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1.
Phys Rev Lett ; 131(6): 065101, 2023 Aug 11.
Artículo en Inglés | MEDLINE | ID: mdl-37625041

RESUMEN

The change in the power balance, temporal dynamics, emission weighted size, temperature, mass, and areal density of inertially confined fusion plasmas have been quantified for experiments that reach target gains up to 0.72. It is observed that as the target gain rises, increased rates of self-heating initially overcome expansion power losses. This leads to reacting plasmas that reach peak fusion production at later times with increased size, temperature, mass and with lower emission weighted areal densities. Analytic models are consistent with the observations and inferences for how these quantities evolve as the rate of fusion self-heating, fusion yield, and target gain increase. At peak fusion production, it is found that as temperatures and target gains rise, the expansion power loss increases to a near constant ratio of the fusion self-heating power. This is consistent with models that indicate that the expansion losses dominate the dynamics in this regime.

2.
Phys Rev Lett ; 124(14): 145001, 2020 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-32338978

RESUMEN

The impact to fusion energy production due to the radiative loss from a localized mix in inertial confinement implosions using high density carbon capsule targets has been quantified. The radiative loss from the localized mix and local cooling of the reacting plasma conditions was quantified using neutron and x-ray images to reconstruct the hot spot conditions during thermonuclear burn. Such localized features arise from ablator material that is injected into the hot spot from the Rayleigh-Taylor growth of capsule surface perturbations, particularly the tube used to fill the capsule with deuterium and tritium fuel. Observations, consistent with analytic estimates, show the degradation to fusion energy production to be linearly proportional to the fraction of the total emission that is associated with injected ablator material and that this radiative loss has been the primary source of variations, of up to 1.6 times, in observed fusion energy production. Reducing the fill tube diameter has increased the ignition metric χ_{no α} from 0.49 to 0.72, 92% of that required to achieve a burning hot spot.

3.
Biochem Biophys Res Commun ; 453(3): 552-6, 2014 Oct 24.
Artículo en Inglés | MEDLINE | ID: mdl-25281901

RESUMEN

During bone maintenance in vivo, estrogen signals through estrogen receptor (ER)-α. The objectives of this study were to investigate the temporal expression of ERα36 and ascertain its functional relevance during osteogenesis in human bone marrow derived stromal cells (BMSC). This was assessed in relation to runt-related transcription factor-2 (runx2), a main modulatory protein involved in bone formation. ERα36 and runx2 subcellular localisation was assessed using immunocytochemistry, and their mRNA expression levels by real time PCR throughout the process of osteogenesis. The osteogenically induced BMSCs demonstrated a rise in ERα36 mRNA during proliferation followed by a decline in expression at day 10, which represents a change in dynamics within the culture between the proliferative stage and the differentiative stage. The mRNA expression profile of runx2 mirrored that of ERα36 and showed a degree subcellular co-localisation with ERα36. This study suggests that ERα36 is involved in the process of osteogenesis in BMSCs, which has implications in estrogen deficient environments.


Asunto(s)
Subunidad alfa 1 del Factor de Unión al Sitio Principal/metabolismo , Receptor alfa de Estrógeno/metabolismo , Células Madre Mesenquimatosas/metabolismo , Osteogénesis , Secuencia de Bases , Subunidad alfa 1 del Factor de Unión al Sitio Principal/genética , Cartilla de ADN , Receptor alfa de Estrógeno/genética , Humanos , ARN Mensajero/genética , Reacción en Cadena en Tiempo Real de la Polimerasa
4.
Top Curr Chem ; 339: 145-99, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-23832685

RESUMEN

Bio-organic chemicals are ubiquitous in the Earth's atmosphere and at air-snow interfaces, as well as in aerosols and in clouds. It has been known for centuries that airborne biological matter plays various roles in the transmission of disease in humans and in ecosystems. The implication of chemical compounds of biological origins in cloud condensation and in ice nucleation processes has also been studied during the last few decades, and implications have been suggested in the reduction of visibility, in the influence on oxidative potential of the atmosphere and transformation of compounds in the atmosphere, in the formation of haze, change of snow-ice albedo, in agricultural processes, and bio-hazards and bio-terrorism. In this review we critically examine existing observation data on bio-organic compounds in the atmosphere and in snow. We also review both conventional and cutting-edge analytical techniques and methods for measurement and characterisation of bio-organic compounds and specifically for microbial communities, in the atmosphere and snow. We also explore the link between biological compounds and nucleation processes. Due to increased interest in decreasing emissions of carbon-containing compounds, we also briefly review (in an Appendix) methods and techniques that are currently deployed for bio-organic remediation.


Asunto(s)
Atmósfera/química , Compuestos Orgánicos/análisis , Nieve/química , Aerosoles , Animales , Gases , Humanos
5.
Rev Sci Instrum ; 95(5)2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38717263

RESUMEN

Neutron radiography is a technique uniquely suited to applications in nuclear diagnostics, non-destructive testing, and subcritical experiments. The spatial resolution of neutron radiographs is degraded by optical blur in the imaging system and the neutron source size, where the ideal source is point-like to optimize the point-spread function. A potential neutron source for radiography is the dense plasma focus (DPF), a coaxial Z-pinch that produces thermonuclear and beam-target neutrons. To assess if the source size is suitable for radiography, a neutron imaging system was used to measure the source size of the 4 MA Sodium DPF at the Nevada National Security Site operating with deuterium-tritium gas-fill. The source size was measured using the edge-spread function of tungsten objects, each having a rolled (convex) edge. The spot size was found to be 7-12 mm full-width at half-max (FWHM) assuming a Gaussian source, though comparison is presented for Lorentzian and Bennett distributions. The average FWHM was found to be 8.6 ± 1.2 mm vertically and 10.8 ± 1.2 mm horizontally with respect to the image plane, averaging over varied edges and alignments. The results were sensitive to source alignment and edge metrology, which introduced notable uncertainties. These results are consistent with separate experimental measurements as well as magnetohydrodynamics simulations of this DPF, which suggest that neutron production can originate from pinches ∼5-7 mm off-axis. These results suggest that the DPF should be used for radiography at low magnification (M < 1) where spot size does not dominate spatial blur.

6.
Phys Rev Lett ; 110(4): 044802, 2013 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-25166169

RESUMEN

Neutrons are unique particles to probe samples in many fields of research ranging from biology to material sciences to engineering and security applications. Access to bright, pulsed sources is currently limited to large accelerator facilities and there has been a growing need for compact sources over the recent years. Short pulse laser driven neutron sources could be a compact and relatively cheap way to produce neutrons with energies in excess of 10 MeV. For more than a decade experiments have tried to obtain neutron numbers sufficient for applications. Our recent experiments demonstrated an ion acceleration mechanism based on the concept of relativistic transparency. Using this new mechanism, we produced an intense beam of high energy (up to 170 MeV) deuterons directed into a Be converter to produce a forward peaked neutron flux with a record yield, on the order of 10(10) n/sr. We present results comparing the two acceleration mechanisms and the first short pulse laser generated neutron radiograph.

7.
Sci Rep ; 13(1): 2227, 2023 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-36755138

RESUMEN

Contact and projection electron radiography of static targets was demonstrated using a laser-plasma accelerator driven by a kilojoule, picosecond-class laser as a source of relativistic electrons with an average energy of 20 MeV. Objects with areal densities as high as 7.7 g/cm2 were probed in materials ranging from plastic to tungsten, and radiographs with resolution as good as 90 µm were produced. The effects of electric fields produced by the laser ablation of the radiography objects were observed and are well described by an analytic expression relating imaging magnification change to electric-field strength.

8.
Rev Sci Instrum ; 94(4)2023 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38081238

RESUMEN

The performance of modern laser-driven inertial confinement fusion (ICF) experiments is degraded by contamination of the deuterium-tritium (DT) fuel with high-Z material during compression. Simulations suggest that this mix can be described by the ion temperature distribution of the implosion, given that such contaminants deviate in temperature from the surrounding DT plasma. However, existing neutron time-of-flight (nTOF) diagnostics only measure the spatially integrated ion temperature. This paper describes the techniques and forward modeling used to develop a novel diagnostic imaging system to measure the spatially resolved ion temperature of an ICF implosion for the first time. The technique combines methods in neutron imaging and nTOF diagnostics to measure the ion temperature along one spatial dimension at yields currently achievable on the OMEGA laser. A detailed forward model of the source and imaging system was developed to guide instrument design. The model leverages neutron imaging reconstruction algorithms, radiation hydrodynamics and Monte Carlo simulations, optical ray tracing, and more. The results of the forward model agree with the data collected on OMEGA using the completed diagnostic. The analysis of the experimental data is still ongoing and will be discussed in a separate publication.

9.
Phys Rev E ; 107(1-2): 015202, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36797905

RESUMEN

In order to understand how close current layered implosions in indirect-drive inertial confinement fusion are to ignition, it is necessary to measure the level of alpha heating present. To this end, pairs of experiments were performed that consisted of a low-yield tritium-hydrogen-deuterium (THD) layered implosion and a high-yield deuterium-tritium (DT) layered implosion to validate experimentally current simulation-based methods of determining yield amplification. The THD capsules were designed to reduce simultaneously DT neutron yield (alpha heating) and maintain hydrodynamic similarity with the higher yield DT capsules. The ratio of the yields measured in these experiments then allowed the alpha heating level of the DT layered implosions to be determined. The level of alpha heating inferred is consistent with fits to simulations expressed in terms of experimentally measurable quantities and enables us to infer the level of alpha heating in recent high-performing implosions.

10.
Rev Sci Instrum ; 93(11): 113510, 2022 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-36461553

RESUMEN

A mix of contaminant mass is a known, performance-limiting factor for laser-driven inertial confinement fusion (ICF). It has also recently been shown that the contaminant mass is not necessarily in thermal equilibrium with the deuterium-tritium plasma [B. M. Haines et al., Nat. Commun. 11, 544 (2020)]. Contaminant mass temperature is one of the dominant uncertainties in contaminant mass estimates. The MixIT diagnostic is a new and potentially transformative diagnostic, capable of spatially resolving ion temperature. The approach combines principles of neutron time-of-flight and neutron imaging diagnostics. The information from the MixIT diagnostic can be used to optimize ICF target and laser drive designs as well as provide key constraints on ICF radiation-hydrodynamic simulations that are critical to contaminant mass estimates. This work details the design and optimization of the major components of the MixIT diagnostic: the neutron aperture, the neutron detector (scintillator), and the recording system.

11.
Phys Chem Chem Phys ; 13(12): 5271-8, 2011 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-21344100

RESUMEN

This paper describes a method for modifying self-assembled monolayers (SAMs) with the nitrilotriacetic acid (NTA) group for subsequent immobilization of hexahistidine tagged proteins. The method has two important improvements over previous ones; firstly it avoids the need to carry out a complex synthesis of the chelator alkanethiols prior to deposition because the reactions are performed in situ on a preassembled SAM. This in situ approach also avoids phase segregation of alkanethiols with different functional groups, especially bulky ones such as NTA and tri(ethylene glycol), since a simple SAM is employed as the starting material. The approach reported here uses mercaptohexadecanoic acid to form a well-ordered homogeneous carboxyl-terminated SAM on a gold surface. The carboxyl group was then condensed with an NTA derivative containing an amino group to form a peptide bond. The product is a surface that, after chelating Ni(2+) ions, binds histidine tagged proteins. The loading of NTA groups can be controlled by choice of reaction conditions thereby removing the need for a second alkanethiol to dilute the surface density of chelator groups and prevent molecular crowding. Both factors allow rapid attainment of optimal protein loading. Fluorescence imaging demonstrated that (His)(6) enhanced green fluorescent protein was reversibly immobilized and importantly, was functional on the surface. Furthermore, data from surface plasmon resonance, cyclic voltammetry and fluorescence spectrometry provided additional information on the specific and reversible immobilization of (His)(6) proteins on the NTA-modified SAM surface.


Asunto(s)
Quelantes/química , Proteínas Inmovilizadas/química , Resonancia por Plasmón de Superficie , Oro/química , Ácido Nitrilotriacético/química , Ácidos Palmíticos/química , Propiedades de Superficie
12.
Rev Sci Instrum ; 92(3): 033508, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33820056

RESUMEN

Inertial confinement fusion capsule implosions produce neutron, gamma-ray, and x-ray emission, which are recorded by a variety of detectors, both time integrated and time resolved, to determine the performance of the implosion. Two-dimensional emission images from multiple directions can now be combined to infer three-dimensional structures in the implosion, such as the distribution of thermonuclear fuel density, carbon ablator, and impurities. Because of the cost and complexity of the imaging systems, however, only a few measurements can be made, so reconstructions of the source must be made from a limited number of views. Here, a cylindrical-harmonics decomposition technique to reconstruct the three-dimensional object from two views in the same symmetry plane is presented. In the limit of zero order, this method recovers the Abel inversion method. The detailed algorithms used for this characterization and the resulting reconstructed neutron source from an experiment collected at the National Ignition Facility are presented.

13.
Phys Rev E ; 102(2-1): 023210, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32942378

RESUMEN

This paper presents a study on hotspot parameters in indirect-drive, inertially confined fusion implosions as they proceed through the self-heating regime. The implosions with increasing nuclear yield reach the burning-plasma regime, hotspot ignition, and finally propagating burn and ignition. These implosions span a wide range of alpha heating from a yield amplification of 1.7-2.5. We show that the hotspot parameters are explicitly dependent on both yield and velocity and that by fitting to both of these quantities the hotspot parameters can be fit with a single power law in velocity. The yield scaling also enables the hotspot parameters extrapolation to higher yields. This is important as various degradation mechanisms can occur on a given implosion at fixed implosion velocity which can have a large impact on both yield and the hotspot parameters. The yield scaling also enables the experimental dependence of the hotspot parameters on yield amplification to be determined. The implosions reported have resulted in the highest yield (1.73×10^{16}±2.6%), yield amplification, pressure, and implosion velocity yet reported at the National Ignition Facility.

14.
J Cell Biol ; 117(2): 269-78, 1992 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1313813

RESUMEN

Lactating mammary epithelial cells secrete high levels of caseins and other milk proteins. The extent to which protein secretion from these cells occurs in a regulated fashion was examined in experiments on secretory acini isolated from the mammary glands of lactating mice at 10 d postpartum. Protein synthesis and secretion were assayed by following the incorporation or release, respectively, of [35S]methionine-labeled TCA-precipitable protein. The isolated cells incorporated [35S]methionine into protein linearly for at least 5 h with no discernible lag period. In contrast, protein secretion was only detectable after a lag of approximately 1 h, consistent with exocytotic secretion of proteins immediately after passage through the secretory pathway and package into secretory vesicles. The extent of protein secretion was unaffected by the phorbol ester PMA, 8-bromo-cAMP, or 8-bromo-cGMP but was doubled by the Ca2+ ionophore ionomycin. In a pulse-label protocol in which proteins were prelabeled for 1 h before a chase period, constitutive secretion was unaffected by depletion of cytosolic Ca2+ but ionomycin was found to give a twofold stimulation of the secretion of presynthesized protein in a Ca(2+)-dependent manner. Ionomycin was still able to stimulate protein secretion after constitutive secretion had terminated. These results suggest that lactating mammary cells possess both a Ca(2+)-independent constitutive pathway and a Ca(2+)-activated regulatory pathway for protein secretion. The same proteins were secreted by both pathways. No ultrastructural evidence for apocrine secretion was seen in response to ionomycin and so it appears that regulated casein release involves exocytosis. Ionomycin was unlikely to be acting by disassembling the cortical actin network since cytochalasin D did not mimic its effects on secretion. The regulated pathway may be controlled by Ca2+ acting at a late step such as exocytotic membrane fusion.


Asunto(s)
Caseínas/metabolismo , Lactancia , Glándulas Mamarias Animales/metabolismo , Proteínas de la Leche/metabolismo , 8-Bromo Monofosfato de Adenosina Cíclica/farmacología , Citoesqueleto de Actina/efectos de los fármacos , Citoesqueleto de Actina/ultraestructura , Animales , Calcio/farmacología , Caseínas/biosíntesis , GMP Cíclico/análogos & derivados , GMP Cíclico/farmacología , Citocalasina D/farmacología , Exocitosis/efectos de los fármacos , Femenino , Ionomicina/farmacología , Glándulas Mamarias Animales/ultraestructura , Ratones , Microscopía Electrónica , Proteínas de la Leche/biosíntesis
15.
Science ; 217(4559): 549, 1982 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-6178164

RESUMEN

The sequence of two human beta-tubulin pseudogenes is described. One contains an intervening sequence but lacks sequences encoding the 55 N-terminal amino acids of the polypeptide chain. A second has no introns but has a polyadenylate signal and an oligoadenylate tract at its 3' end, and it is flanked by a short direct repeat. These sequences have arisen by different mechanisms, including one that probably involves reverse transcription of a processed messenger RNA and reintegration of the complementary DNA copy into the genome.


Asunto(s)
Regulación de la Expresión Génica , Tubulina (Proteína)/genética , Secuencia de Bases , ADN/análisis , Enzimas de Restricción del ADN , Elementos Transponibles de ADN , ADN Recombinante , Humanos , Hibridación de Ácido Nucleico , Poli A/genética , Empalme del ARN , ADN Polimerasa Dirigida por ARN/metabolismo , Recombinación Genética
16.
Eye (Lond) ; 32(2): 359-363, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-28885609

RESUMEN

PurposeTo compare axial length (AL) with vitreous cavity length (VCL) in patients with keratoconus and to ascertain whether graft size can be tailored to reduce myopic refractive error in patients with keratoconus undergoing penetrating keratoplasty (PK).Patients and methodsThe AL and VCL were measured prospectively in patients with keratoconus not undergoing PK (Group 1) and in normal phakic, emmetropic individuals (Group 2). A retrospective analysis of these measurements in patients with keratoconus who had undergone PK (Group 3) was also performed. The postoperative spherical equivalent (SE) was then correlated to size of donor buttons.ResultsKeratoconus patients tended to have a longer mean VCL than emmetropic normal individuals. The mean VCL of these patients (Group 1) was 16.49 mm±SD 1.13 compared to the mean VCL of 15.94 mm±SD 0.56 in normals (Group 2, P<0.0001). Patients with keratoconus who had an undersized graft showed reduced myopic refractive error compared to those with same size or oversized grafts.ConclusionVCL measurement is more accurate than AL measurement in deciding upon graft-host size disparity for corneal graft in patients with keratoconus. In patients with increased VCL, undersizing the donor button helps in reducing postoperative myopia. We recommend VCL measurement as part of the routine workup in all keratoconus patients undergoing corneal transplants.


Asunto(s)
Longitud Axial del Ojo/patología , Queratocono/patología , Queratoplastia Penetrante , Cuerpo Vítreo/patología , Adulto , Estudios de Casos y Controles , Femenino , Humanos , Queratocono/cirugía , Queratoplastia Penetrante/métodos , Masculino , Persona de Mediana Edad , Miopía/prevención & control , Miopía/cirugía , Estudios Retrospectivos , Adulto Joven
17.
Rev Sci Instrum ; 89(10): 10I147, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30399892

RESUMEN

Neutron imaging provides a ready measurement of the shape of the "hot spot" core of an inertial confinement fusion implosion. The 14-MeV neutrons emitted by deuterium-tritium reactions are imaged at the National Ignition Facility using a pinhole array onto a scintillator, and the images are recorded on a camera. By changing the gate time of the camera, lower energy neutrons, downscattered by the cold fuel surrounding the hot spot, are recorded. The cold fuel density can be reconstructed using the two images. The kinematics of the scattering coupled with the scattering cross sections restrict the angular extent of the cold fuel sampled, with the backside of the implosion not being sampled at all. This work demonstrates the limited region of the cold fuel measured by the current line of sight (40%). At completion of the three planned lines of sight, 79% of the cold fuel will be sampled.

18.
Rev Sci Instrum ; 89(10): 10I127, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30399819

RESUMEN

The current construction of a new nuclear-imaging view at the National Ignition Facility will provide a third line of sight for hotspot and cold fuel imaging and the first dedicated line of sight for 4.4-MeV γ-ray imaging of the remaining carbon ablator. To minimize the effort required to hold and align apertures inside the vacuum chamber, the apertures for the two lines of sight will be contained in the same array. In this work, we discuss the system requirements for neutron and γ-ray imaging and the resulting aperture array design.

19.
J Pediatr Urol ; 13(2): 208.e1-208.e4, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28043767

RESUMEN

INTRODUCTION: Over 27,000 circumcisions were performed in England in 2012-13. The complication rate is generally perceived to be low, although published figures vary widely. Balanitis xerotica obliterans, more correctly termed Lichen Sclerosus et atrophicus (LS), is one of the commonest indications for medical circumcision. To test the hypothesis that children undergoing circumcision for LS have a higher rate of postoperative bleeding than those undergoing the procedure for other reasons, we retrospectively reviewed records for patients undergoing circumcision. METHODS: The disease and procedure coding system was used to identify patients who underwent circumcision (ICD10 code N303) between 2000-2010. Cases with a diagnosis unrelated to circumcision and children circumcised during hypospadias repair were excluded. Bleeding which required return to theatre for surgical arrest was considered significant. Cases were identified by review of medical records if there was: a second procedure during the same admission, or readmission coded for circumcision within 2 weeks. Only cases with histologically confirmed LS were included in the LS cohort. GraphPad online calculator was used for statistical analysis (two tailed Fisher's exact test. RESULTS: 2385 boys with a median age of 4 years (range 0-16) were included in the study. Indication for circumcision included religious (1305, 54.7%), phimosis or redundant prepuce (512, 21.5%), suspected LS (366, 15.4%) and balanoposthitis (202, 8.5%). LS was histologically confirmed in 262 (10.9%) boys. Fourteen (0.6%) patients returned to theatre for surgical arrest of bleeding following circumcision; 6 had LS and 8 did not (Table 1). The bleeding rate was higher in those with LS (2.3%) than in those without (0.3%), P = 0.0003 with a relative risk of 6.08. CONCLUSION: Post-operative complications are distressing, especially if further surgery is required. Published figures for complications following circumcision vary widely making counseling regarding risk difficult. Since LS includes an inflammatory element and circumcision in widespread LS can be challenging, the observation of more post-operative bleeding in patients with histologically confirmed LS during a previous audit prompted the hypothesis that this may be a significant finding. Thus we reviewed all patients requiring return to theatre within 2 weeks of circumcision, finding that whilst the overall bleeding rate was low, circumcision for LS significantly increased the risk. Although factors such as the severity of LS and surgical technique were not assessed, this is still a notable finding which should be reflected during pre-operative counseling.


Asunto(s)
Balanitis Xerótica Obliterante/diagnóstico , Circuncisión Masculina/efectos adversos , Liquen Escleroso y Atrófico/diagnóstico , Hemorragia Posoperatoria/etiología , Factores de Edad , Balanitis Xerótica Obliterante/complicaciones , Balanitis Xerótica Obliterante/cirugía , Niño , Preescolar , Circuncisión Masculina/métodos , Bases de Datos Factuales , Estudios de Seguimiento , Hemostasis Quirúrgica/métodos , Humanos , Lactante , Recién Nacido , Liquen Escleroso y Atrófico/complicaciones , Masculino , Hemorragia Posoperatoria/fisiopatología , Reoperación/métodos , Estudios Retrospectivos , Medición de Riesgo , Resultado del Tratamiento , Reino Unido
20.
Eye (Lond) ; 31(6): 916-923, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28234352

RESUMEN

PurposeTo evaluate the safety and efficacy of implanted Kerarings in patients with mild, moderate, and severe keratoconus.Patients and methodsA 12-month retrospective case series of 70 eyes of 70 patients who underwent Keraring implantation with the Zeiss Visumax femtosecond laser. Patients were stratified into three groups according to their topography as mild (mean K <48 D) moderate (48-55 D) or severe (>55 D). Main outcome measures were visual acuity, manifest refraction, and corneal topography. Complications were recorded.ResultsA total of 66 patients completed the 12-month follow-up. In all, 4 rings were explanted, 3 due to no improvement in visual function and 1 due to corneal neovascularization. Also, 4 rings were repositioned. In mild disease (n=28), BCVA increased to 0.10 logMAR, sphere decreased to -1.54 D, cylinder decreased to 2.54 D, Kmax decreased to 46.25 D, and keratometric astigmatism to 3.88 D (P<0.01 for each compared with preoperative values). No patients lost vision. In moderate disease (n=27), sphere decreased to -4.06 D, cylinder decreased to 3.47 D, Kmax decreased to 51.69 D, and keratometric astigmatism to 4.56 D (P<0.05 for each compared with preoperative values). In severe disease (n=11), BCVA increased to 0.34 logMAR, Kmax decreased to 57.65 D, and keratometric astigmatism to 5.07 D (P<0.05 for each compared with preoperative values).ConclusionFemtosecond laser-assisted Keraring implantation is a safe and minimally invasive treatment option to improve the refraction and visual function in patients with keratoconus. Patients with mild keratoconus are more likely to have a favourable outcome following Keraring implantation.


Asunto(s)
Sustancia Propia/cirugía , Queratocono/cirugía , Terapia por Láser/instrumentación , Procedimientos Quirúrgicos Oftalmológicos/métodos , Prótesis e Implantes , Adolescente , Adulto , Anciano , Sustancia Propia/patología , Topografía de la Córnea , Diseño de Equipo , Femenino , Estudios de Seguimiento , Humanos , Queratocono/diagnóstico , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Diseño de Prótesis , Refracción Ocular , Estudios Retrospectivos , Índice de Severidad de la Enfermedad , Factores de Tiempo , Resultado del Tratamiento , Agudeza Visual , Adulto Joven
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