25th RCOphth Congress, President's Session paper:25 years of progress in medical retina

The quarter century since the foundation of the Royal College of Ophthalmologists has coincided with immense change in the subspecialty of medical retina, which has moved from being the province of a few dedicated enthusiasts to being an integral, core part of ophthalmology in every eye department. In age-related macular degeneration, there has been a move away from targeted, destructive laser therapy, dependent on fluorescein angiography to intravitreal injection therapy of anti-growth factor agents, largely guided by optical coherence tomography. As a result of these changes, ophthalmologists have witnessed a marked improvement in visual outcomes for their patients with wet age-related macular degeneration (AMD), while at the same time developing and enacting entirely novel ways of delivering care. In the field of diabetic retinopathy, this period also saw advances in laser technology and a move away from highly destructive laser photocoagulation treatment to gentler retinal laser treatments. The introduction of intravitreal therapies, both steroids and anti-growth factor agents, has further advanced the treatment of diabetic macular oedema. This era has also seen in the United Kingdom the introduction of a coordinated national diabetic retinopathy screening programme, which offers an increasing hope that the burden of blindness from diabetic eye disease can be lessened. Exciting future advances in retinal imaging, genetics, and pharmacology will allow us to further improve outcomes for our patients and for ophthalmologists specialising in medical retina, the future looks very exciting but increasingly busy.

Causes and consequences of changes in nutrient structure in the Jiaozhou Bay

Concentrations and ratios of nutrients in Jiaozhou Bay, China, have changed much in the past decades, with trends indicating an increase in nitrogen and a decrease in silicate. Statistical analysis has shown that the long-term variations of nutrients are associated with agricultural activities, precipitation, and anthropogenic factors. Stoichiometric calculations indicate that the nutrient structure has become more and more unbalanced. There has been almost no possibility for nitrogen limitation since the 1980s, the probability of P limitation has increased, and the probability of Si limitation has also increased markedly from the 1980s to the 1990s. As a consequence of changes in nutrient structure, a decrease in the abundance of net phytoplankton was evident, whereas total chlorophyll a levels have remained roughly unchanged at around 3.55 mu g/L. Thus, it is likely that smaller species have taken the niche vacated by the larger species. Changes in phytoplankton size and species composition may ultimately lead to various functional and structural changes at the system level.

Nutrient structure of seawater and ecological responses in Jiaozhou Bay, China

Nutrient concentrations in seawater, and C, N, P, Si and chlorophyll a content in different-sized particulates were measured in Jiaozhou Bay, and C, N, P, Si composition in different-sized fractions of phytoplankton and their ecological responses to nutrient structure of the seawater were studied. Microphytoplankton and nanophytoplankton were dominant in Jiaozhou Bay. High C (16.50-20.97 unol L-1), N (2.46-2.99 mu mol L-1) and low P (0.06-0.12 mu mol L-1), Si (0.18-0.57 mu mol L-1) content, and high N/P (24.7-64.6) and low SUP (4.4-10.8), Si/N (0.06-0.20) ratios were found in all sized groups of particulates. These values reflected the elemental compositions of different-sized fractions of phytoplankton as being an ecological response to the nutrients in the seawater. The ratios deviated significantly from the Redfield values. The nutrient composition of seawater and particulates and their relationship to chlorophyll a showed that phytoplankton growth was possibly limited by Si. Si limitation appears favorable for controlling the ecological equilibrium of Jiaozhou Bay. Different-sized fractions of phytoplankton had different suitability to nutrient structures of the seawater. Among phytoplankton size groups, nanophytoplankton and microphytoplankton growths were more adaptable in eutrophic Jiaozhou Bay, and more competitive for assimilation of Si. This is consistent with their diatom-dominated composition, controlling the biomass and productivity of phytoplankton in Jiaozhou Bay. (c) 2006 Elsevier Ltd. All rights reserved.