BackgroundTo examine the associations between vision-targeted health-related quality of life (VT-HRQ) and ocular surface parameters in patients with Sjögren's syndrome, a systemic autoimmune disease characterized by dry eye and dry mouth.MethodsForty-two patients fulfilling European / American diagnostic criteria for Sjögren's syndrome underwent Schirmer testing without anesthesia, ocular surface vital dye staining; and measurement of tear film breakup time (TBUT). Subjects were administered the Ocular Surface Disease Index (OSDI) and the 25-item National Eye Institute Vision Functioning Questionnaire (NEI-VFQ). Main outcome measures included ocular surface parameters, OSDI subscales describing ocular discomfort (OSDI-symptoms), vision-related function (OSDI-function), and environmental triggers, and NEI-VFQ subscales.ResultsParticipants (aged 31–81 y; 95% female) all had moderate to severe dry eye. Associations of OSDI subscales with the ocular parameters were modest (Spearman r (ρ) < 0.22) and not statistically significant. Associations of NEI-VFQ subscales with the ocular parameters reached borderline significance for the near vision subscale with TBUT (ρ = 0.32, p = .05) and for the distance vision subscale with van Bijsterveld score (ρ = 0.33, p = .04). The strongest associations of the two questionnaires were for: ocular pain and mental function with OSDI-symptoms (ρ = 0.60 and 0.45, respectively); and general vision, ocular pain, mental function, role function, and driving with OSDI-function (ρ = 0.60, 0.50, 0.61, 0.64, 0.57, and 0.67, respectively).ConclusionsAssociations between conventional objective measures of dry eye and VT-HRQ were modest. The generic NEI-VFQ was similar to the disease-specific OSDI in its ability to measure the impact of Sjögren's syndrome-related dry eye on VT-HRQ.

Objective: To examine whether women with premature ovarian failure (POF) have abnormal findings in ocular surface or tear parameters and whether they report symptoms of ocular discomfort compared with agematched controls. Methods: Sixty-five patients with POF and 36 agematched healthy controls were examined for signs and symptoms of dry eye. The Ocular Surface Disease Index questionnaire and the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ 25) were administered to the participants. Assessments of ocular surface damage (Oxford and van Bijsterveld scores of vital dye staining) and tear status (Schirmer tests 1 [without anesthesia] and 2 [with anesthesia] and tear breakup time) were performed. Results: Women with POF scored significantly worse than controls on all ocular surface damage parameters:

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Mauthner cells (M-cells) occur as a pair of large, uniquely identifiable neurons at ear level in the hindbrain of premetamorphic amphibians. Each receives synapses from the ipsilateral vestibular nerve (nVIII); these morphologically distinctive terminals, or club endings, are confined to the proximoventral surface and branches of the M-cell lateral dendrite. We have superinnervated this portion of the M-cell to examine the extent to which forming afferent contacts regulate the growth and branching of the lateral dendrite. Superinnervation was brought about in the developing axolotl (Ambystoma mexicanum) by unilaterally implanting an extra vestibular primordium rostral to the in situ one. The contralateral side served as control. When the larvae reached 21 mm in length, the ectopic nerve was labeled with HRP. Subsequent microscopic examination revealed that the grafts developed into anatomically normal ears. The HRP-labeled ectopic axons entered the medulla at the level of nV and confined to the nVIII tract, coursed caudad toward the ipsilateral M-cell. Electron microscopic analysis demonstrated labeled club endings on the appropriate region of the M-cell lateral dendrite. The number of club endings on experimental M-cells was significantly greater than that on the contralateral controls, and the extra terminals appeared to be distributed randomly among unlabeled ones. Comparison of reconstructed experimental and control M-cells revealed that superinnervation produced a localized enhancement of dendritic branching in the region receiving the extra nVIII synapses. In the donor embryos (those from which the vestibular primordium was removed), M-cells were unilaterally deprived of nVIII afferents. Comparison of reconstructed experimental and control M-cells in 21 mm donor larvae demonstrated that deprivation produced a localized decrease of dendritic surface in the region that normally receives nVIII synapses. Together, these data show that ingrowing axons stimulate dendritic growth and thus regulate the development of a normal dendritic branching pattern on target neurons.