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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,并结合其它部检查,确诊原发性婴幼儿型青光 13例26,AxenfeldRieger综合征3例6,无虹膜性青光1例2,先天性大角膜 1例2

A vertical profile of the 3D wellbore trajectory is generally.The challenge is how to draw the actual wellbore trajectory on the vertical profile of planned well trajectory.A planned 3D well path profile is depicted using vertical depth and projection length,however,the actual wellpath profile is supposed to be drawn using vertical depth and apparent projection length.

三维井一般都绘制垂直剖面图,其难点就是怎样在设计井轨道的垂直剖面图上描绘实钻井轨迹的剖面线,由于三维井设计剖面图是用垂深与投影长度绘制,其实钻井轨迹剖面图应该是用垂深和视投影长度绘制。

Some methods that are usually used now and their characteristics of bore-hole trajectory are introduced; Analysis the main factors which affect bore-hole trajectory; A model of rock-bit interaction is developed by accounting for the anisotropic drilling characteristics of both the formation and the bit; Base on the model of static behavior of a bottomhole assembly design a bore-hole trajectory; produce a demo of bore-hole trajectory base on 3DS Max.

本论文对井轨迹反演理论及方法作了简要的分类,介绍了几种目前常用的井轨迹反演方法及其特点;分析了影响井轨迹的主要因素;综合考虑地层和钻头的各向异性钻井特性,建立钻头与地层相互作用模型,基于钻柱底部组合力学模型设计出一条井轨迹;制作了基于3DS Max的井轨迹演示动画。

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)患者全部纳入B组,手术后应用妥布霉素地塞米松液、膏和人工泪液Dextran 70 Eye Drops,必要时联合应用散瞳液和降液。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、底镜、三面镜、荧光素底血管造影(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%),双同时患病118例(80.8%);后葡萄膜炎期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部表现为复发性肉芽肿性前葡萄膜炎(128例,98.4%)、晚霞状底改变(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。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。

METHODS: Internal carotid artery,eye artery and central retinal artery of 40 patients with simple eye ischemic ophthalmopathy(40 normal eyes and 40 eyes with disease) and 40 normal volunteers whose eyes were taken as control group with 40 normal eyes of patients were examined by IU22 type color Dopper ultrasound.

采用IU22型超声诊断仪对40例已确诊的单缺血性病患者40,对照组采用患者的另一相对健康40及正常人40例40,进行颈内动脉、动脉、视网膜中央动脉检查。

Fluorescein and indocyanine green fundus angiography were used to evalute the macular morphologic results. Results The result of fundus angiography showed that 90 cases 98 eyes had choroidal neovacularization, There were exudation age-related macular degeneration 39 cases (44 eyes), idophaic CNV 23 cases (23 eyes) and highly myopia 22 cases (25 eyes), Polypoidal Choroidal Vasculpathy 4cases (4eyes), multifocal choroidit 1 case (1 eye )and nodifferentiate 1 cases.

结果 90例98只黄斑部出血患者的底血管造影结果显示有脉络膜新生血管,其中老年黄斑变性湿性型39例44只,中心性渗出性脉络膜视网膜病变23例23只,高度近视22例25只,息肉状脉络膜血管病变4例4只,多灶性脉络膜炎1例1只,诊断不明1例。

Methods 693 eyes in 603 cases with obstructive diseases of lacrmal passage,including obstruction of lacrimal puncta (23 eyes), lacrimal duct (192 eyes), nasolacrimal duct (227 eyes), chronic dacryocystitis (231 eyes), and traumatic laceration of lacrimal canaliculus (20 eyes), were treated by lacrimal plastic operation with Nd∶YAG laster and the therapeutic effects were compared among the groups.

方法采用掺钕钇铝石榴石激光泪道成形术治疗603例(693只)阻塞性泪道疾病患者,按泪道阻塞的部位分为泪小点阻塞(23只)、泪小管阻塞(192只)、鼻泪管阻塞(227只)、慢性泪囊炎(231只)及外伤性泪小管离断(20只)5组,术后定期冲洗泪道,平均随访1.5年,将各组疗效进行对比分析。

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)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(0.42%)、瓣位置偏离5(0.69%)、角膜上皮植入5(0.69%)、眩光15(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。

In 13 eyes undergone vitrectomy, reattached retina was found in 12; visual acuity improved in 9, kept still in 3, and was unknown in 1 because of the patient ′s noncooperation.

接受玻璃体视网膜手术治疗的13只,除1只外12只黄斑区均达到解剖复位。9只手术后视力提高,3只手术后视力保持不变,1只视力检查不合作。

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