Purpose
To compare the efficacy and safety of the XEN45 implant with that of trabeculectomy (TRAB), either alone or in combination with phacoemulsification (PHACO), in patients with open-angle ...glaucoma (OAG).
Methods
Retrospective, single-center and comparative study conducted on OAG patients. Patients were divided into four groups: group 1 (XEN alone); group 2 (XEN+PHACO); group 3 (TRAB alone); group 4 (TRAB+PHACO). For statistical purposes, groups 1 and 2 were combined (XEN implant), while groups 3 and 4 were also combined (TRAB surgery). The main outcome measure was intraocular pressure (IOP).
Results
Ninety-one patients (121 eyes; 65 XEN and 56 TRAB) were included. IOP reduction was − 6.7 (− 10.4 to − 3.0) mmHg,
p
= 0.0013; − 3.5 (− 5.0 to − 2.0) mmHg,
p
< 0.0001; − 8.1 (− 10.4 to − 5.9) mmHg,
p
< 0.0001l; and − 7.3 (− 9.3 to − 5.3) mmHg,
p
< 0.0001 in the XEN alone, XEN+PHACO, TRAB alone, and TRAB+PHACO, respectively. At month 12, an IOP ≥ 6 and ≤ 16 mm without treatment was achieved by 44 (67.7%) and 43 (76.8%),
p
= 0.2687 in the XEN implant and the TRAB surgery groups, respectively. The mean number of antiglaucoma medications was significantly reduced in all the study groups (
p
< 0.0001 each). Needling occurred in 20.0% (13/65) of eyes in the XEN implant group, while hyphema occurred in 30.4% (17/56) of eyes in the TRAB group.
Conclusions
XEN implant, either alone or in combination with phacoemulsification, significantly reduces both IOP and the number of antiglaucoma medications to a similar rate than trabeculectomy, but with a better safety profile.
Feline leukemia virus (FeLV) infection is considered one of the most serious disease threats for the endangered Iberian lynx (Lynx pardinus) Over 14 years (2008-2021), we investigated FeLV infection ...using point-of-care antigen test and quantitative real-time TaqMan qPCR for provirus detection in blood and tissues in lynxes from Andalusia (Southern Spain). A total of 776 samples from 586 individuals were included in this study. The overall prevalence for FeLV antigen in blood/serum samples was 1.4% (5/360) (95% CI: 0.2-2.6), FeLV proviral DNA prevalence in blood samples was 6.2% (31/503) (95% CI: 4.1-8.6), and FeLV proviral DNA in tissues samples was 10.2% (34/333) (95% CI: 7-13.5). From a subset of 129 longitudinally sampled individuals, 9.3% (12/129) PCR-converted during the study period. Our results suggest that FeLV infection in the Andalusian population is enzootic, with circulation of the virus at low levels in almost all the sampling years. Moreover, since only one viremic individual succumbed to the infection, this study suggests that lynxes may therefore control the infection decreasing the possibility of developing a more aggressive outcome. Although our results indicate that the FeLV infection in the Iberian lynx from Andalusia tends to stay within the regressive stage, continuous FeLV surveillance is paramount to predict potential outbreaks and ensure the survival of this population.
An ambitious conservation programme to save the Iberian lynx from extinction conducted several reintroductions aiming to restore its historical range. The urgency due to the delicate conservation ...status prompted translocating captive-born and wild individuals, while preventing an early assessment of how both groups combined their space-use and differed in post-release movements. To address this issue, we conducted a comprehensive movement ecology analysis using GPS data of 161 Iberian lynxes from 9 populations. First, we classified five movement phases within individuals' trajectories: residence areas (stable and transient), excursions, post-release dispersals, and transitions between residences. Second, we used continuous-time movement models to estimate range size and daily speeds and measured the distance travelled during extra-territorial movements. Finally, we conducted comparative analyses to evaluate differences between captive-born, wild translocated, and wild non-translocated individuals across phases, sex, age-class and populations. Most individuals in all groups established home ranges, supporting the reintroduction main goal. Yet, contrary to the species' natural pattern, captive-born subadults did not show intersexual home range size differences, which emerged after experiencing free-ranging, when becoming adults. More differences emerged for non-residential behaviours. Captive-born lynxes were more prone to post-release dispersal, to slower post-release movements and to having smaller transient residences, indicating cautious behaviour. Our study supports using captive-born individuals for reintroductions, while prioritizing wild individuals for reinforcements in highly competitive populations. Further, we suggest relevant metrics for planning translocations and connectivity management, and we demonstrate how an integrated ex-situ and reintroduction initiative can substantially contribute to restoring an endangered species' distribution range.
Display omitted
•Individual space-use behaviours shape population distributions.•As aimed, translocated wild and captive-born lynxes mostly established home ranges.•Captive subadults showed wild-like resident behaviour after free-range experience.•Captive-born lynxes showed post-release movements indicative of cautious behaviour.•Ex-situ conservation and translocations are effective to restore species ranges.
Précis:
Trabeculectomy (TRAB) surgery reduces the intraocular pressure (IOP) more than the XEN45 implant over 3 years. There is no difference in the number of antiglaucoma medications between the 2 ...procedures. The decision to perform either TRAB or XEN45 implantation must be evaluated on a case-by-case basis, taking into account the high rate of needling of the XEN45.
Purpose:
The aim of this study was to compare the differences between the efficacy and safety of the XEN45 implant and TRAB, either alone or in combination with phacoemulsification (PHACO), in patients with open angle glaucoma (OAG) at 36 months.
Methods:
A retrospective, single-center and comparative study conducted on OAG patients who underwent XEN45 implantation or TRAB from 2016 to 2018. Patients were divided into 4 groups: group 1 (XEN45 alone), group 2 (XEN45+PHACO), group 3 (TRAB alone), and group 4 (TRAB+PHACO). For statistical purposes, groups 1 and 2 were combined (XEN45 implant), whereas groups 3 and 4 were also combined (TRAB surgery). IOP, number of glaucoma medications, and adverse events were evaluated. The main outcome measure was the reduction in IOP at 36 months postoperatively.
Results:
One hundred thirty-four patients (134 eyes; 63 XEN45 and 71 TRAB) were included. The mean (95% confidence interval) IOP reduction at the end of the study follow-up was −6.3 (−11.0 to −1.6 mm Hg,
P
=0.025, XEN45 alone), −8.9 (−11.0 to −6.8 mm Hg,
P
<0.001, TRAB alone), −2.5 (−4.5 to −0.4 mm Hg,
P
=0.019, XEN45+PHACO), and −5.6 (−7.7 to −3.4 mm Hg,
P
<0.001, TRAB±PHACO). The proportion of patients achieving an IOP≥6 and ≤16 mm Hg without treatment at the end of the 36-month follow-up were 50.8% (32/63) in the XEN45 implant and 49.3% (35/71) in the TRAB surgery group,
P
=0.863. The mean number of glaucoma medications was significantly reduced in all the study groups. The needling rate was 19% in XEN45 versus 5.6% in the TRAB group (
P
=0.030), and 2.81% and 36.6% of eyes in the TRAB group presented anterior chamber flattening and hyphema, respectively.
Conclusions:
TRAB surgery lowered IOP significantly more than XEN45 implant with or without phacoemulsification over 3 years and had a significantly lower need for additional needling surgery. Both procedures reduced glaucoma medications to a similar rate. These findings are relevant to the informed consent process and patient decisions for one procedure over the other.
To assess the effectiveness of XEN45, either alone or in combination with phacoemulsification, in open-angle glaucoma (OAG) patients in clinical practice.
Retrospective and single-center study ...conducted on OAG patients who underwent XEN45 implant, either alone or in combination with cataract surgery. We compared the clinical outcomes of the eyes of thosewho underwent XEN-solo versus those who underwent XEN+Phacoemulsification. The primary endpoint was the mean change in intraocular pressure (IOP) from baseline to the last follow-up visit.
A total of 154 eyes, 37 (24.0%) eyes that underwent XEN-solo and 117 (76.0%) eyes that underwent XEN+Phacoemulsification, were included. The mean preoperative IOP was significantly lowered from 19.1±5.0 mmHg to 14.9±3.8 mmHg at month-36, p<0.0001. Preoperative IOP was significantly lowered from 21.2±6.2 mmHg and 18.4±4.3 mmHg to 14.3±4.0 mm Hg and 15.2±3.7 mmHg at month-36 in the XEN-solo and XEN+Phacoemulsification groups, p<0.0004 and p=0.0009; with no significant differences between them. In the overall study population, the mean number of antiglaucoma medications was significantly reduced from 2.1±0.8 to 0.2±0.6, p<0.0001. There were no significant differences in the proportion of eyes with a final IOP ≤14 mmHg and ≤16 mmHg between XEN-solo and XEN+Phaco groups (p=0.8406 and 0.04970, respectively). Thirty-six (23.4%) eyes required a needling procedure.
XEN implant significantly lowered IOP and reduced the need of ocular hypotensive medication, while maintaining a good safety profile. Beyond week-1, there were no significant differences in IOP lowering between XEN-solo and XEN+Phacoemulsification groups.
The feline immunodeficiency virus is a
lentivirus
that infects felids worldwide. It may induce a profound immunodysfunction in domestic cats, while wild felids seem less prone to disease. During ...routine health check monitoring of the endangered Iberian lynx populations, 465 samples from 311 individuals were tested between 2004 and 2017. All of them tested negative for molecular detection of provirus. Similarly, only one adult male tested positive for FIV antibodies by means of both ELISA and immunoblot. This lack of contact contrasts with the seropositivity detected in other wild felid species, mainly in Africa and the Americas, and confirms that the Iberian Peninsula is not an FIV-endemic area. To prevent a potential disease spreading, the seropositive individual was kept captive for 22 months and remained FIV antibody-positive and antigen-negative during this period. After evaluating potential risks, it was re-introduced to nature. Among other possibilities, this Iberian lynx could have cleared an FIV infection. Moreover, we found 0% qPCR prevalence in 84 feral cats sampled in the area between 2012 and 2016.
The conservation of endangered species requires accurate data, and knowledge of cause-specific mortality rates is one of the most important issues. In recent years, conservation programs for the ...critically endangered Iberian lynx
Lynx pardinus
have been developed on the basis of mortality data derived 30 years ago from the small Doñana population. Thus, there is an urgent need for an update of mortality rates and causes in both populations (Sierra Morena and Doñana). Here we use radio-tracking information from the whole range of the Iberian lynx to quantify mortality rates and identify their causes. Between 2006 and 2011, we radio-tagged 78 Iberian lynxes from its two remaining populations (39 from Sierra Morena and 39 from Doñana). Mortality events were evaluated to identify causes, and cause-specific annual mortality rates (AMR) were obtained using the nonparametric cumulative incidence function estimator. Overall, AMR was estimated at 0.16 ± 0.05 (0.19 ± 0.09 in Sierra Morena and 0.12 ± 0.07 in Doñana). Disease was the main cause of mortality both for the whole population and the Doñana population. Poaching was the main cause of mortality in Sierra Morena. Our results suggest that the best strategy for conserving this species is to focus action on decreasing the fatal effect of disease and poaching. Given the possible existence of an underlying inbreeding-mediated immunosuppression, genetic management aimed at increasing the genetic diversity of this population is also recommended.
Over the last 20 years surveys of the population of the Iberian lynx Lynx pardinus in Doñana National Park and its surroundings in Spain have produced estimates of a total population of 50–60 in ...fragmented patches. The population was estimated to be 26 adults in 2002–2003. Use of camera trapping and other field methods during 2004–2008 allowed us to determine the abundance of the lynx and to estimate demographic statistics. Estimated annual abundance of adult and subadult lynxes averaged 38 individuals (range 35–43). Although the population exhibited a continuous distribution it was concentrated in three major areas, including Doñana National Park, with an average area occupied of 620 km2. Our results suggest that the Doñana Iberian lynx population now has a different structure from that in the 1990s and in particular a more continuous spatial distribution. These results indicate an improved, but not secure, scenario for the population. The continuous geographical distribution suggests the population is currently less vulnerable to extinction than 10 years ago. Conservation actions now need to focus outside Doñana National Park on the reconversion of pine plantations into original Mediterranean scrubland habitat, and the continuity and intensification of ongoing restocking with rabbits in fenced areas.
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