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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)。

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。

Objective To observe the changes of suppression of nasal retina in the esotropic amblyopic eyes during the treatment of amblyopia by means of visual evoked potential.

目的应用VEP检测方法观察内斜视眼的鼻侧视网膜抑制现象在弱视治疗后的改变。方法对34例完全屈光性调节性内斜视弱视儿童治疗前及治疗3、6、9个月后进行一般视功能及多导图形VEP检测,并与24例正常儿童进行比较。

The ophthalmic and clinoid segment of ICA and their branches were exposed and observed.

暴露对侧 ICA 眼段、床段及其分支,进行解剖学观察,测量参数 A 和 B 以评估视交叉前池的大小。

There is usually little or no progression, the EMG shows non-specific myopathic features and serum CK is normal or only slightly raised.1 The muscle biopsy may show characteristic ultrastructural abnormalities but these can be difficult to detect without specific histochemistry and/or electron microscopy that were not available in 1981 when our patient was biopsied.

查体提示:双侧眼睑下垂,易疲劳;轻度面部及颈部肌肉无力;舌肌无力并出现中央沟。无眼肌麻痹。肩部上肢带肌消瘦、明显无力,可见肩胛翼。腰部无力,行走时脊柱前凸,呈&鸭步&步态。坐位是如不用双手辅助,可能掉出椅子外。但可以依靠其脚趾和足跟站立。患者肺活量为正常的80%,心电图及超声心动图正常。CK水平为正常的2-3倍。

RESULTS: Localised peripapillary detachments did not cause any symptoms by themselves and all the lesions were recognized because of other ocular problems.

结果:视盘周围视网膜脱离不是任何患者就诊检查的原因,视力减退或矫正视力低的原因是相对严重的近视性视网膜脉络膜萎缩、CNV、黄斑前膜形成和弱视。5只患眼表现为1型后巩膜葡萄肿,其视盘周围视网膜脱离均位于视盘的鼻侧半,而另5只患眼表现为3型或2型葡萄肿,其视盘周围视网膜脱离均位于视盘的非鼻侧半,统计学上存在差异(P=0.01)。

The thickness of the inner wall was (0.68±0.46) mm. It showed no significant difference between the two sides of the optic canal in diameters(P>0.05).(2)The optic canal, the superior orbital fissure and the inferior orbital fissure were respectively shown as track, crack and gorge type in CT axial pictures, while in the coronal pictures, they were respectively shown as butterfly eyes, horizontal fissure and vertical fissure type.(3)The relationship of the posterior ethmoid sinus and the optic canal was: anterocanal(42.00%), semicanal(27.5%), whole-canal(18.75%),sella turcica(9.75%) and circumcanal(2.00%).(4)The relationship of the position of the sphenoidal sinus and the optic canal was:Ι degree sphenoidal sinus(20%),Π degree (63%) and Ш degree (17%).

双侧间差异均无显著性(P>0.05);②视神经管、眶上裂、眶下裂在CT轴位像上分别表现为&轨道状&、&裂隙状&和&狭谷状&,在冠状位像上分别表现为&蝶眼状&、水平状裂隙和垂直状裂隙;③后组筛窦与视神经管的位置关系为:管前型占42.00%、半管型占27.50%、全管型占18.75%、蝶鞍型占9.75%和管周型占2.00%;④蝶窦气化度与视神经管的位置关系为:Ι度蝶窦占20%、Π度蝶窦占63%和Ш度蝶窦占17%;⑤视神经管内侧壁骨质缺损发生率为25.5%,缺损平均长度为(5.07±2.52)mm。

Cases of the ocular torticollis caused by congenital paralysis of superior oblique muscles were analysed.

分析先天性上斜肌麻痹所致的眼性斜颈35例,术前测量第一眼位和头倾向患眼侧时的垂直偏斜度。

When crypsis—the ability of an organism to avoid detection—fails, Deroplatys angustatat, a dead-leaf mimic from Southeast Asia, can flash bright colors and eyespots on the undersides of its legs and forewings to startle enemies.

当crysis——生物避免被发现的能力不能奏效的时候,东南亚的一种模仿腐叶的螳螂Deroplatys angustatat,可以亮出其腿部和前翅下侧的明亮的颜色和眼斑,将敌人吓得心惊肉跳一跳。

Methods From 2002 to 2007,46 patients with facial skin cancer were repaired with different surgical flaps according to the different circumstance,such as the kite flap on a subcutaneous pedic, nasolabial fold flap, orbucularis oculimuscle of flap and maxillocervical fasci ocutaneous flap.

46例面部恶性肿瘤,根据病灶的部位和范围,扩大切除后分别应用&风筝&皮下蒂皮瓣、鼻唇沟皮瓣、眼轮匝肌蒂颞部皮瓣、耳前窄蒂侧颌颈皮瓣等方法修复创面。

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With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务,乐队在现实中树立了重要的影响。

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关闭眼睛,深呼吸,一切不再是梦想,犹如。。。。。。