Objective To explore the mechanism by which Erianin(ER)inhibits the high glucose(HG)-induced ep-ithelial-mesenchymal transition of ARPE-19 cells through the HIPPO/YeS-associated protein(YAP)signaling pathway.Methods The CCK-8 assay was used to determine the optimal glucose concentration(which was 50 mmol·L-1)for in-ducing the proliferation of ARPE-19 cells under HG conditions.The cytotoxic effects of different concentrations of ER(in-cluding 10,20,and 40 nmol·L-1)on ARPE-19 cells were evaluated.ARPE-19 cells were divided into the control group(cultured in a normal medium for 48 h),the HG group(cultured in a medium supplemented with 50 mumol·L-1 glucose for 48 h),and the HG `+low/medium/high ER groups(cultured in a medium with 50 mmol·L-1 glucose for 48 h after pre-treatment with 10,20,and 40 nmol·L-1 ER for 1 h,respectively).The CCK-8 assay was performed to assess the prolifera-tion rate of ARPE-19 cells.The scratch assay was used to evaluate cell migration activity and calculate the wound healing percentage.Immunofluorescence was employed to detect the intracellular expression of Vimentin in ARPE-19 cells.West-ern blot analysis was used to determine the intracellular expression levels of α-smooth muscle actin(α-SMA),neural cad-herin(N-Cadherin),epithelial cadherin(E-Cadherin),mammalian sterile 20-like kinase 1(MST1),large tumor suppressor kinase 1(LATS1),YAP,and phosphorylated YAP(P-YAP)in ARPE-19 cells.Results Compared with those in the con-trol group,the proliferation rate,the wound healing percentage,and the immunofluorescence intensity of Vimentin proteins in ARPE-19 cells in the HG group were significantly increased(all P＜0.01).The relative expression levels of α-SMA,N-Cadherin,and YAP proteins were significantly elevated while the relative expression levels of E-cadherin,P-YAP,MST1,and LATS1 proteins were significantly decreased in the HG group than those in the control group(all P＜0.01).ARPE-19 cells in the HG+low/medium/high ER groups exhibited a lower cell proliferation rate,a lower wound healing percentage,and weakened Vimentin fluorescence intensity than those in the HG group(all P＜0.05).The relative expression levels of YAP,α-SMA,and N-cadherin proteins were significantly reduced while the relative expression levels of E-cadherin and P-YAP were significantly increased in the HG+low/medium/high ER groups,compared with those in the HG group(all P＜0.05).The relative expression levels of MST1 and LATS1 proteins in the HG+medium/high ER groups were significantly higher than those in the HG group(both P＜0.05).Conclusion ER can inhibit the HG-induced epithelial-mesenchymal transition of ARPE-19 cells,which may be related to the regulation of the Hippo/YAP signaling pathway.

Objective To elucidate the role of miR-155-5p in diabetic retinopathy(DR)and its potential mechanism.Methods Twelve peripheral blood samples were collected from the Ophthalmology Department of the First Affiliated Hospital of Jinzhou Medical University.Among them,six blood samples from healthy individuals were set as the control group,and the other six blood samples from DR patients were set as the DR group.Reverse transcription-polymerase chain reaction(RT-PCR)was used to verify the expression levels of miR-155-5p in two groups of blood samples.The effects of miR-155-5p on cell proliferation,apoptosis,autophagy,and inflammation related proteins[including P62,LC3B,NOD-like receptor protein 3(NLRP3),IL-1β,and pro-caspase-1]were observed using a high glucose(100 mmol·L-1)-induced DR cell model.Some ARPE-19 cells were intervened with the miR-155-5p inhibitor or its negative control inhibitor(i.e.,NC-inhibitor),and then they were divided into the HG+miR-155-5p-inhibitor group and the HG+NC-inhibitor group.Cells cul-tured in a glucose-free medium were set as the Control group.Some ARPE-19 cells were treated with miR-155-5p-mimics or their negative control inhibitors(i.e.,NC-mimics),and then they were classified into the HG+miR-155-5p-mimics group and the HG+NC-mimics group.Dual luciferase reporter gene analysis revealed the interaction between miR-155-5p and si-lent information regulator 1(SIRT1).Cells in the HG+miR-155-5 p-mimics and HG+NC-mimics groups were co-transfected with SIRT1-3'UTR-WT and SIRT1-3'UTR-MUT,respectively.The expression levels of luciferase in both groups of cells were detected.The recovery experiment verified that miR-155-5p affected autophagy and inflammatory responses in DR model cells by regulating SIRT1 expression.Cells co-transfected with miR-155-5p-mimics and pcDNA3.1-SIRT1 overexpres-sion plasmids were included in the HG+miR-155-5p-mimics+SIRT1 group.Cells transfected only with miR-155-5p-mimics or their negative control inhibitors were included in the HG+miR-155-5p-mimics group and the HG+NC-mimics group,re-spectively.Cell proliferation,apoptosis,and the expression levels of apoptosis and autophagy related proteins were detec-ted in each group.Results The expression level of miR-155-5p in the DR group was higher than that in the control group(t=-8.078,P＜0.001).Compared with the HG+NC-inhibitor group,the HG+miR-155-5p-inhibitor group showed en-hanced cell proliferation ability,decreased miR-155-5p level,and weakened apoptosis(all P＜0.001).Compared with the HG+NC-mimics group,the HG+miR-155-5p-mimics group showed decreased cell proliferation ability,increased miR-155-5p levels,enhanced apoptosis,lowered levels of the autophagy protein P62,and elevated levels of the autophagy protein LC3B and inflammatory proteins NLRP3,IL-1 β,and pro-caspase-1(all P＜0.01).Compared with those in the HG+NC-mimics group,the expression levels of SIRT1 mRNAs and proteins in the HG+miR-155-5p-mimics group decreased(both P＜0.001).The luciferase activity in the HG+miR-155-5p-mimics group decreased after the transfection with SIRT1-3'UTR-WT(P＜0.001).Compared with the HG+miR-155-5p-mimics group,the HG+miR-155-5p-mimics+SIRT1 group showed enhanced cell proliferation,decreased miR-155-5p levels,weakened apoptosis,elevated levels of SIRT1 and P62 proteins,and reduced levels of LC3B and inflammatory proteins NLRP3,IL-1 β,and pro-caspase-1(all P＜0.05).SIRT1 was identified as a downstream target of miR-155-5p.Conclusion MiR-155-5p inhibits the proliferation of DR model cells by targeting SIRT1,thus promoting the apoptosis,autophagy,and inflammatory response of retinal epithelial cells.

Objective To investigate the role of autophagy involving the protein kinase B/sterol regulatory element binding protein 1(Akt/SREBP-1)signaling pathway in diabetic retinopathy(DR).Methods DR rat models were estab-lished via the intraperitoneal injection of streptozotocin.Rats were randomized into control(normal rats)and DM-DR groups(DR rats).The expression of autophagy-related proteins(autophagy markers LC3-Ⅱ and LC3-Ⅰ,autophagy specific substrate p62,and autophagy-related protein Beclin1)in rat retinas was compared between the two groups.Rats were di-vided into control B(normal rats injected with 1 μL saline),DR(DR rats injected with 1 μL saline),DR+si-NC(DR rats injected with 1 μL of the negative control siRNA),and DR+si-SREBP-1 groups(DR rats injected with 1 μL of the SREBP-1 siRNA).All interventions were given 1 day before modeling and 8 weeks after modeling.Akt/SREBP-1 expression and retinal ganglion cell(RGC)survival were compared among groups.R28 rat retinal precursor cells were classified into con-trol C(normal glucose,24 h),HG(high glucose,24 h),HG+si-NC(si-NC transfection+high glucose,24 h),and HG+si-SREBP-1 groups(si-SREBP-1 transfection+high glucose,24 h).The expression of autophagy-related proteins and au-tophagosome-lysosome fusion were compared among groups.Western blot and immunofluorescence were used to examine the expression of Akt,SREBP-1 and autophagy-related proteins.Results The relative expression of Beclin1 and p62 pro-teins and the LC3-Ⅱ/Ⅰ ratio in the DM-DR group were significantly higher than those in the control group 1 and 8 weeks after modeling(all P＜0.001).Compared with the control B group,the DR group exhibited elevated SREBP-1 and reduced Akt protein levels 1 and 8 weeks after modeling(all P＜0.01).RGC counts in the DR and DR+si-NC groups were significantly lower than those in the control B group(P＜0.001).The RGC count in the DR+si-SREBP-1 group was significantly higher than that in the DR+si-NC group(P＜0.001).Compared with those in the control C group,the Beclin1 and p62 protein levels and the LC3-Ⅱ/Ⅰ ratio were increased in the HG and HG+si-NC groups(all P＜0.01).Compared with those in the HG+si-NC group,the Beclin1 and p62 protein levels and the LC3-Ⅱ/Ⅰ ratio were reduced in the HG+si-SREBP-1 group(all P＜0.05).The HG and HG+si-NC groups showed significantly more LC3B/LAMP1 dual-positive puncta than the control C group(P＜0.001).The HG+si-SREBP-1 group showed significantly less LC3B/LAMP1 dual-positive puncta than the HG+si-NC group(P＜0.001).Conclusion SREBP-1 knockdown enhances autophagic flux in early DR to attenuate RGC loss.Thus,the Akt/SREBP-1 axis represents a promising therapeutic target for DR.

Asteroid hyalosis(AH)is a benign vitreous disease characterized by minimal impact on visual acuity and found incidentally in routine fundus examinations.Currently,its specific pathogenesis remains unclear.Clinically,AH usu-ally requires no intervention.However,when coexisting with the cataract,AH may interfere with preoperative biometric measurements(particularly axial length determination)and increase the risk of postoperative complications.AH may cause errors in axial length measurement and induce intraocular lens(IOL)calcification postoperatively.It is noted that calcifica-tion of the IOL occurs most frequently in silicone lenses.This review aims to elucidate the current research landscape of AH clinically,focusing on its pathogenesis,contributing factors,and association with cataracts.This study is expected to offer evidence-based references for clinical diagnosis and management of AH.

Trace elements are a general term for chemical elements that exist in the body in extremely low concentra-tions.They participate in various metabolic activities in the human body and play an important role in maintaining the nor-mal physiological and biochemical functions of eyes.The deficiency or increase of trace elements can cause disorders in the physiological and biochemical functions of eyes,leading to various eye diseases.The currently known trace elements are diverse,including zinc,selenium,cuprum,chromium,iodine,cobalt,molybdenum,ferrum,etc.In recent years,there has been increasing evidence supporting the role of different trace elements in the treatment of eye diseases.Therefore,the International Associations of Ophthalmology and the Ophthalmic Imaging and Intelligent Medicine Branch of Chinese Medi-cine Education Association and the Ophthalmology Comumittee of International Association of Intelligent Medicine have or-ganized experts to summarize the current application status of trace elements in eye diseases,aiming to provide practical guidelines for clinical doctors to identify,evaluate,and treat eye diseases related to trace element deficiency.

Objective To explore the possible mechanism underlying the role of forkhead box A1 circular RNA(circ-FAT1)regulating pericyte pyroptosis in diabetic retinopathy(DR).Methods The experiment was divided into two parts.Firstly,thirty male C57BL/6J mice(totaling 60 eyes)were randomly divided into normal,DR and circFAT1 overex-pression groups,with 10 mice in each group.Fasting plasma glucose(FPG)was detected by a glucometer.The serum lev-els of total cholesterol(TC)and triacylglycerol(TG)were measured by enzyme-linked immunosorbent assay(ELISA)kits.Hematoxylin and eosin(HE)staining was used to examine the pathological structure of mouse retina.Reverse tran-scription-quantitative polymerase chain reaction(RT-qPCR)was used to detect the mRNA expression of circFAT1 in retinal tissues.The relative protein expression levels of NOD-like receptor protein 3(NLRP3),Caspase-1 and porin D(GSDMD)in the retina of mice were detected by Western blot.Secondly,retinal perivascular cells were extracted from 5 C57BL/6J mice(totaling 10 eyes)and divided into control,high glucose and circFAT1 overexpression+high glucose groups.The protein expression levels of NLRP3,Caspase-1 and GSDMD in pericytes were detected by Western blot.ELISA kits were used to measure the content of interleukin-18(IL-18)and interleukin-1β(IL-1β)in pericytes.Results(1)Compared with those in the normal group,the levels of FPG,serum TC and TG were increased while the relative expression level of circFAT1 mRNAs in the retinal tissue was decreased in the DR group(all P＜0.05).Compared with the DR group,the circ-FAT1 overexpression group showed decreased levels of FPG,serum TC and TG(all P＜0.05),and increased relative ex-pression levels of circFAT1 mRNAs in the retinal tissue(P＜0.05).The relative expression levels of NLRP3,Caspase-1 and GSDMD proteins in the retinal tissue of the DR Group were higher than those in the normal group(all P＜0.05).The rela-tive expression levels of NLRP3,Caspase-1 and GSDMD proteins in the retinal tissue of the circFAT1 overexpression group were lower than those in the DR group(all P＜0.05).(2)Compared with those in the control group,the relative expres-sion levels of NLRP3,Caspase-1,and GSDMD proteins and the content of IL-18 and IL-1 β in the pericyte of the high glucose group were increased(all P＜0.05).The relative expression of NLRP3,Caspase-1 and GSDMD proteins and the content of IL-18 and IL-1 β in the pericyte of the circFAT1 overexpression+high glucose group were lower than those in the high glu-cose group(all P＜0.05).Conclusion Overexpression of circFAT1 can improve DR by inhibiting pericyte pyroptosis.

Objective To identify potential biomarkers for proliferative diabetic retinopathy(PDR)using proteomics and transcriptomics data.Methods In this study,the proteomics dataset(PXD046630)and two transcriptomics datasets(GSE60436 and GSE102485)were derived from the aqueous humor samples and fibrovascular membranes of PDR patients,respectively.Differentially expressed genes(DEGs)were identified via R software,specifically the limma and edgeR pack-ages.The shared DEGs between PXD046630 and GSE60436 were analyzed via protein-protein interaction(PPI),Gene On-tology(GO)enrichment,and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway enrichment analyses.The key DEGs were validated in GSE102485 via receiver operating characteristic(ROC)curve analysis.A quantitative polymerase chain reaction(qPCR)assay was used to confirm the mRNA of these candidate biomarkers in human retinal microvascular endothelial cells(HRMECs)cultured in high glucose and low oxygen conditions.Results A total of 59 shared DEGs and 26 hub genes were identified from the PXD046630 and GSE60436 datasets.KEGG analysis revealed that six pathways,inclu-ding extracellular matrix-receptor interaction,proteoglycans in cancer,and complement and coagulation cascades,were enriched in 12 key DEGs.Fibronectin 1(FN1),tissue inhibitor of metalloproteinase 3(TIMP3),complement factor H(CFH),decorin(DCN),and lipoprotein receptor-related protein-2(LRP2)were identified as potential biomarkers on the basis of their AUC values being greater than 0.900(CI≥95％).The mRNA expression levels of FN1,CFH,and LRP2 were significantly increased in HRMECs cultured in high glucose and low oxygen conditions.Conclusion FN1,CFH,and LRP2 are potential biomarkers for PDR,and further studies are needed to explore their roles and therapeutic potential in PDR.

Objective To investigate the diagnostic accuracy and clinical applicability of the Linknet-VGG16 deep learning algorithm for measuring the effective optical zone(EOZ)after corneal refractive surgery.Methods This single-center retrospective cohort study included 69 patients(69 eyes)who underwent femtosecond laser-assisted in situ kerato-mileusis(FS-LASIK)(34 eyes)or small incision lenticule extraction(SMILE)(35 eyes)at the Refractive Surgery Center of Affiliated Zhengzhou Aier Eye Hospital of Henan University from June 2023 to June 2024.Data from the right eyes of all patients were selected for statistical analysis.During the surgery,patients in the FS-LASIK group adopted the VisuMax fem-tosecond laser system combined with the Amaris 750S excimer laser system,while those in the SMILE group only used the VisuMax femtosecond laser system.A total of 276 Pentacam images were re-examined postoperatively.A Linknet segmenta-tion model based on the VGG16 encoder was constructed,and image normalization techniques were applied to accelerate model convergence.Model performance was assessed using accuracy,intersection over union(IoU),and the Dice coeffi-cient.The traditional EOZ measurement method based on corneal tangential curvature served as the reference standard.Bland-Altman analysis was conducted to evaluate consistency across all images and within each group,and the time effi-ciency of both methods was compared.Results Six representative medical image segmentation architectures(U-Net,U-Net++,DeepLabv3-ResNet50,DeepLabv3+-ResNet50,Unet-Densenet169,and Linknet-VGG16)were systematically evaluated.The Linknet-VGG16 model demonstrated superior performance over the other 5 models in pixel-level accuracy,IoU and Dice coefficient,which were 99.83％,99.48％and 99.74％,respectively.Although there was no significant differ-ence in accuracy and Dice coefficient between Linknet-VGG16 and U-Net models(whose accuracy was 99.82％and Dice coefficient was 99.72％),the inference speed of the U-Net model(62.46 ms)was 31.76％slower than that of the Linknet-VGG16 model(42.62 ms).The evaluation results of a clinically applicable comprehensive scoring model(weights:accura-cy 20％,IoU 20％,Dice coefficient 20％,speed 25％,model size 15％)showed that the Linknet-VGG16 model achieved a score of 88.01,surpassing other architectures(U-Net:86.29;DeepLabv3+-ResNet50:80.41;DeepLabv3-ResNet50:73.82;U-Net++:73.22;Unet-Densenet169:66.66).Bland-Altman analysis revealed that the mean difference of the 136 images in the FS-LASIK group was 0.01 mm[95％limits of agreement(LoA):-0.36 to 0.35 mm],with 96.3％of data points falling within the LoA.The mean difference of the 140 images in the SMILE group was-0.01 mm(95％LoA:-0.36 to 0.33 mum),with 95.7％of data points falling within the LoA.The mean difference of all 276 images was 0.00 mm(95％LoA:-0.36 to 0.34 mm),with 96.4％of data points falling within the LoA.These results indicated excellent consistency.The average measurement time per image using the traditional EOZ measurement method was 13.00 minutes,whereas the deep learning model required only 3.22 seconds.Conclusion The traditional EOZ measurement method based on corne-al tangential curvature exhibits good consistency with the fully automatic EOZ measurement method based on deep learning algorithms,achieving high image recognition accuracy.Additionally,the deep learning algorithm significantly reduces measurement time,compared with the traditional method based on corneal tangential curvature.

Objective To assess the global,regional,and national burdens of eye cancer between 1990 and 2021,examine its change trends with the age,sex,geographic location,and socio-demographic index(SDI)level,and provide scientific evidence for the development of eye cancer prevention and control strategies.Methods Based on the data from the Global Burden of Disease(GBD)study,the global burden of eye cancer was evaluated using the indicator system inclu-ding incidence,prevalence,mortality,and disability-adjusted life years(DALYs).The change trend of the burden of eye cancer with time was quantified with Join-point regression.Frontier analysis methods were used to evaluate the relationship between the burdens of eye cancer with SDI.Results From 1990 to 2021,the global incidence,age-standardized inci-dence rate(ASIR),prevalence and age-standardized prevalence rate(ASPR)of eye cancer showed an upward trend over time.Conversely,the mortality,age-standardized mortality rate(ASMR),DALYs,and age-standardized DALY rate(ASDR)declined during the same period.All the above indicators in males were higher than those in females.Regionally,Eastern Sub-Saharan Africa bore the highest disease burden,while Oceania had the lowest.It should be noted that East Asia experienced the most significant increase in ASIR,and Southern Sub-Saharan Africa showed the greatest rise in ASPR.Meanwhile,Southern Latin America demonstrated the most pronounced decrease in both ASIR and ASPR.East Asia also re-corded the largest reductions in ASMR and ASDR.At the national level,Malawi had the highest disease burden in 2021.To-kelau exhibited the most substantial increase while Norway showed the greatest decrease in disease burden.Age-specific analysis revealed a bimodal distribution,with children under 5 years and adults over 80 being the most affected groups.Furthermore,SDI-based analysis indicated a wave-like relationship between SDI and ASIR/ASPR,and both ASMR and AS-DR declined with the increasing SDI.Conclusion The global burden of eye cancer shows a decline trend generally.The difference in the burden of eye cancer between regional and national levels may be related to medical resource allocation and public health policies.The results of this study provide scientific evidence for the development of tailored eye cancer prevention and control strategies.It is recommended that more attention should be paid to high-burden regions,resource distribution should be optimized,early screening should be enhanced,and targeted interventions for different age and gen-der groups should be implemented.

Objective To explore the risk factors and incidence of epiretinal membrane(ERM)formation following scleral buckling(SB)for rhegmatogenous retinal detachment(RRD),and to construct a risk prediction model to facilitate screening of high-risk populations and prevent ERM formation.Methods RRD patients who underwent SB in the Second Affiliated Hospital of Harbin Medical University between February 2022 and April 2024 were included in the study.The pa-tients were divided into occurrence and non-occurrence groups according to whether they developed ERM.Patient data were analyzed,and univariate Cox regression analysis was performed to select variables,which were then incorporated into the multivariate Cox regression model for the identification of risk factors for ERM formation after SB in RRD patients.A predictive model for ERM risk in RRD patients was constructed based on this data,and nomograms,receiver operating characteristic(ROC)curves,and calibration curves were drawn to evaluate and validate the diagnostic performance of the model.Results A total of 126 RRD patients(126 eyes)who underwent SB were included.There were 27 cases develo-ping ERM(occurrence group)and 99 not developing ERM(non-occurrence group),with an ERM incidence of 21.4％.Multivariate Cox regression analysis revealed that a history of diabetes mellitus[Hazard ratio(HR)=3.52,95％CI:1.37-9.02,P=0.009],preoperative proliferative vitreoretinopathy(PVR)(HR=13.00,95％CI:5.18-32.63,P＜0.001),and ≥4 retinal holes(HR=2.33,95％CI:1.04-5.23,P=0.041)were independent influence factors for ERM formation in RRD patients.ROC curve analysis showed that the area under the curve(AUC)was 0.840(95％CI:0.740-0.940)at 30 days and 0.904(95％CI:0.834-0.975)at 90 days.Conclusion A history of diabetes mellitus,preoperative PVR,and ≥4 retinal holes are factors influencing the development of ERM after SB in RRD patients.It is verified that the risk prediction model constructed based on these factors can accurately predict the risk of ERM formation within 6 months in RRD patients.