Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.015
Mengfei Hu
Objective To evaluate the clinical efficacy of pedicled rotative flap in repairing eyelid defects after eyelid tumors resection. Methods The clinical data of 61 eyes of 50 cases with eyelid tumor were retrospectively analyzed. One or more pedicled flaps were used to repair eyelid defect after eyelid tumors resection. These patients were followed up for 6 months. Results All the flaps were survived with the normal appearance and the incision were primary healing. At the last follow-up, there was no tumor reccurred. The eyelid closure function was good and all patients were satisfied with the appearance of eyelid. Conclusion Application of pedicled rotative flap to repair eyelid defects after eyelid tumors resection is a simple, safe and effective method. Key words: Tumor, eyelid; Defect, eyelid; Repair, transplantation, flap, pedicled, rotative
{"title":"The efficacy of pedicled rotative flap in repairing eyelid defects after resection of eyelid tumors","authors":"Mengfei Hu","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.015","url":null,"abstract":"Objective \u0000To evaluate the clinical efficacy of pedicled rotative flap in repairing eyelid defects after eyelid tumors resection. \u0000 \u0000 \u0000Methods \u0000The clinical data of 61 eyes of 50 cases with eyelid tumor were retrospectively analyzed. One or more pedicled flaps were used to repair eyelid defect after eyelid tumors resection. These patients were followed up for 6 months. \u0000 \u0000 \u0000Results \u0000All the flaps were survived with the normal appearance and the incision were primary healing. At the last follow-up, there was no tumor reccurred. The eyelid closure function was good and all patients were satisfied with the appearance of eyelid. \u0000 \u0000 \u0000Conclusion \u0000Application of pedicled rotative flap to repair eyelid defects after eyelid tumors resection is a simple, safe and effective method. \u0000 \u0000 \u0000Key words: \u0000Tumor, eyelid; Defect, eyelid; Repair, transplantation, flap, pedicled, rotative","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86996215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.010
Feng-mei Han, Kun Li, Yuyan Liu, Dongqing Liang, Q. Han
Objective To analyze the changes of macular capillaries in patients with idiopathic macular epiretinal membrane (IMEM) after vitrectomy. Methods A retrospective study. The clinical data of 33 eyes of 33 cases with IMEM after vitrectomy and internal limiting membrane peeling from May 2015 to Jul. 2017 in Tianjin Eye Hospital were collected. All patients were diagnosed with optical coherence tomography angiography (OCTA) and followed-up for 12 months. Results The BCVA (logMAR) after surgery was improved from 0.700±0.309 to 0.252±0.182 (t=7.212, P=0.000), while central macular thickness (CMT) was decreased from (447.44±96.96)μm to (373.56±82.36) μm after surgery (t=8.247, P=0.000), and foveal avascular zone (FAZ) was increased from (0.120±0.059)mm2 to (0.145±0.063)mm2 (t=6.660, P=0.000). The macular vascular density (MVD) in the superficial and deep macular area examined with OCTA were increased significantly (P<0.05). There was a negative correlation between BCVA and CMT (r=-0.507, P=0.014), while a positive correlation between BCVA and deep MVD (r=0.578, P=0.024). Conclusion Microvascular changes in macular area are quantitatively detected with OCTA, and FAZ and MVD increase in patients after IMEM vitrectomy. Key words: Membrane, epiretinal, macular; Vitrectomy; Injuries, microvessls; Tomography, vascular, optical coherence
{"title":"Analysis of OCT angiography of macular epiretinal membrane after vitrectomy","authors":"Feng-mei Han, Kun Li, Yuyan Liu, Dongqing Liang, Q. Han","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.010","url":null,"abstract":"Objective \u0000To analyze the changes of macular capillaries in patients with idiopathic macular epiretinal membrane (IMEM) after vitrectomy. \u0000 \u0000 \u0000Methods \u0000A retrospective study. The clinical data of 33 eyes of 33 cases with IMEM after vitrectomy and internal limiting membrane peeling from May 2015 to Jul. 2017 in Tianjin Eye Hospital were collected. All patients were diagnosed with optical coherence tomography angiography (OCTA) and followed-up for 12 months. \u0000 \u0000 \u0000Results \u0000The BCVA (logMAR) after surgery was improved from 0.700±0.309 to 0.252±0.182 (t=7.212, P=0.000), while central macular thickness (CMT) was decreased from (447.44±96.96)μm to (373.56±82.36) μm after surgery (t=8.247, P=0.000), and foveal avascular zone (FAZ) was increased from (0.120±0.059)mm2 to (0.145±0.063)mm2 (t=6.660, P=0.000). The macular vascular density (MVD) in the superficial and deep macular area examined with OCTA were increased significantly (P<0.05). There was a negative correlation between BCVA and CMT (r=-0.507, P=0.014), while a positive correlation between BCVA and deep MVD (r=0.578, P=0.024). \u0000 \u0000 \u0000Conclusion \u0000Microvascular changes in macular area are quantitatively detected with OCTA, and FAZ and MVD increase in patients after IMEM vitrectomy. \u0000 \u0000 \u0000Key words: \u0000Membrane, epiretinal, macular; Vitrectomy; Injuries, microvessls; Tomography, vascular, optical coherence","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76733783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.016
Mengdi Li, Xuemin Jin
The internal limiting membrane(ILM) is located in the innermost layer of the retinal neuroepithelium, which is the basement membrane of Muller cells.In myopic retinopathy, ILM forms forward traction to the retina and causes the myopic traction maculopathy (MTM). In previous clinical studies, MTM is treated with pars plana vitrectomy(PPV) combined with ILM peeling, reversal and tamping, etc. The rate of retinal reattachment, macular hole closure and visual acuity improvement are different in different treatments. In this paper the pathological changes of the ILM in MTM, and the treatment methods of ILM during vitrectomy will be reviewed. Key words: Maculopathy, traction, myopic; Vitrectomy; Peeling, membrane, limiting, internal; Tamp, membrane, limiting, internal
{"title":"Advances of internal limiting membrane peeling in the treatment of myopic traction maculopathy","authors":"Mengdi Li, Xuemin Jin","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.016","url":null,"abstract":"The internal limiting membrane(ILM) is located in the innermost layer of the retinal neuroepithelium, which is the basement membrane of Muller cells.In myopic retinopathy, ILM forms forward traction to the retina and causes the myopic traction maculopathy (MTM). In previous clinical studies, MTM is treated with pars plana vitrectomy(PPV) combined with ILM peeling, reversal and tamping, etc. The rate of retinal reattachment, macular hole closure and visual acuity improvement are different in different treatments. In this paper the pathological changes of the ILM in MTM, and the treatment methods of ILM during vitrectomy will be reviewed. \u0000 \u0000 \u0000Key words: \u0000Maculopathy, traction, myopic; Vitrectomy; Peeling, membrane, limiting, internal; Tamp, membrane, limiting, internal","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72961254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.008
Yunpeng Li, Dandan Li, Rui Zeng
Objective To compare the safety and efficacy of sub-tenon’s anesthesia of ropivacaine and lidocaine combined with bupivacaine retrobulbar anesthesia in vitrectomy for rhegmatogenous retinal detachment. Methods A prospective, continuous, and randomized clinical study. Total of 278 eyes of 273 patients who underwent vitrectomy for rhegmatogenous retinal detachment from Oct. 2017 to Jun. 2019 were included in the study. All patients were randomly divided into two groups. Group A, 138 eyes of 136 cases, received ropivacaine under sub-tenon’s anesthesia, 140 eyes of 137 patients in group B received lidocaine combined with bupivacaine retrobulbar anesthesia. The pain score and anesthesia related complications were compared between the two groups. Results The total pain score of group A was lower than that of group B, the difference of scores of anesthesia, scleral incision, and vitrectomy with depressed sclera was statistically significant (t=-14.894, -3.379, -5.242, P=0.000, 0.001, 0.000). In group B, 1 case had perforating injury and 6 cases had retrobulbar hemorrhage. Conclusion Sub-tenon’s anesthesia with ropivacaine is safe and effective in vitrectomy for rhegmatogenous retinal detachment. Key words: Anesthesia, sub-tenon’s; Ropivacaine; Vitrectomy; Retinal detachment, rhegmatogenous
{"title":"Comparison on the efficacy of two local anaesthesia methods in vitrectomy","authors":"Yunpeng Li, Dandan Li, Rui Zeng","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.008","url":null,"abstract":"Objective \u0000To compare the safety and efficacy of sub-tenon’s anesthesia of ropivacaine and lidocaine combined with bupivacaine retrobulbar anesthesia in vitrectomy for rhegmatogenous retinal detachment. \u0000 \u0000 \u0000Methods \u0000A prospective, continuous, and randomized clinical study. Total of 278 eyes of 273 patients who underwent vitrectomy for rhegmatogenous retinal detachment from Oct. 2017 to Jun. 2019 were included in the study. All patients were randomly divided into two groups. Group A, 138 eyes of 136 cases, received ropivacaine under sub-tenon’s anesthesia, 140 eyes of 137 patients in group B received lidocaine combined with bupivacaine retrobulbar anesthesia. The pain score and anesthesia related complications were compared between the two groups. \u0000 \u0000 \u0000Results \u0000The total pain score of group A was lower than that of group B, the difference of scores of anesthesia, scleral incision, and vitrectomy with depressed sclera was statistically significant (t=-14.894, -3.379, -5.242, P=0.000, 0.001, 0.000). In group B, 1 case had perforating injury and 6 cases had retrobulbar hemorrhage. \u0000 \u0000 \u0000Conclusion \u0000Sub-tenon’s anesthesia with ropivacaine is safe and effective in vitrectomy for rhegmatogenous retinal detachment. \u0000 \u0000 \u0000Key words: \u0000Anesthesia, sub-tenon’s; Ropivacaine; Vitrectomy; Retinal detachment, rhegmatogenous","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72418661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.004
Mei Zhong, Yan-hui Bai, Wei-qun Wang
Objective To observe the effect of application time of Timolol eye drops on refractive regression after LASIK in patients with high myopia. Methods A prospective case study.The data of 64 eyes of 32 patients with high myopia who underwent LASIK from Jan.2017 to Dec.2018 in the First Affiliated Hospital of Zhengzhou University were analyzed.All cases were randomly divided into the clinical trial group and the control group, 32 eyes of 32 cases in each group.All cases were selected one eye after surgery as the observation object.All cases received the conventional antibiotic eye drops combined with Timolol eye drops at 1 day after surgery.The Timolol eye drops in trial group were continuously dripped for 3 months, and the control group were dripped for 1 month.The two groups were followed up for 6 months. Results There was no significant difference in the visual acuity, intraocular pressure, refractive status equivalent spherical degree (SE) and corneal anterior shift (Diff value) between the two groups at 1 week and 1 month after operation(P>0.05). The difference of uncorrected visual acuity, refractive status (SE) and corneal anterior volume in the clinical trial group at 3 and 6 months after operation were better than those in the control group (t=7.030, 3.250, P=0.000, 0.010). Conclusion Application of Timolol eye drops after LASIK for 3 months can prevent refractive retraction after high myopia. Key words: Myopia, high; LASIK; Regression, refractive; Timolol; Pressure, intraocular
{"title":"Effect of Timolol application time on refractive regression after LASIK in patients with high myopia","authors":"Mei Zhong, Yan-hui Bai, Wei-qun Wang","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.004","url":null,"abstract":"Objective \u0000To observe the effect of application time of Timolol eye drops on refractive regression after LASIK in patients with high myopia. \u0000 \u0000 \u0000Methods \u0000A prospective case study.The data of 64 eyes of 32 patients with high myopia who underwent LASIK from Jan.2017 to Dec.2018 in the First Affiliated Hospital of Zhengzhou University were analyzed.All cases were randomly divided into the clinical trial group and the control group, 32 eyes of 32 cases in each group.All cases were selected one eye after surgery as the observation object.All cases received the conventional antibiotic eye drops combined with Timolol eye drops at 1 day after surgery.The Timolol eye drops in trial group were continuously dripped for 3 months, and the control group were dripped for 1 month.The two groups were followed up for 6 months. \u0000 \u0000 \u0000Results \u0000There was no significant difference in the visual acuity, intraocular pressure, refractive status equivalent spherical degree (SE) and corneal anterior shift (Diff value) between the two groups at 1 week and 1 month after operation(P>0.05). The difference of uncorrected visual acuity, refractive status (SE) and corneal anterior volume in the clinical trial group at 3 and 6 months after operation were better than those in the control group (t=7.030, 3.250, P=0.000, 0.010). \u0000 \u0000 \u0000Conclusion \u0000Application of Timolol eye drops after LASIK for 3 months can prevent refractive retraction after high myopia. \u0000 \u0000 \u0000Key words: \u0000Myopia, high; LASIK; Regression, refractive; Timolol; Pressure, intraocular","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85796190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.002
T. Peng, Dandan Yu
Objective To compare the clinical efficacy between Ⅰ and Ⅱ phase IOL implantation for the treatment of traumatic cataract. Methods Fifty patients of monocular traumatic cataract from Jan. 2016 to Jan. 2018 in Zhejiang Armed Police Corps Hospital were selected.All cases were randomly divided into two groups.There were Ⅰ phase IOL implantation group of 28 cases and Ⅱ phase IOL implantation group of 22 cases.The efficacy of the two groups was compared. Results One month after operation, the visual acuity of the two groups were significantly better than that before operation (P 0.05). One month after operation, the incidence of corneal edema, uveitis, posterior synechia and secondary glaucoma in II stage group were lower than that in I stage group (P<0.05). One year after operation, the anterior chamber depth and scores of tear film rupture time in Ⅱ phase group were higher than those in Ⅰ phase group (P<0.05), and the intraocular pressure and scores of corneal fluorescence staining were lower than those in Ⅰ phase group (P<0.05). Conclusion IOL implantation, the complication rate of the Ⅱ phase of traumatic cataract for the treatment is lower and the long-term effect is better. Key words: Cataract, traumatic; Implantation, lens, intraocular; Efficacy, clinical
{"title":"Comparison of clinical efficacy between I phase and II phase intraocular lens implantation for the treatment of traumatic cataract","authors":"T. Peng, Dandan Yu","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.002","url":null,"abstract":"Objective \u0000To compare the clinical efficacy between Ⅰ and Ⅱ phase IOL implantation for the treatment of traumatic cataract. \u0000 \u0000 \u0000Methods \u0000Fifty patients of monocular traumatic cataract from Jan. 2016 to Jan. 2018 in Zhejiang Armed Police Corps Hospital were selected.All cases were randomly divided into two groups.There were Ⅰ phase IOL implantation group of 28 cases and Ⅱ phase IOL implantation group of 22 cases.The efficacy of the two groups was compared. \u0000 \u0000 \u0000Results \u0000One month after operation, the visual acuity of the two groups were significantly better than that before operation (P 0.05). One month after operation, the incidence of corneal edema, uveitis, posterior synechia and secondary glaucoma in II stage group were lower than that in I stage group (P<0.05). One year after operation, the anterior chamber depth and scores of tear film rupture time in Ⅱ phase group were higher than those in Ⅰ phase group (P<0.05), and the intraocular pressure and scores of corneal fluorescence staining were lower than those in Ⅰ phase group (P<0.05). \u0000 \u0000 \u0000Conclusion \u0000IOL implantation, the complication rate of the Ⅱ phase of traumatic cataract for the treatment is lower and the long-term effect is better. \u0000 \u0000 \u0000Key words: \u0000Cataract, traumatic; Implantation, lens, intraocular; Efficacy, clinical","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74262727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.011
Yueli Li
Objective To evaluate the clinical efficacy of phacoemulsification combined with vitrectomy for macular retinoschisis in degenerative myopic cataract eyes. Methods A retrospective study. Thirty-six eyes of 36 patients with macular retinoschisis in degenerative myopic cataract eyes from Feb.2017 to Jan.2018 in Puyang Municipal Eye Hospital were divided into two groups. Group A, 16 eyes of 16 cases, were treated with phacoemulsification. Group B, 20 eyes of 20 cases, were treated with phacoemulsification combined with vitrectomy. The BCVA, macular foveal retinal thickness and macular morphology after operation were compared between the two groups. Results The BCVA of the group B were 1.12±0.20, 0.77±0.22 and 0.36±0.17 before, 3 and 6 months after operation, and that of the group A were 1.11±0.19, 0.60±0.20 and 0.51±0.18, respectively. The BCVA of group A at 3 months after operation was better than that of group B, but BCVA was lower than that of combined group at 6 months after operation, and the differences were statistically significant (t=2.397, -2.563, P=0.022, 0.015). The average thickness of macular centre retina in group B was lower than that of group A at 3 and 6 months postoperatively(t=-2.219, -2.382; P=0.033, 0.023). There was no significant difference in macular improvement rate between the two groups(χ2=0.013, P=0.909). No postoperative complication such as iatrogenic retinal breaks formation endophthalmitis or intraocular hemorrhage occurred. Conclusion Phacoemulsification combined with vitrectomy can help to improve the visual function of macular retinoschisis in degenerative myopic cataract eyes. Key words: Retinoschisis, macular; Myopia, degenerative; Vitrectomy; Phacoemulsification; Visual function
{"title":"Efficacy of phacoemulsification combined with vitrectomy for macular retinoschisis in degenerative myopic cataract eyes","authors":"Yueli Li","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.011","url":null,"abstract":"Objective \u0000To evaluate the clinical efficacy of phacoemulsification combined with vitrectomy for macular retinoschisis in degenerative myopic cataract eyes. \u0000 \u0000 \u0000Methods \u0000A retrospective study. Thirty-six eyes of 36 patients with macular retinoschisis in degenerative myopic cataract eyes from Feb.2017 to Jan.2018 in Puyang Municipal Eye Hospital were divided into two groups. Group A, 16 eyes of 16 cases, were treated with phacoemulsification. Group B, 20 eyes of 20 cases, were treated with phacoemulsification combined with vitrectomy. The BCVA, macular foveal retinal thickness and macular morphology after operation were compared between the two groups. \u0000 \u0000 \u0000Results \u0000The BCVA of the group B were 1.12±0.20, 0.77±0.22 and 0.36±0.17 before, 3 and 6 months after operation, and that of the group A were 1.11±0.19, 0.60±0.20 and 0.51±0.18, respectively. The BCVA of group A at 3 months after operation was better than that of group B, but BCVA was lower than that of combined group at 6 months after operation, and the differences were statistically significant (t=2.397, -2.563, P=0.022, 0.015). The average thickness of macular centre retina in group B was lower than that of group A at 3 and 6 months postoperatively(t=-2.219, -2.382; P=0.033, 0.023). There was no significant difference in macular improvement rate between the two groups(χ2=0.013, P=0.909). No postoperative complication such as iatrogenic retinal breaks formation endophthalmitis or intraocular hemorrhage occurred. \u0000 \u0000 \u0000Conclusion \u0000Phacoemulsification combined with vitrectomy can help to improve the visual function of macular retinoschisis in degenerative myopic cataract eyes. \u0000 \u0000 \u0000Key words: \u0000Retinoschisis, macular; Myopia, degenerative; Vitrectomy; Phacoemulsification; Visual function","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83223399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.014
Yong Zhang, Yangyang Xie, Lin Chen, Sha Li
Objective To evaluate the clinical efficacy of autologous conjunctival transplantation combined with lacrimal canaliculus incision for the treatment of complex upper lacrimal duct obstruction. Methods A retrospective study. A total of 32 eyes of 31 patients of complex upper lacrimal duct obstruction, who were treated with autologous conjunctival transplantation combined with lacrimal canaliculus incision from Feb. 2017 to Jun. 2018 in Hankou Eye Hospital of Wuhan Aier Eye Hospital were analyzed. The lacrimal passage irrigation were observed. The follow-up time was 1 year after surgery. Results At 1 year after surgery, 21 eyes(65.62%) of lacrimal passage irrigation were successful without symptom of epiphora. Lacrimal passage irrigation with partial reflux, and symptoms of epiphora occasionally occurred outdoors in 7 eyes(21.88%). Lacrimal passage irrigation with more reflux, and symptoms of epiphora improved slightly in 4 eyes(12.50%). Conclusion Autologous conjunctival transplantation combined with lacrimal canaliculus incision is effective for the treatment of complex upper lacrimal duct obstruction. Key words: Transplantation, conjunctiva, autologous; Incision, canaliculus, lacrimal; Obstruction, lacrimal duct, upper
{"title":"The efficacy of conjunctival transplantation combined with lacrimal canaliculus incision for the treatment of complex upper lacrimal duct obstruction","authors":"Yong Zhang, Yangyang Xie, Lin Chen, Sha Li","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.014","url":null,"abstract":"Objective \u0000To evaluate the clinical efficacy of autologous conjunctival transplantation combined with lacrimal canaliculus incision for the treatment of complex upper lacrimal duct obstruction. \u0000 \u0000 \u0000Methods \u0000A retrospective study. A total of 32 eyes of 31 patients of complex upper lacrimal duct obstruction, who were treated with autologous conjunctival transplantation combined with lacrimal canaliculus incision from Feb. 2017 to Jun. 2018 in Hankou Eye Hospital of Wuhan Aier Eye Hospital were analyzed. The lacrimal passage irrigation were observed. The follow-up time was 1 year after surgery. \u0000 \u0000 \u0000Results \u0000At 1 year after surgery, 21 eyes(65.62%) of lacrimal passage irrigation were successful without symptom of epiphora. Lacrimal passage irrigation with partial reflux, and symptoms of epiphora occasionally occurred outdoors in 7 eyes(21.88%). Lacrimal passage irrigation with more reflux, and symptoms of epiphora improved slightly in 4 eyes(12.50%). \u0000 \u0000 \u0000Conclusion \u0000Autologous conjunctival transplantation combined with lacrimal canaliculus incision is effective for the treatment of complex upper lacrimal duct obstruction. \u0000 \u0000 \u0000Key words: \u0000Transplantation, conjunctiva, autologous; Incision, canaliculus, lacrimal; Obstruction, lacrimal duct, upper","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86720578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.001
Xianming Deng
Objective To observe the efficacy of application of the mixture of sodium hyaluronate gel and triamcinolone acetonide(TA) in complex vitreoretinal surgery. Methods Prospective study. Total of 80 eyes of 77 patients who underwent complex vitreoretinal surgery combined with silicone oil tamponade in the First Affiliated Hospital of Zhengzhou University from May to Oct. 2018 were collected. All cases were randomly divided into treatment group and control group. At the end of surgery, the 1∶1 mixture 0.1 ml of sodium hyaluronate gel and TA (2 mg) was injected into the vitreous cavity in the treatment group; while the control group received injection of 2 mg TA into the vitreous cavity. Results The distribution of mixture was more uniform and diffuse in the silicone oil eye of treatment group, while the distribution of TA in control group was more concentrated in lumps in the silicone oil eye. The particles of TA could be completely absorbed within 2 weeks in the treatment group, while in control group TA retained for 4-8 weeks. The early postoperative BCVA improvement rate was 88.89% in the treatment group and 43.18% in control group, respectively. The difference of BCVA improvement rate was statistically significant between the two groups (χ2=19.067, P=0.000). The incidence of intraocular hypertension was 30.56% (11/36) in the treatment group and 29.55% (13/44) in control group, respectively (χ2=0.010, P=0.557). The incidence of anterior chamber fibrin exudation in the two groups was 22.22%(8/36) and 15.91% (7/44), respectively(χ2=0.518, P=0.472). The incidence of proliferative vitreoretinopathy(PVR) in the two groups was 38.89% (14/36) and 38.64% (17/44), respectively(χ2=0.001, P=0.581). Conclusion The mixture of sodium hyaluronate gel and TA is more evenly distributed and absorbed faster in the silicone oil tamponade eye. It is more conducive to the early postoperative visual recovery and fundus observation. Key words: Surgery, vitreoretinal, complex; Vitreoretinopathy, proliferative; Sodium hyaluronate; Triamcinolone acetonide; Hypertension; Anterior chamber exudation
{"title":"Application of the mixture of sodium hyaluronate gel and triamcinolone acetonide in intraocular surgery","authors":"Xianming Deng","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.001","url":null,"abstract":"Objective \u0000To observe the efficacy of application of the mixture of sodium hyaluronate gel and triamcinolone acetonide(TA) in complex vitreoretinal surgery. \u0000 \u0000 \u0000Methods \u0000Prospective study. Total of 80 eyes of 77 patients who underwent complex vitreoretinal surgery combined with silicone oil tamponade in the First Affiliated Hospital of Zhengzhou University from May to Oct. 2018 were collected. All cases were randomly divided into treatment group and control group. At the end of surgery, the 1∶1 mixture 0.1 ml of sodium hyaluronate gel and TA (2 mg) was injected into the vitreous cavity in the treatment group; while the control group received injection of 2 mg TA into the vitreous cavity. \u0000 \u0000 \u0000Results \u0000The distribution of mixture was more uniform and diffuse in the silicone oil eye of treatment group, while the distribution of TA in control group was more concentrated in lumps in the silicone oil eye. The particles of TA could be completely absorbed within 2 weeks in the treatment group, while in control group TA retained for 4-8 weeks. The early postoperative BCVA improvement rate was 88.89% in the treatment group and 43.18% in control group, respectively. The difference of BCVA improvement rate was statistically significant between the two groups (χ2=19.067, P=0.000). The incidence of intraocular hypertension was 30.56% (11/36) in the treatment group and 29.55% (13/44) in control group, respectively (χ2=0.010, P=0.557). The incidence of anterior chamber fibrin exudation in the two groups was 22.22%(8/36) and 15.91% (7/44), respectively(χ2=0.518, P=0.472). The incidence of proliferative vitreoretinopathy(PVR) in the two groups was 38.89% (14/36) and 38.64% (17/44), respectively(χ2=0.001, P=0.581). \u0000 \u0000 \u0000Conclusion \u0000The mixture of sodium hyaluronate gel and TA is more evenly distributed and absorbed faster in the silicone oil tamponade eye. It is more conducive to the early postoperative visual recovery and fundus observation. \u0000 \u0000 \u0000Key words: \u0000Surgery, vitreoretinal, complex; Vitreoretinopathy, proliferative; Sodium hyaluronate; Triamcinolone acetonide; Hypertension; Anterior chamber exudation","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84375626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-25DOI: 10.3760/CMA.J.ISSN.2095-1477.2020.01.009
Zhan-sheng Shen, Yuanyuan Li, Juanjuan Yin
Objective To evaluate the efficacy of 25 G intraocular illumination assisted scleral buckling in the treatment of simple rhegmatogenous retinal detachment. Methods Retrospective case analysis. Total of 37 eyes of 37 cases with simple rhegmatogenous retinal detachment from Feb. 2016 to Oct. 2018 in Zhengzhou Second People’s hospital were included in the study. All cases underwent 25 G intraocular illumination assisted scleral buckling. The follow-up period ranged from 6 to 12 months. Results Retinal reattachment occurred in 35 eyes (94.59%) after first operation. Preoperative visual acuity ≥0.4 in 2 eyes (5.41%) increased to 12 eyes (32.43%) postoperatively. The difference was statistically significant (χ2=8.810, P=0.003). Conclusion 25 G intraocular illumination assisted scleral buckling has unique advantages.Compared with traditional scleral buckling, the surgical operation is more intuitive and accurate for the treatment of simple rhegmatogenous retinal detachment. Key words: Detachment, retinal, rhegmatogenous, simple; Buckling, scleral; Illumination, intraocular
{"title":"Intraocular illumination assisted scleral buckling for the treatment of simple rhegmatogenous retinal detachment","authors":"Zhan-sheng Shen, Yuanyuan Li, Juanjuan Yin","doi":"10.3760/CMA.J.ISSN.2095-1477.2020.01.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2020.01.009","url":null,"abstract":"Objective \u0000To evaluate the efficacy of 25 G intraocular illumination assisted scleral buckling in the treatment of simple rhegmatogenous retinal detachment. \u0000 \u0000 \u0000Methods \u0000Retrospective case analysis. Total of 37 eyes of 37 cases with simple rhegmatogenous retinal detachment from Feb. 2016 to Oct. 2018 in Zhengzhou Second People’s hospital were included in the study. All cases underwent 25 G intraocular illumination assisted scleral buckling. The follow-up period ranged from 6 to 12 months. \u0000 \u0000 \u0000Results \u0000Retinal reattachment occurred in 35 eyes (94.59%) after first operation. Preoperative visual acuity ≥0.4 in 2 eyes (5.41%) increased to 12 eyes (32.43%) postoperatively. The difference was statistically significant (χ2=8.810, P=0.003). \u0000 \u0000 \u0000Conclusion \u000025 G intraocular illumination assisted scleral buckling has unique advantages.Compared with traditional scleral buckling, the surgical operation is more intuitive and accurate for the treatment of simple rhegmatogenous retinal detachment. \u0000 \u0000 \u0000Key words: \u0000Detachment, retinal, rhegmatogenous, simple; Buckling, scleral; Illumination, intraocular","PeriodicalId":10126,"journal":{"name":"Chinese Journal of Ocular Trauma and Occupational Eye Disease","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81715295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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