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Purpose: The difference in preferences and trends of treatment in each country are important to plan an international interventional clinical study in eastern Asia. Accordingly, we compared the preferences and trends in treatment of diabetic retinopathy in Korea and Japan., Methods: We obtained answers to questionnaires (49 questions) from 91 ophthalmologists of the Korean Retina Society and 120 ophthalmologists of the Japanese Society of Ophthalmic Diabetology in June/July, 2012. Some of the questions were modified from The Preferences and Trends (PAT) survey of American Society of Retina Specialists., Results: The first choice for a patient with vision of 20/25, clinically significant diabetic macular edema and clear evidence of intraretinal fluid on spectral domain OCT were intravitreal anti-vascular endothelial growth factor agent (31%) in Korea and sub-Tenon steroid (22%) in Japan. The management for a patient with refractory neovascular glaucoma who has closed angle and persistent intraocular pressure elevation (>50 mmHg) were glaucoma drainage implant surgery (74%) in Korea and trabeculectomy (57%) in Japan., Conclusion: There were differences in preferences and trends of treatment for diabetic retinopathy between Korea and Japan. The differences need to be considered when planning international clinical studies.

Purpose: To evaluate the inhibitory effect of aldose reductase inhibitor (ARI) for the accumulation of sugar alcohol and the enhanced proliferation of lens epithelial cells of rats fed a galactose diet., Methods: Sprague-Dawley rats were fed a diet containing 50% galactose with or without ARI (SNK-860). Histological changes in the lenses were observed by light microscopy, and the amount of galactitol accumulated in the lens epithelium was measured by liquid-gas chromatography. Immuno-histochemical staining of proliferating cell nuclear antigen (PCNA) in whole-mount preparations was performed to assay the proliferative ability of the lens epithelial cells., Results: The amount of galactitol in the lens epithelium and the number of PCNA positive cells in rats administered ARI were less than in rats fed the galactose diet. Multi-layered epithelium was observed in advanced cataract of rats fed the galactose diet, but not in the rats given ARI., Conclusion: The administration of ARI can prevent cataractous changes and aberrant proliferation of lens epithelial cells.