Efficacy and safety of primary posterior capsulotomy during phaco-vitrectomy for epiretinal membrane

Purpose To evaluate the necessity and safety of primary posterior capsulotomy during phaco-vitrectomy for idiopathic epiretinal membrane (ERM). Setting Seoul National University Bundang Hospital, Seongnam, Korea. Design Retrospective consecutive cohort analysis. Methods This study enrolled 219 patients (228 eyes) who underwent combined 25-gauge phaco-vitrectomy for idiopathic ERM and cataract, divided into capsulotomy (−) group (152 eyes, 144 patients) and capsulotomy (+) group (76 eyes, 75 patients). The main outcomes were rate of posterior capsular opacity (PCO) occurrence and postoperative complications. Ophthalmic examinations were performed at baseline, 1, 3, 6, and 12 months postoperatively. Results PCO only occurred in capsulotomy (−) group (20 eyes, 13.2%), with mean onset of 10.59 months. Visually-significant PCO that needed Nd:YAG posterior capsulotomy was present in 9 eyes (45.0% of PCO eyes). The rate of cystoid macular edema (CME) was higher in capsulotomy (+) group (6.6% vs. 15.8%, p = 0.026) with longer duration (1.50 vs. 3.36 months, p = 0.019). Female sex and posterior capsulotomy were significant risk factors for CME occurrence (p < 0.05). Conclusion Primary posterior capsulotomy during phaco-vitrectomy for idiopathic ERM obviated the need for Nd:YAG posterior capsulotomy, but visually-significant PCO that needed Nd:YAG laser was not common. Considering the low rate of visually-significant PCO and high rate of postoperative CME, routine posterior capsulotomy during phaco-vitrectomy may not be necessary for preventing PCO in ERM.

Light People: Professor Byoungho Lee

EditorialMajor developments were made recently in both VR (virtual reality) and AR (augmented reality) technologies, which became the focus of attention. In recent years, MR (mixed reality) technology has also emerged, and optical components play an irreplaceable role in these technologies.Professor Byoungho Lee, who graduated from the University of California at Berkeley and currently works at Seoul National University in South Korea, has been committed to the development of optical components used in VR and AR technologies. As a pioneer of optical electronics in Korea, he is involved in various well-known academic organizations in the optical field, such as the Optica, SPIE, and IEEE, as well as serving as the president of the Optical Society of Korea, leading the direction of the development of optical industry in Korea. As the ambassador of China-Korea Optoelectronics Exchange, Prof. Lee has also played an active role in Chinese optical events and activities. Over the years, he and the Journal Light: Science & Applications (LIGHT) have made progress together and have both made their names in the vast field of optoelectronics.So where did the story between Prof. Lee and the LIGHT journal begin? And what kind of link does the professor have with Changchun Institute of Optics, Fine Mechanics and Physics (CIOMP)? How did he become a pioneer in optoelectronics technology? These are the questions we are eager to ask Prof. Byoungho Lee.The future cannot be predicted, but it can be invented, said Dennis Gabor who had invented holography. The pace of human technological advancements has never stopped. Who is to say that we cannot take a virtual tour of the Palace Museum or explore the north and south poles in the future? Scientists like Prof. Lee are working hard to use technology to provide mankind with an intelligent lifestyle, and lead a new technological trend. I am sure we are all looking forward to it.

A 20-year Retrospective Study of Pediatric Oral Lesion Biopsy

The aim of this study was to provide pathological information of pediatric oral lesions by retrospectively analyzing oral biopsy results from pediatric patients at the Seoul National University Dental Hospital. Biopsy results of all oral lesions from pediatric patients, aged 0 - 16 years, were collected from the files of the Department of Oral Pathology, Seoul National University Dental Hospital from January 2000 to April 2020. The patients were divided into 3 age groups: 0 - 5, 6 - 11 and 12 - 16 years. All oral lesions were classified into three main categories: inflammatory and reactive, tumor or tumor-like and cystic lesions. Among the total of 2928 biopsy specimens, tumor or tumor-like lesions(35.66%) were the most common, followed by inflammatory and reactive lesions(34.29%) and cystic lesions(30.05%). Regardless of the categories used in this study, odontoma was the most frequently found lesion, mucocele and dentigerous cyst being the next common. This study was the first retrospective review of pediatric oral pathology in Korea, and the results from this study may assist in providing informative insight into the pediatric oral pathology for pediatric dentists.

Inflammatory Cloacogenic Polyps In Children: Diagnostic Yield of Rectal Retroflexion During Colonoscopy

Background and Aims: Inflammatory cloacogenic polyps (ICPs) are inflammatory lesions occurring around the anal transitional zone. These are rare in the pediatric population, and most reported cases are found in adults. Therefore, this study aimed to evaluate the usefulness of rectal retroflexion (RR) during colonoscopy in detecting ICPs in children.Methods: A total of 1,837 colonoscopies were performed in 1,278 children between September 2003 and August 2020 at the Seoul National University Bundang Hospital. The laboratory test results and colonoscopic and histopathological findings were retrospectively reviewed. ICP was detected using the RR and was diagnosed based on the histologic findings of the polyp. Results: A total of 69 patients were diagnosed with juvenile polyps (n = 62) or ICP (n = 7), with the latter being detected through RR. All children with ICP were diagnosed from 2013 onwards when RR during colonoscopy came to be routinely performed in our medical center. The patients with ICP were older at diagnosis and more associated with a family history of colorectal polyps than JP. Stool occult blood and the polyps’ endoscopic characteristics, such as number, location, volume, and shape, significantly varied between the two groups. Additionally, there was a statistically significant difference in the polypectomy method. During the long-term follow-up, there was no recurrence of ICP. Conclusions: Due to their location at the anorectal junction, ICPs may be overlooked during colonoscopy, leading to misdiagnosis. Therefore, a retroflexion view during colonoscopy may help detect ICPs in pediatric patients, especially those presenting with hematochezia.

A Comparative Study on the Voxel Values in Alveolar Bones Acquired by MDCT and Newly Developed Dental Dual-Energy CBCT

The purpose of this study was to analyze the effectiveness of newly developed dental dual-energy (DE) cone-beam computed tomography (CBCT) to compare both the voxel values in hard bone tissue of DE-CBCT and multidetector computed tomography (MDCT) images, collected in a clinical trial conducted at Seoul National University Dental Hospital. A software implemented as a scripted module of a three-dimensional (3D) slicer was developed to register the volume data from the MDCT space to DE-CBCT, locate the same 3D regions of interest (ROIs) in each image space, and extract the statistics of the ROIs. The mean values were paired and used as representative values of the ROIs. A scatter plot with the line of equality and Bland–Altman (BA) plot of difference for a pair of measured means were used for statistical analysis. Of the ROI pairs, 96% were within ±15% from the identity line, and more than 95% of the measured ROI pairs were within the limits of agreement of the 95% confidence intervals (CIs), with the CI of the limits in BA plots. The newly developed dental DE-CBCT showed a level of voxel value accuracy similar to that of MDCT.

Incidence of invasive fungal infection in acute lymphoblastic and acute myelogenous leukemia in the era of antimold prophylaxis

The incidence of invasive fungal infection (IFI) in patients with acute myeloid leukemia (AML) has decreased with the introduction of antimold prophylaxis. Although acute lymphoblastic leukemia (ALL) has a lower risk of IFI than does AML, the incidences of IFI in both AML and ALL in the era of antimold prophylaxis should be re-evaluated. We analyzed adults with AML or ALL who had undergone induction, re-induction, or consolidation chemotherapy from January 2017 to December 2019 at Seoul National University Hospital. Their clinical characteristics during each chemotherapy episode were reviewed, and cases with proven or probable diagnoses were regarded as positive for IFI. Of 552 episodes (393 in AML and 159 in ALL), 40 (7.2%) were IFI events. Of the IFI episodes, 8.1% (12/148) and 5.9% (13/220) (P = 0.856) occurred in cases of ALL without antimold prophylaxis and AML with antimold prophylaxis, respectively. After adjusting for clinical factors, a lack of antimold prophylaxis (adjusted odds ratio [aOR], 3.52; 95% confidence interval [CI], 1.35–9.22; P = 0.010) and a longer duration of neutropenia (per one day, aOR, 1.02; 95% CI, 1.01–1.04; P = 0.001) were independently associated with IFI. In conclusion, the incidence of IFI in ALL without antimold prophylaxis was not lower than that in AML. A lack of antimold prophylaxis and prolonged neutropenia were independent risk factors for IFI. Clinicians should be on guard for detecting IFI in patients with ALL, especially those with risk factors.

Technology Focus: Offshore Drilling and Completion (October 2021)

Communication and prediction are symmetrical. Communication, in effect, is prediction about what has happened. And prediction is communication about what is going to happen. Few industries contain as many phases, steps, and levels of interface between the start and end product as the oil and gas industry—field, office, offshore, plant, subsea, downhole, not to mention the disciplinary, functional, managerial, logistics handovers, and boundaries that exist. It therefore is hardly surprising that communication, in all its varied forms, is at the very heart of our business. The papers selected this month demonstrate how improved communication can deliver the prediction required for a variety of reasons, including safety, efficiency, and informational purposes. The application of new and exciting ways of working, partially accelerated by recent events, is leading to breakthrough improvements on all levels. Real-time processing, improved visualization, and predictive and machine-learning methods, as well as improvements in all forms of data communication, are all contributing to incremental enhancements across the board. This month, I encourage the reader to review the selected articles and determine where and how the communication and prediction are occurring and what they are delivering. Then perhaps consider performing an exercise wherein your own day-to-day roles—your own areas of communication, interfacing, and cooperation—are reviewed to see what enhancements you can make as an individual. You may be pleasantly surprised that some simple tweaks to your communication style, frequency, and format can deliver quick wins. In an era of remote working for many individuals, it is an exercise that has some value. Recommended additional reading at OnePetro: www.onepetro.org. OTC 30184 - Augmented Machine-Learning Approach of Rate-of-Penetration Prediction for North Sea Oil Field by Youngjun Hong, Seoul National University, et al. OTC 31278 - A Digital Twin for Real-Time Drilling Hydraulics Simulation Using a Hybrid Approach of Physics and Machine Learning by Prasanna Amur Varadarajan, Schlumberger, et al. OTC 31092 - Integrated Underreamer Technology With Real-Time Communication Helped Eliminate Rathole in Exploratory Operation Offshore Nigeria by Raphael Chidiogo Ozioko, Baker Hughes, et al.