Publications by authors named "Yung-Jen Chen"

Aim: To report the refractive and surgical outcomes of scleral buckling (SB) with or without pars plana vitrectomy (PPV) in patients with pseudophakic rhegmatogenous retinal detachment (PRRD).

Methods: A consecutive case series of patients with pseudophakia who underwent retinal detachment (RD) surgery was enrolled. The SB procedures were selected to initially treat primary pseudophakic PRRDs and SB-PPV for more complex cases, according to preoperative findings.

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Background: To evaluate anatomical and functional outcomes after vitrectomy with inverted internal limiting membrane flap technique combined with scleral buckling for eyes with rhegmatogenous retinal detachment and a coexisting macular hole.

Methods: Eleven consecutive patients of primary rhegmatogenous retinal detachment with a coexisting macular hole who underwent vitrectomy with internal limiting membrane flap technique combined with scleral buckling surgery between September 2014 and September 2023 were evaluated retrospectively. The main outcome measurements were the retinal reattachment rate, macular hole closure rate, and final postoperative best-corrected visual acuity.

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Article Synopsis
  • * Researchers analyzed data from 39 RP patients, examining relationships between visual acuity, OCT, fundus autofluorescence imaging, and microperimetric measures, ultimately identifying critical parameters that impact vision loss.
  • * A visual function index was created based on the count of deep scotoma points in the parafoveal inner ring, revealing that patients with four or more scotoma points are likely to experience significant vision impairment.
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Background: During the COVID-19 pandemic period, it was difficult to carry out regular and scheduled follow-up of patients in the outpatient department, especially during lockdown periods. However, early detection of initial infection or other serious conditions is vital for patients after ocular surgery, such as intravitreal injection (IVI) for age-related macular degeneration (AMD).

Objective: We evaluated the use of a smartphone-based postoperative care chatbot system (PCCS) with an instant bidirectional feedback system for patients to self-report postoperative symptoms and signs.

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Aim: To evaluate the visual and refractive outcomes in cases after sutured scleral fixation of existing subluxated or dislocated acrylic one-piece intraocular lenses (IOLs).

Methods: This study retrospectively enrolled a consecutive series of patients who underwent a surgery of sutured existing subluxated or dislocated IOLs from October 2018 to June 2020. All patients underwent comprehensive preoperative and postoperative ophthalmologic examination, and data were collected including age, sex, surgical indications, best-corrected visual acuity, refractive error, intraocular pressure.

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Timosaponin AIII (TSAIII), a saponin isolated from Anemarrhena asphodeloides and used in traditional Chinese medicine, exerts antitumor, anti-inflammatory, anti-angiogenesis, and pro-apoptotic activity on a variety of tumor cells. This study investigated the antitumor effects of TSAIII and the underlying mechanisms in human glioma cells in vitro and in vivo. TSAIII significantly inhibited glioma cell viability in a dose- and time-dependent manner but did not affect the growth of normal astrocytes.

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Purpose: To investigate the surgical outcomes and eye care knowledge of patients with rhegmatogenous retinal detachment (RRD) who had previously undergone laser refractive surgery (LRS) for myopia in a myopia epidemic area.

Methods: This retrospective study included patients with primary RRD who underwent surgery and had a history of LRS for myopia at a tertiary medical center. Data were reviewed from medical charts to analyse the surgical outcomes.

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Over one-third of energy is generated from coal consumption in Taiwan. In order to estimate the health impact assessment attributable to PM concentrations emitted from coal consumption in Taiwan. We applied a Gaussian trajectory transfer-coefficient model to obtain county-wide PM exposures from coal consumption, which includes coal-fired power plants and combined heat and power plants.

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Purpose: The aim of this study was to evaluate the effect of inverted internal limiting membrane (ILM) flap technique and measure the retinal sensitivity using microperimetry-1 (MP-1) test in patients with large macular hole (MH).

Materials And Methods: We enrolled patients undergoing surgery for idiopathic MHs from January 2016 to October 2019. Only patients having a minimum diameter of idiopathic MH exceeding 500 μm were included in this study.

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Article Synopsis
  • - Diabetic retinopathy (DR) is a leading cause of irreversible blindness, making early detection and prevention essential, particularly in patients with type 2 diabetes mellitus (T2DM).
  • - This study analyzed 551 T2DM patients and identified that specific genetic markers (SNPs) rs8050136 and rs831571 are linked to a higher risk of developing DR, improving risk prediction models.
  • - The combined genetic and nongenetic risk prediction model showed increased accuracy, especially in patients with severe kidney issues or poor blood sugar control, pointing to potential early intervention strategies to prevent blindness.
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  • The study aimed to understand the progression, visual outcomes, and risk factors for vision loss in Chinese patients with nonarteritic anterior ischemic optic neuropathy (NAION) in Southern Taiwan.
  • The research included 60 patients observed over nearly a decade, analyzing their eye health records, visual acuity, visual field tests, and retinal imaging.
  • Results showed that over half of the patients experienced severe visual loss early on, with diabetes being a significant risk factor; however, there may be potential for better treatment insights based on these findings in the Chinese population compared to Caucasians.
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Purpose: To investigate the retinal sensitivity of highly myopic eyes with chorioretinal patchy atrophy (PA) using microperimetry.

Methods: Fifty-two eyes of 32 patients with high myopia were prospectively included. Twenty-two eyes of 16 patients had PA lesions; eyes without PA were analyzed as controls.

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Purpose: To investigate the impact of a planned coal-fired power plant (CFPPT) in Shenao on air quality and health at subnational levels in Taiwan.

Methods: We applied the Gaussian trajectory transfer-coefficient (GTx) model to estimate annual average PM (particulate matter with aerodynamic diameter less than 2.5 μm) increments in 19 Taiwanese cities and counties caused by CFPPT operation.

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Purpose: To investigate the fixation behavior in macular dystrophy using microperimetry.

Methods: This retrospective study included patients with macular dystrophy and unilateral macular pucker. Macular dystrophic eyes were compared based on fixation within or outside of the atrophic region.

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Purpose: Basketball is a popular sport involving significant body contact, which may frequently result in ocular trauma. The aim of this study was to evaluate the characteristics and visual outcomes of retinal detachment associated with basketball-related injury.

Design: Retrospective, interventional case series.

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Article Synopsis
  • The study aimed to identify risk factors for corneal epithelial defects (CED) and delayed healing after pars plana vitrectomy (PPV), focusing on patients at a single center in Taiwan from 2011 to 2012.
  • Out of 255 patients, 23.1% developed CED one day post-surgery, with factors like younger age, diabetes mellitus (DM), and longer surgery times contributing to this risk.
  • Delayed healing was found in 11.9% of patients with CED, and those with DM showed a higher incidence of prolonged recovery, highlighting the need for special attention in these individuals post-PPV.
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Purpose: To evaluate a new application of an expanded polytetrafluoroethylene (Gore-Tex) vascular graft for use in macular buckling surgery for treatment of highly myopic eyes.

Methods: The Gore-Tex vascular graft was used as a macular buckling material in eight consecutive cases of myopic macular diseases which included fovea detachment, foveoschisis, or macular hole retinal detachment.

Results: Retinal reattachment was achieved in all cases except one which had partial resolution (88%).

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The purpose of this study was to investigate the spectrum of organisms causing endophthalmitis after cataract surgery in a tertiary medical center in Taiwan and the antibiotic susceptibilities. This was a retrospective case series study. Patients with endophthalmitis after cataract surgery from January 2004 to July 2015 were reviewed.

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Aims: To explore the role of serum uric acid (SUA) concentration in diabetic retinopathy (DR) for patients with type 2 diabetes mellitus (T2DM).

Methods: A 3-year prospective study in 749 patients with T2DM and without proliferative diabetic retinopathy (PDR) was conducted at a medical center. Baseline SUA concentration and parameters of glycemic control, blood pressure, kidney disease, and lipid profiles were analyzed to determine their contribution to DR.

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To sustain transgene expression, chitosan was studied to immobilize DNA using layer-by-layer assembly to form polyelectrolyte multilayers (PEMs). Higher DNA concentrations and longer deposition periods demonstrated more DNA adsorptions to PEMs. By adjusting pH and the molecular weight of chitosan, PEM structures were manipulated.

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Cell-penetrating peptides (CPPs) are a group of short, membrane-permeable cationic peptides that represent a nonviral technology for delivering nanomaterials and macromolecules into live cells. In this study, two arginine-rich CPPs, HR9 and IR9, were found to be capable of entering rotifers. CPPs were able to efficiently deliver noncovalently associated with cargoes, including plasmid DNAs, red fluorescent proteins (RFPs), and semiconductor quantum dots, into rotifers.

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Purpose: To evaluate the impact of macular serous retinal detachment (SRD) and its relationship to treatment outcome after primary intravitreal bevacizumab (IVB) injection in patients with branch retinal vein occlusion (BRVO) and macular edema (ME).

Methods: Seventy-three patients with ME secondary to BRVO who received primary IVB (2.5 mg/0.

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Most bioactive macromolecules, such as protein, DNA and RNA, basically cannot permeate into cells freely from outside the plasma membrane. Cell-penetrating peptides (CPPs) are a group of short peptides that possess the ability to traverse the cell membrane and have been considered as candidates for mediating gene and drug delivery into living cells. In this study, we demonstrate that three arginine-rich CPPs (SR9, HR9 and PR9) are able to form stable complexes with plasmid DNA and deliver DNA into insect Sf9 cells in a noncovalent manner.

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Background/aims: To report the accuracy of intraocular lens (IOL) power calculations and refractive outcomes in aphakic eyes after secondary in-the-bag IOL implantation.

Method: We retrospectively reviewed a consecutive case series of secondary in-the-bag IOL implantations in aphakic patients with intact capsular bag without severe capsular fibrosis between October 2006 and October 2010. Single-piece foldable lenses were secondarily implanted in 21 eyes of 20 patients.

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Purpose: The purpose of this study was to evaluate the safety and efficacy of intravitreal bevacizumab in treatment-naive patients with choroidal neovascularization (CNV) secondary to pathologic myopia over a 2-year interval.

Methods: Patients diagnosed with myopic CNV who had not received previous treatment were given intravitreal injections of bevacizumab (2.5 mg/0.

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