Sort:
Open Access Clinical Research Issue
Predictive lipidaemic and clinical factors for PVR formation after RRD surgery in nondiabetic patients
International Journal of Ophthalmology 2026, 19(4): 733-741
Published: 18 April 2026
Abstract PDF (1.5 MB) Collect
Downloads:9
AIM

To investigate the potential impact of lipidaemic and clinical factors on the development of proliferative vitreoretinopathy (PVR) following uncomplicated primary rhegmatogenous retinal detachment (RRD) surgery in nondiabetic individuals.

METHODS

This was a retrospective, single-center, case-control study of consecutive patients who underwent primary RRD surgery. The study group comprised 145 patients who developed PVR within 3y of follow-up, while the control group comprised 161 patients with RRD who did not develop PVR. Cox regression analysis was utilized to identify independent associations between various risk markers and the occurrence of PVR.

RESULTS

The mean age of patients was 52.31y (SD=13.29), and 54.25% (n=166) were male. The median time to PVR formation after surgery was 150d. Multivariate Cox regression indicated that cigarette smoking status [hazard ratio (HR): 0.43, 95% confidence interval (CI): 0.31-0.60, P<0.001], retinal detachment (RD) not involving the macula (HR: 0.52, 95%CI: 0.37-0.73, P<0.001), apolipoprotein A1 (ApoA1; HR: 1.01, 95%CI: 1.01-1.02, P<0.001) and apolipoprotein E (ApoE; HR: 3.81, 95%CI: 1.64-8.85, P=0.002) were independent predictors of PVR.

CONCLUSION

Apart from macular involvement and smoking, the lipidaemic factors ApoA1 and ApoE are risk factors of PVR after primary RRD surgery.

Regular Paper Issue
A Transformer-Assisted Cascade Learning Network for Choroidal Vessel Segmentation
Journal of Computer Science and Technology 2024, 39(2): 286-304
Published: 30 March 2024
Abstract Collect

As a highly vascular eye part, the choroid is crucial in various eye disease diagnoses. However, limited research has focused on the inner structure of the choroid due to the challenges in obtaining sufficient accurate label data, particularly for the choroidal vessels. Meanwhile, the existing direct choroidal vessel segmentation methods for the intelligent diagnosis of vascular assisted ophthalmic diseases are still unsatisfactory due to noise data, while the synergistic segmentation methods compromise vessel segmentation performance for the choroid layer segmentation tasks. Common cascaded structures grapple with error propagation during training. To address these challenges, we propose a cascade learning segmentation method for the inner vessel structures of the choroid in this paper. Specifically, we propose Transformer-Assisted Cascade Learning Network (TACLNet) for choroidal vessel segmentation, which comprises a two-stage training strategy: pre-training for choroid layer segmentation and joint training for choroid layer and choroidal vessel segmentation. We also enhance the skip connection structures by introducing a multi-scale subtraction connection module designated as MSC, capturing differential and detailed information simultaneously. Additionally, we implement an auxiliary Transformer branch named ATB to integrate global features into the segmentation process. Experimental results exhibit that our method achieves the state-of-the-art performance for choroidal vessel segmentation. Besides, we further validate the significant superiority of the proposed method for retinal fluid segmentation in optical coherence tomography (OCT) scans on a publicly available dataset. All these fully prove that our TACLNet contributes to the advancement of choroidal vessel segmentation and is of great significance for ophthalmic research and clinical application.

Total 2