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objective to evaluate the clinical effect of high myopia treated with lasik by a small optical zones flying spot scanner machine.methods 364 cases (721 eyes) of high myopia were treated with lasik by the schwind esiris laser machine with small optical flying spot scanner.the ablation zone was single zone or multi zone.the ablation depth was range of 78~187μm.all cases were followed up for 3~12 months.the changes of their visual acuities,subjective manifest refraction and complications were observed.results postoperatively,at one day and 3 month the visual acuities were 1.0 or better in 72.0%(519/721) and 81.7%(589/721).the diopter within ±1.00 was 89.7%(647/721) and 90.7%(654/721)respectively.the complications include:decentral ablation 3 eyes (0.42%),decentral flap 5 eyes (0.69%),epithelial ingrowth 5 eyes(0.69%),glare 15 eyes(2.08%).conclusion the clinical effect of high myopia treated with lasik by a small optical zones flying-spot scanner machine was safety and efficacy,although it needs more corneal tissues.

目的 评价小光斑飞点扫描式准分子激光lasik治疗高度近视的效果。方法采用德国schwind esiris准分子激光机对364例(721眼)高度近视进行了lasik治疗。切削模式采用单区或多区切削,切削总量为78~187μm。随访3~12个月,观察术后视力、屈光度和并发症等情况。结果术后裸眼视力≥1.0者,术后1天、3个月时分别为72.0%(519/721)、81.7%(589/721);术后屈光度在±1.00d以内者,术后1天、3个月时分别为:89.7%(647/721)、90.7%(654/721)。主要的并发症有:偏中心切削3眼(0.42%)、瓣位置偏离5眼(0.69%)、角膜上皮植入5眼(0.69%)、眩光15眼(2.08%)。结论小光斑飞点扫描式准分子激光lasik治疗高度近视的临床效果安全有效,但是需要切削较多的角膜组织。

Paired Samples T test revealed that both the LT and VL decreased (P.01), the AD increased (P.01) after cycloplegia regardless of their refractive state. The AL increased for hyperopic eyes (P.05) and decreased for myopic eyes (P.01) after cycloplegia. For hyperopic eyes, the major keratometer K1 increased (P.05) while for myopic eyes, the major keratometer K1(P.05) and minor keratometer K2 (P.01) decreased after cycloplegia. The mean corneal power of zones 5 mm (MD5) and 7 mm (MD7) decreased with myopic eyes decreased dramatically (P.01). The mean refractive power of the lower half vertical meridian is greater than that of upper half; and the mean refractive power of the lateral half of the horizontal is greater than that of the medial half.

结果:不论远视眼、正视眼还是近视眼在睫状肌麻痹后前房加深(P.01),晶状体变薄(P.01),玻璃体腔径缩短(P.01);但远视眼睫状肌麻痹后眼轴增长(P.05),近视眼眼轴缩短(P.01);远视眼睫状肌麻痹后角膜曲率K1增加(P.05),近视眼睫状肌麻痹后除K1降低外(P.05),K2以及以角膜中心点为中心,直径为5mm、7mm的环平均角膜屈光度(MD5、MD7)均降低(P.01);此外,垂直径线上方的平均角膜屈光度小于下方的平均角膜屈光度而水平径线鼻侧的平均角膜屈光度小于颞侧的平均角膜屈光度(P.01)。

Under the assumption that the locations of two inner corners of eyes and two outer corners of mouths are known, in the new method, the approximate area for the two eyes is found first, and then the state of eyes in this area is determined by using the eyes local templates and the Hausdorff distance. Similarly, the state of the mouth can also be known. Finally the whole face contour is searched by global template corresponding to the estimated eyes and mouth states.

在给定眼睛两个内眼角和嘴巴两个外嘴角的前提下,新方法首先用全局模板粗略确定眼睛所在区域,然后在此区域用眼睛的两个局部模板以及Hausdorff距离判断眼睛状态,同理可检测嘴巴状态,最后调用相应的全局模板去搜索整脸轮廓。

Results Absolute scotoma appeared in 7 eyes and relative scotoma in 6 eyes before TTT. Among the 6 eyes with relative scotoma, the visual acuity was improved over 2 lines in 4 eyes after TTT, descended 1 line in I eye and unchanged in 1 eye. The light sensitivity of the irradiated retina was increased in 5 eyes and decreased in 1 eye.

治疗后与治疗前相比较,6眼TTT前检出相对暗点的患眼中,治疗后视力提高者4眼,1眼视力下降,1眼视力无明显变化;6眼中5眼TTT治疗后激光照射处视网膜的光敏度提高,1眼降低。

Results In images of OCT in 45 eyes of CSC,42 eyes showed serous neurosensory detachement,2 eyes appeared retinal pigment epithelial detachement and 1 eyes combined neurosensory detachement with pigment epithelial detachement.Monitoring images of OCT in 9 eyes revealed absorption of serous fluid and decrease of neurosensory detachment.

结果 45眼中心性浆液性脉络膜视网膜病变的OCT 图像,42眼表现单纯神经上皮层脱离,2眼为单纯色素上皮层脱离,1眼同时存在神经上皮层脱离和色素上皮层脱离。9眼复查的OCT通过测量脱离高度的降低可观察到液体的不同程度吸收。

METHODS 80 eyes of 47 patients with glaucoma (31 eyes of 18 patients with POAG , 27 eyes of 14 patients with NTG and 22 eyes of 15 patients with CACG ) and 44 normal eyes of 39 control subjects were tested by simultaneous ICGA and fluorescein angiography with Heidelberg retina angiograph. The occurrence and extent of peripapillary atrophy and indocyanine green angiographic anormalies of optic disk were compared between glaucoma and control group, and among the three types of glaucoma as well.

应用Heidelberg共焦激光扫描眼底血管造影仪(Heidelberg retina angiograph,HRA),对青光眼患者47例80只眼(POAG 18例31只眼;NTG 14例27只眼;CACG 15例22只眼)及正常对照组44例44只眼行吲哚青绿眼底血管造影(indocyanine green angiography,ICGA)和荧光素眼底血管造影(fundus fluorescein angiography,FFA)同步检查,比较青光眼与对照组及青光眼各组间视盘旁萎缩(peripapillary atrophy,PPA)以及视盘ICGA表现的差异。

The whole curve appears near S shape curve which revealed that the compound eyes of green lacewinng have strong adapting ability to light stimuli.4 Relation of the dark-adapted time and ERG value indicates that time of day eyes turning to night eyes is not similar in different kind of species. The turn of compound eye from day eyes to night eyes need about 120min in Chrysopa sinica Tjedar,, but is not accord to in different unit the other two species.

以ERG值为指标,在—定时间内,暗适应时间长短影响草蛉复眼的ERG振幅的大小,不同种革蛉其ERG值达稳定所需时间是不—致的,中华草蛉一般都需要120m,ERG值才能达到稳定,而大草蛉、丽草蛉不同个体ERG值达到稳定的时间不完全一致,大草蛉ERG值一般需60-90m达稳定,个别在120m左右达稳定,丽草蛉ERG值一般在60m左右达到稳定。

Results The abnormal optic nerve was found in 44 eyes, in which, the increase in diameter of optic nerve was found in 38 eyes, in which, 22 eyes were accompanied with papilloedema, optic nerve hydrocele in 18 eyes, and decreased in diameter six eyes.

结果 B型超声检查发现视神经异常44只眼,其中视神经直径增大38只眼,伴视盘水肿22只眼,伴视神经鞘膜积液18只眼;视神经直径变小6只眼。

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。

Among 70 eyes of high myopia, 61 eyes (87.1%) showed field abnormalities;Enlargement of the blind spot occurred in 42 eyes(60%); central relative scotomata occurred in 40 eyes(57.1%) and diffuse field defects occurred in 18 eyes(25.7%).The temporal hemifield appeared to be the most affected.

结果 高度近视眼呈现各种形态的视野改变,70眼中61眼(87.1%)视野异常,其中42眼(60%)生理盲点扩大,黄斑中心相对暗点40眼(57.1%),弥漫性损害18眼(25.7%),视野损害以颞侧明显。

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