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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、正视还是近视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);但远视睫状肌麻痹后轴增长(P.05),近视轴缩短(P.01);远视睫状肌麻痹后角膜曲率K1增加(P.05),近视睫状肌麻痹后除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)。

2 Treatment method is less than a month treat a little patient to use method of massage drop medicine first, treat 1~2 week, 2~3min is massaged before daily drop medicine, be more than the little patient of a month, if drop medicine treats 1~2 week to did not see,improve to still have apparently weep the person that reach secretion, applied medicaments pressurization rinses lachrymal path, use pinhead of vein of skin of tube head of nylon of self-restrained and different type to grind blunt, make rinse a needle continuously, groovy operation, after syringe needle inserts lachrymal canaliculus, nylon the canal is secured with adhesive plaster at the head, undertake rinsing, 1 / D, with oxygen fluorine to lotion Sha Xing adds loose diluent of rice of ground a place of strategic importance, pressurization rinses 3~4 second, invalid still, undertake probing of groovy tear path is operated.

我科自2000年1月至2006年12月,共治疗新生儿泪囊炎178例、230,疗效满足,报告分析如下。1资料和方法1.1一般资料新生儿泪囊炎患儿168例、230,男102例,女66例,年龄:2d~3个月,均为本院科门诊确诊的新生儿泪囊炎患儿。1.2治疗方法小于1个月的首次就治患儿采用按摩滴药法,治疗1~2周,每日滴药前按摩2~3min,大于1个月的患儿,如滴药治疗1~2周未见明显好转仍有流泪及分泌物者,应用药物加压冲洗泪道,采用自制不同型号尼龙管头皮静脉针头磨钝,制成直的冲洗针,常规操作,针头插入泪小管后,将尼龙管用胶布固定于头部,进行冲洗,1次/d,冲洗液用氧氟沙星加地塞米松稀释液,加压冲洗3~4次,仍然无效的,进行常规泪道探通术操作。1.3治疗标准无流泪、无分泌物、泪道冲洗畅通,反之则无效,结果168例,230,治愈166例,228,其中按摩治疗49例,冲洗86,探通31。。。

Results:One hundred and eleven eyes were treated with PRP, 95 eyes were treated with mild-PRP. Visual acuity was increased by 1~3 lines in 82 eyes(35%), not changed in 94 eyes(46%) and decreased in 30 eyes(19%). On Fundus fluorescein angiography 3 months later, new vessels shrinked and retinal edema recovered in most cases, but in 10 eyes, new vessels and small nonperfusional areas still could be seen after the treatment, which was treated again.

结果:111只行广泛视网膜光凝术治疗,95只行亚广泛视网膜光凝术治疗。82只视力提高1~3行,占35%;94只视力无变化,占46%;30只视力下降,占19%。3个月后行荧光素底血管造影检查,新生血管大部分萎缩,视网膜水肿消退,有10只残留新生血管及小片状无灌注区,再次补充光凝。

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,6TTT前检出相对暗点的患中,治疗后视力提高者4,1视力下降,1视力无明显变化;6中5TTT治疗后激光照射处视网膜的光敏度提高,1降低。

Geotropic nystagmus was seen in 25 patients in Dix-Hallpike test and roll test, while apogeotropic nystagmus in 13 patients. The direction of nystagmus could not be ascertained clinically in 3 patients and the direction of nystagmus was the same during right and left positional test in 5 patients.

35例患者通过两种试验诱发出水平震,11例患者仅通过滚转试验诱发出水平震。25例患者震方向向地,13例患者震方向背地, 3例患者震方向不固定, 5例患者各种手法诱发出同一方向的震。29例患者在双侧手法中出现震, 17例患者在一侧手法中出现震。

Results 15 eyes of peripheral retinal dry hole and peripheral retinal degeneration were treated only by laser treatment and successful rate was 100%;10 eyes with local rhegmatogenous retinal detachment,were initially treated with herbal dehydrant,followed by laser treatment and successful rate was 80%;2 eyes failed due to the traction of vitrous were successfully treated with the aids of local pad;141 eyes with retinal detachment were treated by scleral buckling combined with krypton laser and success rate was 96.5%,5 eyes failed due to the traction of vitrous were successfully treated with the aids of vetroretional operation;27 eyes with complicated retinal detachment were treated by vetroretional operation,followed by intro-and post-operation,and success rate 100%.

结果 视网膜周边干性裂孔和视网膜周边变性单纯用氪多波长激光治疗15,成功100%;局限性孔源性视网膜浅脱离10,先使用脱水剂、卧床休息、单加压包扎等措施,而后行激光治疗,成功率80%,2因玻璃体有牵引结合局部垫压术后成功;巩膜外扣带术后激光封孔141,成功率96.5%。5因玻璃体有牵引行玻璃体手术后内激光封闭裂孔成功;复杂性视网膜脱离经玻璃体切割手术,术中及术后激光封闭裂孔27,成功100%。

To summarize the therapeutic effect and clinical characteristics of repetitive photodynamic therapy for patients with exudative age-related macular degeneration.

回顾分析渗出型AMD患者78例94只采用PDT治疗,患者平均年龄68.4岁,治疗次数为132次,平均1.4次,其中22例30只接受重复PDT治疗,占治疗总数31.9%。30只共进行PDT治疗68次,其中2次22只,占73.3%;3次7只,占23.3%;6次1只,占3.3%。

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

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),其中外伤25例(25),糖尿病性视网膜病变9例(9),视网膜中央静脉阻塞11例(11),孔源性视网膜脱离2例(2),视网膜静脉周围炎1例(1),老年性黄斑变性1例(1),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。

RESULTS:Among the 116 eyes, 94 eyes presented identical optometric results or less than 0.50D difference while 22 eyes had more than 0.75D difference after the instillation of the two agents, with 81.0% in agreement with the degree of spherical lens, with 92.2% in agreement with the compound hyperopia cylinder lens, with 84.6% in agreement with the axis of astigmatism.

结果:远视球镜度数116两次验光结果相同或相差≤0.50D者94,相差0.75D以上22,远视球镜度数符合率为81.0%,52复性远视柱镜度数符合率为92.2%,散光轴向符合率为84.6%,28远视年龄在8~12岁者,两次验光结果验光度数相同和相差≤0.50D,散光轴向≤5°者7,符合率25.0%,88年龄在12~16岁,符合率97.7%,≥0.75D者两例均合并有内斜视,本组两种不同散瞳剂散瞳验光结果对比远视球镜或复性远视柱镜度数相差0.75D以上者均为美多丽散瞳年龄≤12岁者或有斜视者,低于阿托品散瞳验光度数。

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