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Transpupillary thermotherapy for atypical central serous chorioretinopathy
Kawamura R,Ideta H,Hori H,Yuki K
Clinical Ophthalmology , 2012,
Abstract: Ryosuke Kawamura1,2, Hidenao Ideta1, Hideyuki Hori1, Kenya Yuki2, Tsuyoshi Uno1, Tatsurou Tanabe1, Kazuo Tsubota2, Tsutomu Kawasaki11Ideta Eye Hospital, Kumamoto, Japan; 2Keio University, School of Medicine, Department of Ophthalmology, Tokyo, JapanBackground: Central serous chorioretinopathy (CSC) has been traditionally treated with laser photocoagulation. We thought that transpupillary thermotherapy (TTT) utilizing a lower temperature than that of conventional laser photocoagulation might minimize permanent retinal and choroidal damage. Studies suggest that undesirable effects on vision due to TTT are minimal even if it is applied to foveal and/or parafoveal lesions when TTT requires a larger irradiation spot. The aim of this study was to evaluate the efficacy of TTT in the management of atypical CSC.Methods: We defined atypical CSC as bullous retinal detachment with diffuse or several leakages, severe leakage with fibrin formation under serous retinal detachment, or leakage within a pigment epithelium detachment. Eight consecutive patients with atypical CSC underwent visual acuity testing, ophthalmic examination, color photography, fluorescein angiography, and optical coherence tomography to evaluate the results of transpupillary thermotherapy. Retreatment of atypical CSC was based on ophthalmic examination, optical coherence tomography, and fluorescein angiography. TTT was performed on the leaking spots shown in fluorescein angiography, with a power of 50–250 mW, spot size of 500–1200 μm, and exposure time of 13–60 seconds to minimize retinal damage.Results: In five of eight affected eyes, serous detachments completely resolved within 1 month after the initial TTT. One eye had persistent subretinal fluid and required a second TTT treatment. Two eyes showed no resolution of CSC and were treated by conventional photocoagulation. Initial best-corrected visual acuity (BCVA) ranged from 20/600 to 20/20 (mean, 20/40; median, 20/30). Final BCVA ranged from 20/200 to 20/20 (mean, 20/25; median, 20/20). BCVA improved in all cases. Only two eyes with persistent subretinal fibrin and existing retinal pigment epithelial alternations in macular area showed limited improvement of BCVA despite the absence of subretinal exudation. The presence of retinal attachment was confirmed by optical coherence tomography in six eyes (75%).Conclusions: TTT seems to be effective for the treatment of atypical CSC in the short term. Additional studies are necessary to evaluate the long-term effectiveness and safety.Keywords: transpupillary thermotherapy, central serous chorioreti
Aggressive Graphic/Surgical R0 Resection and Jejunal Interposition with Preservation of Mesojejunal Autonomic Nerves in Patients with Stage IV Esophagogastric Junction Adenocarcinoma: A Report of 3 Cases
Daiki Yasukawa,Taku Kitano,Tomohide Hori,Yuki Aisu
- , 2019, DOI: 10.12659/AJCR.913960
Abstract:
Successful Laparoscopic Cholecystectomy in Moderate to Severe Acute Cholecystitis: Visual Explanation with Video File
Daiki Yasukawa,Tomohide Hori,Yuichi Takamatsu,Yuki Aisu
- , 2018, DOI: 10.12659/AJCR.909586
Abstract:
Imanaga’s First Method for Reconstruction with Preservation of Mesojejunal Autonomic Nerves During Pylorus-Preserving Pancreatoduodenectomy
Daiki Yasukawa,Tomohide Hori,Yuki Aisu,Yusuke Kimura
- , 2018, DOI: 10.12659/AJCR.908817
Abstract:
Laparoscopic and endoscopic cooperative surgery for gastric tumors: Perspective for actual practice and oncological benefits
Daiki Yasukawa,Tomohide Hori,Yuki Aisu,Yusuke Kimura
- , 2018, DOI: 10.4251/wjgo.v10.i11.381
Abstract:
Limit of the Principal’s Information  [PDF]
Kazumi Hori
Theoretical Economics Letters (TEL) , 2017, DOI: 10.4236/tel.2017.72018
Abstract: This note characterizes the optimal contract when a principal has unverifiable subjective information that is correlated with an agent’s private information. We find that the principal’s subjective information cannot alleviate the information asymmetry and, moreover, the second best contract is independent from it if the correlation is low.
Premature Death of a Schizophrenic Patient due to Evacuation after a Nuclear Disaster in Fukushima
Akihiko Ozaki,Arinobu Hori,Asaka Higuchi,Claire Leppold,Kana Yamamoto,Masaharu Tsubokura,Tomohiro Morita,Toyoaki Sawano,Yuki Shimada,Yuki Sonoda
- , 2019, DOI: 10.1155/2019/3284153
Abstract:
Balancing the risk of the evacuation and sheltering-in-place options: a survival study following Japan’s 2011 Fukushima nuclear incident
Akihiko Ozaki,Arinobu Hori,Asaka Higuchi,Izumi Yoshida,Kana Yamamoto,Masaharu Tsubokura,Shuhei Nomura,Yuki Shimada,Yuki Sonoda
- , 2018, DOI: 10.1136/bmjopen-2018-021482
Abstract: Objective The decision to evacuate or shelter-in-place is fundamental to emergency response, especially for a vulnerable population. While an elevated risk of mortality due to a hasty, unplanned evacuation has been well documented, there is little research on and knowledge about the health consequences of sheltering-in-place in disaster contexts. We compared hospital mortality in patients who sheltered-in-place (non-evacuees) after the incident with the baseline preincident mortality and articulated postincident circumstances of the hospital while sheltering-in-place. Participants We considered all 484 patients admitted to Takano Hospital (located 22?km South of the Fukushima Daiichi nuclear power plant) from 1 January 2008 to 31 December 2016. Methods Significant differences in mortality rates between preincident baseline and three postincident groups (evacuees, non-evacuees (our major interest) and new admittees) were tested using the Bayesian survival analysis with Weibull multivariate regression and survival probability using the Kaplan-Meier product limit method. All the analyses were separately performed by the internal and psychiatry department. Results After adjusting for covariates, non-evacuees in the internal department had a significantly higher mortality risk with an HR of 1.57 (95% credible intervals 1.11 to 2.18) than the baseline preincident. Of them, most deaths occurred within the first 100 days of the incident. No significant increase in mortality risk was identified in evacuees and new admittees postincident in the department, which were adjusted for covariates. In contrast, for the psychiatry department, statistical difference in mortality risk was not identified in any groups. Conclusions The mortality risk of sheltering-in-place in a harsh environment might be comparable to those in an unplanned evacuation. If sheltering-in-place with sufficient resources is not guaranteed, evacuation could be a reasonable option, which might save more lives of vulnerable people if performed in a well-planned manner with satisfactory arrangements for appropriate transportation and places to safely evacuate
Transpupillary thermotherapy for atypical central serous chorioretinopathy
Kawamura R, Ideta H, Hori H, Yuki K, Uno T, Tanabe T, Tsubota K, Kawasaki T
Clinical Ophthalmology , 2012, DOI: http://dx.doi.org/10.2147/OPTH.S28239
Abstract: anspupillary thermotherapy for atypical central serous chorioretinopathy Case Series (2643) Total Article Views Authors: Kawamura R, Ideta H, Hori H, Yuki K, Uno T, Tanabe T, Tsubota K, Kawasaki T Published Date January 2012 Volume 2012:6 Pages 175 - 179 DOI: http://dx.doi.org/10.2147/OPTH.S28239 Received: 14 November 2011 Accepted: 16 December 2011 Published: 25 January 2012 Ryosuke Kawamura1,2, Hidenao Ideta1, Hideyuki Hori1, Kenya Yuki2, Tsuyoshi Uno1, Tatsurou Tanabe1, Kazuo Tsubota2, Tsutomu Kawasaki1 1Ideta Eye Hospital, Kumamoto, Japan; 2Keio University, School of Medicine, Department of Ophthalmology, Tokyo, Japan Background: Central serous chorioretinopathy (CSC) has been traditionally treated with laser photocoagulation. We thought that transpupillary thermotherapy (TTT) utilizing a lower temperature than that of conventional laser photocoagulation might minimize permanent retinal and choroidal damage. Studies suggest that undesirable effects on vision due to TTT are minimal even if it is applied to foveal and/or parafoveal lesions when TTT requires a larger irradiation spot. The aim of this study was to evaluate the efficacy of TTT in the management of atypical CSC. Methods: We defined atypical CSC as bullous retinal detachment with diffuse or several leakages, severe leakage with fibrin formation under serous retinal detachment, or leakage within a pigment epithelium detachment. Eight consecutive patients with atypical CSC underwent visual acuity testing, ophthalmic examination, color photography, fluorescein angiography, and optical coherence tomography to evaluate the results of transpupillary thermotherapy. Retreatment of atypical CSC was based on ophthalmic examination, optical coherence tomography, and fluorescein angiography. TTT was performed on the leaking spots shown in fluorescein angiography, with a power of 50–250 mW, spot size of 500–1200 μm, and exposure time of 13–60 seconds to minimize retinal damage. Results: In five of eight affected eyes, serous detachments completely resolved within 1 month after the initial TTT. One eye had persistent subretinal fluid and required a second TTT treatment. Two eyes showed no resolution of CSC and were treated by conventional photocoagulation. Initial best-corrected visual acuity (BCVA) ranged from 20/600 to 20/20 (mean, 20/40; median, 20/30). Final BCVA ranged from 20/200 to 20/20 (mean, 20/25; median, 20/20). BCVA improved in all cases. Only two eyes with persistent subretinal fibrin and existing retinal pigment epithelial alternations in macular area showed limited improvement of BCVA despite the absence of subretinal exudation. The presence of retinal attachment was confirmed by optical coherence tomography in six eyes (75%). Conclusions: TTT seems to be effective for the treatment of atypical CSC in the short term. Additional studies are necessary to evaluate the long-term effectiveness and safety.
Internal Hernia Associated with Colostomy After Laparoscopic Surgery for Rectal Malignancy: A Report of 3 Thought-Provoking Cases
Daiki Yasukawa,Taku Kitano,Tomohide Hori,Yuichi Takamatsu,Yuki Aisu,Yusuke Kimura
- , 2018, DOI: 10.12659/AJCR.912676
Abstract:
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