Dynamic Transformation of Nano-MoS2 in a Soil-Plant System Empowers Its Multifunctionality on Soybean Growth.

Molybdenum disulfide (nano-MoS2) nanomaterials have shown great potential for biomedical and catalytic applications due to their unique enzyme-mimicking properties. However, their potential agricultural applications have been largely unexplored. A key factor prior to the application of nano-MoS2 in agriculture is understanding its behavior in a complex soil-plant system, particularly in terms of its transformation. Here, we investigate the distribution and transformation of two types of nano-MoS2 (MoS2 nanoparticles and MoS2 nanosheets) in a soil-soybean system through a combination of synchrotron radiation-based X-ray absorption near-edge spectroscopy (XANES) and single-particle inductively coupled plasma mass spectrometry (SP-ICP-MS). We found that MoS2 nanoparticles (NPs) transform dynamically in soil and plant tissues, releasing molybdenum (Mo) and sulfur (S) that can be incorporated gradually into the key enzymes involved in nitrogen metabolism and the antioxidant system, while the rest remain intact and act as nanozymes. Notably, there is 247.9 mg/kg of organic Mo in the nodule, while there is only 49.9 mg/kg of MoS2 NPs. This study demonstrates that it is the transformation that leads to the multifunctionality of MoS2, which can improve the biological nitrogen fixation (BNF) and growth. Therefore, MoS2 NPs enable a 30% increase in yield compared to the traditional molybdenum fertilizer (Na2MoO4). Excessive transformation of MoS2 nanosheets (NS) leads to the overaccumulation of Mo and sulfate in the plant, which damages the nodule function and yield. The study highlights the importance of understanding the transformation of nanomaterials for agricultural applications in future studies.

Phosphorus-based nanomaterials as a potential phosphate fertilizer for sustainable agricultural development.

Phosphorus-based nanomaterials (PNMs) have been reported to have substantial promise for promoting plant growth, improving plant tolerance mechanisms, and increasing resistance to pathogenic organisms. Recent scientific investigation has demonstrated that utilizing PNMs can enhance plant physiological growth, photosynthetic pigments, antioxidant system, metabolism, nutrient absorption, rhizosphere secretion, and soil nutrients activation. Previous research on PNMs mostly concentrated on calcium phosphate, zeolite, and chitosan, with little systematic summarization, demanding a thorough evaluation of PNMs' broader uses. In our current review article, we address the knowledge gap by classifying PNMs according to green synthesis methods and the valence state of phosphorus while elucidating the underlying mechanisms through which these PNMs facilitate plant growth. In addition, we also targeted some strategies to improve the bioavailability of PNMs, offering valuable insights for the future design and safe implementation of PNMs in agricultural practices.

Molybdenum Nanofertilizer Boosts Biological Nitrogen Fixation and Yield of Soybean through Delaying Nodule Senescence and Nutrition Enhancement.

Soybean (Glycine max) is a crop of global significance and has low reliance on N fertilizers due to its biological nitrogen fixation (BNF) capacity, which harvests ambient N2 as a critical ecosystem service. BNF can be severely compromised by abiotic stresses. Enhancing BNF is increasingly important not only to alleviate global food insecurity but also to reduce the environmental impact of agriculture by decreasing chemical fertilizer inputs. However, this has proven challenging using current genetic modification or bacterial nodulation methods. Here, we demonstrate that a single application of a low dose (10 mg/kg) of molybdenum disulfide nanoparticles (MoS2 NPs) can enhance soybean BNF and grain yield by 30%, compared with conventional molybdate fertilizer. Unlike molybdate, MoS2 NPs can more sustainably release Mo, which then is effectively incorporated as a cofactor for the synthesis of nitrogenase and molybdenum-based enzymes that subsequently enhance BNF. Sulfur is also released sustainably and incorporated into biomolecule synthesis, particularly in thiol-containing antioxidants. The superior antioxidant enzyme activity of MoS2 NPs, together with the thiol compounds, protect the nodules from reactive oxygen species (ROS) damage, delay nodule aging, and maintain the BNF function for a longer term. The multifunctional nature of MoS2 NPs makes them a highly effective strategy to enhance plant tolerance to abiotic stresses. Given that the physicochemical properties of nanomaterials can be readily modulated, material performance (e.g., ROS capturing capacity) can be further enhanced by several synthesis strategies. This study thus demonstrates that nanotechnology can be an efficient and sustainable approach to enhancing BNF and crop yield under abiotic stress and combating global food insecurity.

Nickel Oxide Nanoparticles Improve Soybean Yield and Enhance Nitrogen Assimilation.

Nickel (Ni) is a trace element beneficial for plant growth and development and could improve crop yield by stimulating urea decomposition and nitrogen-fixing enzyme activity. A full life cycle study was conducted to compare the long-term effects of soil-applied NiO nanoparticles (n-NiO), NiO bulk (b-NiO), and NiSO4 at 10-200 mg kg-1 on plant growth and nutritional content of soybean. n-NiO at 50 mg kg-1 significantly promoted the seed yield by 39%. Only 50 mg kg-1 n-NiO promoted total fatty acid content and starch content by 28 and 19%, respectively. The increased yield and nutrition could be attributed to the regulatory effects of n-NiO, including photosynthesis, mineral homeostasis, phytohormone, and nitrogen metabolism. Furthermore, n-NiO maintained a Ni2+ supply for more extended periods than NiSO4, reducing potential phytotoxicity concerns. Single-particle inductively coupled plasma mass spectrometry (sp-ICP-MS) for the first time confirmed that the majority of the Ni in seeds is in ionic form, with only 28-34% as n-NiO. These findings deepen our understanding of the potential of nanoscale and non-nanoscale Ni to accumulate and translocate in soybean, as well as the long-term fate of these materials in agricultural soils as a strategy for nanoenabled agriculture.

Iron-based nanomaterials reduce cadmium toxicity in rice (Oryza sativa L.) by modulating phytohormones, phytochelatin, cadmium transport genes and iron plaque formation.

Rice is known to accumulate cadmium (Cd) in its grains, causing a severe threat to billions of people worldwide. The possible phytotoxicity and mechanism of 50-200 mg/L hydroxyapatite NPs (nHA), iron oxide NPs (nFe2O3) or nano zero valent iron (nZVI) co-exposed with Cd (100 µM) in rice seedlings were investigated. Three types of nanoparticles significantly reduced the bioaccumulation of Cd in rice shoots by 16-63%, with nZVI showing the greatest effect, followed by nHA and nFe2O3. A decrease in Cd content in the roots was observed only in the nZVI treatment, with values ranging from 8 to 19%. Correspondingly, nZVI showed the best results in promoting plant growth, increasing rice plant height, shoot and root biomass by 13%, 29% and 42%. In vitro studies showed that nZVI reduced the content of Cd in the solution by 20-52% through adsorption, which might have contributed to the immobilization of Cd in root. Importantly, the nZVI treatment resulted in 267% more iron plaques on the root surface, which acted as a barrier to hinder the entry of Cd. Moreover, all three nanoparticles significantly reduced the oxidative stress induced by Cd by regulating phytohormones, phytochelatin, inorganic homeostasis and the expression of genes associated with Cd uptake and transport. Overall, this study elucidates for the first time the multiple complementing mechanisms for some nanoparticles to reduce Cd uptake and transport in rice and provides theoretical basis for applying nanoparticles for reducing Cd accumulation in edible plants.

Effects of two Mn-based nanomaterials on soybean antioxidant system and mineral element homeostasis.

Since less attention has been paid to the physiological effects of manganese-based nanomaterials (Mn-based NMs) on plants, it is necessary to explore the application of Mn-based NMs in improving crop yield and the concentration range of Mn-based NMs that produce toxicity. The results showed that soil application of 100 mg/kg manganese oxide (MnO2) and manganese tetroxide (Mn3O4) NMs could increase the shoot height of soybean by 51.8% and 31.8%, respectively, compared with the control. In addition, 100 mg/kg MnO2 NMs increased catalase (CAT) activity in roots by 62.2%, and 50 mg/kg Mn3O4 NMs increased CAT activity in roots by 200%, thereby increasing the stress resistance of soybean. However, at the highest concentration of 500 mg/kg, Mn-based NMs increased the Mn content in soybean extremely so that the absorption of mineral elements such as potassium, phosphorus, and calcium in the root was inhibited. This research lays the foundation for the safe application of Mn-based NMs in agriculture, benefiting the development of nanotechnology and agriculture globally.

Application and mechanisms of metal-based nanoparticles in the control of bacterial and fungal crop diseases.

Nanotechnology is a young branch of the discipline generated by nanomaterials. Its development has greatly contributed to technological progress and product innovation in the field of agriculture. The antimicrobial properties of nanoparticles (NPs) can be used to develop nanopesticides for plant protection. Plant diseases caused by bacterial and fungal infestations are the main types of crop diseases. Once infected, they will seriously threaten crop growth, reduce yield and quality, and affect food safety, posing a health risk to humans. We reviewed the application of metal-based nanoparticles in inhibiting plant pathogenic bacteria and fungi, and discuss the antibacterial mechanisms of metal-based nanoparticles from two aspects: the direct interaction between nanoparticles and pathogens, and the indirect effects of inducing plant resilience to disease. © 2022 Society of Chemical Industry.

Effect of Silica-Based Nanomaterials on Seed Germination and Seedling Growth of Rice (Oryza sativa L.).

The application of nanomaterials (NMs) in agriculture has become a global concern in recent years. However, studies on their effects on plants are still limited. Here, we conducted a seed germination experiment for 5 days and a hydroponics experiment for 14 days to study the effects of silicon dioxide NMs(nSiO2) and silicon carbide NMs(nSiC) (0,10, 50, 200 mg/L) on rice (Oryza sativa L.). Bulk SiO2 (bSiO2) and sodium silicate (Na2SiO3) were used as controls. The results showed that nSiO2 and nSiC increased the shoot length (11-37%, 6-25%) and root length (17-87%, 59-207%) of germinating seeds, respectively, compared with the control. Similarly, inter-root exposure to nSiO2, bSiO2, and nSiC improved the activity of aboveground catalase (10-55%, 31-34%, and 13-51%) and increased the content of trace elements magnesium, copper, and zinc, thus promoting the photosynthesis of rice. However, Na2SiO3 at a concentration of 200 mg/L reduced the aboveground and root biomass of rice by 27-51% and 4-17%, respectively. This may be because excess silicon not only inhibited the activity of root antioxidant enzymes but also disrupted the balance of mineral elements. This finding provides a new basis for the effect of silica-based NMs promotion on seed germination and rice growth.

Engineered Zn-based nano-pesticides as an opportunity for treatment of phytopathogens in agriculture.

People's desire for food has never slowed, despite the deterioration of the global agricultural environment and the threat to food security. People rely on agrochemicals to ensure normal crop growth and to relieve the existing demand pressure. Phytopathogens have acquired resistance to traditional pesticides as a result of pesticdes' abuse. Compared with traditional formulations, nano-pesticides have superior antimicrobial performance and are environmentally friendly. Zn-based nanoparticles (NPs) have shown their potential as strong antipathogen activity. However, their full potential has not been demonstrated yet. Here, we analyzed the prerequisites for the use of Zn-based NPs as nano-pesticides in agriculture including both intrinsic properties of the materials and environmental conditions. We also summarized the mechanisms of Zn-based NPs against phytopathogens including direct and indirect strategies to alleviate plant disease stress. Finally, the current challenges and future directions are highlighted to advance our understanding of this field and guide future studies.

Green synthesis of metal-based nanoparticles for sustainable agriculture.

The large-scale use of conventional pesticides and fertilizers has put tremendous pressure on agriculture and the environment. In recent years, nanoparticles (NPs) have become the focus of many fields due to their cost-effectiveness, environmental friendliness and high performance, especially in sustainable agriculture. Traditional NPs manufacturing methods are energy-intensive and harmful to environment. In contrast, synthesizing metal-based NPs using plants is similar to chemical synthesis, except the biological extracts replace the chemical reducing agent. This not only greatly reduces the used of traditional chemicals, but also produces NPs that are more economical, efficient, less toxic, and less polluting. Therefore, green synthesized metal nanoparticles (GS-MNPs) are widely used in agriculture to improve yields and quality. This review provides a comprehensive and detailed discussion of GS-MNPs for agriculture, highlights the importance of green synthesis, compares the performance of conventional NPs with GS-MNPs, and highlights the advantages of GS-MNPs in agriculture. The wide applications of these GS-MNPs in agriculture, including plant growth promotion, plant disease control, and heavy metal stress mitigation under various exposure pathways, are summarized. Finally, the shortcomings and prospects of GS-MNPs in agricultural applications are highlighted to provide guidance to nanotechnology for sustainable agriculture.

The 6-Month Efficacy of an Intensive Lifestyle Modification Program on Type 2 Diabetes Risk Among Rural Women with Prior Gestational Diabetes Mellitus: a Cluster Randomized Controlled Trial.

This study aimed to evaluate the efficacy of an intensive lifestyle modification program tailored to rural Chinese women with prior gestational diabetes mellitus compared with usual care. In a cluster randomized controlled trial, 16 towns (clusters) in two distinct rural areas in China were randomly selected (8 towns per district); and 320 women with prior gestational diabetes mellitus were recruited from these towns. With stratification for the two study districts, eight towns (160 women) were randomly assigned to the intervention group of a tailored intensive lifestyle modification program and 8 towns (160 women) to the control group. Process measures were collected on attendance, engagement, fidelity, and satisfaction. Primary efficacy outcomes included glycemic and weight-related outcomes, while secondary efficacy outcomes were behavioral outcomes and type 2 diabetes risk score, which were collected at baseline, 3-month, and 6-month follow-up. Generalized estimation equations were used to analyze the data. High attendance (72% of sessions), engagement (67% of interactive activities and group discussions), fidelity (98%), and satisfaction (92%) with the tailored intensive lifestyle modification program were achieved. There were significant reductions in fasting blood glucose, oral glucose tolerance test 2 h, waist circumference, and type 2 diabetes risk score of participants in the intervention group compared to the control group (p < .05). There was no significant intervention effect on body mass index or behavioral outcomes (p > .05). In this study, we demonstrate the successful efficacy of an Intensive Lifestyle Modification Program in reducing type 2 diabetes risk among younger women with prior gestational diabetes mellitus. This tailored program delivered by local healthcare providers is a promising approach for diabetes prevention in rural China, reducing health disparities in rural communities about diabetes prevention. Registered in the Chinese Clinical Trial Registry (ChiCTR2000037956) on 3rd Jan 2018.

The Impact of Lifestyle Intervention on Dietary Quality among Rural Women with Previous Gestational Diabetes Mellitus-A Randomized Controlled Study.

Healthy diet is essential to type 2 diabetes mellitus (T2DM) prevention for women with previous gestational diabetes mellitus (GDM). To evaluate the effect of a lifestyle intervention program on diet quality for rural women who were previously diagnosed with GDM, we conducted a randomized controlled study in two counties located in south-central China. A total of 404 eligible women were allocated into an intervention group and control group. Participants in the intervention group received 6-month lifestyle intervention including six group seminars and eight telephone consultations. Dietary data were collected at baseline and 18 months via a 24 h dietary recall, and dietary quality was measured by two indicators, Chinese Healthy Eating Score (CHEI) and Minimum Dietary Diversity for Women (MDD-W). Baseline CHEI scores (54.4 vs. 53.5, p = 0.305) and the proportions of participants who met MDD-W (73.8% vs. 74.5%, p = 0.904) were comparable between the two groups. The intervention group achieved a higher CHEI score (62.2 vs. 58.9, p = 0.001) and higher MDD-W proportion (90.6% vs. 81.2%, p = 0.023) at 18 months. Lifestyle intervention was associated with the change of CHEI (p = 0.049) but not with MDD-W (p = 0.212). In conclusion, compared with usual care, lifestyle intervention resulted in greater improvement of dietary quality among rural women with previous GDM.

The Association between Blood Pressure Trajectories and Risk of Cardiovascular Diseases among Non-Hypertensive Chinese Population: A Population-Based Cohort Study.

Although previous studies have discussed the association between trajectories of blood pressure (BP) and risk of cardiovascular diseases (CVDs), the association among the non-hypertensive general population of youth and middle age has not been elucidated. We used the growth mixture model to explore the trajectories of BP among the non-hypertensive Chinese population and applied Cox regression to evaluate the association between trajectories of BP and the risk of stroke or myocardial infarction (MI). Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were categorized into three classes, respectively. Statistically significant associations were observed between SBP trajectories and stroke (range of adjusted hazard ratios (aHR): 1.369-3.837) or MI (rang of aHR = 6.047-13.017). Association between DBP trajectories and stroke (aHR: 3.685) or MI (range of aHR = 1.312-2.821) were also observed, although they did not reach statistical significance. Trajectories of SBP were more important risk factors than that of DBP in stroke and MI in our study population. BP management is important among pre-hypertensive adults to prevent stroke and MI when they age. Well-designed research with a larger sample size is required to confirm our findings and develop efficient methods to prevent CVDs.

Different physiological responses of C3 and C4 plants to nanomaterials.

Several studies have previously reported that nanomaterial uptake and toxicity in plants are species dependent. However, the differences between photosynthetic pathways, C3 and C4, following nanomaterial exposure are poorly understood. In the current work, wheat and rice, two C3 pathway species are compared to amaranth and maize, which utilize the C4 photosynthetic mechanism. These plants were cultured in soils which were spiked with CuO, Ag, TiO2, MWCNT, and FLG nanomaterials. Overall, the C4 plant exhibited higher resilience to NM stress than C3 plants. In particular, significant differences were observed in chlorophyll contents with rice returning a 40.9-54.2% decrease compared to 3.5-15.1% for maize. Fv/Fm levels were significantly reduced by up to 51% in rice whereas no significant reductions were observed in amaranth and maize. Furthermore, NM uptake in the C3 species was greater than that in C4 plants, a trend that was also seen in metal concentration. TEM results showed that CuO NPs altered the chloroplast thylakoid structure in rice leaves and a large number of CuO NPs were observed in the vascular sheath cells. In contrast, there were no significant changes in the chloroplasts in the vascular sheath and no significant CuO NPs were found in maize leaves. This study was the first to systematically characterize the effect of metal and carbon-based nanomaterials in soil on C3 and C4 plants, providing a new perspective for understanding the impact of nanomaterials on plants.

Physiological impacts of zero valent iron, Fe3O4 and Fe2O3 nanoparticles in rice plants and their potential as Fe fertilizers.

Fe-based nanoparticles (Fe-based NPs) have great potential as a substitute for traditional Fe-fertilizer; however, their environmental risk and impact on plant growth are not fully understood. In this study, we compared the physiological impacts of three different Fe-based NP formulations: zero-valent iron (ZVI), Fe3O4 and Fe2O3 NPs, on hydroponic rice after root exposure for 2 weeks. Fe-normal (Fe(+)) and Fe-deficiency (Fe(-)) conditions were compared. Results showed that low dose (50 mg L-1) of ZVI and Fe3O4 NPs improved the rice growth under Fe(-) condition, while Fe2O3 NPs did not improve plant growth and caused phytotoxicity at high concentration (500 mg L-1). Under Fe(+) conditions, none of the Fe-based NPs exhibited positive effects on the rice plants with plant growth actually being inhibited at 500 mg L-1 evidenced by reduced root volume and leaf biomass and enhanced oxidative stress in plant. Under Fe(-) condition, low dose (50 mg L-1) of ZVI NPs and Fe3O4 NPs increased the chlorophyll content by 30.7% and 26.9%, respectively. They also alleviated plant stress demonstrated by the reduced oxidative stress and decreased concentrations of stress related phytohormones such as gibberellin and indole-3-acetic acid. Low dose of ZVI and Fe3O4 NPs treatments resulted in higher Fe accumulation in plants compared to Fe2O3 NPs treatment, by down-regulating the expression of IRT1 and YSL15. This study provides significant insights into the physiological impacts of Fe-based NPs in rice plants and their potential application in agriculture. ZVI and Fe3O4 NPs can be used as Fe-fertilizers to improve rice growth under Fe-deficient condition, which exist in many rice-growing regions of the world. However, dose should be carefully chosen as high dose (500 mg L-1 in this study) of the Fe-based NPs can impair rice growth.

Application of Nanoparticles Alleviates Heavy Metals Stress and Promotes Plant Growth: An Overview.

Nanotechnology is playing a significant role in addressing a vast range of environmental challenges by providing innovative and effective solutions. Heavy metal (HM) contamination has gained considerable attention in recent years due their rapidly increasing concentrations in agricultural soil. Due to their unique physiochemical properties, nanoparticles (NPs) can be effectively applied for stress alleviation. In this review, we explore the current status of the literature regarding nano-enabled agriculture retrieved from the Web of Science databases and published from January 2010 to November 2020, with most of our sources spanning the past five years. We briefly discuss uptake and transport mechanisms, application methods (soil, hydroponic and foliar), exposure concentrations, and their impact on plant growth and development. The current literature contained sufficient information about NPs behavior in plants in the presence of pollutants, highlighting the alleviation mechanism to overcome the HM stress. Furthermore, we present a broad overview of recent advances regarding HM stress and the possible mechanism of interaction between NPs and HM in the agricultural system. Additionally, this review article will be supportive for the understanding of phytoremediation and micro-remediation of contaminated soils and also highlights the future research needs for the combined application of NPs in the soil for sustainable agriculture.

Cultural Adaptation, Validation, and Primary Application of a Questionnaire to Assess Intentions to Eat Low-Glycemic Index Foods among Rural Chinese Women.

Different lines of evidence indicate that knowledge of low-glycemic index (GI) foods and the practice of eating them play important roles in blood glucose management and preventing T2DM in women with prior gestational diabetes mellitus (GDM). According to the theory of planned behavior (TPB), intention is a critical factor in complying with health-related behaviors. However, an instrument for assessing the intention to eat low-GI foods is lacking in China. We aimed to (1) adapt and validate a Chinese version of the intentions to eat low-GI foods questionnaire (CIELQ) and (2) apply the CIELQ among rural Chinese women to explore the associations between CIELQ scores and glycemic status. A cross-sectional study was conducted on 417 nondiabetic, nonpregnant participants with a history of GDM in Hunan, China. After cultural adaptation and validation, the CIELQ was applied in a target population. Glycemic status, anthropometric variables, dietary intake, and physical activity were measured; a self-developed, standard questionnaire was applied to collect relevant information. The CIELQ showed good internal consistency; model fitness was acceptable based on the confirmatory factor analysis results. Awareness of the glycemic index was low among the study population. TPB factors were found to be associated with each other; education level and parents' diabetes history were associated with specific factors. The score for instrumental attitude showed a positive association with the risk for a high level of the 2-h 75-g oral glucose tolerance test (odds ratio, OR = 1.330), while the score for perceived behavior control (PBC) showed a negative association with the risk for a high level (OR = 0.793). The CIELQ was determined to be a valid instrument for assessing the intention to eat a low-GI diet among the study population. The awareness of the GI was poor among the study population. The score for instrumental attitude showed a positive association with the risk of a high level on the 2-h 75-g oral glucose tolerance test (OGTT), and the score for PBC showed a negative association with the risk for a high level on OGTT.

Diet Quality among Women with Previous Gestational Diabetes Mellitus in Rural Areas of Hunan Province.

Diet quality is critical for postpartum type 2 diabetes mellitus (T2DM) progression among women with a history of gestational diabetes mellitus (GDM). The Chinese Healthy Eating Index (CHEI) is a dietary index developed according to the latest Chinese Dietary Guidelines (CDG-2016). Our study aimed to assess the diet quality of women with previous GDM in rural areas of Hunan Province by applying the CHEI. Women with previous GDM in two counties of Hunan were enrolled. Their food intake data, which were used to calculate their CHEI scores, were collected by a 24-h dietary recall. The association of CHEI with sociodemographic and anthropometric variables was evaluated via linear regression models. 404 women were included in the final analysis. The mean score of the total CHEI was 54.9 (SD 7.9). The components of whole grains and mixed beans, seeds and nuts, tubers, dairy, and poultry scored extremely low. Ethnic minority groups and women younger than 30 years had lower CHEI scores. Our study observed an unsatisfactory diet quality among women with previous GDM in rural areas of Hunan Province. Future dietary education focusing on the CDG is needed to improve their diet quality and help in T2DM prevention among this population, especially young and ethnic minority women.

OPTICAL COHERENCE TOMOGRAPHY PREDICTORS OF SHORT-TERM VISUAL ACUITY IN EYES WITH MACULAR EDEMA SECONDARY TO RETINAL VEIN OCCLUSION TREATED WITH INTRAVITREAL CONBERCEPT.

PURPOSE: To identify the spectral domain optical coherence tomography predictors of visual prognosis in retinal vein occlusion macular edema after intravitreal conbercept injection. METHODS: Retrospective cohort study of 63 treatment-naive retinal vein occlusion macular edema eyes received pro re nata intravitreal conbercept with at least 3 months of follow-up. The best-corrected visual acuity (BCVA) and optical coherence tomography scans were recorded at baseline, 1 month, and 3 months after starting therapy. On spectral domain optical coherence tomography, the following lesions in the 1-mm-wide retinal area centered on the fovea: disorganization of the retinal inner layer extent, cysts, hyperreflective foci, microaneurysms, external limiting membrane or ellipsoid zone disruption, foveal bulge, and foveal depression were evaluated by masked graders. Regression analysis was used to determine independent predictors of BCVA at 1- and 3-month follow-up. RESULTS: The thicker central subfield thickness, greater extent of external limiting membrane disruption, and presence of hyperreflective foci >20 at baseline were correlated with the worse baseline BCVA (all P < 0.05). The greater extent of external limiting membrane disruption and presence of hyperreflective foci >20 at baseline were associated with poorer BCVA during follow-up (all P < 0.05). The central subfield thickness and extent of ellipsoid zone disruption at baseline and their changes over time were correlated with the 3-month BCVA improvement (all P < 0.05). Furthermore, changes in the ellipsoid zone disruption extent or central subfield thickness after 1 month identified eyes with a high likelihood of subsequent BCVA improvement or decline. CONCLUSION: The external limiting membrane status and hyperreflective foci >20 at baseline could be good predictors for short-term visual outcome, whereas the central subfield thickness and ellipsoid zone status at baseline and their changes over time may predict visual improvement in patients with retinal vein occlusion macular edema after intravitreal conbercept injection.