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December 1, 2014
Volume 19, Number 41
VeraPlug Punctal Occluder granted U.S. approval
The VeraPlug Punctal Occluder (Lacrivera, Lexington, Ky.) has received U.S. Food and Drug Administration approval for use in patients with dry eye, according to a news release. The company touts the occluder's low-profile dome and proprietary shaft design for easy insertion and proper anatomic fit.
Apellis Pharma to buy Potentia Pharma

Apellis Pharmaceuticals (Crestwood, Ky.) has entered into an agreement to buy Potentia Pharmaceuticals. As part of the acquisition agreement, Apellis obtained the necessary intellectual property rights to develop its complement inhibitor drug compound (APL-2) in ophthalmology, the company said.

Complement inhibition is "the only mechanism thus far to show reductions in the growth of dry AMD," Apellis said in a news release. APL-2 is in late preclinical development in ophthalmology and is expected to enter phase 2 clinical testing in patients with AMD by the middle of 2015. APL-2 is a next-generation inhibitor of compstatin derivatives with improved physicochemical properties. It inhibits complement at the levels of complement factor C3, blocking all downstream effector pathways of the complement cascade, Apellis said.
'Vast majority' lack knowledge on global eye health

Just over 40% of people in the United States are unaware that most cases of visual impairment can be prevented or treated, according to a global survey. Orbis (New York) also found the majority of adults in the U.S. underestimate the prevalence of global visual impairment with only 23% aware that there are 285 million people living in the world today who are visually impaired.

The survey did reveal that there is an understanding among the American public about the importance of eye health in relation to quality of life. Approximately two-thirds of respondents (69%) of adults in the U.S. said that visual impairment or the inability to see would have the greatest negative impact on their daily lives when compared to other health conditions such as the inability to walk, hear, smell and taste
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Genetic testing more sensitive than exome sequencing

Investigators at Massachusetts Eye and Ear and Harvard Medical School Department of Ophthalmology (Boston) and colleagues reported the development and characterization of a comprehensive genetic test for inherited eye disorders "is both highly accurate and reproducible," the university said. The Genetic Eye Disease (GEDi) test includes all of the genes known to harbor mutations that cause inherited retinal degenerations, optic atrophy and early onset glaucoma. The GEDi test uses targeted capture and next generation sequencing techniques to sequence 226 genes known to cause inherited eye disorders.

Results show that the GEDi test is 98% accurate at detecting spelling variations or mutations in the genetic code of inherited eye disease genes, and is highly reproducible between test runs. In contrast, the technique whole exome sequencing, in which the coding regions of all genes are sequenced and which is being employed commonly in clinical settings, was 88% accurate at detecting genetic variants in the same genes.
Early stage RP study shows promise

Positive effects of mesencephalic astrocyte-derived neurotrophic factor (MANF) for the protection from vision loss in an animal model of retinitis pigmentosa (RP) were seen in an early-stage clinical study, developer Amarantus BioScience Holdings (San Francisco) said in a news release.

The aim of the study was to evaluate the efficacy of protecting visual acuity by a single intravitreal injection of MANF in the rd10/rd10 genetic mouse model of RP. A single intravitreal administration of MANF after the onset of retinal degeneration on day 31 resulted in a statistically significant protective effect on visual acuity on day 38 and day 45, as compared to vehicle treated animals. This is the first observation of MANF providing a functional benefit on vision in a model of RP.

In October, Amarantus applied for orphan drug designation in the U.S.

NEI grants Mount Sinai $1 million

The National Eye Institute has awarded researchers at the Icahn School of Medicine at Mount Sinai (New York) a 5-year grant totaling $1 million that will support an effort to recreate patients' ocular stem cells and restore vision in those blinded by corneal disease, the school said in a news release.

Technological advances in recent years have enabled researchers to take mature cells, in this case eyelid or oral skin cells, and coax them backward along the development pathways to become stem cells again. These eye-specific stem cells would then be redirected down pathways that become needed replacements for damaged cells in the cornea, in theory restoring vision.

RESEARCH BRIEFS

  • Progression of anterior capsule contraction and posterior capsule opacification is less likely in aphakic eyes than in IOL-implanted eyes, according to Masamoto Aose, MD, and colleagues. They performed phacoemulsification in 8-week-old white rabbits. A hydrophobic acrylate IOL (12.5 mm) (YA-60BBR) was implanted in 1 eye and no IOL was implanted in the fellow eye. Slit lamp microscopy and anterior segment analysis were performed to evaluate anterior capsule contraction after the surgery. Starting 2 weeks after surgery, anterior capsule contraction progressed more significantly in the IOL group than in the group without IOLs. Four weeks postoperatively, lens epithelial cell (LEC) thickness at the posterior capsule was significantly less in the group without IOLs than in the IOL group. In the culture study, LEC proliferation was more inhibited in the aqueous humor group than in the saline group. The study is published online ahead of print in the Journal of Cataract & Refractive Surgery.
  • In the first study to report the incidence of IOL opacification after undergoing Descemet's stripping endothelial keratoplasty (DSAEK), M.A. Ahad and colleagues found that while the mechanism is unknown, multiple injections of air into the anterior chamber statistically increased the risk of IOL opacification. They retrospectively reviewed case notes from a single center of all patients undergoing DSAEK, who were either already pseudophakic or had simultaneous cataract surgery. Cases with IOL opacification were analyzed, and any risk factors were identified. A total of 168 DSAEK cases were performed on 154 eyes of 137 patients. Of those, 54 had simultaneous cataract surgery with implantation of an IOL. Fifteen (9.7%) eyes developed IOL opacification. Median time interval from keratoplasty to the first observation of IOL opacification was 17 months (range, 4-34 months). The only statistically significant risk factor was rebubbling of detached endothelial grafts. Rebubbling was performed in 62.5% (10/15) of cases with IOL opacification, compared with 23% (32/139) with no opacification (P=0.0009). The study is published in Cornea.
  • Nanosecond laser resolved drusen independent of retinal damage and improved Bruch's membrane structure, suggesting this treatment has the potential to reduce age-related macular degeneration progression, according to A.I. Jobling and colleagues at the Centre for Eye Research Australia (CERA). Fifty patients with AMD had a single nanosecond laser treatment session (2RT, Ellex, Adelaide, Australia), and after 2 years, change in drusen area was compared with an untreated cohort of patients. The retinal effect of the laser was determined in human and mouse eyes with thickened Bruch's membrane using immunohistochemistry and compared with untreated eyes. In patients with AMD, nanosecond laser treatment reduced drusen load at 2 years. Retinal structure was not compromised in human and mouse retina after laser treatment, with only a discrete retinal pigment epithelium injury and limited mononuclear cell response observed. Bruch's membrane was thinned in the thickened Bruch's membrane mouse 3 months after treatment, with the expression of matrix metalloproteinase-2 and -3 increased (>260%). The study is published in The FASEB Journal.

 





EYEWORLD WEEK Online is edited by Stacy Majewicz and Michelle Dalton.

EyeWorld Week Online (ISSN 1089-0319), a digital publication of the American Society of Cataract and Refractive Surgery and the American Society of Ophthalmic Administrators, is published every Friday, distributed by email, and posted live on Friday.

Medical Editors: David F. Chang, MD, chief medical editor; Bonnie An Henderson, MD, cataract editor; Clara C. Chan, MD, cornea editor; Reay H. Brown, MD, glaucoma editor; Eric D. Donnenfeld, MD, refractive editor; and John A. Vukich, MD, international editor

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