USA
CHINA
INDIA
ASIA PACIFIC
KOREA
RUSSIA
November 6, 2015
Volume 20, Number 43
China grants approval to Avedro's KXL system
The China Food and Drug Administration has granted regulatory approval for the KXL Cross-Linking System, developer Avedro (Waltham, Mass.) said in a news release. The device is indicated to treat keratoconus and post-LASIK ectasia. The KXL Cross-Linking System is the first and only corneal cross-linking device to receive marketing approval in China, Avedro added. 
The system is awaiting regulatory approval in the U.S.
Eylea approved for mCNV treatment in EU
The European Commission has approved Eylea (aflibercept) for the treatment of visual impairment due to myopic choroidal neovascularization (mCNV), Bayer Healthcare (Berlin, Germany) said. Approval was granted based on phase 3 study results where "the majority of patients experienced a significant 2-line improvement in visual acuity on a standard eye chart," the company said.
Allergan, Mimetogen to co-develop tavilermide for dry eye
A topical formulation of a novel small molecule TrkA agonist for the treatment of dry eye disease, tavilermide, will be jointly developed and commercialized by Allergan (Dublin) and Mimetogen Pharmaceuticals (Montreal), the companies announced. Tavilermide is currently in two multicenter phase 3 studies; phase 2 study results indicated "significant improvements in both signs and symptoms [of dry eye] with 1% tavilermide versus placebo, together with strong safety, comfort and tolerability profiles," Allergan said.
Tavilermide is a small cyclic peptidomimetic of NGF, a naturally occurring protein in the eye responsible for the maintenance of corneal nerves and epithelium. Tavilermide is differentiated from other investigational therapies in dry eye disease "because it induces the production of mucin, a naturally occurring component of the tear film, and works upstream prior to inflammation," Allergan said.
New corneal structures discovered
"It's not everyday that one newly discovers parts of the human body," says Roy S. Chuck, MD, PhD, Chairman Department of Ophthalmology and Visual Sciences, Albert Einstein College of Medicine (New York). Yet his lab team, in collaboration with Prof. Choul Yong Park, a visiting scientist on sabbatical from Dongguk University, South Korea, have done just that.
In a recent published study, they describe two novel structures in the cornea of the human eye: the anterior limbal cribriform layer and presumed anchoring fibers. These structures have never been described by any means before, and were discovered by using an advanced spectroscopic technique (second harmonic generation imaging microscopy).
While the function of the collagen/elastin-containing anterior limbal cribriform layer remains unknown, it may play a supportive function as it is composed of structural proteins, passes vasculature, and underlies a stem cell region of the eye.
Raindrop Near Vision Inlay clinical data results published
A multi-center, prospective study that evaluated the visual acuity of 188 subjects with presbyopia who received the Raindrop Near Vision Inlay (ReVision Optics, Lake Forest, Calif.) in their non-dominant eye resulted in mean postoperative visual acuities of 20/25 for near vision, 20/25 for intermediate vision, and 20/32 for distance vision, the company said. Binocularly, the subjects were all 20/25 at distance. The company said this clinical data demonstrates "significant improvements" in near and intermediate vision. Detailed results from the study are published in Journal of Cataract & Refractive Surgery.
Interim results show promise for iontophoretic solution
EGP-437, an iontophoretic ophthalmic solution for patients with macular edema, has shown promising interim results in a phase 1b/2a trial, developer Eyegate Pharmaceuticals (Waltham, Mass.) said, with pseudophakic eyes responding better than phakic eyes. 
The ongoing study is a multicenter, open-label trial that has enrolled 19 patients with macular edema associated with retinal vein occlusion, diabetic retinopathy or cystoid macular edema. The primary objective of this trial was to evaluate the safety and efficacy of iontophoretic EGP-437 in patients suffering from macular edema. Three treatments at 14.0 mA-min (3.5mA) were administered on day 0, day 4 and day 9. Primary outcome of the trial measured reduction in mean central subfield thickness on day 4, day, 9 and day 14. Ozurdex (dexamethasone, Allergan, Dublin) was administered as control to patients that did not respond to the investigational therapy at day 14 and were re-evaluated at day 28.
To date, there have been no serious treatment emergent adverse effects including no increase in ocular pressure even at three times the iontophoretic dose that was used for the EyeGate's Phase 3 non-infectious anterior uveitis trial. 
An extension stage of the trial will recruit an additional 15 patients and is scheduled to begin by the end of the year, with topline results in mid-2016. 
Inaugural Innovation in Ophthalmology Award applications due January 22
The inaugural PGBio Innovation in Ophthalmology Award will support entrepreneurs in the area of ophthalmology by providing financial help as well as assistance with strategic planning, Point Guard Biosciences (Tampa, Fla.) said. The PGBio team will choose the winner based on novelty of the medical research and the ability of the project to improve the patients' quality of life. The winner will be awarded a cash prize of $10,000, and will receive assistance from the PGBio team with the development of a business plan.
The submission deadline is January 22, 2016, and the award recipient will be announced April 21, 2016.
RESEARCH BRIEFS
  • Between 1 and 5 years after Descemet stripping endothelial keratoplasty (DSEK), best-spectacle corrected visual acuity (BSCVA) continues to improve such that at 5 years, more than half of eyes see better than 20/25 with a mean total corneal thickness of 700 μm, according to Katrin Wacker, MD, and colleagues. A total of 34 subjects were examined before and at fixed intervals through 60 months after DSEK. At each visit, graft survival was determined by slit-lamp examination; best spectacle-corrected visual acuity (BSCVA) was measured using the electronic Early Treatment Diabetic Retinopathy Study (ETDRS) protocol; total anterior corneal higher-order aberrations (HOAs) were derived from corneal topography; and corneal backscatter, corneal thickness, and endothelial cell density were measured from confocal microscopy images. Mean BSCVA improved from 0.45±0.19 logMAR before DSEK to 0.09±0.13 logMAR at 5 years (P<0.001). Between 1 and 5 years, BSCVA improved by 0.06 logMAR (or 3 ETDRS letters) per year (P<0.001), and 56% of eyes were 0.1 logMAR (20/25) or better at 5 years. Graft thickness and corneal thickness did not change after surgery. Anterior corneal HOAs and backscatter decreased between 1 and 5 years (P≤0.002). Six grafts failed, of which 4 were primary (iatrogenic); mean endothelial cell loss was 55±15% at 5 years. The study is published online ahead of print in Ophthalmology.
  • A transscleral fixation of a foldable posterior chamber intraocular lens (PC IOL) using a 25-gauge pars plana vitrectomy has been described in Journal of Cataract & Refractive Surgery. A.C. Wallmann and colleagues used their technique in 80 consecutive eyes, and the results were analyzed for corrected distance visual acuity and safety indicators. Postoperative complications included retinal detachment in 2 eyes (2.5%), Irvine-Gass cystoid macular edema in 3 eyes (3.75%), persistent postoperative corneal edema in 1 eye (1.25%), hyphema in 2 eyes (2.5%), and postoperative vitreous hemorrhage with spontaneous clearing in 1 eye (1.25%). The modified external approach with a 25-gauge pars plana vitrectomy had relatively few complications, improved visual acuity in patients requiring a transsclerally sutured PC IOL, and offered several advantages over traditional anterior chamber and conventional techniques of scleral suturing.
  • More patients receiving multifocal IOLs attained better uncorrected visual acuity at a range of distances and spectacle independence compared with patients who received monofocal IOLs, according to a new study. S. Shah and colleagues evaluated visual outcomes, spectacle independence, and quality of life among nonastigmatic and astigmatic patients who received AcrySof IQ ReSTOR toric or nontoric multifocal intraocular lenses (IOLs) (Alcon Laboratories, Fort Worth, Texas) compared with those who received commercially available nontoric monofocal IOLs after bilateral cataract removal. In the multifocal group (n = 108) versus the monofocal group (n = 100), significantly more patients achieved uncorrected distance and near acuity of 0.1 logMAR or better (45.7% vs 2.1%; P < .0001) and spectacle independence (73.3% vs 25.3%; P < .0001) at 6 months. The percentage of patients who achieved uncorrected distance visual acuity of 20/40 or better at 6 months was 92% in the multifocal group and 97% in the monofocal group. The study is published in Journal of Refractive Surgery.
NEW PRODUCT BRIEFS
  • Gobiquity Mobile Health (Washington, D.C.) has launched GoCheck Kids, "the world's first and only comprehensive vision screening app" to identify amblyopia in children as young as 6 months. The app is available on iTunes.
  • Eye Care and Cure (Tucson, Ariz.) will launch the EpiGlare line of glare testing devices at next week's AAO meeting. The devices were developed by Alice Epitropoulos, MD, and are designed around a patented array of LEDs that simulates nighttime headlight glare.
  • Topcon (Oakland, N.J.) has introduced the IS-5500 Instrument Stand, which features a white LED overhead lamp, a smaller and more compact design that brings the control panel and the charging wells down towards the user, and an illuminated liquid-proof membrane control panel.
  • MacuHealth (Birmingham, Mich.) will launch its MacuHealth Plus+ line of supplements at next week's AAO meeting. MacuHealth Plus+ "provides all the benefits of the AREDS2 recommended supplement" but is also fortified with meso-zeaxanthin and has a lower level of zinc (25mg instead of 80mg).




EyeWorld Weekly Update is edited by Stacy Jablonski and Michelle Dalton.

 

EyeWorld Weekly Update (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: Eric D. Donnenfeld, MD, chief medical editor; Rosa Braga-Mele, MD, cataract editor; Clara C. Chan, MD, cornea editor; Reay H. Brown, MD, glaucoma editor; Steven C. Schallhorn, MD, refractive editor; and John A. Vukich, MD, international editor

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