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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),男304,女290;年龄6岁~89岁,老年性白内障482例(504),外伤性白内障26例(26),并发症白内障50例(60),先天性白内障4例(4),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,其中糖尿病视网膜病变10,老年性黄斑病变8,青光视神经损害7,角膜白斑1。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术后早期。。。

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只中,187只(18.4%)视力达1.0以上,395只(39.5%)视力在1.0-0.5,292只(29.2%)视力在0.5-0.3,106只(10.4%)视力在0.3-0.1,25只(2.5%)视力低于0.1.950例患者的1005只中,242只(24.2%)息有糖尿病视网膜病变,151只(15.1%)息有老年性黄班变性,27只(2.7%)息有缺血性视神经病变,7只(0.07%)息有陈旧性脉络膜炎,15只(1.5%)患有视网膜静脉闭塞,12只患有黄斑囊样水肿(1.2%),5只(0.05%)患有外伤性视网膜病变。

Results 1 there were no significant differences of amplitude of accommodation and accommodative lag between the myopia group and emmetropia group. The differences of amplitude of accommodation between the myopia group and hyperopia group were significant (t=2.21, P=0.03.05; t=2.83, P=0.006.05). 2 The difference of accommodative lag between the dominant eye (0.73±0.31) D and non-dominant eyes (0.81±0.38) D in myopia group was signiflcant.3 The accommodative lag of dominant eyes was (0.68±0.36) D and it of non-dominant eyes was (0.75±0.34) D, the difference was significant (t=2.06, P=0.042.05, n=95).There was no significant difference between the amplitude of accommodation of dominant eye (12.9±3.09) D and non-dominant eyes (12.6±3.09) D.

结果 近视患儿的主导和非主导的调节幅度和调节滞后与正视儿童均差异无统计学意义;而其主导和非主导的调节幅度比远视患儿明显更大(t=2.21, P=0.03.05; t=2.83,P=0.006.05);两组的调节滞后差异无统计学意义。50例近视患儿主导和非主导的调节滞后值分别为(0.73±0.31)D和(0.81±0.38)D,主导和非主导间差异有统计学意义(t=2.14,P=0.038.05);调节幅度分别为(13.39±3.51)D和(13.26±0.60)D,差异无统计学意义。95例观察对象的主导的调节滞后度为(0.68±0.36)D,非主导调节滞后度为(0.75±0.34)D,主导和非主导间的差异有统计学意义(t=2.06, P=0.042.05);主导调节幅度(12.9±3.09)D,非主导为(12.6±3.09)D,差异无统计学意义(t=1.49, P=0.14)。

Resultsthe iop of 19 eyes (20.7%) were higher than 2.8 kpa (21 mmhg), of which, 14 eyes returned to normal seven days after 0.5% timolol administration, two eyes returned to normal after two months. three eyes showed high iop two months after injection. after combination therapy, the iop of one eye was still at 3.47-4.67 kpa (26-35 mmhg), eight eyes showed aqueous flare one day after ta injection, but the symptom disappeared the next day. two eyes showed hypopyon and vitreous opacity. with systemic and local antibiotic, the inflammation disappeared after one week. three eyes showed retinal hemorrhage.

结果 92只中,术后压高者19只,给予5 g/l噻吗洛尔液点,7 d后14只压恢复正常;2只控制在4 kpa以下,持续用药2个月后降至正常;3只压在注药后2个月才出现高压,联合用药后1只压仍在3.47~4.67 kpa.8只术后第1天出现前房闪辉,第2天消失。2只术后第1天出现前房积脓,玻璃体腔混浊,经局部及全身抗炎治疗,局部应用复方托吡卡安散瞳,1周后炎症消退。3只术后第1天发现视网膜局部小片状出血。

Repeated corneal perforation occurred in nine eyes, with primary diseases of herpes simplex keratitis (HSK; four eyes), Mooren ulcer, necrotizing keratitis and scleratitis, bacterial keratitis, and alkali burn. Corneal grafts perforated in 31 eyes, resulting from recurrent HSK, implant autoproteolysis, bacterial infections, recurrent Mooren ulcer, immunologic rejection, trauma, and fungal recurrence.

本研究中有9只发生了反复的角膜穿孔,其原发疾病分别为单疱病毒性角膜炎(HSK,4只),蚕食性角膜溃疡(2只),坏死性角巩膜炎(1只),细菌性角膜炎(1只)和碱烧伤(1只)。31只发生了角膜植片穿孔,分别由单疱病毒性角膜炎复发(8只),角膜植片自溶(7只),细菌感染(6只),蚕食性角膜溃疡复发(4只),免疫排斥反应(3只),外伤(2只)和真菌复发(1只)引起。

Results Hypermetropia and hyperopic astigmatism were found in 85 percent of pterygium patients.

单纯近视及散光17(8.5%),复性远视散光6(3%),顺规散光2(1%),斜向散光1(0.5%),逆规散光1(0.5%)。196例(200)之中远视散光中散光轴位90°方位172(86%),180°方位21(10.5%),其他方位仅7(3.5%)。

The patients include 10 patients(20 eyes) of VogtKoyanagiHarada syndrome, 1 patients(2 eyes) of Behcet diseases, 11 patients(21 eyes) of other uveitis, 5 patients (9 eyes) of papolloedema, 2 patients(2 eyes) of choroidal tumor, 2 patients(4 eyes) of, hypotony with macular degeneration, 1 patient(2 eyes) of,Graves diseases, 1 patient (1 eye) of,blunt trauma and 1 patient(1 eye) of uveal effusion syndrome.

其中伏格特-小柳-原田综合征10例20只,Behccet病1例2只,其他类型葡萄膜炎11例21,视盘水肿5例9只,脉络膜肿瘤2例2只,低压性黄斑病变2例4只,Graves病1例2只钝挫伤1例1只,脉络膜渗漏综合征1例1只

Results (1)In the group (109 eyes) with preoperative intraocular pressure≤21mmHg,sixty-four eyes were treated with trabeculectomy,and 31 eyes with slerectoiridectomy of which there were 9(14.1%) and 7(20.6%) eyes had undergone PAC respectively.There was no PAC in 11 eyes treated with iridencleisis;(2)In the group(175 eyes)with PIOP from 22 to 35 mmHg,there were 26 eyes(25.2%) and 15 eyes(32.6%) developing PAC of 103 eyes treated with trabeculectomy,and 46 eyes with slerectoiridectomy respectively,of 26 eyes with iridencleisis,there were 5 eyes(19.2%) developing PAC;(3)In the group(106 eyes)with PIOP>35mmHg,there were 13 eyes(31%) developing PAC of 23 eyes with trabeculectomy,5 eyes(21.7%) developing PAC of 23 eyes with slerectoiridectomy.

结果 (1)术前压≤21mmHg(1mmHg=0.133kPa)者109只,小梁切除术64只,术后浅前房9只,占14.1%,巩膜咬切术31只,术后浅前房7只,占20.6%,虹膜嵌顿术11只,术后无浅前房发生;(2)术前压22-35mmHg者175只,小梁切除术103只,术后浅前房26只,占25.2%,巩膜咬切术46只,术后浅前房15只,占32.6%,虹膜嵌顿术26只,术后浅前房5只,占19.2%;(3)术前压>35mmHg者106只,小梁切除术42只,术后浅前房13只,占31%,巩膜咬切术23只,术后浅前房5只,占21.7%,虹膜嵌顿术41只,术后浅前房5只,占12.2%。

Results Totally 550 eyes' the best corrected visual acuity was more than 0.51-3 months after surgery, accounting for 94.83%; 30 eyes (5.17%) had iris prolapse and intraoperative complications; 4 eyes (0.69%) had iridodialysis; 6 eyes 1.03% had posterior capsule rupture; 30 eyes (5.17%) had hyphema; 30 eyes had (5.17%); 109 eyes (18.79%) had postoperative complications, including corneal edema in 50 eyes (8.62%, of which endothelial-like opacity in 40 eyes); 40 eyes (6.90%) had inflammation of anterior chamber; 10 eyes (1.72%) had transient high intraocular hypertension; 5 eyes (0.86%) had hyphema, 4 eyes had pupillary capture.

结果 术后1~3月最佳矫正视力大于等于0.5的有550只(94.83%),术中并发症,虹膜脱出30只(5.17%),虹膜根部离断4只(0.69%),晶状体后囊破裂6只(1.03%),前房出血30只(5.17%),后弹力层脱离30只(5.17%)。术后并发症109只(18.79%)包括角膜水肿50只(8.62%,其中内皮条样混浊40只),前房纤维渗出40只(6.90%),短暂性高压10只(1.72%),前房积血5只(0.86%)瞳孔夹持4只(0.70%)。

She usually did not眼妆emphasized, and his Su-Yen also do not care about single-edged eyelid, rather with the nature of the relationship between the two gangs is obvious that shallow.

她平时强调的妆都没化,露出单皮素颜也不在乎,相当随性,显见两人关系匪浅。

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