In patients with uveitis and uveitic cystoid macular edema, intravitreal MTX can effectively improve visual acuity and reduce cystoid macular edema and, in some patients, allows the reduction of immunosuppressive therapy. Some patients relapse at 3 to 4 months, but a large proportion (73%) enter an extended period of remission of up to 18 months. This larger study extends the results obtained from previous smaller studies suggesting the viability of intravitreal methotrexate as a treatment option in uveitis.
The reflectivity changes of selected retinal layers differ significantly regarding different grades of RAO. SD-OCT reflectivity measurement may be used as a noninvasive method to estimate the grade of retinal ischemia in RAO.
During the VM, the RVP was increased compared with the ∆AirP. The increase in RVP (∆RVP) was significantly greater than the ∆IOP. During the VM, the calculated retinal perfusion pressure may be more strongly reduced by the ∆RVP than by the ∆IOP. These properties may influence retinal and optic nerve head pathophysiology.
Purpose
To investigate hair cortisol concentration (HCC), a biochemical correlate of long‐term cortisol output patterns, and its relationship to active central serous chorioretinopathy (CSC).
Methods
Twenty‐six participants were included in this observational pilot study (11 patients with active CSC and 15 healthy controls). Hair cortisol concentrations (HCCs) were determined from 3 cm hair strands collected near the scalp from patients and controls as an index of cumulative cortisol secretion over the 3‐month period prior to hair sampling.
Results
Patients with CSC exhibited higher HCCs (mean value: 20.14, 95% CI: 14.89–27.16 pg/mg) than healthy controls (mean value: 11.06, 95% CI: 8.63–14.22 pg/mg, p = 0.008). Group differences were not affected by relevant covariates (BMI, smoking status, sex).
Conclusion
Patients with active CSC have increased HCC, supporting the fact that cortisol is a major player in CSC pathogenesis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.