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RESULTS: Among the 18 infants, 13 cases (26 eyes) were diagnosed of primary infantile glaucoma, 3 cases (6 eyes)of AxenfeldRieger syndrome,1 case(2 eyes) of aniridia glaucoma, and 1 case (2 eyes) of large congenital cornea.

结果:通过RetCam Ⅱ检查前房角,并结合其它眼部检查,确诊原发性婴幼儿型青光眼 13例26眼,AxenfeldRieger综合征3例6眼,无虹膜性青光眼1例2眼,先天性大角膜 1例2眼。

Now my courtyard in January 2006, the cataract of gimmick small cut that undertook in January 2008 excises combination artificial crystalline lens appears to low eyesight patient has case study and be adopted after embedded operation nurse accordingly, obtain favorable result, report as follows now. 1 clinical data 1.1 average data in January 2006, the operation treated a patient in January 2008 562 (594), male 304, female 290; age 6 years old of ~89 year old, senile sex cataract 482 (504), traumatic sex cataract 26 (26), complication cataract 50 (60), congenital cataract 4 (4), light of the eyesight before art feels - 0.3, there is the person that force of backsight of art of apparent diagnostic effect restores 26 times before art, among them diabetic retinal pathological changes 10, pathological changes of senile sex yellow spot 8, glaucoma optic nerve is damaged 7 times, corneal blaze 1. Standard of 1.2 low eyesight diagnoses watch of eyesight of standard of standard application international to undertake checking according to our country low eyesight, optimal and correctional eyesight is in 3 months after art 0.05 above, but in 0.3 it is low eyesight standard below. 1.3 results 594 art hind are inchoate...

现将我院2006年1月—2008年1月进行的手法小切口白内障摘除联合人工晶状体植入手术后出现低视力病人进行原因分析并采取相应护理,取得良好效果,现报告如下。1临床资料1.1一般资料2006年1月—2008年1月手术治疗病人562例(594眼),男304眼,女290眼;年龄6岁~89岁,老年性白内障482例(504眼),外伤性白内障26例(26眼),并发症白内障50例(60眼),先天性白内障4例(4眼),术前视力光感-0.3,术前有明显诊断影响术后视力恢复者26眼,其中糖尿病视网膜病变10眼,老年性黄斑病变8眼,青光眼视神经损害7眼,角膜白斑1眼。1.2低视力标准根据我国低视力诊断标准应用国际标准视力表进行检查,术后3个月最佳矫正视力在0.05以上,但在0.3以下为低视力标准。1.3结果594眼术后早期。。。

Postoperatively, B group (36 eyes) were dropped with TobraDex and artificial tears(Dextran 70 Eye Drops), and were given mydriasis and antiglaucoma eyedrops when necessary. Uncomfortable symptoms ( dry sensation, foreign body sensation,Burning sensation) were inquired, as well as tear break-up time, Schirmer test value and corneal fluorescein staining were measured 1 day preoperatively plus 3, 7, 14, 30 days postoperatively.

继续收集36例(36眼)患者全部纳入B组,手术后应用妥布霉素地塞米松眼液、眼膏和人工泪液Dextran 70 Eye Drops,必要时联合应用散瞳眼液和降眼压眼液。B组病例分别于术前1d,术后3d、7d、14d及30d详细询问患者是否存在不适症状(干涩感、异物感、烧灼感)并评分,并行泪膜破裂时间(Break-Up Time,BUT)、泪液分泌试验(Schirmer test,ST)、角膜荧光素染色(Cornea Fluorescein Staining,CFS)检查及评分。

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。

Abstract] objective to assess a new imaging technique,optical coherence tomography,for the diagnosis of central serous choroidoretinopathy.methods forty-five cases (45 eyes) of csc were examined by ophthalmoscopy,binocular indirect ophthalmoscopy and oct.some patients were monitored by oct.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.conclusion oct is potentially useful as a new and noninvasive diagnostic technique for quantitative examination of patients with csc and objectively monitoring the clinical course of the serous retinal detachement in this disease.

摘要] 目的评价光学相干断层成像(optical coherence tomography,oct )对中心性浆液性脉络膜视网膜病变的临床诊断价值。方法对45例(45眼)中心性浆液性脉络膜视网膜病变患者散瞳后分别进行直接检眼镜、双目间接检眼镜、oct 检查。9例复查时再次进行oct检查。结果 45眼中心性浆液性脉络膜视网膜病变的oct 图像,42眼表现为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。结论 oct 是一种新的、无损伤性的、非接触性的、并能定量的检查方法,能明确中心性浆液性脉络膜视网膜病变的脱离部位,并能进行定量的追踪观察。

Methods B ultrasound combined with self-developed image processing software and ultrasound biomicroscopy were used to get the anatomical parameters of 36 cases (36 eyes) at preclinical phase and 20 cases (40 eyes),and the data had been analyzed by statistical software package.

方法应用B超结合自行开发的计算机图像处理软件以及超声生物显微镜测量,计算PACG临床前期眼36例36眼和窄房角正常眼20例40眼的眼部解剖参数并进行比较。

The experimental data demonstrated that there was a nasalward directional preference in oath OKN system under both close loop and open loop conditions, and the nasalward OKN gain evoked by stimulation of nasal retina was much higher than that at temporal retina. ms indicates that OKN nasalward preference is mairily derived from the nasal retina, i. e. the direct path1Vay of OKN dominates the indirect pathway in cat's OKN system. The gains of temporalward and nasalward OKN from temporal retina are much less than those of nasalward OKN from nasal retina. It is suggested that the indirect pathway of OKN in the cat only possesses a supplementary function, Which probably plays an important role in temporalward OKN eye-movments in relation to binocular vision.

实验结果显示:高速度刺激的闭环OKN反应及开环OKN反应均对鼻向运动刺激有明显的方向选择性;半侧视网膜刺激时,鼻侧半视网膜的鼻向OKN增益明显高于颞侧半视网膜的鼻向增益,说明猫的OKN眼动反应以跟踪鼻向运动为主,并且这种对鼻向运动刺激的选择性主要来源于鼻侧半视网膜,亦即来源于OKN直接通路;颞侧半视网膜的鼻、颞向眼动增益均明显低于鼻侧半视网膜的鼻向眼动增益,说明猫的OKN系统的间接通路在OKN眼动控制中起辅助作用,并可能主要对颞向OKN眼动起作用从而与双眼视觉功能相关。

30 eyes of superficial corneal diseases including corneal dystrophy 12 eyes,scar after infection 7 eyes, dimmer nummular keratitis 6 eyes,scar after trauma 3 eyes and band degeneration 2 eyes were treated with PTK, and examined the uncorrected visual acuity,best corrected visual acuity and refraction respectively at one week,one month,three months and six months after PTK.The analysis of variance and chi-square test were used.

对角膜浅层病变30眼,包括角膜营养不良12眼,感染后角膜瘢痕7眼,钱币状角膜炎6眼,外伤性角膜瘢痕3眼和角膜带状变性2眼行PTK治疗,于术后1周、1、3、6月分别检查裸眼视力、最佳矫正视力和屈光状态等并回顾分析其疗效。

OBJECTIVE: To report and analyze the clinical features of anomalous synkinetic movements related to ocular muscles caused by abnormal innervations, as well as to classify them according to the same neuromuscular nerves.

目的:报告并分析眼运动神经异常支配造成的眼和眼或眼与其他非眼肌肉之间的异常联合运动临床特点,并按发生的肌肉归属神经进行分类。

Individual Girl also likes riding a chair or stand up to a hard object in the lower abdomen, repeated from top to bottom friction, and with cheeks flushing, generalized sweating,两眼发直, do not want to disturb or prevent others.

个别女孩还喜欢骑椅子或用下腹顶住硬物,反复上下摩擦,并伴有面颊潮红、全身出汗、两眼发直,不愿他人打扰或阻止。

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