裂隙灯

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。

RESULTS: Slit-lamp biomicroscopy revealed an irregularly shaped dark spot in the fovea centralis but no changes in FA in the 3 cases.

结果：裂隙灯活组织显微镜检查发现3例患者眼均有一种不规则形状的为黄斑中心凹暗点，但在荧光血管造影中无相应变化。

Results①The formation of posterior capsule opacification in rabbit eyes: observation in different stages after the operation showed the inflammatory response remarkable at the first three days with iris congestion; edge of anterior capsule circularity opacification at the 1st week, but no remarkable change in the posterior capsule; just gauze-like at the 2nd week; strip-like opacification at the end of the 1st month, funicular opacification after 2～3 months, while visible opacification at the 5th month after the operation.

结果：①兔眼后发性白内障形成情况：术后不同时期裂隙灯下观察可见术后前3d前房内炎症反应明显，虹膜充血；术后1周可见前囊截缘出现白色环状混浊，但后囊尚透明；术后2周后囊呈薄纱状；1个月出现线条状混浊，2～3个月成条索状混浊，术后5个月后囊明显混浊。

Methods One stage radial keratotomy and second stage DLKP were performed, the uncorrected and corrected visual acuity, refractive status and results of slit-lamp microscopic examination were followed up for 4 years.

对1例急性圆锥角膜水肿患者，采用I期放射状角膜切开术、Ⅱ期DLKP术的方法治疗，对患眼裸眼及娇正视力、屈光状态、裂隙灯检查结果进行观察，随访期4年。

Suzhou Industrial ParkMedical Devices Co., Ltd., located in Suzhou Industrial Park Development Zone, is a production of ophthalmic optics specialist examination equipment, the main production "Lan Ling" brand KJ5 series slit lamp microscope, KJ8 series direct ophthalmoscope, KJ6 Series Optical Inspection film strip mirror, KJ1 Series Units and other products for electrical machines.

苏州工业园区康捷医疗器械有限公司，地处苏州工业园区开发区，是一家制造生产眼科光学诊察器械的专业公司，主要生产"兰羚"牌KJ5系列裂隙灯显微镜，KJ8系列直接检眼镜，KJ6系列带状光检影镜，KJ1系列电动仪器台等产品。

Methods212 cases(424 eyes) were diagnosed diabetes by eyesight examination and check eyeground with slit lamp microscope and mydriasis.

方法采用查视力、裂隙灯显微镜和散瞳检查眼底已确诊的糖尿病患者212例（424眼）。

METHODS: A total of 1 536 people in rural areas of shaanxi were studied by cluster random sampling methods. All particants were checked by slit lamp, and the people who were more than 50 years old carried out the standard examination by internal criteria. Then they were examined by LOCS Ⅲ in mydriatic situation when there were no contraindication.

遵循按比例、随机、整群抽样的原则对陕西省洋县 1 536人进行白内障患病率的横断面调查，所有受检人员均采用裂隙灯检查晶状体，年龄≥50岁的人，先在小瞳孔下按照国内诊断标准进行检查，如无禁忌再充分散瞳后，按LOCSⅢ标准进行检查。

DM1 and DM2 gene were amplified by PCR,tested by agarose electrophoresis, then analyzed by genetic analyzer. Results: Myotonia and muscle weakness were the main manifestations associated with heart block (7/8) and cataract (6/7). Electromyologram showed myopathic abnormalities not only in patients but also in other members of the family (5/6). The CTG repeats in DM1 and CCTG repeats in DM2 were all in normal range.

结果：该家系患者除有肌强直、肌萎缩等表现外；心电图检查：心脏传导阻滞(7/8)；裂隙灯检查：白内障(6/7)；肌电图检查：患者组有强直电位发放(5/5)，无临床症状成员也存在肌源性损害(5/6)；但该家系无DM1位点n和DM2位点n的重复数增加。

Best corrected visual acuity, slit lamp examination, intraocular pressure measurement, ophthalmoscopy, retinal photographs, and in selected cases angiography were performed.

患者行最佳校正视力、裂隙灯、眼内压测量、眼底镜、视网膜照像和选择病例血管照像术检查。

Best corrected isual acuity, slit lamp examination, intraocular pressure measurement, ophthalmoscopy, retinal photographs, and in selected cases angiography were performed.

患者行最佳校正视力、裂隙灯、眼内压测量、眼底镜、视网膜照像和选择病例血管照像术检查。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新