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Objective transcranial color Doppler ultrasound of brachiocephalic artery Takayasu arteritis in patients with intracranial artery and ophthalmic artery ...
目的应用经颅彩色多普勒超声研究头臂动脉型多发性大动脉炎患者颅内动脉及眼动脉。。。
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Results In 950 patients with successful cataractous operations,187 eyes(18.4%)had the vision of super-1.0,395 eyes(39.5%)had the Vision of 1.0-0.5,292 eyes(29.2%)had the vision of 0.5-0.3,106 eyes(10.4%)had the vision of 0.1-0.3,25 eyes(2.5)had the vislon of below-0.1.In 950 patients,242 eyes(24.2%)had diabetic retinopathy,15l eyes(15.1%)had aged-related macular degeneration,27 eyes(2.7%)had ischemic optic neuropathy,7 eyes(0.07%)had choroiditis,15 eyes(1.5%)had retinal vein occlusion,12 eyes(1.2%)had cystoid macular edema,5 eyes(0.2%)had traumatic retinopathy.
结果 950例患者的l 005只眼中,187只眼(18.4%)视力达1.0以上,395只眼(39.5%)视力在1.0-0.5,292只眼(29.2%)视力在0.5-0.3,106只眼(10.4%)视力在0.3-0.1,25只眼(2.5%)视力低于0.1.950例患者的1005只眼中,242只眼(24.2%)息有糖尿病视网膜病变,151只眼(15.1%)息有老年性黄班变性,27只眼(2.7%)息有缺血性视神经病变,7只眼(0.07%)息有陈旧性脉络膜炎,15只眼(1.5%)患有视网膜静脉闭塞,12只眼患有黄斑囊样水肿(1.2%),5只眼(0.05%)患有外伤性视网膜病变。
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Objective To investigate the clinical features, causes of blindness and diagnosis of Vogt Koyanagi Harada syndrome Methods The data of 157 patients with VKH syndrome were reviewed and analyzed Patients were carefully examined with slit lamp, ophthalmoscope, three mirror lens, fundus fluorescein angiography, indocyanine green angiography and HLA typing Results Headache was noted in 73 5% of these patients Simultaneous involvement of both eyes occurred in 80 8% of these patients Chroiditis,papilledema and edema of the retina adjacent to the optic nerve were noted in 100% of these patients in the posterior uveitis stage, whereas recurrent granulomatous anterior uveitis (98 4%),"sunset glow" fundus (95 8%) and Dalen Fuchs nodules (71 2%) were the common ocular findings in the recurrent anterior uveitis stage The common causes of blindness were papillitis, exudative retinal detachment and complicated cataract in the posterior uveitis stage, anterior uveal involvement stage and its recurrent stage Poliosis (36 3%) and alopecia (35 0%) were the most common extraocular findings Early irregular patches of fluorescence, followed by localized hyperfluorescent spots were the typical findings of FFA Dilation of choroidal vessels and leakage of ICG from the choroidal vessels were the common ICGA findings The prevalence of HLA DR4 and HLA DRw53 in patients (54 9% and 71 8% respectively) was significantly higher than that in controls (14 7% and 38 2% respectively) Conclusions VKH syndrome is characterized by chroiditis, papillitis or neuroretinitis in the posterior uveitis stage, followed by a generalized uveitis with a typical recurrent granulomatous anterior uveitis Extraocular findings and relevant examinations including FFA, ICGA and HLA typing are helpful to the diagnosis of VKH syndrome
目的探讨Vogt-Koyanagi-Harada综合征患者的临床特征、盲目原因及诊断等有关问题。方法对在1996年1月至2000年12月间就诊资料完整的157例VKH综合征患者进行回顾性分析,并对裂隙灯、眼底镜、三面镜、荧光素眼底血管造影(fundus fluorescein angiography,FFA)、吲哚青绿血管造影(indocyanine green angiography,ICGA)及人类白细胞抗原分型等检查结果进行分析。结果 VKH综合征最常见的前驱症状为头痛(102例,73.5%),双眼同时患病118例(80.8%);后葡萄膜炎期眼部主要表现为脉络膜炎、视乳头及附近视网膜水肿(100.0%);前葡萄膜炎反复发作期眼部表现为复发性肉芽肿性前葡萄膜炎(128例,98.4%)、晚霞状眼底改变(95.8%)及Dalen-Fuchs结节(71.2%);后葡萄膜炎期、前葡萄膜受累期及前葡萄膜炎反复发作期导致盲目的主要原因分别为视乳头炎、视网膜脱离及并发性白内障;毛发变白(36.3%)及脱发(35.0%)是最常见的眼外表现;炎症活动期FFA典型表现为斑驳状高荧光,ICGA发现脉络膜血管扩张、通透性增高等改变;VKH综合征患者HLA-DR4及HLA-DRw53的阳性率(54.9%及71.8%)显著高于正常对照组(14.7%及38.2%)。结论 VKH综合征患者在后葡萄膜炎期眼部典型表现为双侧脉络膜炎、视乳头炎或神经视网膜炎,随后出现以反复发作的肉芽肿性前葡萄膜炎为特征的全葡萄膜炎。眼外症状及相关的辅助检查包括FFA、ICGA 及HLA分型等有助于VKH综合征的诊断。
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Aim To compare the effects of different nutritious eyedrops on corneal healing in electric ophthalmitis.
目的 比较不同的眼用营养剂对电光性眼炎患者角膜上皮愈合时间、痛觉和泪膜稳定性的影响。
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A randomized study enrolled 30 patients who were treated with glutathione+antibiotics+steroid eyedrops and 30 patients who were treated with antibiotics+steroid eyedrops after the operation. Pain, photophobia, foreign body sensation, tearing, congestion and healing time of epithelial tissue were observed and rated according to accepted standards at 1 day, 3 days, 5 days, 7 days and 14 days postoperatively.
对60例(60眼)翼状胬肉患者进行胬肉单纯切除联合巩膜暴露术,术后在给予每位患者完全相同的抗菌、抗炎治疗的基础上随机将其分为两组:实验组30例,加用还原型谷胱甘肽滴眼液滴眼2周;对照组30例,不加还原型谷胱甘肽滴眼液,即空白对照组。
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The major pathogens were fungus and staphylococci each accounted for 30.63% of all cases.
病原体检测显示,真菌和葡萄球菌属各占30.63%,为本组感染性眼内炎患者的主要病原体。
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According to patients' condition,a great deal of antibiotic and adrenocortical had been given.
对20例外伤性内眼炎患者全身和局部大剂量应用抗生素、激素。
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During anti-TNF treatment, the ophthalmological condition improved in one-third of the patients with uveitis.
在抗TNF治疗中,有1/3的眼葡萄膜炎患者眼科状态得以改善。
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Methods: Vitrectom was performed on49 patients (49 eyes) diagnosed as vitreous hemorrhage. 25 patients(25 eyes) with ocular injury,9 patients (9 eyes) with diabetic retinopathy, 11 patients(11 eyes) with central retinal vein occlusion, 2 patients (2 eyes)with rhegmatogenous retinal detachment, 1 patient (1 eye) with retinal vein periarteritis, 1 patients with senile macular degeneration.
应用玻璃体切割术治疗玻璃体积血49例(49眼),其中眼外伤25例(25眼),糖尿病性视网膜病变9例(9眼),视网膜中央静脉阻塞11例(11眼),孔源性视网膜脱离2例(2眼),视网膜静脉周围炎1例(1眼),老年性黄斑变性1例(1眼),49例患者均行经睫状体平坦部闭合式巩膜三通道玻璃体切割术。
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We sum up the experiences of 52 eyes in 46 cases with lacrimal duct obstruction and chronic dacryocystitis treated by artifical tube implanted into nasolacrimal duct. Result: The cure rate was 95% after followed up for 3~6 months.
分析总结46例(52只眼)行鼻泪管内义管植入术治疗泪道阻塞及慢性泪囊炎患者的护理经验,结果:术后随访3~6月,治愈率为95%。
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psoriatic arthritis:银屑病关节炎
银屑病关节炎(psoriatic arthritis)是发生于银屑病患者的一种血清学阴性的关节炎,部分患者表现为脊柱炎和/或骶髂关节炎,并可有眼炎及肌腱端炎等表现,临床上银屑病关节炎归类于血清阴性脊柱关节病,有其特定的发病机制及临床特点 ...