optos 200Tx and WF-OCTA with 12 × 12 mm fields of five visual fixations using the PLEX Elite 9000. NV was defined on OCTA when the co-registered B-scan with flow overlay of the vitreoretinal interface (VRI) segmentation showed extraretinal proliferation.

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Purpose: To assess the visualization of choroidal granulomas with swept-source optical coherence tomography angiography (OCTA).

Methods: Consecutive patients with granulomatous choroiditis due to tuberculosis, sarcoidosis, or Vogt-Koyanagi-Harada disease underwent baseline OCTA images using a 12 × 12-mm field of view, and the choroidal slabs were analyzed by two independent examiners who counted the oval areas of flow void. Simultaneously, indocyanine green angiography (ICGA) and enhanced-depth imaging OCT were performed to mark visible choroidal changes corresponding to granulomatous lesions.

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Purpose: Pain is a frequently reported symptom in dry eye disease (DED). We examine the factors associated with ocular pain severity and patient-reported improvement in ocular pain to commonly used dry eye and pain treatments.

Methods: Cross-sectional study of patients presenting for dry eye management.

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Dissolved organic matter (DOM) is both ubiquitous and diverse in composition in natural waters, but its effects on the branchial physiology of aquatic organisms have received little attention relative to other variables (e.g. pH, hardness, salinity, alkalinity).

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Purpose: To determine the effect of flash fundus photography (FFP) on the multifocal electroretinogram (mfERG).

Methods: Ten subjects underwent mfERG testing on three separate dates. Subjects received either mfERG without FFP, mfERG at 5 and 15 min after FFP, or mfERG at 30 and 45 min after FFP on each date.

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Objective: To review the current published literature to evaluate the success rates and long-term problems associated with surgery for pediatric glaucoma.

Methods: Literature searches of the PubMed and Cochrane Library databases were last conducted in May 2012. The search yielded 838 potentially relevant citations, of which 273 were in non-English languages.

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Purpose: To determine the characteristics and significance of retinal blood vessel (RBV) positional shifts over time in a cohort of patients with progressive glaucoma.

Design: Retrospective cohort study.

Participants: Baseline and serial stereophotographs from 1 eye of 125 patients with open-angle glaucoma with ≥8 reliable Swedish interactive threshold algorithm standard visual fields (VFs) were included.

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Background: Prone is the preferred patient position for fluoroscopic-guided lumbar puncture (LP). Normative data for cerebrospinal fluid (CSF) opening pressure (OP) exist for lateral decubitus (LD) positioning only and have not been defined for the prone position. This study compares CSF OP values in the prone and LD positions and examines the effect of body mass index (BMI) on OP.

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Objective: To assess the published literature pertaining to the association between anterior segment imaging and gonioscopy and to determine whether such imaging aids in the diagnosis of primary angle closure (PAC).

Methods: Literature searches of the PubMed and Cochrane Library databases were last conducted on July 6, 2011. The searches yielded 371 unique citations.

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Epiretinal membranes are commonly encountered in retinal practice, and they result in decreased vision. The present work addresses whether peeling of the internal limiting membrane is necessary during vitrectomy for macular pucker. We performed a retrospective analysis to investigate the effects of "single peeling," in which only the epiretinal membrane was peeled, and "double peeling," in which the internal limiting membrane was also stained and peeled.

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RA is a chronic autoimmune disease characterized by accumulation of inflammatory cells within synovial joints. RA is associated with a failure of apoptosis of infiltrating leukocytes, thought to be a result of overexpression of prosurvival Bcl-2 proteins. Overexpression of Bcl-2 in hematopoietic cells can result in spontaneous autoimmunity.

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Objective: To study the beliefs of a group of Canadian men regarding the risks, effectiveness, and importance of routine prostate-specific antigen (PSA) testing when used as a screening tool for prostate cancer.

Design: A 1-page questionnaire designed to gauge patient beliefs about PSA screening.

Setting: Two primary care clinics in Kingston, Ont.

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