scholarly journals Focal aggregates of normal or near normal uveal melanocytes (FANNUMs) in the choroid: a distinct clinical and histopathological entity?

2020 ◽  
Vol 259 (1) ◽  
pp. 191-196 ◽  
Author(s):  
James J. Augsburger
Keyword(s):  
Melanocytic Lesion ◽  
Basal Diameter ◽  
Fellow Eye ◽  
Flat Lesions ◽  
Choroidal Nevi

Abstract Purpose To define, describe, and illustrate a previously unreported category of discrete melanotic choroidal melanocytic lesion. Methods Prospective ophthalmoscopic study of the ocular fundi of 79 light-skinned persons 50 years of age or older not referred for any evident fundus lesion, with detection of all evident discrete melanotic choroidal lesions > 0.3 mm in largest basal diameter. Results One or more discrete dark-brown to gray choroidal lesions > 0.3 mm in largest basal diameter were detected in 27 of the 79 evaluated subjects (34.2%). All but four of the detected lesions were “flat” by both ophthalmoscopy and ultrasonography. A single flat lesion was present in one eye of 14 subjects whose fellow eye was normal, 2 or more flat lesions were evident in one eye of 5 subjects whose other eye was normal, and one or more lesions were evident in both eyes of 6 subjects. Conclusion While some of the discrete small, flat melanocytic choroidal lesions detected in this study might have been choroidal nevi, the author hypothesizes that an indeterminate proportion of them may have been focal aggregates of normal or near normal uveal melanocytes (FANNUMs).

scholarly journals Isolated choroidal melanocytosis: clinical update on 37 cases

2020 ◽  
Vol 258 (12) ◽  
pp. 2819-2829
Author(s):  
James J. Augsburger ◽  
Cassandra C. Brooks ◽  
Zelia M. Correa
Keyword(s):  
Choroidal Melanoma ◽  
Initial Diagnosis ◽  
Adult Patients ◽  
Basal Diameter ◽  
Orange Pigment ◽  
Fellow Eye ◽  
Retrospective Clinical Study ◽  
Choroidal Malignant Melanoma ◽  
Choroidal Nevus

Abstract Purpose Isolated choroidal melanocytosis is a congenital melanocytic hyperpigmentation involving the choroid that is not associated with iridic or scleral features of ocular melanocytosis. The purpose of this work was to describe the clinical features and course of a relatively large series of patients with this disorder. Methods A retrospective clinical study of 37 patients with isolated choroidal melanocytosis encountered in a single practice 1986–2018 was done. All lesions were 5 mm or larger in the largest basal diameter, homogeneously melanotic, and completely flat by conventional ocular ultrasonography. Results The 37 patients ranged in age from 2 weeks to 87 years (mean 31.5 years, median 18 years) at initial diagnosis of the melanotic choroidal lesion. Arc length largest basal diameter of the melanotic choroidal lesion ranged from 5.5 to 37 mm (mean 14.6 mm, median 13 mm). The lesion extended beneath the fovea in 18 eyes and to the optic disc margin in 6 eyes. Ten of the lesions straddled the ocular equator, but the center point of all of the lesions was posterior to the equator. The retina was fully attached and appeared normal over the melanotic choroidal lesion in each of these eyes. None of the melanotic choroidal lesions exhibited clumps of orange pigment or drusen on its surface. The lesion was unilateral and unifocal in 36 of the 37 patients. One patient had bilateral choroidal melanocytosis that was isolated in one eye but associated with partial iris melanocytosis in the fellow eye. Three adult patients had a choroidal melanoma localized to the patch of choroidal melanocytosis at baseline. One other adult patient had a choroidal melanoma in the fellow eye at baseline. One pediatric patient had viable unilateral non-familial retinoblastoma in the fellow eye and two adult patients had a classic choroidal nevus in the fellow eye. None of the flat patches of choroidal melanocytosis that were monitored periodically after initial diagnosis expanded appreciably during follow-up ranging from 4.9 months to 15.2 years (mean 5.0 years, median 2.3 years). Conclusions Isolated choroidal melanocytosis is a distinct clinical entity that must be distinguished from broad-based choroidal nevus, choroidal melanocytoma, small choroidal malignant melanoma, acquired bilateral patchy-streaky choroidal melanocytic fundopathy associated with disorders such as cutaneous vitiligo and Waardenburg syndrome, acquired bilateral zonal choroidal melanocytic fundopathy, and diffuse uveal melanocytic proliferation associated with systemic cancer. This disorder appears to predispose affected eyes to development of choroidal melanoma arising from the hypermelanotic patch.

Small Choroidal Melanoma: Correlation of Growth Rate with Pathology

2021 ◽  
pp. 1-10
Author(s):  
Vishal Raval ◽  
Shiming Luo ◽  
Emily C. Zabor ◽  
Arun D. Singh
Keyword(s):  
Growth Rate ◽  
Retinal Pigment ◽  
Choroidal Melanoma ◽  
Case Series ◽  
Subretinal Fluid ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Basal Diameter ◽  
Orange Pigment ◽  
Rpe Atrophy

<b><i>Purpose:</i></b> The aim of the study was to evaluate equivalence of growth rate and pathologic confirmation in small choroidal melanoma (SCM). <b><i>Design:</i></b> This study is a case series. <b><i>Subjects, Participants, and Controls:</i></b> A total of 61 patients with a choroidal melanocytic tumor of size 5.0–16.0 mm in the largest basal diameter and 1.0–2.5 mm in thickness were classified into the pathology-confirmed group (<i>n</i> = 19), growth-confirmed group (<i>n</i> = 30), and with combined observations (<i>n</i> = 12). <b><i>Methods:</i></b> Distribution of clinical variables (age, gender, laterality, tumor dimensions, tumor location, and presence of orange pigment, subretinal fluid, drusen, and retinal pigment epithelial [RPE] atrophy) between the groups was analyzed. Patient and disease characteristics were summarized as the median and interquartile range for continuous variables and the frequency and percentage for categorical variables. Comparisons were made using the Wilcoxon rank sum test for continuous variables and either Fisher’s exact test or the χ<sup>2</sup> test for categorical variables with a <i>p</i> value threshold of 0.05 for statistical significance. Growth rate (change in basal dimension/12 months) diagnostic of SCM was quantified. <b><i>Main Outcome Measures:</i></b> The primary aim of this study was to test the hypothesis that “growth” was diagnostic of SCM with the secondary aim of quantifying the malignant “growth rate” (growth rate of SCM). <b><i>Results:</i></b> The clinical characteristics among all 3 groups were similar except more patients with symptoms (68 vs. 20 vs. 42%, <i>p</i> = 0.004) and juxtapapillary location (<i>p</i> = 0.03) were in the pathology group than in the growth-confirmed group. Those in the combined and growth-confirmed groups had more patients with drusen (11 vs. 60 vs. 50%, <i>p</i> = 0.003) and RPE atrophy (11 vs. 23 vs. 67%, <i>p</i> = 0.003), respectively, than in the pathology group. The median time to detect growth was 9 months (range 3–26 months). The mean growth rate in basal dimension was 1.8 mm/12 months (range, 0.0–7.4 mm; [95% CI: 1.32–2.28]). <b><i>Conclusions and Relevance:</i></b> Choroidal melanocytic lesions exhibiting a defined growth rate can be clinically diagnosed as SCM without a need for biopsy.

scholarly journals Impacts of increasing fine fuel loads on acorn germination and early growth of oak seedlings

Fire Ecology ◽  
2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Rachel E. Nation ◽  
Heather D. Alexander ◽  
Geoff Denny ◽  
Jennifer K. McDaniel ◽  
Alison K. Paulson
Keyword(s):  
Prescribed Fire ◽  
Germination Rate ◽  
Growth Patterns ◽  
Leaf Number ◽  
Fuel Load ◽  
Quercus Alba ◽  
White Oak ◽  
Fuel Treatment ◽  
Basal Diameter ◽  
Fuel Loads

Abstract Background Prescribed fire is increasingly used to restore and maintain upland oak (Quercus L. spp.) ecosystems in the central and eastern US. However, little is known about how prescribed fire affects recently fallen acorns under different fine fuel loads, which can vary with stand composition and basal area, burn season, and fire frequency. We conducted plot-level (1 m2) burns in an upland oak stand in northern Mississippi, USA, during December 2018, using single (i.e., ambient), double, and triple fine fuel loads, representative of those in nearby unburned and recently fire-treated, closed-canopy stands. Pre burn, we placed 30 acorns each of white oak (Quercus alba L.) and Shumard oak (Quercus shumardii Buckley) ~1 cm below the litter surface in five plots of each fuel treatment. Immediately post burn, we planted unburned and burned acorns in a greenhouse. After ~50% of each species’ unburned acorns germinated, we measured percent germination and height, basal diameter, and leaf number of germinating seedlings weekly for 11 weeks. Then, we harvested seedlings to determine above- and belowground biomass. Results The single fuel treatment reduced acorn germination rates of both species to ~40% compared to ~88% in unburned acorns. When burned in double and triple fuel loads, acorns of both species had a <5% germination rate. There was no difference in basal diameter, leaf number, or biomass of seedlings from burned versus unburned acorns for either species. However, seedlings originating from burned acorns of both species were ~11% shorter than those from unburned acorns. Thus, both species responded similarly to fuel load treatments. Conclusions Acorns of both species exhibited greater survival with lower fine fuel loads, and consequently lower percent fuel consumption. Acorns germinating post fire generally produced seedlings with growth patterns similar to seedlings originating from unburned acorns. These findings indicate that regular, repeated prescribed fires or canopy reductions that limit fine fuel accumulation and create heterogeneous fuel beds are likely to increase acorn germination rates relative to unburned sites or those with recently introduced fire.

scholarly journals Estimation of Genetic Parameters and Wood Yield Selection Index in a Clonal Trial of Korean Pine (Pinus koraiensis) in Northeastern China

2021 ◽  
Vol 13 (8) ◽  
pp. 4167
Author(s):  
David Kombi Kaviriri ◽  
Huan-Zhen Liu ◽  
Xi-Yang Zhao
Keyword(s):  
Selection Index ◽  
Tree Height ◽  
Stem Volume ◽  
Korean Pine ◽  
Branch Number ◽  
Basal Diameter ◽  
Diameter At Breast Height ◽  
Breast Height ◽  
Stem Straightness ◽  
Clonal Trial

In order to determine suitable traits for selecting high-wood-yield Korean pine materials, eleven morphological characteristics (tree height, basal diameter, diameter at breast height, diameter at 3 meter height, stem straightness degree, crown breadth, crown height, branch angle, branch number per node, bark thickness, and stem volume) were investigated in a 38-year-old Korean pine clonal trial at Naozhi orchard. A statistical approach combining variance and regression analysis was used to extract appropriate traits for selecting elite clones. Results of variance analysis showed significant difference in variance sources in most of the traits, except for the stem straightness degree, which had a p-value of 0.94. Moderate to high coefficients of variation and clonal repeatability ranged from 10.73% to 35.45% and from 0.06% to 0.78%, respectively. Strong significant correlations on the phenotypic and genotypic levels were observed between the straightness traits and tree volume, but crown breadth was weakly correlated to the volume. Four principal components retaining up to 80% of the total variation were extracted, and stem volume, basal diameter, diameter at breast height, diameter at 3 meter height, tree height, and crown height displayed high correlation to these components (r ranged from 0.76 to 0.98). Based on the Type III sum of squares, tree height, diameter at breast height, and branch number showed significant information to explain the clonal variability based on stem volume. Using the extracted characteristics as the selection index, six clones (PK105, PK59, PK104, PK36, PK28, and K101) displayed the highest Qi values, with a selection rate of 5% corresponding to the genetic gain of 42.96% in stem volume. This study provides beneficial information for the selection of multiple traits for genetically improved genotypes of Korean pine.

scholarly journals Elevated levels of Merkel cell polyoma virus in the anophthalmic conjunctiva

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nora Siegal ◽  
Michal Gutowski ◽  
Lakshmi Akileswaran ◽  
Norman J. Beauchamp ◽  
Lien-Chieh Ding ◽  
...  
Keyword(s):  
Ocular Surface ◽  
Copy Number ◽  
Clinical Importance ◽  
Polyoma Virus ◽  
Merkel Cell ◽  
Fellow Eye ◽  
16S Rdna Pcr ◽  
The Impact ◽  
Merkel Cell Polyoma Virus ◽  
Fellow Eyes

AbstractThe human ocular surface hosts a paucibacterial resident microbiome and virome. The factors contributing to homeostasis of this mucosal community are presently unknown. To determine the impact of ocular enucleation and prosthesis placement on the ocular surface microbiome, we sampled conjunctival swabs from 20 anophthalmic and 20 fellow-eye intact conjunctiva. DNA was extracted and subjected to quantitative 16S rDNA PCR, biome representational karyotyping (BRiSK), and quantitative PCR (qPCR) confirmation of specific organisms. 16S ribosomal qPCR revealed equivalent bacterial loads between conditions. Biome representational in silico karyotyping (BRiSK) demonstrated comparable bacterial fauna between anophthalmic and intact conjunctiva. Both torque teno virus and Merkel cell polyoma virus (MCPyV) were detected frequently in healthy and anophthalmic conjunctiva. By qPCR, MCPyV was detected in 19/20 anophthalmic samples compared with 5/20 fellow eyes. MCPyV copy number averaged 891 copies/ng in anophthalmic conjunctiva compared with 193 copies/ng in fellow eyes (p < 0.001). These results suggest that enucleation and prosthesis placement affect the ocular surface flora, particularly for the resident virome. As MCPyV has been shown to be the etiologic cause of Merkel cell carcinoma, understanding the mechanisms by which the ocular surface regulates this virus may have clinical importance.

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