Assessment of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in patients with high myopia.

BACKGROUND: Previous reports have suggested that inflammation levels play a crucial role in the pathogenesis of high myopia (HM). This study aimed to investigate the relationship between HM and systemic inflammation using the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR). METHODS: Overall, 100 age- and sex-matched participants were recruited for the study, including 50 participants each in the non-HM (NHM) and HM groups. Ocular examinations and blood tests were performed. The NLR and PLR values were calculated from complete blood counts. Receiver operating characteristic (ROC) curves and optimal cut-off values were used to determine the optimal values of the NLR and PLR to distinguish between the HM and NHM groups. RESULTS: The values of NLR and PLR were significantly elevated in the HM group compared with those in the NHM group (P < 0.001 and P = 0.010, respectively). Axial length (AL) was significantly correlated with the NLR (r = 0.367, P < 0.001) and PLR (r = 0.262, P = 0.009). In the ROC analysis, the NLR value to distinguish between the HM and NHM groups was 0.728; the best cut-off value was 2.68, with 76% sensitivity and 62% specificity. The PLR value to distinguish between the HM and NHM groups was 0.650; the best cut-off value was 139.69, with 52% sensitivity and 76% specificity. CONCLUSION: The findings of this study indicate that the development of HM may be associated with systemic inflammation measured using the NLR and PLR. TRIAL REGISTRATION: The study was registered on December 28, 2021 ( http://www.chictr.org.cn ; ChiCTR2100054834).

Assessment of macular structures and vascular characteristics in highly myopic anisometropia using swept-source optical coherence tomography angiography.

Purpose: This study aimed to explore the macular structures and vascular characteristics of more myopic (MM) and contralateral eyes with highly myopic anisometropia. Methods: Comprehensive ophthalmic examinations were performed for 33 patients with highly myopic anisometropia. Macular structures (total retinal layer [TRL], ganglion cell and inner plexiform layer [GCIPL], inner nuclear layer [INL], outer retinal layer [ORL], nerve fiber layer [NFL], choroidal layer [CHL]) and vascular characteristics (superficial vascular complex density [SVD], deep vascular complex density [DVD], choriocapillaris perfusion area [CCPA]) were assessed using swept-source optical coherence tomography (SS-OCT) and OCT angiography (OCTA). Macular structures and vascular characteristics of each subregion were compared to those of the Early Treatment of Diabetic Retinopathy Study (ETDRS). Results: With highly myopic anisometropia, the thicknesses of the TRL, GCIPL, INL, and ORL in MM eyes were smaller than those in contralateral eyes in at least one quadrant of the perifoveal and parafoveal circles (all p < 0.05), with no changes in the foveal and temporal quadrants of perifoveal regions (all p > 0.05). A thicker NFL (p = 0.018) was found in MM eyes than in contralateral eyes in the superior perifoveal quadrant. The CHL (all p < 0.05) in MM eyes was thinner in all regions than in the contralateral eyes according to the ETDRS. There were no statistical differences in the SVD, DVD, and CCPA of MM and contralateral eyes (all p > 0.05). Conclusion: All retinal layers, except the NFL, tended to be thinner in all subregions, except the temporal perifoveal and foveal quadrants in MM eyes, and choroidal thickness was thinned in all areas.

Carbon budget of a rainfed spring maize cropland with straw returning on the Loess Plateau, China.

Assessing the carbon budget of rainfed agricultural ecosystems is a vital component in the process of estimating the global carbon balance. We used eddy covariance techniques combined with soil respiration measurements to estimate the carbon budget of a rainfed spring maize field where straw returning was practiced, on the Loess Plateau, China, during 2012-2014. Carbon fluxes and their components (except heterotrophic respiration, Rh) exhibited single-peak seasonal patterns, and linear relationships were found between daily gross primary productivity (GPP) and net ecosystem exchange (NEE), and between daily GPP and ecosystem respiration (Re), with goodness of fit value of 0.96 and 0.85, respectively. The green leaf area index was the most important factor controlling seasonal variations in daily NEE, Re, and GPP during the growing season, followed by photosynthetically active radiation and air temperature (Ta). Daily Re was mainly controlled by air temperature during the non-growing season, when Re accounted for only ~17% of the annual Re due to winter temperatures. Growing season plant respiration (Rp) was the most important source of carbon emissions from the maize field, with aboveground plant respiration being the major part of Rp. Rh accounted for ~60% of total soil respiration. Only ~60% of the annual GPP was lost as Re, resulting in an average annual net CO2 uptake of 509gCm-2. Taking into account carbon exported (483gCm-2) and carbon imported (10gCm-2), the average annual net biome productivity was 37gCm-2, indicating that the spring maize field with straw returning on the Loess Plateau was a weak carbon sink.