ConferenceOphthalmic Epidemiol · October 2020
AIMS: To assess contributions of dietary and genetic factors to ethnic differences in AMD prevalence. DESIGN: Population-based analytical study. METHODS: In the Blue Mountains Eye Study, Australia (European ancestry n = 2826) and Multi-Ethnic Cohort Study, ...
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Journal ArticleBr J Ophthalmol · February 2020
BACKGROUND/AIMS: To validate a preference-based Diabetic Retinopathy Utility Index (DRU-I) using discrete choice experiment (DCE) methods and assess disutilities associated with vision-threatening DR (VTDR: severe non-proliferative DR, proliferative DR and ...
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Journal ArticleBr J Ophthalmol · December 2019
AIMS: Diabetes is a major public health problem in migrants and ethnic minorities worldwide. We determined the incidence and risk factors of diabetic retinopathy (DR) in migrant Indians living in Singapore. METHODS: We included data from 759 Indian adults ...
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Journal ArticleAm J Ophthalmol · December 2019
PURPOSE: We sought to determine the association of refractive error and its associated determinants (axial length [AL], anterior chamber depth, and corneal curvature) with the incidence and progression of diabetic retinopathy (DR). DESIGN: Population-based ...
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Journal ArticleBr J Ophthalmol · November 2019
BACKGROUND/AIM: The relationship between diabetic retinopathy (DR) and cognitive impairment (CI) is unclear due to equivocal findings from cross-sectional studies and a lack of long-term data. In this population-based cohort study, we investigated the long ...
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Journal ArticleBr J Ophthalmol · October 2019
BACKGROUND/AIMS: To evaluate the distribution and determinants of outer retinal thickness in eyes without retinal diseases, using spectral-domain optical coherence tomography (SD-OCT). METHODS: Participants were recruited from the Singapore Epidemiology of ...
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Journal ArticleBr J Ophthalmol · October 2019
Myopic eyes have an increased risk of glaucoma. However, glaucomatous changes in a myopic eye are often difficult to detect. Classic structural and functional investigations to diagnose glaucoma may be confounded by myopia. Here, we identify some of the co ...
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Journal ArticleMicrocirculation · October 2019
OBJECTIVE: Intermediate phenotypes of microcirculation (retinal microvascular caliber) are associated with cardiovascular (CV) risk factors and independently predict CV events. However, the effect of microcirculation variation on the vascular system is unc ...
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Journal ArticleRetina · September 2019
PURPOSE: To characterize the choriocapillaris (CC) in highly myopic eyes with myopic maculopathy, using optical coherence tomographic angiography. METHODS: Prospective, clinic-based study of 42 eyes of 38 patients with high myopia (≤-6 diopters and axial l ...
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Journal ArticleBr J Ophthalmol · September 2019
BACKGROUND/AIMS: To assess the independent impact of diabetic retinopathy (DR) on three domains of vision-related quality of life (VRQoL) in a Chinese Singapore population. METHODS: The Singapore Chinese Eye Study (n=3353; 2009-2011) was a population-based ...
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Journal ArticleInt J Obes (Lond) · September 2019
STUDY AIM: Retinal microvasculature changes reflect systemic small vessel damage from obesity. The impact of bariatric surgery induced weight loss on the microvasculature is relatively unknown. We hypothesized that weight loss following bariatric surgery w ...
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Journal ArticleProg Retin Eye Res · September 2019
The advent of computer graphic processing units, improvement in mathematical models and availability of big data has allowed artificial intelligence (AI) using machine learning (ML) and deep learning (DL) techniques to achieve robust performance for broad ...
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Journal ArticleActa Ophthalmol · August 2019
PURPOSE: To determine the influence of baseline myopic macular degeneration (MMD) severity on outcomes with intravitreal aflibercept (IVT-AFL) in patients with myopic choroidal neovascularization (CNV). METHODS: MYRROR was a randomized, double-masked study ...
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Journal ArticleBr J Ophthalmol · July 2019
AIM: To evaluate racial differences, and ocular and systemic determinants of macular thickness (MT), measured by spectral-domain optical coherence tomography (SD-OCT) in a normal multiethnic Asian population. METHOD: MT was measured from a 6×6 mm2 central ...
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Journal ArticleBr J Ophthalmol · July 2019
BACKGROUND: To assess prevalence and causes of vision impairment in South-east Asia and Oceania regions from 1990 to 2015 and to forecast the figures for 2020. METHODS: Based on a systematic review of medical literature, prevalence of blindness (presenting ...
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Journal ArticleBr J Ophthalmol · July 2019
BACKGROUND: To assess the prevalence and causes of vision impairment in North Africa and the Middle East (NAME) from 1990 to 2015 and to forecast projections for 2020. METHODS: Based on a systematic review of medical literature, the prevalence of blindness ...
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Journal ArticleBr J Ophthalmol · June 2019
BACKGROUND/AIMS: With the perspective to provide individualised panretinal laser photocoagulation (PRP) for proliferative diabetic retinopathy (PDR), we evaluated if retinal peripheral capillary non-perfusion (PCNP) and oximetry, as non-invasive markers of ...
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Journal ArticleJ Am Med Dir Assoc · June 2019
OBJECTIVES: The informant-AD8 (i-AD8) was found to be reliable in detecting cognitive impairment and dementia in tertiary and primary health care settings. We evaluated the discriminability of the i-AD8, as compared to other brief cognitive measures, and i ...
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Journal ArticleAm J Epidemiol · June 1, 2019
A person's lipid profile is influenced by genetic variants and alcohol consumption, but the contribution of interactions between these exposures has not been studied. We therefore incorporated gene-alcohol interactions into a multiancestry genome-wide asso ...
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Journal ArticleOphthalmic Epidemiol · June 2019
PURPOSE: Visual field (VF) sensitivity is known to be age-dependent, but there is a paucity of evidence on whether it is gender-dependent. We therefore investigated the effect of gender on VF sensitivity. METHODS: An observational study involving 491 adult ...
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Journal ArticleOphthalmology · May 2019
PURPOSE: To describe variations in retinal nerve fiber layer (RNFL) thickness based on spectral-domain (SD) OCT in a multiethnic Asian population. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: Ethnic Chinese, Malay, and Indian adults older ...
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Journal ArticleLancet Digit Health · May 2019
BACKGROUND: Radical measures are required to identify and reduce blindness due to diabetes to achieve the Sustainable Development Goals by 2030. Therefore, we evaluated the accuracy of an artificial intelligence (AI) model using deep learning in a populati ...
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Journal ArticleJpn J Ophthalmol · May 2019
PURPOSE: To investigate the performance of deep convolutional neural networks (DCNNs) for glaucoma discrimination using color fundus images STUDY DESIGN: A retrospective study PATIENTS AND METHODS: To investigate the discriminative ability of 3 DCNNs, we u ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 1, 2019
PURPOSE: The purpose of this study was to investigate the association between sleep (duration and quality) and symptoms of dry eye in Singapore Malay and Indian adults. METHODS: This was a prospective cross-sectional study. A total of 3303 subjects aged 40 ...
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Journal ArticleSci Rep · April 9, 2019
We investigated the characteristics of the choriocapillaris flow voids using optical coherence tomography angiography (OCTA) in 85 patients (164 eyes) with hypertension (mean ± SD age, 56 ± 11 years; 45% women; 20% poorly controlled BP; 16% diabetes) who a ...
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Journal ArticleOphthalmology · April 2019
TOPIC: OCT is a noninvasive tool to measure specific retinal layers in the eye. The relationship of retinal spectral-domain (SD) OCT measurements with Alzheimer's disease (AD) and mild cognitive impairment (MCI) remains unclear. Hence, we conducted a syste ...
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Journal ArticleNat Genet · April 2019
The concentrations of high- and low-density-lipoprotein cholesterol and triglycerides are influenced by smoking, but it is unknown whether genetic associations with lipids may be modified by smoking. We conducted a multi-ancestry genome-wide gene-smoking i ...
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Journal ArticleRetina · March 2019
PURPOSE: To assess the treatment effect of intravitreal aflibercept and ranibizumab in Asian patients with neovascular age-related macular degeneration. METHODS: We evaluated data from VIEW 1 and VIEW 2, comparing functional and morphologic outcomes at Wee ...
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Journal ArticleJ Hypertens · March 2019
OBJECTIVE: Reduction in capillary density or rarefaction is a hallmark of essential hypertension. We measured the retinal capillary density using noninvasive optical coherence tomographic angiography (OCT-A) in adults with treated systemic hypertension and ...
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Journal ArticleJAMA Netw Open · March 1, 2019
IMPORTANCE: The association of diabetic microvascular complications such as diabetic retinopathy (DR) and diabetic kidney disease (DKD) with mortality in populations is not clear. OBJECTIVE: To examine the association of DR and DKD separately and jointly w ...
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Journal ArticleBr J Ophthalmol · February 2019
BACKGROUND: To investigate the biological effect of ageing on intraocular pressure (IOP) and risk factors in a population-based cohort study of Malay and Indian adults. METHODS: Participants aged 40-80 years were recruited for baseline and 6-year follow-up ...
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Journal ArticleBr J Ophthalmol · February 2019
Artificial intelligence (AI) based on deep learning (DL) has sparked tremendous global interest in recent years. DL has been widely adopted in image recognition, speech recognition and natural language processing, but is only beginning to impact on healthc ...
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Journal ArticleDiabetes · February 2019
To identify genetic variants associated with diabetic retinopathy (DR), we performed a large multiethnic genome-wide association study. Discovery included eight European cohorts (n = 3,246) and seven African American cohorts (n = 2,611). We meta-analyzed a ...
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Journal ArticleCurr Opin Neurol · February 2019
PURPOSE OF REVIEW: To summarize the current findings on clinical retinal diseases and retinal imaging changes with dementia, focusing on Alzheimer's disease. RECENT FINDINGS: Studies observed that clinical retinal diseases such as age-related macular degen ...
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Journal ArticleAm J Kidney Dis · February 2019
RATIONALE & OBJECTIVE: Chronic kidney disease (CKD) is complicated by abnormalities that reflect disruption in filtration, tubular, and endocrine functions of the kidney. Our aim was to explore the relationship of specific laboratory result abnormalities a ...
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Journal ArticleNeurology · January 28, 2019
OBJECTIVE: To explore genetic and lifestyle risk factors of MRI-defined brain infarcts (BI) in large population-based cohorts. METHODS: We performed meta-analyses of genome-wide association studies (GWAS) and examined associations of vascular risk factors ...
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Journal ArticleJ Neurol Sci · January 15, 2019
BACKGROUND AND PURPOSE: To investigate small vessel abnormalities in patients with cognitive impairment, we compared retinal microvascular alterations between patients with cognitive impairment related to Alzheimer's disease (ADCI) and those with subcortic ...
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Journal ArticleNat Commun · January 8, 2019
Emmanuelle Souzeau, who contributed to analysis of data, was inadvertently omitted from the author list in the originally published version of this Article. This has now been corrected in both the PDF and HTML versions of the Article. ...
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Journal ArticleJAMA Netw Open · January 4, 2019
IMPORTANCE: Thicker or thinner central corneas may lead to either overestimation or underestimation of intraocular pressure, which is the most important causal and treatable risk factor for glaucoma. However, the findings on the associations between diabet ...
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Journal ArticleGenet Med · January 2019
PURPOSE: Genomic studies have demonstrated the necessity of ethnicity-specific population data to ascertain variant pathogenicity for disease diagnosis and treatment. This study examined the carrier prevalence of treatable inherited disorders (TIDs), where ...
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Journal ArticlePulmonary Circulation · January 1, 2019
Retinal vessel diameters have been associated with left ventricular morphology and function but their relationship with the right ventricle (RV) has not been studied. We hypothesized that wider retinal venules and narrower retinal arterioles are associated ...
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Journal ArticleSurv Ophthalmol · 2019
Randomized controlled trials are the gold standard in medical research, providing evidence of the efficacy of a treatment in well-defined patient populations. By contrast, real-world studies explore the effectiveness of treatments in routine clinical pract ...
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Journal ArticlePLoS One · 2019
BACKGROUND: Chronic kidney disease (CKD) contributes significant morbidity and mortality among Asians; hence interventions should focus on those most at-risk of progression. However, current end stage renal failure (ESRF) risk stratification tools are comp ...
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Journal ArticlePLoS One · 2019
INTRODUCTION: Half of all hypertensive individuals have inadequately-controlled BP because monitoring methods are ineffective. This single centre study examined consecutive subjects undergoing 24 hour BP measurements for clinic and ambulatory BP levels, an ...
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Journal ArticleAnal Chim Acta · December 11, 2018
Metabolomics, the identification and quantitation of metabolites in a system, have been applied to identify new biomarkers or elucidate disease mechanism. In this review, we discussed the application of metabolomics in several ocular diseases and recent de ...
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Journal ArticleOphthalmology · December 2018
PURPOSE: To report the 6-year incidence of cataract surgery in an Asian population-based cohort of Malay, Indian, and Chinese persons living in Singapore and factors associated with undergoing cataract surgery over the follow-up period. DESIGN: Population- ...
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Journal ArticleCommunity Dent Oral Epidemiol · December 2018
OBJECTIVES: To examine associations between periodontitis at ages 32 and 38 and a range of early cardiometabolic risk biomarkers at age 38. METHODS: Periodontal probing depth and bleeding on probing data collected during the age-32 and age-38 assessments i ...
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Journal ArticleDiabetes Care · December 2018
OBJECTIVE: The goal of this study was to describe the development and validation of an artificial intelligence-based, deep learning algorithm (DLA) for the detection of referable diabetic retinopathy (DR). RESEARCH DESIGN AND METHODS: A DLA using a convolu ...
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Journal ArticlePediatr Diabetes · December 2018
BACKGROUND/OBJECTIVE: Adolescents with type 1 diabetes have early macrovascular changes (increased intima-media thickness [IMT]) and early retinal changes that predict clinical disease in adulthood. We hypothesized that early changes in the macrovascular a ...
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Journal ArticleOphthalmol Retina · December 2018
PURPOSE: To evaluate the association between the choroidal thickness (CT) and the characteristics of drusen and exudative age-related macular degeneration (AMD) sub-phenotypes in Asian and white populations. DESIGN: Retrospective clinical cohort study. PAR ...
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Journal ArticleNat Commun · November 28, 2018
Blood pressure (BP) is a major risk factor for cardiovascular disease and more than 200 genetic loci associated with BP are known. Here, we perform a multi-stage genome-wide association study for BP (max N = 289,038) principally in East Asians and meta-ana ...
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Journal ArticleLancet · November 10, 2018
BACKGROUND: The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome ...
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Journal ArticleActa Ophthalmol · November 2018
PURPOSE: To determine the type and prevalence of peripheral retinal changes and its relationship with axial length (AL) in a population of young Asian adult males. METHODS: This was a cross-sectional study of male subjects aged between 19 and 25 years old. ...
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Journal ArticleOphthalmology · November 2018
PURPOSE: To examine the relationships of retinal vessel geometric characteristics (RVGCs) to the incidence and progression of diabetic retinopathy (DR). DESIGN: Observational, prospective cohort study. PARTICIPANTS: Nine hundred ninety-six persons with typ ...
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Journal ArticleActa Ophthalmol · November 2018
PURPOSE: Diabetic retinopathy is the most common eye complication in patients with diabetes. The purpose of this study is to identify genetic factors contributing to severe diabetic retinopathy. METHODS: A genome-wide association approach was applied. In t ...
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Journal ArticleJ Am Heart Assoc · October 16, 2018
Background This study examined the association between ideal cardiovascular health ( CVH ) and the retinal microvasculature in midadulthood. Methods and Results The Cardiovascular Risk in Young Finns Study included children from 5 Finnish University cities ...
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Journal ArticleSci Rep · October 4, 2018
Population-based data investigating generational differences in the risk of incident cardiovascular disease (CVD) and its risk determinants are rare. We examined the 6-year incidence of CVD and its risk factors in first- and second-generation ethnic Indian ...
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Journal ArticleBr J Ophthalmol · October 2018
OBJECTIVE: To elucidate the inter-relationship between ocular perfusion pressure (OPP), blood pressure (BP), intraocular pressure (IOP) profiles and primary open-angle glaucoma (POAG) in a multiethnic Asian population. METHODS: Participants were recruited ...
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Journal ArticleCytokine · October 2018
AIMS: Tear cytokine levels indicate severity of ocular surface inflammation. Previous reports of cytokine concentrations were based on hospital-based studies or non-Chinese populations. We determine the range of tear concentration of cytokines in a represe ...
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Journal ArticleLancet · September 29, 2018
Age-related macular degeneration is a leading cause of visual impairment and severe vision loss. Clinically, it is classified as early-stage (medium-sized drusen and retinal pigmentary changes) to late-stage (neovascular and atrophic). Age-related macular ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 4, 2018
PURPOSE: To determine the prevalence, risk factors, and impact of myopic macular degeneration (MMD) on visual impairment and functioning among adults in Singapore. METHODS: A comprehensive eye examination, including subjective refraction, axial length, and ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 4, 2018
PURPOSE: To determine whether there is an association between polymorphisms of the AKR1B1 gene and cortical cataract in the presence of hyperglycemia. METHODS: In the second cross section of the Blue Mountains Eye Study (BMES), 3508 participants (2334 at 5 ...
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Journal ArticleRetina · September 2018
PURPOSE: To compare changes in optical coherence tomography angiography in eyes with polypoidal choroidal vasculopathy after treatment with anti-vascular endothelial growth factor monotherapy or combined with photodynamic therapy. METHODS: This is a longit ...
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Journal ArticleClin Exp Ophthalmol · September 2018
IMPORTANCE: While consumption of soft drink may increase the risk of cardiovascular disease, the relationship between soft drink consumption and diabetes complications is unknown. BACKGROUND: To explore the association between regular and diet soft drink c ...
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Journal ArticleOphthalmology · September 2018
PURPOSE: To investigate the independent impact of the incidence and progression of diabetic retinopathy (DR) on visual functioning (VF). DESIGN: Population-based cohort study. PARTICIPANTS: A total of 518 participants aged 40 to 80 years (baseline visit 20 ...
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Journal ArticleClin Exp Optom · September 2018
BACKGROUND: To investigate the relationship between dietary intakes at six, nine and 12 months and risk of myopia in three-year-old children in a birth cohort. METHODS: Three hundred and seventeen children from the Growing Up in Singapore Towards Healthy O ...
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Journal ArticleObstetric Medicine · September 1, 2018
Background: The retinal microcirculation provides a unique view of microvessel structure by means of non-invasive, retinal image analysis. The aim of the study was to compare the retinal vessel caliber at delivery and one-year post-partum between women who ...
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Journal ArticleExp Eye Res · September 2018
Anti-vascular endothelial growth factor (VEGF) therapies lead to a major breakthrough in treatment of neovascular retinal diseases such as age-related macular degeneration or diabetic retinopathy. Current management of these conditions require regular and ...
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Journal ArticleSci Rep · August 28, 2018
We evaluated automated OCT-derived drusen volume measures in a population-based study (n = 4,512) aged ≥40 years, and its correlation with conventional color fundus photographs (CFP)-derived early AMD features. Participants had protocol-based assessment to ...
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Journal ArticleSci Rep · August 15, 2018
We evaluated the prevalence of visual impairment (VI) and blindness among Chinese adults in the Singapore Chinese Eye Study (SCES, 2009-2011), and compared the trends with the Tanjong Pagar Survey, Singapore (TPS), conducted a decade earlier. The SCES comp ...
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Journal ArticleBr J Ophthalmol · August 2018
BACKGROUND: To evaluate retinal thickness profiles in eyes with and without diabetic retinopathy (DR) using spectral-domain optical coherence tomography (SD-OCT) among individuals with diabetes. METHODS: Participants were recruited from the Singapore Epide ...
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Journal ArticleJAMA Ophthalmol · August 1, 2018
IMPORTANCE: Since the advent of optical coherence tomography angiography (OCT-A), nonexudative neovascularization has been described in the fellow eyes of unilateral exudative age-related macular degeneration (AMD). However, there is limited literature des ...
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Journal ArticleJ Glaucoma · August 2018
PURPOSE: Glaucomatous optic disc (GOD) might represent various subclinical processes. However, whether the presence of GOD is related to vascular processes is less clear. This study aimed to assess the retinal vessel diameter, as surrogate markers of vascu ...
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Journal ArticlePediatr Infect Dis J · August 2018
Whether individuals who had toxic shock syndrome in childhood have differences in macro- and retinal microvascular parameters indicative of increased cardiovascular risk is unknown. We found no evidence of adverse macrovascular changes in 22 toxic shock sy ...
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Journal ArticleBr J Ophthalmol · July 2018
PURPOSE: We used systematic review and meta-analysis to identify and assimilate evidence quantifying blindness and visual impairment (VI) associated with myopic macular degeneration (MMD), then derived models to predict global patterns. The models were use ...
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Journal ArticleJAMA Ophthalmol · July 1, 2018
IMPORTANCE: Polypoidal choroidal vasculopathy (PCV) is common in Asian populations, but an optimal treatment approach remains to be confirmed. OBJECTIVE: To evaluate intravitreal aflibercept injection (IAI) in participants with PCV and compare IAI monother ...
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Journal ArticleBr J Ophthalmol · July 2018
AIMS: We explored the direct and indirect impact of restrictions in daily living activities on the relationship between perceived visual symptoms associated with diabetic retinopathy (DR) and psychological functioning. METHODS: In this prospective, cross-s ...
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Journal ArticleProc Natl Acad Sci U S A · June 12, 2018
Central serous chorioretinopathy (CSC) is a common disease affecting younger people and may lead to vision loss. CSC shares phenotypic overlap with age-related macular degeneration (AMD). As recent studies have revealed a characteristic increase of choroid ...
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Journal ArticleSci Rep · June 11, 2018
We aimed to determine the 6-year incidence and risk factors of age-related macular degeneration (AMD) in first and second generations of Singaporean Indians. Baseline examination was conducted in 2007-9 and 6-year propsective follow-up examination of this ...
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Journal ArticleMetabolism · June 2018
BACKGROUND: Women with gestational diabetes mellitus (GDM) are at greater risk of metabolic syndrome (MetS). We studied the association between second-trimester retinal microvasculature and 5-year MetS incidence in women with GDM. METHODS: A total of 142 m ...
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Journal ArticleActa Ophthalmol · June 2018
PURPOSE: We aimed to investigate changes in retinal vascular geometry over time after panretinal photocoagulation (PRP) in patients with proliferative diabetic retinopathy (PDR). METHODS: Thirty-seven eyes with PDR were included. Wide-field fluorescein ang ...
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Journal ArticleNat Genet · June 2018
Refractive errors, including myopia, are the most frequent eye disorders worldwide and an increasingly common cause of blindness. This genome-wide association meta-analysis in 160,420 participants and replication in 95,505 participants increased the number ...
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Journal ArticleInt J Epidemiol · June 1, 2018
BACKGROUND: Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-press ...
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Journal ArticleOphthalmol Retina · June 2018
PURPOSE: There is a limited understanding of ocular risk factors for diabetic retinopathy (DR). Our aim therefore was to determine the relationship of 2 retinal signs related to axial myopia (peripapillary atrophy [PPA] and fundus tessellation) with DR. DE ...
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ConferenceProceedings - International Symposium on Biomedical Imaging · May 23, 2018
Computer aided detection for automatic ocular disease detection is an important area of research. As different ocular diseases possess different characteristics and present at different locations within the eye, it is difficult to find a common way to effe ...
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Journal ArticleSci Rep · May 15, 2018
We evaluated the rate and risk factors associated with falls and recurrent falls in a multi-ethnic Asian population. 10,009 participants aged ≥40 years (mean[SD] age = 58.9[10.4] years) underwent clinical examinations and completed interviewer-administered ...
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Journal ArticleNat Commun · May 14, 2018
Central corneal thickness (CCT) is a highly heritable trait associated with complex eye diseases such as keratoconus and glaucoma. We perform a genome-wide association meta-analysis of CCT and identify 19 novel regions. In addition to adding support for kn ...
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Journal ArticleOphthalmology · May 2018
Polypoidal choroidal vasculopathy (PCV) is an age-related macular degeneration (AMD) subtype and is seen particularly in Asians. Previous studies have suggested disparity in response to intravitreal injections of anti-vascular endothelial growth factor (VE ...
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Journal ArticleOphthalmology · May 2018
PURPOSE: To investigate whether newly identified genetic loci for primary angle-closure glaucoma (PACG) are associated with early stage angle-closure disease defined as primary angle closure suspect (PACS). DESIGN: Case-control study. PARTICIPANTS: A total ...
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Journal ArticleBr J Ophthalmol · May 2018
BACKGROUND: Within a surveillance of the prevalence and causes of vision impairment in high-income regions and Central/Eastern Europe, we update figures through 2015 and forecast expected values in 2020. METHODS: Based on a systematic review of medical lit ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 1, 2018
PURPOSE: To identify genetic risk factors contributing to central corneal thickness (CCT) in individuals from South India, a population with a high prevalence of ocular disorders. METHODS: One hundred ninety-five individuals from 15 large South Indian pedi ...
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Journal ArticleBr J Ophthalmol · April 2018
PURPOSE: Optical coherence tomography angiography (OCT-A) potentially allows for rapid and non-invasive quantification of retinal capillary plexus density in various disease states. This study aims to identify the key features that influenced the repeatabi ...
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Journal ArticleDiabetologia · April 2018
AIMS/HYPOTHESIS: We examined the hypothesis that elevation in urinary albumin creatinine ratio (ACR) in adolescents with type 1 diabetes is associated with abnormal retinal vascular geometry (RVG) phenotypes. METHODS: A cross-sectional study at baseline of ...
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Journal ArticleOptom Vis Sci · April 2018
SIGNIFICANCE: People with vision loss from diabetic retinopathy (DR) and diabetic macular edema (DME) use problem-focused and emotion-regulation strategies that may influence their short- and longer-term adaptation and psychological outcomes. Our findings ...
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Journal ArticleNutr Diabetes · March 7, 2018
AIMS: To examine the association of body mass index (BMI) with the incidence of diabetes mellitus (DM) and diabetic retinopathy (DR) in Asians. METHODS: We analysed data from 4101 adults (Malay, n = 1901 and Indian, n = 2200) who participated in the baseli ...
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Journal ArticleBr J Ophthalmol · March 2018
AIM: To assess the change in vision-related quality of life (VRQoL) after treatment for neovascular age-related macular degeneration (nAMD) and factors influencing this change in an Asian population. METHODS: In this longitudinal study, 116 patients (mean ...
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Journal ArticleBr J Ophthalmol · March 2018
BACKGROUND/AIMS: Proliferative diabetic retinopathy (PDR) is a severe blinding condition. We investigated whether retinal metabolism, measured by retinal oximetry, may predict PDR activity after panretinal laser photocoagulation (PRP). METHODS: We performe ...
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Journal ArticleAm J Hum Genet · March 1, 2018
Genome-wide association analysis advanced understanding of blood pressure (BP), a major risk factor for vascular conditions such as coronary heart disease and stroke. Accounting for smoking behavior may help identify BP loci and extend our knowledge of its ...
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Journal ArticleEndocr Connect · March 2018
AIMS: The cumulative effect of gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP) on postpartum cardio-metabolic diseases is equivocal. We aimed to assess the associations of GDM and HDP's individual and synergic contribution ...
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Journal ArticleJ Geriatr Psychiatry Neurol · March 2018
OBJECTIVE: Sleep disturbances were found to be associated with more behavioral and psychological symptoms (BPS) in early patients with Alzheimer's disease (AD). However, data on preclinical stages of dementia are lacking. Hence, the present study sought to ...
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Journal ArticleSci Rep · February 12, 2018
Diabetic retinopathy (DR) is a retinal microvascular disease characterized by inflammatory and angiogenic pathways. In this study, we evaluated NLRP3 inflammasome in a double transgenic mouse model, Akimba (Ins2 Akita xVEGF+/-), which demonstrates hypergly ...
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Journal ArticleActa Ophthalmol · February 2018
PURPOSE: To identify ocular factors that affect signal strength in spectral-domain optical coherence tomography (SD-OCT). METHODS: Data from 1312 participants of the population-based Singapore Malay Eye Study-2 (SiMES-2) were included in the analysis. All ...
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Journal ArticleBr J Ophthalmol · February 2018
PURPOSE: To describe the prevalence, subtypes, severity and determinants of ocular trauma (OT) in a population-based study in Singapore. METHODS: We included 3353 Chinese adults aged ≥40 years from the Singapore Chinese Eye Study, a population-based study, ...
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Journal ArticleOphthalmic Epidemiol · February 2018
PURPOSE: Assessment of tear film and conjunctiva is critical to define presence and severity of ocular surface disease. We aimed to characterize tear meniscus area (TMA) and conjunctivochalasis by anterior segment optical coherence tomography (ASOCT) in po ...
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Journal ArticleJ Diabetes Complications · February 2018
AIMS: To investigate changes in retinal vessel diameter during acute hyperglycemia in patients with type 1 diabetes. METHODS: We conducted a study on 11 subjects with type 1 diabetes. Euglycemia was maintained for 3h followed by induction of hyperglycemia ...
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Journal ArticleJ Glaucoma · February 2018
PURPOSE: The purpose of this article is to assess the quality of care and economic benefits of a shared care model managing patients with stable glaucoma in a primary eye care (PEC) clinic compared with a tertiary specialist outpatient clinic (SOC) in Sing ...
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Journal ArticleSci Rep · January 15, 2018
In this cross-sectional study, we evaluated the association of dietary fish intake with varying severity of diabetic retinopathy (DR) and retinal vascular caliber in Asians with type 2 diabetes mellitus. 357 Asians (median age: 58 years; 31% women; 78% Chi ...
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Journal ArticleJ Am Heart Assoc · January 6, 2018
BACKGROUND: Cardiometabolic health among adult offspring of hypertensive disorders of pregnancy (HDP) is relatively unknown. We hypothesized that offspring of HDP would have abnormalities in the retinal microvasculature and cardiac structure by midadulthoo ...
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Journal ArticleClin Exp Ophthalmol · January 2018
Diabetic macular oedema is the most common cause of diabetic retinopathy-induced vision loss. Efficacy of anti-vascular endothelial growth factor therapy in diabetic macular oedema has been demonstrated in randomized controlled trials. An Asian-specific gu ...
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Journal ArticleOphthalmology · January 2018
PURPOSE: To quantitatively determine how the reliability indices in standard automated perimetry (SAP) affect the global indices of visual field (VF) results in nonglaucomatous eyes. DESIGN: Observational, cross-sectional study. PARTICIPANTS: A total of 83 ...
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Journal ArticleContemp Clin Trials · January 2018
PURPOSE: Sleep disordered breathing (SDB) is highly prevalent in older adults. Increasing evidence links SDB to the risk of dementia, mediated via a number of pathways, some of which may be attenuated by low-dose aspirin. This study will evaluate, in a hea ...
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Journal ArticleAtherosclerosis · January 2018
BACKGROUND AND AIMS: We aimed to comprehensively describe a spectrum of retinal vessel measures including fractal dimension (Df) and their associations with indices of coronary artery disease (CAD) extent and severity, as well as hypertension and diabetes. ...
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Journal ArticlePLoS Genet · January 2018
Central corneal thickness (CCT) is one of the most heritable ocular traits and it is also a phenotypic risk factor for primary open angle glaucoma (POAG). The present study uses the BXD Recombinant Inbred (RI) strains to identify novel quantitative trait l ...
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Journal ArticleAsia Pac J Ophthalmol (Phila) · 2018
Diabetic retinopathy (DR), the most common complication of diabetes mellitus, is the leading cause of new cases of blindness in middle-aged and elderly in the Asia-Pacific. It has been estimated that 51% of all those with blindness due to DR globally (n = ...
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Journal ArticleMol Vis · 2018
PURPOSE: To identify genes and genetic markers associated with corneal astigmatism. METHODS: A meta-analysis of genome-wide association studies (GWASs) of corneal astigmatism undertaken for 14 European ancestry (n=22,250) and 8 Asian ancestry (n=9,120) coh ...
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Journal ArticlePLoS One · 2018
PURPOSE: Childhood obesity is associated with adult cardiometabolic disease. We postulate that the underlying microvascular dysfunction begins in childhood. We thus aimed to compare retinal vascular parameters between obese and non-obese children. METHODS: ...
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Journal ArticleJ Alzheimers Dis · 2018
BACKGROUND: Plasma homocysteine levels are increasingly studied as a potential risk factor for dementia. Elevated homocysteine levels have been linked with gray and white matter volume reduction among individuals with mild cognitive impairment and Alzheime ...
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Journal ArticlePLoS One · 2018
BACKGROUND: Abnormal durations of sleep have been associated with risk of diabetes. However, it is not clear if sleep duration is associated with diabetic retinopathy (DR). METHODS: In a cross-sectional study, we included 1,231 (Malay, n = 395; Indian, n = ...
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Journal ArticlePLoS One · 2018
Heavy alcohol consumption is an established risk factor for hypertension; the mechanism by which alcohol consumption impact blood pressure (BP) regulation remains unknown. We hypothesized that a genome-wide association study accounting for gene-alcohol con ...
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Journal ArticlePLoS One · 2018
AIMS: To determine the diagnostic performance of macular ganglion cell-inner plexiform layer (GCIPL) thickness measured by spectral-domain optical coherence tomography (SD-OCT) for glaucoma detection in a Chinese population in comparison with optic nerve h ...
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Journal ArticlePLoS One · 2018
BACKGROUND: Age-related macular degeneration (AMD) shares many similarities with cardiovascular disease (CVD) pathophysiology. We sought to determine the relationship of AMD to the progression of coronary artery calcium (CAC) using data from the Multi-Ethn ...
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Journal ArticlePLoS One · 2018
BACKGROUND: While the aetiology of age-related macular degeneration (AMD)-a major blinding disease-remains unknown, the disease is strongly associated with variants in the complement factor H (CFH) gene. CFH variants also confer susceptibility to invasive ...
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Journal ArticlePLoS One · 2018
To evaluate the association between serum carotenoids and quantitative measures of retinal vasculature in elderly Singapore Chinese subjects. The following details were collected in 128 healthy subjects: sociodemographics, lifestyle information, medical an ...
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Journal ArticleFront Aging Neurosci · 2018
According to the network-based neurodegeneration hypothesis, neurodegenerative diseases target specific large-scale neural networks, such as the default mode network, and may propagate along the structural and functional connections within and between thes ...
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Journal ArticleFront Endocrinol (Lausanne) · 2018
Aims: Abnormally short or long durations of sleep have been proposed as a risk factors for diabetes and its micro- and macro-vascular complications. However, the relationship between sleep duration and diabetic kidney disease (DKD) has not been well-charac ...
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Journal ArticleSci Rep · December 20, 2017
Recent genome-wide association studies (GWAS) have identified multiple loci associated with coronary artery disease (CAD) among predominantly Europeans. However, their relevance to multi-ethnic populations from Southeast Asia is largely unknown. We perform ...
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Journal ArticleSci Rep · December 20, 2017
We introduced a new method for detecting iris surface furrows and identify its associations with dynamic changes in iris volume in healthy eyes. Swept-source optical coherence tomography was performed on 65 subjects with open angle under light and dark con ...
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Journal ArticleSci Data · December 19, 2017
To investigate the genetic basis of type 2 diabetes (T2D) to high resolution, the GoT2D and T2D-GENES consortia catalogued variation from whole-genome sequencing of 2,657 European individuals and exome sequencing of 12,940 individuals of multiple ancestrie ...
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Journal ArticleLancet · December 16, 2017
BACKGROUND: Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI ...
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Journal ArticleJAMA · December 12, 2017
IMPORTANCE: A deep learning system (DLS) is a machine learning technology with potential for screening diabetic retinopathy and related eye diseases. OBJECTIVE: To evaluate the performance of a DLS in detecting referable diabetic retinopathy, vision-threat ...
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Journal ArticleOphthalmic Epidemiol · December 2017
PURPOSE: Higher levels of serum phosphate are strongly linked to increased risk of cardiovascular disease and therapies aimed to lower serum phosphate are employed in the management of patients with chronic kidney disease (CKD). Data are limited, however, ...
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Journal ArticleInt J Epidemiol · December 1, 2017
BACKGROUND: Myopia prevalence has increased in the past 20 years, with many studies linking the increase to reduced time spent outdoors. A number of recent observational studies have shown an inverse association between vitamin D [25(OH)D] serum levels and ...
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Journal ArticleJ Hum Genet · December 2017
Polypoidal choroidal vasculopathy (PCV), a subtype of age-related macular degeneration (AMD) more frequently seen in East Asians, has both common and distinct clinical manifestations with typical neovascular AMD (tAMD). We aim to examine the extent to whic ...
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Journal ArticleDiabetes · December 2017
Results from observational studies examining dyslipidemia as a risk factor for diabetic retinopathy (DR) have been inconsistent. We evaluated the causal relationship between plasma lipids and DR using a Mendelian randomization approach. We pooled genome-wi ...
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Journal ArticleDiabetologia · December 2017
AIMS/HYPOTHESIS: Changes in retinal microvasculature may reflect insulin resistance. We examined the association of changes in retinal microvasculature during pregnancy and risk of subsequent abnormal glucose metabolism in a cohort of mothers at baseline a ...
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Journal ArticleInt J Epidemiol · December 1, 2017
BACKGROUND: Dyslipidemia, particularly high-density lipoprotein cholesterol (HDL-C), has recently been implicated in the pathogenesis of age-related macular degeneration (AMD), the leading cause of vision loss. However, epidemiological studies have yielded ...
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Journal ArticleLancet Glob Health · December 2017
BACKGROUND: Contemporary data for causes of vision impairment and blindness form an important basis of recommendations in public health policies. Refreshment of the Global Vision Database with recently published data sources permitted modelling of cause of ...
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Journal ArticleNat Genet · December 2017
Most genome-wide association studies have been of European individuals, even though most genetic variation in humans is seen only in non-European samples. To search for novel loci associated with blood lipid levels and clarify the mechanism of action at pr ...
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Journal ArticleJAMA Ophthalmol · December 1, 2017
IMPORTANCE: A patient’s perceived barriers to diabetes self-management (DSM) may affect his or her risk of diabetic retinopathy (DR); however, few studies have examined this association. OBJECTIVE: To examine the association between perceived barriers to D ...
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Journal ArticleJAMA Ophthalmol · December 1, 2017
IMPORTANCE: The presence and severity of diabetic retinopathy (DR) may contribute to the risk of falling in persons with diabetes, but evidence is currently equivocal. OBJECTIVE: To investigate the associations of diabetes and DR severity with the likeliho ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 1, 2017
PURPOSE: The purpose of this study was to assess the psychometric properties of diabetic retinopathy (DR) and diabetic macular edema (DME) quality-of-life (QoL) item banks and determine the utility of the final calibrated item banks by simulating a compute ...
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Journal ArticleJ Vis Exp · November 6, 2017
The retina offers a unique "window" to study pathophysiological processes of dementia in the brain, as it is an extension of the central nervous system (CNS) and shares prominent similarities with the brain in terms of embryological origin, anatomical feat ...
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Journal ArticleClin Exp Ophthalmol · November 2017
IMPORTANCE: Asian Indians are the fastest growing migration groups in the world. Studies evaluating the impact of migration on disease outcomes in this population are rare. BACKGROUND: We describe the methodology of the Singapore Indian Eye Study-2 (SINDI- ...
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Journal ArticleOphthalmology · November 2017
TOPIC: The aim of this article is to review and compile available information on the classification, pathophysiology, and clinical features of myopic choroidal neovascularization (CNV); to describe the latest data on the management of this disease; and to ...
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Journal ArticleAm J Ophthalmol · November 2017
PURPOSE: To examine the longitudinal relationship between baseline corneal arcus (CA) and incident cardiovascular disease (CVD) in ethnic Indian and Malay adults in Singapore. DESIGN: Population-based cohort study. METHODS: Indian and Malay adults aged 40- ...
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Journal ArticleJAMA Ophthalmol · November 1, 2017
IMPORTANCE: Polypoidal choroidal vasculopathy (PCV) is a common subtype of exudative age-related macular degeneration among Asian individuals. To our knowledge, there are no large randomized clinical trials to evaluate intravitreal ranibizumab, with and wi ...
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Journal ArticleHum Mol Genet · November 1, 2017
Membrane transporters influence biological functions in the ocular lens. Here, we investigate the monocarboxylate transporter 12 (MCT12), also called creatine transporter 2 (CRT2), which is found in the ocular lens and is involved in cataract. As the age-r ...
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Journal ArticleBr J Ophthalmol · October 2017
BACKGROUND: Diabetic retinopathy (DR) is a blinding yet treatable complication of diabetes. DR screening is highly cost-effective at reducing blindness. Amidst the rapidly growing diabetic population in Asia, the prevalence of DR in the region is relativel ...
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Journal ArticleBr J Ophthalmol · October 2017
BACKGROUND: Few longitudinal studies have evaluated the relationship between cigarette smoking and risk of neovascular age-related macular degeneration (AMD) among Asian populations. This study aimed to prospectively evaluate the association between cigare ...
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Journal ArticleOcul Surf · October 2017
PURPOSE: To evaluate the incidence of symptomatic dry eye disease (SDED) and associated risk factors in a well-characterized cohort of ethnic Malays in Singapore. METHODS: We included 1682 participants (mean age [SD]: 57 [10]years; 55.4% female) without SD ...
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Journal ArticleJAMA Ophthalmol · October 1, 2017
IMPORTANCE: To our knowledge, population-based data on retinal emboli are limited in Asia. Besides its associations with traditional cardiovascular risk factors and stroke, associations between retinal emboli and renal disease and function remain unclear. ...
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Journal ArticleDiabetologia · October 2017
AIMS/HYPOTHESIS: Retinal imaging enables non-invasive microvasculature assessment; however, only central retinal vessels have been studied in type 1 diabetes. Peripheral smaller vessels have a major haemodynamic role and may differ from central vessels in ...
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Journal ArticleCurr Diab Rep · September 23, 2017
PURPOSE OF REVIEW: Metabolomics is the study of dysregulated metabolites in biological materials. We reviewed the use of the technique to elucidate the genetic and environmental factors that contribute to the development of diabetic retinopathy. RECENT FIN ...
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Journal ArticleOphthalmology · September 2017
PURPOSE: To investigate the difference in corneal hysteresis (CH) and corneal resistance factor (CRF) between Indian and Chinese populations. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Three hundred eighty-two Singaporean Indian persons ...
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Journal ArticleJ Lipid Res · September 2017
Disturbance in lipid metabolism has been suggested as a major pathogenic factor for age-related macular degeneration (AMD). Conventional lipid measures have been inconsistently associated with AMD. Other factors that can alter lipid metabolism include lipo ...
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Journal ArticleAm J Ophthalmol · September 2017
PURPOSE: To report the prevalence of diabetic retinopathy (DR) and DR-related blindness in an Indonesian population with type 2 diabetes. METHODS: Design: Population-based cross-sectional study. SETTING: Community health centers. STUDY POPULATION: We recru ...
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Journal ArticleLancet Glob Health · September 2017
BACKGROUND: Global and regional prevalence estimates for blindness and vision impairment are important for the development of public health policies. We aimed to provide global estimates, trends, and projections of global blindness and vision impairment. M ...
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Journal ArticlePLoS Med · September 2017
BACKGROUND: Glycated hemoglobin (HbA1c) is used to diagnose type 2 diabetes (T2D) and assess glycemic control in patients with diabetes. Previous genome-wide association studies (GWAS) have identified 18 HbA1c-associated genetic variants. These variants pr ...
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Journal ArticleSci Rep · August 24, 2017
Retinal microvascular changes indicating microvascular dysfunction have been shown to be associated with chronic kidney disease (CKD) in cross-sectional studies, but findings were mixed in prospective studies. We aimed to evaluate the relationship between ...
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Journal ArticleBMC Med · August 14, 2017
BACKGROUND: Changes in the microvasculature associated with pre-eclampsia and gestational hypertension have been proposed as a potential pathway in the development of cardiovascular disease. We examined whether gestational hypertensive disorders, such as p ...
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Journal ArticleSci Rep · August 11, 2017
Choroid thinning occurs in age-related macular degeneration (AMD). However, it remains unclear whether the reduction is due to reduction in choroidal vessels or shrinkage of choroidal stroma, or both. The purpose of this study was to evaluate the changes o ...
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Journal ArticleSci Rep · August 3, 2017
Bilateral neovascular age-related macular degeneration (AMD) causes much more handicaps for patients than unilateral neovascular AMD. Although several AMD-susceptibility genes have been evaluated for their associations to bilaterality, genome-wide associat ...
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Journal ArticleBr J Ophthalmol · August 2017
AIM: We aimed to characterise specific morphological and vascular features of the choroid in Indian adults with diabetes and diabetic retinopathy (DR). METHODS: Consecutive participants from the Singapore Indian Eye Study's 6-year follow-up examination und ...
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Journal ArticleRetina · August 2017
PURPOSE: To determine the correlation and agreement between swept-source optical coherence tomography angiography (SS-OCT-A) with fluorescein angiography (FA), indocyanine green angiography (ICGA) and spectral domain OCT (SD-OCT) in characterizing polypoid ...
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Journal ArticleBiomedical Optics Express · August 1, 2017
Automatic cup to disc ratio (CDR) computation from color fundus images has shown to be promising for glaucoma detection. Over the past decade, many algorithms have been proposed. In this paper, we first review the recent work in the area and then present a ...
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Journal ArticleDiabetes · July 2017
To identify novel coding association signals and facilitate characterization of mechanisms influencing glycemic traits and type 2 diabetes risk, we analyzed 109,215 variants derived from exome array genotyping together with an additional 390,225 variants f ...
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Journal ArticleNat Genet · July 2017
Exfoliation syndrome (XFS) is the most common known risk factor for secondary glaucoma and a major cause of blindness worldwide. Variants in two genes, LOXL1 and CACNA1A, have previously been associated with XFS. To further elucidate the genetic basis of X ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 1, 2017
PURPOSE: To determine the prevalence of subclinical nonexudative neovascularization and associated choroidal vascular changes in the fellow eyes of patients presenting with unilateral typical exudative AMD (tAMD) or polypoidal choroidal vasculopathy (PCV) ...
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Journal ArticleBMC Ophthalmol · June 15, 2017
BACKGROUND: Poor glycemic control in Type 1 Diabetes (T1D) patients is strongly associated with an increased risk of diabetes-related microvascular complications later in life, but it is unclear whether short period of poor glycemic control in children wit ...
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Journal ArticleJAMA Ophthalmol · June 1, 2017
IMPORTANCE: Previous studies on the relationship between diabetic retinopathy (DR) and cardiovascular disease (CVD) focused on the early stages of DR. Understanding whether patients with type 2 diabetes and severe stages of DR (diabetic macular edema [DME] ...
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Journal ArticleSci Rep · May 31, 2017
Early microvascular damage in diabetes (e.g. capillary nonperfusion and ischemia) can now be assessed and quantified with optical coherence tomography-angiography (OCT-A). The morphology of vascular tissue is indeed affected by different factors; however, ...
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Journal ArticleJ Am Heart Assoc · May 26, 2017
BACKGROUND: Plasminogen activator inhibitor type 1 (PAI-1) plays an essential role in the fibrinolysis system and thrombosis. Population studies have reported that blood PAI-1 levels are associated with increased risk of coronary heart disease (CHD). Howev ...
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Journal ArticleAnal Chem · May 2, 2017
Data independent acquisition-mass spectrometry (DIA-MS) coupled with liquid chromatography is a promising approach for rapid, automatic sampling of MS/MS data in untargeted metabolomics. However, wide isolation windows in DIA-MS generate MS/MS spectra cont ...
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Journal ArticleAm J Ophthalmol · May 2017
PURPOSE: To describe detailed morphologic and vascular features of the choroid in eyes with high myopia. DESIGN: Cross-sectional study. METHODS: A total of 515 eyes of young men (mean age 21.59 ± 1.15 years) with high myopia (defined as -6.0 diopter [D] or ...
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Journal ArticleBr J Ophthalmol · May 2017
AIMS: To assess the relationship between vision impairment (VI) and major eye diseases, with vision-specific emotional well-being in a Chinese population. METHODS: In this population-based cross-sectional study, 3353 Chinese participants aged 40-80 years a ...
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Journal ArticleBr J Ophthalmol · May 2017
AIMS: To determine the impact of neovascular age-related macular degeneration (nAMD) on vision-related quality of life (VRQoL) in an Asian population. METHODS: In this cross-sectional study, 162 subjects with nAMD from the Asian AMD Phenotyping Study and 1 ...
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Journal ArticleHum Mol Genet · May 1, 2017
Large-scale meta-analyses of genome-wide association studies (GWAS) have identified >175 loci associated with fasting cholesterol levels, including total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (L ...
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Journal ArticleDiabetes Res Clin Pract · May 2017
AIMS: The aim of this work was to determine the cumulative incidence and independent risk factors of prediabetes and type 2 diabetes (T2DM) in a well-characterized cohort of Malays in Singapore. METHODS: We included 1137 participants (mean age [SD]: 55 (10 ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 1, 2017
PURPOSE: This study investigated the associations between the responses of retinal vessels to flickering light and the incidence and progression of diabetic retinopathy (DR). METHODS: A prospective cohort study of adult subjects with diabetes mellitus. The ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 1, 2017
PURPOSE: Oxidative stress, characterized by an excessive production of reactive oxygen intermediates has been suggested to play a role in the pathogenesis of age-related macular degeneration (AMD). We examined the association of urinary F2-isoprostanes (F2 ...
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Journal ArticleJAMA Ophthalmol · May 1, 2017
IMPORTANCE: Understanding the link between ethnicity and health is critical to making appropriate public policy decisions. Few population-level data are available about this connection, however, including the influence of ethnicity on the association betwe ...
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Journal ArticleJAMA Oncol · May 1, 2017
IMPORTANCE: The causal direction and magnitude of the association between telomere length and incidence of cancer and non-neoplastic diseases is uncertain owing to the susceptibility of observational studies to confounding and reverse causation. OBJECTIVE: ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 1, 2017
PURPOSE: Retinal vessels can be used to noninvasively monitor changes in microvasculature. These changes in retinal vascular geometry (RVG) may predict chronic diabetes complications. We evaluated longitudinal RVG changes in adolescents with type 1 diabete ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 1, 2017
PURPOSE: To analyze the associations between retinal vessel geometry and the 1-year incidence and progression of diabetic retinopathy (DR) in a Chinese population. METHODS: This was a prospective cohort study of adult subjects with diabetes mellitus. Retin ...
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Journal ArticleSingapore Med J · April 2017
INTRODUCTION: Although research is widely considered to be a relevant and essential skill to resident development, the actual participation rate of residents in research remains low, and the factors associated with participation are unclear. METHODS: We ex ...
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Journal ArticleCirc Cardiovasc Genet · April 2017
BACKGROUND: Genome-wide single marker and gene-based meta-analyses of long-term average (LTA) blood pressure (BP) phenotypes may reveal novel findings for BP. METHODS AND RESULTS: We conducted genome-wide analysis among 18 422 East Asian participants (stag ...
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Journal ArticleBr J Ophthalmol · March 2017
AIM: To examine prevalence and risk factors of epiretinal membrane (ERM) in a large, contemporary, multiethnic Asian population. METHODS: Combined analysis of three population-based studies of eye diseases, with a total of 9799 Chinese, Malays and Indians ...
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Journal ArticleJAMA Ophthalmol · March 1, 2017
IMPORTANCE: There is limited understanding of the associations between systemic medication use and intraocular pressure (IOP) in the general population. OBJECTIVE: To examine the association between systemic medication use and IOP in a multiethnic Asian po ...
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Journal ArticleOphthalmology · March 2017
PURPOSE: Genetic association studies to date have not identified any robust risk loci for diabetic retinopathy (DR). We hypothesized that individuals with more diabetes genetic risk alleles have a higher risk of developing DR. DESIGN: Case-control genetic ...
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Journal ArticleProg Retin Eye Res · March 2017
With increase in life expectancy, the number of persons suffering from common age-related brain diseases, including neurodegenerative (e.g., dementia) and cerebrovascular (e.g., stroke) disease is expected to rise substantially. As current neuro-imaging mo ...
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Journal ArticleIET Biometrics · March 1, 2017
Retinal vascular network pattern is unique to each individual which can be used for person identification in biometric authentication. In this study, the authors have proposed a novel biometric authentication method using retinal vascular branch, bifurcati ...
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Journal ArticleSci Rep · February 2, 2017
CVD risk prediction in diabetics is imperfect, as risk models are derived mainly from the general population. We investigate whether the addition of retinopathy and retinal vascular caliber improve CVD prediction beyond established risk factors in persons ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 1, 2017
PURPOSE: The relative contribution of mechanical and vascular factors to the pathogenesis of myopic macular degeneration (MMD) is unclear. To address this gap, we examined the association of choroidal thickness (CT) and scleral thickness (ST) with MMD. MET ...
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Journal ArticleMicrocirculation · February 2017
OBJECTIVE: Type 1 diabetes mellitus (T1DM) is a major disease affecting a large number of young patients. In the recent years, retinal vascular imaging has provided an objective assessment of vascular health in patients with T1DM. Our study aimed to review ...
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Journal ArticleQual Life Res · February 2017
PURPOSE: To develop a psychometrically sound and valid Brief Impact of Vision Impairment (IVI) questionnaire. METHODS: Cross-sectional data from four prospective studies (2001-2008) were pooled and randomly divided into development/validation sets (n = 416 ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 1, 2017
PURPOSE: The purpose of this study was to classify exudative maculopathy by the presence of pachyvessels on en face swept-source optical coherence tomography (SSOCT). METHODS: Consecutive patients with signs of exudative maculopathy underwent SSOCT, fluore ...
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Journal ArticleOphthalmic Epidemiol · February 2017
PURPOSE: There are no available data about diabetic retinopathy (DR) in the Indonesian population. This report summarizes the rationale and study design of the Jogjakarta Eye Diabetic Study in the Community (JOGED.COM), a community-based study to estimate ...
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Journal ArticleComput Methods Programs Biomed · February 2017
This paper proposes a method for automatic classification of spectral domain OCT data for the identification of patients with retinal diseases such as Diabetic Macular Edema (DME). We address this issue as an anomaly detection problem and propose a method ...
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Journal ArticleSci Rep · January 25, 2017
To examine the association of systemic, ocular and genetic risk factors in neovascular age-related macular degeneration (nAMD) in a large cohort of Asian patients, and to further compare risk factors between those with typical AMD and polypoidal choroidal ...
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Journal ArticleNat Commun · January 18, 2017
The hippocampal formation is a brain structure integrally involved in episodic memory, spatial navigation, cognition and stress responsiveness. Structural abnormalities in hippocampal volume and shape are found in several common neuropsychiatric disorders. ...
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Journal ArticleSci Rep · January 17, 2017
It is unclear whether all children with Kawasaki disease (KD) have increased later cardiovascular risk. The retinal microvasculature reflects changes in the microcirculation and is associated with traditional cardiovascular risk factors and events. The aim ...
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Journal ArticleLancet · January 7, 2017
BACKGROUND: Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. We estimated worldwide trends in mean systolic and mean diastolic blood pressure, and the prevalence of, and number of people with, raised ...
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Journal ArticleHum Mol Genet · January 1, 2017
Genome-wide association studies (GWAS) on Parkinson's disease (PD) have mostly been done in Europeans and Japanese. No study has been done in Han Chinese, which make up nearly a fifth of the world population. We conducted the first Han Chinese GWAS analysi ...
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Journal ArticlePLoS One · 2017
OBJECTIVE: To determine the prevalence, risk factors, and impact of undiagnosed visually significant cataract in an Asian population. METHODS: The Singapore Epidemiology of Eye Diseases is a population-based study where 8,697 adults of Malay, Indian, and C ...
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Journal ArticlePLoS One · 2017
PURPOSE: Retinal vessel analysis is affected by both systemic and ocular factors. Malays are the major ethnicity in South East Asia. Data on the retinal microvasculature in Malays is limited, especially among children. We aim to evaluate the influence of o ...
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Journal ArticleJ Neurol Neurosurg Psychiatry · January 2017
OBJECTIVES: Neuropsychiatric symptoms (NPS) are commonly found in patients with cerebral small vessel disease such as white matter hyperintensities and lacunar infarcts. However, the association between cerebral microbleeds (CMBs) and NPS has not been exam ...
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Journal ArticleCurr Alzheimer Res · 2017
OBJECTIVE: To study the prevalence of cognitive impairment and dementia in communitydwelling Malays from Singapore; and to examine differences in prevalence among Chinese and Malays. METHODS: Subjects (≥ 60 years) - drawn from the Malay component of the on ...
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Journal ArticlePLoS One · 2017
BACKGROUND/AIMS: To determine the association between aspirin use and diabetic retinopathy (DR) among persons with diabetes, in a population-based, cross-sectional study. METHODS: Subjects with diabetes aged >40 years from the Singapore Epidemiology of Eye ...
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Journal ArticleHorm Behav · January 2017
Partnered fathers often have lower testosterone than single non-parents, which is theorized to relate to elevated testosterone (T) facilitating competitive behaviors and lower T contributing to nurturing. Cultural- and individual-factors moderate the expre ...
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Journal ArticleComput Methods Programs Biomed · January 2017
BACKGROUND AND OBJECTIVES: Diabetic Retinopathy is the leading cause of blindness in developed countries in the age group 20-74 years. It is characterized by lesions on the retina and this paper focuses on detecting two of these lesions, Microaneurysms and ...
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Journal ArticlePLoS One · 2017
PURPOSE: To examine the association of individual and combined indicators of diabetes control with diabetic retinopathy and diabetic macular edema. MATERIALS AND METHODS: In this clinical, cross-sectional study, 613 adults with type 2 diabetes (372 any dia ...
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Journal ArticleFront Neurol · 2017
BACKGROUND: With increasing interest in determining if measurement of retinal neuronal structure with spectral-domain optical coherence tomography (SD-OCT) is useful in accessing neurodegenerative process in cognitive decline and development of dementia, i ...
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Journal ArticleNat Neurosci · December 2016
Intracranial volume reflects the maximally attained brain size during development, and remains stable with loss of tissue in late life. It is highly heritable, but the underlying genes remain largely undetermined. In a genome-wide association study of 32,4 ...
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Journal ArticleOphthalmology · December 2016
PURPOSE: To determine the incremental cost-effectiveness of a new telemedicine technician-based assessment relative to an existing model of family physician (FP)-based assessment of diabetic retinopathy (DR) in Singapore from the health system and societal ...
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Journal ArticleCurr Diab Rep · December 2016
Diabetic retinopathy (DR), a leading cause of acquired vision loss, is a microvascular complication of diabetes. While traditional risk factors for diabetic retinopathy including longer duration of diabetes, poor blood glucose control, and dyslipidemia are ...
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Journal ArticleActa Ophthalmol · December 2016
PURPOSE: To investigate the influence of choroidal thickness (CT) on visual acuity (VA) in young persons with extremely high myopia. METHODS: We conducted a case-control study of young men with extremely high myopia and controls with emmetropia recruited f ...
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Journal ArticleHum Mol Genet · November 15, 2016
The cornea is the outermost layer of the eye and is a vital component of focusing incoming light on the retina. Central corneal thickness (CCT) is now recognized to have a significant role in ocular health and is a risk factor for various ocular diseases, ...
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Journal ArticleMicrovasc Res · November 2016
BACKGROUND & PURPOSE: To investigate the associations of retinal vessel parameters with intracranial arterial stenosis (ICAS) assessed by Transcranial Doppler ultrasonography. METHOD: Data on transcranial Doppler ultrasonography and quantitative retinal ve ...
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Journal ArticleJAMA Ophthalmol · November 1, 2016
IMPORTANCE: Longitudinal population-based data on the effect of vision loss on vision-specific functioning (VSF) are scarce, particularly in Asian populations. OBJECTIVE: To examine the association between changes in presenting visual acuity (PVA) and VSF. ...
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Journal ArticleNeurology · October 11, 2016
OBJECTIVE: We examined the risk factors of cortical cerebral microinfarcts (CMIs) on 3T MRI and their association with cognitive impairment. METHODS: Participants (aged 60 years and older) from the multiethnic Epidemiology of Dementia In Singapore Study un ...
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Journal ArticleNat Genet · October 2016
To dissect the genetic architecture of blood pressure and assess effects on target organ damage, we analyzed 128,272 SNPs from targeted and genome-wide arrays in 201,529 individuals of European ancestry, and genotypes from an additional 140,886 individuals ...
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Journal ArticleJAMA Ophthalmol · October 1, 2016
IMPORTANCE: Mobility limitations arising from vision impairment (VI) can result in loss of independence and reduced quality of life. However, few data are available on the association between VI and mobility limitations at a population-based level, particu ...
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Journal ArticleTransl Vis Sci Technol · October 2016
PURPOSE: To compare three commonly used retinal vessel caliber measurement software systems, and propose an algorithm for conversion between measurement systems. METHODS: We used 120 retinal photographs to evaluate the agreement between three commonly used ...
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Journal ArticleOphthalmology · October 2016
PURPOSE: To determine the association of iris surface features with iris volume change after physiologic pupil dilation in adults. DESIGN: Cross-sectional observational study. PARTICIPANTS: Chinese adults aged ≥ 50 years without ocular diseases. METHODS: D ...
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Journal ArticleJ Alzheimers Dis · September 6, 2016
Both healthy and pathological aging due to Alzheimer's disease (AD) are associated with decreased brain grey matter volume (GMV) and disrupted white matter (WM) microstructure. Thinner macular ganglion cell-inner plexiform layer (GC-IPL) measured by spectr ...
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Journal ArticleJ Intern Med · September 2016
BACKGROUND: The relationship between vitamin D insufficiency and cognitive impairment remains equivocal in Asians. We examined the association between circulating 25-hydroxyvitamin D (25OHD) concentration and cognitive performance in a large multi-ethnic S ...
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Journal ArticleDiabetes Care · September 2016
OBJECTIVE: To estimate global and regional trends from 1990 to 2010 of the prevalence and number of persons visually impaired specifically by diabetic retinopathy (DR), as a complication of the precipitous trends in global diabetes, is fundamental for heal ...
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Journal ArticleAnn Hum Genet · September 2016
Peroxisome proliferator activated receptors (PPARs) are transcription factors involved in the regulation of key metabolic pathways. Numerous in vivo and in vitro studies have established their important roles in lipid metabolism. A few SNPs in PPAR genes h ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 1, 2016
PURPOSE: To evaluate choroidal structural changes in eyes with myopic choroidal neovascularization (mCNV) treated with anti-VEGF over 12 months. METHODS: We prospectively evaluated subfoveal choroidal thickness (SFCT) and choroidal vascularity index (CVI) ...
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Journal ArticleHum Mol Genet · September 1, 2016
Breast cancer is the most diagnosed malignancy and the second leading cause of cancer mortality in females. Previous association studies have identified variants on 2q35 associated with the risk of breast cancer. To identify functional susceptibility loci ...
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Journal ArticleNature · August 4, 2016
The genetic architecture of common traits, including the number, frequency, and effect sizes of inherited variants that contribute to individual risk, has been long debated. Genome-wide association studies have identified scores of common variants associat ...
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Journal ArticleOphthalmic Epidemiol · August 2016
PURPOSE: Diabetes is a major public health problem affecting 415 million people worldwide. With the increasing prevalence of diabetes, diabetic retinopathy (DR) is emerging as the leading cause of avoidable blindness worldwide. METHODS: We reviewed previou ...
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Journal ArticleAm J Ophthalmol · August 2016
PURPOSE: To examine the prevalence, correlates, and impact of uncorrected presbyopia on vision-specific functioning (VF) in a multiethnic Asian population. DESIGN: Population-based cross-sectional study. METHODS: We included 7890 presbyopic subjects (3909 ...
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ConferenceAnnu Int Conf IEEE Eng Med Biol Soc · August 2016
This paper deals with the automated detection of Diabetic Macular Edema (DME) on Optical Coherence Tomography (OCT) volumes. Our method considers a generic classification pipeline with preprocessing for noise removal and flattening of each B-Scan. Features ...
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Journal ArticleeLife · July 26, 2016
Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1 ...
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Journal ArticleElife · July 26, 2016
Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1 ...
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Journal ArticleJ Am Heart Assoc · July 22, 2016
BACKGROUND: Obstructive sleep apnea (OSA) is a common condition affecting more men than women. The relationship of OSA with microvascular disease is unclear, complicated by possible sex difference. Assessment of the relationship of OSA with retinal microva ...
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Journal ArticleStat Med · July 10, 2016
We propose a Bayesian approach to the estimation of the net reclassification improvement (NRI) and three versions of the integrated discrimination improvement (IDI) under the logistic regression model. Both NRI and IDI were proposed as numerical characteri ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 1, 2016
PURPOSE: Posterior eye shape assessment by magnetic resonance imaging (MRI) is used to study myopia. We tested the hypothesis that optical coherence tomography (OCT), as an alternative, could measure posterior eye shape similarly to MRI. METHODS: Macular s ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 1, 2016
PURPOSE: The purpose of this study was to explore the interrelationships among retinal vascular caliber, retinal nerve fiber layer (RNFL), and glaucoma; in particular, whether the relationship between narrower retinal vascular caliber and glaucoma is media ...
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Journal ArticleBr J Ophthalmol · July 2016
PURPOSE: To describe the prevalence and clinical characteristics of focal choroidal excavation (FCE) in patients with exudative maculopathy due to age-related macular degeneration with choroidal neovascularisation (AMD-CNV), polypoidal choroidal vasculopat ...
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Journal ArticleOphthalmic Physiol Opt · July 2016
PURPOSE: To investigate the effect of age of myopia onset on the severity of myopia later in life among myopic children. METHODS: In this prospective study, school children aged 7-9 years from the Singapore Cohort Of the Risk factors for Myopia (SCORM) wer ...
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Journal ArticleOphthalmic Physiol Opt · July 2016
PURPOSE: To investigate the association of passive tobacco smoke exposure with early-onset myopia among three-year-old children in Singapore. METHODS: Pregnant mothers who attended their first trimester clinic at two major maternity units were recruited in ...
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Journal ArticleComput Biol Med · July 1, 2016
We present a novel method for the quantification of focal arteriolar narrowing (FAN) in human retina, a precursor for hypertension, stroke and other cardiovascular diseases. A reliable and robust arteriolar boundary mapping method is proposed where intensi ...
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Journal ArticleBreast Cancer Res · June 21, 2016
BACKGROUND: Multiple recent genome-wide association studies (GWAS) have identified a single nucleotide polymorphism (SNP), rs10771399, at 12p11 that is associated with breast cancer risk. METHOD: We performed a fine-scale mapping study of a 700 kb region i ...
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Journal ArticleSci Rep · June 8, 2016
Microalbuminuria is associated with an increased risk of cardiovascular disease (CVD), but not all individuals require treatment. Retinal microvascular abnormalities and microalbuminuria reflect early systemic microvascular changes. We examined the joint e ...
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Journal ArticleOphthalmology · June 2016
PURPOSE: To describe the incidence of age-related macular degeneration (AMD) and associated risk factors in 4 racial/ethnic groups (white, black, Hispanic, and Chinese) residing in the United States. DESIGN: Prospective cohort study. PARTICIPANTS: A total ...
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Journal ArticleNat Genet · June 2016
Polypoidal choroidal vasculopathy (PCV), a subtype of 'wet' age-related macular degeneration (AMD), constitutes up to 55% of cases of wet AMD in Asian patients. In contrast to the choroidal neovascularization (CNV) subtype, the genetic risk factors for PCV ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 1, 2016
PURPOSE: To characterize the mouse retina lacking fatty acid binding protein (FABP7-/-). METHODS: Immunohistochemistry (IHC) was performed in 8-week-old mice to localize FABP7 in the retina. Retinal thickness was measured using image-guided spectral-domain ...
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Journal ArticleSci Rep · May 13, 2016
Myopia, currently at epidemic levels in East Asia, is a leading cause of untreatable visual impairment. Genome-wide association studies (GWAS) in adults have identified 39 loci associated with refractive error and myopia. Here, the age-of-onset of associat ...
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Journal ArticleNat Genet · May 2016
Primary angle closure glaucoma (PACG) is a major cause of blindness worldwide. We conducted a genome-wide association study (GWAS) followed by replication in a combined total of 10,503 PACG cases and 29,567 controls drawn from 24 countries across Asia, Aus ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · May 2016
BACKGROUND: To investigate the determinants of pupil diameter (PD), amplitude of pupil diameter change (PD-change) and speed of pupil constriction (SPC) using video anterior segment optical coherence tomography (AS-OCT) in a population-based sample of Chin ...
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Journal ArticleClin Exp Ophthalmol · May 2016
BACKGROUND: To examine the association of diabetes and diabetic retinopathy (DR) with retinal ganglion cell (RGC) loss. DESIGN: Observational case-control study. PARTICIPANTS: Type 2 diabetes cases and age-gender matched controls without diabetes. METHODS: ...
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Journal ArticleOphthalmology · May 2016
PURPOSE: Myopia is a common cause of vision loss, with uncorrected myopia the leading cause of distance vision impairment globally. Individual studies show variations in the prevalence of myopia and high myopia between regions and ethnic groups, and there ...
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Journal ArticleClin Exp Ophthalmol · May 2016
Diabetes retinopathy (DR) is a leading cause of vision loss in middle-aged and elderly people globally. Early detection and prompt treatment allow prevention of diabetes-related visual impairment. Patients with diabetes require regular follow-up with prima ...
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Journal ArticleJ Physiol · April 15, 2016
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality globally. In recent years, studies have shown that the origins of CVD may be traced to vascular and metabolic processes in early life. Retinal vascular imaging is a new technology ...
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Journal ArticleJ Alzheimers Dis · April 12, 2016
BACKGROUND: A total cerebrovascular disease (CeVD) burden scale was previously constructed and an inverse association of CeVD burden and cognition was found. However, the generalizability of the CeVD scale has not been examined. OBJECTIVE: The objective wa ...
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Journal ArticleLancet · April 9, 2016
BACKGROUND: One of the global targets for non-communicable diseases is to halt, by 2025, the rise in the age-standardised adult prevalence of diabetes at its 2010 levels. We aimed to estimate worldwide trends in diabetes, how likely it is for countries to ...
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Journal ArticleLancet · April 2, 2016
BACKGROUND: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a comp ...
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Journal ArticleQual Life Res · April 2016
PURPOSE: We investigated whether the Chinese impact of vision impairment (IVI) questionnaire is valid to generate reliable person estimates in a population-based sample. METHODS: VRQoL was measured using the 32-item Chinese version of the IVI questionnaire ...
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Journal ArticleEur J Hum Genet · April 2016
There has been limited success in identifying causal variants underlying association signals observed in genome-wide association studies (GWAS). The use of 1000 Genomes Project (1KGP) allows the imputation to estimate the genetic information at untyped var ...
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Journal ArticleMov Disord · April 2016
BACKGROUND: Genome-wide association studies have identified several loci associated with Parkinson's disease (PD). Whole-exome sequencing detects rare coding variants, but their links with PD genome-wide association study loci are unknown. Our objective wa ...
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Journal ArticleRetina · April 2016
PURPOSE: To describe microstructural changes and schisis extent in eyes with myopic retinoschisis and to determine their influence on visual acuity at baseline and follow-up. METHODS: In this prospective observational study, 50 eyes of 38 patients with myo ...
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Journal ArticleAm J Ophthalmol · April 2016
PURPOSE: To determine the prevalence and risk factors of myopic maculopathy and specific optic disc and macular changes in highly myopic eyes of young Asian adults and their impact on visual acuity. DESIGN: Prospective cross-sectional study. METHODS: In to ...
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Journal ArticleCurr Eye Res · April 2016
PURPOSE/AIM: To investigate the association between retinal vascular tortuosity and traditional- and vascular-related risk factors in persons with diabetes. METHODS: We recruited 224 diabetic patients. Retinal vascular tortuosity was measured from fundus p ...
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Journal ArticleNat Commun · March 29, 2016
Myopia is the most common human eye disorder and it results from complex genetic and environmental causes. The rapidly increasing prevalence of myopia poses a major public health challenge. Here, the CREAM consortium performs a joint meta-analysis to test ...
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Journal ArticleNat Rev Dis Primers · March 17, 2016
Diabetic retinopathy (DR) is a common complication of diabetes mellitus and is a major cause of vision loss in middle-aged and elderly people. One-third of people with diabetes have DR. Severe stages of DR include proliferative DR, caused by the abnormal g ...
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Journal ArticleDiabetes Res Clin Pract · March 2016
Metabolic syndrome is becoming a worldwide medical and public health challenge as it has been seen increasing in prevalence over the years. Age-related eye diseases, the leading cause of blindness globally and visual impairment in developed countries, are ...
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Journal ArticleSleep Breath · March 2016
PURPOSE: The aim of the study was to examine the relationship between sleep apnea, retinal vascular caliber and retinopathy, and their impact on cardiovascular disease (CVD) risk. METHODS: A multi-ethnic cohort of 5,803 participants was examined based on s ...
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Journal ArticleJ Glaucoma · March 2016
PURPOSE: To investigate the relationship between lens vault (LV), visual acuity (VA), and refraction. METHODS: This was a cross-sectional study of 2047 subjects aged 50 years and older recruited from a community polyclinic. Anterior segment optical coheren ...
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Journal ArticleEBioMedicine · March 2016
BACKGROUND: Chronic kidney disease (CKD) has been shown to be associated with diabetic retinopathy (DR) and age-related macular degeneration (AMD), leading causes of blindness in elderly adults in previous studies. However, the association of CKD with visu ...
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Journal ArticleActa Ophthalmol · March 2016
PURPOSE: To assess the visibility of the choroidal-scleral interface (CSI) from spectral domain optical coherence tomography (SD-OCT) and evaluate the ocular and systemic factors influencing the visibility of CSI in healthy eyes from population-based Malay ...
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Journal ArticleOptom Vis Sci · March 2016
The purpose of this systematic review was to estimate worldwide the number of people with moderate and severe visual impairment (MSVI; presenting visual acuity <6/18, ≥3/60) or blindness (presenting visual acuity <3/60) due to uncorrected refractive error ...
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Journal ArticleSci Rep · February 25, 2016
We aimed to determine the association between blood pressure (BP) and retinal vascular caliber changes that were free from confounders and reverse causation by using Mendelian randomisation. A total of 6528 participants from a multi-ethnic cohort (Chinese, ...
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Journal ArticleSci Rep · February 12, 2016
The vascularity of the choroid has been implicated in the pathogenesis of various eye diseases. To date, no established quantifiable parameters to estimate vascular status of the choroid exists. Choroidal vascularity index (CVI) may potentially be used to ...
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Journal ArticleTranslational Vision Science and Technology · February 9, 2016
Purpose: This study investigated the association of axial length (AL) to corneal radius of curvature (CRC) ratio with spherical equivalent (SE) in a 3-year old Asian cohort. Methods: Three-hundred forty-nine 3-year old Asian children from The Growing Up in ...
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Journal ArticleNat Genet · February 2016
Primary open-angle glaucoma (POAG) is a leading cause of blindness worldwide. To identify new susceptibility loci, we performed meta-analysis on genome-wide association study (GWAS) results from eight independent studies from the United States (3,853 cases ...
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Journal ArticleJ Glaucoma · February 2016
PURPOSE: To investigate the agreement of vertical cup-to-disc ratio (VCDR) measured from Heidelberg Retina Tomograph 3 (HRT-3), high-definition optical coherence tomography (HD-OCT), and clinical grading. METHODS: A total of 933 consecutive subjects underw ...
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Journal ArticleRheumatology (Oxford) · February 2016
OBJECTIVE: To investigate the effect of suppressing inflammation on retinal microvascular health in patients with RA. METHODS: Two groups of patients with RA were recruited and studied concurrently. Group A included patients with moderate to high disease a ...
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Journal ArticleCirc Cardiovasc Genet · February 2016
BACKGROUND: There is increasing evidence that retinal microvascular diameters are associated with cardiovascular and cerebrovascular conditions. The shared genetic effects of these associations are currently unknown. The aim of this study was to increase o ...
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Journal ArticleNat Commun · January 21, 2016
Reduced glomerular filtration rate defines chronic kidney disease and is associated with cardiovascular and all-cause mortality. We conducted a meta-analysis of genome-wide association studies for estimated glomerular filtration rate (eGFR), combining data ...
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Journal ArticleSci Rep · January 13, 2016
We examined the joint effects of intraocular pressure (IOP) and myopia on the risk of primary open angle glaucoma (POAG) in a multi-ethnic Asian population. A total of 9,422 participants (18,469 eyes) in the Singapore Epidemiology of Eye Diseases Study wer ...
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Journal ArticleOphthalmic Epidemiol · 2016
PURPOSE: To describe the prevalence of retinal vein occlusion (RVO) and its risk factors in a multi-ethnic Asian population. METHODS: This population-based study of 10,033 participants (75.7% response rate) included Chinese, Indian and Malay persons aged 4 ...
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Journal ArticleBr J Ophthalmol · January 2016
PURPOSE: To evaluate glaucoma prevalence and disease burden across Asian subregions from 2013 to 2040. METHODS: We conducted a systematic review and meta-analysis of 23 population-based studies of 1318 primary open angle glaucoma (POAG) cases in 66,800 ind ...
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Journal ArticleOphthalmologica · 2016
PURPOSE: To assess the impact of ethnicity, age, and ocular characteristics on ranibizumab efficacy in myopic choroidal neovascularization (CNV). METHODS: In this post hoc subgroup analysis from the phase III RADIANCE study, best-corrected visual acuity (B ...
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Journal ArticlePLoS One · 2016
BACKGROUND: Imbalanced macronutrient intakes can induce impairment of endothelial and vascular function, and further lead to metabolic and cardiovascular disease. However, little is known about the influence of such diets on endothelial and vascular dysfun ...
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Journal ArticleAm J Ophthalmol · January 2016
PURPOSE: To describe the relationship between peripapillary choroidal thickness and retinal nerve fiber layer (RNFL) thickness in a population-based sample of nonglaucomatous eyes. DESIGN: Population-based, cross-sectional study. METHODS: A total of 478 no ...
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Journal ArticleCurr Eye Res · 2016
PURPOSE: To examine the relationship between central aortic systolic pressure (CASP) and intraocular pressure (IOP), and to compare the strength of any association with that of peripheral blood pressure and IOP. METHODS: Adults ranging in age from 40 to 80 ...
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Journal ArticleOphthalmologica · 2016
PURPOSE: This retrospective review examined visual acuity (VA) in subjects with neovascular age-related macular degeneration and identified early and delayed response to ranibizumab. PROCEDURES: MARINA, ANCHOR, HARBOR, and CATT published data were examined ...
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ConferenceProceedings - International Conference on Pattern Recognition · January 1, 2016
This article reviews the current state of automatic classification methodologies to identify Diabetic Macular Edema (DME) versus normal subjects based on Spectral Domain OCT (SD-OCT) data. Addressing this classification problem has valuable interest since ...
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ConferenceLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · January 1, 2016
Cataracts are the leading cause of visual impairment and blindness worldwide. Cataract grading,i.e. assessing the presence and severity of cataracts,is essential for diagnosis and progression monitoring. We present in this work an automatic method for pred ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · January 1, 2016
Diabetic Macular Edema (DME) is the leading cause of blindness amongst diabetic patients worldwide. It is characterized by accumulation of water molecules in the macula leading to swelling. Early detection of the disease helps prevent further loss of visio ...
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Journal ArticleJournal of Ophthalmology · January 1, 2016
This paper addresses the problem of automatic classification of Spectral Domain OCT (SD-OCT) data for automatic identification of patients with DME versus normal subjects. Optical Coherence Tomography (OCT) has been a valuable diagnostic tool for DME, whic ...
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Journal ArticlePLoS One · 2016
OBJECTIVE: To assess the number of individuals visually impaired or blind due to glaucoma and to examine regional differences and temporal changes in this parameter for the period from 1990 to 2012. METHODS: As part of the Global Burden of Diseases (GBD) S ...
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Journal ArticleKidney Blood Press Res · 2016
BACKGROUND/AIMS: This study tested the hypothesis that individuals with chronic obstructive pulmonary disease (COPD) have more small vessel disease and more severe disease than an age- and gender- matched hospital patient comparison group. METHODS: This wa ...
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Journal ArticleValue Health · December 2015
BACKGROUND: Recently, a vision "bolt-on" EuroQol five-dimensional questionnaire (EQ-5D) was developed and tentative utility values (i.e., a "value set") for this new descriptive system were estimated. OBJECTIVES: To compare the discriminatory power of this ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · December 2015
PURPOSE: We aimed to evaluate the long-term natural history of polypoidal choroidal vasculopathy (PCV) in untreated patients. METHODS: This is a retrospective observational case series. Patients with symptomatic PCV who did not receive any treatment for at ...
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Journal ArticleBr J Ophthalmol · December 2015
OBJECTIVE: To determine the prevalence and risk factors of undiagnosed diabetic retinopathy (DR), in particular vision-threatening DR (VTDR) in a multiethnic Asian cohort. DESIGN: A population-based survey of 3353 Chinese, 3280 Malays and 3400 Indians (73. ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 2015
PURPOSE: To investigate the associations of near work, outdoor activity, and anthropometric risk factors with early-onset myopia in Singaporean preschool children. METHODS: Pregnant women who attended their first-trimester clinic at two major maternity uni ...
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Journal ArticleSci Rep · November 25, 2015
Dengue infection can affect the microcirculation by direct viral infection or activation of inflammation. We aimed to determine whether measured retinal vascular parameters were associated with acute dengue infection. Patients with acute dengue were recrui ...
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Journal ArticleSci Rep · November 9, 2015
We investigated the relationship of visual impairment (VI) and age-related eye diseases with mortality in a prospective, population-based cohort study of 3,280 Malay adults aged 40-80 years between 2004-2006. Participants underwent a full ophthalmic examin ...
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Journal ArticleAm J Ophthalmol · November 2015
PURPOSE: To systematically review the effectiveness of systemic interventions for diabetic retinopathy (DR) in type 1 diabetes. DESIGN: Systematic review and meta-analysis. METHODS: MEDLINE, EMBASE and Cochrane Library were searched for studies published f ...
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Journal ArticleOphthalmology · November 2015
PURPOSE: To determine the prevalence of age-related cataract and its ancestral and socioeconomic risk factors in a multi-ethnic Asian population. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: A total of 10 033 adults (3353 Chinese, 3280 Ma ...
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Journal ArticleNat Genet · November 2015
We carried out a trans-ancestry genome-wide association and replication study of blood pressure phenotypes among up to 320,251 individuals of East Asian, European and South Asian ancestry. We find genetic variants at 12 new loci to be associated with blood ...
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Journal ArticleActa Ophthalmol · November 2015
PURPOSE: To determine the distribution of choroidal thickness (CT) and ocular factors associated with CT in high myopic eyes in comparison with emmetropic eyes of young healthy adults. METHODS: A case-control study of 648 young, male subjects, including 52 ...
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Journal ArticleOphthalmology · November 2015
PURPOSE: Age-related macular degeneration (AMD) is the leading cause of severe visual impairment. Despite treatment, a central scotoma often remains. The size of the scotoma depends on the lesion size of the choroidal neovascular membrane and significantly ...
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Journal ArticleIEEE Trans Biomed Eng · November 2015
GOAL: Cataracts are a clouding of the lens and the leading cause of blindness worldwide. Assessing the presence and severity of cataracts is essential for diagnosis and progression monitoring, as well as to facilitate clinical research and management of th ...
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Journal ArticleInt Psychogeriatr · November 2015
OBJECTIVES: To investigate the presence of neuropsychiatric symptoms (NPS) and sub-syndromes in elderly community-dwelling Asians with varying severity of cognitive impairment. METHODS: Chinese and Malay participants (n = 613) from the Epidemiology of Deme ...
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Journal ArticleBMC Ophthalmol · October 30, 2015
BACKGROUND: Dexamethasone intravitreal implant 0.7 mg (DEX 0.7) was approved for treatment of diabetic macular edema (DME) after demonstration of its efficacy and safety in the MEAD registration trials. We performed subgroup analysis of MEAD study results ...
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Journal ArticleInt J Obes (Lond) · October 2015
OBJECTIVE: To examine the associations of body fatness, metabolic and inflammatory markers with retinal vessel calibers among children. DESIGN: We performed a population-based cohort study among 4145 school-age children. At the median age of 6.0 years (95% ...
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Journal ArticleComput Med Imaging Graph · October 2015
White matter lesions (WMLs) are small groups of dead cells that clump together in the white matter of brain. In this paper, we propose a reliable method to automatically segment WMLs. Our method uses a novel filter to enhance the intensity of WMLs. Then a ...
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Journal ArticleInvest Ophthalmol Vis Sci · October 2015
PURPOSE: To estimate prevalence and number of people visually impaired or blind due to cataract. METHODS: Based on the Global Burden of Diseases Study 2010 and ongoing literature research, we examined how many people were affected by moderate to severe vis ...
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Journal ArticleSemin Neurol · October 2015
Although cerebral small vessel disease has been linked to stroke and dementia, due to limitations of current neuroimaging technology, direct in vivo visualization of changes in the cerebral small vessels (e.g., cerebral arteriolar narrowing, tortuous micro ...
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Journal ArticleAmerican Journal of Physical Anthropology · October 1, 2015
Objectives Cross-species comparisons show that high extrinsic mortality favors the evolution of "faster" life histories. There is interest in applying this principle to human life history plasticity, based on the idea that psychosocial stressors that corre ...
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Journal ArticleClinical Ophthalmology · September 16, 2015
Background: The purpose of this study was to determine if eyes with diabetic macular edema (DME) unresponsive to ranibizumab or bevacizumab would benefit from conversion to aflibercept. Methods: This study was conducted as a retrospective chart review of s ...
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Journal ArticleJournal of Statistical Computation and Simulation · August 13, 2015
Motivated by the Singapore Longitudinal Aging Study (SLAS), we propose a Bayesian approach for the estimation of semiparametric varying-coefficient models for longitudinal continuous and cross-sectional binary responses. These models have proved to be more ...
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Journal ArticleEur J Prev Cardiol · August 2015
BACKGROUND: Few studies have examined the impact of chronic kidney disease (CKD) on adverse cardiovascular outcomes and deaths in Asian populations. We evaluated the associations of CKD with cardiovascular disease (CVD) and all-cause mortality in a multi-e ...
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Journal ArticleLancet Diabetes Endocrinol · August 2015
BACKGROUND: Diabetes has been defined on the basis of different biomarkers, including fasting plasma glucose (FPG), 2-h plasma glucose in an oral glucose tolerance test (2hOGTT), and HbA1c. We assessed the effect of different diagnostic definitions on both ...
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Journal ArticleRetina · August 2015
PURPOSE: To evaluate the 3-year outcome in eyes with polypoidal choroidal vasculopathy (PCV) treated with photodynamic therapy with verteporfin. METHODS: Retrospective study and review of the literature. We performed a retrospective study of patients with ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 2015
PURPOSE: To investigate the association between radiation exposure from the atomic bombings and the prevalence of age-related macular degeneration (AMD) among older residents of Hiroshima and Nagasaki. METHODS: The Adult Health Study is a cohort study of a ...
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Journal ArticleJAMA Ophthalmol · August 2015
IMPORTANCE: Glaucoma represents a major public health challenge in an aging population. The Tanjong Pagar Eye Study reported the prevalence and risk factors of glaucoma in a Singapore Chinese population in 1997, which established the higher rates of blindn ...
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ConferenceAnnu Int Conf IEEE Eng Med Biol Soc · August 2015
Glaucoma is a chronic and irreversible eye disease, which leads to deterioration in vision and quality of life. In this paper, we develop a deep learning (DL) architecture with convolutional neural network for automated glaucoma diagnosis. Deep learning sy ...
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ConferenceAnnu Int Conf IEEE Eng Med Biol Soc · August 2015
This paper presents a method to detect red lesions related to Diabetic Retinopathy (DR), namely Microaneurysms and Hemorrhages from retinal fundus images with robustness to the presence of blood vessels. Filters based on Frangi filters are used for the fir ...
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Journal ArticleHum Mol Genet · July 1, 2015
Primary open angle glaucoma (POAG), a major cause of blindness worldwide, is a complex disease with a significant genetic contribution. We performed Exome Array (Illumina) analysis on 3504 POAG cases and 9746 controls with replication of the most significa ...
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Journal ArticleJ Hypertens · July 2015
OBJECTIVE: The aim of the study was to examine the associations of birth outcomes and longitudinally measured fetal and infant growth patterns with retinal vessel calibers in childhood. METHODS: In a population-based prospective cohort study among 4122 chi ...
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Journal ArticleBr J Ophthalmol · July 2015
AIMS: To objectively quantify the thickness of peripapillary choroid using spectral-domain optical coherence tomography (SD-OCT) with enhanced depth imaging (EDI) followed by a novel automated choroidal segmentation software in Asian eyes and to evaluate i ...
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Journal ArticleRetina · July 2015
PURPOSE: To evaluate the performance of polypoidal choroidal vasculopathy (PCV) diagnosis using fundus camera-based indocyanine green angiography, comparing a single sign of "subretinal focal hyperfluorescence" on indocyanine green angiography with a modif ...
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Journal ArticleNat Commun · June 1, 2015
IgA nephropathy (IgAN) is one of the most common primary glomerulonephritis. Previously identified genome-wide association study (GWAS) loci explain only a fraction of disease risk. To identify novel susceptibility loci in Han Chinese, we conduct a four-st ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 2015
PURPOSE: To examine the relationship between proportion of African ancestry (PAA) and proliferative diabetic retinopathy (PDR) and to identify genetic loci associated with PDR using admixture mapping in African Americans with type 2 diabetes (T2D). METHODS ...
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Journal ArticleOphthalmology · June 2015
PURPOSE: High intraocular pressure (IOP) and large vertical cup-to-disc ratio (VCDR) are important risk factors of glaucoma. Recent genome-wide association studies have discovered several genetic variants associated with IOP and VCDR. In this study, we exa ...
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Journal ArticleBr J Ophthalmol · June 2015
BACKGROUND: To investigate possible associations between diabetic retinopathy (DR) and systemic vascular endothelial function and arterial stiffness measured using reactive hyperaemia peripheral arterial tonometry. METHODS: This was a cross-sectional obser ...
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Journal ArticleOphthalmology · June 2015
PURPOSE: To evaluate intravitreal aflibercept 2 mg in patients with myopic choroidal neovascularization (CNV). DESIGN: An international, phase III, multicenter, randomized, double-masked, sham-controlled study. PARTICIPANTS: Patients aged ≥ 18 years with h ...
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Journal ArticleMedicine (Baltimore) · June 2015
Cortical thickness has been suggested to be one of the most important markers of cortical atrophy. In this study, we examined potential risk factors of cortical thickness and its association with cognition in an elderly Asian population from Singapore. Thi ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 2015
PURPOSE: To characterize an optical coherence tomography (OCT)-derived parameter, Bruch's membrane opening-minimum rim width (BMO-MRW), and its association with demographic and clinical parameters in normal Chinese subjects. METHODS: Right eyes of 466 cons ...
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Journal ArticleSchizophr Res · May 2015
Mounting evidence suggests that individuals with schizophrenia have an underlying vulnerability to cardiovascular disease, and a recent study suggested that this vulnerability might be reflected in the retinal microvasculature. The purpose of this study wa ...
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Journal ArticleDiabetologia · May 2015
The retinal blood vessels provide the opportunity to study early structural and functional changes in the microvasculature prior to clinically significant microvascular and macrovascular complications of diabetes. Advances in digital retinal photography an ...
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Journal ArticleAm J Ophthalmol · May 2015
PURPOSE: To develop a classification and grading system for myopic maculopathy. DESIGN: Development and evaluation of a classification system for myopic maculopathy based on observational case series. METHODS: A comprehensive set of myopic macular lesions ...
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Journal ArticleDiabet Med · May 2015
AIM: To examine the relationships of serum markers of inflammation and endothelial function to diabetic retinopathy. METHODS: We recruited 224 patients with diabetes (85 with Type 1 and 139 with Type 2 diabetes) aged 18-70 years. Serum markers of inflammat ...
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Journal ArticleSci Rep · April 30, 2015
Glaucoma is the second leading cause of blindness worldwide. To examine the relationship between angle closure and the retinal vessel diameter in Chinese adults, we conducted Handan Eye Study (HES), a large population-based cross-sectional study, which enr ...
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Journal ArticleNat Commun · April 15, 2015
Age-related macular degeneration (AMD) is a leading cause of irreversible central blindness among the elderly worldwide. We use exome sequencing to analyse nonsynonymous single-nucleotide variants (SNVs) across the whole genome of 216 neovascular AMD cases ...
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Journal ArticleOsteoarthritis Cartilage · April 2015
OBJECTIVES: The role of the microcirculation in the pathogenesis of osteoarthritis (OA) remains unclear. This prospective cohort study examined the association between retinal vascular calibre and incidence of knee replacement for OA. DESIGN: 1838 particip ...
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Journal ArticleNat Genet · April 2015
Exfoliation syndrome (XFS) is the most common recognizable cause of open-angle glaucoma worldwide. To better understand the etiology of XFS, we conducted a genome-wide association study (GWAS) of 1,484 cases and 1,188 controls from Japan and followed up th ...
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Journal ArticlePediatrics · April 2015
BACKGROUND AND OBJECTIVE: Alterations in retinal microvasculature are associated with increased risk of cardiovascular disease. We examined the associations of retinal vessel caliber with cardiovascular markers in school-age children. METHODS: Among 4007 s ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · April 2015
PURPOSE: To compare differences in retinal arterial and venular caliber (RAC and RVC respectively) between fellow eyes with glaucoma of asymmetric severity. METHODS: We included subjects with bilateral primary glaucoma that had vertical cup-disc ratios (VC ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · April 2015
PURPOSE: To compare anterior segment parameters in Chinese and Japanese subjects with angle closure using anterior segment optical coherence tomography (ASOCT). METHODS: One hundred and forty-two Japanese and one hundred and ninety-two Chinese subjects wit ...
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Journal ArticleAtherosclerosis · April 2015
OBJECTIVE: Fibrosis has been implicated in a number of pathological, organ-based conditions of the liver, kidney, heart, and lungs. The objective of this study was to determine whether biomarkers of fibrosis are associated with vascular disease in the larg ...
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Journal ArticleCirc Cardiovasc Genet · April 2015
BACKGROUND: The burden of cerebral white matter hyperintensities (WMH) is associated with an increased risk of stroke, dementia, and death. WMH are highly heritable, but their genetic underpinnings are incompletely characterized. To identify novel genetic ...
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Journal ArticleNat Commun · March 31, 2015
Myopia can cause severe visual impairment. Here, we report a two-stage genome-wide association study for three myopia-related traits in 9,804 Japanese individuals, which was extended with trans-ethnic replication in 2,674 Chinese and 2,690 Caucasian indivi ...
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Journal ArticleHum Mol Genet · March 15, 2015
Human height is associated with risk of multiple diseases and is profoundly determined by an individual's genetic makeup and shows a high degree of ethnic heterogeneity. Large-scale genome-wide association (GWA) analyses of adult height in Europeans have i ...
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Journal ArticleRetina · March 2015
PURPOSE: To investigate the relationship between metabolic syndrome (MetS) and its components with the risk of early- and late-stage age-related macular degeneration (AMD). METHODS: A prospective cohort of individuals aged older than or equal to 49 years w ...
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Journal ArticleGenet Epidemiol · March 2015
Primary open-angle glaucoma is the most common optic neuropathy and an important cause of irreversible blindness worldwide. The optic nerve head or optic disc is divided in two parts: a central cup (without nerve fibers) surrounded by the neuroretinal rim ...
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Journal ArticleOphthalmology · March 2015
OBJECTIVE: To examine the impact of glaucoma and visual acuity (VA) and visual field (VF) losses on psychosocial functioning (PF). DESIGN: Cross-sectional study. PARTICIPANTS: We compared PF between 192 participants with bilateral glaucoma with VA or VF lo ...
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Journal ArticleOptom Vis Sci · March 2015
PURPOSE: To estimate the age-specific prevalence of myopia in Asia. METHODS: We searched PubMed, Embase, and Web of Science from their inception through September 2013 for population-based surveys reporting the prevalence of myopia in adults or children in ...
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Journal ArticleBr J Ophthalmol · March 2015
Choroidal neovascularisation (CNV) is a common vision-threatening complication of myopia and pathological myopia. Despite significant advances in understanding the epidemiology, pathogenesis and natural history of myopic CNV, there is no standard definitio ...
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Journal ArticleAm J Ophthalmol · March 2015
PURPOSE: To describe the rates of myocardial infarction (MI), stroke, and mortality in patients who have treatment with intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections for age-related macular degeneration (AMD). DESIGN: A retros ...
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Journal ArticlePLoS Genet · March 2015
Genome-wide association studies (GWAS) have uncovered numerous genetic variants (SNPs) that are associated with blood pressure (BP). Genetic variants may lead to BP changes by acting on intermediate molecular phenotypes such as coded protein sequence or ge ...
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Journal ArticleAm J Cardiol · March 1, 2015
Endothelial dysfunction is a key feature of atherosclerosis. Retinal microvascular endothelial function can be assessed using noninvasive dynamic vessel imaging techniques. Whether it is impaired in subjects with coronary artery disease (CAD) is unknown. T ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 24, 2015
PURPOSE: Leptin, a 167-amino acid protein secreted by adipocytes, has been shown to reduce beta-amyloid deposition and intracellular lipid concentration in animal models, two key pathogenic mechanisms underlying aging. We examined the association between s ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 5, 2015
PURPOSE: To describe the topography and predictors of peripapillary choroidal thickness (PPCT) in highly myopic eyes of young, healthy, Asian subjects. METHODS: A total of 870 young male subjects aged 21.63 ± 1.15 years were recruited from the Singapore mi ...
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Journal ArticleJ Clin Endocrinol Metab · February 2015
CONTEXT: Hemoglobin A1c (HbA1c) ≥ 6.5% (47.5 mmol/mol) has recently been included as a criterion for the diagnosis of diabetes mellitus. It is unclear whether this criterion is appropriate in Asians. OBJECTIVE: To examine the relationship between HbA1c and ...
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Journal ArticleHum Genet · February 2015
To identify genetic variants associated with refractive astigmatism in the general population, meta-analyses of genome-wide association studies were performed for: White Europeans aged at least 25 years (20 cohorts, N = 31,968); Asian subjects aged at leas ...
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Journal ArticleAm J Ophthalmol · February 2015
PURPOSE: To objectively quantify choroidal thickness and choroidal volume using fully automated choroidal segmentation software applied to images obtained from enhanced depth imaging spectral-domain optical coherence tomography (EDI SD OCT) in a population ...
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Journal ArticleActa Ophthalmol · February 2015
PURPOSE: Diabetic macular ischaemia (DMI) is an important cause of visual loss in patients with diabetes, but its relationship to the larger retinal vessels is unknown. We examined whether retinal vessel calibre is related to DMI. METHODS: Clinic-based cas ...
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Journal ArticleNat Commun · January 29, 2015
Fasting glucose and insulin are intermediate traits for type 2 diabetes. Here we explore the role of coding variation on these traits by analysis of variants on the HumanExome BeadChip in 60,564 non-diabetic individuals and in 16,491 T2D cases and 81,877 c ...
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Journal ArticleNat Commun · January 28, 2015
Age-related macular degeneration (AMD) is a major cause of blindness, but presents differently in Europeans and Asians. Here, we perform a genome-wide and exome-wide association study on 2,119 patients with exudative AMD and 5,691 controls, with independen ...
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Journal ArticlePLoS One · 2015
AIMS: To determine the differential effects of genetic polymorphism in CFH and ARMS2 on risk of age-related macular degeneration (AMD) between phakic vs. pseudophakic/aphakic eyes. METHODS: 9,529 eyes of 4,918 participants from the Singapore Malay Eye Stud ...
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Journal ArticlePLoS One · 2015
BACKGROUND: Adiponectin and leptin, two of the key cytokines secreted by adipocytes, have been shown to be associated with cardiovascular disease. However, the association of these adipocytokines with chronic kidney disease (CKD) is not clear. We examined ...
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Journal ArticlePLoS One · 2015
BACKGROUND: Retinal microvascular signs may provide insights into the structure and function of small vessels that are associated with renal disease. We examined the relationship of retinal microvascular signs with both prevalent and incident end-stage ren ...
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Journal ArticleCurr Med Chem · 2015
The rapid escalation in the global prevalence diabetes, with more than 30% being afflicted with diabetic retinopathy (DR), means it is likely that associated vision-threatening conditions will also rise substantially. This means that new therapeutic approa ...
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Journal ArticleJ Diabetes Complications · 2015
AIM: To explore the association between alcohol consumption and the severity of diabetic retinopathy (DR). METHODS: In this cross-sectional study, patients with type 2 diabetes answered questions on consumption of low and full-strength beer, white wine/cha ...
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Journal ArticlePLoS One · 2015
PURPOSE: To investigate the independent relationship of individual- and area-level socio-economic status (SES) with the presence and severity of visual impairment (VI) in an Asian population. METHODS: Cross-sectional data from 9993 Chinese, Malay and India ...
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Journal ArticleJ Diabetes Res · 2015
PURPOSE: We examined the association of CKD defined by serum creatinine, serum cystatin C, and albuminuria with moderate diabetic retinopathy (DR). METHODS: We examined 1,119 Indian adults with diabetes, aged 40-80 years, who participated in the Singapore ...
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Journal ArticlePLoS Genet · January 2015
Genome wide association studies (GWAS) for fasting glucose (FG) and insulin (FI) have identified common variant signals which explain 4.8% and 1.2% of trait variance, respectively. It is hypothesized that low-frequency and rare variants could contribute su ...
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Journal ArticlePLoS One · 2015
OBJECTIVE: We aimed to study the maternal retinal microvasculature at mid-trimester and its relationship with subsequent fetal growth and birth size. METHODS: We recruited 732 pregnant women aged 18-46 years in the first trimester with singleton pregnancie ...
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Journal ArticleAlzheimer Dis Assoc Disord · 2015
Extracranial carotid artery disease has been shown to be related to cognitive deficits. However, limited data are available on intracranial stenosis (ICS) and cognitive impairment. We investigate the association between ICS and cognitive impairment in Chin ...
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Journal ArticleJ Alzheimers Dis · 2015
BACKGROUND: Alzheimer's disease (AD) is a neurodegenerative disorder with emerging evidence that it is associated with retinal ganglion cell loss; however, few data exist to establish this association. OBJECTIVE: To determine whether macular ganglion cell- ...
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Journal ArticleNeurosci Lett · January 1, 2015
Neurodegeneration in dementia is mainly evaluated by assessing cerebral atrophy, while retinal neurodegeneration can be quantified in vivo using optical coherence tomography (OCT). We examined the association of retinal nerve fibre layer (RNFL) and ganglio ...
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Journal ArticleEye Vis (Lond) · 2015
Diabetic retinopathy (DR) is a leading cause of vision-loss globally. Of an estimated 285 million people with diabetes mellitus worldwide, approximately one third have signs of DR and of these, a further one third of DR is vision-threatening DR, including ...
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Journal ArticleJ Alzheimers Dis · 2015
BACKGROUND: Cortical atrophy is a key neuroimaging feature of dementia. However, the role of subcortical gray matter reduction in cognitive impairment has not been explored extensively. OBJECTIVES: We examined the risk factors of subcortical structures on ...
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Journal ArticleJ Ophthalmol · 2015
Purpose. To assess the repeatability of spectral-domain optical coherence tomography to measure macular and perimacular ganglion cell complex thicknesses and compare retinal ganglion cell parameters between algorithms. Methods. Ninety-two nonglaucomatous e ...
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Journal ArticleKidney Blood Press Res · 2015
BACKGROUND/AIMS: Individuals who reach end-stage kidney disease (CKD5) have a high risk of vascular events that persists even after renal transplantation. This study compared the prevalence and severity of microvascular disease in transplant recipients and ...
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ConferenceAnnu Int Conf IEEE Eng Med Biol Soc · 2015
In this paper, we present a multiple ocular diseases detection scheme based on joint sparse multi-task learning. Glaucoma, Pathological Myopia (PM), and Age-related Macular Degeneration (AMD) are three major causes of vision impairment and blindness worldw ...
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ConferenceLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · January 1, 2015
Glaucoma is a chronic and irreversible eye disease in which the optic nerve is progressively damaged, leading to deterioration in vision and quality of life. In this paper, we present an Automatic feature Learning for glAucomaDetection based onDeep LearnIN ...
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ConferenceLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · January 1, 2015
Glaucoma, Pathological Myopia (PM), and Age-related Macular Degeneration (AMD) are three leading ocular diseases worldwide. Visual features extracted from retinal fundus images have been increasingly used for detecting these three diseases. In this paper, ...
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ConferenceLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · January 1, 2015
Cataracts are a clouding of the lens and the leading cause of blindness worldwide. Assessing the presence and severity of cataracts is essential for diagnosis and progression monitoring, as well as to facilitate clinical research and management of the dise ...
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Journal ArticleOphthalmic Epidemiol · 2015
PURPOSE: To describe the prevalence of visual impairment and examine its association with demographic, socioeconomic, and health characteristics in the Multi-Ethnic Study of Atherosclerosis (MESA) cohort. METHODS: Visual acuity data were obtained from 6134 ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 23, 2014
PURPOSE: Recently the common SIX6 missense variant rs33912345 was found to be highly associated with glaucoma. The aim of this study was to investigate the association between this SIX6 variant and peripapillary retinal nerve fiber layer (RNFL) thickness m ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 4, 2014
PURPOSE: Adolescent females with type 1 diabetes (T1D) are reported to have greater risk of early microvascular complications than males. We hypothesize sex differences in retinal vascular geometry (RVG) through puberty are associated with earlier-onset mi ...
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Journal ArticleActa Ophthalmol · December 2014
PURPOSE: To describe prevalence and risk factors for retinopathy in an Asian Indian population without diabetes. METHODS: A population-based cross-sectional study of 3400 Indians aged 40-80 years residing in Singapore was conducted. Retinopathy was assesse ...
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Journal ArticleClin Exp Nephrol · December 2014
BACKGROUND: Obesity is associated with diabetes and hypertension, two major risk factors for chronic kidney disease (CKD). Recently, it has been shown that obesity is associated with preclinical kidney disease defined by elevated levels of cystatin C among ...
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Journal ArticleRetina · December 2014
PURPOSE: To evaluate the angiographic features in using fundus camera-based versus confocal scanning laser ophthalmoscope (cSLO)-based indocyanine green angiography in differentiating polypoidal choroidal vasculopathy (PCV) from typical age-related macular ...
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Journal ArticleDiabetes Metab J · December 2014
For the past several decades, tremendous efforts have been made to decrease the complications of diabetes, including diabetic retinopathy. New diagnostic modalities like ultrawide field fundus fluorescein angiography and spectral domain optical coherence t ...
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Journal ArticleJ Pediatr · December 2014
OBJECTIVE: To examine the longitudinal relationship between changes in childhood body mass index (BMI) and retinal vascular caliber. STUDY DESIGN: A prospective study of 421 healthy children aged 7-9 years in 2001 who returned for follow-up in 2006. At bot ...
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Journal ArticleHum Mol Genet · November 15, 2014
Age-related cataract is a leading cause of blindness worldwide, especially in developing countries where access to cataract surgery remains limited. Previous linkage and candidate gene studies suggested genetic influences on age-related nuclear cataract bu ...
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Journal ArticleHum Mol Genet · November 15, 2014
Corneal curvature (CC) measures the steepness of the cornea and is an important parameter for clinically diseases such as astigmatism and myopia. Despite the high heritability of CC, only two associated genes have been discovered to date. We performed a th ...
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Journal ArticleNucleic Acids Res · November 10, 2014
Targeted resequencing technologies have allowed for efficient and cost-effective detection of genomic variants in specific regions of interest. Although capture sequencing has been primarily used for investigating single nucleotide variants and indels, it ...
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Journal ArticleOphthalmology · November 2014
PURPOSE: Glaucoma is the leading cause of global irreversible blindness. Present estimates of global glaucoma prevalence are not up-to-date and focused mainly on European ancestry populations. We systematically examined the global prevalence of primary ope ...
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Journal ArticleOphthalmic Physiol Opt · November 2014
PURPOSE: Despite a high prevalence of myopia among young East Asian adults, there is a lack of data on the myopic retina structure-function relationship in this group. We examined the association between optical coherence tomography (OCT) and electroretino ...
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Journal ArticleJ Diabetes · November 2014
BACKGROUND: Diabetic nephropathy (DN) is commonly associated with diabetic retinopathy (DR). Few studies have demonstrated that chronic kidney disease (CKD) is associated with DR. However, it is not clear if CKD in the absence of albuminuria is associated ...
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Journal ArticleDiabetes · November 2014
Diabetic neuropathy, nephropathy, and retinopathy cause significant morbidity in patients with type 1 diabetes, even though improvements in treatment modalities delay the appearance and reduce the severity of these complications. To prevent or further dela ...
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Journal ArticleInvest Ophthalmol Vis Sci · October 30, 2014
PURPOSE: To describe the methodology and assess the reliability of novel computer-based semiautomated software that quantifies retinal arteriolar central light reflex (CR) from digital retinal photographs. METHODS: A total of 150 optic disc-centered digita ...
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Journal ArticleInvest Ophthalmol Vis Sci · October 23, 2014
PURPOSE: To examine the associations between iris surface features with anterior chamber angle width in Asian eyes. METHODS: In this prospective cross-sectional study, we recruited 600 subjects from a large population-based study, the Singapore Epidemiolog ...
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Journal ArticleBMC Ophthalmol · October 21, 2014
BACKGROUND: Intravitreal triamcinolone acetonide (IVTA) is an effective treatment for recalcitrant diabetic macular oedema (DMO). It has been shown to improve vision with benefits persisting up to five years. The most common initial side effect of IVTA tre ...
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Journal ArticleHum Mol Genet · October 15, 2014
Recent genetic association studies have identified 55 genetic loci associated with obesity or body mass index (BMI). The vast majority, 51 loci, however, were identified in European-ancestry populations. We conducted a meta-analysis of associations between ...
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Journal ArticleInvest Ophthalmol Vis Sci · October 9, 2014
PURPOSE: To assess the reliability and determinants of retinal vessel oximetry measurements with the Oxymap T1 Retinal Oximeter in normal Asian eyes. METHODS: Subjects older than 40 years without a history of stroke and heart disease were recruited from a ...
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Journal ArticleNat Genet · October 2014
Elevated intraocular pressure (IOP) is an important risk factor in developing glaucoma, and variability in IOP might herald glaucomatous development or progression. We report the results of a genome-wide association study meta-analysis of 18 population coh ...
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Journal ArticleNat Genet · October 2014
We performed a genome-wide association study for primary open-angle glaucoma (POAG) in 1,007 cases with high-pressure glaucoma (HPG) and 1,009 controls from southern China. We observed genome-wide significant association at multiple SNPs near ABCA1 at 9q31 ...
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Journal ArticleAm J Ophthalmol · October 2014
PURPOSE: To estimate the number of people visually impaired or blind due to macular diseases except those caused by diabetic maculopathy. DESIGN: Meta-analysis. METHODS: Based on the Global Burden of Disease Study 2010 and ongoing literature research, we e ...
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Journal ArticleOphthalmology · October 2014
PURPOSE: To determine the ethnic differences in the distribution of intraocular pressure (IOP) and central corneal thickness (CCT) in a multi-ethnic Asian population by self-reported ethnicity and genetic ancestry. DESIGN: Population-based, cross-sectional ...
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Journal ArticleInt J Stroke · October 2014
BACKGROUND: White matter lesions (WML) and lacunar infarcts (LI) are believed to have microvascular etiologies but the exact microvascular changes occurring in each is unclear. AIM: Using the retina as a proxy, we assessed retinal microvascular changes in ...
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Journal ArticleOphthalmic Epidemiol · October 2014
PURPOSE: Retinal vascular fractal dimension, a measure of the density of the retinal vasculature, has been suggested as a marker of systemic microvascular disorders in diabetes. As hemoglobin concentration is tightly related to vascular physiology and hypo ...
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Journal ArticleNat Commun · September 22, 2014
Glaucoma is characterized by irreversible optic nerve degeneration and is the most frequent cause of irreversible blindness worldwide. Here, the International Glaucoma Genetics Consortium conducts a meta-analysis of genome-wide association studies of verti ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 9, 2014
PURPOSE: Substantial progress has been made in identifying susceptibility variants for AMD in European populations; however, few studies have been conducted to understand the role these variants play in AMD risk in diverse populations. The present study ai ...
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Journal ArticleOphthalmology · September 2014
OBJECTIVE: To assess the impact of visual impairment (VI) on health-related quality of life and to compare the health burden of VI and other health conditions in Singapore. DESIGN: Population-based cross-sectional study. PARTICIPANTS: We studied the 10 009 ...
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Journal ArticleNat Rev Rheumatol · September 2014
Rheumatoid arthritis (RA), the most common autoimmune disorder associated with dry eye syndrome, is also associated with sight-threatening ocular diseases such as peripheral ulcerative keratitis, scleritis and corneal melts. Tissue damage on the ocular sur ...
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Journal ArticleNature communications · September 2014
GWAS have identified a breast cancer susceptibility locus on 2q35. Here we report the fine mapping of this locus using data from 101,943 subjects from 50 case-control studies. We genotype 276 SNPs using the 'iCOGS' genotyping array and impute genotypes for ...
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Journal ArticleBMC Med Inform Decis Mak · August 31, 2014
BACKGROUND: Computer Aided Diagnosis (CAD), which can automate the detection process for ocular diseases, has attracted extensive attention from clinicians and researchers alike. It not only alleviates the burden on the clinicians by providing objective op ...
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Journal ArticleNeurosci Lett · August 8, 2014
Novel retinal imaging techniques have enabled the assessment of quantitative vascular parameters, which provide information on the microvasculature before the appearance of retinopathy signs. Advances in neuroimaging have revealed that cerebral microbleeds ...
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Journal ArticleOptom Vis Sci · August 2014
PURPOSE: To describe the trends and patterns of anti-vascular endothelial growth factor (anti-VEGF) therapy and photodynamic therapy (PDT) use for age-related macular degeneration (AMD) in the National Eye Centre in Singapore over a 4-year period. METHODS: ...
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Journal ArticleOphthalmology · August 2014
OBJECTIVE: To describe the prevalence and risk factors for age-related macular degeneration (AMD) in a multiethnic Asian cohort of Chinese, Malay, and Indian persons. DESIGN: Population-based cross-sectional study. PARTICIPANTS: A total of 10 033 persons ( ...
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Journal ArticleRetina · August 2014
BACKGROUND: There have been a limited number of population-based studies investigating the associations between cardiovascular disease risk factors and early age-related macular degeneration (AMD). METHODS: A total of 7,557 eligible people aged 30 or older ...
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Journal ArticleOptom Vis Sci · August 2014
PURPOSE: To investigate the relationship between the early signs of age-related macular degeneration (AMD) and the risk of developing exudative AMD (typical AMD or polypoidal choroidal vasculopathy [PCV]) in the fellow eye of Japanese patients with unilate ...
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Journal ArticleOptom Vis Sci · August 2014
PURPOSE: Age-related macular degeneration (AMD) and chronic kidney disease both involve immune dysregulation and may share underlying pathophysiologic changes to systemic homeostasis. Hence, we aim to evaluate associations between impaired kidney function ...
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Journal ArticleAm J Ophthalmol · August 2014
PURPOSE: To compare and analyze differences and similarities between Japanese and French patients in subtype diagnosis of exudative age-related macular degeneration (AMD) as determined by fundus photography (FP) and fluorescein angiography (FA), and a mult ...
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Journal ArticleJ Intern Med · August 2014
Age-related macular degeneration (AMD) is a common vision-threatening condition affecting the elderly. AMD shares common risk factors and processes, including vascular and inflammatory pathways, with many systemic disorders. Associations have been reported ...
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Journal ArticleOphthalmic Epidemiol · August 2014
PURPOSE: To examine the association between retinal vascular caliber and early age-related macular degeneration (AMD) in an Indian population. METHODS: A total of 3112 Indian participants aged ≥40 years from the population-based Singapore Indian Eye Study ...
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Conference2014 IEEE 11th International Symposium on Biomedical Imaging, ISBI 2014 · July 29, 2014
In this paper, we present a multi-scale approach based on superpixel classification for optic cup localization. Our approach provides 3 major contributions. First, a contrast enhancement scheme is proposed to reduce illumination influence and enhance featu ...
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Journal ArticleHum Mol Genet · July 15, 2014
To evaluate the contribution of non-synonymous-coding variants of known familial and genome-wide association studies (GWAS)-linked genes for Parkinson's disease (PD) to PD risk in the East Asian population, we sequenced all the coding exons of 39 PD-relate ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 15, 2014
PURPOSE: This study investigated the responses of retinal vessels to flickering light in diabetic patients with various stages of diabetic retinopathy (DR). METHODS: This cross-sectional observational study evaluated adult subjects with diabetes mellitus. ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 11, 2014
PURPOSE: To demonstrate the effectiveness of Hierarchical Bayesian (HB) approach in a modeling framework for association effects that accounts for SEs of vision-specific latent traits assessed using Rasch analysis. METHODS: A systematic literature review w ...
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Journal ArticleAm J Hum Genet · July 3, 2014
Although age-dependent effects on blood pressure (BP) have been reported, they have not been systematically investigated in large-scale genome-wide association studies (GWASs). We leveraged the infrastructure of three well-established consortia (CHARGE, GB ...
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Journal ArticleDiabetes · July 2014
Glycated hemoglobin A1c (HbA1c) is used as a measure of glycemic control and also as a diagnostic criterion for diabetes. To discover novel loci harboring common variants associated with HbA1c in East Asians, we conducted a meta-analysis of 13 genome-wide ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 26, 2014
PURPOSE: We compared early age-related macular degeneration (AMD) lesion characteristics between white Australians and Singaporean Asians. METHODS: Participants of the Blue Mountains Eye Study (BMES; whites, n = 3508) and the Singapore Epidemiology of Eye ...
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Journal ArticleProc Natl Acad Sci U S A · June 3, 2014
Insertions of the human-specific subfamily of LINE-1 (L1) retrotransposon are highly polymorphic across individuals and can critically influence the human transcriptome. We hypothesized that L1 insertions could represent genetic variants determining import ...
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Journal ArticleCirc Cardiovasc Genet · June 2014
BACKGROUND: Common variation at the 11p11.2 locus, encompassing MADD, ACP2, NR1H3, MYBPC3, and SPI1, has been associated in genome-wide association studies with fasting glucose and insulin (FI). In the Cohorts for Heart and Aging Research in Genomic Epidem ...
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Journal ArticleCan J Ophthalmol · June 2014
OBJECTIVE: To examine the reliability of inexperienced observers in plotting optic disc contours on Heidelberg retinal tomography images before and after training. DESIGN: Observational study. PARTICIPANTS: One hundred eyes that were randomly selected from ...
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Journal ArticleSingapore Med J · June 2014
The Ministry of Health (MOH) have updated the clinical practice guidelines on Diabetes Mellitus to provide doctors and patients in Singapore with evidence-based treatment for diabetes mellitus. This article reproduces the introduction and executive summary ...
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Journal ArticleKidney Int · June 2014
Chronic kidney disease is an emerging health problem worldwide. The eye shares striking structural, developmental, and genetic pathways with the kidney, suggesting that kidney disease and ocular disease may be closely linked. A growing number of studies ha ...
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Journal ArticleOphthalmic Physiol Opt · May 2014
PURPOSE: To evaluate an incentive-based intervention to increase time spent outdoors among children in a 9-month cluster randomised controlled trial. METHODS: Two hundred and eighty-five children aged 6-12 years of age were randomised to the intervention ( ...
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Journal ArticleOphthalmology · May 2014
PURPOSE: To assess iris surface features in Asian eyes and examine their associations with iris thickness measured by anterior segment optical coherence tomography (AS OCT). DESIGN: Cross-sectional study. PARTICIPANTS: We recruited 250 subjects from the Si ...
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Journal ArticleBr J Ophthalmol · May 2014
BACKGROUND: To examine the prevalence, patterns and trends of vision impairment and its causes from 1990 to 2010 in Central and South Asia. METHODS: Based on the Global Burden of Diseases Study 2010 and ongoing literature searches, we examined prevalence a ...
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Journal ArticleBr J Ophthalmol · May 2014
AIMS: To describe the prevalence and causes of visual impairment and blindness in East Asia in 1990 and 2010. METHOD: Data from population-based studies conducted from 1980 to 2012 were identified, and eligibility for inclusion was assessed. Data on preval ...
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Journal ArticleBr J Ophthalmol · May 2014
BACKGROUND: To assess prevalence and causes of vision impairment in Southeast Asia and Oceania in 1990 and 2010. METHODS: Based on a systematic review of medical literature, prevalence of moderate and severe vision impairment (MSVI; presenting visual acuit ...
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Journal ArticleBr J Ophthalmol · May 2014
BACKGROUND: To assess prevalence and causes of blindness and vision impairment in high-income regions and in Central/Eastern Europe in 1990 and 2010. METHODS: Based on a systematic review of medical literature, prevalence of moderate and severe vision impa ...
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Journal ArticleBr J Ophthalmol · May 2014
BACKGROUND: To describe the prevalence and causes of visual impairment and blindness in North Africa and the Middle East (NAME) in 1990 and 2010. METHODS: Based on a systematic review of medical literature, we examined prevalence and causes of moderate and ...
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Journal ArticleBr J Ophthalmol · May 2014
AIM: To estimate the magnitude, temporal trends and subregional variation in the prevalence of blindness, and moderate/severe vision impairment (MSVI) in sub-Saharan Africa. METHODS: A systematic review was conducted of published and unpublished population ...
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Journal ArticleBr J Ophthalmol · May 2014
OBJECTIVE: To present regional estimates of the magnitude and temporal trends in the prevalence and causes of blindness and moderate/severe visual impairment (MSVI) in Latin America and the Caribbean (LAC). METHODS: A systematic review of cross-sectional p ...
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Journal ArticleDement Geriatr Cogn Dis Extra · May 2014
BACKGROUND: Retinal microvascular network changes have been found in patients with age-related brain diseases such as stroke and dementia including Alzheimer's disease. We examine whether retinal microvascular network changes are also present in preclinica ...
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Chapter · April 10, 2014
Childhood obesity has become a critical public health problem both in developed and developing countries and is currently affecting millions of children worldwide. A body of evidence has shown that pediatric obesity is associated with a range of cardiovasc ...
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Chapter · April 10, 2014
Metabolic syndrome, characterized by a cluster of metabolic abnormalities including hyperglycemia, hypertension, dyslipidemia, and obesity, is an emerging public health problem affecting millions of people worldwide. Age-related cataract is the leading cau ...
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Journal ArticleInvest Ophthalmol Vis Sci · April 9, 2014
PURPOSE: Macular diseases may be associated with an altered retinal vasculature. We describe and test new software for the measurement of retinal vascular fractal dimension to quantify the complexity of retinal vasculature at the macula (D mac) and to comp ...
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Journal ArticleDiabetes Care · April 2014
Ocular anti-vascular endothelial growth factor (VEGF) therapy represents one of the most significant advances in modern medicine. The introduction and widespread use of ocular anti-VEGF therapy for age-related macular degeneration heralded a new era in the ...
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Journal ArticleBr J Ophthalmol · April 2014
BACKGROUND/AIMS: The ATOH7 gene has been previously associated with glaucoma and glaucoma-related traits, such as disc size and cup/disc ratio (CDR). CDR is an important part of the glaucoma phenotype, whereas the relationship between the disc size and the ...
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Journal ArticleOphthalmic Epidemiol · April 2014
PURPOSE: To describe ethnic differences in the distribution of central corneal refractive power and steep cornea in a multiethnic Asian population. METHODS: A total of 2968 Chinese, 2957 Indian and 2928 Malay participants aged over 40 years were included i ...
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Journal ArticleAtherosclerosis · April 2014
OBJECTIVE: Retinal microvascular signs are markers of cardiovascular disease risk. There are limited data, on relationships between retinal microvascular signs and retinal microvascular endothelial function. We sought to determine the relationship of retin ...
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Journal ArticleOphthalmic Epidemiol · April 2014
PURPOSE: To examine the association of reproductive factors and major eye diseases, including glaucoma, age-related macular degeneration (AMD), diabetic retinopathy and cataract, in Asian women. METHODS: The Singapore Malay Eye Study is a population-based ...
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Journal ArticleJournal of Medical Imaging · April 1, 2014
This paper deals with automatic grading of nuclear cataract (NC) from slit-lamp images in order to reduce the efforts in traditional manual grading. Existing works on this topic have mostly used brightness and color of the eye lens for the task but not the ...
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ConferenceProceedings - 2014 IEEE International Conference on Healthcare Informatics, ICHI 2014 · March 2, 2014
Recent studies show that, cerebral White MatterLesion (WML) is related to cerebrovascular diseases,cardiovascular diseases, dementia and psychiatric disorders.Manual segmentation of WML is not appropriate for long termlongitudinal studies because it is tim ...
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Journal ArticleAlzheimers Dement · March 2014
BACKGROUND: Although cerebral small-vessel disease has been implicated in the development of Alzheimer's disease (AD), the cerebral microcirculation is difficult to visualize directly in vivo. Because the retina provides a noninvasive window to assess the ...
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Journal ArticlePLoS Genet · March 2014
Anterior chamber depth (ACD) is a key anatomical risk factor for primary angle closure glaucoma (PACG). We conducted a genome-wide association study (GWAS) on ACD to discover novel genes for PACG on a total of 5,308 population-based individuals of Asian de ...
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Journal ArticleNat Genet · March 2014
To further understanding of the genetic basis of type 2 diabetes (T2D) susceptibility, we aggregated published meta-analyses of genome-wide association studies (GWAS), including 26,488 cases and 83,964 controls of European, east Asian, south Asian and Mexi ...
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Journal ArticleJ Public Health (Oxf) · March 2014
BACKGROUND: To examine whether marital status is a significant determinant of visual impairment (VI) in urban multi-ethnic Asian population. METHODS: We conducted a population-based study of Singapore-resident ethnic Malays, Indians and Chinese aged ≥40 ye ...
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Journal ArticleProceedings of Singapore Healthcare · March 1, 2014
Alzheimer's Disease (AD) is the most common subtype of dementia. As the prevalence of dementia is projected to increase, the burden of the disease on society is expected to become increasingly significant. The link between eye pathology and neurodegenerati ...
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Journal ArticleOphthalmology · March 2014
OBJECTIVE: To compare the efficacy and safety of ranibizumab 0.5 mg, guided by visual acuity (VA) stabilization or disease activity criteria, versus verteporfin photodynamic therapy (vPDT) in patients with visual impairment due to myopic choroidal neovascu ...
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Journal ArticleLupus · March 2014
Systemic lupus erythematosus (SLE) associated with antiphospholipid syndrome can have ocular complications. We report a 44-year-old Chinese lady with recurrent relapses of SLE and antiphospholipid syndrome with high disease activity, presenting with visual ...
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Journal ArticleLancet Glob Health · February 2014
BACKGROUND: Numerous population-based studies of age-related macular degeneration have been reported around the world, with the results of some studies suggesting racial or ethnic differences in disease prevalence. Integrating these resources to provide su ...
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Journal ArticleJ Hypertens · February 2014
OBJECTIVE: Microvascular dysfunction has been suggested to be a major pathogenic factor for the development of hypertension. We examined the association between retinal vascular caliber, a marker of systemic microvascular dysfunction, and incident hyperten ...
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Journal ArticleOptom Vis Sci · February 2014
PURPOSE: To describe the ethnic variations in the prevalence and risk factors for undercorrected refractive error and its impact on vision-specific functioning (VF) in a multiethnic Asian population. METHODS: A total of 3353 Chinese, 3400 Indians, and 3280 ...
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Journal ArticleBiomarkers · February 2014
In large-scale data analysis, such as in a microarray study to identify the most differentially expressed genes, diagnostic tests are frequently used to classify and predict subjects into their different categories. Frequently, these categories do not have ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 23, 2014
PURPOSE: To determine the effect of a statin (simvastatin) on the ultrastructure and function of the RPE, Bruch's membrane (BM), and photoreceptor interface in a high-fat atherogenic mouse model of thickened BM. METHODS: Wild-type C57BL/6 mice (6-weeks old ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 21, 2014
PURPOSE: Wider retinal venular caliber is shown to be associated with an increased risk of stroke, and smoking is associated with a wider retinal venular caliber. However, the impact of smoking cessation on the retinal vessels has not been previously repor ...
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Journal ArticleHum Mol Genet · January 15, 2014
Refractive error is a complex ocular trait governed by both genetic and environmental factors and possibly their interplay. Thus far, data on the interaction between genetic variants and environmental risk factors for refractive errors are largely lacking. ...
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Journal ArticleDiabetes Res Clin Pract · January 2014
AIMS: To determine the relationship between body mass index (BMI) including its 5-year changes and mortality, and compare the results obtained using Cox and competing risks models. METHODS: Our study subjects included 2216 persons aged ≥49 years who partic ...
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Journal ArticlePLoS One · 2014
Measurement error of a phenotypic trait reduces the power to detect genetic associations. We examined the impact of sample size, allele frequency and effect size in presence of measurement error for quantitative traits. The statistical power to detect gene ...
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Journal ArticlePLoS One · 2014
OBJECTIVE: To study the treatment patterns and visual outcome over one year in Asian patients with choroidal neovascular membrane secondary to age-related macular degeneration (AMD-CNV) and polypoidal choroidal vasculopathy (PCV). DESIGN: Prospective cohor ...
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Journal ArticleBMJ Open Diabetes Res Care · 2014
OBJECTIVE: Singapore is a microcosm of Asia as a whole, and its rapidly ageing, increasingly sedentary population heralds the chronic health problems other Asian countries are starting to face and will likely face in the decades ahead. Forecasting the chan ...
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Journal ArticleInt J Nephrol · 2014
Background. Chronic kidney disease (CKD) is identified in the general population using estimated glomerular filtration rates (eGFR) calculated from a serum creatinine-based equation, the chronic kidney disease-epidemiology collaboration (CKD-EPI) equation. ...
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Journal ArticlePsychosom Med · 2014
OBJECTIVE: Previous longitudinal studies suggest that depression and anxiety are associated with risk for cardiovascular disease. The aim of the present study was to test whether an association between depression and anxiety symptoms and retinal vessel cal ...
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ConferenceAnnu Int Conf IEEE Eng Med Biol Soc · 2014
Optic cup localization/segmentation has attracted much attention from medical imaging researchers, since it is the primary image component clinically used for identifying glaucoma, which is a leading cause of blindness. In this work, we present an optic cu ...
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ConferenceIFMBE Proceedings · January 1, 2014
Computer-aided diagnosis for diagnosis/ screening makes use of artificial intelligence based analytical methodologies to handle patient data. Ocular disease Glaucoma is the major irreversible cause of blindness. Past works focus on building systems on sing ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2014
Visual features extracted from retinal fundus images have been increasingly used for glaucoma detection, as those images are generally easy to acquire. In recent years, genetic researchers have found that some single nucleic polymorphisms (SNPs) play impor ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2014
We present an unsupervised approach to segment optic cups in fundus images for glaucoma detection without using any additional training images. Our approach follows the superpixel framework and domain prior recently proposed in, where the superpixel classi ...
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Journal ArticleJ Alzheimers Dis · 2014
Although cerebral small vessel disease has been implicated in the development of Alzheimer's disease (AD), the cerebral microcirculation is difficult to visualize directly in vivo. As the retina and the brain share similar embryological origin, anatomical ...
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Journal ArticlePLoS One · 2014
Refractive error (RE) is a complex, multifactorial disorder characterized by a mismatch between the optical power of the eye and its axial length that causes object images to be focused off the retina. The two major subtypes of RE are myopia (nearsightedne ...
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Journal ArticlePLoS One · 2014
OBJECTIVE: The influence of hematological indices such as complete blood count on microcirculation is poorly understood. Retinal microvasculature can be directly visualized and vessel calibers are associated with a range of ocular and systemic diseases. We ...
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Journal ArticlePLoS One · 2014
PURPOSE: To describe the corneal and anterior segment determinants of posterior corneal arc length (PCAL) and posterior corneal curvature (PCC). METHODS: Cross-sectional, population-based study of 1069 subjects (1069 eyes) aged 40-80 years, from three majo ...
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Journal ArticlePLoS One · 2014
Intravitreal injections of anti-vascular endothelial growth factor agents, such as ranibizumab, have significantly improved the management of neovascular age-related macular degeneration. This study used patient-level simulation modelling to estimate the n ...
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Journal ArticleAlzheimer Dis Assoc Disord · 2014
Cerebral microbleeds (CMBs) are considered to be a novel marker of cerebral small vessel disease. However, the link with cognitive impairment remains unclear. We investigated whether CMBs-independent of other traditional markers of cerebral small vessel di ...
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Journal ArticlePLoS One · 2014
PURPOSE: To evaluate a simplified method to measure choroidal thickness (CT) using commercially available enhanced depth imaging (EDI) spectral domain optical coherence tomography (SD-OCT). METHODS: We measured CT in 31 subjects without ocular diseases usi ...
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Journal ArticleNeuroepidemiology · 2014
BACKGROUND: Previous studies have assessed the association between ankle-brachial index (ABI) and cognition, mainly using brief cognitive tests. We investigated whether ABI was associated with cognition independent of neuroimaging markers of cerebrovascula ...
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Journal ArticleJAMA Ophthalmol · January 2014
IMPORTANCE: In the past decade, significant progress in genomic medicine and technologic developments has revolutionized our approach to common complex disorders in many areas of medicine, including ophthalmology. A disorder that still needs major genetic ...
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Journal ArticleJ Stroke Cerebrovasc Dis · January 2014
Fractal analysis is a method used to quantify the geometric branching complexity and density of retinal vessels. This study examined the relationship of retinal vascular fractal dimension and other retinal vascular parameters with cognitive dysfunction in ...
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Journal ArticleOphthalmology · January 2014
PURPOSE: The Moorfields Motion Displacement Test (MMDT; Enhanced Standard Threshold Algorithm [ESTA] version 1, London, UK) is a new 31-point suprathreshold test for visual field assessment using moving line stimuli displayed on a standard laptop computer. ...
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Journal ArticleProg Retin Eye Res · January 2014
Age-related macular degeneration (AMD) is the leading cause of vision loss in those over the age of 50 years in the developed countries. The number is expected to increase by ∼1.5 fold over the next ten years due to an increase in aging population. One of ...
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Journal ArticleAmerican Journal of Ophthalmology · January 1, 2014
Purpose To summarize the epidemiology of pathologic myopia and myopic choroidal neovascularization (CNV) and their impact on vision. Design Systematic literature review of all English-language studies evaluating the epidemiology and visual burden of pathol ...
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Journal ArticleAmerican Journal of Ophthalmology · January 1, 2014
Purpose To assess the efficacy of intravitreal 0.5 mg ranibizumab for the treatment of center-involving macular edema secondary to branch retinal vein occlusion (BRVO) over 1 year compared with standard-of-care grid laser. Design A prospective randomized c ...
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Journal ArticleComput Biol Med · January 2014
Retinal imaging can facilitate the measurement and quantification of subtle variations and abnormalities in retinal vasculature. Retinal vascular imaging may thus offer potential as a noninvasive research tool to probe the role and pathophysiology of the m ...
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ConferenceAAAI Workshop - Technical Report · January 1, 2014
Convolutional neural networks (CNNs) are flexible, biologically-inspired variants of multi-layer perceptions that have proven themselves to be exceptionally suited to discriminative vision tasks. However, relatively little is known on whether they can be m ...
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Journal ArticleInternational Journal of Primatology · January 1, 2014
Testosterone contributes to male life history trade-offs through effects on behavior and energy usage. Testosterone's role as a trade-off mediator is often discussed as manifesting partly through a negative impact on investment in survival, via immune supp ...
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Journal ArticleAm J Hum Biol · 2014
OBJECTIVES: We used detailed saliva sampling procedures to test for diurnal changes in men's salivary estradiol (E2) and testosterone (T) and assessed whether greater adiposity predicted higher E2 and T. METHODS: We drew on a subsample of young adults enro ...
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Chapter · January 1, 2014
Images of the retina provide one of the few avenues to observe human microcirculation in a noninvasive manner. A variety of measurements have been proposed over the years to quantify multiple aspects of retinal vascular morphology. Many of these measures h ...
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Chapter · January 1, 2014
Toward the end of the nineteenth century, the introduction of the ophthalmoscope in clinical practice provided an ideal opportunity to assess in vivo the human retina, including the microcirculation, noninvasively. The Scottish physician Robert Marcus Gunn ...
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Journal ArticleHum Mol Genet · December 20, 2013
Severe myopia (defined as spherical equivalent < -6.0 D) is a predominant problem in Asian countries, resulting in substantial morbidity. We performed a meta-analysis of four genome-wide association studies (GWAS), all of East Asian descent totaling 1603 c ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 5, 2013
PURPOSE: To compare the retinal vascular parameters in patients with human immunodeficiency virus (HIV) infection with normal controls, and to determine the relationship between retinal vascular parameters and HIV-related blood biomarkers (CD4(+) T-lymphoc ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 5, 2013
PURPOSE: We determined ocular and systemic factors influencing macular thickness measured by spectral-domain optical coherence tomography (SD-OCT) in a population-based sample of healthy eyes. METHODS: We recruited 490 healthy Chinese adults, aged 40 to 80 ...
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Journal ArticleBr J Ophthalmol · December 2013
AIMS: To determine the relationship between macular ganglion cell-inner plexiform layer (GC-IPL) thickness and optic disc/retinal nerve fibre layer (RNFL) parameters in non-glaucomatous eyes measured by spectral-domain optical coherence tomography (SD-OCT) ...
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Journal ArticleActa Ophthalmol · December 2013
PURPOSE: To determine the reliability and reproducibility of the Vesselmap Oximetry Module for arteriolar and venular oxygen saturation (SO2 ) of the same retinal area, specified by a peripapillary annulus, in healthy subjects. METHODS: Fundus oximetry ima ...
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Journal ArticleAm J Psychiatry · December 2013
OBJECTIVE: Retinal and cerebral microvessels are structurally and functionally homologous, but unlike cerebral microvessels, retinal microvessels can be noninvasively measured in vivo by retinal imaging. The authors tested the hypothesis that individuals w ...
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Journal ArticleClin Exp Ophthalmol · December 2013
BACKGROUND: To determine the reliability and agreement of a new optic disc grading software program for use in clinical, epidemiological research. DESIGN: Reliability and agreement study. SAMPLES: 328 monoscopic and 85 stereoscopic optic disc images. METHO ...
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Journal ArticleHum Mol Genet · November 15, 2013
To discover quantitative trait loci for intraocular pressure, a major risk factor for glaucoma and the only modifiable one, we performed a genome-wide association study on a discovery cohort of 2175 individuals from Sydney, Australia. We found a novel asso ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 13, 2013
PURPOSE: To estimate the economic cost of myopia among adults aged 40 years and older in Singapore. METHODS: A substudy of 113 Singaporean adults aged 40 years and older with myopia (spherical equivalent refraction of at least -0.5 diopters) in the populat ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 5, 2013
PURPOSE: To investigate the relationship of retinal vessel caliber with erectile dysfunction (ED) in males with type 2 diabetes. METHODS: A hospital-based cross-sectional study. Male patients with type 2 diabetes were recruited from the Diabetic Management ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 5, 2013
PURPOSE: To examine the relationship between retinal vascular geometric parameters with retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GC-IPL) parameters in nonglaucomatous subjects. METHODS: Study subjects were identified from t ...
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Journal ArticleAm J Ophthalmol · November 2013
PURPOSE: To examine if myopia is a risk factor for age-related cataract. DESIGN: Systematic review and meta-analysis. METHODS: A systematic review of the literature was performed using PubMed and Embase from their inception to March 2013 for population-bas ...
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Journal ArticlePLoS Genet · November 2013
Standard approaches to data analysis in genome-wide association studies (GWAS) ignore any potential functional relationships between gene variants. In contrast gene pathways analysis uses prior information on functional structure within the genome to ident ...
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Journal ArticleIEEE Trans Biomed Eng · November 2013
Retinal arteriovenous (AV) nicking is one of the prominent and significant microvascular abnormalities. It is characterized by the decrease in the venular caliber at both sides of an artery-vein crossing. Recent research suggests that retinal AV nicking is ...
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Journal ArticleHypertension · November 2013
Preeclampsia is a leading cause of maternal morbidity and mortality. The degree of maternal cardiovascular dysfunction that precedes the onset of preeclampsia is largely unknown. This prospective cohort study aimed to characterize differences in vivo in re ...
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Journal ArticleAm J Ophthalmol · November 2013
PURPOSE: To describe the relationships of selected candidate genes to the prevalence of early age-related macular degeneration (AMD) in a cohort of whites, blacks, Hispanics, and Chinese Americans. DESIGN: Cross-sectional study. METHODS: setting: Multicent ...
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Journal ArticleJ Neurol Neurosurg Psychiatry · November 2013
OBJECTIVE: Silent lacunar infarct (SLI) is associated with cognitive decline and linked to an increased risk of stroke and dementia. We examined the association of SLI with MRI measures of cortical thickness, subcortical and lateral ventricular shapes and ...
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Journal ArticleInt Psychogeriatr · November 2013
BACKGROUND: We examined the discriminant validity of the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE) in detecting multiple-domain mild cognitive impairment (md-MCI) in a Chinese sub-sample drawn from elderly population ...
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Journal ArticleNat Genet · November 2013
Triglycerides are transported in plasma by specific triglyceride-rich lipoproteins; in epidemiological studies, increased triglyceride levels correlate with higher risk for coronary artery disease (CAD). However, it is unclear whether this association refl ...
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Journal ArticleNat Genet · November 2013
Levels of low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides and total cholesterol are heritable, modifiable risk factors for coronary artery disease. To identify new loci and refine known loci influencing ...
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Journal ArticleHorm Behav · November 2013
Testosterone (T) is thought to help facilitate trade-offs between mating and parenting in humans. Across diverse cultural settings married men and fathers have lower T than other men and couples' sexual activity often declines during the first years of mar ...
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Journal ArticleJ Lipid Res · November 2013
Blood levels of lipoprotein cholesterol and triglycerides (TGs) are highly heritable and are major risk factors for cardiovascular disease (CVD). Approximately 100 lipid-associated loci have been identified in populations of European ancestry. We performed ...
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Journal ArticleHypertension · November 2013
We conducted a genome-wide association study meta-analysis of mean arterial pressure and pulse pressure among 26,600 East Asian participants (stage 1) followed by replication study of up to 28,783 participants (stage 2). For novel loci, statistical signifi ...
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ConferenceProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS · October 31, 2013
Retinal arteriovenous nicking (AV nicking) is the phenomenon where the venule is compressed or decreases in its caliber at both sides of an arteriovenous crossing. Recent research suggests that retinal AVN is associated with hypertension and cardiovascular ...
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ConferenceProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS · October 31, 2013
Optic disc segmentation from retinal fundus image is a fundamental but important step in many applications such as automated glaucoma diagnosis. Very often, one method might work well on many images but fail on some other images and it is difficult to have ...
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Journal ArticleMiddle East African Journal of Ophthalmology · October 1, 2013
Diabetes mellitus (DM) has assumed epidemic proportions and as a consequence, diabetic retinopathy is expected to be a major societal problem across the world. Diabetic retinopathy (DR) affects the vision by way of proliferative disease that results in vit ...
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Journal ArticleOphthalmology · October 2013
OBJECTIVE: To evaluate the association between refractive errors and age-related macular degeneration (AMD). MAIN OUTCOME MEASURES: A clear understanding of the relationship between refractive error and AMD provides insights into the pathophysiology of AMD ...
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Journal ArticleJ Hypertens · October 2013
OBJECTIVE(S): To examine the effect of blood pressure (BP) on retinal vascular fractal dimension (Df), a measure of microvascular network complexity and density in a multiethnic cohort. METHODS: A population-based study of 3876 Chinese, Malay and Indian pa ...
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Journal ArticleAtherosclerosis · October 2013
OBJECTIVE: How 9p21 variation affects risk of cardiovascular disease is unclear, so we assessed whether 9p21 variants are associated with arterial elasticity or retinal microvascular findings. METHODS: In the prospective Multi-Ethnic Study of Atheroscleros ...
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Journal ArticleHypertension · October 2013
Although assessment of hypertensive retinopathy signs has been recommended for determining end-organ damage and stratifying vascular risk in persons with hypertension, its value remains unclear. In this study, we examine whether hypertensive retinopathy pr ...
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Journal ArticleActa Paediatr · October 2013
UNLABELLED: Adulthood cardiovascular diseases (CVD) burdening in adulthood have been suggested to have possible predisposition early in life. We aimed to systematically review the literatures on retinal microvasculature among paediatric population in relat ...
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Journal ArticleMech Ageing Dev · September 2013
HIV-infected individuals have an increased risk of age-related morbidity despite antiretroviral treatment (ART). Several anatomic and functional ophthalmological parameters are associated with increasing chronological age. These may, therefore, potentially ...
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Journal ArticleStroke · September 2013
BACKGROUND AND PURPOSE: To examine the relationship between retinal microvascular measures and incident stroke in an Asian Malay population. METHODS: We conducted a prospective, population-based cohort study of Asian Malay persons 40 to 80 years at baselin ...
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Journal ArticleQual Life Res · September 2013
PURPOSE: We are developing an item bank assessing the impact of diabetic retinopathy (DR) on quality of life (QoL) using a rigorous multi-staged process combining qualitative and quantitative methods. We describe here the first two qualitative phases: cont ...
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Journal ArticleJ Hum Hypertens · September 2013
We assessed the associations between body mass index (BMI) and blood pressure (BP) with the retinal microvasculature among preschool-aged children. Three hundred and seventy-nine children aged 3-<6 years old had gradable retinal photographs, and quantifiab ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 27, 2013
PURPOSE: Three susceptibility loci for primary angle-closure glaucoma (PACG) were recently identified: PLEKHA7 rs11024102, COL11A1 rs3753841, and rs1015213 located in the intergenic region between PCMTD1 and ST18. The purpose of this study was to investiga ...
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ConferenceProceedings - International Symposium on Biomedical Imaging · August 22, 2013
This paper presents a new method to detect notching in the optic cup using retinal images. Optic cup notching is an important feature in differentiating normal from glaucomatous eyes. The proposed notching detection method comprises four steps: disc and ve ...
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ConferenceProceedings - International Symposium on Biomedical Imaging · August 22, 2013
Age-related macular degeneration (AMD) is a leading cause of permanent blindness. In its early stage AMD is characterized by drusen which are extracellelur deposits in the retina. In this paper, we present THALIA, an automatic system for the detection of d ...
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ConferenceProceedings - International Symposium on Biomedical Imaging · August 22, 2013
In this paper, we present an unsupervised framework using domain priors extracted from the primary structures of the optic nerve head for automated optic cup localization. Our approach provides 3 major contributions. First, we identify a new domain prior, ...
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ConferenceProceedings - International Symposium on Biomedical Imaging · August 22, 2013
Pathological myopia is a leading cause of visual impairment, and can lead to blindness in children if left undetected. We present a bag-of-feature and sparse learning based framework to automatically recognize pathological myopia in retinal fundus images a ...
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Journal ArticleBMC Genomics · August 21, 2013
BACKGROUND: Although single-SNP analysis has proven to be useful in identifying many disease-associated loci, region-based analysis has several advantages. Empirically, it has been shown that region-based genotype and haplotype approaches may possess much ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 19, 2013
PURPOSE: Our study aimed to explore the heritability of retinal vascular caliber among Singapore Chinese families. METHODS: In the Strabismus, Amblyopia, and Refractive Error Study in Singaporean Chinese Preschoolers (STARS) family study conducted from 200 ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 15, 2013
PURPOSE: To describe a reproducible method of quantifying macular hard exudates (HEs) in diabetic maculopathy and determine the associations of HEs with systemic risk factors. METHODS: Patients with diabetes were recruited from a tertiary eye hospital in M ...
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Journal ArticleAm J Hum Genet · August 8, 2013
Refractive errors are common eye disorders of public health importance worldwide. Ocular axial length (AL) is the major determinant of refraction and thus of myopia and hyperopia. We conducted a meta-analysis of genome-wide association studies for AL, comb ...
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Journal ArticleBMC Public Health · August 7, 2013
BACKGROUND: Prehypertension has been shown to be an early risk factor of cardiovascular disease (CVD). We investigated the prevalence and pattern of cardiometabolic risk factors in prehypertension in three ethnic Asian populations in Singapore. METHODS: We ...
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Journal ArticleNeurology · August 6, 2013
OBJECTIVE: A nonsense mutation in the amyotrophic lateral sclerosis gene FUS has been found to segregate in a large family with essential tremor (ET). Coding variants in this gene have not been comprehensively evaluated in ET. We conducted a genetic analys ...
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Journal ArticleJ Hypertens · August 2013
BACKGROUND: Hypertension is a major modifiable risk factor associated with cardiovascular morbidity and mortality. We compared the epidemiology of hypertension in South Asian Indians living in two geographic regions with vastly different socioeconomic sett ...
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Journal ArticleOptom Vis Sci · August 2013
PURPOSE: To assess the construct validity and responsiveness of the EuroQoL-5D (EQ-5D) instrument in Asian patients undergoing cataract surgery in Singapore. METHODS: In this prospective study, English- or Chinese-speaking patients (n = 216) completed the ...
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Journal ArticleBr J Nutr · August 2013
It is unknown whether diet quality is associated with microvascular structure. The present study aimed to investigate the relationship between diet quality, reflecting adherence to dietary guidelines, with retinal microvascular calibre in older adults. The ...
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Journal ArticleClinical Ophthalmology · August 1, 2013
Purpose: To identify baseline characteristics that predict the number of treatments with intravitreal triamcinolone acetonide (IVTA) plus laser photocoagulation needed to treat diabetic macular edema over a 2-year period. Methods: Individual data from 42 e ...
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Journal ArticleStroke · August 2013
BACKGROUND AND PURPOSE: Microvascular disease has been implicated in the pathogenesis of stroke. The retina provides a window to assess microcirculation noninvasively. We studied the association between quantitatively measured retinal microvascular charact ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 10, 2013
PURPOSE: To determine the prevalence and types of glaucoma in an urban Singaporean Indian population. METHODS: The Singapore Indian Eye Study (SINDI) was a population-based, cross-sectional survey that examined 3400 (75.6% response) persons aged 40 to 80 y ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 2, 2013
PURPOSE: To describe the associations of myopia and axial length (AL) with age-related cataract in an Asian population in Singapore. METHODS: A population-based cross-sectional study that examined 3280 (78.7% response) adults of Malay ethnicity aged 40 to ...
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Journal ArticleHum Mol Genet · July 1, 2013
Visual refractive errors (REs) are complex genetic traits with a largely unknown etiology. To date, genome-wide association studies (GWASs) of moderate size have identified several novel risk markers for RE, measured here as mean spherical equivalent (MSE) ...
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Journal ArticleIEEE Trans Biomed Eng · July 2013
Measurements of retinal blood vessel morphology have been shown to be related to the risk of cardiovascular diseases. The wrong identification of vessels may result in a large variation of these measurements, leading to a wrong clinical diagnosis. In this ...
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Journal ArticleComput Methods Programs Biomed · July 2013
Recent research suggests that retinal vessel caliber (or cross-sectional width) measured from retinal photographs is an important feature for predicting cardiovascular diseases (CVDs). One of the most utilized measures is to quantify retinal arteriolar and ...
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Journal ArticlePsychol Sci · July 1, 2013
Why do more intelligent people live healthier and longer lives? One possibility is that intelligence tests assess health of the brain, but psychological science has lacked technology to evaluate this hypothesis. Digital retinal imaging, a new, noninvasive ...
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Journal ArticleHum Mol Genet · June 15, 2013
In a consortium including 23 637 breast cancer patients and 25 579 controls of East Asian ancestry, we investigated 70 single-nucleotide polymorphisms (SNPs) in 67 independent breast cancer susceptibility loci recently identified by genome-wide association ...
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ConferenceProceedings of SPIE - The International Society for Optical Engineering · June 5, 2013
The optic disk localization plays an important role in developing computer-aided diagnosis (CAD) systems for ocular diseases such as glaucoma, diabetic retinopathy and age-related macula degeneration. In this paper, we propose an intelligent fusion of meth ...
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Journal ArticleIEEE Trans Med Imaging · June 2013
Glaucoma is a chronic eye disease that leads to vision loss. As it cannot be cured, detecting the disease in time is important. Current tests using intraocular pressure (IOP) are not sensitive enough for population based glaucoma screening. Optic nerve hea ...
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Journal ArticleOphthalmic Epidemiol · June 2013
PURPOSE: To determine the risk factors for strabismus and amblyopia in young Singapore Chinese children. METHODS: A total of 3009 children were recruited for the population-based cross-sectional Strabismus, Amblyopia and Refractive Error in Singaporean Pre ...
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Journal ArticleBr J Ophthalmol · June 2013
BACKGROUND/AIMS: To examine the relationship between aspirin intake and early age-related macular degeneration (AMD) among an Asian population. METHODS: A population based cross sectional study of 3207 ethnic Indians aged 40 years or older residing in Sing ...
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Journal ArticleAm J Ophthalmol · June 2013
PURPOSE: To describe racial variations in the prevalence of refractive errors among adult white, Chinese, Hispanic, and black subjects in the United States. DESIGN: Cross-sectional data from a prospective cohort study-the Multi-Ethnic Study of Atherosclero ...
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Journal ArticleCurr Eye Res · June 2013
AIM: To examine retinal vessel calibre in autoimmune rheumatic disease. MATERIALS AND METHODS: Patients with autoimmune rheumatic disease were recruited from a Rheumatology clinic. Retinal vessel calibre was measured from fundus photographs, and summarised ...
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Journal ArticleJ Neurol Neurosurg Psychiatry · June 2013
OBJECTIVE: To study the prevalence of and associated factors for cognitive impairment and dementia in community dwelling Chinese from Singapore. METHODS: This study includes Chinese subjects from the Epidemiology of Dementia in Singapore (EDIS) study, aged ...
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Journal ArticleClin Endocrinol (Oxf) · June 2013
OBJECTIVE: Type 2 diabetes and associated complications adversely affect health-related quality of life (HRQoL). However, it is unclear whether different complications have the same or different associations with HRQoL. We examined associations between ret ...
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Journal ArticleAm J Ophthalmol · June 2013
PURPOSE: To examine the pattern of myopia-related macular and optic disc changes in Singapore adults with high myopia (spherical equivalent ≤-6.00 diopters). DESIGN: Asian adults with high myopia from 3 population-based surveys. METHODS: Adults 40 years an ...
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Journal ArticleDiabetologia · June 2013
AIMS/HYPOTHESIS: Most genetic variants identified for type 2 diabetes have been discovered in European populations. We performed genome-wide association studies (GWAS) in a Chinese population with the aim of identifying novel variants for type 2 diabetes i ...
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Journal ArticleHum Mol Genet · June 1, 2013
Genome-wide association studies (GWASs) have discovered thousands of variants that are associated with human health and disease. Whilst early GWASs have primarily focused on genetically homogeneous populations of European, East Asian and South Asian ancest ...
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Journal ArticleDiabetes · May 2013
We performed a genome-wide association study (GWAS) and a multistage meta-analysis of type 2 diabetes (T2D) in Punjabi Sikhs from India. Our discovery GWAS in 1,616 individuals (842 case subjects) was followed by in silico replication of the top 513 indepe ...
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Journal ArticleAnn Acad Med Singap · May 2013
INTRODUCTION: This study describes the pathologic changes in the retina of a group of young Asian subjects with myopia worse than -10 diopters spherical equivalent (SE) refraction. MATERIALS AND METHODS: The study population consists of 20 male subjects un ...
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Journal ArticleBr J Ophthalmol · May 2013
AIM: To examine the association between branch retinal vein occlusion (BRVO) and quantitative optic disc topographic parameters. METHODS: The Singapore Indian Eye Study (SINDI) is a population-based study of 3400 Singapore Indians aged 40+ years. BRVO was ...
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Journal ArticleJ Hypertens · May 2013
PURPOSE: This study assessed the interobserver and intraobserver grading reliability of the Keith-Wagener-Barker (KWB) system to the proposed Mitchell-Wong 'simplified' three-grade classification for hypertensive retinopathy. METHODS: Digital retinal image ...
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Journal ArticleAnn Acad Med Singap · May 2013
INTRODUCTION: Myopia is a significant public health problem in Singapore with estimates that more than 50% of the population is affected by it by the time of adulthood. Childhood obesity is also increasing and has been linked to long-term health problems. ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 1, 2013
PURPOSE: To investigate potential racial/ethnic differences in retinal vascular geometric parameters in a multiethnic Asian population (Chinese, Malay, and Indian) free of clinical diseases. METHODS: A series of retinal vascular parameters were measured fr ...
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Journal ArticleInvest Ophthalmol Vis Sci · April 26, 2013
PURPOSE: To evaluate the associations between chronic kidney disease (CKD) and microalbuminuria, and a comprehensive range of retinal microvascular abnormalities including traditional and new retinal vascular measures. METHODS: This was a population-based, ...
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Journal ArticleInvest Ophthalmol Vis Sci · April 23, 2013
PURPOSE: We determined the ocular biometric and demographic factors associated with iris parameters in Singaporean Chinese persons from a population-based sample. METHODS: Subjects were participants in the Singapore Chinese Eye Study, a population-based cr ...
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Journal ArticleNeurology · April 23, 2013
Essential tremor (ET) is characterized by postural and action tremor.(1-3) A genome-wide association study (GWAS) identified a LINGO1 gene variant to be associated with ET.(4) Subsequent GWAS further identified an intronic variant (rs3794087) of the main g ...
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Journal ArticleBMC Nephrol · April 17, 2013
BACKGROUND: Chronic kidney disease (CKD) is an emerging public health problem worldwide. Previous studies have shown an association between blood pressure (BP) and CKD. However, it is not clear if there are ethnic differences in this association. We examin ...
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ConferenceLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · April 11, 2013
In this paper, we propose an automatic approach to grade cortical and Posterior Sub-Capsular (PSC) cataracts using retroillumination images. Low-level vision features are used to characterize the photometric appearances and geometric structures of cortical ...
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ConferenceLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · April 11, 2013
Optic disc segmentation in retinal fundus images is important in computer aided diagnosis. In this paper, an optic disc segmentation method based on superpixel classification is proposed. In the classification, histograms from contrast enhanced image chann ...
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Journal ArticleInvest Ophthalmol Vis Sci · April 9, 2013
PURPOSE: To determine the prevalence of refractive errors in a multiethnic Asian population aged over 40 years and to examine secular trends and racial differences. METHODS: A total of 10,033 adults (3353 Chinese, 3400 Indians, and 3280 Malays) participate ...
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Journal ArticleMaturitas · April 2013
OBJECTIVE: To examine the ethnic differences in the association between metabolic syndrome components and CKD in Asian populations. METHODS: We analyzed data from three independent populations in Singapore representing the three major Asian ethnic groups ( ...
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Journal ArticleEur J Epidemiol · April 2013
Diabetes mellitus is the leading cause of end stage renal disease. Cystatin C, a marker of early renal impairment has been shown to be associated with diabetes. However, it is not clear if cystatin C is associated with prediabetes, an early stage in the hy ...
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Journal ArticleMicrocirculation · April 2013
Endothelial dysfunction is a key pathogenic mechanism of CVD. The retinal microvascular network offers a unique, non-invasive window to study endothelial function. Recently, dynamic measurement of retinal vessel caliber using flicker light stimulation has ...
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Journal ArticleAm J Ophthalmol · April 2013
PURPOSE: To compare the prevalence and risk factors for age-related macular degeneration (AMD) in 2 Indian populations, 1 living in urban Singapore and 1 in rural central India. DESIGN: Population-based, cross-sectional studies of Indians aged 40+ years. M ...
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Journal ArticleJ Hum Hypertens · April 2013
Few previous studies in Western populations have reported an association between C-reactive protein (CRP) and prehypertension. However, no previous study has examined this association in Asians. We examined individuals who were free of hypertension from tw ...
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Journal ArticleHypertension · April 2013
The microvasculature plays an important role in regulating cardiovascular changes in pregnancy, but changes in microvasculature have been difficult to document in vivo. This study objectively quantifies changes in the maternal retinal arteriolar and venula ...
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Journal ArticleNat Genet · April 2013
Age-related macular degeneration (AMD) is a common cause of blindness in older individuals. To accelerate the understanding of AMD biology and help design new therapies, we executed a collaborative genome-wide association study, including >17,100 advanced ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 7, 2013
PURPOSE: To examine the extent to which the two major determinants of refractive error, corneal curvature and axial length, are scaled relative to one another by shared genetic variants, along with their relationship to the genetic scaling of height. METHO ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 5, 2013
PURPOSE: To assess the relationship between intraocular pressure (IOP) and anterior chamber angle (ACA) configuration as assessed by gonioscopy and anterior segment optical coherence tomography (AS-OCT). METHODS: A total of 2045 subjects aged 50 years and ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 1, 2013
PURPOSE: We quantified and measured the needs for specific eye care services, including refractive services (RS), annual eye examination services (AES), cataract surgery services (CSS), and low vision services (LVS) in urban adult populations in Asia. METH ...
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Journal ArticlePLoS Genet · March 2013
Genome-wide association studies (GWAS) have identified ~100 loci associated with blood lipid levels, but much of the trait heritability remains unexplained, and at most loci the identities of the trait-influencing variants remain unknown. We conducted a tr ...
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Journal ArticleNat Genet · March 2013
Refractive error is the most common eye disorder worldwide and is a prominent cause of blindness. Myopia affects over 30% of Western populations and up to 80% of Asians. The CREAM consortium conducted genome-wide meta-analyses, including 37,382 individuals ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 27, 2013
PURPOSE: We aimed to establish whether the change in retinal microvascular structure observed cross-sectionally with axial elongation and larger corneal curvature is comparable from early childhood to adolescence. METHODS: In all, 1077 Sydney Paediatric Ey ...
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Journal ArticleJAMA Internal Medicine · February 25, 2013
Objective: To determine whether regular aspirin use is associated with a higher risk for developing agerelated macular degeneration (AMD) by using analyzed data from a 15-year prospective cohort. Methods: A prospective analysis was conducted of data from a ...
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Journal ArticleMed J Aust · February 4, 2013
OBJECTIVE: To evaluate the feasibility of a novel diabetic retinopathy (DR) screening model using a pathology collection centre (PCC) as a screening site. DESIGN AND SETTING: Cross-sectional pilot study conducted in one urban PCC in Victoria between 1 Sept ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 1, 2013
PURPOSE: We determined the impact of glaucoma severity and laterality on vision-specific functioning (VF) in an Asian population. METHODS: The Singapore Malay Eye Study (SiMES) was a population-based cross-sectional study of 3280 Malays aged 40 to 80 years ...
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Journal ArticleOphthalmology · February 2013
PURPOSE: To quantify the eye disease-specific impact of unilateral and bilateral vision impairment (VI) on vision-specific functioning (VF). DESIGN: The Singapore Indian Eye population-based study. PARTICIPANTS: Ethnic Indians older than 40 years of age li ...
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Journal ArticleDiabetes Res Clin Pract · February 2013
AIMS: To evaluate the association between metabolic syndrome (MetS) components and mortality over time. METHODS: 3086 residents aged ≥49 years were followed in the Blue Mountains Eye Study, Australia. MetS components as defined by the International Diabete ...
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Journal ArticleOphthalmology · February 2013
PURPOSE: Myopia is a common complex condition influenced by genetic and environmental factors. Two recent genome-wide association studies have identified loci on chromosomes 15q25 and 15q14 associated with refractive error in Caucasian populations. Our stu ...
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Journal ArticleOphthalmology · February 2013
PURPOSE: To determine the associations of myopia and axial length (AL) with major age-related eye diseases, including age-related macular degeneration (AMD), diabetic retinopathy (DR), age-related cataract, and primary open-angle glaucoma (POAG). DESIGN: P ...
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Journal ArticleDiabet Med · February 2013
AIM: To investigate the frequency and risk factors of non-retinopathy ocular conditions in persons with diabetes. METHODS: A population-based cross-sectional study of 3176 Malay persons aged between 40 and 79 years in Singapore was conducted. Cataract, gla ...
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Journal ArticleAm J Ophthalmol · February 2013
PURPOSE: To describe the clinical characteristics and outcome of eyes with extrafoveal polypoidal choroidal vasculopathy (PCV) treated with argon laser. DESIGN: Prospective cohort, noninterventional study. METHODS: A prospective study of Asian patients wit ...
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Journal ArticleNat Genet · February 2013
Central corneal thickness (CCT) is associated with eye conditions including keratoconus and glaucoma. We performed a meta-analysis on >20,000 individuals in European and Asian populations that identified 16 new loci associated with CCT at genome-wide signi ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 28, 2013
PURPOSE: To investigate a possible relationship between refractive error and cognitive function. METHODS: This population-based, cross-sectional study included 1032 persons aged 60 to 79 who participated in the Singapore Malay Eye Study. Refraction (sphere ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 21, 2013
PURPOSE: To investigate whether the effect of metabolic syndrome (MetS) and its components on the incidence of different cataract subtypes (cortical, nuclear, and posterior subcapsular cataract [PSC]) change with time. METHODS: A prospective cohort of pers ...
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Journal ArticleAm J Hum Genet · January 10, 2013
Whole-genome sequencing across multiple samples in a population provides an unprecedented opportunity for comprehensively characterizing the polymorphic variants in the population. Although the 1000 Genomes Project (1KGP) has offered brief insights into th ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 9, 2013
PURPOSE: To propose a general conversion approximation algorithm and illustrate its application to two cataract classification systems, the Lens Opacity Classification System III (LOCS III) and Wisconsin Cataract Grading System (Wisconsin system). METHODS: ...
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Journal ArticlePLoS One · 2013
Glycated hemoglobin A1C (HbA1C) level is used as a diagnostic marker for diabetes mellitus and a predictor of diabetes associated complications. Genome-wide association studies have identified genetic variants associated with HbA1C level. Most of these stu ...
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Journal ArticleOphthalmologica · 2013
The retinal vasculature provides a unique window to assess vascular health noninvasively and directly in vivo. Advances in fundus photography and retinal image analysis techniques have enabled the objective and accurate assessment of quantitative retinal v ...
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Journal ArticleOphthalmology · January 2013
OBJECTIVE: A recent study found that a combination of 6 anterior segment optical coherence tomography (ASOCT) parameters (anterior chamber area, volume, and width [ACA, ACV, ACW], lens vault [LV], iris thickness at 750 μm from the scleral spur, and iris cr ...
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Conference2013 IEEE International Conference on Image Processing, ICIP 2013 - Proceedings · January 1, 2013
Retinal vascular landmark points such as branching points and crossovers are important features for automatic retinal image matching and vascular abnormality detection. These landmark points can enable automatic screening of large dataset through the detec ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2013
Cataracts, which result from lens opacification, are the leading cause of blindness worldwide. Current methods for determining the severity of cataracts are based on manual assessments that may be weakened by subjectivity. In this work, we propose a system ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2013
In this paper, we propose a superpixel classification based optic cup segmentation for glaucoma detection. In the proposed method, each optic disc image is first over-segmented into superpixels. Then mean intensities, center surround statistics and the loc ...
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Journal ArticleRetina · 2013
PURPOSE: To compare retinal vessel caliber changes at the macula region and surrounding the optic disk after focal/grid laser treatment for diabetic macular edema. METHODS: The study included 69 eyes from 46 patients treated with focal/grid laser for diabe ...
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Journal ArticleJ Am Med Inform Assoc · 2013
BACKGROUND: Computer-aided diagnosis for screening utilizes computer-based analytical methodologies to process patient information. Glaucoma is the leading irreversible cause of blindness. Due to the lack of an effective and standard screening practice, mo ...
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Journal ArticlePLoS One · 2013
OBJECTIVE: To determine the prevalence of cataract surgery and factors associated with post-surgical visual outcomes in migrant Indians living in Singapore. RESEARCH DESIGN AND METHODS: We conducted a population-based study in 3,400 Indian immigrants resid ...
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Journal ArticleClin Exp Ophthalmol · 2013
BACKGROUND: To investigate the relationship of diabetic retinopathy and diabetic macular oedema with erectile dysfunction in patients with type 2 diabetes. DESIGN: Hospital-based, cross-sectional study. PARTICIPANTS: Three hundred twenty-four men with diab ...
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Journal ArticleCurr Med Chem · 2013
Diabetic retinopathy affects one-third of people with diabetes and is the most frequent cause of blindness in working aged adults. Although diabetic retinopathy blindness appears to have fallen in the developed world, the rapidly increasing number of perso ...
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Journal ArticleCurr Med Chem · 2013
Despite improving standards of care, people with diabetes remain at risk of development and progression of diabetic retinopathy (DR) and visual impairment. Identifying novel therapeutic approaches, preferably targeting more than one pathogenic pathway in D ...
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Journal ArticleJ Diabetes Res · 2013
Changes in retinal geometric parameters predict risk and progression of diabetic retinopathy (DR). We have shown that vitamin D deficiency (VDD) is associated with DR. We hypothesized that VDD mediates changes in retinal geometric parameters. Retinal vascu ...
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Journal ArticleMech Ageing Dev · 2013
Certain anatomic and functional parameters of the eye change with increasing chronological age. They may, therefore, serve as potential biomarkers of ageing. We investigated associations between four such ocular parameters (lens density, retinal vessel cal ...
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Journal ArticleJ Glaucoma · 2013
PURPOSE: To evaluate the impact of bilateral primary glaucoma on glaucoma-specific functioning in Asians. METHODS: Patients with bilateral primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) aged 40 years or above of Chinese ethnic ...
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Journal ArticlePLoS One · 2013
Pathological myopia is one of the leading causes of blindness worldwide. The condition is particularly prevalent in Asia. Unlike myopia, pathological myopia is accompanied by degenerative changes in the retina, which if left untreated can lead to irrecover ...
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Journal ArticlePLoS One · 2013
OBJECTIVE: To compare anterior segment parameters measured using a semi-automatic software (Zhongshan Angle Assessment Program, ZAP) applied to anterior segment optical coherence tomography (AS-OCT) images, with commonly used instruments. METHODS: Cross-se ...
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Journal ArticleCerebrovasc Dis · 2013
BACKGROUND: A substantial proportion of patients after nondisabling stroke are cognitively impaired compared to age- and education-matched community-dwelling controls. Moreover, poststroke patients who have 'vascular cognitive impairment no dementia' (VCIN ...
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Journal ArticleExpert Review of Ophthalmology · January 1, 2013
In recent years, there has been increasing evidence of ethnic differences in the epidemiology, risk factors, clinical presentation and manifestation of age-related macular degeneration (AMD). Although phenotypically very similar to AMD, polypoidal choroida ...
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Journal ArticlePLoS One · 2013
BACKGROUND: Overweight and obesity are thought to significantly influence a person's risk of cardiovascular disease, possibly via its effect on the microvasculature. Retinal vascular caliber is a surrogate marker of microvascular disease and a predictor of ...
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Journal ArticleOphthalmic Epidemiol · 2013
PURPOSE: Awareness of eye conditions aids health promotion activities and leads to better outcomes. We examined factors influencing the lack of awareness of common eye conditions in a population. METHODS: The Singapore Malay Eye Study examined 3280 (78.7% ...
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Journal ArticleOphthalmic Epidemiol · 2013
PURPOSE: To describe a systematic review of population-based prevalence studies of visual impairment (VI) and blindness worldwide over the past 32 years that informs the Global Burden of Diseases, Injuries and Risk Factors Study. METHODS: A systematic revi ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · January 2013
BACKGROUND: Cataract remains the leading cause of blindness and visual impairment in the world and in China. However, data on the prevalence of cataract based on standardized lens grading protocols from mainland China are limited. This paper estimated the ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · January 2013
BACKGROUND: To determine clinical or imaging prognostic features for visual outcome in eyes with submacular hemorrhage secondary to age-related macular degeneration (AMD) or polypoidal choroidal vasculopathy (PCV). METHODS: A prospective case series of 11 ...
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Journal ArticleOphthalmology · January 2013
PURPOSE: To examine associations between quantitatively measured retinal vessel caliber and the 10-year incidence of primary open-angle glaucoma (OAG). DESIGN: Population-based cohort study. PARTICIPANTS: The Blue Mountains Eye Study examined 3654 persons ...
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Journal ArticleOphthalmology · January 2013
PURPOSE: To determine the associations of geometric measurements (tortuosity, branching angle, and fractal dimension) of retinal vessels with glaucoma. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: Persons aged 40 to 80 years who participa ...
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Journal ArticlePLoS One · 2013
BACKGROUND: Performance in intelligence tests tends to be higher among individuals breastfed as infants, but little is known about the association between breastfeeding and achieved schooling. We assessed the association of infant feeding with school achie ...
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Journal ArticleJournal of Personalized Medicine · January 1, 2013
Rapid progress in genomics and nanotechnology continue to advance our approach to patient care, from diagnosis and prognosis, to targeting and personalization of therapeutics. However, the clinical application of molecular diagnostics in ophthalmology has ...
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ConferenceMedical Physics · January 1, 2013
Purpose: Proton beams have finite range and spare normal tissues distal to the target. Accurate determination and routine verification of proton range are critical in proton therapy, but depends on measurement device and method and could vary with proton c ...
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Journal ArticlePLoS One · 2013
Narrow arterioles in the retina have been shown to predict hypertension as well as other vascular diseases, likely through an increase in the peripheral resistance of the microcirculatory flow. In this study, we performed a genome-wide association study in ...
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Journal ArticlePLoS One · 2013
INTRODUCTION: C-reactive protein (CRP) levels are associated with cardiovascular disease and systemic inflammation. We assessed whether CRP-associated loci were associated with serum CRP and retinal markers of microvascular disease, in Asian populations. M ...
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Journal ArticlePLoS One · 2013
Type 2 diabetes (T2D) is a complex disease characterized by beta cell dysfunctions. Islet amyloid polypeptide (IAPP) is highly conserved and co-secreted with insulin with over 40% of autopsy cases of T2D showing islet amyloid formation due to IAPP aggregat ...
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Journal ArticlePLoS One · 2013
BACKGROUND: Mild retinopathy (microaneurysms or dot-blot hemorrhages) is observed in persons without diabetes or hypertension and may reflect microvascular disease in other organs. We conducted a genome-wide association study (GWAS) of mild retinopathy in ...
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Journal ArticlePLoS One · 2013
Genetic factors explain a majority of risk variance for age-related macular degeneration (AMD). While genome-wide association studies (GWAS) for late AMD implicate genes in complement, inflammatory and lipid pathways, the genetic architecture of early AMD ...
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Journal ArticleBMC Musculoskelet Disord · December 20, 2012
BACKGROUND: Whether the increase in vascular disease prevalence and mortality in OA populations is a result of co-occurrence of cardiovascular disease and OA, which are both common in the older population, is due to OA treatments or to the common associati ...
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ConferenceProceedings - International Conference on Image Processing, ICIP · December 1, 2012
Age-related macular degeneration (AMD) is a leading cause of vision loss. The presence of drusen are often associated to AMD. Drusen are tiny yellowish-white extracellular buildup present around the macular region of the retina. Clinically, ophthalmologist ...
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ConferenceProceedings - International Conference on Pattern Recognition · December 1, 2012
Peripapillary atrophy (PPA) is an atrophy of preexisting retina tissue. Because of its association with eye diseases such as myopia and glaucoma, it is important to determine the presence of PPA clinically. Experienced ophthalmologists are able to determin ...
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ConferenceProceedings - International Conference on Pattern Recognition · December 1, 2012
Localization of the macula centre is an important step in retinal image analysis, in particular for macular disease. We propose the use of a superpixelbased approach for macular localization. Features are extracted from the superpixels, including a propose ...
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ConferenceProceedings - International Conference on Pattern Recognition · December 1, 2012
Optic cup is the primary image indicator clinically used for identifying glaucoma. To automatically localize the optic cup in fundus images, an effective and efficient superpixel classification based approach is proposed in this work, which maintains both ...
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ConferenceProceedings - International Conference on Pattern Recognition · December 1, 2012
Identifying the boundary of the optic cup excavation is of critical importance in the assessment of glaucomatous risk. Currently, most approaches are focused on the use of pallor. We present an automatic method to determine the cup excavation boundary base ...
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Journal ArticleQual Life Res · December 2012
PURPOSE: Assessing the efficacy of treatment modalities for diabetic retinopathy (DR) from the patient's perspective is restricted due to a lack of a comprehensive patient-reported outcome measure. We are developing a DR-specific quality of life (QoL) item ...
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ConferenceProceedings of the 2012 7th IEEE Conference on Industrial Electronics and Applications, ICIEA 2012 · December 1, 2012
T The fovea (centre of the retinal macula region) is responsible for central vision. Conditions which can affect the macula region in particular include AMD and macular oedema, which lead to a direct loss in visual acuity due to the effect on central visio ...
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ConferenceProceedings of the 2012 7th IEEE Conference on Industrial Electronics and Applications, ICIEA 2012 · December 1, 2012
Automatic detection of the pupil is an important step in cataract assessment. This paper proposes a new pupil detection method which addresses the challenges faced in current methods employed for this task. We evaluate the performance of the proposed metho ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · December 2012
BACKGROUND: Our purpose was to determine the relationship of metabolic syndrome (MetS) and its components with retinal microvascular abnormalities in a rural Chinese population. METHODS: The Handan Eye Study, a population-based survey, recruited 6,830 (90. ...
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Journal ArticleStroke · December 2012
BACKGROUND AND PURPOSE: Small-vessel disease contributes to the pathophysiology of stroke, and retinal microvascular signs have been linked to the risk of stroke. We examined the relationship of retinal signs with incident stroke in a multiethnic cohort. M ...
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Journal ArticleOphthalmology · December 2012
OBJECTIVE: To describe how retinal venular diameter changes over time for an individual and to examine differences in these changes among people with different risk profiles. DESIGN: Population-based cohort study. PARTICIPANTS: A total of 4600 persons aged ...
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Journal ArticleIEEE Trans Med Imaging · December 2012
Peripapillary atrophy (PPA) is an atrophy of pre-existing retina tissue. Because of its association with eye diseases such as myopia and glaucoma, PPA is an important indicator for diagnosis of these diseases. Experienced ophthalmologists are able to deter ...
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Journal ArticleOphthalmic Epidemiol · December 2012
PURPOSE: To describe the prevalence of lens opacities and cataract surgery in an older Malay population in Singapore. METHODS: The Singapore Malay Eye Study is a population-based cross-sectional study of 3280 (78.7% response rate) Malay adults aged 40-80 y ...
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Journal ArticleAtherosclerosis · December 2012
OBJECTIVE: Retinopathy and retinal microvascular abnormalities are common in adult populations, yet few long-term predictors have been identified. We therefore examined the association between systolic blood pressure (SBP) and fasting plasma glucose, asses ...
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Journal ArticleJ Hum Hypertens · December 2012
Large-artery stiffness is a risk factor for stroke, including cerebral small-vessel disease. Retinal microvascular changes are thought to mirror those in cerebral microvessels. We investigated the relationship between aortic stiffness and retinal microvasc ...
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Journal ArticleSingapore Med J · November 2012
INTRODUCTION: We compared the agreement of diabetic retinopathy (DR) assessment between trained non-physician graders (NPGs) and family physicians (FPs) in a primary healthcare setting. METHODS: This was a cross-sectional study conducted retrospectively ov ...
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Journal ArticleHypertension · November 2012
The retinal vasculature allows direct noninvasive visualization of the body's mircrovasculature. Because the retina and other end organs (brain and kidney) share similar anatomical features and physiological properties, the retinal vessels offer a unique a ...
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Journal ArticleCornea · November 2012
PURPOSE: To describe the prevalence and associations of meibomian gland dysfunction (MGD) in an urban Malay population in Singapore. METHODS: Population-based cross-sectional study of 3280 (78.7% response rate) Malay persons aged 40 to 80 years, living in ...
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ConferenceProceedings - IEEE Symposium on Computer-Based Medical Systems · October 16, 2012
The vertical Cup-to-Disc Ratio (CDR) is an important indicator in the diagnosis of glaucoma. Automatic segmentation of the optic disc (OD) and optic cup is crucial towards a good computer-aided diagnosis (CAD) system. This paper presents a statistical mode ...
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Journal ArticleOphthalmic Epidemiol · October 2012
PURPOSE: To assess the correlation and reproducibility of retinal vascular geometric measurements obtained from two stereo-paired fundus images. METHODS: Thirty stereoscopic pairs of color optic disc-centered photographs from the Blue Mountains Eye Study w ...
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Journal ArticleOphthalmology · October 2012
PURPOSE: To describe the prevalence of and risk factors for diabetic retinopathy (DR) in Indian persons living in a newly urbanized society in Asia. DESIGN: Population-based study. PARTICIPANTS: Ethnic Indians aged ≥40 years living in Singapore. METHODS: T ...
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Journal ArticleAm J Ophthalmol · October 2012
PURPOSE: To examine the influence of a range of cardiovascular risk factors and ocular conditions on retinal vascular fractal dimension in the Singapore Malay Eye Study. DESIGN: Population-based cross-sectional study. METHODS: Fractal analysis of the retin ...
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Journal ArticleOphthalmic Epidemiol · October 2012
PURPOSE: To describe the distribution of and factors related to intraocular pressure (IOP) in a healthy adult rural Chinese population in northern China. METHODS: The Handan Eye Study is a cross-sectional, population-based study of eye diseases among 6,830 ...
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Journal ArticleNat Genet · October 2012
Primary angle closure glaucoma (PACG) is a major cause of blindness worldwide. We conducted a genome-wide association study including 1,854 PACG cases and 9,608 controls across 5 sample collections in Asia. Replication experiments were conducted in 1,917 P ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 25, 2012
PURPOSE: To evaluate the association of genetic variants at chromosomes 8p21 and 4q12 with the risk of developing AMD and its two main subtypes, choroidal neovascular membrane (CNV) and polypoidal choroidal vasculopathy (PCV), in Asian populations. METHODS ...
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Journal ArticleBMC Public Health · September 13, 2012
BACKGROUND: Language barrier is an important determinant of health care access and health. We examined the associations of English proficiency with type-2 diabetes (T2DM) and diabetic retinopathy (DR) in Asian Indians living in Singapore, an urban city whe ...
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Journal ArticleOphthalmology · September 2012
PURPOSE: To assess the association of ocular biometric parameters and refractive error with diabetic retinopathy (DR) and diabetic macular edema (DME) in persons with diabetes. DESIGN: Cross-sectional, clinic-based study. PARTICIPANTS: Patients with diabet ...
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Journal ArticleJ Neurol Neurosurg Psychiatry · September 2012
Alzheimer's disease (AD) is the most common cause of dementia. Furthermore, over the last few decades, there has been a shift towards identifying earlier stages of AD, which include mild cognitive impairment (MCI). Improved methods of screening and early d ...
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Journal ArticleProg Retin Eye Res · September 2012
Myopic choroidal neovascularization (CNV) is one of the leading causes of visual impairment worldwide. The clinical and socioeconomic impact of myopic CNV in Asian countries is particularly significant due to rising trend in the prevalence and severity of ...
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Journal ArticleHum Genet · September 2012
Myopia is a complex genetic disorder and a common cause of visual impairment among working age adults. Genome-wide association studies have identified susceptibility loci on chromosomes 15q14 and 15q25 in Caucasian populations of European ancestry. Here, w ...
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Journal ArticleObstet Gynecol · September 2012
OBJECTIVE: To estimate the effects of maternal body mass index (BMI) and pregnancy weight gain on the retinal microvasculature among pregnant women. METHODS: We studied 814 pregnant women aged 18-46 years who were recruited as part of the Growing Up in Sin ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 24, 2012
PURPOSE: Changes in retinal vascular parameters have been shown to be associated with systemic vascular diseases. In this study, we assessed the physiologic variations in retinal vascular measurements during the cardiac cycle. METHODS: Fundus images were t ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 24, 2012
PURPOSE: To determine the distribution, variation, and determinants of ganglion cell-inner plexiform layer (GC-IPL) thickness in nonglaucomatous eyes measured by high-definition optical coherence tomography (HD-OCT). METHODS: Six hundred twenty-three Chine ...
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ConferenceProceedings - International Symposium on Biomedical Imaging · August 15, 2012
Detection of the optic cup, which is an excavation in the optic disc, is an essential step in glaucoma assessment. In digital fundus photography, which captures 2D images of the retina, identification of the optic cup can be challenging. Kinks are bendings ...
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Journal ArticleAm J Ophthalmol · August 2012
PURPOSE: To assess the influence of factors related to migration and acculturation on myopia in migrant Indians in Singapore. DESIGN: Population-based cross-sectional study. METHODS: A total of 3400 Singaporean Indians (75.6% response rate) aged over 40 ye ...
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Journal ArticleArch Ophthalmol · August 2012
OBJECTIVE: To describe the relationship of blood pressure (BP), antihypertensive medication use, and other factors to serial measurements of retinal arteriolar diameters over time in the Beaver Dam Eye Study. METHODS: Retinal arteriolar diameter was measur ...
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Journal ArticleCurr Diab Rep · August 2012
With increasing global prevalence of diabetes, diabetic retinopathy (DR) is set to be the principle cause of vision impairment in many countries. DR affects a third of people with diabetes and the prevalence increases with duration of diabetes, hyperglycem ...
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Journal ArticleClin Exp Ophthalmol · August 2012
BACKGROUND: To describe the rationale and study design of a follow-up epidemiological eye study among Singaporean Malay adults. DESIGN: Follow-up prospective population-based study. PARTICIPANTS: Participants of the Singapore Malay Eye Study (SiMES-1 ...
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Journal ArticleOphthalmology · August 2012
PURPOSE: To describe the prevalence and risk factors of pterygium in a multiethnic Asian population and to examine racial differences. DESIGN: Population-based study in Singapore, located 1° north of the equator. PARTICIPANTS: Data were analyzed from 8906 ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 20, 2012
PURPOSE: We provided normative data of corneal and anterior segment dimensions, and a novel parameter, posterior corneal arc length (PCAL), in an adult Malay population. METHODS: The current analysis is a substudy of the Singapore Malay Eye Study (SiMES), ...
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Journal ArticleNat Genet · July 15, 2012
Chronic kidney disease (CKD), impairment of kidney function, is a serious public health problem, and the assessment of genetic factors influencing kidney function has substantial clinical relevance. Here, we report a meta-analysis of genome-wide associatio ...
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Journal ArticleHipertension y Riesgo Vascular · July 1, 2012
Elevated blood pressure leads to a multitude of vascular changes in eye. The earliest ocular effect of hypertension comprises of retinal microvascular changes called hypertensive retinopathy which is associated with indicators of end-organ damage (e.g., le ...
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Journal ArticleEye (Lond) · July 2012
PURPOSE: To assess retinal vascular calibre changes in eyes with neovascular age-related macular degeneration (AMD), treated with intravitreal anti-vascular endothelial growth factor agents, over a 1-year period and compare any such changes to untreated fe ...
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Journal ArticleDis Model Mech · July 2012
Diabetic retinopathy (DR) is the most common microvascular complication of diabetes and one of the major causes of blindness worldwide. The pathogenesis of DR has been investigated using several animal models of diabetes. These models have been generated b ...
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Journal ArticleDiabetes · July 2012
Serum apolipoprotein (apo)AI and -B have been shown to be associated with diabetic retinopathy, but the underlying mechanisms are unclear. We investigated whether apoAI and apoB levels are associated with measures of systemic and retinal microvascular func ...
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Journal ArticleAm J Ophthalmol · July 2012
PURPOSE: To determine the impact of cataracts and their types and grades on vision-specific functioning. DESIGN: Prospective population-based cross-sectional study. METHODS: The Singapore Indian Eye Study examined 3400 of 4497 (75.6% response rate) ethnic ...
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Journal ArticleAm J Ophthalmol · July 2012
PURPOSE: To review clinical and experimental data for fenofibrate as a possible systemic treatment for diabetic retinopathy. DESIGN: Perspective. METHODS: Review of clinical studies focused on 2 major randomized controlled trials: the FIELD (Fenofibrate In ...
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Journal ArticleAm J Phys Anthropol · July 2012
Although humans are considered unusual among mammals for the intensity of care that fathers often provide offspring, little is known about the hormonal architecture regulating human paternal investment. Prolactin has important reproductive functions in bot ...
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Journal ArticleEye (Lond) · July 2012
AIMS: To compare methods to measure time outdoor and light levels, two possible predictors of myopia, in Singapore children. METHODS: Outdoor time from a diary and portable light meter over a 1-week period was compared in 117 Singapore children aged 6-12 y ...
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Journal ArticleArch Ophthalmol · July 2012
OBJECTIVE: To describe the associations of visual impairment and major age-related eye diseases with cognitive function in an older Asian population. METHODS: A population-based, cross-sectional study of 1179 participants aged 60 to 80 years from the Singa ...
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Journal ArticleHypertension · July 2012
Changes in maternal blood pressure during pregnancy are associated with poor maternal and neonatal outcomes. We investigated whether maternal blood pressure during midpregnancy has an impact on the retinal microcirculation among pregnant Asian women. A tot ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 28, 2012
PURPOSE: Retinal vessel attenuation is a key finding in the diagnosis of retinitis pigmentosa (RP), but there have been no studies to determine whether quantitative measurement of this retinal sign is useful. We aimed to investigate retinal vessel caliber ...
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Journal ArticleOphthalmology · June 2012
PURPOSE: Recent advances in anterior segment imaging have enabled the measurement of novel ocular biometric parameters, such as lens vault (LV), posterior corneal arc length (PCAL), and iris area. The aims of this study were to identify the determinants of ...
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Journal ArticleJ Hum Hypertens · June 2012
Very few studies have explored links between physical activity, sedentary behaviours and blood pressure (BP) in early adolescence. We aimed to assess the association between a range of sedentary activities (screen time, television (TV) viewing, computer us ...
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Journal ArticleBr J Ophthalmol · June 2012
AIM: To examine the impact of bilateral or unilateral cataract surgery on visual functioning. METHODS: The Singapore Malay Eye Study is a population-based study of 3280 Singapore Malay patients aged 40-80 years, of which 3225 had data available for inclusi ...
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Journal ArticleOphthalmology · June 2012
PURPOSE: To assess the effect of duration of macular edema (ME) on clinical outcomes after treatment with dexamethasone intravitreal implant 0.7 mg (Ozurdex; Allergan, Inc, Irvine, CA) in patients with ME following branch retinal vein occlusion (BRVO) or c ...
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Journal ArticleStroke · June 2012
BACKGROUND AND PURPOSE: We examined the relationship of age-related macular degeneration (AMD) with incident stroke, including stroke subtypes of cerebral infarction and intracerebral hemorrhage. METHODS: We included 12 216 participants with retinal photog ...
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Journal ArticleOphthalmic Epidemiol · June 2012
PURPOSE: Retinal vessels may provide a readily accessible surrogate approach to study vascular disease in brain small vessels. Previous epidemiologic studies of retinal microvascular abnormalities and cognition have not included large numbers of Latinos wh ...
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Journal ArticleLancet · May 5, 2012
Age-related macular degeneration is a major cause of blindness worldwide. With ageing populations in many countries, more than 20% might have the disorder. Advanced age-related macular degeneration, including neovascular age-related macular degeneration (w ...
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Journal ArticleJ Diabetes Sci Technol · May 1, 2012
PURPOSE: Our purpose was to examine the relationship of retinal vascular parameters with diabetes and retinopathy in an older Asian population. METHODS: Retinal photographs from participants of a population-based survey of Asian Malay persons aged 40-80 ye ...
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Journal ArticleGraefes Arch Clin Exp Ophthalmol · May 2012
BACKGROUND: To identify factors associated with early age-related macular degeneration (AMD) in a rural Chinese population, with emphasis on retinal vessel caliber. METHODS: The study population comprised the 6,830 participants of the Handan Eye Study. All ...
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Journal ArticleEye (Lond) · May 2012
PURPOSE: To determine the influence of diabetes, diabetic retinopathy (DR), and other factors on macular thickness, measured using optical coherence tomography (OCT), in a population-based sample. METHODS: Data from the population-based Singapore Indian Ey ...
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Journal ArticleDiabetes Care · May 2012
OBJECTIVE: To examine the association between early retinal arteriolar abnormalities and diabetic peripheral neuropathy (DPN). RESEARCH DESIGN AND METHODS: Data from 608 people (aged 40-80 years) with diabetes from the population-based Singapore Malay Eye ...
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Journal ArticleClin Exp Optom · May 2012
Recent advances in retinal photographic imaging techniques have allowed objective and precise measurement of subtle vascular characteristics in the retina, including the retinal vessel calibre (diameter). Data from population-based and clinic-based studies ...
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Journal ArticleClin Exp Optom · May 2012
BACKGROUND: The aim was to compare beliefs about diabetes and determine their associations with psychological well-being, self-management behaviour and glycaemic control in those with and without diabetic retinopathy (DR). METHODS: We recruited 400 patient ...
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Journal ArticleAm J Clin Nutr · May 2012
BACKGROUND: Higher intake of carbohydrates and high-glycemic index (high-GI) diets could lead to small vessel dysfunction. OBJECTIVES: We aimed to assess the associations between intakes of high-GI and high-glycemic load (high-GL) diets, carbohydrate, and ...
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Journal ArticleNeuroimage · May 1, 2012
Cerebral abnormalities such as white matter hyperintensity (WMH), cortical infarct (CI), and lacunar infarct (LI) are of clinical importance and frequently present in patients with stroke and dementia. Up to date, there are limited algorithms available to ...
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Journal ArticleBr J Ophthalmol · April 2012
OBJECTIVE: To investigate the agreement between scanning laser ophthalmoscopy (Heidelberg retinal tomograph 3; HRT-3) and high-definition optical coherence tomography (HD-OCT) for measurements of optic nerve head (ONH) parameters. METHODS: As part of a pop ...
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Journal ArticleJ Med Syst · April 2012
Recent advances in medical imaging modality have enabled us to identify new features in retinal vasculature. One of the features is retinal vascular tortuosity which has been shown to become a predictive factor for cardiovascular diseases and diabetes. The ...
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Journal ArticleArch Ophthalmol · April 2012
OBJECTIVE: To describe the prevalence of and risk factors for age-related macular degeneration (AMD) in a multiethnic Asian cohort of Chinese, Malay, and Indian persons. METHODS: In this population-based study, 3172 persons of Chinese, Malay, and Indian et ...
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Journal ArticleOphthalmology · April 2012
OBJECTIVE: To determine whether age-related macular degeneration (AMD) is a risk indicator for coronary heart disease (CHD) and cardiovascular disease (CVD) events independent of other known risk factors in a multi-ethnic cohort. DESIGN: Population-based p ...
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Journal ArticleEur J Hum Genet · April 2012
Genome-wide association studies (GWAS) have become the preferred experimental design in exploring the genetic etiology of complex human traits and diseases. Standard SNP-based meta-analytic approaches have been utilized to integrate the results from multip ...
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Journal ArticleNat Med · March 18, 2012
Tyrosine kinase inhibitors (TKIs) elicit high response rates among individuals with kinase-driven malignancies, including chronic myeloid leukemia (CML) and epidermal growth factor receptor-mutated non-small-cell lung cancer (EGFR NSCLC). However, the exte ...
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Journal ArticleDiabetes Care · March 2012
OBJECTIVE: To examine the global prevalence and major risk factors for diabetic retinopathy (DR) and vision-threatening diabetic retinopathy (VTDR) among people with diabetes. RESEARCH DESIGN AND METHODS: A pooled analysis using individual participant data ...
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Journal ArticleDiabetes Care · March 2012
OBJECTIVE: To examine the relationship between retinal vascular geometry parameters and development of incident renal dysfunction in young people with type 1 diabetes. RESEARCH DESIGN AND METHODS: This was a prospective cohort study of 511 adolescents with ...
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Journal ArticleDiabetologia · March 2012
AIMS/HYPOTHESIS: To explore the relative contribution of novel and traditional risk markers for diabetic retinopathy (DR). METHODS: A clinic-based study of 224 diabetic patients (85 type 1, 139 type 2) from a diabetes clinic was performed. DR was graded fr ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 27, 2012
PURPOSE: To describe the prevalence of epiretinal membrane (ERM) and its risk factors in an Indian population and compare the findings with other populations. METHODS: The Singapore Indian Eye Study is a population-based survey of 3400 Asian Indians aged b ...
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Journal ArticlePostgraduate Medical Journal · February 23, 2012
Understanding the impact of a condition from the patient's perspective is important, and different types of patient-reported outcomes or instruments are available to help with this. This review article summarizes the current evidence on the impact of diabe ...
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Journal ArticleNat Genet · February 19, 2012
Multiple genetic loci associated with obesity or body mass index (BMI) have been identified through genome-wide association studies conducted predominantly in populations of European ancestry. We performed a meta-analysis of associations between BMI and ap ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 13, 2012
PURPOSE: To assess the impact of diabetic retinopathy (DR) and diabetic macular edema (DME) on health-related quality of life (HRQoL) in type 1 and type 2 diabetes using the EuroQoL EQ-5D generic multi-attribute utility instrument (MAUI). METHODS: In this ...
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Journal ArticleBMC Neurol · February 8, 2012
BACKGROUND: This paper describes the rationale and design of the ENVIS-ion Study, which aims to determine whether low-dose aspirin reduces the development of white matter hyper-intense (WMH) lesions and silent brain infarction (SBI). Additional aims includ ...
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Journal ArticleSingapore Med J · February 2012
INTRODUCTION: This study highlights the key epidemiological findings from the Singapore Malay Eye Study (SiMES-1). METHODS: SiMES-1 was a cross-sectional, population-based epidemiological study on eye diseases. It was performed on 3,280 randomly selected M ...
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Journal ArticleJ Glaucoma · February 2012
PURPOSE: To examine the correlation and agreement of stereometric parameters between Heidelberg Retinal Tomograph version 2 (HRT-2) and HRT-3 in a normal Asian population. METHODS: This was a population-based study using data from the Singapore Malay Eye S ...
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Journal ArticleOphthalmology · February 2012
PURPOSE: To investigate determinants of angle width and derive mathematic models to best predict angle width. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: A total of 1067 Chinese subjects aged ≥40 years. METHODS: Participants underwent go ...
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Journal ArticleDiabetes Res Clin Pract · February 2012
AIM: To prospectively examine the association of retinal microvascular signs with incident diabetes and impaired fasting glucose (IFG) in a multi-ethnic population-based cohort. METHODS: The multi-ethnic study of atherosclerosis comprised Caucasians, Afric ...
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Journal ArticleJ Hum Hypertens · February 2012
Hypertension has profound effects on various parts of the eye. Classically, elevated blood pressure results in a series of retinal microvascular changes called hypertensive retinopathy, comprising of generalized and focal retinal arteriolar narrowing, arte ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 31, 2012
PURPOSE: Retinal vascular fractal dimension (D(f)) is a measure of the geometric complexity of the retinal microvasculature, and has been associated with diabetic retinopathy. In this study, the authors examined the relationship between blood pressure and ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 17, 2012
PURPOSE: To report normative results of anterior segment and corneal biometric parameters and their associations in ethnic South Asian Indian adults. METHODS: The Singapore Indian Eye Study is a cross-sectional, population-based study of ethnic South Asian ...
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Journal ArticleHum Mol Genet · January 15, 2012
Central corneal thickness (CCT) is a highly heritable trait. Genes that significantly influence CCT can be candidate genes for common disorders in which CCT has been implicated, such as primary open-angle glaucoma (POAG) and keratoconus. Because the geneti ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 3, 2012
PURPOSE: To examine whether baseline retinal vascular caliber predicts visual response to intravitreal ranibizumab injections in patients with neovascular age-related macular degeneration (AMD). METHODS: In this prospective cohort study, patients with neov ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2012
Optic disc segmentation in retinal fundus image is important in ocular image analysis and computer aided diagnosis. Because of the presence of peripapillary atrophy which affects the deformation, it is important to have a good initialization in deformable ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2012
Optic cup detection remains a challenging task in retinal image analysis, and is of particular importance for glaucoma evaluation, where disease severity is often assessed by the size of the optic cup. In this paper, we propose spatial heuristic ensembling ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2012
We present a regional propagation approach based on retinal structure priors to localize the optic cup in 2D fundus images, which is the primary image component clinically used for identifying glaucoma. This method provides three major contributions. First ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2012
The optic cup segmentation is critical for automated cup-to-disk ratio measurement, and hence computer-aided diagnosis of glaucoma. In this paper, we propose a novel sector-based method for optic cup segmentation. The method comprises two parts: intensity- ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2012
Retinal landmark detection is a key step in retinal screening and computer-aided diagnosis for different types of eye diseases, such as glaucomma, age-related macular degeneration(AMD) and diabetic retinopathy. In this paper, we propose a semantic image tr ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2012
The macula is the part of the eye responsible for central high acuity vision. Detection of the macula is an important task in retinal image processing as a landmark for subsequent disease assessment, such as for age-related macula degeneration. In this pap ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2012
In this paper, we present a new method to detect pterygiums using cornea images. Due to the similarity of appearances and spatial locations between pterygiums and cortical cataracts, pterygiums are often falsely detected as cortical cataracts on retroillum ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2012
We present a superpixel based learning framework based on retinal structure priors for glaucoma diagnosis. In digital fundus photographs, our method automatically localizes the optic cup, which is the primary image component clinically used for identifying ...
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Journal ArticleDiabetes, Metabolic Syndrome and Obesity · January 1, 2012
Background: The main objective of this study was to investigate whether plasma pentosidine levels were associated with cataract and low estimated glomerular filtration rate (eGFR) in nonproteinuric type 2 diabetic patients. Methods: We characterized 888 no ...
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Journal ArticlePLoS One · 2012
Smoking causes endothelial dysfunction and systemic microvascular disease with resultant end-organ damage in the kidneys, eyes and heart. Little is known about microvascular changes in smoking-related lung disease. We tested if microvascular changes in the ...
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Journal ArticlePLoS One · 2012
OBJECTIVES: HIV infection is associated with an increased risk of age-related morbidity mediated by immune dysfunction, atherosclerosis and inflammation. Changes in retinal vessel calibre may reflect cumulative structural damage arising from these mechanis ...
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Journal ArticleKidney Blood Press Res · 2012
BACKGROUND/AIMS: The effects of haemodialysis on the microcirculation are poorly understood. This study examined the changes in small vessel calibre. METHODS: 24 patients (including 12 males, median age 62.5 years, range 30-87) underwent digital retinal ph ...
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Journal ArticleClin Exp Ophthalmol · 2012
BACKGROUND: Current knowledge of the phenotypic characteristics (e.g. clinical features, risk factors, natural history and treatment response) of age-related macular degeneration (AMD) in Asians remains limited. This report summarizes the rationale and s ...
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Journal ArticleKidney Blood Press Res · 2012
BACKGROUND/AIMS: In persons with diabetes, retinal microvascular abnormalities are associated with chronic kidney disease (CKD). However, it is not clear if the same relationship applies in persons without diabetes. METHODS: We examined 2,971 participants ...
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Journal ArticlePLoS One · 2012
BACKGROUND: Health of migrants is a major public health challenge faced by governments and policy makers. Asian Indians are among the fastest growing migration groups across Asia and the world, but the impact of migration and acculturation on diabetes and ...
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Journal ArticleClin Exp Ophthalmol · 2012
BACKGROUND: The Diabetes Management Project is investigating the clinical, behavioural and psychosocial barriers to optimal diabetes care in individuals with and without diabetic retinopathy. DESIGN: Prospective cohort. PARTICIPANTS: Two hundred and twenty ...
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Journal ArticleClin Exp Ophthalmol · 2012
BACKGROUND: To describe the changes in retinal vascular calibre in response to intravitreal ranibizumab injections in patients with neovascular age-related macular degeneration. DESIGN: Prospective interventional case series. PARTICIPANTS: Treatment naïve ...
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Journal ArticleOphthalmology · January 2012
PURPOSE: To determine the prevalence of and factors associated with amblyopia in a sample of Australian preschool children. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: The Sydney Paediatric Eye Disease Study examined 2461 (73.8% particip ...
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Journal ArticleAm J Ophthalmol · January 2012
PURPOSE: To examine the association of retinal vessel tortuosity with diabetic retinopathy and early nephropathy in type 1 diabetes. DESIGN: Cross-sectional. METHODS: A total of 1159 participants with type 1 diabetes aged 12 to 20 years, attending diabetes ...
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Journal ArticleInt J Obes (Lond) · January 2012
OBJECTIVE: Recent genome-wide association studies (GWAS) have identified 38 obesity-associated loci among European populations. However, their contribution to obesity in other ethnicities is largely unknown. METHODS: We utilised five GWAS (N=10 482) from C ...
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Journal ArticleBr J Ophthalmol · January 2012
AIM: To document planimetric measures of normal optic nerve head parameters in 6-year-old children and to report prevalence and associations of common optic nerve signs. METHODS: The Sydney Childhood Eye Study examined 1765 children aged 6 years. Complete ...
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Journal ArticleExpert Opin Biol Ther · January 2012
INTRODUCTION: Diabetic retinopathy (DR) is a significant cause of visual impairment worldwide. The association between hyperlipidemia or dyslipidemia and DR has been investigated extensively, but a conclusive link remains elusive. This review summarizes th ...
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Journal ArticleEur J Hum Genet · January 2012
Recent reports have identified a north-south cline in genetic variation in East and South-East Asia, but these studies have not formally explored the basis of these clinical differences. Understanding the origins of these variations may provide valuable in ...
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Journal ArticleNeurobiol Aging · January 2012
Previous work suggests a general reduction in complexity with aging, referred to as the aging-complexity theory. Fractal dimension (FD) of the vessels in the retina is a global measure of the complexity of the vasculature. However, earlier works did not fi ...
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Journal ArticleClin Exp Ophthalmol · 2012
People with vision-threatening diabetic retinopathy are likely to experience enhanced social and emotional strain. Critically, those with both vision-threatening diabetic retinopathy and psychosocial problems may have significantly reduced levels of functi ...
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Journal ArticleAm J Hum Biol · 2012
OBJECTIVES: Lower birth weight (BW) reoccurs across generations, but the intermediate mechanisms remain poorly understood. One potential pathway involves cortisol, which may be elevated in women born small and in turn could lead to fetal growth restriction ...
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Journal ArticlePLoS Genet · 2012
Circulating levels of adiponectin, a hormone produced predominantly by adipocytes, are highly heritable and are inversely associated with type 2 diabetes mellitus (T2D) and other metabolic traits. We conducted a meta-analysis of genome-wide association stu ...
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Journal ArticlePLoS Genet · 2012
As one of the leading causes of visual impairment and blindness, myopia poses a significant public health burden in Asia. The primary determinant of myopia is an elongated ocular axial length (AL). Here we report a meta-analysis of three genome-wide associ ...
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Journal ArticlePLoS Genet · 2012
Intraocular pressure (IOP) is a highly heritable risk factor for primary open-angle glaucoma and is the only target for current glaucoma therapy. The genetic factors which determine IOP are largely unknown. We performed a genome-wide association study for ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 20, 2011
PURPOSE: To evaluate the ocular and systemic factors influencing measurements of optic nerve head (ONH) parameters and retinal nerve fiber layer (RNFL) thickness with spectral-domain optical coherence tomography (SD-OCT) in healthy Chinese adults. METHODS: ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 20, 2011
PURPOSE: To systematically examine the association between ocular biometry and retinal vascular caliber in Singapore Chinese preschoolers aged 48 to 72 months. METHODS: A total of 469 Singapore Chinese children aged 48 to 72 months were recruited through t ...
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Journal ArticleNat Genet · December 11, 2011
We conducted a three-stage genetic study to identify susceptibility loci for type 2 diabetes (T2D) in east Asian populations. We followed our stage 1 meta-analysis of eight T2D genome-wide association studies (6,952 cases with T2D and 11,865 controls) with ...
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ConferenceProceedings - International Conference on Image Processing, ICIP · December 1, 2011
Cataract is a leading cause of blindness worldwide. Computer-aided cataract detection is two-fold significant. Firstly, it will be helpful in mass screening. Secondly, it can be used as the preprocessing step for computer-aided grading. In this paper, the ...
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Journal ArticleOphthalmology · December 2011
OBJECTIVE: To describe the prevalence of choroidal nevi in 4 racial or ethnic groups (white, black, Hispanic, and Chinese) in the United States. DESIGN: Cross-sectional study. PARTICIPANTS: Participants of the second examination of the Multi-Ethnic Study o ...
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Journal ArticleOphthalmic Epidemiol · December 2011
PURPOSE: To describe the prevalence and risk factors of ocular trauma in an urban Southeast Asian population. METHODS: A population-based survey of 3,400 (75.6% response rate) adults of Indian ethnicity aged 40-80 years residing in Singapore was conducted ...
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Journal ArticleOphthalmic Epidemiol · December 2011
PURPOSE: To compare the frequency and pattern of bilateral involvement of early and late age-related macular degeneration (AMD) between Asian Malays and Caucasians. METHODS: We used cross-sectional data from the baseline examination for subjects aged 50-79 ...
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Journal ArticleOphthalmic Epidemiol · December 2011
PURPOSE: To evaluate changes in the retinal vasculature in eyes with myopic retinopathy. METHODS: Population-based, cross-sectional study. Emmetropic and myopic participants from the Blue Mountains Eye Study baseline survey were included in this study. Myo ...
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Journal ArticlePLoS Genet · December 2011
Corneal astigmatism refers to refractive abnormalities and irregularities in the curvature of the cornea, and this interferes with light being accurately focused at a single point in the eye. This ametropic condition is highly prevalent, influences visual ...
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Journal ArticleHum Mutat · December 2011
Copy number variants (CNVs) extend our understanding of the genetic diversity in humans. However, the distribution and characteristics of CNVs in Asian populations remain largely unexplored, especially for rare CNVs that have emerged as important genetic f ...
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Journal ArticleNat Genet · November 13, 2011
Kawasaki disease is a systemic vasculitis of unknown etiology, with clinical observations suggesting a substantial genetic contribution to disease susceptibility. We conducted a genome-wide association study and replication analysis in 2,173 individuals wi ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 11, 2011
PURPOSE: It is known that a person's socioeconomic status (SES; individual-level SES) is closely correlated with his or her degree of visual impairment. Whether there is an independent relationship between area-level measures of SES (e.g., living in a lowe ...
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Journal ArticleAm J Ophthalmol · November 2011
PURPOSE: To examine the association of corneal arcus to cardiovascular disease (CVD) in an adult, ethnic Indian population. DESIGN: Population-based cross-sectional study. METHODS: Population-based study of ethnic South Asian Indians 40 to 80 years of age ...
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Journal ArticleAsia Pac J Public Health · November 2011
Studies conducted in Western populations demonstrate that blood pressure (BP) is a major risk factor for chronic kidney disease (CKD). The authors examined the cross-sectional association between BP and CKD in 3280 adults of Malay ethnicity aged 40 to 80 y ...
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Journal ArticleNephrol Dial Transplant · November 2011
BACKGROUND: Changes in retinal microvascular caliber, which occur prior to onset of retinopathy, may indicate presence of kidney damage. METHODS: This study examined the association between retinal arteriolar [central retinal artery equivalent (CRAE)] and ...
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Journal ArticleDiabetes Res Clin Pract · November 2011
AIMS: To describe the relationship of retinal arteriolar and venular caliber with diabetes, retinopathy and hyperglycemia, in an Asian Indian population. METHODS: This was a population-based cross-sectional study of 3400 (75.6% response rate) Singapore eth ...
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Journal ArticleInvest Ophthalmol Vis Sci · October 7, 2011
PURPOSE. Relative peripheral hyperopia has been associated with central myopia. This study was conducted to determine whether baseline relative peripheral hyperopia is associated with an increased risk of developing myopia or myopia progression in young Si ...
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Journal ArticleEye (Lond) · October 2011
PURPOSE: To determine the prevalence rates of refractive errors and pattern of ocular biometry in a multi-ethnic elderly Asian population. METHODS: A population-based study of 1835 residents aged 55-85 years, evaluating the refractive error and ocular biom ...
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Journal ArticleOphthalmology · October 2011
PURPOSE: To examine early myopia-related optic disc and retinal changes in a Singapore Chinese adolescent sample without confounding ocular or systemic disease. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Children aged 12 to 16 years at a ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 29, 2011
PURPOSE: People with limited literacy are at increased risks of chronic systemic conditions. The authors therefore investigated the independent contribution of limited literacy on visual impairment and visual function in a large eye survey in Singapore. ME ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 29, 2011
PURPOSE: To compare the prevalence and risk factors of diabetes (DM) and diabetic retinopathy (DR) in a multi-ethnic Asian population of Chinese, Malays, and Indians in Singapore. METHODS: A total of 2919 individuals participated in a population-based, cro ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 29, 2011
PURPOSE: To investigate whether variants in cardiovascular candidate genes, some of which have been previously associated with type 2 diabetes (T2D), diabetic retinopathy (DR), and diabetic nephropathy (DN), are associated with DR in the Candidate gene Ass ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 27, 2011
PURPOSE: To investigate the effect of tumor necrosis factor alpha (TNF-α) on the mouse retinal vasculature, function, and expression of vascular endothelial growth factor-A (VEGF-A) in the retina and retinal pigment epithelium (RPE) and to evaluate the pro ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 27, 2011
PURPOSE: To assess the association of serum lipids with diabetic retinopathy (DR), diabetic macular edema (DME), and macular thickness in adults with diabetes. METHODS: Diabetic patients aged ≥ 18 years were prospectively recruited from specialized eye cli ...
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Journal ArticleProc Natl Acad Sci U S A · September 27, 2011
In species in which males care for young, testosterone (T) is often high during mating periods but then declines to allow for caregiving of resulting offspring. This model may apply to human males, but past human studies of T and fatherhood have been cross ...
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Journal ArticleHum Mol Genet · September 15, 2011
Corneal curvature (CC) is a key determinant of major eye diseases, such as keratoconus, myopia and corneal astigmatism. No prior studies have discovered the genes for CC. Here we report the findings from four genome-wide association studies of CC in 10 008 ...
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Journal ArticleNature · September 11, 2011
Blood pressure is a heritable trait influenced by several biological pathways and responsive to environmental stimuli. Over one billion people worldwide have hypertension (≥140 mm Hg systolic blood pressure or ≥90 mm Hg diastolic blood pressure). Even sma ...
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ConferenceProceedings of the 2011 6th IEEE Conference on Industrial Electronics and Applications, ICIEA 2011 · September 5, 2011
Cataract is the leading cause of blindness worldwide. In this paper, registration of retroillumination image is investigated for detection of cortical and posterior subcapsular cataract (PSC). The pupil region is detected by local entropy filtering. The an ...
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Journal ArticleArch Ophthalmol · September 2011
OBJECTIVE: To determine the prevalence, characteristics, and risk factors for myopic retinopathy in a rural population in Northern China. METHODS: The Handan Eye Study is a population-based study of eye disease in rural Chinese individuals 30 years or olde ...
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Journal ArticleOphthalmology · September 2011
PURPOSE: To describe the prevalence and causes of visual impairment and blindness in an urban Indian population. DESIGN: Population-based study. PARTICIPANTS: Ethnic Indians aged more than 40 years living in Singapore. METHODS: Participants underwent stand ...
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Journal ArticleDiabetologia · September 2011
AIM/HYPOTHESIS: The aim of this hypothesis was to examine the association of retinal vessel tortuosity with diabetes and diabetic retinopathy (DR). METHODS: A clinic-based study of 327 participants (224 with diabetes and 103 non-diabetic controls) aged ≥ 1 ...
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Journal ArticleHypertension · September 2011
We aimed to assess the associations between parental history of hypertension and indicators of cardiovascular risk (retinal vessel diameter, presence of obesity, and elevated blood pressure) in prepubertal children. There were 1739 (77.7% of those eligible ...
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Journal ArticleJ Hypertens · September 2011
The use of retinal photography in clinical practice and research has substantially increased the knowledge about the epidemiology, natural history and significance of diabetic and hypertensive retinopathy. Early retinopathy signs, including retinal microan ...
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Journal ArticleNeurology · August 30, 2011
OBJECTIVES: Retinal microvasculature changes are associated with vascular events including stroke in healthy populations. It is not known whether retinal microvascular changes predict recurrent vascular events after ischemic stroke. We examined the relatio ...
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Journal ArticleNat Genet · August 28, 2011
We carried out a genome-wide association study of type-2 diabetes (T2D) in individuals of South Asian ancestry. Our discovery set included 5,561 individuals with T2D (cases) and 14,458 controls drawn from studies in London, Pakistan and Singapore. We ident ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 22, 2011
PURPOSE. To describe the distribution and determinants of ocular biometric parameters in adult Singapore Indians. METHODS. A population-based, cross-sectional study was conducted on 3400 Indians aged 40 to 83 years residing in Singapore. Ocular components ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 17, 2011
PURPOSE. The aim of this study was to examine the relationship of physical activity and television (TV) viewing time with retinal vascular caliber in a multiethnic Asian population. METHODS. Chinese, Indian, and Malay participants (n = 3866) were examined ...
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Journal ArticleOphthalmic Epidemiol · August 2011
PURPOSE: Cataract is the major cause of blindness worldwide yet there is no consensus on its assessment and definition. This study compares age-related cataract prevalence derived from two commonly used methods: clinical assessment using the Lens Opacity C ...
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Journal ArticleOphthalmology · August 2011
OBJECTIVE: There are limited data on the natural history and longitudinal changes of retinal microvascular lesions. We examined 10-year changes in retinal microvascular lesions, focusing on those related to hypertension and shown to predict development of ...
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Journal ArticleOphthalmology · August 2011
PURPOSE: To assess the prevalence and associations of visual impairment (VI) in preschool children. DESIGN: Cross-sectional, population-based study. PARTICIPANTS: A total of 2461 children (73.8% participation rate), aged 6 to 72 months, were examined in th ...
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Journal ArticleInt J Pediatr Obes · August 2011
OBJECTIVE: To examine the association between body fatness indices and retinal vascular calibre in Singapore Chinese children. METHODS: We recruited 136 Singapore Chinese children aged 6-16 years from the STARS (The Strabismus, Amblyopia and Refractive Err ...
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Journal ArticleClin J Am Soc Nephrol · August 2011
BACKGROUND AND OBJECTIVES: Individuals with chronic kidney disease (CKD) stages 3 to 5 have an increased risk of cardiac and other vascular disease. Here we examined the association of CKD 3 to 5 with small vessel caliber. DESIGN, SETTING, PARTICIPANTS, & ...
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ConferenceBIOSIGNALS 2011 - Proceedings of the International Conference on Bio-Inspired Systems and Signal Processing · July 18, 2011
Retinal blood vessel changes (e.g., vessel caliber) are important indicators for earlier diagnosis of cardiovascular diseases. To quantify the changes automatically, a reliable vessel detection is essential. However, blood vessel detection in retinal image ...
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ConferenceBIOSIGNALS 2011 - Proceedings of the International Conference on Bio-Inspired Systems and Signal Processing · July 18, 2011
In this paper, we propose a method for retinal image matching that can be used in image matching for person identification or patient longitudinal study. Vascular invariant features are extracted from the retinal image and a feature vector is constructed f ...
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Journal ArticleDiabetes Care · July 2011
OBJECTIVE: To examine the association between retinal vascular geometry and subsequent development of incident retinopathy in young patients with type 1 diabetes. RESEARCH DESIGN AND METHODS: A prospective cohort study of 736 people with type 1 diabetes ag ...
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Journal ArticleAm J Kidney Dis · July 2011
BACKGROUND: Microvascular disease is a major pathogenic factor for chronic kidney disease (CKD) in persons with diabetes, but the role of microvascular disease in the development of CKD in the general population is unclear. The aim of this study is to exam ...
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Journal ArticleOphthalmology · July 2011
PURPOSE: To describe the prevalence of age-related degeneration (AMD) in a rural Chinese population and to assess its associations with age, gender, and smoking. DESIGN: Population-based cross-sectional. PARTICIPANTS: Persons aged 30+ years, recruited betw ...
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Journal ArticleAm J Ophthalmol · July 2011
PURPOSE: To determine whether retinal arteriolar wall signs are associated with early age-related macular degeneration (AMD). DESIGN: Population-based cross-sectional study. METHODS: The Singapore Malay Eye Study (SiMES) is a population-based eye survey in ...
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Journal ArticleOphthalmology · July 2011
OBJECTIVE: Prior studies have reported that blood pressure (BP) has a significant influence on retinal vascular caliber both in adults and children aged 6 years and older. This study aimed to examine the association between BP and retinal vascular caliber ...
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Journal ArticleBr J Ophthalmol · July 2011
OBJECTIVE: To propose the Schwalbe line (SL) as a new anatomical landmark, independent of the scleral spur (SS) location, for assessing anterior chamber angle (ACA) width quantitatively with high-definition optical coherence tomography (HD-OCT). METHODS: S ...
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Journal ArticleAm J Ophthalmol · July 2011
PURPOSE: To examine the relationship between refractive error and optic disc topographic parameters and retinal nerve fiber layer (RNFL) thickness. DESIGN: Population-based cross-sectional study. METHODS: All 3,280 (78.7% response rate) persons of Asian Ma ...
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Journal ArticleOphthalmology · July 2011
PURPOSE: To investigate variations in corneal hysteresis (CH) and corneal resistance factor (CRF) and their ocular and systemic associations in Chinese adults. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: We included 1136 subjects of Chin ...
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Journal ArticleJ Hypertens · July 2011
OBJECTIVE: The present study examined the effects of blood pressure on a spectrum of quantitative and qualitative retinal microvascular signs. METHODS: Retinal photographs from the Singapore Malay Eye Study, a population-based cross-sectional study of 3280 ...
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Journal ArticleDiabetologia · July 2011
AIMS/HYPOTHESIS: Retinal vascular calibre changes may reflect early subclinical microvascular disease in diabetes. Because of the considerable homology between retinal and cerebral microcirculation, we examined whether retinal vascular calibre, as a proxy ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 22, 2011
PURPOSE: To investigate the relationship between anthropometric parameters and diabetic retinopathy (DR) in adults with diabetes. METHODS: Five hundred participants with diabetes were recruited prospectively from ophthalmology clinics in Melbourne, Austral ...
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Journal ArticleActa Ophthalmol · June 2011
PURPOSE: To describe risk factors associated with diabetic retinopathy (DR) in a population-based sample of rural Chinese with type 2 diabetes. METHODS: The Handan Eye Study is a population-based cross-sectional study surveyed 6830 Chinese people aged 30+ ...
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Journal ArticleInt J Pediatr Obes · June 2011
UNLABELLED: OBJECTIVES. In adults, obesity is linked to changes in the retinal microvasculature. Limited research has been conducted into this association in children. We examined in a cohort of pre-adolescents the relationship between body mass index (BMI ...
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Journal ArticleDiabetes Care · June 2011
OBJECTIVE: Endothelial dysfunction has been hypothesized as a possible pathogenic factor in the development of diabetic retinopathy (DR). We examined the relationship of DR to endothelium-dependent and endothelium-independent responses in skin microvascula ...
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Journal ArticleBr J Ophthalmol · June 2011
Understanding the impact of a condition from the patient's perspective is important, and different types of patient-reported outcomes or instruments are available to help with this. This review article summarises the current evidence on the impact of diabe ...
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Journal ArticleNat Genet · June 2011
We conducted a meta-analysis of genome-wide association studies of systolic (SBP) and diastolic (DBP) blood pressure in 19,608 subjects of east Asian ancestry from the AGEN-BP consortium followed up with de novo genotyping (n = 10,518) and further replicat ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 16, 2011
PURPOSE: To determine the prevalence and risk factors for refractive errors in middle-aged to elderly Singaporeans of Indian ethnicity. METHODS: A population-based, cross-sectional study of Indians aged over 40 years of age residing in Southwestern Singapo ...
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Journal ArticleArch Ophthalmol · May 2011
OBJECTIVES: To describe the measurement of anterior chamber area and anterior chamber volume by anterior-segment optical coherence tomography and to investigate the association of these parameters with the presence of narrow angles. METHODS: This was a cro ...
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Journal ArticleHum Mol Genet · May 1, 2011
Damage to the optic nerve (e.g. from glaucoma) has an adverse and often irreversible impact on vision. Earlier studies have suggested that the size of the optic nerve head could be governed by hereditary factors. We conducted a genome-wide association stud ...
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Journal ArticleArterioscler Thromb Vasc Biol · May 2011
OBJECTIVE: It is not clear whether physical activity and sedentary behavior affect retinal microvascular caliber. We investigated associations among physical activity (outdoor and indoor sporting activities), sedentary behaviors (including screen time, tel ...
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Journal ArticleRheumatology (Oxford) · May 2011
OBJECTIVES: Alterations in retinal vascular calibre, particularly wider venular calibre, have been independently associated with elevated markers of inflammation and cardiovascular risk in the general population. We hypothesized that retinal vascular calib ...
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Journal ArticleOphthalmology · May 2011
OBJECTIVE: Persons with diabetic retinopathy (DR) have an increased risk of clinical cardiovascular events. This study aimed to determine whether DR is associated with a range of measures of subclinical cardiovascular disease (CVD) in persons without clini ...
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Journal ArticleOphthalmology · May 2011
OBJECTIVE: To examine the relationship of retinal vascular tortuosity to age, blood pressure, and other cardiovascular risk factors. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: A total of 3280 participants aged 40 to 80 years from the Si ...
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Journal ArticleOphthalmology · May 2011
PURPOSE: To report the 24 months outcomes from a clinical trial of intravitreal triamcinolone acetonide (IVTA) plus laser versus laser treatment only in eyes with diabetic macular edema (DME). DESIGN: Prospective, double-masked, randomized, placebo-control ...
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Journal ArticleOphthalmology · May 2011
PURPOSE: Polypoidal choroidal vasculopathy (PCV) has been described as a distinct clinical entity from choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD). The present study aimed to determine risk factors for PCV and to ...
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Journal ArticleBr J Ophthalmol · May 2011
AIM: To assess the impact of early and late age-related macular degeneration (AMD) on vision-specific functioning in Singapore Malays. METHODS: AMD was assessed from fundus photographs. The following endpoints were considered for (a) AMD: no AMD, early AMD ...
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Journal ArticleInvest Ophthalmol Vis Sci · April 14, 2011
PURPOSE: To examine the relationship between metabolic syndrome and its components, diabetes mellitus, high blood pressure (BP), obesity, and dyslipidemia, with age-related cataract. METHODS: A population-based sample of 2794 Malay adults aged 40 to 80 yea ...
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Journal ArticleOphthalmology · April 2011
OBJECTIVE: To describe the prevalence of retinopathy and associations with cardiovascular risk factors in persons without diabetes in 4 racial/ethnic groups (white, black, Hispanic, and Chinese). DESIGN: Population-based, cross-sectional study. PARTICIPANT ...
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Journal ArticleClin Exp Ophthalmol · April 2011
Glaucoma, one of the major causes of blindness in the world, is a progressive optic neuropathy. Elevated intraocular pressure is a well-known major risk factor for glaucoma. In addition, there is growing evidence that vascular factors may play a role in gl ...
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Journal ArticleAm J Ophthalmol · April 2011
PURPOSE: To assess the determinants of image quality of Heidelberg Retina Tomography II (HRT II) and its association with optic disc parameters in a population-based setting. DESIGN: Population-based, cross-sectional study involving 3280 (78.7% response) A ...
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Journal ArticleDiabetologia · April 2011
AIMS/HYPOTHESIS: Prediabetes, an early stage in the hyperglycaemic continuum, increases the future risk of developing diabetes and cardiovascular disease (CVD). C-reactive protein (CRP), a marker of inflammation, is associated with diabetes and CVD. Howeve ...
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Journal ArticleJ Mol Med (Berl) · April 2011
Conditions resulting in retinal angiogenesis and edema (exudative age-related macular degeneration, diabetic retinopathy, retinal vein occlusion and retinopathy of prematurity) are major causes of visual impairment, with significant impact on quality of li ...
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Journal ArticleVasc Med · April 2011
Peripheral artery disease (PAD) is a manifestation of systemic atherosclerosis and is associated with increased cardiovascular morbidity and mortality. We describe the prevalence and risk factors of PAD in a multi-ethnic Asian population (Chinese, Malays a ...
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Journal ArticleOphthalmology · April 2011
PURPOSE: To describe the prevalence of and risk factors for epiretinal membrane (ERM) in a multi-ethnic population and to evaluate possible racial or ethnic differences. DESIGN: Cross-sectional study. PARTICIPANTS: Participants of the Multi-Ethnic Study of ...
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Journal ArticleArch Ophthalmol · April 2011
OBJECTIVES: To evaluate corneal hysteresis (CH) and intraocular pressure (IOP) measured by the Ocular Response Analyzer in Chinese subjects with primary angle-closure glaucoma (PACG), assess their relationship with Goldmann applanation tonometry (GAT) meas ...
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Journal ArticlePLoS Genet · April 2011
Recent large genome-wide association studies (GWAS) have identified multiple loci which harbor genetic variants associated with type 2 diabetes mellitus (T2D), many of which encode proteins not previously suspected to be involved in the pathogenesis of T2D ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 10, 2011
PURPOSE: To validate a new computer-aided diagnosis (CAD) imaging program for the assessment of nuclear lens opacity. METHODS: Slit-lamp lens photographs from the Singapore Malay Eye Study (SiMES) were graded using both the CAD imaging program and manual a ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 10, 2011
PURPOSE: To examine the relationship of central corneal thickness (CCT) with optic disc parameters measured by confocal scanning laser ophthalmoloscopy in a Malay population. METHODS: This was a population-based cross-sectional study of Asian Malay adults ...
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Journal ArticleAm J Epidemiol · March 1, 2011
Physical activities and sedentary behaviors are 2 broad classes of behavior that may be clearly distinguished from each other and have different patterns of determinants. The authors examined the associations of physical activity and television viewing tim ...
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Journal ArticleOphthalmology · March 2011
PURPOSE: To investigate the association of lens parameters-specifically, lens vault (LV), lens thickness (LT), and lens position (LP)-with angle closure. DESIGN: Prospective, comparative study. PARTICIPANTS: One hundred two Chinese subjects with angle clos ...
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Journal ArticleStroke · March 2011
BACKGROUND AND PURPOSE: Intracranial large artery disease (ICLAD) is a major cause of ischemic stroke. Retinal microvascular changes are associated with stroke, including small vessel cerebral disease and extracranial carotid disease. We examined the relat ...
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Journal ArticleOphthalmology · March 2011
PURPOSE: To describe the heritability and sibling risk for angle closure. DESIGN: Prospective clinical study. PARTICIPANTS: Probands with primary angle closure (PAC) and primary angle-closure glaucoma (PACG) and their first-degree relatives. METHODS: One h ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 28, 2011
PURPOSE: Peripheral hyperopia was hypothesized to stimulate axial elongation. This study describes peripheral refraction and its associations with central refractive error in young Singapore Chinese children. METHODS: Two hundred fifty children aged 40 mon ...
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Journal ArticleHum Mol Genet · February 15, 2011
Central corneal thickness (CCT) is a risk factor of glaucoma, the most common cause of irreversible blindness worldwide. The identification of genetic determinants affecting CCT in the normal population will provide insights into the mechanisms underlying ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 3, 2011
PURPOSE: To evaluate the influence of refractive error and axial length (AL) on retinal vascular network geometry measurements in an adult Asian population. METHODS: This was a population-based, cross-sectional study on 2882 persons with diabetes in the Si ...
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Journal ArticleDiabetes Care · February 2011
OBJECTIVE: To describe and compare the associations of serum lipoproteins and apolipoproteins with diabetic retinopathy. RESEARCH DESIGN AND METHODS: This was a cross-sectional study of 224 diabetic patients (85 type 1 and 139 type 2) from a diabetes clini ...
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Journal ArticleMed Sci Sports Exerc · February 2011
PURPOSE: to examine the associations of physical activity and television (TV) viewing time with retinal vascular caliber in Australian adults. METHODS: a total of 2024 adults aged 25 yr or older without known diabetes in the Australian Diabetes, Obesity, a ...
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Journal ArticleIEEE Trans Med Imaging · February 2011
We have developed a robust method to perform retinal vascular fractal analysis from digital retina images. The technique preprocesses the green channel retina images with Gabor wavelet transforms to enhance the retinal images. Fourier Fractal dimension is ...
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Journal ArticleOphthalmology · February 2011
OBJECTIVE: To determine the prevalence of and factors associated with amblyopia in a rural Chinese population. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: Six thousand eight hundred thirty Han Chinese aged 30 years or more, recruited fro ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 2011
PURPOSE: Retinal arteriolar and venular calibers are highly heritable and associated with cardiovascular disease. This study was designed to investigate the relative influence of genetic and environmental factors on the high phenotypic correlation (r = 0.5 ...
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Journal ArticleStroke · February 2011
BACKGROUND AND PURPOSE: Small vessel disease plays a role in cerebral events. We aimed to investigate the prevalence and patterns of retinal microvascular signs (surrogates for cerebral small vessel disease) among patients with transient ischemic attack (T ...
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Journal ArticleAm J Ophthalmol · February 2011
PURPOSE: To describe the relationship of lung disease and function with early age-related macular degeneration (AMD) in a population-based study. DESIGN: A population-based, cross-sectional study of 12,596 middle-aged participants from the Atherosclerosis ...
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Journal ArticleEur Heart J · February 2011
AIM: Fractal analysis provides a global assessment of vascular network architecture. We examined the relationship of retinal vascular fractal dimension (D(f)) with coronary heart disease (CHD) mortality. METHODS AND RESULTS: We examined the relationship of ...
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Journal ArticleOphthalmology · February 2011
OBJECTIVE: To determine susceptibility genes for high myopia in Singaporean Chinese. DESIGN: A meta-analysis of 2 genome-wide association (GWA) datasets in Chinese and a follow-up replication cohort in Japanese. PARTICIPANTS AND CONTROLS: Two independent d ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2011
A hybrid framework integrating Random Forest and Logistic Regression is proposed and implemented for genome-wide epistasis study. The two-stage approach first uses random forest model to capture a pool of epistasis-prone single nucleotide polymorphisms (SN ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2011
Min-Redundancy Max-Relevance (mRMR) is a feature selection methodology based on information theory. We explore the mRMR principle for automatic glaucoma diagnosis. Optimal candidate feature sets are acquired from a composition of clinical screening data an ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2011
Optic disc segmentation from retinal fundus image is a fundamental but important step for automatic glaucoma diagnosis. In this paper, an optic disc segmentation method is proposed based on peripapillary atrophy elimination. The elimination is done through ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2011
Glaucoma is an optic nerve disease resulting in the loss of vision. There are two common types of glaucoma: open angle glaucoma and angle closure glaucoma. Glaucoma type classification is important in glaucoma diagnosis. Clinically, ophthalmologists examin ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2011
The optic nerve head (optic disc) plays an important role in the diagnosis of retinal diseases. Automatic localization and segmentation of the optic disc is critical towards a good computer-aided diagnosis (CAD) system. In this paper, we propose a method t ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2011
Glaucoma is currently diagnosed by glaucoma specialists using specialized imaging devices like HRT and OCT. Fundus imaging is a modality widely used in primary healthcare. An automatic glaucoma diagnosis system based on fundus image can be deployed to prim ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2011
Cataract remains a leading cause for blindness worldwide. Cataract diagnosis via human grading is subjective and time-consuming. Several methods of automatic grading are currently available, but each of them suffers from some drawbacks. In this paper, a ne ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2011
Glaucoma is an optic nerve disease resulting in loss of vision. There are two common types of glaucoma: open angle glaucoma and angle closure glaucoma. Glaucoma type classification is important in glaucoma diagnosis. Ophthalmologists examine the iridocorne ...
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Journal ArticleComput Intell Neurosci · 2011
We propose a method for retinal image matching that can be used in image matching for person identification or patient longitudinal study. Vascular invariant features are extracted from the retinal image, and a feature vector is constructed for each of the ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2011
We propose a machine learning framework based on sliding windows for glaucoma diagnosis. In digital fundus photographs, our method automatically localizes the optic cup, which is the primary structural image cue for clinically identifying glaucoma. This lo ...
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Journal ArticlePLoS One · 2011
Complement factor H shows very strong association with Age-related Macular Degeneration (AMD), and recent data suggest that multiple causal variants are associated with disease. To refine the location of the disease associated variants, we characterized in ...
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Journal ArticleJ Glaucoma · 2011
PURPOSE: To evaluate the measurement of optic disc morphology using Heidelberg Retinal Tomography (HRT) with and without the aid of optic disc photos. METHODS: One hundred three children (aged 11 and 12 y, 52 boys) were selected randomly from the Singapore ...
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Journal ArticleOphthalmic Res · 2011
BACKGROUND/AIMS: Age-related macular degeneration (AMD) is a leading cause of visual impairment. A single-nucleotide polymorphism (SNP; rs3775291) in the Toll-like receptor 3 (TLR3) gene has recently been implicated in the pathogenesis of AMD in Caucasian ...
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Journal ArticleIEEE Trans Med Imaging · January 2011
In clinical diagnosis, a grade indicating the severity of nuclear cataract is often manually assigned by a trained ophthalmologist to a patient after comparing the lens' opacity severity in his/her slit-lamp images with a set of standard photos. This gradi ...
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Journal ArticleDiabetes · January 2011
OBJECTIVE: Glycated hemoglobin was recently recommended for use as a diagnostic test for diabetes. We examined the association between 2010 American Diabetes Association diagnostic cut points for glycated hemoglobin and microvascular outcomes (chronic kidn ...
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Journal ArticleDiabetes Care · January 2011
OBJECTIVE: To re-evaluate the relationship between glycemia and diabetic retinopathy. RESEARCH DESIGN AND METHODS: We conducted a data-pooling analysis of nine studies from five countries with 44,623 participants aged 20-79 years with gradable retinal phot ...
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Journal ArticleAsia Pac J Clin Nutr · 2011
Coconut oil is a common edible oil in many countries, and there is mixed evidence for its effects on lipid profiles and cardiovascular disease risk. Here we examine the association between coconut oil consumption and lipid profiles in a cohort of 1,839 Fil ...
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Journal ArticleAm J Hum Biol · 2011
OBJECTIVES: Inflammation has been associated with a wide range of chronic degenerative diseases, but the developmental factors contributing to the regulation of inflammation are poorly understood. This study investigates the within-individual association b ...
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Journal ArticleBMC Ophthalmol · December 13, 2010
BACKGROUND: Age-related macular degeneration (AMD) is the leading cause of blindness in Western countries. Numerous risk factors have been reported but the evidence and strength of association is variable. We aimed to identify those risk factors with stron ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · December 1, 2010
Untreated glaucoma leads to permanent damage of the optic nerve and resultant visual field loss, which can progress to blindness. As glaucoma often produces additional pathological cupping of the optic disc (OD), cupdisc- ratio is one measure that is widel ...
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ConferenceProceedings - 2010 3rd International Conference on Biomedical Engineering and Informatics, BMEI 2010 · December 1, 2010
Nuclear cataract is the most common type of age-related cataract and it is clinically diagnosed using slit-lamp images. Objective measurement of the features in slit-lamp image is investigated using a computerized software system. The correlation between t ...
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Journal ArticleRecent Patents on Computer Science · December 1, 2010
Recent advances in retinal imaging modality have enabled the identification of retinal vascular features which have been shown to predict cardiovascular diseases (CVD). Studies have shown that a number of retinal vascular features are associated with the s ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 2010
PURPOSE: To describe the association between refractive errors, ocular biometry, and age-related macular degeneration (AMD) in an Asian Malay population in Singapore. METHODS: A population-based study of 3280 Malay individuals aged 40 to 80 years was condu ...
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ConferenceAPSIPA ASC 2010 - Asia-Pacific Signal and Information Processing Association Annual Summit and Conference · December 1, 2010
The AGLAIA (Automatic GLaucoma Diagnosis and Its Genetic Association Study through Medical Image InformAtics) system architecture is proposed to address the automatic diagnosis of Glaucoma. Instead of using single image feature, AGLAIA measures the charact ...
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ConferenceProceedings - 2010 Digital Image Computing: Techniques and Applications, DICTA 2010 · December 1, 2010
Clinical research suggests that changes in the retinal blood vessels (e.g., vessel caliber) are important indicators for earlier diagnosis of diabetes and cardiovascular diseases. Reliable vessel detection or segmentation is a prerequisite for quantifiable ...
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Journal ArticleBr J Ophthalmol · December 2010
AIMS: To describe the prevalence and causes of decreased visual acuity (VA) in Singaporean Chinese children. METHODS: A population-based survey of Singaporean Chinese children aged 6 to 72 months was conducted. Participants underwent an orthoptic evaluatio ...
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Journal ArticlePLoS Med · November 30, 2010
BACKGROUND: Long- and short-term exposures to air pollution, especially fine particulate matter (PM(2.5)), have been linked to cardiovascular morbidity and mortality. One hypothesized mechanism for these associations involves microvascular effects. Retinal ...
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Journal ArticleArch Ophthalmol · November 2010
OBJECTIVES: To examine the association of corneal arcus with central corneal thickness (CCT), intraocular pressure (IOP), and the prevalence of primary open-angle glaucoma. METHODS: This was a population-based cross-sectional study of Malay participants ag ...
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Journal ArticleMicrocirculation · November 2010
OBJECTIVE: In the current study, we aimed to examine the associations of low birth weight with retinal vascular caliber and vascular fractal dimension during early adolescence. METHODS: A population-based study of 12-year-old schoolchildren (2353/3144 [75. ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 2010
PURPOSE: To determine whether diabetes and diabetic retinopathy (DR) affect the performance of the Heidelberg Retina Tomograph II (HRT II; Heidelberg Engineering, Heidelberg, Germany) algorithms for glaucoma detection. METHODS: This population-based survey ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 2010
PURPOSE: Fractal dimension of retinal vasculature is a global summary measure of retinal vascular network pattern and geometry. This study was conducted to examine the effect of variations in image color, brightness, focus, contrast, and format on the meas ...
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Journal ArticleOptom Vis Sci · November 2010
PURPOSE: To determine the psychometric validity of the pediatric quality of life inventory (PedsQL 4.0) in assessing the impact of refractive errors on health-related quality of life (HRQoL) in preschool children in Singapore. METHODS: Parents of toddlers ...
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Journal ArticlePLoS Genet · October 28, 2010
There is increasing evidence that the microcirculation plays an important role in the pathogenesis of cardiovascular diseases. Changes in retinal vascular caliber reflect early microvascular disease and predict incident cardiovascular events. We performed ...
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ConferenceLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · October 25, 2010
A novel content-based medical image retrieval method with metric learning via rank correlation is proposed in this paper. A new rank correlation measure is proposed to learn a metric encoding the pairwise similarity between images via direct optimization. ...
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Conference2010 IEEE International Conference on Imaging Systems and Techniques, IST 2010 - Proceedings · October 18, 2010
Medical images enhanced at different scales have shown to give good results in mammogram enhancement, tumor classification, and lung nodule detection. However, the studies of multiscale analysis on retinal vasculature have been primarily limited to vessel ...
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Journal ArticleMicrocirculation · October 2010
OBJECTIVE: To describe a new computer-assisted method to measure retinal vascular caliber over an extended area of the fundus. METHODS: Retinal photographs taken from participants of the Singapore Malay Eye Study (n = 3280) were used for this study. Retina ...
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Journal ArticleIEEE Trans Biomed Eng · October 2010
Under the framework of computer-aided diagnosis, optical coherence tomography (OCT) has become an established ocular imaging technique that can be used in glaucoma diagnosis by measuring the retinal nerve fiber layer thickness. This letter presents an auto ...
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Journal ArticleArch Neurol · October 2010
BACKGROUND: The vascular pathogenesis underlying lobar intracerebral hemorrhage (ICH) is unclear. OBJECTIVE: To determine whether certain retinal microvascular signs are associated with lobar ICH to improve understanding of its underlying cerebral vasculop ...
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Journal ArticleAm J Ophthalmol · October 2010
PURPOSE: To examine the relationship of corneal arcus with cardiovascular risk factors and inflammation in Malay adults living in Singapore. DESIGN: Population-based cross-sectional study. METHODS: A total of 3280 Malays aged 40-80 years (out of 4168 eligi ...
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Journal ArticleOphthalmology · October 2010
PURPOSE: To describe variations in anterior chamber width (ACW) and investigate its association with the presence of narrow angles. DESIGN: Cross-sectional study. PARTICIPANTS: We recruited 2047 subjects aged 50 years or more from a community polyclinic an ...
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Journal ArticleStroke · October 2010
BACKGROUND AND PURPOSE: The relationship of cortical and subcortical cerebral atrophy to cerebral microvascular disease is unclear. We aimed to assess the associations of retinal vascular signs with cortical and subcortical atrophy in patients with acute s ...
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Journal ArticleDiabetologia · September 2010
AIMS/HYPOTHESIS: The fractal dimension (D(f)) of the retinal vasculature is a global measure of its branching pattern complexity. We examined the relationship of retinal D(f) with diabetes. METHODS: We conducted a cross-sectional study of 1,577 participant ...
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Journal ArticleEye (Lond) · September 2010
PURPOSE: To examine the impact of symptomatic dry eye on vision-related daily activities. METHODS: A population-based survey of eye diseases was conducted on 3280 (78.7% response rate) Malay persons aged >or=40 years, who were randomly selected from design ...
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ConferenceProceedings of the 2010 5th IEEE Conference on Industrial Electronics and Applications, ICIEA 2010 · September 1, 2010
Glaucoma is the second leading cause of blindness worldwide. The risk of glaucoma can be determined by calculating the cup to disc ratio in retinal fundus images. To accurately detect the optic cup, kinks or bends in small and medium vessels are important ...
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Journal ArticleActa Ophthalmol · September 2010
PURPOSE: To examine the influence of lens opacity and refraction on the measurement of retinal vascular fractal dimension (Df). METHODS: Optic disc photographs (right eyes) of 3654 baseline Blue Mountains Eye Study participants (aged 49-97) were digitize ...
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Journal ArticleOphthalmology · September 2010
OBJECTIVE: To evaluate the Heidelberg Retina Tomograph II (HRTII; Heidelberg Engineering, Heidelberg, Germany) as a screening tool for open-angle glaucoma (OAG) in an older population. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: Particip ...
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Journal ArticleArch Ophthalmol · September 2010
OBJECTIVE: To examine the prevalence of and factors associated with suboptimal glycemic and blood pressure (BP) control in a Malay population with diabetes mellitus in Singapore. METHODS: The Singapore Malay Eye Study was a population-based survey of 3280 ...
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ConferenceProceedings of the 2010 5th IEEE Conference on Industrial Electronics and Applications, ICIEA 2010 · September 1, 2010
Myopia is a growing concern in many societies. In extremely high myopia, pathological myopia, which can cause visual loss, can occur. Pathological myopia is also accompanied by various visually perceivable symptoms on the retina, such as peripapillary atro ...
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ConferenceProceedings of the 2010 5th IEEE Conference on Industrial Electronics and Applications, ICIEA 2010 · September 1, 2010
By measuring the thickness of the retinal nerve fiber layer, retinal optical coherence tomography (OCT) images are now increasingly used for the diagnosis of glaucoma. This paper reports an automatic OCT layer segmentation technique that can be used for co ...
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Journal ArticleCurr Eye Res · September 2010
AIM: To assess the influences of imaging variation (different photographic angle) on the measurement of retinal vascular fractal dimension (D(f)), using two segmentation methods. MATERIALS AND METHODS: Nonlinear orthogonal projection segmentation (Internat ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2010
PURPOSE: To examine the influence of different signal strengths on measurements made with optical coherence tomography (OCT) of macular, optic nerve head, and retinal nerve fiber layer (RNFL) parameters. METHODS: From 2003 to 2005, 2092 children, mostly ag ...
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ConferenceProceedings of the 2010 5th IEEE Conference on Industrial Electronics and Applications, ICIEA 2010 · September 1, 2010
Glaucoma is the second leading cause of permanent blindness worldwide. Glaucoma can be diagnosed through measurement of neuro-retinal optic cup-to-disc ratio (CDR). Correctly determining the optic disc region of interest (ROI) will produce a smaller initia ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2010
PURPOSE: C-reactive protein (CRP) is an inflammatory biomarker that may be associated with diabetic retinopathy (DR), but body mass index (BMI) is an important confounder of this relationship. The purpose of this study was to determine the relationship bet ...
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Journal ArticleNature · August 5, 2010
Plasma concentrations of total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglycerides are among the most important risk factors for coronary artery disease (CAD) and are targets for therapeutic intervention ...
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Journal ArticleClin Exp Ophthalmol · August 2010
PURPOSE: To describe the 3-year risk of cataract after intravitreal triamcinolone (IVTA) injections for diabetic macular oedema and the outcomes of cataract surgery. METHODS: Prospective data from a randomized clinical trial were analysed. At baseline, 27 ...
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Journal ArticleOphthalmology · August 2010
PURPOSE: To describe macular thickness measured by optical coherence tomography (OCT) in healthy eyes of adult Chinese persons. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Chinese adults aged 30+ years who were residents of Handan, North ...
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Journal ArticleNephrol Dial Transplant · August 2010
BACKGROUND: There is substantial heterogeneity in literature regarding the epidemiology for chronic kidney disease (CKD) in different Asian populations. We aimed to assess the prevalence and risk factors of CKD in a multi-ethnic Asian population in Singapo ...
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Journal ArticleStroke · August 2010
BACKGROUND AND PURPOSE: Cerebral atrophy, detected as ventricular enlargement or sulcal widening on MRI, is recognized as a risk factor for vascular dementia or Alzheimer disease. However, its underlying pathophysiology is not known. We examined whether re ...
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Journal ArticleArch Ophthalmol · August 2010
OBJECTIVE: To describe the relationship of smoking, sex, and socioeconomic factors with age-related cataract in Malay adults in Singapore. METHODS: In a population-based study, 3280 Malay individuals aged 40 to 80 years participated (78.7% response rate). ...
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Journal ArticleBr J Ophthalmol · August 2010
PURPOSE: To determine the prevalence and risk factors for pterygium in the adult Malay population of Singapore. METHODS: A population-based survey of Malays aged 40 to 79 years living in Singapore was conducted. Pterygium was diagnosed and graded clinicall ...
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Journal ArticleBr J Ophthalmol · August 2010
AIMS: To investigate the risk factors for myopia, including near work and outdoor activity, in Singapore Chinese preschool children. METHODS: A cross-sectional study, with disproportionate random sampling by 6-month age groups, of 3009 Singapore Chinese ch ...
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Journal ArticleOphthalmology in China · July 25, 2010
Objective To describe the prevalence of retinal microvascular abnormalities (RMA) and their distributions in the elderly population from Beijing Eye Study. Design Cross-sectional study. Participants 4439 subjects (response rate: 83.4%) with an age of 40+ y ...
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ConferenceLancet · July 10, 2010
Diabetic retinopathy is a common and specific microvascular complication of diabetes, and remains the leading cause of preventable blindness in working-aged people. It is identified in a third of people with diabetes and associated with increased risk of l ...
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Journal ArticleStroke · July 2010
BACKGROUND AND PURPOSE: Retinal vascular caliber changes have been shown to predict stroke, but the underlying mechanism of this association is unknown. We examined the relationship between retinal vascular caliber with brachial flow-mediated dilation (FMD ...
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Journal ArticleStroke · July 2010
BACKGROUND AND PURPOSE: The retinal microvasculature reflects cumulative small-vessel damage from hypertension and other vascular processes. No study has prospectively examined retinal findings in relation to the incidence of clinical lacunar stroke in com ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 2010
PURPOSE. To describe the association of retinal vascular tortuosity, measured quantitatively, with the neuroretinal rim. METHODS. A population-based, cross-sectional study was conducted in Malay persons aged 40 to 80 years residing in Singapore. Retinal va ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 2010
PURPOSE. To describe the distribution of ocular perfusion pressure and its relationship with open-angle glaucoma (OAG) in a Malay population. METHODS. This was a population-based, cross-sectional study comprising 3280 (78.7% response) ethnic Malays. Intrao ...
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Journal ArticlePsychosom Med · July 2010
OBJECTIVE: To examine retinal vascular caliber, an indicator of early microvascular disease and depression in patients with Type 2 diabetes. METHODS: We conducted a clinic-based study, comparing participants with Type 2 diabetes with major depression (n = ...
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Journal ArticleAnn Neurol · July 2010
This study aimed to determine whether retinal fractal dimension, a quantitative measure of microvascular branching complexity and density, is associated with lacunar stroke. A total of 392 patients presenting with acute ischemic stroke had retinal fractal ...
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Journal ArticleIEEE Trans Biomed Eng · July 2010
Cataracts are the leading cause of blindness worldwide, and nuclear cataract is the most common form of cataract. An algorithm for automatic diagnosis of nuclear cataract is investigated in this paper. Nuclear cataract is graded according to the severity o ...
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Journal ArticleJ Hypertens · July 2010
OBJECTIVE: Few studies have examined the effect of blood pressure (BP) on the retinal microvasculature in children. We examined the relationship between BP and retinal vessel caliber in a sample of preadolescent schoolchildren. METHODS: Eligible high schoo ...
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Journal ArticleArch Ophthalmol · July 2010
OBJECTIVE: To explore the relationship of refractive error and ocular biometry with primary open-angle glaucoma (POAG) in the Malay population. METHODS: The Singapore Malay Eye Study is a population-based cross-sectional survey that examined 3280 persons ( ...
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Journal ArticleBrain · July 2010
Silent brain infarct and white matter lesions are common radiological findings associated with the risk of clinical stroke and dementia; however, our understanding of their underlying pathophysiology and risk factors remains limited. This study aimed to de ...
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Journal ArticleOphthalmology · July 2010
PURPOSE: Fractal analysis is a method to quantify the geometric pattern and complexity of the retinal vessels. This study examined the association of retinal fractal dimension (D(f)) and microvascular and macrovascular complications in a population-based c ...
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Journal ArticleMicrocirculation · July 2010
OBJECTIVE: To examine the association between physical activity measured during leisure, sport, and work and retinal microvascular signs. METHODS: Participants of the Atherosclerosis Risk in Communities (ARIC) Study, a population-based cross-sectional stud ...
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Journal ArticleNephrol Dial Transplant · July 2010
BACKGROUND. Fractal analysis provides a global index of the geometric complexity and optimality of vascular networks. In this study, we investigated the relationship between fractal measurements of the retinal vasculature and chronic kidney disease (CKD). ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 2010
PURPOSE. To determine the prevalence of amblyopia and strabismus in young Singaporean Chinese children. METHODS. Enrolled in the study were 3009 Singaporean children, aged 6 to 72 months. All underwent complete eye examinations and cycloplegic refraction. ...
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Journal ArticleOphthalmology · June 2010
OBJECTIVE: To describe the natural history of central retinal vein occlusion (CRVO) based on the best available evidence from the literature. CLINICAL RELEVANCE: Central retinal vein occlusion is a common sight-threatening retinal vascular disease. Despite ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 2010
PURPOSE: To examine the influence of body height, body weight, and body mass index (BMI) on optic disc parameters in a population-based study. METHODS: The Singapore Malay Eye Study examined 3280 persons of Malay ethnicity, aged 40 to 80 years, of whom 232 ...
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Journal ArticleDiabetes Care · June 2010
OBJECTIVE: To describe retinal microvascular geometric parameters in young patients with type 1 diabetes. RESEARCH DESIGN AND METHODS: Patients with type 1 diabetes (aged 12-20 years) had clinical assessments and retinal photography following standardized ...
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Journal ArticleOphthalmology · June 2010
OBJECTIVE: To describe the natural history of branch retinal vein occlusion (BRVO) based on the best available evidence from the literature. CLINICAL RELEVANCE: Branch retinal vein occlusion is the second most frequent major retinal vascular disease. Altho ...
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Journal ArticleMicrocirculation · May 2010
BACKGROUND: Retinal vascular caliber changes predict diabetic microvascular complications such as retinopathy, and nephropathy. However, the association between retinal vasculature and peripheral neuropathy is not well studied. METHODS: We evaluated the as ...
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Journal ArticleOphthalmology · May 2010
OBJECTIVE: To determine the prevalence of age-related macular degeneration (AMD) in Asian populations and to compare this with prevalence in white populations. DESIGN: A clear understanding of AMD prevalence in Asians is essential to meet future demands fo ...
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Journal ArticleOphthalmology · May 2010
PURPOSE: To evaluate the possible associations between dietary factors and myopia. DESIGN: Cross-sectional study. PARTICIPANTS: Eight hundred fifty-one Chinese schoolchildren from the Singapore Cohort Study of Risk Factors for Myopia. METHODS: Diet was ass ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 2010
PURPOSE: To determine whether pretreatment with intravitreal triamcinolone acetonide (IVTA) before laser photocoagulation is effective in eyes with diabetic macular edema (DME). METHODS: The study was a prospective, double-masked, placebo-controlled, clini ...
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Journal ArticleOphthalmology · May 2010
OBJECTIVE: To assess if natural genetic variation in hepatocyte growth factor (HGF) is associated with altered retinal vessel diameter. DESIGN: Two-stage cohort study. PARTICIPANTS AND CONTROLS: Discovery set (set 1, n = 682 children) and confirmatory set ...
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Journal ArticlePLoS Genet · April 15, 2010
Retinal vascular caliber provides information about the structure and health of the microvascular system and is associated with cardiovascular and cerebrovascular diseases. Compared to European Americans, African Americans tend to have wider retinal arteri ...
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Journal ArticleInvest Ophthalmol Vis Sci · April 2010
Purpose. To describe associations between C-reactive protein (CRP) and age-related macular degeneration (AMD) and cataract in an Asian population. Methods. A population-based, cross-sectional study of 3280 (78.7% response) Malay persons aged 40 to 80 years ...
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Journal ArticleOphthalmology · April 2010
OBJECTIVE: To assess the influence of the spectrum of diabetic retinopathy (DR) on vision-specific function in an Asian population. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Persons aged 40 to 80 years of Malay ethnicity in Singapore. M ...
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Journal ArticleNephrol Dial Transplant · April 2010
C-reactive protein (CRP), a marker for inflammation, has been recently associated with early kidney damage. We examined the association between CRP and micro/macroalbuminuria in a multi-ethnic Asian population using data from two population-based studies i ...
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Journal ArticleStroke · April 2010
BACKGROUND AND PURPOSE: Deep intracerebral hemorrhage (ICH) and lacunar infarcts are the result of small vessel disease, whereas nonlacunar infarcts are often caused by large artery atherosclerosis or cardiac embolism. We hypothesized that patients with de ...
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Journal ArticleArch Ophthalmol · April 2010
OBJECTIVE: To describe the associations of lung function and emphysema, measured with spirometry and computed tomography (CT), with early age-related macular degeneration (AMD) in a sample of white, black, Hispanic, and Chinese subjects. METHODS: Three tho ...
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Journal ArticleVox Sang · April 2010
BACKGROUND AND OBJECTIVES: In 2005, the Australian Red Cross Blood Service implemented a malaria antibody testing based strategy for donors with a history of travel/residence in a malaria endemic country or a past history of malaria. This report assesses t ...
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Chapter · March 8, 2010
Current guidelines emphasize the need for regular eye screening to detect retinopathy signs in patients with diabetes. This presents clinicians with a unique opportunity to visualize, assess and monitor the direct effects of diabetes and hyperglycemia on t ...
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Journal ArticleOphthalmology · March 2010
PURPOSE: We aimed to describe norms for the distribution of axial length (AL) and other ocular biometric parameters in an older Caucasian population, measured using partial coherence laser interferometry (Zeiss IOL Master; Carl Zeiss AG, Oberkochen, German ...
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Journal ArticleOphthalmology · March 2010
PURPOSE: Eyes with myopia may be less likely to develop diabetic retinopathy (DR). The relationship between refractive error, ocular biometry, and DR therefore was investigated. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: Persons with di ...
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Journal ArticleAm J Epidemiol · March 1, 2010
The association between psychosocial risk factors and retinal microvascular signs was examined in the Multi-Ethnic Study of Atherosclerosis. Subjects were recruited from Baltimore, Maryland; Chicago, Illinois; Forsyth County, North Carolina; Los Angeles Co ...
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Journal ArticleOphthalmology · March 2010
PURPOSE: To describe the prevalence and associations of retinopathy in a population-based nondiabetic sample of rural Chinese. DESIGN: Population-based cross-sectional study. PARTICIPANTS: We included 6830 Han Chinese aged > or =30 years from 13 villages o ...
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Journal ArticleOphthalmology · March 2010
PURPOSE: To examine the relationship of chronic kidney disease (CKD) with intraocular pressure (IOP) and glaucoma in Malay adults in Singapore. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: We included 3280 (78.8% response rate) Malay adul ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 2010
PURPOSE: To describe and compare ocular component growth curves among different refractive error groups in Singaporean children. METHODS: Data collected yearly in 1775 Asian children aged 6 to 10 years with at least three visits were analyzed. Cycloplegic ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 2010
PURPOSE: To determine the prevalence of refractive error types in Singaporean Chinese children aged 6 to 72 months. METHODS: The Strabismus, Amblyopia and Refractive Error in Singaporean Children (STARS) is a population-based study in southwest Singapore. ...
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Journal ArticleOphthalmology · February 2010
OBJECTIVE: To evaluate the performance of the Heidelberg Retina Tomograph II (HRT II, Heidelberg Engineering, Heidelberg, Germany) in diagnosing glaucoma in a population setting. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Of 3280 Malay p ...
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Journal ArticleOphthalmology · February 2010
OBJECTIVE: To summarize the prevalence of retinal vein occlusion (RVO) from studies in the United States, Europe, Asia, and Australia. DESIGN: Pooled analysis using individual population-based data. PARTICIPANTS: Individual participant data from population ...
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Journal ArticleClin Chim Acta · February 2010
BACKGROUND: We studied the association of C-reactive protein (CRP), gamma-glutamyltransferase (GGT) and type 2 diabetes in Chinese. METHOD: A population-based cross-sectional study. RESULTS: CRP and GGT levels were significantly higher in participants with ...
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Journal ArticleMicrocirculation · February 2010
OBJECTIVE: To determine whether retinal arteriolar narrowing, possibly reflecting peripheral arteriolar vasoconstriction, predicts risk of hypertension in Japanese persons. METHODS: The Funagata study is a population-based cohort study of Japanese aged 35+ ...
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Journal ArticleDiabetes Res Clin Pract · February 2010
OBJECTIVE: To describe relationships of retinal vascular calibre with plasminogen activator inhibitor-1 (PAI-1) and other cardiovascular risk factors in people with type 2 diabetes. METHODS: We recruited 112 community-based persons aged 44-83years with typ ...
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Journal ArticleAnn Acad Med Singap · February 2010
INTRODUCTION: This study records the prevalence and patterns of breastfeeding in Singaporean Chinese mothers who gave birth between 2000 and 2008. MATERIALS AND METHODS: The Strabismus, Amblyopia and Refractive Error in Singaporean Children (STARS) study i ...
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Journal ArticleAm J Epidemiol · January 15, 2010
Retinal microvascular caliber is a risk marker for cardiovascular disease. The authors examined the relation between high-sensitivity C-reactive protein (hsCRP) and retinal microvascular caliber in a multiethnic Asian population (n = 3,583) of Chinese, Mal ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
Closed/Open angle glaucoma classification is important for glaucoma diagnosis. RetCam is a new imaging modality that captures the image of iridocorneal angle for the classification. However, manual grading and analysis of the RetCam image is subjective and ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
Age-related macular degeneration (AMD) is a leading cause of blindness worldwide. The disease is highly associated with age, and becoming increasingly prevalent in our aging societies. Drusen is a pathological feature that is well-associated with AMD. In t ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
Cataract is the leading cause of blindness and posterior subcapsular cataract (PSC) leads to significant visual impairment. An automatic approach for detecting PSC opacity in retro-illumination images is investigated. The features employed include intensit ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
Retinal fundus image is an important modality to document the health of the retina and is widely used to diagnose ocular diseases such as glaucoma, diabetic retinopathy and age-related macular degeneration. However, the enormous amount of retinal data obta ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
The optic disc is an important feature in the retina. We propose a method for the detection of the optic disc based on a supervised learning scheme. The method employs pixel and local neighbourhood features extracted from the ROI of a digital retinal fundu ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
Glaucoma is a leading cause of blindness with permanent damage to optic nerve head. ARGALI is an automated computer-aided diagnosis system designed for glaucoma detection via optic cup-to-disc ratio assessment. It employs several methods to determine the o ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
In this paper, we present a novel method of analyzing retinal vasculature using Fourier Fractal Dimension to extract the complexity of the retinal vasculature enhanced at different wavelet scales. Logistic regression was used as a fusion method to model th ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
Genome Wide Association (GWA) studies are powerful tools to identify genes involved in common human diseases, and are becoming increasingly important in genetic epidemiology research. However, the statistical approaches behind GWA studies lack capability i ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2010
The cornea is the window of the eye and when it is severely damaged or diseased, vision is impaired. Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) is a surgical procedure to replace the malfunctioned Descemet's membrane with a healthy one ...
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Journal ArticleJournal of Healthcare Engineering · January 1, 2010
Pathological myopia is the seventh leading cause of blindness worldwide. Current methods for the detection of pathological myopia are manual and subjective. We have developed a system known as PAMELA (Pathological Myopia Detection Through Peripapillary Atr ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 2010
PURPOSE: To assess retinal function in individuals with type 2 diabetes with no retinopathy or nonproliferative diabetic retinopathy (NPDR) and determine the relationship between retinal function and retinal vascular caliber. METHODS: A full-field electror ...
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Journal ArticleJ Clin Endocrinol Metab · January 2010
CONTEXT: Novel type 2 diabetes mellitus (T2DM) susceptibility loci, identified through genome-wide association studies (GWAS), have been replicated in many European and Japanese populations. However, the association in other East Asian populations is less ...
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Journal ArticleMicrocirculation · January 2010
Low birth weight is an indicator of exposure to unfavorable fetal environment and has been associated with the development of hypertension and cardiovascular disease in adulthood. There is now growing evidence suggesting that alterations in the microcircul ...
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Journal ArticleOphthalmology · January 2010
PURPOSE: To investigate the relationship between quantitative iris parameters (iris curvature [I-Curv], iris area [I-Area], and iris thickness) and the presence of narrow angles. DESIGN: Cross-sectional, community-based study. PARTICIPANTS: We recruited 20 ...
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Journal ArticleProg Retin Eye Res · January 2010
Neovascular age-related macular degeneration (nAMD) is the commonest cause of severe visual impairment in older adults in Caucasian white populations. Polypoidal choroidal vasculopathy (PCV) has been described as a separate clinical entity differing from n ...
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Journal ArticleKidney Blood Press Res · 2010
BACKGROUND/AIM: Serum gamma-glutamyltransferase (GGT), a biomarker of oxidative stress, is associated with an increased risk of diabetes and hypertension. However, it is not known whether higher serum GGT is independently associated with chronic kidney dis ...
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Journal ArticleExpert Review of Ophthalmology · January 1, 2010
The retinal microvasculature is a 'window to the systemic circulation. Advancement of computer-assisted techniques to assess vascular structural characteristics from retinal images offers a unique opportunity in circulation research via a direct view of th ...
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Journal ArticleArch Ophthalmol · January 2010
OBJECTIVE: To describe the prevalence and risk factors of retinopathy in an Asian population without diabetes. METHODS: We conducted a population-based, cross-sectional study of 3280 Malays aged 40 to 80 years residing in Singapore. Participants had retina ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 2010
PURPOSE: To examine the distribution and systemic determinants of ocular biometry as measured using partial laser interferometry in an adult Asian population. METHODS: A population-based, cross-sectional study of 3280 persons (78.7% participation rate) age ...
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Chapter · January 1, 2010
The epidemic of myopia is a public health concern, particularly in East Asia (Singapore, Taiwan, Hong Kong, Japan).14 In Singapore, the prevalence of myopia is one of the highest worldwide, affecting 9% to 15% preschool children,57 29 primary school childr ...
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Book · January 1, 2010
Myopia is the most common optical disorder in the world, and is on the rise in many countries, particularly in East Asia. The impact of myopia is evident as the driving force in the development of refractive surgery and of the spectacle and contact lens in ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · January 1, 2010
Pathological myopia is the seventh leading cause of blindness. We introduce a framework based on PAMELA (PAthological Myopia dEtection through peripapilLary Atrophy) for the detection of pathological myopia from fundus images. The framework consists of a p ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · January 1, 2010
Retinal image analysis is used by clinicians to diagnose and identify, if any, pathologies present in a patient's eye. The developments and applications of computer-aided diagnosis (CAD) systems in medical imaging have been rapidly increasing over the year ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · January 1, 2010
Glaucoma is a leading cause of blindness. The presence and extent of progression of glaucoma can be determined if the optic cup can be accurately segmented from retinal images. In this paper, we present a framework which improves the detection of the optic ...
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Journal ArticleAsia Pac J Clin Nutr · 2010
Cardiovascular disease (CVD) is a leading cause of death in the Philippines, although few studies here have examined the lipid profiles underlying disease risk. The isolated low high density lipoprotein cholesterol (HDL-c) phenotype has been implicated as ...
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ConferenceIFMBE Proceedings · December 1, 2009
Glaucoma is a leading cause of blindness worldwide, accounting for 12.3% of the permanently blind according to the World Heath Organization. The disease is particularly prevalent in Asia, with up to 50% of total glaucoma cases found in the region. Although ...
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Journal ArticleCurrent Cardiovascular Risk Reports · December 1, 2009
The retinal vasculature can be viewed directly and noninvasively, offering an easily accessible window through which to study the human microcirculation in vivo and, therefore, early processes and pathways in cardiovascular disease (CVD) development. Recen ...
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Journal ArticleStroke · December 2009
BACKGROUND AND PURPOSE: Previous studies show that both retinal vascular caliber and carotid disease predict incident stroke in the general population, but the exact relationship between these 2 microvascular and macrovascular structural risk factors is un ...
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ConferenceProceedings of the 2009 2nd International Conference on Biomedical Engineering and Informatics, BMEI 2009 · December 1, 2009
Cataract is the leading cause of blindness worldwide. Two automatic grading systems are presented in this paper for nuclear cataract and cortical cataract diagnosis respectively. Model-based approach was applied to detect anatomical structure in slit-lamp ...
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Journal ArticleAm J Ophthalmol · December 2009
PURPOSE: To assess the association of total serum levels of homocysteine (tHcy), folate, and vitamin B12 with retinal vascular caliber in older adults. DESIGN: Cross-sectional, population-based study. METHODS: One thousand seven hundred and seventy-two of ...
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Conference2nd International Conference on Biomedical and Pharmaceutical Engineering, ICBPE 2009 - Conference Proceedings · December 1, 2009
The Genome-Wide Association (GWA) study is the latest approach in the development of genetic studies and is renowned for its widespread success in identifying disease variants within the genome for various common diseases. It is a highly popular study amon ...
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Conference2nd International Conference on Biomedical and Pharmaceutical Engineering, ICBPE 2009 - Conference Proceedings · December 1, 2009
This paper proposes a method to detect the macula in the retinal fundus image automatically. The method makes use of the optic disc height obtained from the ARGALI to define the region of interest. Regions of dark spots are then detected by finding the coo ...
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ConferenceIFMBE Proceedings · December 1, 2009
Retinal fundus images are commonly used by ophthalmologists to diagnose and monitor the development of eye diseases. One of the key information in the fundus images is to distinguish between the left and right eye. This work is motivated to provide an accu ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 2009
PURPOSE: To describe the normal physiological relationship between retinal arteriolar and venular caliber and retinal nerve fiber layer (RNFL), macular, and optic nerve head parameters. METHODS: The Sydney Childhood Eye Study assessed 2038 adolescents aged ...
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Journal ArticleArch Ophthalmol · December 2009
OBJECTIVE: To describe the associations between sociodemographic, lifestyle, and medical risk factors and visual impairment in a Southeast Asian population. METHODS: Population-based cross-sectional study of 3280 (78.7% response rate) Malay Singaporeans ag ...
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Journal ArticleOphthalmology · December 2009
PURPOSE: To assess the relationship of hypertension with major eye diseases and other ocular parameters. DESIGN: Population-based study. PARTICIPANTS: The Beijing Eye Study is a population-based study that included 4439 Chinese subjects examined at the bas ...
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ConferenceProceedings of the 2009 2nd International Conference on Biomedical Engineering and Informatics, BMEI 2009 · December 1, 2009
Glaucoma is the one of the two major causes of blindness, which can be diagnosed through measurement of neuro-retinal optic cup-to-disc ratio (CDR). Automatic calculation of optic cup boundary is challenging due to the interweavement of blood vessels with ...
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Journal ArticleCurr Eye Res · December 2009
PURPOSE: Dilation of retinal vessels in response to diffuse luminance flicker may reflect endothelial function. Although this has previously been shown to be reproducible in whites, there have been no similar data in Asians. We assess the reproducibility o ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 2009
PURPOSE: Subtle changes in retinal vascular caliber have been shown to predict diabetic retinopathy and other diabetic complications. This study was undertaken to investigate whether retinal vascular caliber correlates with light-flicker-induced retinal va ...
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Journal ArticleAm J Epidemiol · December 1, 2009
The caliber of the retinal vessels has been shown to be associated with stroke events. However, the consistency and magnitude of association, and the changes in predicted risk independent of traditional risk factors, are unclear. To determine the associati ...
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Conference2nd International Conference on Biomedical and Pharmaceutical Engineering, ICBPE 2009 - Conference Proceedings · December 1, 2009
We propose a method for improving the accuracy of the optic cup detected from the ARGALI system. This method makes use of key points from the branching points of large vessels, the analysis of intensity variation and kinks from small vessels to obtain an e ...
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Journal ArticleAnn Acad Med Singap · December 2009
INTRODUCTION: We assessed awareness of diabetes and diabetic retinopathy in a Singaporean Malay population. We hypothesised that poor awareness is associated with poorer control of diabetic retinopathy risk factors (glycaemic and blood pressure levels) and ...
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Journal ArticleJ Hum Hypertens · December 2009
The purpose of this study is to determine whether the angiotensin-converting enzyme (ACE) gene polymorphism is associated with retinal arteriolar narrowing, a subclinical marker of chronic hypertension. The Funagata Study examined a population-based sample ...
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Journal ArticleJ Hypertens · December 2009
OBJECTIVE: To describe the prospective relationship of retinal vessel diameters with risk of hypertension in a multiethnic population-based cohort. METHODS: The Multi-Ethnic Study of Atherosclerosis is a population-based study of subclinical cardiovascular ...
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Journal ArticleDiabetes Care · November 2009
OBJECTIVE: Flicker light-induced retinal vasodilation may reflect endothelial function in the retinal circulation. We investigated flicker light-induced vasodilation in individuals with diabetes and diabetic retinopathy. RESEARCH DESIGN AND METHODS: Partic ...
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Journal ArticleJ Hypertens · November 2009
BACKGROUND: Retinal arteriolar narrowing is a marker of chronic microvascular damage from hypertension. We hypothesized that the presence of retinal arteriolar narrowing increases the likelihood of chronic kidney disease (CKD) associated with hypertension. ...
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Journal ArticleOphthalmology · November 2009
PURPOSE: To describe the prevalence of and risk factors for myopia and other refractive errors in a rural, adult, Chinese population. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: A clustered, random sampling procedure was used to select 7 ...
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Journal ArticleDiabetes Care · November 2009
OBJECTIVE: To examine the prospective association of retinal vascular fractal dimension with diabetic retinopathy risk in young people with type 1 diabetes. RESEARCH DESIGN AND METHODS: This was a hospital-based prospective study of 590 patients aged 12-20 ...
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Journal ArticleHypertens Res · November 2009
Blood pressure has a significant effect on retinal arterioles. There are few data on whether this effect varies by race/ethnicity. We examined the relationship of blood pressure and retinal vascular caliber in a multi-ethnic Asian population. The study is ...
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Journal ArticleAsia Pac J Public Health · October 2009
In developed countries in the West, lower socioeconomic status (SES) is associated with a higher prevalence of overweight/obesity. The authors examined the association between SES defined by education and income and overweight/obesity in a population-based ...
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Journal ArticlePediatr Int · October 2009
BACKGROUND: Studies from developed Western countries have shown inconsistent associations between breast-feeding and overweight/obesity in children and adolescents. Few data are available from Asian populations. The purpose of the present study was therefo ...
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Journal ArticleArch Ophthalmol · October 2009
OBJECTIVE: To examine the relationship of diabetes mellitus and metabolic abnormalities with intraocular pressure and glaucoma. METHODS: A population-based study was conducted in 3280 (78.7% response) Malay adults aged 40 to 80 years. Diabetes was defined ...
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Journal ArticleJ Am Geriatr Soc · October 2009
OBJECTIVES: To examine the association between retinal microvascular signs, as a proxy for cerebral microvascular disease, and cognitive impairment. DESIGN: Cross-sectional population-based study. SETTING: Urban population survey PARTICIPANTS: One thousand ...
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Journal ArticleDiabetologia · October 2009
AIMS/HYPOTHESIS: The purpose of the study was to evaluate the association between retinal vascular calibre and micro- and macrovascular complications in a population-based cohort of Danish type 1 diabetic patients. METHODS: This was a cross-sectional study ...
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Journal ArticleOphthalmology · October 2009
PURPOSE: To examine the associations of age-related macular degeneration (AMD) with incident coronary heart disease (CHD) and stroke in the Cardiovascular Health Study. DESIGN: Population-based prospective cohort study. PARTICIPANTS: A total of 1786 white ...
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Journal ArticleAsia Pac J Public Health · October 2009
There is substantial heterogeneity regarding diabetes mellitus prevalence and glycemic control in Asian populations. The authors examined a population-based sample of 3000 adults (52% women) of Malay ethnicity (40-80 years) in Singapore. The age-standardiz ...
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Journal ArticleHorm Behav · October 2009
In species with a high level of paternal care, including humans, testosterone (T) is believed to help mediate the trade-off between parenting and mating effort. This hypothesis is supported by the observation of lower T in pairbonded men or fathers compare ...
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Journal ArticleHypertension · October 2009
Research into the genetic effects and specific genes associated with retinal vascular caliber, a risk marker of cardiovascular diseases, may provide new insights into the genetic contribution of early microvascular disease. A combined 374 monozygotic and 5 ...
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Journal ArticleAnn Intern Med · September 15, 2009
BACKGROUND: Retinal vessel caliber may be a novel marker of coronary heart disease (CHD) risk. However, the sex-specific effect, magnitude of association, and effect independent of traditional CHD disease risk factors remain unclear. PURPOSE: To determine ...
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Journal ArticleNeurology · September 15, 2009
BACKGROUND: Because retinal and cerebral arterioles share similar pathologic processes, retinal microvascular changes are expected to be markers of cerebral small vessel disease (SVD). To better understand the role of SVD in cognitive function, we investig ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2009
PURPOSE: To describe the relationship of retinal arteriolar and venular caliber with retinal nerve fiber layer (RNFL) thickness. METHODS: A population-based, cross-sectional study of Malay persons aged 40 to 80 years residing in Singapore was conducted fro ...
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Journal ArticleOphthalmology · September 2009
PURPOSE: To examine macular and peripapillary retinal nerve fiber layer (RNFL) thickness in amblyopia. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Of 4118 children examined in the Sydney Childhood Eye Study (incorporating the Sydney Myopi ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2009
PURPOSE: To describe the distribution of intraocular pressure (IOP) and its cross-sectional relationship to age, systolic blood pressure (sBP), and central corneal thickness (CCT) in an Asian population. METHODS: This was a population-based, cross-sectiona ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2009
PURPOSE: To investigate the risk of acute angle closure (AAC), changes in intraocular pressure (IOP), and factors associated with these outcomes after routine pupil dilation in a cohort of Asian subjects with diabetes mellitus. METHODS: The study was a pro ...
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Journal ArticleAm J Ophthalmol · September 2009
PURPOSE: To examine the relationships of retinal vascular caliber with optic disc, macular, and retinal nerve fiber layer (RNFL) characteristics as measured with optical coherence tomography (OCT). DESIGN: Observational cross-sectional study. METHODS: This ...
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Journal ArticleEye (Lond) · September 2009
BACKGROUND: Adult height is independently related to ocular dimensions and shorter people have shorter globes and shallower anterior chambers. We investigated the relationship between adult height and angle dimensions to explore measuring height as a possi ...
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Journal ArticleJ Hum Hypertens · September 2009
We examined the associations of single nucleotide polymorphisms (SNPs) in three candidate hypertension genes, alpha-adducin (ADD1/G460W), beta2-adrenergic receptor (ADRB2/Arg16Gly and Gln27Glu) and G-protein beta3 subunit (GNB3/C825T), with retinal arterio ...
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Journal ArticleDiabetes Care · September 2009
OBJECTIVE: There are conflicting data regarding relationships of systemic biomarkers of inflammation, hemostasis, and homocysteine with diabetic retinopathy. We examined these relationships in the Multi-Ethnic Study of Atherosclerosis. RESEARCH DESIGN AND ...
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Journal ArticleCurr Diab Rep · August 2009
Recent studies support the concept that the retinal vasculature may provide a summary measure of lifetime exposure to the effects of hyperglycemia. Advances in retinal photographic techniques and in image analysis have allowed objective and precise in vivo ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 2009
PURPOSE: To describe the prevalence and the risk factors of undercorrected refractive error in an adult urban Malay population. METHODS: This population-based, cross-sectional study was conducted in Singapore in 3280 Malay adults, aged 40 to 80 years. All ...
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Journal ArticleEye (Lond) · August 2009
PURPOSE: To describe the relationship of retinal vascular calibre with diabetes and diabetic retinopathy in an Asian population. METHODS: A total of 3280 (78.7% response) subjects, aged 40-80 years, of Malay ethnicity residing in Singapore participated in ...
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Journal ArticleCurrent Hypertension Reviews · August 1, 2009
Diabetic retinopathy affects a significant proportion of people with diabetes. Epidemiological studies suggest that hypertension is related to diabetic retinopathy, and major clinical trials has provided clear evidence that controlling blood pressure in di ...
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Journal ArticleMicrocirculation · August 2009
OBJECTIVE: The aim of this study was to examine the relationship of retinal vascular caliber with diabetes and impaired fasting glucose (IFG) in a multiethnic Asian population. METHODS: This work was a population-based cross-sectional study comprising 3,40 ...
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Journal ArticleAm J Ophthalmol · August 2009
PURPOSE: To determine the testability of several vision and refraction tests in preschool-aged children. DESIGN: Population-based study of Chinese preschool-aged children in Singapore. METHODS: One thousand five hundred and forty-two Singaporean Chinese ch ...
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Journal ArticleDiabetologia · July 2009
AIMS/HYPOTHESIS: This study was designed to determine whether the relationship of glycated haemoglobin to diabetic microvascular complications shows any natural thresholds that could be useful in diagnosing diabetes. METHODS: We examined a population-based ...
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Journal ArticleArch Ophthalmol · July 2009
OBJECTIVE: To examine the relationship between peripheral artery disease (PAD) and glaucoma. METHODS: As part of a population-based study of 3280 persons of Malay descent (78.7% response) aged 40 to 80 years examined between August 1, 2004, and June 30, 20 ...
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Journal ArticleLancet Neurol · July 2009
BACKGROUND: Lacunar stroke accounts for a quarter of cases of acute ischaemic stroke; however, its underlying pathophysiology remains unclear. Our aim was to establish whether there is an association between changes in the retinal microvasculature and lacu ...
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Journal ArticleOphthalmic Physiol Opt · July 2009
AIMS: It is common for refraction to be measured using different testing methods in children, with much debate still ongoing on the preferred method. Therefore, we compared cycloplegic refraction measurements using three objective methods in a large cohort ...
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Journal ArticleClin Biochem · July 2009
OBJECTIVE: To explore the relationship between C-reactive protein (CRP) and metabolic syndrome (MetS) in a rural Chinese population. DESIGN AND METHODS: We performed a population-based cross-sectional study. RESULTS: The median CRP was 0.90 mg/L. After exc ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · June 15, 2009
Glaucoma is an irreversible ocular disease leading to permanent blindness. However, early detection can be effective in slowing or halting the progression of the disease. Physiologically, glaucoma progression is quantified by increased excavation of the op ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · June 15, 2009
The accurate localization of the optic cup in retinal images is important to assess the cup to disc ratio (CDR) for glaucoma screening and management. Glaucoma is physiologically assessed by the increased excavation of the optic cup within the optic nerve ...
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Journal ArticleAm J Epidemiol · June 15, 2009
Recent studies suggest that no distinct glycemic threshold consistently differentiates individuals with or without retinopathy. The authors sought to determine whether the same was true for other microvascular complications. They studied 5,094 participants ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 2009
PURPOSE: To assess variations in angle parameters using anterior segment optical coherence tomography (AS-OCT) and to investigate demographic, ocular and systemic associations of angle width. METHODS: This was a substudy of a population based, cross-sectio ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 2009
PURPOSE: To determine whether the VF-11 is a valid scale to measure visual functioning in an Asian population with vision impairment. METHODS: Participants from the Singapore Malay Eye Study (SiMES) took part. Visual functioning was assessed by using the V ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 2009
PURPOSE: To determine the impact of corrected and uncorrected myopia and hyperopia on visual functioning in an urban Malay population. METHODS: The Singapore Malay Eye Study is a population-based, cross-sectional study of Singaporean Malays aged 40 to 80 y ...
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Journal ArticlePediatrics · June 2009
OBJECTIVE: Birth parameters have been hypothesized to have an influence on IQ. However, studies within the range of normal birth size have been sparse. With this study we examined the associations between birth length, birth weight, head circumference, and ...
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Journal ArticleAm J Epidemiol · May 15, 2009
Obesity shows an inconsistent association with cataract. Causality has not been established. Polymorphisms at the fat mass- and obesity-associated (FTO) locus are associated with obesity and offer an opportunity to examine the obesity-cataract association ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 2009
PURPOSE: To determine the prevalence and association of epiretinal membranes (ERMs), as assessed by retinal photography and optical coherence tomography (OCT), in a Chinese population. METHODS: The Handan Eye Study is a population-based study of eye diseas ...
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Journal ArticleClin Exp Ophthalmol · May 2009
PURPOSE: To describe the prevalence and risk factors of ocular trauma in an urban Asian population. METHODS: A population-based survey of 3280 (78.7% response rate) Malay people aged 40-80 years residing in Singapore was conducted in 2004-2006. Interviewer ...
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Journal ArticleEye (Lond) · May 2009
PURPOSE: To determine the prevalence and risk factors of epiretinal membranes (ERM) in a Japanese population. PATIENTS AND METHODS: The Funagata Study examined 1758 Japanese aged 35 years or older (42% of eligible) from June 2000 to June 2002. A total of 1 ...
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Journal ArticleArch Ophthalmol · May 2009
OBJECTIVE: To describe the association of cognitive function and dementia with early age-related macular degeneration (AMD) in older individuals. METHODS: This population-based study included 2,088 persons aged 69 to 97 years who participated in the Cardio ...
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Journal ArticlePsychosom Med · April 2009
OBJECTIVE: To determine if vital exhaustion, a measure of negative emotion, is associated with microvascular changes in the retina. Negative psychological factors, such as depression, have been implicated in the development of cardiovascular disease. Wheth ...
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Journal ArticleDiab Vasc Dis Res · April 2009
We describe the prevalence and risk factors for PAD in Asian Malays with diabetes. A population-based study of 3,280 (78.7% response) Malay persons aged 40-80 years in Singapore was conducted. ABI was measured in all participants with a history of diabetes ...
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Journal ArticleAm J Ophthalmol · April 2009
PURPOSE: To examine the association between central corneal thickness (CCT) and potential systemic and ocular factors affecting CCT in an Asian population. DESIGN: Population-based cross-sectional study. METHODS: A total of 3,280 (78.7% response) adults ag ...
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Journal ArticleHeart · March 2009
BACKGROUND: Retinopathy lesions are fairly common findings in clinic settings and may predict risk of coronary heart disease (CHD). OBJECTIVE: To examine whether retinopathy independently predicts a risk of CHD-related mortality in people with and without ...
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Journal ArticleBr J Ophthalmol · March 2009
AIM: The aim of the study was to describe the prevalence and visual outcomes of cataract surgery in an urban Asian population. METHODS: This was a population-based study of 3280 Singapore Malays aged 40-80 years (response rate 78.7%). Participants had a st ...
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Journal ArticleArch Ophthalmol · March 2009
OBJECTIVE: To describe the prevalence and characteristics of choroidal nevi in an Asian population and compare this with findings from a white population. METHODS: The Singapore Malay Eye Study (SiMES) examined a population-based, cross-sectional, age-stra ...
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Journal ArticleHypertension · March 2009
Recent studies reported an association between smaller birth size and narrower retinal vascular caliber, but it remains unclear whether this association is attributed to confounding by shared environment or genetic factors. At a mean age of 9.3 years, 266 ...
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Journal ArticleOphthalmology · March 2009
PURPOSE: To describe the age- and gender-specific prevalence, characteristics, and severity of diabetic retinopathy (DR) in a rural population in northern China. DESIGN: A population-based cross-sectional study. PARTICIPANTS: A total of 6830 Han Chinese ag ...
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Journal ArticleAm J Epidemiol · March 1, 2009
Retinal arteriolar narrowing is a marker of microvascular damage from elevated blood pressure. Between August 2004 and June 2006, the authors examined the association between retinal vascular diameter and chronic kidney disease in a population-based cohort ...
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Journal ArticleJ Lipid Res · March 2009
We conducted a cross-sectional study of Malay participants aged 40-80 years (n = 2,932) to examine the associations between polymorphisms at newly identified, lipid-associated loci with blood lipid levels and prevalent cardiovascular disease (CVD) in a Mal ...
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Journal ArticleAm J Ophthalmol · March 2009
PURPOSE: To determine the impact of visual impairment on health-related quality of life (QoL) measures in adolescents. DESIGN: School-based, cross-sectional study. METHODS: Adolescents aged 11 to 18 years from the Singapore Cohort Study of the Risk Factors ...
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Journal ArticleMicrocirculation · February 2009
OBJECTIVES: Recent population-based studies have shown that retinal vascular caliber may predict the risk of clinical coronary artery disease (CAD) events. Whether this association is related to macro- or microvascular mechanisms remains unknown. We invest ...
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Journal ArticleMicrocirculation · February 2009
BACKGROUND: Recent studies have shown that changes in the retinal microvasculature predict cardiovascular disease (CVD); however, little is known regarding influences on the retinal microvasculature in healthy people without overt cardiovascular or metabol ...
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Journal ArticleOphthalmology · February 2009
OBJECTIVE: To examine the relationship of retinal vascular caliber to macular telangiectasia (MT) type 2. DESIGN: Case-control study. PARTICIPANTS: Patients with MT aged 18 years and older were identified from Australian sites of the multicenter Macular Te ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2009
An automatic diagnosis system of nuclear cataract is presented in this paper. Nuclear cataract is graded according to the severity of opacity using slit-lamp lens images. Anatomical structure in the lens image is detected using a modified active shape mode ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2009
Pathological myopia, the seventh leading cause of legal blindness in United States, is a condition caused by pathological axial elongation and eyes that deviates from the normal distribution curve of axial length, resulting in impaired vision. Studies have ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2009
Glaucoma is a leading cause of permanent blindness. ARGALI, an automated system for glaucoma detection, employs several methods for segmenting the optic cup and disc from retinal images, combined using a fusion network, to determine the cup to disc ratio ( ...
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Journal ArticleMed Image Comput Comput Assist Interv · 2009
A novel computer-aided diagnosis system of nuclear cataract via ranking is firstly proposed in this paper. The grade of nuclear cataract in a slit-lamp image is predicted based on its neighboring labeled images in a ranked images list, which is achieved us ...
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Journal ArticleNephrol Dial Transplant · January 2009
BACKGROUND: In studies from developed Western countries, lower socioeconomic status (SES) has been reported to be associated with kidney diseases. However, this hypothesis has not been examined in populations from newly industrialized Asian countries. We e ...
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Journal ArticleStroke · January 2009
BACKGROUND AND PURPOSE: It is unclear whether diets with high glycemic index (GI) and low cereal fiber (CF) are associated with greater risk of stroke. We aimed to assess the relationship between dietary GI and CF content, retinal microvasculature changes, ...
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ConferenceAnnu Int Conf IEEE Eng Med Biol Soc · 2009
With the advances of computer technology, more and more computer-aided diagnosis (CAD) systems have been developed to provide the "second opinion". This paper reports an automatic fundus image classification technique that is designed to screen out the sev ...
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ConferenceIFMBE Proceedings · January 1, 2009
Automatic optic disc (OD) detection is a key processing step in algorithms aiming for automatic extraction of retinal vascular abnormalities for diagnosing cardiovascular diseases and cup-to-disc ratio assessment for diagnosing glaucoma. In this paper, we ...
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Journal ArticleOphthalmic Epidemiol · 2009
PURPOSE: To study the prevalence, associated factors and impact of symptomatic dry eye in an Asian population. METHODS: A population based survey of eye diseases in 3,280 (78.7% response rate) Malay persons aged 40-80 selected from designated areas in sout ...
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ConferenceAnnu Int Conf IEEE Eng Med Biol Soc · 2009
Glaucoma is the second leading cause of blindness. Glaucoma can be diagnosed through measurement of neuro-retinal optic cup-to-disc ratio (CDR). Automatic calculation of optic cup boundary is challenging due to the interweavement of blood vessels with the ...
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ConferenceProceedings - International Conference on Image Processing, ICIP · January 1, 2009
This paper presents a photometric restoration technique that automatically corrects shading within retinal images taken with a fundus camera. The proposed technique is based on the observation that the background of retinal images usually shows flat reflec ...
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Journal ArticleArch Ophthalmol · January 2009
OBJECTIVE: To describe ocular biometry relationships in older white adults. METHODS: Ocular dimensions were measured with partial coherence laser interferometry in 1968 persons (aged 58-100 years, 59% female) seen at the fourth examination of the Beaver Da ...
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Journal ArticleOphthalmic Epidemiol · 2009
PURPOSE: To describe the incidence of neuro-ophthalmic diseases in a multi-ethnic Asian population in Singapore. METHODS: Prospective study in public hospitals in Singapore. All neuro-ophthalmic cases seen in four public sector hospitals over a 22-month pe ...
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Journal ArticleSurv Ophthalmol · 2009
Quantitative studies of retinal vascular caliber using new computer-assisted retinal imaging systems have allowed physicians and researchers to understand the influence of systemic, environmental, and genetic factors on retinal vascular caliber. Retinal va ...
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Journal ArticleOphthalmic Epidemiol · 2009
PURPOSE: To describe the rationale, design, methodology and baseline characteristics of the Handan Eye Study (HES), a population-based study to determine the prevalence and impact of visual impairment and major ocular diseases in Chinese adults living in a ...
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Journal ArticleDiab Vasc Dis Res · January 2009
OBJECTIVE: To examine the associations between nuclear magnetic resonance (NMR) defined lipoproteins and diabetic retinopathy (DR) in a population-based sample of adults with type 2 diabetes. RESEARCH DESIGN AND METHODS: In all, 921 persons with diabetes i ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 2009
PURPOSE: To examine the relationship between corneal biomechanical properties and retinal vascular caliber in Singaporean children in a cross-sectional study of 257 healthy subjects from the Singapore Cohort Study of Risk Factors for Myopia. METHODS: Corne ...
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Journal ArticleBr J Ophthalmol · January 2009
BACKGROUND/AIMS: Refractive errors, especially if undercorrected, are a common and important cause of poor vision, particularly in Asia. The knowledge and beliefs of refractive errors and possible impact of undercorrection in a population-based study in Si ...
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Journal ArticleDiabetes Care · January 2009
OBJECTIVE: Fractal analysis can quantify the geometric complexity of the retinal vascular branching pattern and may therefore offer a new method to quantify early diabetic microvascular damage. In this study, we examined the relationship between retinal fr ...
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Journal ArticleDiabet Med · January 2009
AIMS: To assess the proportion of patients who had diabetes and hypertension with optimal blood pressure (BP) control and to describe patients' awareness of the importance of BP control. METHODS: A cross-sectional survey of out-patients with diabetes who a ...
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ConferenceMedical Physics · January 1, 2009
Purpose: The Calypso® 4D Localization System™ (Calypso Medical) uses non‐ionizing AC electromagnetic radiation to localize and track small wireless devices (called Beacon® transponders) implanted in or near a patient's tumor. We report on the first clinica ...
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Journal ArticleOphthalmic Epidemiol · 2009
PURPOSE: Current knowledge of ethnic variability in the epidemiology of major eye diseases in Asia is limited. This report summarizes the rationale and study design of the Singapore Indian Chinese Cohort (SICC) Eye Study, a population-based study of ethnic ...
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ConferenceProceedings of the 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS'08 - "Personalized Healthcare through Technology" · December 1, 2008
An automatic approach to detect cortical opacities and grade the severity of cortical cataract from retroillumination images is proposed. The spoke-like feature of cortical opacity is employed to separate from other opacity type. The proposed algorithms we ...
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Journal ArticleExpert Opin Emerg Drugs · December 2008
UNLABELLED: Diabetic retinopathy (DR) is prevalent even among "well controlled" diabetics, and remains the commonest cause of visual loss in working age adults. Current evidence based treatments, including intensive glycemic and hypertensive control and la ...
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Journal ArticleIntern Med J · December 2008
Retinal vein occlusion (RVO) is the second most common retinal vascular disease after diabetic retinopathy and is a common cause of visual morbidity and blindness in the elderly. A large proportion of patients with RVO have a history of cardiovascular dise ...
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Journal ArticleInvest Ophthalmol Vis Sci · December 2008
PURPOSE: To examine the relationship between retinal vascular caliber and glaucoma in an Asian population. METHODS: A population-based, cross-sectional study of 3019 persons of Asian Malay ethnicity aged 40 to 80 years residing in Singapore. All participan ...
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Journal ArticleAm J Ophthalmol · December 2008
PURPOSE: To investigate the relationship between retinal vascular caliber and age-related macular degeneration (AMD). DESIGN: Population-based cross-sectional study. METHODS: Three thousand two hundred and eighty (78.7% response rate) Malay Singaporeans ag ...
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Journal ArticleAm J Ophthalmol · December 2008
PURPOSE: To assess associations between smoking and cardiovascular risk factors and prevalent age-related macular degeneration (AMD) in the Singapore Malay population. DESIGN: Population-based, cross-sectional study. METHODS: A total of 3,280 Malay adults ...
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Journal ArticleArch Intern Med · November 24, 2008
New biomarkers and predictive models that aim to improve the identification of people at risk of cardiovascular disease are constantly proposed. Clinicians need to be aware of the various methods used to assess these biomarkers and models and how these sho ...
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Journal ArticleOphthalmology · November 2008
OBJECTIVE: Fractals represent a type of derived geometric pattern that permits the characterization of the branching pattern of retinal vessels. We examined a new semiautomated method to measure retinal vessel fractals. DESIGN: Methodology study. PARTICIPA ...
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Journal ArticleArch Ophthalmol · November 2008
OBJECTIVE: To examine the association between changes in waist-hip ratio (WHR), a measure of abdominal obesity, and age-related macular degeneration (AMD). METHODS: A total of 12 515 persons from a population-based cohort study, aged 45 to 64 years in 1987 ...
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Journal ArticleStroke · November 2008
BACKGROUND AND PURPOSE: There are concerns that cardiac catheterization may cause retinal embolization, a risk marker for cerebrovascular emboli and stroke. We describe the incidence of acute retinal embolism after cardiac catheterization. METHODS: One hun ...
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Journal ArticleOphthalmology · November 2008
PURPOSE: Bevacizumab is an inhibitor of vascular endothelial growth factor widely used as an "off-label" treatment of neovascular age-related macular degeneration (AMD), despite the lack of clinical trial data on efficacy or safety of this drug. We describ ...
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Journal ArticleOphthalmology · November 2008
PURPOSE: To describe the prevalence and risk factors of diabetic retinopathy in Asian Malays. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Persons with diabetes of Malay ethnicity aged 40 to 80 years in Singapore. METHODS: Diabetes mellitu ...
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Journal ArticleOphthalmology · November 2008
PURPOSE: To describe the prevalence and causes of low vision and blindness in a rural population in Northern China. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: A study of 6830 Han Chinese aged 30 years and older was conducted between Oct ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 2008
PURPOSE: To describe the changes in retinal vascular caliber in response to a single injection of intravitreal triamcinolone (IVTA) in patients with refractory diabetic macular edema. METHODS: Prospective data from a randomized clinical trial were used. Th ...
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Journal ArticleProg Retin Eye Res · November 2008
Intraocular delivery of anti-vascular endothelial growth factor (VEGF) therapies is now used widely to treat age-related macular degeneration, and is currently undergoing evaluation in clinical trials for treatment of diabetic retinopathy. An important asp ...
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Journal ArticleOphthalmology · November 2008
OBJECTIVE: To validate the VF-11, a vision-specific function scale and determine the relationship among vision impairment, ocular conditions, and vision-specific functioning in an Asian Malay population. DESIGN: Population-based cross-sectional study. PART ...
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Conference2008 IEEE International Conference on Multimedia and Expo, ICME 2008 - Proceedings · October 23, 2008
Computer aided analysis of medical images, a unique type of non-text media, can facilitate clinical diagnosis. As an example, an automatic opacity detection approach is proposed in this paper to grade cortical cataract more objectively. The automatic pupil ...
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Journal ArticleBr J Ophthalmol · October 2008
BACKGROUND/AIMS: To describe the prevalence and risk factors of epiretinal membranes (ERM) in Asian Malays and to compare this with a white population. METHODS: The Singapore Malay Eye Study examined 3280 persons (78.7% response rate) aged 40-80 years in S ...
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Journal ArticleBr J Ophthalmol · October 2008
AIM: To describe the prevalence and risk factors of retinal vein occlusion (RVO) in an Asian population. METHODS: The Singapore Malay Eye Study is a population-based, cross-sectional study of 3280 (78.7%) Malay adults (aged 40-80 years) living in Singapore ...
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Journal ArticleAm J Ophthalmol · October 2008
PURPOSE: To examine the prevalence and risk factors of retinal arteriolar emboli, a risk predictor of stroke, in an Asian population. DESIGN: Population-based cross-sectional study. METHODS: Retinal emboli were ascertained from retinal photographs obtained ...
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Journal ArticleAm J Clin Nutr · October 2008
BACKGROUND: Dietary factors are known risk factors for age-related macular degeneration (AMD) -- the leading cause of visual loss among persons aged > or =65 y. High-glycemic-index diets have been hypothesized as a risk factor for AMD, but prospective data ...
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Journal ArticleInvest Ophthalmol Vis Sci · October 2008
PURPOSE: To describe the prevalence of retinal vein occlusion (RVO) and its association with cardiovascular, inflammatory, and hematologic risk factors in a multiethnic cohort. METHODS: This was a population-based, cross-sectional study of 6147 participant ...
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Journal ArticleDiabetes · October 2008
OBJECTIVE: Association between genetic variants at the FTO locus and obesity has been consistently observed in populations of European ancestry and inconsistently in non-Europeans. The aim of this study was to examine the effects of FTO variants on obesity ...
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Journal ArticleArch Ophthalmol · October 2008
OBJECTIVE: To examine the relative contributions of systemic cardiovascular factors to retinal arteriolar and venular caliber in men and women and in whites and African Americans. METHODS: In the Atherosclerosis Risk in Communities study, retinal arteriola ...
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Journal ArticleBr J Ophthalmol · October 2008
BACKGROUND/AIMS: Low socio-economic status is increasingly being identified as a risk marker for chronic diseases, but few studies have investigated the link between socio-economic factors and age-related macular degeneration (AMD). The present study aimed ...
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Journal ArticleOphthalmology · October 2008
PURPOSE: To describe the prevalence and risk factors for myopia and other refractive errors in an urban Malay population in Singapore. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: Persons of Malay ethnicity, between 40 and 80 years of age ...
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Journal ArticleOphthalmology · October 2008
OBJECTIVE: To describe the relationship of systemic inflammatory disease, complement factor H (CFH) Y402H (1277T-->C) genotype status and age-related macular degeneration (AMD) prevalence in a multiethnic population of whites, blacks, Hispanics, and Chines ...
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Journal ArticleOphthalmology · October 2008
OBJECTIVE: To describe the prevalence of age-related macular degeneration (AMD) in an Asian Malay population. DESIGN: Population-based cross-sectional study. PARTICIPANTS: An age-stratified random sample of Malay persons aged 40 to 80 years living in Singa ...
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Journal ArticleOphthalmology · October 2008
PURPOSE: To assess the screening effectiveness of 3 new noncontact devices, the scanning peripheral anterior chamber depth analyzer (SPAC) (Takagi, Nagano, Japan), which measures peripheral anterior chamber depth (ACD); IOLMaster (Carl Zeiss Meditec, Jena, ...
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Conference2008 3rd IEEE Conference on Industrial Electronics and Applications, ICIEA 2008 · September 23, 2008
An approach to automatically diagnose nuclear cataract based on the slit-lamp image is proposed in this paper. Model-based approach is investigated to detect robust lens structure. Based on the detected lens structure, the mean intensity, the color informa ...
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Conference2008 3rd IEEE Conference on Industrial Electronics and Applications, ICIEA 2008 · September 23, 2008
The ratio of the optic cup to disc (CDR) in retinal fundus images is one of the principal physiological characteristics in the diagnosis of glaucoma. Currently the CDR is manually determined which can be subjective and limits its use in mass screening. To ...
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Journal ArticleCirc Cardiovasc Imaging · September 2008
The microcirculation is relatively inaccessible to direct visualization and investigation. Recent methods have been developed which use advanced retinal photographic imaging techniques and computer-assisted image analysis to characterize, measure and quant ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2008
PURPOSE: To assess the prevalence and types of glaucoma in an Asian Malay population. METHODS: The Singapore Malay Eye Study is a population-based, cross-sectional survey that examined 3280 (78.7% response) persons aged 40 to 80 years. Participants underwe ...
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Journal ArticleDiabetes Care · September 2008
OBJECTIVE: Alterations in retinal vascular caliber may reflect early subclinical microvascular dysfunction. In this study, we examined the association of retinal vascular caliber to incident retinopathy in young patients with type 1 diabetes. RESEARCH DESI ...
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Journal ArticleSingapore Med J · September 2008
INTRODUCTION: Optic neuritis (ON) is the commonest optic neuropathy encountered in the younger group of patients from the Singapore Neuro-Ophthalmology Study Group. Previous surveys in Asia and our study suggest that ON in Singapore differs from that in We ...
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Journal ArticleOphthalmology · August 2008
OBJECTIVE: To describe the prevalence and risk factors for age-related macular degeneration (AMD) in a Japanese population and to compare these with data from a white population. DESIGN: Population-based cross-sectional epidemiologic study. PARTICIPANTS: A ...
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Journal ArticleArch Ophthalmol · August 2008
OBJECTIVE: To describe the distribution and determinants of the optic cup to disc ratio (CDR) in Malay adults in Singapore. METHODS: This population-based, age-stratified study examined 3280 Malay people aged 40 to 80 years in Singapore. Participants under ...
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Journal ArticleCirculation · July 29, 2008
BACKGROUND: Cardiovascular disease may have its origins in utero, but the influence of in utero growth on microvascular structure in children is unknown. We hypothesized that poor in utero growth is associated with narrower arteriolar caliber, which may he ...
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Journal ArticleAm J Cardiol · July 1, 2008
Recent studies showed that such retinal vascular signs as quantitative retinal vascular caliber were associated with increased risk of incident coronary heart disease (CHD), but whether these retinal vascular signs add to the prediction of CHD over and abo ...
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Journal ArticleMicrocirculation · July 2008
OBJECTIVE: To assess the associations of retinal vessel caliber with the 10-year incidence of diabetes and impaired fasting glucose (IFG). METHODS: The Blue Mountains Eye Study is a population based cohort study of Australian residents aged at least 49 yea ...
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Journal ArticleDiabetes Care · July 2008
OBJECTIVE: We determined the longitudinal association of glucose metabolism with retinopathy in a sample of the Australian population. RESEARCH DESIGN AND METHODS: The Australian Diabetes Obesity and Lifestyle (AusDiab) study is a national, longitudinal st ...
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Journal ArticleAm J Epidemiol · July 1, 2008
The authors assessed associations between retinal vascular signs and incident severe hypertension in an older population-based cohort. At baseline (1992-1994), 3,654 residents aged 49-97 years living in the Blue Mountains area west of Sydney, Australia, we ...
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Journal ArticleDiabetes Res Clin Pract · July 2008
We surveyed 220 patients with diabetic retinopathy attending a tertiary eye hospital in Australia, and found that knowledge of HbA(1c), and the proportion achieving target level of <7%, remained low in patients with diabetic retinopathy. These data re-emph ...
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ConferenceProgress in Biomedical Optics and Imaging - Proceedings of SPIE · June 2, 2008
Cataract is one of the leading causes of blindness worldwide. A computer-aided approach to assess nuclear cataract automatically and objectively is proposed in this paper. An enhanced Active Shape Model (ASM) is investigated to extract robust lens contour ...
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Journal ArticleNephrol Dial Transplant · June 2008
BACKGROUND: In contrast to previous studies from western populations, studies from Japan reported a positive association between body mass index (BMI) and chronic kidney disease (CKD) among men but not women. In this context, we examined the relationship b ...
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Journal ArticleOphthalmology · June 2008
PURPOSE: To examine the relationship of diabetes and hyperglycemia with central corneal thickness (CCT) in Malay adults in Singapore. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Three thousand two hundred eighty Malay adults ages 40-80 ye ...
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Journal ArticleInvest Ophthalmol Vis Sci · June 2008
PURPOSE: To describe the normal anatomic relationships of retinal vessel diameters with optic disc, macula, and retinal nerve fiber layer parameters in young children. METHODS: This was a population-based, cross-sectional study of 1204 healthy children 6 y ...
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Journal ArticleArch Ophthalmol · June 2008
OBJECTIVE: To systematically review the evidence on dietary omega-3 fatty acid and fish intake in the primary prevention of age-related macular degeneration (AMD). METHODS: Seven databases were systematically searched with no limits on publication year or ...
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Journal ArticleOphthalmology · May 2008
OBJECTIVE: To examine the relationship between visual acuity and mortality in a Chinese population. DESIGN: Population-based cohort study. PARTICIPANTS: Chinese persons in Singapore ages 40 to 79 years at baseline examination. METHODS: The Tanjong Pagar St ...
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Journal ArticleDiabetes Res Clin Pract · May 2008
AIM: To determine the adherence to recommended glycemic and blood pressure levels in patients with diabetic retinopathy (DR). METHODS: A retrospective study in a tertiary eye clinic in Melbourne, Australia. Data pertaining to blood pressure (BP) and glycos ...
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Journal ArticleCurr Eye Res · May 2008
PURPOSE: To assess reliability and reproducibility of different analysis methods for retinal capillary flow, volume, and velocity from scanning laser Doppler flowmetry (SLDF) topography. MATERIAL AND METHODS: SLDF topography analysis using the default reti ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 2008
PURPOSE: To describe the relationship of retinal vascular caliber with cardiovascular risk factors in an Asian population. METHODS: The Singapore Malay Eye Study is a population-based, cross-sectional survey that included 3280 (78.7% response) persons aged ...
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Journal ArticleArch Ophthalmol · May 2008
OBJECTIVES: To investigate systemic and ocular risk factors for angle closure (AC) in older Singaporeans and to determine if these risk factors are different in men vs women and in Chinese vs non-Chinese persons. METHODS: A cross-sectional study of 2042 su ...
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Journal ArticleJ Am Coll Cardiol · April 22, 2008
OBJECTIVES: The purpose of this study was to examine the association of diabetic retinopathy with incident heart failure (HF). BACKGROUND: Microvascular disease might play a more prominent role in the pathogenesis of diabetic cardiomyopathy, a major cause ...
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Journal ArticleInvest Ophthalmol Vis Sci · April 2008
PURPOSE: To describe the effects of ethnicity and iris color on measurement of retinal vascular caliber. METHODS: The Sydney Childhood Eye Study (SCES) examined 1740 6-year-old children from 34 randomly selected Sydney schools during 2003 and 2004. Retinal ...
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Journal ArticleHypertension · April 2008
Low birthweight is associated with increased risk of hypertension, but underlying mechanisms are obscure. We hypothesized structural microvascular alterations may be one such mechanism. We examined the association of birthweight and retinal arteriolar cali ...
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Journal ArticleStroke · April 2008
BACKGROUND AND PURPOSE: Patients with ischemic stroke have a high prevalence of hypertension and diabetes, which are major risk factors for potentially blinding retinal diseases. We studied the prevalence of retinal diseases, and the need for an ophthalmol ...
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Journal ArticleStroke · April 2008
BACKGROUND AND PURPOSE: The retinal and cerebral vasculature share similar anatomic, physiological, and embryological characteristics. We reviewed the literature, focusing particularly on recent population-based studies, to examine the relationship between ...
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Journal ArticleJ Am Soc Nephrol · April 2008
Age-related macular degeneration is the leading cause of irreversible blindness in the United States and often coexists with chronic kidney disease. Both conditions share common genetic and environmental risk factors. A total of 1183 participants aged 54+ ...
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Journal ArticleDiabetes Care · April 2008
Changes in retinal vascular caliber may reflect subclinical microvascular disease and provide prognostic information regarding risk of retinopathy. In this study, we examined the prospective association of retinal vascular caliber with retinopathy risk in ...
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Journal ArticleAm J Ophthalmol · April 2008
PURPOSE: To review systematically the evidence currently available on alcohol consumption and the risk of age-related macular degeneration (AMD). DESIGN: Systematic review and meta-analysis of observational studies. METHODS: Seven databases were searched s ...
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Journal ArticleDiabetes · March 2008
OBJECTIVE: To examine the relationship of retinal vascular caliber to incident diabetes in a population-based cohort. RESEARCH DESIGN AND METHODS: The Australian Diabetes, Obesity and Lifestyle (AusDiab) Study recruited adults aged 25+ years across Austral ...
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Journal ArticleAm J Hypertens · March 2008
BACKGROUND: Whether microvascular disease contributes to the development of left ventricular hypertrophy (LVH) is unclear. We examined the relationship of retinal microvascular signs with LVH in an African-American population. METHODS: A population-based, ...
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Journal ArticleDiabetes Care · March 2008
OBJECTIVE: To examine the relationship of retinal vascular caliber with diabetes, glycemia, and diabetic retinopathy. RESEARCH DESIGN AND METHODS: Population-based study using data from the Multi-Ethnic Study of Atherosclerosis (MESA), comprising 5,976 ind ...
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Journal ArticleProg Retin Eye Res · March 2008
Retinopathy is the most common complication of diabetes. The assessment of retinopathy signs presents clinicians a unique opportunity to directly visualize and assess the actual morphology of diabetic microvascular damage. Extensive studies have now shown ...
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Journal ArticleVision Res · February 2008
We examined familial aggregation and risk of age-related macular degeneration in the Utah population using a population-based case-control study. Over one million unique patient records were searched within the University of Utah Health Sciences Center and ...
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Journal ArticleCurr Eye Res · February 2008
PURPOSE: Low birth weight has been suggested as a risk factor for diabetes. Whether it is related to diabetic retinopathy is unclear and is examined in this study. MATERIALS AND METHODS: We examined 609 adults with type 2 diabetes from the population-based ...
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Journal ArticleBr J Ophthalmol · February 2008
AIMS: To determine the relationship of metabolic syndrome and its components with retinopathy and other retinal microvascular signs in a Japanese population. METHODS: The Funagata study recruited 1961 (53.3% of eligible) Japanese aged 35 or older. The meta ...
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Journal ArticleInvest Ophthalmol Vis Sci · February 2008
PURPOSE: To report associations of visual impairment and the main causes of vision loss with falls in an older Asian population. METHODS: The population-based Singapore Malay Eye Study examined 3280 (78.7% response rate) Malay adults 40 to 80 years of age. ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2008
An automatic approach to detect cortical opacities and grade the severity of cortical cataract from retro-illumination images is proposed. The spoke-like feature of cortical opacity is employed to separate from other opacity type. The proposed algorithms w ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2008
Glaucoma is a leading cause of permanent blindness. However, disease progression can be limited if detected early. The optic cup-to-disc ratio (CDR) is one of the main clinical indicators of glaucoma, and is currently determined manually, limiting its pote ...
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Journal ArticleOphthalmic Epidemiol · 2008
PURPOSE: Birthweight is a marker of fetal growth, and has been linked to future risk of chronic diseases in adults. We examined the association between birthweight and age-related maculopathy (ARM). METHODS: We studied 9730 adults from the population-based ...
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Journal ArticleOphthalmology · January 2008
PURPOSE: To describe the natural history and progression of visual loss in eyes with untreated neovascular age-related macular degeneration (AMD). DESIGN: Systematic review and meta-analysis. PARTICIPANTS: Four thousand three hundred sixty-two untreated ne ...
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Journal ArticleHypertension · January 2008
Retinal arteriolar narrowing is a marker of chronic hypertension. Myocardial perfusion reflects microvascular processes in the heart. The relationship between these 2 measures has not been studied previously and is examined in 212 men and women aged 45 to ...
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Journal ArticleDepress Anxiety · 2008
We hypothesize that late-life depression is a manifestation of microvascular disease in patients with type 2 diabetes. We conducted a clinic-based cross-sectional study, comparing retinal vascular caliber, a marker of microvascular disease, in participants ...
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Journal ArticleSurv Ophthalmol · 2008
Alcohol consumption is a modifiable lifestyle factor, but there is uncertainty regarding its association with eye diseases in adults. A relationship between alcohol consumption and an increased risk of cataract has been reported from cross-sectional studie ...
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ConferenceAsia-Pacific Population Journal · January 1, 2008
The Cebu Longitudinal Health and Nutrition Survey (CLHNS) is the longest health and nutrition longitudinal study ever conducted in the Philippines and possibly one of the longest in Asia. It started in 1983 with 3,327 pregnant women who, together with thei ...
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Journal ArticleAnn Neurol · December 2007
OBJECTIVE: Arterial stiffness is a newly recognized risk factor for stroke. Whether this is mediated by small- or large-artery disease is unknown. In this study, we examined the relationship between arterial stiffness and retinal vascular caliber. METHODS: ...
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Journal ArticleAm J Epidemiol · December 1, 2007
Although cigarette smoking is a major cardiovascular risk factor, its microcirculatory effects are not well understood. The authors investigated cross-sectional and longitudinal relations between smoking and retinal microvascular caliber in an older Austra ...
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Journal ArticleMol Vis · November 12, 2007
PURPOSE: To examine the association between apolipoprotein E (APOE) gene polymorphism and retinal microvascular signs in an older population. METHODS: Retinal photographs were taken of 2,152 participants (1,831 whites, and 321 African-Americans), aged 69-9 ...
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Journal ArticleDiabetologia · November 2007
AIMS/HYPOTHESIS: The aim of the study was to examine the relationship of retinal vascular calibre with glucose intolerance, diabetes and retinopathy in a population-based cohort. METHODS: The Australian Diabetes, Obesity and Lifestyle study recruited adult ...
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Journal ArticleAm J Ophthalmol · November 2007
PURPOSE: Previous studies in older adults suggest that longer axial length is associated with narrower arteriolar caliber. In this study, we re-examined this relationship in a cohort of children, while controlling for the effects of ocular magnification. D ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 2007
PURPOSE: To describe the relationships of retinal vascular caliber to optic disc diameter in children. METHODS: A school-based cross-sectional study of 746 children aged 7 to 9 years who participated in the Singapore Cohort Study of the Risk Factors for My ...
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Journal ArticleInvest Ophthalmol Vis Sci · November 2007
PURPOSE: To evaluate the relationships in Singapore school children between optic nerve head parameters and retinal nerve fiber layer thickness images by using the Heidelberg Retinal Tomograph (HRT; Heidelberg Engineering, Heidelberg, Germany) and determin ...
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Journal ArticleBMJ · October 13, 2007
OBJECTIVE: To evaluate the effectiveness of dietary antioxidants in the primary prevention of age related macular degeneration (AMD). DESIGN: Systematic review and meta-analysis. DATA SOURCES: Search of seven databases without limits on year or language of ...
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Journal ArticleInt J Obes (Lond) · October 2007
PURPOSE: To examine the relationship between body mass index (BMI) and other anthropometric measures with retinal vessel diameter in children. METHODS: A random cluster sample of 34 schools was selected in the Sydney metropolitan area during 2003-04, and 1 ...
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Journal ArticleOphthalmology · October 2007
OBJECTIVE: To describe the relationship of retinal arteriolar and venular calibers to the long-term incidence of microvascular and macrovascular complications in people with type 2 diabetes. DESIGN: Population-based prospective study. PARTICIPANTS: One tho ...
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Journal ArticleHypertension · October 2007
Increased aortic stiffness and retinal arteriolar narrowing are subclinical vascular effects of chronic hypertension and predict future cardiovascular events. The relationship between these 2 vascular measures is uncertain and is examined in the Multi-Ethn ...
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Journal ArticleBr J Ophthalmol · October 2007
AIM: The efficacy and safety of repeated injections of intravitreal triamcinolone (IVTA) for diabetic macular oedema is unclear, with results of previous reports conflicting. METHODS: This is a prospective, observational case series of 27 eyes receiving IV ...
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Journal ArticleArch Ophthalmol · September 2007
OBJECTIVE: To examine the prospective association of early age-related macular degeneration (AMD) with cancer mortality. METHODS: A population-based cohort study of 10 029 persons aged 49 to 73 years free of cancer. The AMD signs were evaluated from retina ...
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Journal ArticleJ Epidemiol · September 2007
BACKGROUND: Studies from industrialized Western countries have reported an inverse association between socioeconomic status and overweight/obesity. In contrast, few studies from newly industrialized countries in Asia have examined this association. In this ...
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Journal ArticleJAMA · August 22, 2007
CONTEXT: Diabetic retinopathy (DR) is the leading cause of blindness in the working-aged population in the United States. There are many new interventions for DR, but evidence to support their use is uncertain. OBJECTIVE: To review the best evidence for pr ...
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Journal ArticleEur Heart J · August 2007
AIMS: The retinal microvasculature may reflect pre-clinical changes in the cerebral and coronary microcirculations. We assessed whether smaller retinal arterioles and larger venules predicted coronary heart disease (CHD)- and stroke-mortality. METHODS AND ...
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Journal ArticleAm J Ophthalmol · August 2007
PURPOSE: To examine the relationships of diabetes with anterior chamber depth, axial length, and refraction. DESIGN: Population-based cross-sectional study. METHODS: This analysis included 943 Singapore Chinese subjects ages 40 to 81 years from the Tanjong ...
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Journal ArticleCirculation · July 10, 2007
BACKGROUND: Diabetes mellitus increases the risk of cardiovascular disease (CVD) and all-cause mortality. The relationship between milder elevations of blood glucose and mortality is less clear. This study investigated whether impaired fasting glucose and ...
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Journal ArticleJ Am Coll Cardiol · July 3, 2007
OBJECTIVES: This study sought to examine the relationships of retinal vascular signs with left ventricular (LV) mass, volume, and concentric remodeling. BACKGROUND: Microvascular disease, reflected as retinopathy lesions, has been shown to predict clinical ...
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Journal ArticleStroke · July 2007
BACKGROUND AND PURPOSE: Cerebral microvascular disease may be a risk factor for the development of dementia in elderly persons. We describe the association of retinal microvascular signs with cognitive function and dementia among older individuals. METHODS ...
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Journal ArticleDiabetes Care · July 2007
OBJECTIVE: We sought to examine the relation of diabetic retinopathy to incident coronary heart disease (CHD). RESEARCH DESIGN AND METHODS: A population-based, prospective cohort study consisting of 1,524 middle-aged individuals with type 2 diabetes withou ...
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Journal ArticleAm J Ophthalmol · June 2007
PURPOSE: To compare the measurement of the central corneal thickness (CCT) by Visante (Carl Zeiss Meditec, Dublin, California, USA) anterior segment optical coherence tomography (AS-OCT) with ultrasound pachymetry. DESIGN: Population-based, cross-sectional ...
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Journal ArticleAm J Ophthalmol · June 2007
PURPOSE: To determine whether intraocular pressure (IOP) influences retinal vascular caliber in young children, in order to provide a better understanding of its physiological determinants. DESIGN: Cross-sectional study. METHODS: Three hundred and eighty-s ...
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Journal ArticleArch Ophthalmol · June 2007
OBJECTIVE: To examine the association between apolipoprotein E (APOE) gene polymorphisms and retinal microvascular signs. METHODS: Population-based, cross-sectional study. Participants from the Atherosclerosis Risk in Communities Study (n=10,036; aged 49-7 ...
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Journal ArticleAm J Ophthalmol · June 2007
PURPOSE: To assess the relationship of retinal vessel caliber with diabetes and diabetic retinopathy (DR). DESIGN: Population-based cross-sectional analysis of the Blue Mountains Eye Study, Australia (n = 3,654, age >or=49 years). METHODS: Diabetes was def ...
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Journal ArticleEar Hear · June 2007
OBJECTIVE: Microvascular disease may contribute to hearing loss. We tested this hypothesis by examining the relation of retinal microvascular abnormalities and hearing loss. METHODS: This was a cross-sectional, population-based study. We performed retinal ...
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Journal ArticleNeurology · May 15, 2007
OBJECTIVE: This study examined the association between vascular headaches and retinal microvascular disease. METHODS: We investigated the cross-sectional association between headaches (migraine/other headaches with aura, migraine without aura, other headac ...
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Journal ArticleHypertension · May 2007
Retinal arteriolar narrowing is a known response of hypertension and independently predicts cardiovascular mortality in adults. Whether elevated blood pressure leads to retinal arteriolar narrowing in young children is unknown. We examined the relationship ...
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Journal ArticleOphthalmology · May 2007
TOPIC: To assess the evidence on interventions to improve visual acuity (VA) and to treat macular edema and/or neovascularization secondary to branch retinal vein occlusion (BRVO). CLINICAL RELEVANCE: Branch retinal vein occlusion is the second most common ...
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Journal ArticleArch Ophthalmol · May 2007
OBJECTIVE: To evaluate the specific contact lens-related or other factors that may contribute to the outbreak of Fusarium keratitis. METHODS: A case-control study was conducted of Fusarium keratitis in contact lens users in Singapore from March 1, 2005, to ...
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Journal ArticleArch Ophthalmol · April 2007
OBJECTIVE: To investigate the relationship of subclinical atherosclerotic cardiovascular disease (CVD) and its risk factors with age-related macular degeneration (AMD) in the Multiethnic Study of Atherosclerosis. METHODS: This study included 6176 white, bl ...
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Journal ArticleBr J Ophthalmol · April 2007
BACKGROUND/PURPOSE: Atherosclerosis and vascular stiffness have been implicated in the pathogenesis of age-related macular degeneration (AMD). The association of carotid artery stiffness, a measure of arterial elasticity reflecting early atherosclerosis, w ...
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Journal ArticleAm J Geriatr Psychiatry · April 2007
OBJECTIVE: Depression has been linked with vascular risk factors and stroke. The authors examined the relationship between retinal microvascular abnormalities and depression symptoms in an elderly population. METHODS: The Cardiovascular Health Study is a p ...
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Journal ArticleOphthalmology · March 2007
TOPIC: To assess the evidence for the effectiveness of interventions to improve visual acuity (VA) and prevent or treat neovascularization secondary to central retinal vein occlusion (CRVO). CLINICAL RELEVANCE: Central retinal vein occlusion is a common ca ...
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Journal ArticleOphthalmology · March 2007
PURPOSE: To assess the association of retinal vein occlusion (RVO) with cardiovascular and cerebrovascular mortality. DESIGN: Pooled data from 2 population-based cohort studies. PARTICIPANTS: At baseline, the Beaver Dam Eye Study (BDES) examined 4926 perso ...
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Journal ArticleAm J Ophthalmol · March 2007
PURPOSE: To report the short-term study of intravitreal bevacizumab (Avastin) in the treatment of neovascular age-related macular degeneration (AMD). DESIGN: Interventional, consecutive, prospective case series. METHODS: One hundred and two eyes of 102 pat ...
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Journal ArticleInvest Ophthalmol Vis Sci · March 2007
PURPOSE: To describe the distribution of retinal vascular calibers and their associations with ethnicity, gender, and birth parameters in children. METHODS: This was a school-based cross-sectional study of 768 children aged 7 to 9 years who participated in ...
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Journal ArticleStroke · February 2007
BACKGROUND AND PURPOSE: The relationship between diabetic retinopathy and ischemic stroke is uncertain and examined in this study. METHODS: A population-based, prospective cohort study of 1617 middle-aged persons with diabetes. Diabetic retinopathy signs w ...
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Journal ArticleAnnu Int Conf IEEE Eng Med Biol Soc · 2007
Objective quantification of lens images is essential for cataract assessment and treatment. In this paper, bottom-up and top-down strategies are combined to detect the lens contour from the slit-lamp images. The center of the lens is localized by horizonta ...
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Journal ArticleAm J Epidemiol · January 1, 2007
Associations between findings on cranial magnetic resonance imaging (MRI) and retinal photographs have been described mostly in middle-aged people. In the Cardiovascular Health Study, 1,717 elderly participants underwent MRI and retinal photography between ...
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Journal ArticleBr J Ophthalmol · January 2007
BACKGROUND: Lower socioeconomic status (SES) is associated with higher morbidity and mortality in many countries. Present evidence suggests that glaucoma has similar risk factors to major chronic diseases such as cardiovascular disease. This study investig ...
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Journal ArticleSingapore Med J · January 2007
INTRODUCTION: Information asymmetry has been offered as a reason for unnecessarily high costs in certain industries where significant information asymmetry traditionally exists between providers and consumers, such as healthcare. The purpose of this paper ...
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Journal ArticleObesity (Silver Spring) · January 2007
OBJECTIVE: In adult populations, changes in retinal vascular caliber have been linked with obesity and metabolic syndrome. We examined the association of BMI and weight with retinal vascular caliber in children. RESEARCH METHODS AND PROCEDURES: This was a ...
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Journal ArticleInvest Ophthalmol Vis Sci · January 2007
PURPOSE: The arteriole to venule ratio (AVR) is widely used in studies of the associations of retinal microvascular disease with systemic and ocular outcomes. This is a discussion of the limitations of AVR; a comparison of its predictive information with t ...
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Journal ArticleAm J Ophthalmol · January 2007
PURPOSE: To examine the relation of early age-related macular degeneration (AMD) with cerebral magnetic resonance imaging (MRI) changes. DESIGN: Population-based, cross-sectional study. METHODS: A sample of 1,684 persons ages 51 to 72 years with no history ...
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Journal ArticleArch Ophthalmol · January 2007
OBJECTIVE: To examine the association between the apolipoprotein E (APOE) gene and age-related maculopathy (ARM) in an older population. METHODS: Two thousand one hundred seventy persons 65 years and older sampled from 4 US communities had ARM signs assess ...
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Journal ArticleOphthalmic Epidemiol · 2007
PURPOSE: Although there are approximately 200 million people of Malay ethnicity living in Asia, the burden and risk factors of blinding eye diseases in this ethnic group are unknown. This study summarizes the rationale and study design of a population-base ...
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Journal ArticleSurv Ophthalmol · 2007
The prevalence of obesity has reached epidemic proportions in many countries. Although its impact on overall health is well documented, less is known about the ocular manifestations of obesity. Among different eye diseases, obesity has been linked with age ...
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Journal ArticleMedical Physics · January 1, 2007
Purpose: KV cone‐beam CT imaging (CBCT) was used to analyze setup errors when treating patients with non‐small cell lung cancer (NSCLC). For patients where an off‐line correction strategy was adopted, CBCT was also used to determine the patient specific pl ...
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Journal ArticleOphthalmic Epidemiol · 2007
PURPOSE: To examine the association between age-related macular degeneration (AMD) and depressive symptoms. METHODS: Population-based, cross-sectional study. A total of 2,194 persons aged 69-97 years were included in the current analyses. During the 1997-1 ...
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ConferenceProceedings - International Conference on Tools with Artificial Intelligence, ICTAI · December 1, 2006
The temporal registration of retinal images provides an important groundwork for doctors to monitor the progression of diseases. Retinal image registration is challenging because the intensity of the retina and the vascular structure can vary greatly over ...
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Journal ArticleHeart · November 2006
OBJECTIVE: To examine whether retinal vascular calibre independently predicts risk of coronary heart disease (CHD) -related death. METHODS: In a population-based cohort study of 3654 Australians aged > or = 49 years, retinal arteriolar and venular calibres ...
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Journal ArticleExpert Review of Ophthalmology · October 1, 2006
Hypertension is a major cause of cardiovascular disease and is also a risk factor for various ocular diseases. Hypertension exerts its effects on the retinal, choroidal and optic nerve circulations. In this article, the various ocular manifestations of hyp ...
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Journal ArticleOphthalmology · September 2006
PURPOSE: To describe retinal vascular caliber and correlates in people with type 2 diabetes. DESIGN: Population-based study. PARTICIPANTS: Thirteen hundred seventy persons diagnosed to have diabetes at or after 30 years of age in an 11-county area in south ...
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Journal ArticleTrends Endocrinol Metab · September 2006
Metabolic diseases have profound effects on the structure and function of the retinal circulation. The recent development of retinal photography and digital imaging has enabled more precise documentation of diabetic retinopathy, as well as other retinal mi ...
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Journal ArticleOphthalmology · September 2006
OBJECTIVE: To examine the relationship between retinal vascular caliber and incident retinopathy in children and adolescents with type 1 diabetes mellitus. DESIGN: Hospital-based case-control study with prospective outcomes. PARTICIPANTS: Cases and control ...
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Journal ArticleOphthalmology · August 2006
OBJECTIVE: To describe the prevalence of retinal vascular signs and their association with cardiovascular risk factors in a Japanese population. DESIGN: Population-based cross-sectional study. PARTICIPANTS: Adult persons aged 35 years or older from Funagat ...
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Journal ArticleAm J Ophthalmol · August 2006
PURPOSE: To examine the association between serum homocysteine and retinal emboli in a general older population. DESIGN: Cross-sectional population-based study. METHODS: Homocysteine level was determined from fasting venous blood collection at the second B ...
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Journal ArticleStroke · July 2006
BACKGROUND AND PURPOSE: To assess the relationship between retinal arteriolar emboli and mortality in older people. METHODS: Pooled data from 2 population-based cohort studies. At baseline, the Beaver Dam Eye Study (BDES) examined 4926 persons 43 to 86 yea ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 2006
PURPOSE: The purpose of this study was to evaluate the associations between macular volume and thickness, as assessed by optic coherence tomography (OCT), with refraction and axial length (AL) in children. METHODS: A total of 104 Chinese school children (5 ...
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Journal ArticleAm J Ophthalmol · July 2006
PURPOSE: Polymorphism of the apolipoprotein E (APOE) gene has been associated with dyslipidemia and cardiovascular disease. This study examines the association of APOE polymorphisms and diabetic retinopathy. DESIGN: Population-based cross-sectional study. ...
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Journal ArticleJ Hypertens · July 2006
OBJECTIVE: Hypertension is closely related to microvascular abnormalities and there is increasing interest in agents that target the microvasculature. The effect of aspirin on the microvasculature has not been well studied. We examined the cross-sectional ...
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Journal ArticleJAMA · June 28, 2006
CONTEXT: Fungal keratitis is a potentially blinding condition that is rarely seen with contact lens wear. OBJECTIVE: To describe a nationwide outbreak of fungal keratitis caused by Fusarium species among contact lens wearers in Singapore. DESIGN, SETTING, ...
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Journal ArticleGeriatrics and Aging · June 1, 2006
Hypertensive retinopathy has long been regarded as a risk indicator of mortality in persons with severe hypertension, but its value in contemporary clinical practice is uncertain. New population-based studies now show that hypertensive retinopathy signs ar ...
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Journal ArticleHeadache · June 2006
OBJECTIVE: To assess whether migraine is associated with retinal microvascular caliber. BACKGROUND: Migraine is believed to be associated with vascular disease, but few studies have investigated the relationship between structural microvascular changes and ...
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Journal ArticleAm J Ophthalmol · June 2006
PURPOSE: To examine the relationship among hypermetropia, axial length, and hypertension in a Chinese population. DESIGN: Population-based cross-sectional study. METHODS: This study included 1213 Chinese individuals aged 40 to 81 years. Hypertension was de ...
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Journal ArticleHypertension · May 2006
Abnormalities of the retinal microcirculation are found in hypertension and diabetes and predict cardiovascular mortality. This study examined the relationship between abnormalities of the retinal microvasculature and death from ischemic heart disease (IHD ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 2006
PURPOSE: To determine the risk factors of incident myopia in a school-based cohort study in Singaporean children. METHODS: A 3-year prospective cohort study was conducted in Singaporean school children aged 7 to 9 years in three schools at entry. Chinese c ...
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Journal ArticleAm J Ophthalmol · April 2006
PURPOSE: An association between hypermetropia and hypertension was recently reported. We sought to verify this finding in the Blue Mountains Eye Study cohort (n = 3654; ages 49 to 97 years). DESIGN: Cohort study. METHODS: We defined hypermetropia as mean s ...
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Journal ArticleOphthalmology · March 2006
OBJECTIVE: To describe the prevalence of age-related macular degeneration (AMD) in 4 racial/ethnic groups (white, black, Hispanic, and Chinese) that participated in the second examination of the Multi-ethnic Study of Atherosclerosis (MESA). DESIGN: Prospec ...
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Journal ArticleObesity (Silver Spring) · February 2006
OBJECTIVE: Obesity is linked with large vessel atherosclerosis and diabetes. Its association with microvascular changes is less clear. We investigated the associations among retinal vessel diameters, vessel wall signs, and BMI in an older population. RESEA ...
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Journal ArticleStroke · January 2006
BACKGROUND AND PURPOSE: Retinal microvascular abnormalities reflect cumulative small vessel damage from elevated blood pressure and may reflect subclinical cerebral microvascular changes. We examined their associations with MRI-defined cerebral infarcts. M ...
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Journal ArticleArch Ophthalmol · January 2006
OBJECTIVE: To examine the relationship of systemic markers of inflammation, endothelial dysfunction, and serum folate level to retinal vessel diameter. METHODS: Cross-sectional analyses were completed for data from a random sample of 396 persons aged 50 to ...
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Journal ArticleTrans Am Ophthalmol Soc · 2006
PURPOSE: To examine the relationship of retinopathy in persons without diabetes mellitus to the 15-year cumulative incidence of diabetes mellitus and hypertension. METHODS: A total of 3,402 persons 43 to 86 years of age without diabetes mellitus (1,879 wit ...
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Journal ArticleAsian Journal of Ophthalmology · December 1, 2005
Aim: To assess differences in axial length of the eye between young adults aged 20 to 39 years living in urban and rural environments in central Mongolia. Participants and methods: Multi-stage, clustered, simple random sampling was used to identify 375 peo ...
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Journal ArticleBr J Ophthalmol · December 2005
Hypertension is associated with cardiovascular risk and systemic target organ damage. Retinopathy is considered one of the indicators of target organ damage. This review focuses on recent studies on hypertensive retinopathy and their implications for clini ...
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Journal ArticleNeurology · October 11, 2005
OBJECTIVE: The purpose of this study was to assess the relation of retinal microvascular signs and incident stroke and stroke mortality in an older population. METHODS: The authors took retinal photographs on baseline participants (3,654 patients aged 49+ ...
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Journal ArticleAm J Ophthalmol · September 2005
PURPOSE: To determine the prevalence and causes of amblyopia in young adult Chinese, Indian, and Malay men in Singapore. DESIGN: A population-based cross-sectional study. METHODS: Best-corrected visual acuities of all Singaporean men born in the years 1978 ...
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Journal ArticleActa Ophthalmol Scand · August 2005
PURPOSE: To evaluate parental history of myopia as a predictor of refractive error and eye size in Chinese pre-school children. METHODS: A total of 514 pre-school children (aged 2.3--6.4 years) were examined. Parental history of myopia, amount of near work ...
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Journal ArticleAm J Kidney Dis · August 2005
BACKGROUND: Microvascular abnormalities in the kidney are common histopathologic findings in individuals with chronic kidney disease or renal failure. These abnormalities may represent one manifestation of ongoing systemic microvascular damage. We hypothes ...
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Journal ArticleEye (Lond) · August 2005
PURPOSE: There are few data on the effect of serum lipids on microvascular disease. This study assessed the relationships between serum lipid levels and microvascular disease, as seen in the retina, among participants who attended a population-based study ...
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Journal ArticleAm J Ophthalmol · July 2005
PURPOSE: To examine the association of systemic markers of inflammatory disease and endothelial dysfunction with age-related maculopathy (ARM). DESIGN: (1) Nested case-control analysis of prevalent ARM and (2) prospective analyses of incident ARM in a rand ...
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Journal ArticleIEEE Trans Biomed Eng · July 2005
New clinical studies suggest that narrowing of the retinal blood vessels may be an early indicator of cardiovascular diseases. One measure to quantify the severity of retinal arteriolar narrowing is the arteriolar-to-venular diameter ratio (AVR). The manua ...
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Journal ArticleJ Occup Environ Med · June 2005
OBJECTIVE: We sought to determine whether demographic differences in eye injury rates persist after adjusting for occupational exposure. METHODS: On-duty eye injury hospitalizations were linked to occupation among active-duty US Army personnel. RESULTS: Ey ...
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Journal ArticleAnn Acad Med Singap · March 2005
INTRODUCTION: Prognostication of the thyroid patient with eye disease aids in the choice of treatment strategy. To facilitate this, we investigated factors associated with decompression and/ or strabismus surgery in the Singaporean population. MATERIALS AN ...
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Journal ArticleOphthalmology · February 2005
PURPOSE: To examine the relationship between open-angle glaucoma (OAG) and retinal vessel diameter among baseline participants in the Blue Mountains Eye Study. DESIGN: Population-based cross-sectional study. PARTICIPANTS: The study included 3654 persons ol ...
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Journal ArticleAm J Ophthalmol · February 2005
PURPOSE: To study the influence of different medications on retinal vessel diameters. DESIGN: Cross-sectional study. METHODS: Retinal photographs in the Beaver Dam Eye Study (n = 4926, aged 43 to 84 years) were digitized, and the diameters of retinal vesse ...
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Journal ArticleAm J Ophthalmol · January 2005
PURPOSE: To report population data on the association between homocysteinemia and retinal vein occlusion (RVO). DESIGN: Cross-sectional, population-based study. METHODS: Total serum homocysteine (tHcy) was estimated in subjects attending the second Blue Mo ...
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Journal ArticleHypertension · October 2004
We assessed whether retinal arteriolar narrowing and structural abnormalities independently predicted 5-year incident severe (grade 2 or 3) hypertension in an older population-based cohort. The Blue Mountains Eye Study baseline (1992 to 1994) examined 3654 ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2004
PURPOSE: To evaluate whether the pressure phosphene tonometer (PPT) is suitable for self-tonometry in patients with glaucoma or ocular hypertension. METHODS: This was a prospective comparative study of 102 eyes of 102 patients with chronic glaucoma or ocul ...
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Journal ArticleJ Hypertens · August 2004
OBJECTIVE: To examine the effects of current and past blood pressure on retinal arteriolar diameter in a general older population. DESIGN: Cross-sectional and longitudinal studies. SETTING: Population-based cohort study of older residents from an area west ...
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Journal ArticleAm J Ophthalmol · June 2004
PURPOSE: To determine if refractive errors influence the association of blood pressure and retinal vessel diameters. DESIGN: Population-based, cross-sectional study. METHODS: Retinal photographs from the right eyes of participants (n = 3,654, aged 49+ year ...
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Journal ArticleSleep · May 1, 2004
STUDY OBJECTIVE: Sleep apnea and milder forms of sleep-disordered breathing (SDB) have been associated with overt clinical cardiovascular disease, but it is unknown whether SDB is associated with arterial microvascular pathology. We examined the relation b ...
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Journal ArticleOphthalmology · April 2004
OBJECTIVE: To describe the incidence, risk factors, and clinical outcome of acute endophthalmitis after cataract extraction in a multiethnic Asian population. DESIGN: Prospective case series. PARTICIPANTS: All patients with cataract extractions performed a ...
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Journal ArticleStroke · April 2004
BACKGROUND AND PURPOSE: Both carotid atherosclerosis and cerebral arteriolosclerosis are associated with stroke. However, the relationship between carotid atherosclerosis and cerebral arteriolosclerosis is unknown. We examined the association between carot ...
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Journal ArticleAm J Ophthalmol · March 2004
PURPOSE: To examine the relationship between microvascular characteristics (central retinal artery equivalent [CRAE], central retinal vein equivalent [CRVE], arteriole-to-venule ratio [AVR], focal retinal arteriolar narrowing, arteriovenous [A/V] nicking, ...
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Journal ArticleArch Ophthalmol · January 2004
OBJECTIVE: To describe the relation of retinal arteriolar and venular caliber to the incidence and progression of diabetic retinopathy in people with type 1 diabetes mellitus. DESIGN: Incidence findings in a population-based study of diabetic retinopathy i ...
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Journal ArticleBr J Ophthalmol · January 2004
AIMS: To assess whether retinal arteriolar wall changes (focal narrowing and arteriovenous nicking) are associated with an increased 5 year risk of age related maculopathy (ARM). METHODS: The Blue Mountains Eye Study examined 3654 residents aged 49+ years ...
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Journal ArticleDiabetes · January 2004
Early retinal vessel caliber changes may predict risk of diabetic nephropathy. We examined the association of retinal vessel diameters and the incidence of gross proteinuria and renal insufficiency in a population-based cohort of people with type 1 diabete ...
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Journal ArticleMicrovasc Res · January 2004
Previous population-based data suggest that retinal arteriolar diameter is wider in women than in men. Estrogen exposures could account for this difference. To evaluate the effects of HRT on small blood vessels, we assessed the relationship between use of ...
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Journal ArticleBr J Ophthalmol · January 2004
BACKGROUND/AIMS: To assess the variability in retinal vessel measurements at different points in the pulse cycle. METHODS: A healthy white male aged 19 years had 30 digitised images taken at three distinct points in the pulse cycle over a one hour period. ...
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Journal ArticleJ Nephrol · 2004
BACKGROUND: To test the hypothesis that the albuminuria is an independent risk factor for hypercholesterolemia. METHODS: Cross-sectional study (The Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994) of the civilian, noninstitut ...
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Journal ArticleArch Intern Med · November 10, 2003
OBJECTIVE: To examine the association of retinal vascular changes with the incidence of lower extremity amputations (LEAs) in a cohort with diabetes mellitus. METHODS: Baseline examinations were performed in a cohort of 996 persons with diabetes diagnosed ...
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Journal ArticleOphthalmology · November 2003
PURPOSE: To describe the distribution of retinal vascular characteristics and their correlates in people with type 1 diabetes. DESIGN: Population-based study with baseline cross-sectional findings. PARTICIPANTS: Nine hundred ninety-six persons who were dia ...
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Journal ArticleHypertension · October 2003
To describe cross-sectional relations between hypertension and retinal vessel wall signs in an older white population. These signs were defined from fundus photographs in 3654 Blue Mountains Eye Study participants > or =49 years of age. Focal arteriolar na ...
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Journal ArticleCurr Eye Res · September 2003
Background/Purpose. Recent findings suggest that an objective assessment of retinal vessel caliber from fundus photographs provide information about the association of microvascular characteristics with macrovascular disease. Current methods used to quanti ...
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Journal ArticleBr J Ophthalmol · September 2003
AIM: To describe risk factors for nuclear, cortical, and posterior subcapsular (PSC) cataracts in Chinese Singaporeans. METHODS: A population based cross sectional study was carried out on ethnic Chinese men and women aged 40-81 years. A stratified, cluste ...
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Journal ArticleInvest Ophthalmol Vis Sci · September 2003
PURPOSE: To examine the relationship between intraocular pressure (IOP), anthropomorphic, demographic, socioeconomic, systemic, and ocular factors and glaucomatous optic neuropathy (GON) in Chinese people. METHODS: Chinese people (n = 2000), aged 40 to 79 ...
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Journal ArticleClin Exp Ophthalmol · August 2003
This study aimed to assess the associations between generalized and focal retinal arteriolar narrowing in the Blue Mountains Eye Study population (n = 3654 persons aged 49+ years). Summarized estimates of the average retinal arteriolar diameter, the centra ...
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Journal ArticleClin Exp Ophthalmol · August 2003
This study assessed the correlation between computer-assisted retinal vessel measurements of right and left eyes, from subjects in a defined, community-based older population. Retinal photographs from participants in the Blue Mountains Eye Study were digit ...
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Journal ArticleInvest Ophthalmol Vis Sci · July 2003
PURPOSE: To describe the cross-sectional relationships between age, blood pressure (BP), and quantitative measures of retinal vessel diameters in an older Australian population. METHODS: Retinal photographs from right eyes of participants (n = 3654, aged 4 ...
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Journal ArticleAm J Ophthalmol · April 2003
PURPOSE: To describe a pilot study of lens extraction in the management of acute primary angle-closure glaucoma (APACG) in Chinese patients. DESIGN: Interventional case series. METHODS: A prospective case series of patients presented with APACG at a tertia ...
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Journal ArticleOphthalmology · January 2003
OBJECTIVE: To examine the relation of refractive errors to glaucoma and intraocular pressure (IOP) in a defined white population. DESIGN: Population-based cross-sectional and follow-up study. PARTICIPANTS: Persons aged 43 to 86 years living in Beaver Dam, ...
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Journal ArticleArch Ophthalmol · November 2002
OBJECTIVE: To examine the association between cataract and cataract surgery and the 10-year incidence of age-related maculopathy (ARM). METHODS: A population-based cohort study of persons aged 43 to 86 years at baseline, living in Beaver Dam, Wis, of whom ...
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Journal ArticleOphthalmology · November 2002
OBJECTIVE: To determine the prevalence of lens opacity among Chinese residents of Singapore. DESIGN: Population-based, cross-sectional survey. PARTICIPANTS: Chinese men and women aged 40 years or more in Singapore. METHODS: A stratified, clustered, random ...
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Journal ArticleBr J Ophthalmol · September 2002
AIM: To relate indices of education, occupation, and socioeconomic status to ocular dimensions and refraction in an adult population. METHODS: A population based, cross sectional survey of adult Chinese aged 40-81 years residing in the Tanjong Pagar distri ...
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Journal ArticleBr J Ophthalmol · September 2002
AIM: To examine the relation between blood pressure and retinal microvascular abnormalities in older people. METHODS: The Cardiovascular Health Study is a prospective cohort study conducted in four US communities initiated in 1989 to 1990. Blood pressure w ...
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Journal ArticleBr J Ophthalmol · September 2002
BACKGROUND/AIM: Although routine ophthalmoscopy is recommended in the evaluation of people with hypertension, the prognostic significance of retinopathy is unknown. The purpose of this study is to determine if hypertensive retinopathy predicts coronary hea ...
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Journal ArticleInvest Ophthalmol Vis Sci · August 2002
PURPOSE: To quantify the 10-year change in refraction in persons more than 40 years of age. METHODS: All people 43 to 84 years of age and living in Beaver Dam, Wisconsin, in 1988 were invited for a baseline examination (1988-1990), a 5-year follow-up exami ...
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Journal ArticleOphthalmology · July 2002
PURPOSE: The aim of this report is to describe the prevalence of retinopathy and its associations with atherosclerosis and vascular risk factors in people with diabetes. DESIGN: Cross-sectional study. PARTICIPANTS: Persons with diabetes, having gradable fu ...
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ConferenceClin Exp Ophthalmol · June 2002
The purpose of the study was to assess the intergrader and intragrader reliability of computer-assisted retinal vessel dia-meter measurement in a defined, community-based population. Retinal photographs from participants in the Blue Mountains Eye Study wer ...
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Journal ArticleJAMA · March 6, 2002
CONTEXT: Microvascular processes have been hypothesized to play a greater role in the development of coronary heart disease (CHD) in women than in men; however, prospective clinical data are limited. OBJECTIVE: To examine the association between retinal ar ...
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Journal ArticleOphthalmology · February 2002
PURPOSE: Cross-sectional data from the Wisconsin Epidemiologic Study of Diabetic Retinopathy indicated that patients with HLA-DR4, but not DR3, were more likely to have prevalent proliferative retinopathy than those without both antigens. We describe the r ...
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Journal ArticleAm J Ophthalmol · January 2002
PURPOSE: Retinal microvascular characteristics, as graded from retinal photography, have been shown to predict stroke. We evaluated the reliability of retinal photographic grading in the Atherosclerosis Risk in Communities Study. DESIGN: Cohort study. METH ...
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Journal ArticleLancet · October 6, 2001
BACKGROUND: Retinal microvascular abnormalities reflect damage from hypertension and other vascular processes. We examined the relation of such abnormalities to incident stroke. METHODS: A cohort of 10358 men and women (aged 51 to 72 years) living in four ...
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Journal ArticleBr J Ophthalmol · July 2001
AIM: To determine the relation of refractive error to environmental factors, including close up work, in Singapore military conscripts. METHODS: A cross sectional study was conducted on 429 Singapore military conscripts. Non-cycloplegic refraction and A-sc ...
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Journal ArticleInvest Ophthalmol Vis Sci · May 2001
PURPOSE: To describe the association of ocular dimensions and refraction with adult stature. METHODS: This was a population-based cross-sectional survey of adult Chinese aged 40 to 81 years residing in the Tanjong Pagar district in SINGAPORE: As part of th ...
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Journal ArticleEye (Lond) · February 2001
PURPOSE: To describe the epidemiology of ocular trauma from the perspective of the emergency service of a large tertiary hospital in Singapore. METHODS: A prospective survey was conducted over a 3 month period (August to October 1997) on all patients seen ...
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Journal ArticleAm J Ophthalmol · February 2001
PURPOSE: To determine the prevalence and risk factors for pterygium in the Chinese population of Singapore. METHODS: A population-based survey was conducted in Singapore, an island located 1 degree north of the equator with a stable tropical climate. A dis ...
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Journal ArticleInt Ophthalmol · 2001
PURPOSE: To evaluate the risk factors, clinical presentation and surgical outcomes of retinal detachment (RD) among Chinese, Malay and Indian residents in Singapore. METHODS: A retrospective descriptive study from January 1995 to December 1998. All RD oper ...
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Journal ArticleSingapore Med J · August 2000
AIM: In Caucasian populations, premature infants with retinopathy of prematurity (ROP) have been reported to have higher risks of developing refractive errors and strabimus. The purpose of this study is to evaluate the rate of these complications in Asian ...
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Journal ArticleAm J Ophthalmol · May 2000
PURPOSE: To determine the incidence of hospitalized ocular injury in the United States Army and evaluate specific types and external causes of these injuries. METHODS: A US Army database that captured all hospital discharge records for Army personnel admit ...
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Journal ArticleAnn Acad Med Singap · July 1998
This article details the changing trends in the major causes of blindness and visual impairment in Singapore over the past four decades. A comprehensive review of existing data from published and unpublished sources on ocular disease studies and surveys in ...
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Journal ArticleInvestigative Ophthalmology and Visual Science · December 1, 1997
Purpose. Previous studies on fungal and bacterial keratitis were descriptive single case series analysis. We conducted a case-control study between fungal and bacterial keratilis to examine their risk factors and clinical outcomes. Methods. 29 consecutive ...
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Journal ArticleMil Med · November 1997
One of the major problems faced by eye injury prevention programs in the military is the low compliance among individual soldiers with eye armor use. We use three different health behavioral models (the health belief model, the social learning theory, and ...
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Journal ArticleCLAO J · October 1997
PURPOSE: Previous studies on fungal and bacterial keratitis were descriptive single case series analysis. We conducted a hospital-based retrospective study to evaluate fungal and bacterial keratitis using a case-control design to compare risk factors and c ...
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Journal ArticleAnn Acad Med Singap · July 1997
We analyzed all penetrating keratoplasties performed in the Singapore National Eye Centre from 1 January 1991 to 31 December 1995, using records of the Singapore Eye Bank Registry, evaluating the indications, complications, causes of graft failure, visual ...
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Journal ArticleAust N Z J Ophthalmol · May 1997
PURPOSE: To study the changing indications for penetrating keratoplasty in Singapore and compare local indications with developed countries with established corneal graft programs. METHODS: A descriptive study of all penetrating keratoplasty cases performe ...
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Journal ArticleSurv Ophthalmol · 1997
With successive wars in the twentieth century, there has been a relative increase in injuries to the eye compared to injuries of other parts of the body. The main causes of eye injury have changed with advances in techniques and weaponry of warfare, with b ...
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Journal ArticleInt Ophthalmol · 1997
BACKGROUND: The epidemiology of fungal keratitis varies geographically, but commonly occurs in warm, tropical climates. To determine the microbial and clinical characteristics of this disease in Singapore, we conducted a 5-year hospital-based retrospective ...
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Journal ArticleAnn Acad Med Singap · November 1996
Keratomycosis is a rare sight-threatening infection of the cornea. Important predisposing factors in its pathogenesis include corneal trauma and use of topical corticosteroid or antibiotic-corticosteroid therapy. Some family physicians are unaware of the d ...
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Journal ArticleInt Ophthalmol · 1996
Liquid perfluorocarbons such as perfluorodecalin are widely used as intraoperative vitreous substitutes in certain complicated vitreoretinal conditions. Retained perfluorodecalin postoperatively has been reported to be associated with retinal damage and ot ...
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Journal ArticleRetin Cases Brief Rep
PURPOSE: To report a case of unilateral maculopathy associated with acute Zika virus infection. METHODS: Observational case report of one patient. RESULTS: A 22-year-old man presented with acute blurring of vision 10 days after symptoms of Zika virus infec ...
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