scholarly journals Quantitative Interocular Comparison of Total Corneal Surface Area and Corneal Diameter in Patients With Highly Asymmetric Keratoconus.

Author(s):  
François-Xavier CRAHAY ◽  
Guillaume DEBELLEMANIÈRE ◽  
Stephan TOBALEM ◽  
Wassim GHAZAL ◽  
Sarah MORAN ◽  
...  

Abstract Keratoconus is a progressive corneal disorder which is frequently asymmetric. The aetiology of keratoconus remains unclear, and the concept of keratoconus as an ectatic disorder has been challenged recently. We carried out a retrospective study in 160 eyes of 80 patients, to evaluate and compare interocular differences in corneal diameter and surface area in patients with unilateral/highly asymmetric keratoconus (UHAKC). Calculations were performed using raw topographic elevation data derived from topographic measurements using Orbscan II, and we extrapolated surface areas up to measured corneal diameter. We also evaluated inter-eye correlation, and correlation between corneal surface area, corneal diameter and keratoconus severity. Our results showed a statistically significant but not clinically important greater corneal diameter (12.14mm and 12.17 mm; p=0.04), and corneal surface area (paired t-test, p<0.0001; p=0.0009 respectively) in more affected eyes. Inter-eye comparison revealed corneal diameter, anterior chamber depth, and corneal surface area were strongly correlated between eyes. Corneal surface area remained strongly correlated, and Bland-Altman analysis also showed strong inter-ocular agreement. Our results show that in patients with UHAKC the interocular difference in corneal diameter and corneal surface area is clinically insignificant, and are consistent with a redistribution, rather than increase, of corneal surface area with keratoconus progression.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
François-Xavier Crahay ◽  
Guillaume Debellemanière ◽  
Stephan Tobalem ◽  
Wassim Ghazal ◽  
Sarah Moran ◽  
...  

AbstractKeratoconus is a highly prevalent corneal disorder characterized by progressive corneal thinning, steepening and irregular astigmatism. To date, pathophysiology of keratoconus development and progression remains debated. In this study, we retrospectively analysed topographic elevation maps from 3227 eyes of 3227 patients (969 keratoconus and 2258 normal eyes) to calculate anterior and posterior corneal surface area. We compared results from normal eyes and keratoconus eyes using the Mann–Whitney U test. The Kruskal–Wallis test was used to compare keratoconus stages according to the Amsler–Krumeich classification. Keratoconus eyes were shown to have statistically significantly larger corneal surface areas, measured at the central 4.0 mm and 8.0 mm, and total corneal diameter. However, no significant increase in corneal surface area was seen with increasing severity of keratoconus. We suggest that these results indicate redistribution, rather than increase, of the corneal surface area with keratoconus severity.


2021 ◽  
Vol 14 (7) ◽  
pp. 1013-1017
Author(s):  
Qiang Shi ◽  
◽  
Yu-Hong Cheng ◽  
Cheng Pei ◽  
◽  
...  

AIM: To compare the differences and consistency of IOL-Master 700 biometers applying swept optical coherence tomography with the conventional IOL-Master 500 applying partial coherence interference in terms of the ocular biological parameters in adolescents with ametropia. METHODS: A total of 110 adolescents (110 eyes) with ametropia were collected, including 55 males and 55 females; age 10.69±2.81y. Ocular biological measurements were taken by IOL-Master 700 and IOL-Master 500 respectively to obtain biological parameters including axial length (AL), mean corneal anterior surface keratometry (Km), anterior chamber depth (ACD), and horizontal corneal diameter (WTW). Paired t-test was used to compare the differences between the two instruments. The intra-group correlation coefficient (ICC) and the Bland-Altman analysis were used to evaluate the consistency of parameter measurements between the two instruments for the four biological parameters. RESULTS: Statistical analysis showed that there was no significant difference in the Km value measured by IOL-Master 700 and IOL-Master 500 (t=-1.644, P=0.116). The average differences of the AL, ACD, and WTW distances between the two instruments are 0.028, 0.101 and 0.064 mm respectively, and the differences are statistically significant (t=2.644, 12.505, 3.911, P<0.001). The consistency study results indicated high correlation in the measurement of AL, Km, ACD and WTW between the two instruments (ICC=0.994, 0.873, 0.927, 0.912). CONCLUSION: The novel biometric instrument IOL-Master 700 makes no difference with IOL-Master 500 in the measurement of Km. There are some differences in the values of AL, ACD, and WTW. However, the two instruments show good consistency in these four biological measurements. The measured values of Km are interchangeable between the instruments. These two types of biometrics can be used as mutual reference in consideration of that the differences in AL, ACD, and WTW measurements are not sufficient to produce clinically meaningful differences.


Author(s):  
M. Marko ◽  
A. Leith ◽  
D. Parsons

The use of serial sections and computer-based 3-D reconstruction techniques affords an opportunity not only to visualize the shape and distribution of the structures being studied, but also to determine their volumes and surface areas. Up until now, this has been done using serial ultrathin sections.The serial-section approach differs from the stereo logical methods of Weibel in that it is based on the Information from a set of single, complete cells (or organelles) rather than on a random 2-dimensional sampling of a population of cells. Because of this, it can more easily provide absolute values of volume and surface area, especially for highly-complex structures. It also allows study of individual variation among the cells, and study of structures which occur only infrequently.We have developed a system for 3-D reconstruction of objects from stereo-pair electron micrographs of thick specimens.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jeongpil Kim ◽  
Jeong-Hyun Eum ◽  
Junhyeok Kang ◽  
Ohchan Kwon ◽  
Hansung Kim ◽  
...  

AbstractHerein, we introduce a simple method to prepare hierarchical graphene with a tunable pore structure by activating graphene oxide (GO) with a two-step thermal annealing process. First, GO was treated at 600 °C by rapid thermal annealing in air, followed by subsequent thermal annealing in N2. The prepared graphene powder comprised abundant slit nanopores and micropores, showing a large specific surface area of 653.2 m2/g with a microporous surface area of 367.2 m2/g under optimized conditions. The pore structure was easily tunable by controlling the oxidation degree of GO and by the second annealing process. When the graphene powder was used as the supercapacitor electrode, a specific capacitance of 372.1 F/g was achieved at 0.5 A/g in 1 M H2SO4 electrolyte, which is a significantly enhanced value compared to that obtained using activated carbon and commercial reduced GO. The performance of the supercapacitor was highly stable, showing 103.8% retention of specific capacitance after 10,000 cycles at 10 A/g. The influence of pore structure on the supercapacitor performance was systematically investigated by varying the ratio of micro- and external surface areas of graphene.


2021 ◽  
Author(s):  
Atal Ahmadzai

Alerted by increasing water insecurity and energy demand, countries, mainly in the Global South, are building dams of unprecedented magnitude. Hundreds of large dams (≥ 100 metres) have been constructed since 2000, with hundreds more under construction. Analyses of the physical attributes of these dams present a concerning image. While they create expansive reservoirs with large surface areas, they have inefficient surface area-to-volume ratios ('S2VR'). Their unprecedented size and the reservoirs’ expansive surface area, indicate severe environmental costs, mainly through ecological disturbances to the (riverine) aquatic ecosystems; and greenhouse gas emissions (GHG). Other ecological costs due to the larger S2VR include a high evaporation rate and compromised biodiversity of a wider area, both up- and downstream. The safety and environmental aspects of these large dams should be robustly scrutinised.


2018 ◽  
Vol 8 (9) ◽  
pp. 1596 ◽  
Author(s):  
Jung Park ◽  
Gi Lee ◽  
Sang Hwang ◽  
Ji Kim ◽  
Bum Hong ◽  
...  

In this study, a feasible experiment on adsorbed natural gas (ANG) was performed using activated carbons (ACs) with high surface areas. Upgraded ACs were prepared using chemical activation with potassium hydroxide, and were then applied as adsorbents for methane (CH4) storage. This study had three principal objectives: (i) upgrade ACs with high surface areas; (ii) evaluate the factors regulating CH4 adsorption capacity; and (iii) assess discharge conditions for the delivery of CH4. The results showed that upgraded ACs with surface areas of 3052 m2/g had the highest CH4 storage capacity (0.32 g-CH4/g-ACs at 3.5 MPa), which was over two times higher than the surface area and storage capacity of low-grade ACs (surface area = 1152 m2/g, 0.10 g-CH4/g-ACs). Among the factors such as surface area, packing density, and heat of adsorption in the ANG system, the heat of adsorption played an important role in controlling CH4 adsorption. The released heat also affected the CH4 storage and enhanced available applications. During the discharge of gas from the ANG system, the residual amount of CH4 increased as the temperature decreased. The amount of delivered gas was confirmed using different evacuation flow rates at 0.4 MPa, and the highest efficiency of delivery was 98% at 0.1 L/min. The results of this research strongly suggested that the heat of adsorption should be controlled by both recharging and discharging processes to prevent rapid temperature change in the adsorbent bed.


2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Ali Hosseini ◽  
Pim Van Dijk ◽  
Sofie Breuking ◽  
Bryan Vopat ◽  
Daniel Guss ◽  
...  

Category: Midfoot/Forefoot Introduction/Purpose: Proximal fifth metatarsal fractures (PFMF) are among the most common fractures in the foot and can be categorized into three fracture zones [1]. To investigate the fracture mechanism of PFMF in different zones, a better understanding of the anatomy of the bone and its surrounding soft tissues is required. Both the plantar fascia (PF) and the peroneus brevis (PB) tendon insertions are at the base of the fifth metatarsal, and may contribute to the pathophysiology of PFMF. However, the role of the PB and PF insertions in the pathogenesis of PFMF remains unclear. The purpose of this study was to accurately define the footprint of the PB and PF insertions of the base of the 5th metatarsal in relation to the different zones of PFMF. Methods: 21 cadaveric fifth metatarsal bones were harvested from cadaveric feet. All bones were freed of any remaining soft tissue adherence, except for the PB and the PF insertions. Three reference screws with a diameter of 1 mm were placed and secured on each bone with 2 screws distally and 1 screw proximally for registration. All bones were CT scanned to create a 3D bone reconstruction. Next, the insertions of the PB and PF and the reference screws of each bone were digitized and then mapped to its corresponding 3D bone model. In order to describe the three different fracture zones of the 5th metatarsal, an established coordinate system was made for each bone to simulate separate fracture zones (Figure a) based on Lawrence guideline [1]. The shape, location and surface areas of both insertions and their relation to the different fractures zones were determined (Figure b). Results: The insertion of the PB was oval shaped and located on the dorsal side of the base, with a mean surface area of 88.1 ± 46.4 mm2. The PF was oval shaped and situated around the tip of tuberosity, with a mean surface area of 150.7±53.5 mm2. The PB insertion was present in zone 1 fractures in 100% (21/21) of the 5th metatarsal models and 29% (6/21) of the models for zone 2 fractures. The PF insertion was involved in 100% (21/21) of the 5th metatarsal models for zone 1 fractures and 43% (9/21) of the models for zone 2 fractures. Conclusion: Results of this study demonstrate that the insertion of both the PB and PF are involved in all zone 1 PFMF and a significant percentage of zone 2 PFMF. The location of tendon insertions affect the forces exerted on the bone, which may indicate a relation of the insertions of both the PB and the PF with the fracture mechanism of many zone 1 and 2 PFMF. Moreover, in the treatment of these fractures, care should be taken to maintain or restore the anatomy of these insertions to maximize functional outcomes.


1968 ◽  
Vol 11 (4) ◽  
pp. 805-810 ◽  
Author(s):  
E. R. Nilo

Twelve young adult men with normal hearing and no history of ear disease took part in our study of the relation of vibrator surface area and static application force to the vibrator-to-head coupling. For vibrator surface areas of 1.125, 2.25, and 4.5 cm 2 coupled to the forehead under static forces of 150, 300, and 600 gm, monaural thresholds of bone-conduction hearing were determined at frequencies 250, 500, 1000, and 2000 Hz. With surface area constant, threshold improvement was frequency dependent. It decreased with increasing frequency until at 2000 Hz it was minimal. In contrast to this, with force constant, the influence of surface area was observed to begin at 2000 Hz. Preliminary study suggests this influence would extend to 4000 Hz. In view of the respective influence of application force and surface area to bone-conduction hearing, equating vibrator-to-head coupling on the basis of pressure (force per unit area), when there are two or more vibrators, may not represent an adequate control.


2022 ◽  
Vol 8 ◽  
Author(s):  
Qinghe Jing ◽  
Tianhui Chen ◽  
Zexu Chen ◽  
Lina Lan ◽  
Chen Zhao ◽  
...  

Purpose:To evaluate the clinical characteristics and ocular features of patients with acute secondary angle closure, associated with lens subluxation (ASAC-LS).Methods:We performed a retrospective study at the EENT Hospital of Fudan University, Shanghai, China. A total of 41 affected eyes from 41 patients were enrolled in this study. Furthermore, 20 affected eyes were part of the ASAC-LS cohort and 21 affected eyes were included in the acute primary angle closure (APAC) cohort. The best-corrected visual acuity (BCVA), intraocular pressure (IOP), axial length (AL), minimum corneal curvature (K1), maximum corneal curvature (K2), and anterior chamber depth (ACD) were measured and compared between the 2 cohorts. In addition, inter-eye (intraindividual) comparison was performed.Results:The ASAC-LS cohort exhibited younger ages, more frequent trauma history (35%), lower IOP (27.43 ± 13.86 mmHg vs. 41.27 ± 10.36 mmHg), longer AL (23.96 ± 2.60 vs. 22.49 ± 0.77 mm), shallower ACD (1.28 ± 0.38 vs. 1.58 ± 0.23 mm), and bigger ACD differences (0.99 ± 0.52 vs. 0.15 ± 0.19 mm), as compared with the APAC cohort (all p &lt; 0.05). Moreover, eyes from the lens subluxation cohort experienced worse BCVA, higher IOP, and shallower ACD than their matched unaffected eyes (all p &lt; 0.05). Although longer AL, shallower ACD, and bigger ACD differences were strongly correlated with lens subluxation in a univariate logistic regression analysis, only the ACD difference remained significant in the multivariate model (p = 0.004, OR = 1,510.50). Additionally, according to the receiver operating characteristic (ROC) curve analysis, both ACD and ACD differences had greater value in the differential diagnosis of ASAC-LS and APAC, with a cut-off value of 1.4 and 0.63 mm, respectively.Conclusions:Shallower ACD and larger ACD differences provide the promising diagnostic potential for patients with ASAC-LS.


2022 ◽  
Vol 15 ◽  
Author(s):  
Yash Patel ◽  
Nadine Parker ◽  
Giovanni A. Salum ◽  
Zdenka Pausova ◽  
Tomáš Paus

General psychopathology and cognition are likely to have a bidirectional influence on each other. Yet, the relationship between brain structure, psychopathology, and cognition remains unclear. This brief report investigates the association between structural properties of the cerebral cortex [surface area, cortical thickness, intracortical myelination indexed by the T1w/T2w ratio, and neurite density assessed by restriction spectrum imaging (RSI)] with general psychopathology and cognition in a sample of children from the Adolescent Brain Cognitive Development (ABCD) study. Higher levels of psychopathology and lower levels of cognitive ability were associated with a smaller cortical surface area. Inter-regionally—across the cerebral cortex—the strength of association between an area and psychopathology is strongly correlated with the strength of association between an area and cognition. Taken together, structural deviations particularly observed in the cortical surface area influence both psychopathology and cognition.


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